Hologic Lorad M IV Series Operator Manual PDF

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9-500-0169
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The fo llowing are registered trademarks of LORAD:

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• Lorad
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M-IV
Mammography System
Operator's Manual
9-500-0169
Revision 12
CHAPTER
Table of Co,.tents
Chapter 1 Introduction & Specifications

SYSTEM OVERVIEW. • . • . . . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • . • • • • 1
Manual Objectives. . . . . . . . . . . . . . . . . . . . . . . . • . . . • • . • . . . . . • . • . . . . . .. J
Major Features . ............. , . . . . . . . . . • • . • . • . . • . . • . • . . • . . • . . . . .. J
MAJOR PARTS & COMPONENTS ............. . .......... ....... 2
The Operator Console . . . . . . . . . . . . . . . . . . . . . . • . • . . • . . . . • . . • . . . . . . .. 2
Legend - Operator Console . . . . . . . . . . . . . . • . . • . • . . • . • . . • . . • . • • . . . . .. 2
The Gantry . . . . . . . . . . . . . . . . . . . . . . • . • • . • • . . . • . . • . • • . • . . • . • • . . . . . . 3
Legend - Gantry . . . . . . . . . . . . . . . . . . • . . . . . . . . . . • . . • . • • . • . . • . • • . . . .. 3
MANUALARRANGE~NT .......•.. •.. •. •.. ..• .. • ... .. .. • . ... . 4
SAFETY NOTES ................. . ..... ........... . ........ . ... S
Technologist and Patient ............ . .•... • .•. •.. •.. • .• .....•..... 5
Electrical Safety. . . . . . . . . . . . . . . . . • . . . . . . • • . . . • • . . . . • . • . . . . . • . . . .. 5
Emergency Motion OFF Switch . .....•.....•....•.... •.. • .. • ........ 5
INTERLOCKSVSTEM ............ ... ..... ..... .. . .............. 6
The Cassene In terlock ............ • . , , .. , . • . . . . • . • • . . . . • . • • . • . . . .. 6
TIu! X·ray Switch Interlock. . . . . .. . . . . . . . . . . . . . . . • .. • .. .. • . . • . . . . . .. 6
( TIu! Early Release Interlock. . . . . . . . . . . . . . . . . . . . . • . . • . . . . • . . • . • . . . .. 6
The Automatic Compression Release Interlock. . . . . . . . • . . • . • . . . . . • . . . .. 6
The Image Receptor Support Device Interlock .. . . . . • . • . . • . . • . . • . • . . . .. 6
The Compression Inrerlock. . . . . . . . . . . . . . . . . . . . . . • . • • . • . . • • . • . . . . . .. 6
ACCESSORIES ................................................ 7
COMPLIANCE REQUIREMENTS ................. .. ............. 8
Responsibility Statemenr . . . . . . . . . . . . . . . . . . . . . . . . . . • . • . . . . . • . . . . . . .. 8
Compliance Statement . . . . . . . . . . . . . . . . . . . • . • . • . • • . . • . • . . • . . . . . . . .. 8
Label Locations ....•............ ..• .. • .. • ... • •. . .. •. .•. • ........ 9
SVSTEMSPECIFJCATIONS ... ... .............................. 10
Electricallnput SpecijicationJ ............ . ............. . .......... 10
Operating Environment . ............ • •. • .. • .• .. ..• . .• . •.......... 10
Sto rage Environment . ...........•• • . . • .. • •...••.• .. •. .• . • • ... . .. 10
Unit Measurements . ...........••....•..•..•. • .... • .. • ....•...... II
C·arm Specijications ..........•.. • .......•....•.. • ....•..•...... 12
Compression Specijico.tionJ . . . . . . • . . • . . • . . . • • . . . • • . . . • • . . • . • • . . . .. 12
X·rayTubeSpecijications ..... ...... • • ••. ••.• . ... •. ••....• . ••. .... 13
X·ray Tube Housing ............... • ..•..•...... •.. •.. ..•.. • ..... 13
X·ray Beam Filtration & Output . .... • .. • .. • .•....•..•.•..•..•..... /3
X·ray Collimation & Light Field . .......... . ...... . .. . . . . . ... . ..... 14
High Voltage Generator . ................... . .......... . . ..... .... 14
Accurocy, Reproducibility, '" Linearity . . . . . . . . . . . • . . • . • . . • . . • . • . . . .. 15
Image Receptors . .......................•.. , . • . . • . • . . • . . . . • . . . .. 15
Automatic Exposure Control (AEC) ........... •....• .• • . • ..•..•.. ... 15
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M-N Operator's Manual (

Table of Contents
Chapter 2 Accessory Set Up & Installation

POWER & DATA CONNECTIONS •••• • ••••••••••••••••••• •• •• ••• 17
The Console to Gantry Connections . . . ... .• • .. . . • . •..•.. . .•.•...... J7
The HIS / RIS Connection . . .. .. . .... • . . .. . .• • . . . .• . • .. • .•. • ...... 17
Connecting to Power . .. .... .. .. . . ........ . .. . .•.. • ... . ..•....... 17
POWER UP SEQUENCE •••••••••••• • •• • •• • •••••• • • • ••••••••••• 18
Pre-Power Up Checks. . . . . . . . . . . • . • • . . . . . • . . • . . . . • • . • . . . . • . • . . . .. 18
System Power Up .. . .. . . .. . ... . . . . .. .. .. . .. . . . . .... • . • • .•....... J8
Post-Power Up Checks ......... . ...... . .... . ...... . .. •.. . .. .. . ... 18
THE IMAGE RECEPTOR SUPPORT DEVICE • • ••••• •• •••••• • • • • • 19
THE BUCKY DEVICE •• •• •• • •••••••••••••••••••••••• • ••••••••• 20
Installing the Bucky Device ............... . . , . . . . . . . • . . . . . . • . . . . .. 20
Loading the Buclcy Device . . . . . . . . . . . . . . . . . . • . . • . . . . • . . . . . . . . . . . .. 20
THE MAGNIFICATION TABLE •• • • • •• • • • •••• • • •••• • •••••••••••• 21
Installing the Magnification Table . .......•.. • • . • ..... • .. . . , . .. . . .. . 21
Loading the Magnification Table. , . , .... , , • ' , • ' , . ' • . . • . . • • • . • . , .. . . 21
COMPRESSION PADDLES • •••• •• • • •• •• •• • • ••• •••••• • ••••• •• ••• 22
Mo unting the Compression Paddles, ... . , , • ' .• . , • ' , • . . . . • . • . . . . . . . .. 23 c
RADIATION SHIELDING •••••••••••• • •••• • ••••••••••••••••••• • 24
The Patient Face Shield .. . . .. , .. . . , , , . , • • • . • • . . • . • . • • . • . . • . • . . . .. 24
The Operator Shield, . , , , , , , , , . , , . , , , " . , , , • , , • , , • , . , . . . • . . . • . . . .. 24
Other Shielding. . . . . . . . . . . . . . . . . . . . . . . . . . . • . . • . . . . • . . . . • . • . . . . . . 24
DUAL FUNCTION FOOTSWITCHES ••• • •••••••••••••••• • ••••••• 25
Operating the Footswtiches ................•... . .•. • .. • . • ... . ..... 25
FILM LABELING ..•.••..•.•... • . • ......•.•... • .• .• • • • •• • ..• • . 26
The AutoFilm ID . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . • . . . . • . . . • . . . . .. 26
Using the AutoFilm ID ..................•..... • .. • ... . • . • ........ 26
The Label Printer (optional) ........... . ....... . .......... . . .. . . .. 26
OPTIONAL EQUIPMENT •••• • • ••• • • • •• ••••• ••• • • •••••••••••••• 27
The LORAD HTC Grid System. . . . . . . . . . . . . • . . • . • . . . . . . . • . • . . • . . . .. 27
The LORAD DSM . . .. • .. . .. • ....... . .•... . .•.. •. . . .• . ... , . • . . . .. 27
The StereoLoc Jl Biopsy System. . . . . . . • . . • . . • . . • . • • . • . . • . • . . . . . . . . . 27
ii M-IV Operator's Manual

Table of (::Ontents
Chapter 3 System Controls

OPERATOR CONSOLE CONTROLS .........•............•..... 29
THE ALPHANUMERIC KEypAD .......... . .........• .. . ...... . 30
THE VIEW KEYPAD .....•....•...•....•....••.....•...•...... 30
The RunlSetup Key . . . . . . . . . . . . • . . . . . . . • . . • . • . . . . . . . • . . . . • . . . . . .. 3 J
The Change Key . . . . . . . . . . . • • . . • . . • . • . • . . • . • . • . . • . . . . • . . • . . . . . .. 3 J
The Clear Key . . . . . . . . . . . . . . . • • . • • . • . . • . • • . • . • . . • . • . . . . • • . • . . . .. 3 J
The Reset Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . • . . . . • . . . . . .. 3 J
Mammographic View Ktrys . . . . . . . . . . . . . . . . . . . . . . • . . • . . . . • . . . . . . . .. 32
THE EXPOSURE TECHNIQUE KEYPAD . . .... • ................. 33
The Mode Select Key ......................... • • • • •... • •... • ..... 33
The Filter Select Key. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . • . . . . • . . . . .. 33
ThekVSetKeys .. , ... ..... • . .•.. •. •.. • . • .. •.•. . , ', ' .•....•...... 34
The mAs Set Keys . ........•.••. • • .• •.•.••.•.•.•..... • .•..•...... 34
The Density Set Keys. . . . . . • • . • . . • . . • . . • . • . . • . . . • . . . . . • . • . . • . . . . .. 34
The Spot Select Key .............••.•....•.... • .... • . • .. • .. • ..... 35
The Film Select Key ...... ........ • .•.. • .... • .•.•..... .. ... •. .... 35
( THE FUNCTION KEYPAD . • ...••.........•.•..••...••.•....... 36
The CPT Code Key . . . . . . . . . . . . . . . . • • • . . • • • • . • • • . . • • . • • . • . • • . . . . . 36
The View Key . . . . . . . . . . . . . . . . . . . . • . . • . • . . • . • . . . . • . . • . • . . . . . . . . .. 37
The Stereo Key ....... . ....•..•..•....•....•.... • ..•.... • ....... 37
The C-arm Position Key ...... .. . .. .... : . . . . • • . • . . . . • . . • . • • . • . . . .. 37
The Cursor Keys . . . . . . . . . . . . . . . . . . . . . . • • . • . . . • • . • . . • . • . . • . • . . . .. 37
OTHER CONSOLE CONTROLS •...•..•••.....••• ... •••.•• ..... 38
C-ARM CONTROLS .........•.....• , .... , . , .. • ................ 39
C-arm Up &. Down Controls ........ ....•..•.•.. • .••.•..•.•.......39
Compression Up &. Down Switch ..... . . • • • ••• •• • • • •• •. •..• . • • ...... 40
Compression Release Switch .. . . . . . . . . • . . . . • . . . . • . • • • • . • . . . . . . . . .. 40
C-arm Rotation Switch . ......................•.•..•..•.•.. • ...... 41
MaltUlll Compression Handwheels . ..... ..........•..• ....•. ........ 41
C-ARM READOurs & INDICATORS •.. ...........•..•. , .. • •• . .. 42
Compression Thickneu Display . ........................ • • • .• • ..•. ' 42
Compression Force Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . .. 43
Automatic Exposure Control Sensor Position Indicator. . . . . . . . • • . • . . . .. 43
TUBEHEAD CONTROLS ..•....•...•....• ... •.......••.. ...... • 44
C-ann Rotation Switch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . • . . • . . . .. 44
C-ann Rotation Memory . ........ . ••....•... •• .• .• • .•.. • ..... ..... 44
Ught Field Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . • . . . . . . . .. 44
Collimator Override Switch. . . . . . . . . . . . . . . . . . • . . . . • . . • . • . . • . . . . . .. 45
GANTRY CONTROLS & SWITCHES ....•...•.•••••.•.•......... 46
GANTRY READOUT .......•...............•.•.....•.•..••.... 47
M-W Operator's Manual iii

Table of Contents
Chapter 4 User Interface - The Run Mode

USER INTERFACE OVERVIEW • •• • •• • • • •• • ••••••••• ••••• •• • ••• 49
The Startup Screen . . . . . . . . . . . . . . . . . . . . . . . • . . • . . • . . . . . . . . • . . . . . .. 49
The Run Mode Screen. . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . • . . . . • . . . . . .. 50
THE ID COLUMN DATA FIELDS ••••••••••••••••••• • •• • • ••• • ••• 51
The "ID" Data Field ................... • . •. . • ..•.... . .• . . ...... . 51
The "Name" Data Field ..................•.. • . . • . • ....•.......... 51
The "Birth Date" Data Field . ....... ••. .. •• .. . . •. . • ....•.... • ..... 52
The "Sex" Data Field . ..........•..•.. • .•... .. • .•.. • . •.. •. •...... 52
The "Comment" Data Field . ......•.. • .... • .. • .... • ... • ..•.•...... 52
The "Tech ID" Data Field . ............ • ....•..•.... • . •..•. • ...... 53
The "CPT Code " Data Field ....... . . • _•.. • _.•. • . . ..• . ....•....... 53
The "Exam View" Data Field .. ... ................. • .•. .•. • .•. .. . .. 54
The "Compression" Data Field. . . • . . . . . . . . . . . . . . . . . . . • . . . . • . • . . . .. 55
THE EXPOSURE TECHNIQUE FIELDS •••• ••• •• ••••••••••••.••• 56
The "Mode" Technique Field . ............ . . .. . • . .. . •. ...•... • ..... 56
The "Filter" Technique Field . .................• . . .. . . •. . •. • . ......
The "kV" Technique Field . .. . .... . .............. • ........ • • • .....
The "mAs" Technique Field . ..........•.......... • . • .. • .•.........
57
57
57
C
The "Density" Technique Field . .... . • .. ..• .. •..•. •. . . .• . • • . •... .. . 57
The "Spot" Technique Field . ........•..•.•..•. .•.• .. • .•..•.•...... 58
The "Film" Technique Field. . . . . . . . . . • . . . . • . . • . . • . • . . . . • . . . . . . . . .. 58
THE STATUS COLUMN •••••• • •• •• •• •••••••• •• •••• • •••• •• • •• • •• 59
The "Date" Status Field . . ..... ... • .• . ...• • . .•..• . •. • ..•.... • ..... 59
The "Tune" Status Field . .. . .. .....•.... . . •. ... • . . • .•.•..•. •. ... .. 59
The "Printer" Status Field . ..... . ... . .. . • ... .•..• .. ....•.... • ..... 59
The "Auto ID" Status Field . ..... . .. . • ...• . .. . ...• .......... • ..... 59
The "Compression " Status Field. . . . . . . . . • . • . . • . • • . • . . . . • . . . . • . . . .. 59
The "Receptor" Status Field . .........•. . ... •. • ....•.. • .•.•. • ..... 60
The "Collimator" Status Field . ...... . ................... . ......... 60
The "View" Status Field . ..........•..•. • . . •. . •....•.. . .•......... 60
Iv M-W Operator's Manual

Table of (:Ontents
Chapter 5 User Interface - The Setup Mode

INTRODUCTION • •••• • •• •• •• •• •••••••. .• ••• .••.•••••••.••• • . •• 61
The Setup Mode Screen . ............. •.. • .. • .... • ..•.• .... • ...... 61
Selecting Fields & Entering Data . .....•..•..•.. . .•.. • .•....•. ..... 61
SETUP WINDOW DEFAULTS. • • • • • • • • • • • • • • • . • • • • • • • • • • • • • • . • •• 62
Pre-Compression Force: . . . . . . . . . . . . . . . . . . . . • . • . . • . . • . • . • . . • . . . .. 62
Full-Compression Forct!: . ........ .....• ..•.. •.• ....• .• .. • .•.. .... 62
Compression Release: . . . . . . . • . • . . • . . • . . . . . . . • . . . • • . . . . • . • . . . . . .. 63
Collimator: ................... • .. • ..•..•.•.... • .. • .•.•..•. .... 63
Default Exposure Mode : ....... . • •.••• • • • • •.•• • • • •. •• . •... .•..... 63
Default Magnification Mode : . . . . . . • . . • . . • . . • . • . . . . • . . . . • . • . . . . . .. 63
View Reminder: ............ .....•....... ... • , • . . • . . . . . . • . . . . . .. 63
Auto kV Window ImAs Table: . ... .•.• • .. • .. • .. . . • . •.. • .... • .•..... 64-
Printer: ................ .....•. • • . • .. •• • •• ••• •. •.. •.•. • .. ..... 64-
AutoID: .................. ... • ... ............ • ..•. • ..... ...... 64
Cassette Sense: ....... ..• • ....... •. . •. . •....• .... •. ... . .•...... 65
Retain Patient Data: . . . . . . . . . . . . . . . . . . . . . . . • . • . . • • • • . • . . . . • . . . . .. 65
c Setup Options: . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . • . . • . • . • . . • . . . . . . ..
EXPOSURE TECHNIQUE DEFAULTS .••.. •••••••••••••••• • • .•• • 66
65
Chapter 6 User Interface - Additional Setup

USER INTERFACE OVERVIEW •••••••••••••• •• •••••••••••••••• 67
DEFAULTS· ADDITIONAL SETUP ••••••• ••••••••• • ••••• •• ••••.• 68
Compression
Force Units Data Field. . . . . . . . . . . . . . . . . . • • • . . • • • • . • • • • • . . • • • . . . . . 68
RlS Data Field .. . ........... • .... • .. • .. • ..•. • . •..•....•.•.. ... ' 68
Film 1 Data Field . . . . . . . . . . . . • . . . . • . . • . . • . . . . • . . . . • . . . . . . • . . . . .. 68
Film 2 Data Field . . . . . . . . . . . . • . . . . • • . • . . • . . • . • . . . . • . . . . • . • . . . . .. 68
Film 3 Data Field. . . . . . . . . . . • • . • • . . . • • • • • • • • . • • • • • • . • • • • . . . . . . .. 68
Flash Time I Data Field . ... ...... • .••.• .. • ..•. • . , ..•...... • ..... ' 68
Flash Time 2 Data Fjeld . .... ..•..•.. • .. • ..• , ...•.•....•. •.. ..... ' 68
Flash Time 2 Data Fjeld . ...... • ..• ..•.. . .. . .•.. . . .. . . .•.•. • . .... ' 68
Date Data Field .. . . . . . . . . . . . . • . . • . • • . • . . • . • • . • . . • . • . . . • • . • . . . .. 69
Time Data Field .. . . . . . . . . . . • . • • . • . . • . . • . . • . . . . . . • . . • . • . . . . . . . .. 69
Institution Data Fjeld . .. .................... ......•..• .• .. ... .... 69
Institution Addnss Field . . . . . . . . . . . . . . . . . . . . . . . . . • . . • . • . . . . • . . . . .. 69
Tech ID cleand with Clear Key Data Field . ........... . ....... .. ..... 70
Auto ID Contrast Data Field . ....... .............•..•.• .... • ...... 70
Auto ID Offset Data Field . .... . ................•.•.. • ....•. • ...... 70
( Daylight Saving Tim e Data Field. . . . . . . • • . • • . • • . • . • • . • . . . . • . • • . . . .. 70
M-N OperaiDr's Manual v

Table of Contents
Chapter 7 Patient Pre-ScheduUng & Data Storage

MANUAL PRE.SCHEDULING .......... ... ..................... 71
Entering Pre-Schedule Data . ... .. .... .- .......................... " 7J
Recalling Pre-scheduled Data. . . . . . . . . . . . . . . • . . . . • . • . . • . . . . . . . . . .. 71
AUTOMATED PRE·SCHEDULING ...... .. ........ ..... ......... 72
The Bar Code Reader. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Direct Link .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 73
POST EXPOSURE STORAGE ......•.......•....•.......•....... 73
Chapter 8 CUnical Procedures

SEQUENCE OF OPERATION· CONTACT EXPOSURES ••••••••••• 75
SEQUENCE OF OPERATION· MAGNIFICATION STUDIES ••••••• 78
SEQUENCE OF OPERATION· SPOT EXPOSURES ••••••••••••••• 82
OTHER FEATURES ••••••••••••••••••••••••••••••••••••••••••• 86
C-ann Rotation Memory . ......................................... 86
Film Labeling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . • . . . . . . . . . .. 86
c
SYSTEM SHUT DOWN •••••••••••• • ••• • •••••••••••••••• • •••••• 87
CARE & CLEANING .........•.•.........•.................... 88
Cleaning & Disinfection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 88
Chapter 9 CPT Code & Tech m Setup

CPT SETUP SCREEN •••••••••••••••••• • ••••••••••••••••••••••• 89
The CPT Data Entry Fields . . . . . . . . . . . . . . . . . . . . . .. . . . • . . • . . • . . . . .. 89
The View Selection Fields. . . . . . . . . . . . . . . . . . . . . . . • . • . . . . . . . • . . . . . .. 90
TECHNOLOGIST ID SETUP SCREEN •.•...........•...•.... •. •. 91
Defining Technologist ID Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 92
vi M·W Operator's Manual

(
PREFACE: I The LORAD M-IV is a mammographic system that combines advanced

technology with proven design and performance features. The M-IV
adapts easily to the full range of mammographic functions. including
stereotactic and digital imaging.
OVERVIEW: I Chapter 1 provides a brief introduction to the M-IV, and familiarizes the
user with the following :
• Major features, parts. and components

• Compliance information
• Safety practices
• Syste m specifications
c OBJECTIVES: I After reading this chapter, the user will be able to:
• Identify major components of the M-IV system

• Follow recommended user safety practices
• Understand the purpose of system interlocks
• Reference system specificati ons
Chap-ter 1:
Introduction & Specifications
(
(
Introduction & Speci[fi<,atio"15
SYSTEM OVERVIEW Major Features

The LORAD M-IV is an advanced, multi-processor The LORAD M·JV combines popular. proven features
controlled. ergonomic x-ray mammography system. with new technology and design to provide an array of
Capable of multiple applications. the M-JV functions as a time saving. cost effective benefits and superior imaging
complete diagnostic system utilizing standard image capabilities. Some of these features are:
receptors or the LORAD HTe Grid System for film
imaging. • Increased tube output (lOOmA) which reduces
exposure time and improves image sharpness
The M-IV easily convens for use with the LORAD DSM
(for digital capabilities), and for use with the LORAD • . Integrated AutoFilrn II) for paper·less film labeling
StereoLoc II for upright stereotactic procedures{NccdJe and efficient handling
Core Biopsy, Fine Needle Aspiration. Wire Localization).
• Dual-filter capability for dose reduction and
The unit's modular design separates the operator interface superior image quality
(Operator Console) and the patient handling devices
(Gantry). This pennits configuration of the M-lV to • Improved focal spot characteristics that contribute
differing space allotments. to the production of optimal resolution in film
images
c Manual Objectiues
This manual serves a two-fold purpose:
•
•
R.l8 eempatible
Automatic Exposure Control (AEC) modes.

including automatic selection of filter. that produce
• It is a learniog aid for understanding the use and optimum image quality at lowest possible doses
functions of the individual components of the
mammography system.
• It is an operating guide that assists the user during

the clinical application of the system.
The manual takes a building block approach that starts

with explanations of system basics. and progressively
moves the user through the operating controls, to the
ultimate goal of performing clinical examinations. To
better achieve this goal, the user should:
• Read this manual in total, and in the sequence in

which it is presented. and become familiar with its
contents.
• Keep the manual in an accessible spot for use as a

quick reference before and during patient exams.
M-N Operator's Manual 1

Introduction & Spec(fications
MAJOR PARTS & COMPONENTS

The M-IV Mammography system consists of:
• the Operator Console

• the Gantry (with C-arm)
The Operator Console

The Operator Console, separate from the Gantry, is the
system control station. The Console's pedestal-type
design accommodates differing room sizes and require-
ments. The operator interface appears on a flat panel
display, and shows patient information and exposure
techniques. A control keyboard is used for input of
identification information and exposure parameters. The
Operator Console also houses the internal AutoFilm ID
for film labeling, and a floppy disk drive for electronic
storage of exposure history.
(
Legend - Operator Console
Use the legend below as a guide for component identifi-
cation.
1. Display Screen
Figure I-I:
2. Input Control Panel The M-IV Operator Console
3. AutoFilm ID
4. Emergency OFF Switch
5. Radiation Shield
6. Floppy Disk Drive
7. Cassette Storage (both sides)
8. Input Power I Data Cable Connector Panel
9. Bar Code Reader (option)
2 M-N Operator's Manual

Introduction & Specjficati.ons
The Gantry
The Gantry houses the high voltage electronics which
produce x-rays at the energy levels needed for mammog-
raphy. The mechanical assemblies which position the
C-arrn (height and rotation), the input transfonner, the
fuse panel, and most of the system electronics are also in
the Gantry. LED readouts on the left and right side of
the Gantry show the C-arm angle.
The C-ann houses the x-ray tubehead, the Compression

Device, and the Image Receptor Support Device, and
mounts to the Gantry via a pivot mechanism. Accesso-
ries. such as Compression Paddles, Magnification Tables,
and Bucky devices. as well as the StereoLoc 11 and DSM
options, are installed on the C-arm to support various
applications. The design permits examinations of
standing. sitting or recumbent patients. Pushbuttons on
each side of the C-arm and tubehead control C-arm Upl
c Down, C-arm Rotation. Compression Release. Compres-

sion UpIDown. and x·ray beam collimation.
Legend - Gantry
Use the legend below as a guide for component identifi-
cation.
I. Tubehead Figu re 1·2:

2. Tubehead Controls The M-IV Gantry
3. Face Shield
4. Compression Thickness / Force Displays
5. Compression Carnage
6. Image Receptor Suppon Device
7. C-arm Angle LED
8. Emergency Motion OFF Switcb
9. Patient Handles
10. Vertical Travel Assembly
II. C-arm Controls
12. C-arm Pivot Tube
13. ON/OFF Circuit Breaker
14. Footswitcb
M-W Operator's Manual 3

Introduction & SpecifICations
MANUAL ARRANGEMENT Chapter 5:

This manual is divided into nine chapters as follows: User Interface - Setup Mode
The Setup Mode screen permits the user to make default
selections that will define the status of the system at
Chapter 1: power up. The selections discussed in this chapter
Introduction & Specifications include compression force defaults. exposure mode
defaults, exposure timing defaults, and exposure tech-
This chapter provides an overview of the mammography nique defaults.
system. including parts descriptions, special features,
specifications. and compliance infonnation. Also
included are the warnings. cautions, and notes pertaining
Chapter 6:
to patient and user safety.
User Interface - Additional Setup
In this chapter. the user learns to make choices that
Chapter 2: define parameters such as: unit of measure for compres-
Setup & Accessory Installation sion force, RIS capabilities, and film I screen
combinations.
To prepare the unit for use, this chapter details the power
up sequence, attachment of accessories, installation of
patient shielding, and optional accessories.
Chapter 7:
Patient Pre-5cheduling
(
Chapter 3: Chapter 7 details the methods by which examinations are
System Controls scheduled: manual scheduling. scheduling via the Bar
Code reader. and scheduling via the RIS system (a direct
Explanations for the use and functions of the Console link to the Hospital Information System).
controls. the Gantry controls, and the Tubehead controls
are contained in this chapter. Also discussed are descrip-
tions of readouts & indicators. interlocks & accessory
ChapterS:
detectors, and various film labeling methods.
Clinical Procedures
This chapter suggests a sequence for clinical applica-
Chapter 4: tions. including procedures for contact exposures,
User Interface - Run Mode magnification exposures. and spot mammography.
This chapter describes the areas that make up the Run

Mode screen, and how to move through the on-screen
Chapter 9:
data fields to make selections or to enter information in
preparation of a clinical examination. CPT & Tech ID Setup Modes
In this chapter, the user learns the steps necessary to
setup CPT codes and to define preferences that custom-
ize the Run Mode for each Technologist.

Introduction & SJI'eci/i,caltions
SAFETY NOTES WARNING I Mo'oriz." equ/pmen,. U••

core wII.n o"jumng for pori.nt u••.
Read the following safety notes and precautions before
O&••rye equipment an" patient at all
turning the unit on.
tim•• "uring ••t up. " a choir I. n.e...
• ary 'or a proce"ure, whe,.. po..'&'.,
Technologist and Patient
u•• a yor'o.'e he,ght choir .et a&aye It.
Only qualified operators should use this machine. minimum height to a ..i.t witll tile .et up
Operators should be well·versed in the basic principles proc•••.
mammography before attempting to carry out the
instructions contained in this manual. This I?peratoc's WARNING I Foot.witche.: To ovoid
manual should be read and understood in its entirety 'oot.wifeh aytiYation, -lceep &oth
before turning the unit ON.
'oot.witche. c'eor
orm .etup area.
0'
tile patient and C-
ALWAYS follow all the instructions in this manual.
LORAD does not accept responsibility for injury or
damage associated with improper or unsafe system
Electrical Safety
operation. Your LORAD dealer can arrange for training Only authorized maintenance staff may remove covers
by a mammographic application specialist at your from the M-IV unit. Always refer service needs to
facility. qualified, LORAD-authorized personnel.
c The M-IV is designed with state-of-the-art protective

devices that are built into the machine's operating logic.
WAIlNING I ... fllal voltog .. are pre.ent
0'
wI""n the inferior tIIi. unit. DO NOT
However. the technologist needs to be familiar with open any of tit. pane'"
published data on radiation safety. When operating the
M-IV. the technologist needs to keep in mind the health WARNING I lIectrico/equ/pment u.ed In
hazards of unwanted x-rays. tlte p .....nc. a'Rammo&Ie one""e';"
may cau. . . ./u'on. Newr operate tlti.
WARNING I for mcuc/mum protection
'rom x..,ay .xpo.ur., the op.rator mu.t
unit in zone. wII.... tltere I. a ri.Jc0'
..,,10./0,.. (I.e., around or nearoxysen).
k ••p h.r/hi• • nt/re &o"y &ehin" fII.
ra"iation .hie'" 'or the duration
.xpo.ur..
0'
fII. WAIlNING I hte,..ent. ancI c/i.um.ctOllt.,
including tlto•• u.e" on tile pati.nt, may
fonn ............,....... Alwayo_
WARNING I rill. x-ray unit may &. tit. releyon' rv/•• reganling diuipatlon of
"angerou. '0 po".nt and op.ra,or expI"';w YOpor. &eIore operating tlt/.
unl••• • a'e expo.ure 'actor. an" op.r- unh.
a"ng in.,ructlon. 0,.. 'allowed.
0 ........ all opera,/ng and "".'y Emergency Motion OFF Switch
In.,ruction. &.'ore moleing on x..,ay
There are two Emergency Motion OFF Switches on the
eXfHnur..
Gantry, and one on the Operator Console. Pressing any
WARNING I I,;, fII. ,..."on.&IIlty 0'

fII.
Emergency Motion OFF Switch causes immediate shut
down of the unit.
u••r to COI'I'WCf anoma"•• or a&narmal
operation 01 file M-JV IHtIore fII. unit i. To resume operation after engaging an Emergency
( uMHl, ancI to anang.lor pre".n';'" moi,..
'.nanc. ,wice 0 year &y authoriz."
Motion OFF Switch. tum the switch 1I4-turn to reset.
then press the Power ON button.
p ....onn.l.

INTERWCK SYSTEM The Automatic

In addition to the Emergency Motion OFF Switch just Compression Release Interlock
mentioned, the M·IV has other interlocks that do one of Installing the Localization Paddle automatically disables
the following: the motorized compression release function.
• Prevent x-ray exposure when unsafe or undesir-

able conditions exist. The Image Receptor
Support Device Interlock
• Disable a C-arm movement control.
Prevents all C·ann movement and x·ray release when
These interlocks and conditions are described below. mSD is removed (stereotactic configurations only).
The Cassette Interlock The Compression Interlock

Prevents exposure when the detection circuitry senses Prevents C·arm movement (up, down, rotation) whenever
either of the following conditions: the compression force reading is 12 pounds or more.
• Absence of a cassette in a Bucky Device
• Failure to remove previously exposed film! (

cassette from the Bucky Device
~fl~ i rf1a,.~ LED'o 1;, p:;..J.ic",1e
The X-ray Switch Interlock

This interlock prevents exposure release unless both X-
ray Switches are depressed simultaneously.
The Early Release Interlock

Releasing one or both of the X-ray switches. prior to the
end of the exposure, immediately terminates the expo-
sure.
6 M-W Operator's Manual

Introduction & Sp",c!fi"atio.lS
ACCESSORIES Optional Accessories

The M-IV accomodatcs many LORAD accessories that These accessories are available as options:
configure the mammography system for various applica-
tions. Below is a list of the standard and optional • HTC Sucley Device (24crn x 3Ocm)
accessories used on the M-IV. • Full Pass Linear Bucky Device (18cm x 24cm)
• 15cm Compression Paddle (contact)
Standard Accessories • 15cm Compression Paddle (magnification)
These accessories come standard with every M-IV: • IOcm Localization Paddle (open)
• HTC Bucky Device (l8cm x 24cm) • lOcm Localization Paddle (perforated)
• Full Pass Linear Sucley Device (24cm x 3Ocm) • 15cm Localization Paddle (open)
• Screening Compression Paddle (l8cm x 24cm) • 15cm Localization Paddle (perforated)
• Screening Compression Paddle (24cm x 3Ocm) • Crosshair Device
• 7.scm Compression Paddle (contact & mag) • Bar Code Reader

• Digital Spot Mammography (DSM) System
c •
•
•
lOcm Compression Paddle (contact & mag)
Face Shield
Radiation Shield
• StereoLoc IT Breast Biopsy Systsm
• Dual Function Footswitch (2)

• Magnification Table
(
COMPLIANCE REQUIREMENTS Compliance Statement

The following section details the M·IV compliance The manufacturer of this device complied with the
requirements and the manufacturer's responsibilities. following requirements applicable at the time of manu-
facture:
Responsibility Statement • IS09001

• EN 46001
LORAD is responsible for the effects of safety, reliability
• FDA GMP, 21 CFR820
and perfonnance of this equipment with the following
provisions: The system is designed to comply with the following
requirements:
• The electrical installation of the room complies
with the appropriate requirements.
• IEe 601-1
• lEe 601-2-7
• The equipment is used in accordance with • lEe 601-2-32
instructions for use.
• IEC 601-1-2
• CISPRII
• Assembly operations. extensions, fe-adjustments. • lEe 801-2, IEC 801-3, IEC 801-4, IEC 801-5
modifications, or repairs are perfonned by
• EMC Directive
authorized persons only.
•
•
Medical Device Directive
UL2601
(
• CSA-C22.2 No. 601.1
• 21 CPR Subchapter J

Introduction & Sl,ecijicatio'ns
Label Locations ~' NorrCE •••••cord tit_ control num&.r

Compliance labels and nameplates are located as shown inside tit_ cover 01 tlti. manual. Th.
in Figure 1-3. Nameplates contain the unit's serial ~nrrol num"., I. Important In tracldns fII.
number, control number. and manufacturing date unltlor warranty purpose••
OAHTAY
MAONIFICATION
TABLE CONSOLE
BUCKVS
~~
c -
- --D
----IiI
----IiI
---D
U.S. and CANADA
C""~"J
LABELl
~LABEL7
LABEL 3: UlCompilance
[®' ®' 1
,"'-
IMPORTANT I When replacing a certified component that Is concealed by a surface (i.e., cover, panel, etc).
the component's duplicate /abel on the exterior of the unit MUST BE replaced at file time of service.
IMPORTANT 1 When replacing a surface (I.e., cover, panel, etc.) that has a certified component duplicate /sbe/(s),
a tabel(s) that mpresents the certified component /abe/(s) MUST BE placed on the new surface
at the time of service.
F;gure 1-3:
Legend - lAbel Locations
M-IV Operator's Manual 9

SYSTEM SPEClFICATIONS Operating Environment

The following section details the system specifications. • Temperature Range
including performance specifications. x·ray tube and 10"C to 40°C (50°F to 104"F)
exposure specifications. compression specifications and
beam limiting specifications. • Relative Humidity Range
30% to 75% non-condensing
Electrical Input Specifications • ESD Susceptibility

Level of3kV for contact discharge to conductive
• Mains Voltage accessible parts. A level of SkV for air discharge to
200,208,220,230. or 240VAC nominal nonconducting accessible parts. (Test Method:
(tap selectable at installation) IEC801-2; Test Levels IEC601-1-2)
:tIO%, SO/60Hz
permanently wired.
• EMI Susceptibility
The system is immune to 1vIm at frequencies
• Mains Impedance between 26mHz to 10Hz (IEC80l-3)
Maximum line impedance not to exceed 0.20 ohms
for 220VAC. 0.16 ohms for 200VAC
• EM! Generation Limits
(lEC 601-2-7, Table 101). The system complies with the requirements of
CISPR lI .The limits are increased by 20db (
• Maximum Power Consumption (36.201.1.4 of lEC 6011-2)
6.5 kVA for 5 second duration
• InputLlne
• Standby Power Consumption Surge, fast transient/burst
0.75 kVA nominal
• Maximum Line Current Storage Environment

35 Amps for 5 seconds @ 220VAC nominal
• Temperature Range
• Circuit Breaker Rating _25°C to +70°C (+4"F to 158°F)
2!iA • time delay curve to allow for inrush currents.
200% overload for 7 seconds. • Humidity
Zero to 95% humidity - non-condensing (not
• Duty Cycle packaged for outdoor storage)
Full load 5 seconds on. 30 seconds off (I :7) - Built-
in tube load heat integrator permits exposures at a
rate dependent upon tube operating conditions.

CHAPTER
Introduction & Sp'eC1!fi"atiorlS
Unit Measurements
• Gantry with C-ann
Height - 75" (190.5cm)
Width - 25.25" (M.2em) - C-arm at 0° position
Depth - 44.5" (I I3ern)
Weight - 866 Ibs (389.7 kg) - crated
• Remote Console
Height - 36" (91.5cm) at front; 42"(106.7cm) at rear
Width - 31" (78.74cm) at radiation shield
Depth - 17" (43. 1Scrn) including radiation shield b
Weight - 218 Ibs (98.1 kg) - crated i!2 g
~
• Radiation Shield
Height - 75" (190.5cm) maximum height installed
Width - 31" (78.74cm)
Ph equivalent - O.5mm Ph equivalent (minimum)
Figure 1-4:
M-IV Dimensions

C-arm Specifications • Dual Mode Compression
• Motorized C-arm Rotation

+195° to 0° to _150° (detent at 00). Variable speed
Provides Motorized Pre-Compression force upon
first activation of compression Down switch. then
provides incremental increase in compression force
(30° per second maximum). Motor Control provides
for each additional switch activation, up to the user
soft start and dynamic braking.
selected FULL compression force.
• Vertical Travel
26" to 55" (66cm to 140cm) from Bucky surface to • Compression Controls
UplDown controls on both sides of C-arm and on 2-
floor for C-ann positions at both 0° and 90° (ACR I
position footswitch (Motorized). Handwheel on
CDC). Movement controls on both sides of C-arm
both sides of Compression Carriage (Manual).
and on footswitch.
• Source to Image Distance (SID)

65cm from the nominal position of the Large Focal
• Compression Release
Motorized Release mode controlled by pushbuttons
on both sides of the C-arm and on the Operator
Spot to the image receptor (film) within the Bucky.
Control panel. User selectable automatic release
• Magnification
1.8x for objects 22.5mm above the Magnification
mode raises Compression Device upon ex.posure
termination available via Setup Mode data field.
Table's breast support surface (breast support surface
provides approximately 1.7x. magnification). • Compression Force Display
LED Display on Compression Carriage shows the (
• Image Receptor Support Device
Houses image receptor accessory detectors and the
compression force through the range of 10lbs to
65Ibs (44.5N to 289N) in lIb (IN) increments.
AEC sensors. Stereotactic configurations: remov-
able via mechanical locking apparatus. Electrical
interlocks prevent C-arm motion and x-ray exposure
• Compression Force Display Accuracy
±31bs from 10lbs to 35 Ibs
(±13.3SN from 44.5N to 155.75N)
when device is removed.
±SIbs above 351bs
(±22.25 N above 155.75 N)
Compression Specifications
• Manual Compression Force • Compression Thickness Display
LED Display on Compression Carriage shows the
6S lbs (289.25N), ±7lbs (±31.15 N) distance from the bottom of the Compression Paddle
(under compression) to the surface of the image
• Motorized Pre-Compression Force
151bs to 30lbs (66.75N to 133.5N)
receptor accessory (calibration compensates for
varying accessory thicknesses) in O.lcrn increments.
• Motorized Full-Range Compression Force

20lbs to 401bs (849N to 178N)
• Compression Thickness Accuracy
±O.5crn for thicknesses between O.Scm and IOcm
±O.8cm for thicknesses above lOcm
• Motorized Compression Force Accuracy
±2lbs (±9N) from SIbs to 351bs (22N to 155.75N)
Bibs (±13.35 N) above 35lbs (1 55.75N)

Introduction & SpeC1!/i"atiorlS
X-ray Tube Specifications X-ray Tube Housing

• Type • Continuous Heat Dis.sipatioD
Toshiba - Model #: E7290AX 300 W (fan air cooled) minimum
Varian - Model #: M ll 3IBIIS
Varian - Model #: M113-IAIBl15 • Housing Hea t Storage Capacity
Varian - ModeJ #: M1l3-RlB1l5 610 kJ (860 kHU) minimum
• Focal Spot (NEMA I 1EC) • Maximwn Housing Heat Dissipation Rate

Large (O.3mm) 300 W (25 kHU I min) • air cooled
Small (0. 1nun)
• Over Temperature Protection
• 1\Ibe Voltage Sensor internally provided
20kV - to 39kV (maximum)
• Sarety Class
• Thbe Current (maximum) IEC 601·2·8. Class 1
=
Large IOOmA
Small = 30mA
X-ray Beam Filtration & Output
c • Thermal Characteristics
Anode Heat Storage Capacity - 210 kJ (300 kHU)
Max. Anode Heat Dissipation - 525 W (740 HU/s)
•
•
Inherent 1\J.be Filtration
O.Omm AI equivalent
Added Filtration
• Anode Rotation 2-position filter changer mechanism that houses a 30
180 Hz (Hi-speed rotation)
micron (0.03mm) Molybdenum foil filter. and a 25
micron (O.025mm) Rhodium filter. Filter is user
• Anode Angle selectable in all exposure modes except Auto-Filter
Bi-angular - Large focal spot at 16", Small focal spot
Mode. where it is selected automatically.
at 10°. X-ray tube angle at 6° to provide 22" (Large)
& 16° (Small) anode to film plane angle. Reference
axis at 6° from chestwall for both focal spots. • Beam Quality
With the Compression Paddle in the x-ray beam. the
HVL for MoIMo operation is equal to or greater than
• Anode Material tV/lOO +0.03 (units of mm of aluminum). but less
Molybdenum
than kVpllOO +0.11 (in units of mID of aluminum).
• X-ray Window
Beryllium - O.8mm thickness (maximum) • Radiation Output
Equal to or greater than 800 mRlsecond for at least 3
seconds (output measured through the Compression
Paddle, 4.5cm above the breast support, 4.0cm from
the chest wall edge. using exposure techniques of
MalMo target/filter. large focal spot. 28kV).
(
M -N Operator's Manual 13
X-ray High Voltage Generator

Collimation & Light Field • Output Rating
4.0 kilowatt (lOOmA @ 39kV)
• Typ.
4-blade motorized servo-controlled collimator.
Maximum opening to permit x-ray field format up to • Ripple
24<:m x 3Ocm. 2% or less (typical), maximum 4%
• Collimation Modes • Topology

AUTOMATIC - System detects the attached image Pulse width modulated High Frequency. active servo
receptor and compression accessories and automati- controlled
cally adjusts collimtor blades to limit the field as
required by 21 CFR. With no compression accessory • Duty Cycle
insta1Jed. the field is limited to the size of the image 5 seconds on. 30 seconds off (1:7)
receptor. With no image receptor accessory in-
stalled. the field is limited to the size of the image
receptor support device (18cm x 24cm) .
• kV/mARange
kV Large Small
20 - 24 75-90mA 20-28rnA
MANUAL - The system detection circuitry only
25 - 32 100rnA 30rnA
senses the size of the installed image receptor, and
32 - 39 85 -70rnA 28-24rnA
automatically limits the field size appropriately_ All
subsequent field size adjustments are made using the (
collimator override. • mAsRange
Total: 3mAs through 500mAs
• Collimator Positioning MODE 1 (default): 23 increments - 3. 4. 5, 6.4. 8,

All four collimator blades are positioned via servo 10.12.5.16.20.25.32.40.50.64,80,100,125,
motor. 160.200.250,320,400. and 500. Each incremental
change results in optical density change of approXi-
• Light F1e1d Lamp matelyO.150D.
Illuminates for 30 seconds upon pressing a Light MODE 2 (user selected): 59 increments - 3, 4, 5, 6,
Field switch on either side of the x-ray tubehead. by 7.8.9.10.12. 14. 16. 18.20.22.24.26.28.30.
pressing a compression Down switch, or upon 32.5,35,37.5,40,42.5,45.47.5,50,55.60,65,70,
movement of the x-ray field collimator. Extin- 75,80,85,90,95.100,110,120,130,140,150,
guishes automatically upon exposure initiation. 160.170.180.190.200.220.240.260.280.300.
325.350.375.400.425.450.475.500.
• Light Field muminance
160 lux (minimum) - meets 21CFR, Subchapter J.
section 1020.31 requirements. Lamp is adjustable to
provide alignment of the light field to the x-ray field.
• Light Field-to-X-ray Field Congruency

Within I % of SID (0.65cm) at each edge of the
defined x-cay field for total length or width congru-
ence of2%.

Introduction & SJlec'ificatio'n5
Accuracy, Automatic Exposure Control (AEC)

Reproducibility, & Linearity • AEC Detector
• Reproducibility Solid·state, three square centimeter active sensing
Less than 0.05 coefficient of variation area ABC Detector Positioning. The detector is
centered laterally in the Image Receptor Support
• Linearity Device and may be moved forward or rearward to
Less than 0.10 for adjacent mAs selections one of 7 detent locations. The detent position of the
AEC sensor will be displayed on the corresponding
• kV Accuracy LED on the ABC Position Indicator, and its position
Within lkV of the indicated kV level is indicated on the AutoFilm ID marker.
• Manual mAs Accuracy • AEC kV & Thickness Tracking

Within 5% from pre-set mAs ABC compensates for kV between 20kV and 39kV.
as well as for breast thickness between Zem and 6cm
• Auto-mode mAs Accuracy (at appropriate clinical kV) to produce optical
Within 5% from post exposure mAs display densities within 0.15 OD from the mean Optical
density.
c Image Receptors
• Standard Types
18cm x 24cm cassette holder
18cm x 24cm Bucky with HTC Grid
• Exposure Termination
The AEC system terminates the exposure within 50
milliseconds or within 5mAs if the calculated
exposure time exceeds the "backup" time of 5
seconds.
24cm x 30cm Bucley with Linear Grid
• Density Range
• Optional Types 11 density adjustment steps provide approximately
18cm x 24cm Budey with Linear Grid 12% difference in mAs from each adjacent step.
24cm x 30cm Bucley with HTC Grid
StereoLoc II
DSM System

• Manual Exposure Mode • Auto-Filter Exposure Mode

kV, Filter, and mAs are user selectable. Note that In this exposure mode, the system selects the kV in
selecting 20kV changes the Mode label to read the same manner as in Auto-kV mode, with the
"specimen". BE SURE to use techniques typical for addition of automatically selecting the filtration
specimen radiography at this kV level. (Molybdenum or Rhodium). Upon initiating the
x-ray, the AEC system samples the amount of
• Auto· Time Exposure Mode radiation. The Auto-Filter algorithm then determines
kY, Filter. & Density are user selectable - system the appropriate kv level and filter to complete the
terminates exposure automatically at the mAs value ell:posure. The automatic selection of the Rhodium
that will yield the calibrated optical density. System filter is determined by a kV Threshold set by the
displays the Post-mAs value after exposure termina- servicing engineer at installation. In this mode, the
tion. default kV is 25kV only.
• Auto-kV Exposure Mode

Filter & Density are user selectable - system deter-
M. NOTICE ••• Auto-Filter exposure mode is
not available for magnification studies.
mines remaining techniques during exposure. The
exposure starts at the kV level set by the user in the
Default Mod (25kV, or 26kV for Molybdenum, or
28kY for Rhodium). The operator may override the
default value wilhin the 25-26kV range (Me filter
only). Upon exposure initiation, the AEC signal is (
sampled to determine the optimum kV level neces-
sary to yield the calibrated optical density within the
selected ''window'' (l25mAs, 165mAs, or 200mAs).
The system modulates the kV upward to a maximum
of 30kV (Mo), or 32kV (Rh), and then completes the
exposure in Auto-lime mode.

(
PREFACE: I The M·IV accommodates a wide range of applications by means of

standard e:tam-specific accessories. Optional equipment and accessories,
such as the DSM and the StereoLoc ll. extend the versatility of the unit.
The M·IV design makes installation and removal of all accessories and
optional equipment quick and easy.
OVERVIEW: I Chapter 2 provides instruction on the installation and operation of the

standard accessories, including special features, and the safety issues.
Highlights of this chapter include: .
• Stanup sequence
• Descriptions and use of standard accessories
• Profiles of optional accessories
c OBJECTIVES: I After reading this chapter. the user will understand:
• Cabling connections necessary prior to system startup

• Recommended Stan Up Sequence
• Installation and use of standard accessories
• Film labeling methods
• Functions of optional accessories
(
Chap-ter 2:
Accessory Setup & Installation
(
(
Accessory Set Up & lru.ta.ll~,tUm
POWER & DATA CONNECTIONS

Each day, prior to use, always check the data and power
connections.
The Console to
Gantry Connections
When the M-IV is initially installed, all of the necessary
Operator Console-le-Gantry cabling is completed by an
authorized service representative. Therefore. operator DETAIL CircUit Breaker
action is not required regarding cable connections.
The RIS Connection (option)

Interconnection of the Radiographic Infonnation System
is completed by a service technician. Therefore. operator OFF OFF
action is not required. DETAIl. Emergency OFF SWitch
c Connecting to Power
The M-IV Gantry receives AC line power from an
appropriately fused "disconnect" box. The Gantry then
provides power for all unit subsystems, the Operator
Console, and all accessories. The following checks are
recommended prior to startup.
Figure 2 ~1:
Q Check that all cable connections between the Power Configuration
Gantry and the Console are secure.
a Check that the circuit breaker (located on the back

of the Gantry) is ON.
a Check that all three Emergency OFF Switches. (2

on the Gantry. one on the Console). are reset.
(
Accessory Set Up & Installation
POWER UP SEQUENCE The M·IV will perform a series of internal checks to

verify that all sub·systems are functioning properly.
The following paragraphs describe the start up sequence, During this time, the remote micro-controllers activate,
including the pre- and post-power up checks. and display their version numbers near the bottom of the
screen.
Pre-Power Up Checks If, during the diagnostic checks, the system detects a
Before applying power to the system, perform the pre- fault or an error condition, a message will display in the
startup checks below. Correct ALL discrepancies before Message Area. To temporarily stop the startup sequence
applying power. so that the error message remains on the screen, simulta-
neously press the <Shift> & <View> keys. To resume
o Check the unit (Console & Gantry) for open the startup sequence, press the <Shift> & <View> keys
panels, loose or missing hardware. again.
o Check for damaged or disconnected cables, and When the diagnostics are complete. the Display will
for other visible problems. show the system operational mode screen (Run Mode
screen).
o Verify the integrity of the radiation shield (chips,
cracks, breaks. security).
Post-Power Up Checks
Perform the following checks after powering up the
(
System Power Up M·IV Mammography System:
After completing the pre-power up checks, perform the
steps below to power up the system. o Verify that all the C-arm Controls function
properly.
o Switch ON the Input Power Circuit Breaker on the
rear of the Gantry. o Check that the Tubehead Controls are operating.
Q Press the Power ON switch on the control panel. o Verify operation of the Control Panel keys and
switches.
After pressing the power ON switch, a tone will sound
and the control panel display will illuminate, indicating o Install a floppy disk in the floppy disk drive (for
that the system is turned on and is powering up. post-exposure data storage),
The Operator Console display will briefly show the M" NonCE ••• Jhe system will post a ....no,...
system aisle" error messoge if the floppy
message:
aisK is not removea from the arive at .tart
''The M·IV is performing start up diagnostics"
up_
18
CHAPTER
Accessory Set Up & I",.ta~I.,tUm
THElMAGE
RECEPTOR SVPPORT DEVICE STANDARD
IRSD
The Image Receptor Support Device (IRSD). on the
M·IV C-arm. accepts standard film image receptors and
the LORAD Digital Spot Mammography (DSM) Image
Receptor.
The Image Receptor Support Device houses:
• the 7-position ABC detector

• the image receptor detector
• the Image Receptor Microprocessor
• the Bucky Driver Board
• the Bucky Device connection (~ LI~)
c
On the back of the IRSD is a rocker-type switch that
permits C-arm Rotation. Note that this switch functions
C·ARM
identically to the C-arm Rotation Switches on either side ROTATION
of the tubehead. SWITCH
The IRSD has internal detection circuitry that senses the Figure 2-2:
installed image receptor holder and automatically: The Image Receptor Support Device
• Changes the collimator field size to the appropri-

ate size for the installed image receptor.
• Changes the Run Mode's Receptor status line as

appropriate for the type and size of the installed
device.

THE BUCKY DEVICE Loading the Bucky Device

The M-IV comes with two standard Buciey devices: an To load a cassette into the Bucky device, follow these
18cm x 24cm and a 24cm x 3Ocm. The Bucky devices steps:
accept DIN-style cassettes only. These cassettes have a
sliding window for photographic placement of exposure Q Position a cassette next to the cassette slot on
infonnation directly onto the film using the integrated either side of the Bucky device.
AutoFilm ID.
o Slide the cassette into the slot until it snaps into
1\vo indicator lights (amber and green) are on the top place.
surface of each Bucky device to alert the user to the
presence or absence of a cassette, and to indicate To remove a cassette from the Bucky device:
exposure status. This reduces the possibility of double
exposures or exposures without a cassette. The following o Push the Cassette Eject lever, one on either side of
explains both indicators: the Bucky, until the cassette slips out the cassette
slot.
• GREEN - Ready status: cassette installed, film
not exposed Q Pull the cassette straight out of the Bucky.
• AMBER - Standby status: cassette absent, or film

exposed
c
Installing the Bucky Device
To install a Bucky device. follow these steps:
Q Stand in front of the unit, facing the C-arm.
CI Align the side rails on the bottom of the Bucky

device with the edges of the IRSD.
Q Slide the Bucky device onto the IRSD until it

snaps into place. Verify that the electrical
connection is made.
To remove a Bucky device:
o Pull the Bucky Release lever, on right side of the

device, back to unlock.
Q Slide the device off the IRSD.

Cassette Eject Lever
Bucky Release Lever (Both Sides)
(Right Side Only)
Figure 2-3: (
Mounting & Loading a Bucky Device

Accessory Set Up & Ins1tallatlion
THE MAGMFlCATION TABLE

For magnification studies, use the carbon-fiber Magnifi-
cation Table provided with the unit. In addition to being
the breast platform, the Magnification Table's design
allows it to act as a patient body shield and image
receptor holder. This design speeds setup time by
reducing the number of accessories required for magnifi-
cation studies (abdominal shield. cassette holder).
The Magnification Table is complete with a built-in

image receptor holder which is equivalent to a side-
loading cassette holder. The Magnification Table slides
onto the IRSD in the same manner as the Bucky device.
Installing the Magngication Table

To install the Magnification Table, follow these steps:
c o
o
Stand in front of the unit facing the C-ann.
Align the side rails on the bottom of the Magnifi-

cation Table with the edges of the IRSD.
Figure 2-4:
InstaUing the Magnification Table
o Slide the Magnification Table onto the IRSD until Loading the Magngication Table
it stops. To load a cassette into the Magnification Table. follow
these steps:
To remove a Magnification Table:
Q Firmly hold both sides of the device.

a Position the cassette at either side of the Magnifi-
cation Table - next to the cassette slot.
a Pull the Magnification Table straight off the a Push the cassette finnly into the opening until it
IRSD.
snaps into place.
When installed. the detection circuitry automatically To remove a cassette from the Magnification Table:
recognizes the Magnification Table. The system then
selects the small focal spot. and sets the collimator to the Q Push the cassette until it slips out of the slot in the
18cm x 24cm field size (Manual Collimation). or to the Magnification Table.
size of the installed paddle (Automatic Collimation).
a Pull the cassette straight out of the device.
The cassette holder portion of the Magnification Table

has two indicator lights (green and amber) to alert the
user to the presence or absence of a cassette. Exposures
will not be prohibited if the amber light is 00.

COMPRESSION PADDLES lOcm Contact Paddle

The M-IV uses several types of Compression Paddles in Use: Axillary Views
order to perform a wide range of mammographic Image Receptor: 1acm x 24cm
examinations. The following paragraphs serve as a guide Automatic Collimation: 1acm x lacm
for selecting Compression Paddles for typical clinical Manual Collimation: lacm x 24cm
applications. (Paddle illustrations below are representa-
tive only and not to scale.)
10cm MagniflCation Paddle
Note that the Automatic Collimation data represents the Use: Magnified Axillary Views
size of the installed Compression Paddle and the Manual Image Receptor: lacm x 24cm (Mag Table)
Collimation data represents the size of the installed Automatic Collimation: lacm x lacm
Image Receptor. Manual Collimation: lacm x 24cm
The Screening Paddle (18cm x 24cm) 7.5cm Contact Paddle

~ Use: Routine full breast examinations ~ Use: Spot Compression Studies
orr
~
G
Image Receptor: lacm x 24cm
Automatic Collimation: lacm x 24cm
~ Image Receptor: 1acm x 24cm
Manual Collimation: lacm x 24cm

~ Automatic Collimation: 7.5cm x 7.5cm
Manual Collimation: 1acm x 24cm
c
Screening Paddle (24cm x 30cm) 7.5cm Magnijication Paddle
~ Use: Routine full breast examinations ~ Use: Magnified Spot Compression Studies
Image Receptor: 24cm x JOcm ~ Image Receptor: lacm x 24cm (Mag Table)
CIr
or Automatic Collimation: 24cm x 30cm
Manual Collimation: 24cm x 3acm
~ Automatic Collimation: 7.5cm x 7.5cm
Manual Collimation: 1acm x 24cm
15cm Contact Paddle 1 Oem Localization (open & perJ]

Use: Quadrant Imaging Use: Localization (normal/small breasts)
Image Receptor: lacm x 24cm Image Receptor: lacm x 24cm
Automatic Collimation: 15cm x 15cm Automatic Collimation: 1acm x 1acm
Manual Collimation: lacm x 24cm Manual Collimation: lacm x 24cm
15cm Magnification Paddle 15cm Localization (open & perJ]

Use: Magnified Quadrant Imaging
Image Receptor: lacm x 24cm (Mag Table) I • .{ii Use: Localization (normal/large breasts)
o
Image Receptor: 1acm x 24cm
Automatic Collimation: 1Scm x 15cm Automatic Collimation: lacm x 1acm
Manual Collimation: lacm x 24cm Manual Collimation: 1acm x 24cm

il£cessory Set Up & lrust.,II(lti.>n
Mounting the Compression Paddles

The surfaces of the transparent Compression Paddles are
marked with the detent positions of the AEC sensor to
help the user accurately position the AEC detector during
automatic mode exposures. All Compression Paddles
mount to, and are removed from, the Compression
Device in the same manner.
To mount the Compression Paddle:
o Align the mounting pins on the rear paddle frame

with the mounting holes in the Compression
Carriage.
o Push the paddle firmly into the Compression

Carriage - until it snaps in place.
To remove the Compression Paddle: Figure 2-5:

InstlllUng Compression Paddles
c Cl Place a hand on either side of the Compression

Paddle frame. A detector within the Compression Carriage senses the
presence and type of Compression Paddle installed. This
causes the system to do one of the following:
0, Pull the Compression Paddle straight out of the
mounting holes (by the metal frame).
• Move the automatic collimator to the appropriate
field size for the installed Paddle (Automatic
collimation mode).
• Move the automatic collimator to the appropriate

field size for the installed receptor (Manual
collimation mode).
When the installed Compression Paddle is one of the

Localization Paddles. the detection circuitry also
switches the Compression Release mode to LOCKED·
OUT.

RADIATION SHlETDING
The unit provides shielding devices to protect the patient
and operator from exposure to x-radiation. ALWAYS
ensure that the shielding devices are attached, and
remember to check their condition prior to use each day.
The Patient Face Shield

The face shield prevents the patient's head and face from
entering the x-ray field during the examination. The face
shield mounts to the tubehead and surrounds the x-ray
tube port. Face Shield
To install the face shield, follow these steps:
o Slide the open end of the face shield into the slots
Figure 2-6:
on the tubehead mount.
Installing the Face Shield
o Push the face shield completely on the mount -
until the rear tabs snap in place.
To remove the face shield, follow these steps:

The Operator Shield
c
The operator shield. which is permanently mounted to
the rear of the Operator Console. protects the operator
o Spread the rear tabs apart slightly from exposure during the procedure. Note that the
height and width of the Operator Shield allows an
o Pull the shield straight off the mount. unobstructed view of the patient during the examination.
M' protection from

rh.lace
NOTICE ••• does not o"er
shield
exposure through the Other Shielding
acrylic, &ut is provided to prevent rhe
The following shielding. inherent in the design of the
patient's head and face from entering the system. prevents exposure to unwanted scattered or direct
x-ray field. radiation:
• The Image Receptor Support Device prevents x-

ray penetration below the film surface.
• The tubehead lining absorbs all x-radiation except

for the beam that penetrates through the tube port.
24 M-N Operator's Mruwal

CHAPTER
Accessory Set Up & I ...,tal:lalion
DUAL FUNCTION
FOOTSWITCHES
The M-IV incorporates two footswitches that control
C-arm UplDown movement and Compression UplDown
movement. These footswitches free the operator's hands
for patient and breast positioning. Each dual pedal
footswitch uses a rocker mechanism which permits one
pedal to control both up and down movement.
Both pedals operate identically, and are clearly labeled:
Itt I C-ARM UPIDOWN
*
Figu.re 2-7:
The Dual Fu.nction Footswitch
I ~I COMPRESSION UPIDOWN
The footswitches provide the same movement control as
the pushbutton controls on the C-arm and enables the
c
The footswitches plug into receptacles inside the Gantry same M-IV functions :
(near the bottom), and are connected by a service
technician at installation. These receptacles are not user • The light field lamp illuminates upon Compres-
accessible. sion Down.
Place each footswitch on the floor so that one is acces- • LOCKOUT mode disables the motorized Com-
sible from the left side of the C-arm, and the other is pression Release pushbuttons.
accessible from the right side.
• All compression modes are available (Pre-, Full
Always position the footswitches so as to eliminate Range. or Dual Compression).
accidental activation by patient or operators.
Operating the Footswtiches

To use the footswitches, follow these steps:
o Step on the pedal with the C-ARM labels.
o "Rock" the pedal to the right to raise the C-arm,

or to the left to lower it.
o Step on the pedal with the COMPRESSION

labels.
o "Rock" the pedal to the right to raise the Com-

pression Device, or to the left to lower it.

FILM LABELING
The system provides identification and technique factor
labeling on mammograms by means of the integrated
AutoFilm ID unit. or the optionallabeJ printer. The
AutoFilm ID "flashes" a photographic image of patient
demographics and the exposure factors onto the film
before it is developed. while the printer provides a hard
copy label for placement onto the film after it is C.~n.
Slot
~§~
-----t::""'~.
developed.
The AutoFilm ID
The Auto Film ID is a photographic labeling unit that
eliminates the need to manually label the mammogram.
This unit is integrated into the Operator Console and
requires the use afDIN-style cassettes. Cassette
After an exposure, the AutoFilm II) will sound a tone to

remind the user to "flash" the film.
Figure 2-8: (
Inserting the Cassette into the AutoFilm ID
Using the AutoFilm ID
To place the photographic label onto the film using the
The Label Printer (optional)
AutoFilm ID, perfonn the following:
The optional prioter provides a hard copy label for
CI Remove the cassette from the Bucky Device after manual attachment to the mammogram. When the
the exposure. printer is installed, it must be turned ON, and selected in
the Setup Mode before a label will print. Labels are
o Position the cassette in froot of the AutoFilm ID automatically printed at the completion of an exposure.
cassette slot.
o Orient the cassette so that it faces up and the

"window" is to the right.
o Slide the film cassette into the AutoFilm ID unit.

Make sure the right side of the cassette remains
against the right wall of the slot during insertion.
o When the tone stops, pull the cassette straight out

of the assembly.

OPTIONAL EQUIPMENT The LORADStereoLoc II

Optional equipment, such as the LORAD HTe Grid Biopsy System
System, the LORAD DSM. the LORAD StereoLoc II The StereoLoc II is an option that configures the M-JV
Biopsy System. and the HISIRIS System, install easily for stereotactic procedures. The StereoLoc II Biopsy
and offer ex.panded functional capability and increased System consists of 3 major assemblies:
exam efficiency. The following section provides setup
information for the optional equipment available for use • the Stage/Biopsy Assembly
with the system. For detailed instructions. refer to the
User's Guide for each option. • the Rotation Collar
• the Control Module
The LORAD HTC Grid System The Rotation Collar is installed at the factory (on sales
order). or in the field by a LORAD service representa-
The LORAD HTC Grid System is a Bucky device which
tive. The StagelBiopsy Assembly and the Control
contains aJligh:transmission.£ellular grid in place of a
Module are installed onto the C-arm as necessary for the
linear grid. The LORAn HTC Grid System only accepts
application.
DIN-style cassettes with the sliding window for pholo-
graphic placement of patient and technique information
The StereoLoc II operates with standard film/screen
directly onto the film using the integrated AutoFilm ID.
c The procedures for mounting the LORAn HTe Grid

System. and for loading and ejecting the DIN-style
combinations. or with the LORAD DSM System.
cassettes are identicaJ to the procedures used for a Bucky

device with a linear grid.
The LORAD DSM

The DSM option provides digitaJ, near real-time imaging
for needle placement procedures when it is used in
conjunction with the LORAD StereoLoc II Breast Biopsy
Device. The DSM System is factory-configured for use
and instaJled at location by a LORAD service representa-
tive.

This page is intentionally blank

(
PREFACE: I The design and function of the M·IV controls. readouts, and indicators
expedites equipment setup, patient positioning, exam parameter setup, and
the monitoring of exam proceedings. System controls are strategically
located on the Operator Console. the Gantry, and the C-ann. Readouts and
indicators are conveniently located on the Gantry and on the Compression
Carriage.
OVERVIEW: I Chapter 3 describes the purpose and function of the controls, readouts. and
indicators on the Operator Console, the Gantry, and the C-arm.
OBJECTIVES: I After reading this chapter. the user will understand use of:
• Alphanumeric Keys, View Keys, and Function Keys

• Exposure Technique Select Keys
c •
•
•
Operator Console Controls
Gantry, C-arm, and Tubehead Controls
Gantry and Compression Carriage Readouts
and Indicators
Chap-ter 3:
System Controls
(
c
CHAPTER
System Co;ntr'Ols
OPERATOR
CONSOLE CONTROLS
The Control Panel. on the Operator Console, is used to In addition to the controls listed, a Motion Emergency
enter exam infonnation via the Alphanumeric keys. the OFF Switch is positioned on the left side of the Operator
Function keys, and the View keys, and to set the exposure Console frame which, when pressed, immediately
techniques for the cltarrunation using the Exposure removes power from the system.
Technique keys.
A Bar Code Reader (option), located to the right of the
The Control Panel contains the following: Control Panel, provides an alternate means of entering
patient data.
• X-ray Release keys (2)
• Compression Release key

The paragraphs that follow describe the various compo-
nents of the Control Panel.
• Power ON Switch
• Power OFF Switch
• Function Keypad
• Alphanumeric Keypad
c •
•
View Keypad
Exposure Technique Keypad
ExpOliure TKh nlq UII K-Vplld

I
b
COnIP,.UIOn{
R.....
0
~ ~
oI oI
X-ray X·,.y
Sw"," Switch
~~I~
Fu~n
KeyptldLh, ~_ .. _
I
Alph.lnurr.rlc KeylHld
. __________ _ _ .. _ ..... _ _
-
......
I
Figure 3·1:
Th e Control Panel
M-N Operator'S Manual 29

System Controls
THE ALPHANUMERIC KEl'PAD THE VIEW KEYPAD

The Alphanumeric keyboard is a subset of a standard The Mammographic <View> keys, the <Run/Setup> key,
"computer" style keyboard. Some key caps will differ the <Change> key, the <Cleat> key, and the <Reset> key
depending on the country (language) tbe keyboard compose the View Keypad. Use these keys to perform
supports. Use this keyboard in the Run Mode to: the following:
• Enter patient and technologist identification data. • Switch between the Run Mode and the Setup
Mode (Run I Setup)
• Manually input a CPT Code.
• Switch among the data field choices (Change)
• Type comments pertaining to the patient or exam.
• Erase data field entries (Clear)
In the Additional Setup Mode, use these keys to:
• Select clinical view labels (View keys)
• Make time and date changes.
• Acknowledge error messages (Reset)
• Enter film I screen types for calibration.
The following paragraphs describes the functions of each
• Type site the name and address information. View Keypad component in more detail. Figure 3-2
M. NOTICE ••• The Alphanumeric Keypaa has

shows the entire View Keypad. (
three commana keys. <Shil,>, <ell'l>, <All>,
01 which, only <Shil,> is operational.
Pressing <Shil,> alone swifches between
upper and lower cas. '."ers; pressing
<Shil,> + <Clear> tosatfter cancel. the
AutoFilm ID function.
NonCE • •• Use the CAP LOCKS key to

switch between upper and lower case
type. When CAP LOCKS is an, the label
MCAPS" appears in the upper right comer
al the Run Made screen. L R
LM LM AUX
Figure 3-2:
The View Keypad

CHAPTER
System Co'rltTols
The Run/Setup K£y ••••••••• The Clear Key. . . . . . . . . . . ..

Press this key to toggle between the Run Mode Press <Clear> on the View Keypad and observe
screen and the Setup Mode screen. In the Run Mode, the following occurrences:
perform the following to switch screens:
Q Deletes the entry for the Patient ID and Patient
o Press the Run I Setup Key to access the Setup Name.
Mode screen.
Q Clears the data in the Birth Date. CPT Code. and
o Press the Run I Setup Key again to return to the Comments data fields.
Run Mode screen.
The Change Key . • • . . • . . . •.

When the highlight bar is on a data field which
m Q
Q
Automatically moves the highlight bar in the
Patient ID data field.
Sets ALL exposure techniques to the defaults.
contains multiple choices, pressing <Change> toggles Note that the Tech ID data line is only cleared when the
through the available options for that field. Access the Additional Setup data field ''Tech ID cleared with Clear
Run Mode screen and perform the following example Key" is set to YES.
c which iIlusttates using <Change>:
o Move the highlight bar to the Compression The Reset Key. . . . . . . . . . . . . rn

Release data field using the Arrow Keys.
~
This key permits the user to acknowledge an
a Press <Change> several times to cycle through the error message. To use this key. do the following:
choices: AUTOMATIC or MANUAL.
Q Take the appropriate action to reset the error or
o The selection that appears in the data field is the fault condition (indicated in the message).
current mode (option) for that machine function.
Q Press the Reset key to clear the message.
~' NonCE ..• Use the methoa above to make
data field selections for ALL the mode Q Verify that the system status returns to normal
$creen•. operational mode (READY).

System Controls
Mammographic View Keys

Mammographic view labels are on eleven of the keys that To choose views other than the eight common views, first
comprise the View Keypad. These keys permit the user select the laterality prefix ...
to manually select a clinical view label for the mammo-
graphic examination. This label will appear in the Run
Mode VIEW data field. g ....... Left
Below are the eight most common mammographic views,

which are selectable by a single key: ~ ............. Right
~ ere ~ ............. Left Craniocaudal ... then select the clinical view by pressing the <AUX>
key to switch among the following:
~ Co ~ ............. Right Craniocaudal ID ................... Implant Displaced
~ t!fL U............. Left Mediolateral

SIO ....•.... .......• Superolateral to Inferomedial Oblique
LMO ............... Lateromedial Oblique
~ CL U............. Right Mediolateral FB ................... From Below

(
TAN ................ Tangential
~ Ll.r U............. Left Lateromed.ial
AT ................... Axillary Tail
~ !J., U............. Right Lateromedial CV .................. Cleavage
XCCL ............. Exaggerated Craniocaudal

~Mto~ ............. Left Meruolateral Oblique
Press <Enter> to complete the clinical view selection.
Note that the letter "M" appears after the laterality
~MI(0U ............. Right Mediolateral Oblique designation whenever the magnification table is on the
image receptor support device (i.e .• RM MLO is a Right
Magnification Mediolateral Oblique view).
To add "roll" view positioning as a suffix to the views
(e.g., Lee RL is a Left Craniocaudal upper breast tissue NorlCE ••• ChGpter 4 conto;ns exomp/es 01
Rolled Laterally), press . .. entering eXGm views.
UAUXU ............. AUX

... to switch among the following:
RL .................. Rolled Lateral

RM ................. Rolled Medial
ID ................... Implant Displaced

System lJOnO"Oil
THE EXPOSURE
TECHNIQUE KEYPAD /77 I \ ""'''''''
Use the Exposure Technique keypad, above the alphanu·
merle keys. to set the exposure parameters for the'
examination(see Figure 3·3).
,
The descriptions below detail the functions of each QWEflTYU 0
Exposure Technique key or key set.

ASOFGHJKL : <-'
Fig",e 3-3:
The Expos",e Techniq"e Keypad
The Mode Select Key. • . . .•.. ~ @if":: ~
The Mode Select Key permits the user to select
the exposure mode for the examination. The system runs The Filter Select Key ••••..• ~
in one of three automatic modes, or a manual mode is
available for user selection of all factors. Use <Filter Select> to choose the desired filter
for the exposure.
The four exposure modes are:
c •
•
Manual
AutoTIme
The available filter choices are:
• Mo (Molybdenum)
• Rh (Rhodium)
• Auto-kV
• Auto-Filter To select a filter fOT the exposure perfonn the following:
To select an exposure mode, perform the (ollowing: o Enter the Run Mode and select the desired
exposure mode.
Q Enter the Run Mode.
o Press <Filter Select> to switch between the two
Q Press <Mode Select> several times to cycle choices: Mo or Rh.
through the three available exposure modes.
o Release the key when the preferred filter choice is
Q Release the key when the preferred exposure shown in the data field
mode is shown in the data field.
M NonCE .•• All exposure modes are ovail-

0"'. lor magnification .tudie. except
Auto-Filter. In. tolling the Magni'ication
Table change. the Mode 'ield la&el to read
Umog".

System Controls
The kV Set Keys . . . . . • . . . . . ~ The mAs Set KeyS. • • • • • • • • • m

Use this 2-key pair to increase or decrease the exposure Use this 2-key pair to increase or decrease the exposure
kV level in the Manual or Auto-TIme exposure modes. mAs for Manual mode exposures. The selectable mAs
range is between 3mAs and 500mAs, with each incre-
The following steps detail the use of the kV Set Keys: ment change dependent upon the selected mAs mode
selected in the Setup Mode (below):
o Enter the Run Mode and select either Manual or
Auto-Time exposure Mode. • MODE 1: provides 23 increments which result in
optical density changes of approximately 0.15
Q Press the up arrow key to increase the kV level by optical density per increment.
IkV (up to 35kV for Mo filter, or 39kV for Rh
• MODE 2: provides 59 increments which result in
filter).
finer optical density changes per increment.
o Press the down arrow key to decrease the kV level
To set the mAs for the exposure:
by lkV (to 20kV for Mo filter. or 28kV for Rh
filter).
o Enter the Run Mode and select Manual exposure
mode.
NOTICE • •• Selecting 20kV changes the
Mode '0&01 to read Nspecimen H• Always
use techniques that are typical 'or speci-
men radiography at this kv level.
o Press <mAs UP> to increase the mAs level (up to
500mAs). c
o Press <mAs DN> to decrease the mAs level (to
3mAs).
34 M·N Operator's Manual

CHAPTER
System Co;ntr·oz.
The Density Set Keys ..•.... ~ The Film Select Key • •..••.• ~ _ ~
Use this 2-key pair, which is available in all exposure

This key permits the user to select the film/screen
modes except Manual, to increase or decrease the density
combination being used for the exam. The choices
setting for the exposure. The Density feature is used to
available here will depend upon the entries made in the
compensate for daily variations in film processors. To
Service Setup Mode (Chapter 6).
change the Density setting. perform the following:
To select the film I screen combination. do the following:

o Enter the Run Mode and select any exposure
mode except Manual mode.
o Enter the Run Mode.
o Press <Density UP> to increase the density setting
by one digit.
o Press <Film Select> to cycle through the available
choices.
o Press <Density DN> to decrease the density
o Release the key when the preferred film label
setting by one digit.
appears in the data field.
~- NOTICE ••• Each incrementol change in
density increases or decreos•• rnA. by
~' NOTICE ••• Film types shown on the screen
c approximately J2.5% from the adiacent

density se/edion. The Density range 01 the
M..JV is from +5 to 0, and from 0 -5.'0
are labels only. Unt;1 they ore calibrotea
by a service technician, for bath the maly&.
aenum ana rhoaium filters, the proper
aensities are not set lor the film type used.
The Spot Select Key •••..••• ~
The M-IV offers a choice of two focal spot sizes to

accommodate various applications: a O.3mm Large focal
spot. and a 0.1 mm Small focal spot. The focal spot size
is selectable in all exposure modes.
To switch between the two choices. perform the

following:
o Enter the Run Mode.
o Press <Spot Select> to switch between the two

choices.

System Controls
THE FUNCTION KEYPAD
~8
The ten keys on the left side of the Control Panel
comprise the Function Keypad (Figure 3-4). -. 1
!
Below describes each key of the Function Keypad:
•
The CPT Code Key
The View Key 8~ ~I 10
~~
• The Stereo Key
• The C-arm Position Key
• The Cursor Keys (arrows)
rff1
m~
• The unlabeled keys (reserved for future use) {r
\
The CPT Code Key .•.. •....
m~
Cv.RI?€"('J'f f ROCf'<>'-!RAL "rf(:Y..J"h.• E.:
:FI
Use this key to scroll through the scheduled exam
billing codes for that patient. The available choices will
Ctrt
~~
(
appear in the CPT Code data field in the Run Mode.
Below are the steps necessary to schedule CPT Codes for Figure 3-4:
a patient. The Function Keys
Q While in the Run Mode, highlight the CPT Code To switch between the scheduled CPT Codes for that
data field. patient, press <CPT Code> several times to scroll
through the scheduled billing codes for that patient.
Q Press <Change> to scroll through the pre-set list
of billing codes. Upon selection of a CPT Code, the associated ell.am
views are automatically placed in the Exam View data
o When the desired billing code appears, press field. However, manually entering a CPT Code will
<Enter> to schedule the patient for the exam. require that the exam. view also be manually entered
using the mammographic view keys.
When scrolling through the CPT Code list using
<Change>, the billing codes appear dim (half-bright).
When a CPT Code is scheduled by pressing <Enter>, the
billing codes appear bright.

CHAPTER
System Co;ntJ-oi>
The View Key . • . • . . . •..• The Carm Position Key •.. • •

Use this key to cycle through the available This key is only functional when the M-JV has
mammographic views for the selected CPT Code. The been configured for stereotactic use, and when the
available choices will appear in the Exam View data field LORAD StereoLoc II device has been mounted onto the
in the Run Mode. Perform the following to select a pre- C-arm. Use this key after a stereotactic procedure to set
associated exam view: the M-JV C-ann for normal rotation (C-arm and
StereoLoc II rotate together):
Cl While in the Run Mode. select a billing code by
pressing <CPT Code>. CI After the stereotactic procedure, rotate the
C-ann to the Needle Approach Angle (Stereo
o Press <View> repeatedly to select among the Zero).
available exam views.
CI Press <C-arm Position> to set the system for
This method of selecting an exam view is only available normal C-arm rotation.
when the billing code is selected using the CPT Code
key. For exams that require manual entry of billing .M:..' NOTICE ••• Reier tD the StereDLoc " docu-
codes, it will be necessary to manually enter the exam mentation lor detailed operational
view using the View Keypad. ;n.truction5.
c ~' NOTICE ••• It i. no' neceuary

highlight into ,It.
us. the View key.
'0
move
CPT Code dala field to
,It.
The CUrsor Keys. • • • . . . . • . . rl?j
w ~
Use this 4-key set, identified by their arrow
The Stereo Key. . • . . • • • • • •• 8 labels, to move the highlight bar through the
selectable on screen data fields. Each arrow key (Cursor)
moves the highlight bar in the direction indicated by the
This key is only functional when the M-JV has label on the key cap. Below details this movement:
been configured for stereotactic use, and when the
LORAD StereoLoc II device has been mounted onto the • UpArrow:
C-ann. Use this key to set the M-JV so that the C-arm highlight moves from bottom to top
only rotates to the stereotactic projection angles (C-ann
shifts ±lSD while the StereoLoc II remains stationary): • Down Arrow:
highlight moves from top to bottom
CI Install the StereoLoc II device on the M-JV
C-arm. The system automatically is set for • Left Arrow:
stereotactic rotation. highlight moves from right to left
CI Press <C-arm Position> to set the system for • Right Arrow:

positioning rotation. highlight moves from left to right
CI Position the patient, compress the breast, then

press <Stereo> to set the system back to stereotac-
tic rotation.
(
System Controls
OTHER CONSOLE CONTROLS X·ray Switches .•.•.....•..

The Operator Console also provides additional controls,
as desribed below.
The Operator Console has two X~ray Switches
which are used simultaneously to initiate an
exposure. One switch is on the left side of the control
o
Power ON/OFF Switch . ....• ·III [m panel; the other switch is on the right side. When the
M-IV status reads READY, perform the following to
Use this switch to turn the machine ON or OFF. initiate ex.posure:
Note that prior to applying power, it is recommended that
the user perform the pre-power up checks detailed in a Step completely behind the radiation shield.
Chapter 2. To apply power, press <ON>; to shut the unit
down, press <OFF>. Q Check all ex.posure techniques and setup informa-
tion for accuracy.
Compression -6 Q Press BOTH x~ray switches simultaneously for

Release Switch. . . . ....... .
A Compression Release switch on the right side of
o the duration of the ex.posure ~ until the tone stops.
&. WARNING I Observe all solelY precoII-

the Control Panel provides a means to quickly release the fions when making x-ray exposures.
patient from compression, provided the Compression
Release Mode is set to MANUAL. The following is an
example sequence for using the compression release
Note that releasing either or both x.~ray
switches before
the exposure has ended (when the tone stops) will
C
switch: automatically terminate the ex.posure and cause the
system to display an error.
Q In the Setup Mode. change the Compression
Release Mode to MANUAL.
o
o
Lower the Compression Device.
Press <Compression Release> to raise the

:;::.,::~~ .......... 0
On the left side of the Operator Console housing is one
Compression Device approximately 6cm.
of the unit's three Motion Emergency OFF switches.
Pressing this switch immediately removes ALL system
power. To reset the machine after pressing this switch,
perform the following:
a Remedy the situation that precipitated pressing

the Motion Emergency OFF switch.
a Rotate the mushroom-type switch II4-tum

clockwise to reseL
o Perform. a standard start up procedure.

System Colrltr'Oz.,
C-ARM CONTROLS
There are identical pushbutton switches on either side of
the C-ann that control the following operations on the
mammography system:
• C-arm Up & Down

• Compression Up & Down
• Compression Release
Also, there is a rocker-type switch on the rear of the

image receptor support device that controls:
• C-arm rotation
There are also handwheels on either side of the Compres- Figure 3·5:
sion Carriage for manual movement ofWs device, Use C-arm Pushbunon Controls & Switch Set
of each pushbutton, switch, and the handwheels, is
described next. Note that the C-arm will stop automatically upon
( reaching the upper or lower C-arm travel limits. For
tactile discernment, the C-arm Up switch is convex, and
the C-arm Down switch is concave.
C-arm
l' ~'
Up & Down Controls ° og NOTICE • • _ The Caarm Up and C-arm Down
lunctions are also available using the dual
C-arm Up and C-ann Down switches are on both C-arm lunction Footswitch.
switch panels (one on either side of the C-arm). This set
of switches moves the C-ann up or down for height
positioning of the image receptor support device.
M NOTICE ••• The Caarm Rotation fundions
are also available using tubehead controls.
To move the C-arm up or down. perform the following:
a Press and hold a <C-arm Up> switch to raise the

C-arm assembly; release the switch to stop
movement.
Q Press and hold <C-arm DN> to lower the C-arm

assembly; release the switch to stop movement.
(
SW5t",,,, Controls
Compression Compression
t ,j,
. . . ....... .
Up & Down Switch. ... ... 00 Release Switch.
Compression Up and Down switches are on both A Compression Release switch on both C·arm switch
C·ann switch panels (one on either side of the C-arm). pads provides quick release of the patient from compres-
Use these switches to raise the compression device sion, provided the Compression Release Mode is set to
(increase thickness). or to lower the compression device MANUAL. The function and use of this switch is the
(decrease thickness). same as the Control Panel Compression Release Switch.
The Compression Release switch has a raised bump on
The Compression Up switch is convex, and the Compres- its surface for tactile discernment.
sion Down switch is concave for tactile discernment. To
move the Compression device, perform the following: The M·IV has an AUTOMATIC Compression Release
feature which. when pre-selected in the Setup Mode.
a Press and hold <Compression Up> to raise the releases compression automatically at the end of each
Compression Device. exposure. However, if a Localization Compression
Paddle is used, the system senses the paddle and "locks
a Release the switch to stop upward movement out" the Automatic Compression Release function.
Q Press and hold <Compression DOWn> to lower the

Compression Device and illuminate the light field
lamp. c
o Release the switch to stop downward movement.
Once 10 pounds of force is applied to an object, ALL C·

ann movement controls (Le.• C-arm Up, C-ann Down,
C-arm Rotation) are disabled.
The amount of compression force applied to an object

depends upon the set compression mode (Pre·compres-
sion or Full·range Compression). and the force setting of
that compression mode (10% to 100% the range).
Note that the compression device will stop automatically

upon reaching the upper or lower travel limits.
M. NOTICE .•• Th. Compr...ion Up ond Down

function. or. 01.0 ovoilo&l. u';ng th. duol
function foor.witcll.
40 M-N Operators Manual

System <.:alnu"o",
C-arm Manual
Rotation Switch " Compression Handwheels
Use this rockeNype switch on the rear of the IRSD to Manual compression Handwheels are provided to adjust
control C-arm rotation. One side of the switch is labeled the Compression Device manually. Use these controls in
for clockwise rotation. the other side for counterclock- addition to the motorized compression methods. The
wise rotation. handwheels work as follows:
To rotate the C-arm to the angle necessary for the clinical Q Rotate the handwheels in one direction to de-
view, perfonn the following: crease object thickness (apply compression).
CI Press and hold the clockwise label side of the Q Rotate the handwheels in the opposite direction to
switch to move the C-arm to a more positive increase object thickness (release compression).
angle.
Moving the Compression Device manually permits the
a Release the switch to stop clockwise rotation. user to apply up to 65lbs of force (maximum) onto the
object. This method of compression is typically used
a Press and hold the counter-clockwise label side of after applying motorized compression.
the switch to move the C-arm to a more negative
c o
angle.
Release the switch to stop counter-clockwise

rotation.
Note that motorized compression will engage a clutch
mechanism in the compression Device to prevent back-
slip. The clutch allows the user to easily apply manual
downward compression. while restricting manual upward
compression. To override the clutch. use a motorized up
The rotation drive circuitry slowly ramps up the method.
C-arm drive speed to provide a smooth transition from
stopped to full speed. As the C-arm approaches vertical,
the rotation speed slowly decreases until the C-arrn stops
at O~. before continuing. The C-arm angle appears on
readouts on either side of the Gantry.
C-arm rotation function differs if your system is config-

ured for stereotactic procedures. When the StereoLoc II
is installed, pressing <Stereo> sets the system so that the
C-arm rotate only to the stereotactic projection angles.
Refer to the StereoLoc II documentation of detailed
operational instructions.
Figure 3-6:
Manual Compression Handwheels

System Controls
C-ARM
READOUTS & INDICATORS
The M·IV C-arm has separate readouts and indicators for

the following functions:
• Compression thickness
• Compression force
• AEC Sensor Position & Indicator
Compression
Thickness Display . . . . .. . . .
An LED display, on the Compression Carriage cover,
shows the distance between the bottom of the Compres- -,
sion Paddle and the top surface of the image receptor
holder. The readout displays the compression thickness - 5 y- o (
in O. tern increments between Oem and 15cm. To see
how the display fu nctions, perform the fonowing : -3
a Press a Compression Up control to raise the Com-

-,
CM NEWTONS/1.BS
pression Device and observe the increase in the AEC
compression thickness readout.
Figure 3-7:
Compression CarrilJge Indicators
a Press a Compression Down control to lower the
Compression Device and observe the decrease in
the compression thickness readout.
~' NOTICE ••• The .ystem .en••• the type 0'

image receptor installed (co... tt., Bucky,
ek.) ana campen",'e. the thickn ... appr.
priately.

CHAPTER
System Contr·oz..
Compression -,
Force Display. ............ "'9'" Automatic Exposure Control
Sensor Position Indicator • •.
-,
An LED display, on the top Compression Carriage cover,
shows the approximate force being applied to the
compressed object. The readout displays the compres-
A sensor in the Image Receptor Support Device
measures the x-radiation that penetrates the breast
-,
sion force in either pounds (5Ib to 65tb) or Newtons during an exposure. The AEC sensor may be
(20N to 290N). whichever is pre-set as the default in placed in one of seven detent positions. Typically, the
Setup. sensor is placed below the glandular tissue in the anterior
region of the breast. To check the function of the
To see how the force readout works, perform the indicator. perfonn the following:
following:
a Install a large Compression Paddle.
Q Place an object (phantom, breast equivalent
material. etc.) on the image receptor support a Grasp the AEC Sensor handle beneath the IRSD
device, then install a Compression Paddle. and move it back and forth to all seven positions.
a Press a Compression Down control to compress a Observe that the corresponding LED on the
the object between the Paddle and the Image position display changes.
c Q
Receptor, and observe the increase of the force
readout.
Press a Compression Up control to lift the Paddle

off the object. and observe the decrease of the
force readout.

System Controls
TUBEHEAD CONTROLS
A control pad on either side of the Tubehead contains
identical switches for:
• C~arm Rotation
• Collimator Override
• Light Field illumination
The following paragraphs describe the use and functions

of each of these switches.
C-orm
Rotation SWitch . ... (0. Figure 3-8:
Tubehead Button
Use this rockeNYpe switch, on either side of the
tube head. to control C-arm rotation. One side of the
switch is labeled for clockwise rotation. the other side for
counterclockwise rotation.
Light Field Switch . • • • • . . .. @ (
This switch turns on the collimator lamp. which
This switch fu nctions the same as the Rotation switch on provides a visual representation of the x-ray field. Use
the rear of the IRSD for both standard mammography. this feature as necessary to accurately position the patient
and for stereotactic procedures (if applicable). in the x-ray field. The collimator lamp illuminates for 30
seconds whenever this switch is pressed, and it extin-
guishes automatically.
Corm Rotation Memory
To help with patient positioning. the M·IV employs a
C-arm Rotation Memory feature. After making an
oblique exposure, the C-ann angle is stored in memory.
When the technologist rotates the C-arm past 0° for the
next exposure, the rotation circuitry automatically SlOpS
the C-arm at the opposite oblique angle. The technolo-
gist may then rotate the C-arm to an angle other than the
memorized oblique angle if necessary.
When the Exam View data field is set for Mediolateral

(ML) or Lateromedial (LM) views, C-arm rotation
memorization is preset. C-ann rotation automatically
stops at the angles required for ML o r LM views (90°).
44 M-N Operator·s Manual

System Colntr'Ot.
Collimator
Ovenide Switch
The internal beam limiting device uses either an auto· In either mode, use the Collimator Override switch to
matie mode or a manual mode to collimate the x-ray field adjust the collimator blades for field sizes other than the
appropriately for the installed Compression Paddle and pre-set field size:
Image Receptor. Choice of the collimator mode is made
in Setup. The Collimator Override is used to change the a Install the appropriate Image Receptor and
automatically selected x-ray field size to a size other than Compression Padl,ile.
that of the installed Compression Paddle (Automatic
Mode) or the installed Image Receptor (Manual Mode). Q Press the Collimator Override switch to illuminate
the light field lamp and to adjust the collimator
AUTOMATIC MODE: When Automatic collimation is blades to one of the available field sizes, depend-
set, the collimator adjusts to the field size of the installed ing on the selected mode and installed
Compression Paddle, or to the installed Image Receptor accessories.
when no Paddle is attached. The Collimator Override
switch allows changing the field size up to the size of the
installed Image Receptor. Note that collimation override
will not allow field sizes any larger than the size of the
c attached Image Receptor.
MANUAL MODE: When Manual collimation is set, the

system detection circuitry senses only the size of the
installed image receptor (regardless of the size of the
installed Compression Paddle), and automatically limits
the field size appropriately. All subsequent field size
adjustments, all of which must be smaller than the size of
the attached Image Receptor, are made using the collima-
tor override.

System Controls
GANTRY
CONTROLS & SWITCHES
.The Gantry contains the foUowing user controls and
switches:
• Two Motion Emergency OFF Switches
• Input Power Circuit Breaker
The Motion ~
Emergency OFF Switch. . . . •. ~
The Gantry holds two of the system's three Motion
Emergency OFF switches (one on either side door).
Pressing this switch immediately removes ALL system
power. These switches work identically to the switch on
the Control Console.
(
The Input
Power Circuit Breaker
The Input Power Circuit Breaker is located o n the back
afthe Gantry. Typically. the circuit breaker is left ON.
However. always check the circuit breaker status prior to
applying power each day.
Figun3~9:
The Motion Emergency OFF Switch
46 M·N Operator's Manual

System Conti...!.!
(
GANTRY READOVT
The M-IV Gantry has a separate readout for the C-arm
angle
C-arm Angle Display

LED displays on both sides of the Gantry show the angle
of the C-arm. These readouts change as the
C-ann rotates:
Q Rotate the C-arm clockwise and observe that the

display changes to a more positive reading.
Figure 3-10:
a Rotate the C-arm counter-clockwise and note that C-arm Angle Display
the display changes to a more negative reading.

System Controls
This page Is intentionally blank

(
PREFACE: I The M· IV user interface involves several modes of operation. For clarity
and ease of understanding, each of these modes is presented in a separate
chapter. The Run Mode is the operational mode - where x-ray exposures
are made.
OVERVIEW: I When the M-IY powers up. it goes through a start up routine before
allowing user interaction through. the main operating screen - the Run
Mode screen. This chapter briefly explains the Stanup screen, and details
the components of the Run Mode screen wlUch permits:
• Entry of patient and exposure identification data.

• Selection of exposure technique factors .
c
OBJECITVES: I After reading this chapter. the reader will be able to:
• Understand the components of the Stanup screen and the Run

Mode screen.
• Enter identification data into the appropriate data fields .
• Interpret the system accessory status indicators.
• Seleet exposure technique factors.
Chap-ter 4:
User Interface - The Run Mode
(
(
User Interface - The Run M(KU
USER INTERFACE OVERVIEW

Upon power up - before displaying the Run Mode - the
system initially sequences through a series of internal
checks to ensure all sub-systems are ready for usc. Upon
successful completion of these checks, the Run Mode
screen appears and the system is ready for user interac-
tioo.
The following paragraphs describe the components of the

Startup screen and the Run Mode screen.
The Startup Screen

The Startup screen, which only appears during the power
up sequence, displays start up infonnation such as Figure 4-1:
diagnostics status and sub-system software versions. The Startup Mode Screen
During the diagnostic routines, the main microprocessor
performs the following: The Startup Mode screen has three main sections:
( • sub-processor functional checks • the Setup Window
• displays status of sub-processors (faults. errors) • the Message Window
• displays version of sub-processor software! • the Sub-System Reporting Window

finnware
The Setup Window displays all start up infonnation,
If problems occur with any portion of the startup routine. prompts, and error messages. User actions or responses
the system halts the start up process and sends an appear in the larger (left) portion of the Message Window
appropriate error message to the display. After the user while the operating condition of the unit displays in the
rectifies the error, the system repeats the test in the smaller Status area (right portion of this window).
problem area. and upon successful completion of that
test, continues the diagnostic routine. The Sub-System Reporting Window shows the software
versions of the seven system sub-processors.

The RUn Mode Screen The left side of thc Message Window displays instruc-
tions for thc action taking place (Le., highlighting the
When the M·IV completes the start up sequence, the
Birth Datc data fields brings instructions on entcring thc
system automatically entcrs the Run Mode. which
patient's datc of birth). During fault conditions, such as
indicates that the system is ready to receive patient and
an empty cassette holder, the Message Area requests a
exposure information. In the Run Mode, the user
user response for corrective action. Errors that occur
performs the following tasks:
during operation also appear in the Message Area. In
cases where user action can remedy the error, appropriate
• Inputs patient information and exposure technique
prompts appear; in cases where the error condition is
factors beyond the user's ability to "clear", the message reads
• Views accessory configuration "Call Service".
• Reads system operational status messages (errors
The Exposure Technique WlDdow displays all the
& help prompts)
parameters by which the exposure will be conducted (Le.,
• Permits user access to the Setup Mode kV, mAs, mode, etc.). Note that the techniques available
for change will differ depending on the exposure mode
The Run Mode screen is divided into three sections: selected (described later).
• the Setup Window

•
•
the Message Window
the Exposure Technique Window
(
The Setup Window is the area of the screen in which the
user entcrs patient identification information and exam
data, and observes system accessory status. The Setup
Window has two columns: an ID Column (left side) and a
Status Column (right side).
The ID Column contains patient and technologist

identification information, exam codes and views,
compression release mode, and exam comments. The
data fields in the ID Column require user input. The data
fields in the Status Column only display machine or Figure 4·2:
accessory status. The Status Column fields change only The Run Mode Screen
as the accessories or unit functions changes.
The Iaeger (left) side of the Message WlDdow displays

data entry instructions, error messages, and user responsc
prompts. The smallcr (right) side of the Messagc
Window shows thc operating status of the unit (Lc.,
Standby, Rcady, ctc).
Nor/eE • , • During STANDIY conaitions,

th. m ...oge area will ai.play a a.script;on
to h./p th. user a.t.rm;ne th. reason 'or
th. STANDIY status.

User Interfcu:e . The Run m"ac
THE ID COLUMN DATA FIEl.OS The "Name" Data Field

The ID Column data fields are in the left portion of the The Name data field contains the patient's name, usually
Run Mode Set Up Window, and consist of: in the format of: last name, first name, ntiddle initial.
The Name data field holds up to 24 characters, including
• Patient and technologist identification letters and punctuation marks (commas, periods, hy-
phens, spaces, etc.).
• Patient gender and birth date
• Exam views and billing codes To enter the patient name, first enter a valid II) number,
then perform the following:
• Exam comments
• Compression mode Q Highlight the Name data field.
The paragraphs that follow describe each data field in Q Type in the last name of the patient, followed by a
this column, and the information contained therein. comma (,).
Q Type a space, then the patient's first name.

The "ID" Data Field
Q Type a space, then type the patient's middle
The II) data field, which holds up to 15 characters.
c including numbers, letters. and punctuation marks

(comma, period. hyphen. space, etc.), contains the
patient's personal identification number which must be
entered to continue exam setup.
Q
initial, followed by a period (.).
Press <Enter> to register the name and move the

highlight to the next data field.
A patient Name must be properly entered to permit the

To enter a valid ID number perform the following:
user to continue with the exam setup and enable the
system to enter a READY status. The Console sounds a
o Move the highlight to the ID data field.
warning "chirp" if the user attempts to bypass the Name
data field without making a proper entry.
o Type the patient ID number up to 15 characters
using the alphanumeric keys.
o Press <Enter> to register the entry and move the

Cursor to the next data field.
M ""chirp" i' the us.r

NOTICE ••• The Console sounds warning
0
attempts to bypass the
ID dato 'i.ld without entering a valid
number.
The Pre-Schedule feature permits the user to enter patient

information prior to the scheduled appointment. When a
pre-scheduled ID number is keyed in, ALL ID column
data fields are filled with the pre-scheduled information.

The "Birth Date" Data Field The "Sex" Data Field

This data field contains the patient's date of birth in the The Sex data field displays the patient's gender. The
selected format: MM/DOIYY oc ODIMMIYY. The Birth only acceptable entries are:
Date data field holds up to ten characters and is entered
by following the instructions below: • F (female)
MMIDD!YY Format (MonthIDaylYear) • M (male)

• 0 (other)
a Highlight the Birth Date Data Field.
The default gender status is always female (F). To
a Enter the 2-digit month (01 through 12 are "the change the gender display of the Sex data field. perform
only valid entries). the following:
a Type the slash (1), then cnter the 2-digit day (01 a Press the Appropriate letter designation (M or 0).
through 31 are the only valid entries).
a Press <Enter> to move the highlight to the next
a Type the slash (I). then enter the two digit year data field.
(Le., 56 for 1956).
NOTICE • •• Pressing any 'e"or ot"or than
o Press <Enter> to register the birth date entry and tile valid '.".rs lor th. gender designation (
move the highlight to the next data field. '0
causes the sys'em soltwore automa,1-
cally display the d.ICJult gonder (F).
DDIMMIYY Format (DaJIMonthIY~ar)
Q Highlight the Birth Date Data Field. The "Comment" Data Field
Use the Comment data field to display simple remarks
Q Enter the 2-digit day (01 through 31 are the only
regarding the examination. This data field holds up to 25
valid entries).
characters. including numbers. letters, and punctuation
marks (comma, period. hyphen. space, etc.).
a Type the slash (I), then entcr the 2-digit month (01
through 12 are the only valid entries).
To enter a comment, use the following procedure:
o Type the slash (I) , then cnter the two digit year
a Highlight the Comments data field.
(Le. , 56 for 1956).
a Press <Enter> to register the birth date entry and

a Type in the comment up to 25 characters.
move the highlight to the next data field
Cl Press <Enter> to record the entry and move the
highlight to the next data field.
Pressing <Enter> automatically changes the two digit
year entry to the four digit year display (Le.• 01/01156
changes to 01/0111956).
~ NOTICE • •• H on involid doy or month Js

ontored in tho lirflt Do'. doto field; the
systom cloors the data liold and sounds 0
woming Mc"irp"'.

User Interfaee - The Run M,.a.
(
The "Tech ID" Data Field The "CPT Code" Data Field
The Tech ID data field contains the technologist's The 5-character CPT Code Data Field has two sections:
personal identification code. This field holds up to 3
characters, including numbers, letters. and punctuation • CPT Code Field
marks (comma. period, hyphen, space, etc.),
• Exam Description Field
Entering a Tech ID that has been previously defined in
The CPT Code Field displays the billing code(s) for the
the Technologist Setup Mode causes the following to
scheduled exam. Use the pre-defined codes (CPT Code
occur:
key), or manually enter a billing code (alphanumeric
keys).
• The preferred Compression mode is activated.
• The first view in the pre-defined screening exam The Exam Description field displays the exam name that
view sequence is displayed. is associated with the chosen billing code in the CPT
Code field. For example. if the billing code represents a
• The view sequence is available without manually
entering a CPT code. normal breast screening technique. the Exam Description
field will read "screening". This area is not user acces-
sible.
To enter the technologist's ID code, perform the
c
following:
The user can schedule CPT codes for each patient by
performing the following:
o Highlight the Tech ID data field.
Highlight the CPT Code data field on the Run

o Type the technologist's identification code
Q
Mode screen.
(typically initials) in the data field.
a Press <Enter> to register the entry and move the o Press <Change> to scroll through the available
Highlight to the next data field. CPT codes. (When scrolling through the codes.
the data field appears dim (CPT Code is not yet
scheduled).
o Press <Enter> to accept and store the CPT Code

for that patient. The data field appears bright
(CPT Code is now scheduled).
Q Repeat this process to schedule multiple (10

maximum) codes for that patient.
M. NOTICE ••• The di.played CPT Code i. not

.e/ected if the U5er move. the highlight bar
from the data field without fir.t pre55ing
<Enter>.
To view all the CPT Codes scheduled for a patient, press

<CPT Code> to scroll through each scheduled code.

The "Exam View" Data Field The Exam View Count Box tracks the number of expo-
sures taken for the displayed view. For example. if the
The Exam View data field shows the associated exam
views L MLO and R w..O are associated with the
views for the selected CPT Code. When the user enters a
selected billing code. the View Count box will change
CPT Code, the first view associated with the entered CPT
similarly to the example below:
code is displayed. Press <View> to scroll through the
remaining views available for the entered CPT Code.
a Select the first exam view (L w..O) by pressing
<View>. then take the exposure. Observe that the
The exam views appear in the data field as follows:
View Count box reads: I.
• Bright when "Selected" in the CPT Setup
a Select the second exam view (R LMO) by
• Dim when "Optional" in the CPT Setup pressing <View>. then take the exposure and
observe that the View Count box reads: 1.
Note that pressing <View> permits selection of only the
exam views that were previollsly marked "Selected" or IT it is necessary to retake the L MLO exposure:
"Optional" in CPT Setup. Exam views defined as "Not
Selected" are not available using <View>. • the Count box will read: 2
(when L MLO is the displayed exam view)
To schedule an exam view that is not pre-defined (Not
• the Count box will read: I
Selected) for the CPT Code, perform the following:
(when R MLO is the displayed exam view) (
o Highlight the Ellam View data field
o Press the appropriate mammographic view key or

press <Change> to scroll through the list of exam
views.
CI Press <Enter> to schedule the exam view for the

patient.
M di.ploy.d
NOTICE ••• "'S.I.ct.d'" views 'or tit.
CPT Cod. app.ar bright; "'Op-
tional'" and "'Not S.I.ct.d'" views oppeor
dim.

User Interfaee - The Run M"d.
The "Compression" Data Field To change the compression force mode, perform the
following:
Motorized compression is applied using one of the three
force modes below:
a Highlight the Compression data field.
• Pre·compression a Press <Change> to cycle through the available

• Full Range Compression choices.
• Dual Compression
a Press <Enter:> to record the selection and move
Pre-Compression: permits the user to apply a compres- the highlight bar to the next data line.
sion force sufficient for breast positioning only. Manual
compression must be applied prior to the exposure.
Full Range Compression: permits the user (0 apply

compression sufficient to conduct an exposure. How-
ever, manual compression may still be required for
patients with dense breast tissue.
c Dual Compression: permits the user to apply

pre-compression upon the fIrst activation of a compres-
sion Down control (for positioning), then apply full range
compression force for each subsequent activation of a
compression Down control (final compression).

THE EXPOSVRE Auto-7ime Exposure Mod,

The Auto-lime exposure mode permits the operator to
TECHNIQUE FIEWS select all exposure factors except mAs. Auto-Time
The Exposure Technique Fields display the chosen works by terminating the exposure after a predetermined
exposure parameters. The following paragraphs describe volume of radiation (based on the selected film density)
the choices for each exposure technique parameter. is sensed by the AEC sensor circuitry. A post-exposure
mAs appears on the Run Mode screen.
The "Mode" Technique Field Auto·kV Exposure Mode

In this exposure mode. the system automatically selects
There are four available exposure modes:
the exposure kV and the mAs. The only operator
selectable exposure factors are Filter. Density. Spot Size.
• Manual and Film Type. Upon x· ray initiation. the exposure
• Auto-Time begins at the kV level set in Setup: 25kV or 26kV (Mo
filter). or 28kV (Rh filter) . Shonly after the initial
• Auto-kV exposure release. the AEC system takes a sample, and
• Auto-Filter predicts the exposure time necessary to produce optimal
film density. If the system determines that the exposure
For each mode. pre-selected defaults initially are set, will not produce the optimal film density within a given
although they can be easily changed by the user by
pressing the appropriate technique select key. The
exposure modes, and their uses, are explained below.
"window" (125mAs, 165mAs. or 200mAs), the kV is
automatically increased to either 27kV, 28kV, 29kV, or
30kV (Mo filter). or 31kV. 32kV. or 33kV (Rh filter) .
c
After the kV increases. the exposure continues as an
M NonCE ••• All expo.ure mod.,. are avail- Auto·Time mode exposure. A post-exposure kV level
able 101' magnification dua/"s except and mAs appears on the Run Mode screen.
Auto-Filter Mod.. Installing the Mognllico-
t;on Tob/. chans.s the Morle li.leI lOD_' to Auto-Filter ExpDsure Mode
read "'mog". In this exposure mode, the system selects the kV in the
same manner as with Auto·kV mode, with the addition of
MGnual Expos",., Mode automatically selecting the filtration (Molybdenum or
The Manual exposure mode permits the user to set a Rhodium). Upon initiating the x·ray. the AEC system
fixed kV level and current time product (mAs) in samples the amount of radiation. The Autn.Filter
addition to selecting the Filter, Spot Size. and Film Type. algorithm then determines the appropriate kv level and
Density is the only exposure factor not selectable. filter to complete the exposure. The automatic selection
of the Rhodium filter is determined by a kV Threshold
Manual exposures commence upon pressing the x·ray set by the servicing engineer at installation.
bunons, and continue until: (I) the set mAs is reached.
(2) one of the x-ray buttons is released, or (3) the NOTICE • •• Th. actual Filter, kV level; anll
exposure exceeds the preset backup timer. m.A. u••11 lor th. exposure will app.ar in
th. appropriate lIata 'i"llI. alt"r the
~ NOnCE ••• S."ing 20JcV in Manual mod. .xpo.urw.
set. the rnA. to a yolue typical 'or .ec;'
men ralliograplty. The MODE lie'll'a""
automatically chang•• to Spedmen anll th.
rnA.. 'i.llllock., making it norwnoclillabl••

CHAPTER
User Interf=e . The Run M,HiE
The "Filter" Technique Field

Compreued 8,. ••, 1hlekrHl.. (em)
Exposures may be made using one of two filters:
4.5 5.0 5.5 6.0 6.5 7.0 7.5
• Molybdenum (Me) ~ Mo ; Mo -Mo
• Rhodium (Rh)
Rhodium is used in place of the Molybdenum when the

exam involves dense tissue and the kV selected would Rh
not reduce image quality (contrast) with respect to
Mo Rh
Molybdenum filter imaging. Press <Filter Select> to set
the filtration method. or permit the M-IV 10 select the Rh Rh Rh
filler automatically by using the Auto-Filter exposure
mode.
P,.",.,..bly Rh
The following table indicates the object thicknesses and
tube voltages where dose reduction can be obtained using
the Rhodium filter without losing contrast. This table is Rh Rh Rh Rh Rh
relative, and may vary with different breast compositions.
c The "kV"' Technique Field

Table 4·1:
MO )'t'nus RH
The kV field displays the set kV level for Manual or

Auto-Time exposures, or the post-exposure kV level for The "Density" Technique Field
Auto-kVexposures.
The Density field, selectable only for the automatic
The kV range of the M-JV is from 20kV to 35kV (Me exposure modes, displays a user selected value (-5 to
filter), or from 28kV to 39kV (Rh filter). NORMAL to +5) that will compensate for daily fluctua-
tions in film processor performance. Each incremental
change in density increases or decreases mAs by ap-
proximately 12.5% from the adjacent density selection.
The "mAs" Technique Field
The mAs field displays the set mAs for manual mode
exposures, o r the post exposure mAs for exposures using
the automatic exposure modes.
The mAs range of the M·IV is between 3mAs and

500mAs.

The "Spot" Technique Field The "Film" Technique Field

The system offers two focal spots: To produce optimum density films when using any of the
three automatic exposure modes, the user must match the
• Large Focal Spot (O.3mm) film/screen setting to the film/screen combination being
• Small Focal Spot (O.lmm)
used. The system uses this setting to recall the character-
istics of the film/screen combination which were
previously calibrated. The system pennits calibrating up
In most applications. the system permits user selection of
to three film/screen combinations for use with both
the Focal Spot size. However, under certain conditions
filters. T he choices for this data field will depend upon
(magnification studies, specimen mode), the system
the entries made in the Setup Mode.
automatically selects the appropriate Focal Spot size
(small spot for the examples given).
~ NOTICE • •• Film types shown on rile screen
After changing focal spots sizes, the system enters a 0,../0&.1. only. Until rII.y ore co/i&rot.d
Standby condition which allows the selected filament to &yo ••rvic. t.chnici"n, for &orll rile Moly""
warm. up. During this Standby period. x-ray exposure is cI.num onclllhodium filt.r., rile proper
prevented. clen.i,i•• or. not set for rII. film typo u•• d.
58 M ·W Operator's Manual
User Interface· The Run M(la.
THE STATUS COWMN The "Auto ID" Status Field

The Status Column contains fields which display the This field displays the operational status of the internal
installed accessories. the peripheral device status, and the AutoFilm ID which is used to place a photographic label
current date and time. The status of these fields are of the exposure technique factors and patient information
changed by either making selections in the Setup Mode onto the film. The status display will be one of the
(for peripheral and time/date display), or by changing the following:
type of accessories installed on the machine (receptor).
The following paragraphs describe each Status Column • Tube Side - black on white
field (details on changing the status of each field are in
• Thbe Side - white on black
the Chapters that follow).
• Emulsion Side - black on white
• Emulsion Side - white on black
The "Date" Status Field
This field displays the current date in the format of the • OFF
selected language. Whenever the user interface language Refer to Chapter 5 (The User Interface - Setup Mode) to
selection changes, the system automatically displays the change the operational status of the AutoFilm ID.
date in the appropriate format. Refer to Chapter 6 (The
User Interface - Additional Set Up Mode) to correct the
c date display, or to change the date format. The "Compression" Status Field
This field displays the Compression Release mode
selected in the default settings. There are two Compres-
The "Time" Status Field
sion Release modes: Manual and Automatic. Refer to
This field displays the current time in the format of the Chapter 5 (The User Interface - Setup Mode) to change
selected language. Whenever the user interface language the compression release mode. Note however, that when
selection changes, the system automatically displays the a Localization PaddJe is mounted on the Compression
time in the appropriate format. Refer to Chapter 6 (The Caniage, this data line will read: Locked Out.
User Interface - Additional Set Up Mode) to correct the
time display, or to change the time format.
The "Printer" Status Field

This field displays the operational status of the optional
label printer which provides a hard copy label of the
important exposure techniques and patient information.
The status display will be either ON or OFF. Refer to
Chapter 5 (The User Interface - Setup Mode) to change
the operational status of the printer.
M·W Operator's Manual 59

The "Receptor" Status Field The "Collimator" Status Field

The system has detection circuitry that senses the type This field displays the operational status of the x-ray
and size of the image receptor holder mounted on the field collimator. The two collimator settings are:
Image Receptor Support Device. The display in this field Automatic and Manual. Refer to Chapter 5 (The User
changes depending on the attached accessory. The unit Interface - Setup Mode) to change the collimator mode.
senses the following standard image receptor holders:
• LORAD HTe Grid System (l8cm x 24<:m) The "View" Status Field
• LORAD Linear Bucky (24cm x 3Ocm) The system incorporates a feature that requires entering a
mammographic view label in the Exam View data field
• LORAD Magnification Table
before enabling an exposure. When this "View Re-
Also detected are the following optional receptors: minder" is ON, the View data field will flash until a
mammographic view is entered for the exam. The status
display will be either Reminder ON or Reminder OFF.
• LORAD HTe Grid System (24cm x 3Ocm)
Refer to Chapter 5 (User Interface - The Setup Mode) to
• LORAD Linear Bucky (18cm x 24cm) change the operational status of the View Reminder.
• LORAD DSM Digital Image Receptor
• LORAD Full Field Digitallmage Receptor
If there is no image receptor on the IRSD. or if the

installed accessory is not a LORAD image receptor. the
c
Receptor data field will read: NONE DETECTED.
60 M-1V Operator's Manual

(
PREFACE: I The Setup Mode permits the user to tailor the M-IV System for specific
operations and personal preferences. In Setup. the user can set commonly
used exposure techniques. choose a preferred compression mode , and
control the operational status of installed peripherals. The user also has
access to a data field which allows selection of other Setup screens.
OVERVIEW: I Chapter 5 describes the Setup Mode screen and guides the user while
setting machine parameter defaults, setting tech.nique factor defaults for
each exposure mode. and for selecting operational status of peripheral
devices and (earures.
OBJECTIVES: I After reading this chapter, the user will be familiar with:
• The basic layout and function of the Setup Mode screen.
c •
•
Setting desired defaults for each machlne parameter.
Selecting defaults for the techniques available for each exposure
mode.
(
Chap-ter 5:
User Interface - The Setup Mode
(
(
CHAPTER
User Interface - The Setup M,Id.
INTRODUCTION
The Setup Mode allows the user to set the exam and
exposure defaults most frequently used. and is accessed
from the Run Mode by pressing <Run I Setup>. The
choices made in Setup appear in the Run Mode each time
system power is applied. These defaults, however, may
be changed as necessary in the Run Mode.
The Setup Mode Screen

The Setup Mode screen is divi9Cd into three sections:
• the Setup Window ~

• the Message Window Figure S~l:
The Setup Mode Screen
• the Exposure Technique Windo
Whenever the user accesses the Setup Mode, the high-
c light bar will always appear in the first data field of the
Serop Window. Pressing one of the arrow keys <Cursor>
on the Function keypad moves the highlight bar through
the available fields.
Selecting Fields & Entering Data
The following paragraphs describe movement through
the setup screens, changing data field selections, and
eotering system labels.
The Message Window displays instructions for setting DtJItJ Field Sehction: Press the arrow keys <Cursor>, or
andlor changing system operations or preferences. When press <Enter>, to move the highlight through or across
a field is highlighted, instructions appear to guide the the columns on the screen. A data field is selected when
user through the correct sequence of steps for entering the highlight appears in the data field.
data for that particular field.
Clumging Dam Field Selections: After selecting a data
The right side of the Message Window (the Status field, press <Change> to switch between the available
Window), will always read: SETIJP. choices for that machine function. H the data field
requires manual entry, key in the information using the
The Exposure Technique Window permits the user to set alphanumeric keyboard.
or change the default technique factors for each exposure
mode. Selection of these defaults an: made in the same CluJllging Exposure Technique Defaults: The exposure
manner as the Run Mode exposure technique selections. techniques are Changed by pressing the corresponding
Technique Select key. These keys are on the Control
Panel above the alphanumeric keyboard.

User Inter:face - The Setup Mode
SETUP WINDOW DEFAULTS Full-Compression Force:

This section describes each data field in the Setup This data field permits selection of the motorized
Window, the choices available for each field. and full-range compression force (between 20lbs & 40lbs) to
instructions for setting or changing. the values in the chart below. Motorized full range
compression typically provides the necessary compres-
sion to adequately reduce object thickness for diagnostic
Pre-Compression Force: imaging.
This data field pennits selection of the motorized
pre-compression force (between 151bs & 30lbs) to the The approximate Full Compression Forces available are
values in the chart below. Note that pre-compression listed below:
forces provide for breast positioning and initial compres-
sion only_ Full compression (either manual or motorized M NOTICE •.. Dual compression incorporates
full range) is required after pre-compression to ad- the settings lor DOth the Pre- and full
equately reduce object thickness for diagnostic imaging. Compression forces. The ;nitia' activation
01 compre..;on down compre..es the
The approximate Pre-Compression Forces available are object to the Pre-Compre.s;on force set-
listed below: ting. Each additional activation 01
compression clown applies approximately
3 poundS (J2N) 01 addi,ional lorce to the (
o&;ec', up to the se' Full-Compress;on force.
PRE-FORCE FULL-FORCE
89.0
50% 22.0 97.9 28.5 126.8
60% 23.5 30.5 135.7

User Interface - The Setup M",~.
Compression Release: Default Exposure Mode :

The compression release function operates in one of This field pennits the user to set the exposure mode most
three user selectable modes. The setting made here often used when a Bucky device is installed. Note that
dictates which release mode the unit will be in when all four choices may also be selected in the Run Mode.
system power is first applied. The three compression The choices for this data field are:
release modes are:
• MANUAL
• MANUAL • AUTO-TIME
• AUTOMATIC
• AUTO-KV
• LOCKED-OUT
• AUTO-Fll.TER
Manual mode requires the user to press a Compression
Release switch (Console or C-arm) to raise the Compres-
sion Device approximately 6cm after the exposure. Default Magnification Mode :
This field pennits the user to set the exposure mode most
Automatic release mode lifts the compression device often used when a Magnification Table is installed. Note
automatically after the exposure. that all three choices may also be selected in the Run
c
Mode. The choices for this data field are:
Locked-Out mode activates upon installing a localization
paddle, and automatically disables the compression
• MANUAL
release function.
• AUTO-TIME
• AUTO-KV
Collimator:
The collimator device within the M-IV tubehead operates
in one of two modes: View Reminder :
The system may be set so that exposures are not possible
• AUTOMATIC unless an exam view is displayed in the Run Mode.
Typically. the View Reminder is ON for clinical examina-
• MANUAL tions. However, the user or service technician may
switch it OFF to perfOITIl verification exposures (using a
Automatic collimation mode has the detection circuitry
phantom), or during unit calibration. The only options
sense the size of the installed Image Receptor and
for the View Reminder are:
Compression Paddle. and adjusts the field size appropri-
ately for the application.
• ON
Manual collimation mode has the detection circuitry
• OFF
sense the size of the installed Image Receptor only. and
limits the field size appropriately. All subsequent field
size adjustments for the application are made using the
Collimator Override Switch on the tubehead.

User Interface· The Setup Mode
Auto kV Window I mAs Table: Printer :

Manual exposures require that the user set a fixed mAs To print hard copy labels of patient information and
for exposure timing. Two mAs modes are available exposure factors, the optional printer must be installed.
(refer ( 0 Chapter 1 for euct mAs step values for both and the Printer data field must be set ON. Note that if the
modes): printer is not installed. the Printer data field will read:
UNAVAILABLE.
• MODE 1 (23 steps within the mAs range)
The user selectable choices for the Printer data field are:
• MODE 2 (59 steps within the mAs range)
When the exposure mode is set to Auto-kV or • ON

Auto-Filter. this field displays "Auto-IcV Window", and
• OFF
the system attempts to determine the exposure facton
necessary to make films at the optimum optical density,
with ideal contrast. To do this, the user must set a timing AutoID:
"window" that helps detennine when to terminate the
The system is equipped with the AutoFilm 10 which
exposure.
places a photographic label of exposure techniques and
identification data on the film. The AutoFilm 10 requires
When the timing "window" is set, the system terminates
the use of DIN-style cassettes with the built-in sliding (
an exposure using the following criteria:
window.
Optical Density: The first priority of the system is to
The AUTO 10 data field permits the user to choose:
ensure optimum optical density on the developed film. If
necessary (to meet the optical density requirement), the
• Tube Side - black on white
system increments the kV to its maximum, and surpasses
the set timing "window". • Tube Side - white on black
• Emulsion Side - black on white
Contrast: When the system determines that the optical
density requirement can be met, it attempts to maximize • Emulsion Side - white on black
contrast by terminating the exposure as near the set mAs
"window" as possible. This, however, must be achieved • OFF
while still maintaining the optical density requiremenL Thbe side selections cause the photographic label to be
''flashed'' onto the side of the film that faces the tube;
Below are the Auto-kV Window choices for both the emulsion side selections cause the label to be "flashed"
Large and Small focal spot: in reverse (from the bottom). The label "black on white"
signifies that the data will be black and appear on a white
background; the label "white on black" signifies the
LARGE SMALL TIME opposite (white data on black background). The OFF
selection disables the AutoFilm 10.
125mAs 38mAs 1.25 seconds (approx.)
165mAs SOmAs 1.65 seconds (approx.)
200mAs 60mAs 2.0 seconds (approx.)
64 M·W Operator's Manual

User InterfCU!e - The Setup Molde
Cassette Sense : Setup Options :

The Cassette Sense Interlock works with the M-rv-style This field permits the user to switch to other setup
Bucky Device or the Magnification Table only. This data screens which establish more system settings and
field pennits the user to choose the Cassette Sense defaults. The three Setup Options screens are:
Interlock status:
• ADDITIONAL SETUP
• ON • TECHNOLOGIST ID
• CPT CODE I VIEW
• OFF
When the interlock is ON. the M-JV prevents an expo- The Additional Setup screen pencils the user to set
sure when the cassette is not inserted into the Bucky compression force units. establish the RIS. change the
device. or when the cassette has not been ejected and date and time. and enter film and flash time preferences.
then replaced after an exposure. When the interlock is
OFF, exposures are nOl inhibited. The Technologist II) screen pennits the user to define
technologist d ata and set preferred compression mode
and the exam view orders.
Retain Patient Data:
c This field pennits the user to choose the length of time

the M-IV will store pre-scheduled information The
choices for this field are:
The CPT Code I View screen permits the user to choose
or edit CPT codes and exam descriptions used in the Run
Mode,
Each of these mode screens is discussed in later chapters.

• 1 Day
• 2 Days
• 3 Days
• 4 Days
• S Days
65
User Interface - The Setup Mode
EXPOSURE
Auto-11m, ExpQsu« Mod,
TECHNIQUE DEFAVLTS
Filter Molybdenum (Mo) or Rhodium (Rh)
Use the area along the bottom of the screen to define the
exposure parameters that will appear as defaults in the kV 20kV through 39kV
Run Mode 's Exposure Technique Window. A unique set mAs not se lectable
of parameters may be chosen for each exposure mode.
including magnification modes. Below are the seven Density -5 to 0 to +5
modes available for setting defaults: Spot Large or Small
• Manual Film one of the three film/screen

combinations calibrated
• Mag Manua]
• Auto-TLDlC Auto-kV Exposure Mod,
• Mag Auto-Time Filter Molybdenum (Mo) or Rhodium (Rh)
• Auto-kV kV 25kV - 26kV (Mo); 28kV (Rh)
• Mag A uto-kV mAs not selectable
• Auto-Filter Density
Spot
-5toOto+5
Large o r Small
(
Choose the exposure mode requiring setup (default
selection). then use the tables that follow to determine FUm one of the three film/screen
the exposure techniques available for each exposure combinations calibrated
mode. Auto-Filtf!IT E:c,pQsua Mode
NOTICE • •• P,....ing tit_ Morle Key perm;'. Filter not selectable (default - Mo)
'0
the us.r choo•• among seven exposure
kV 25kV
mod•• (4 contad mod• • , 3 mas mod• • ).
When the "'mas'"' lab.1 appear. in the mAs not selectable
Mod. da'a fleld, the default• ••, lor that Density -5 to 0 to +5
mod. will b. the •• H;ns_ the M .JV recall.
when the magnifica,ion 'oW. i_ ;mlall. d . Spot Large or Small
Film one of the three filmlscn:en
Manual Exposure Motkj combinations calibrated
Filter
kV
Molybdenum (Mo) or Rhodium (Rh)
20kV - 35kV (Mo)
.&f NOnCE - • • A ulo-Filter expo_ure made i.
nat uvai'abl. lar mugnilieulian . Iudle••
28kV - 39kV (Rh)
mAs 3mAs through 500mAs
Density not selectable
Spot Large or Small
Film one of the three film/screen
combinations calibrated

(
PREFACE: I The Additional Setup Mode is a second default setup screen that pennits
the setting of the remaining system parameters. and the machine labels
(Le .• film type. date, time).
OVERVIEW: I Chapter 6 describes the Additional Setup Mode screen and guides the user
through default settings for:
• Compression force units
• RIS connection
• Film and Flash Duration
This chapter also explains how to change the date and time and how to
enter label data (film types. institution name and address).
c OBJECTIVES: I After reading this chapter, the user will be familiar with:
• The basic layout and function of the Additional Setup screen.

• Setting defaults for the machine parameters in the Setup Window.
• Entering label information for film types and institution name.
• Changing the time and date display.
Chap-ter 6:
User Interface - Additional Setup
(
c
CHAPTER
User Interface - Additional Selmll
USER INTERFACE OVERVIEW

The main purpose of the Additional Setup screen is to set
the system to display the desired compression force
units and to establish the RIS connection. Choices made
in the Additional Setup screen appear in the Run Mode
each time the system is turned on.
The Additional Setup screen is divided into three

sections:
• the Setup Window

• the Message Window
• the Technique area (blank)
Figure 6-1:
The Setup Window contains the following data fields: The Additional Setup Screen
• Compression Force Units
c •
•
RIS
Film DEFAULTS -
ADDITIONAL SETUP
• Flash Time
• Date
The following paragraphs detail each of the Additional
Setup data fields, and the choices available for each field,
• Time and instructions for changing or modifying them.
• Institution Name
• Institution Address Compression

Force Units Data Field
The user can access each of these data fields to set the
machine to the parameters desired. Use this field to set the unit of measure in which the
system displays the compression force.
The Message Wmdow displays instructions that guide the
user through the correct sequence of setup steps for The two choices are:
entering data into the highlighted data field. The right
side of the Message Wmdow contains the machine status, • NEWTONS
which always reads n ADDmONAL SETUP". • LBS (pounds)
The Exposure Technique Window is always blank in the To change the compression force units of measure,
Additional Setup mode and is not used. follow these steps:
a Highlight the Compression Force data field
a Press the Change key to switch between the two

( choices.

User Interfa<:e - Additional Setup
RIS Data Field Film 3 Data Field

This field sets the system for use with the Hospital or This field permits the user to enter a third film/screen
Clinic Radiographic Information System (RIS). The combination to calibrate. The procedures for entering
options for this data field are: this film type is the same as for the previous 2 film types.
• ATTACHED Flash Time 1 Data Field

• Nor AATTACHED This field permits the user to select the length of time
that the AutoFilm ID flashes for film type #1. The value
When the M·IV is connected to the RIS system, a direct entered represents time in milliseconds. This data field
link. is established to the institution's patient database. holds up to four digits and will be in the range of 1 to
This provides access to previously stored patient data, 9999 (default is set at SOO).
and denies the user the ability to change the data. This
connection eliminates the need for the technologist to use To enter the flash duration. follow these steps:
the pre-scheduling feature. since all patient data required
for pre-scheduling is entered into the RIS database prior o Highlight the Flash Time 1 data field.
to patient arrival.
a Type the desired flash duration for the film I
If the system is linked to a RIS system. set this data line screen combination in the Film I data field.
to " Attached K ; otherwise select "Nor Attached M •
a Press Enler to record the value. (
Film 1 Data Field
This field permits the user to enter a film/screen combi- Flash Time 2 Data Field
nation which can then be calibrated for use with both This field permits the user to select the length of time
filters during automatic exposures. that the A\ltoFilm ID flashe s for film type #2. The
procedure for entering this value is the same as for the
To entcr film I screen combinations. follow these steps: Flash Time I data field.
o Highlight the Film 1 data field.

Flash Time 3 Data Field
a Type: in the name of the film J screen combination.
This field permits the user to select the length of time
Press Enter to record the film type.
that the AutoFilm ID flashes for film type #3. The
procedure for entering this value is the same as for the
previous 2 Flash Time data fields.
Film 2 Data Field
This field permits the user to enter a second film/screen
combination to calibrate for automatic exposures. The
procedures for entering this film type is the same as for
the Film 1 data field.

User Interface - Additional Se;tuJ
Date Data Field Institution Data Field

Use this field to change the date display which appears in The Institution's name displays in the space at the top of
the Run Mode. each Mode Screen. The Institution data field permits
entry of up to 32 characters to identify the name of the
• MMlDDfYYYY (USA fonnat)
host institution.
• DDIMMJYYYY (international format)
To change the current date. follow these steps: To enter or change the name of the institution, clinic, or
hospital, follow these steps:
o Highlight the Date data field, then use the
o Highlight the Institution data field.
Backspace key to delete the displayed date.
Q Type in the appropriate name (up to 32

o Type in the new date in the pre-set format, then
characters).
press the Enter key to complete the change.
~' NOTICE ••• The day 01 the week will show

o Press Enter to record the entry.
to the right 01 the Date data lield.
~- NOTICE ••• TI';5 data lield can hold up to
Always use a hyphen H. a slash (I). or a period (.) to
32 character5. However~ the 105' character
c separate the month. day, and year digits. Note that the
two digits representing the year automatically change to
the 4-digit year (Le., 01101198 changes to 0110111998).
i5 re5erved lor the unit number. There/ore~
alwaY51imit tlte lengtlt 01 the 'n5titution'5
Name to 31 character5.
Time Data Field Institution Address Field

Use this field to change the time display which appears The address data field permits entry of up to 32 charac-
in the Run Mode. The fonnat of the time display is ters to identify the address of the host institution. This
selectable: data is also part of the AutoFilm Id label.
• HH:MM:AMJPM (12-hourfonnat) To enter or change the address of the institution, clinic,

• HH:MM (24-hour format) or hospital, follow these steps:
To change the current time, follow these steps: o Highlight the Institution address field.
Q Highlight the Time data field, then press Change o Type in tth appropriate name
to select the desired time fonnat. (up to 32 characters).
Q Use the Backspace key to delete the displayed o Press Enter to record the entry.
time, then type in the new time in one of the
above fonnals.
Q Press the Enter key to complete the change.
~: NOTICE ••• When the Daylight Saving5

Time data field i5 5et to YES~ tlte label "'DST
5.a50n'" will5how to the right 01 tlte Time
data lield during tit. daylight 5aving5 time
••a50n.

User Inter:face - Additional Setup
Tech ID cleared with Auto ID Offset Data Field

Clear Key Data Field This data field permits the user to adjust the distance
This data field permits the user to set the Clear Key to from the edge of the film that the AutoFilm ID flashes
also "clear" the Tech ID data field when pressed. The the label. Higher values move the label farther rrom the
choices for this field are: film edge; lower values move it closer.
• YES To change the Auto ID Offset. perform these steps:
• NO CJ Highlight the Auto ID Offset data field.
To set the Clear Key mode. perform these steps: CJ Use the Change key to step through tthe offset
numbers.
a Highlight the data field.
CJ Press Enter to record the change.
o Press Change to switch between YES or NO.
o Press Enter to record the change.

Daylight Savings Time Data Field
This data field lets the user choose to have the system
Auto ID Contrast Data Field automatically switch between standard time and daylight (
savings time. The choices for this field are:
This data field permits the user to change the contrast
(level of difference between light and dark areas) of the • YES
flashed label when using the AlltoFilm ID. Lower values
decrease conlrast, while higher values increase contrast. • NO
To change the Auto ID contrast. perform these steps: To set the Daylight Savings Time option, perform the
following:
o Highlight the Auto ID Contrast data field.
CJ Highlight the data field.
o Use the Change key to step through the contrast
values (1-19). CJ Press Change to switch between YES or NO.
o Press Enter to record the change. CI Press Enter to record the change.

(
I
The system permits entry of patient demographics prior to the patient's
PREFACE: arrival. The identification information entered is stored on the hard drive
and is recalled at the time it is nceded.
OVERVIEW: I This chapter explains the mechanics of the Pre-schedule feature, describes
the means of entering, recalling and modifying the data, and discusses the
data storage feature.
OBJECTIVES: I After reading this chapter. the user will be familiar with:
• The mechanics of the Pre-sch.edule feature.

• Entering Pre-scheduled data via manual operation.
• Recalling and modifying Pre-scheduled data.
• Utilizing the Post Exposure Data Storage feature.
Chap-ter 7:
Patient Pre-scheduling & Data Storage
(
(
Patient Pre-Scheduling & Data Stor,~a.
MANUAL PRE-SCHEDVLlNG Recalling Pre-scheduled Data

The Pre-schedule feature permits patient information to To manually recall patient data that has been pre-
be manually entered prior to the examination. This scheduled. perfonn the following:
section describes how to enter pre-schedule information.
then how to recall and modify the information. Cl Highlight the patient II) data field.
Cl Type the exact patient ID number. then press

Entering Pre-Schedule Data Enter. or ...
To manually enter Pre-schedule information, perform the Cl Use the Change key to step through the pre-
following:
scheduled data.
Q Thm the unit ON, and then enter the Run Mode.
The system recalls the previously pre-scheduled data and
CI Type in the patient identification information (lD automatically fills in the appropriate data fields. At this
and Name). point. any data field (except the patient ID data field) can
be modified as necessary.
Q Enter any other known demographics (Sex, Birth
c ~' NOTICE • •• The pre-scheduled data is only

Date, CPr Code, and Exam View).
o Enter the Tech ID (if known).

saved 10 the dalabase 'or the amount 0'
lime selected;n the "Reta;n Palient dolo"
'ield.
o Make necessary comment (if applicable).
o Scan each data field for accuracy. Make changes

or corrections as necessary.
The information is recorded in system memory when a

new patient ID number is entered The data entry
process is repeated for each patient scheduled for that
day or session.

Patient Pre-5cheduling & Data Storage
AUTOMATED PRE-SCHEDVLlNG When the Reader registers the code, the system will
sound a tone, and the patient information for that data
The following details the automated methods of patient field will appear. The hightUght will move to the next
pre-scheduling. data field. where the process is repeated. If a non-valid
entry is made using lhe Bar Code Reader. the M·IV will
sound a tone. The hightlight does not advance until a
The Bar Code Reader valid entry is made.
An automated means of pre-scheduling data is through
the optional Bar Code Reader. The Bar Code Reader In some cases, the Bar Code Reader may be used to pre-
transfers the data that it reads from a coded strip (on a schedule exams in advance of patient arrival. A group of
patient ID card or admissions slip) to the appropriate data codes can be scanned using the Reader at the start of the
fields on the Run Mode screen. To recall data using the day. As patients arrive in the exam room, the user simply
Bar Code Reader, perform the following: types the exact patient ID into the Patient ID data field to
recall the previously scanned data.
o Thm the unit on and access the Run Mode screen.
o Remove the wand (Reader device) from its holder

on the Operator Console.
Q Hightlight the appropropiate data field.

(
o Drag the wand tip slowly across the bar code
(from left to right).

CHAPTER
Patient Pre-Scheduling & Data Stor,au<
Direct Link (Gateway Option) POST EXPOSVRE STORAGE

A third means of Pre-Scheduling is through a Gateway All post-exposure and patient demographic data are
with the Radiographic Information System (RIS). A saved on the floppy drive in daily files that can be
Gateway system provides access to patient data previ- displayed in a spread sheet format on a personal com-
ously stored on the unit's hard drive. When the patient's puter.
personal identification number is entered. all needed data
displays in the appropriate data fields on the Run Mode To save this data to floppy disk, perform the
screen. following:
a Insert a floppy disk into the floppy disk drive.
Q Perform examinations as per the clinical proce-

dures, which are detailed in
Chapter 8.
After each exposure, the post-exposure and patient

demographics are automatically saved to the floppy disk.

Patient Pre-5cheduling & Data Storage
This page Is intentionally blank

(
I
The steps involved in an examination are usually numerous. For this
PREFACE: reason, it is recommended that the user develop a routine for
perfonning these steps, and adhere to that routine each time the exam is
performed.
I OVERVIEW: I This chapter concerns clinical applications of the M-IV

mammography system. with a suggested sequence of operation to prepare
for and take patient films for the following types of exams:
• . Contact exposures
• Magnification studies
• Spot exposures
Also contained in this chapter are descriptions of other system features

(Le., C-arm Rotation Memory. film labels, C-arm Obstruction Interlock).
c OBJECTIVES: I After reading this chapter, the user will be familiar with:
• The recommended sequence of operation for contact exposures,

magnification studies. and spot exposures.
• The film labeling (AutoFilm ID) and the hard copy
labeling (printer) procedures.
• Other features of the system.
Chap-ter 8:
Clinical Procedures
(
c
Clinical Proc,e d,ur•.,
SEQUENCE OF OPERATION Installing the Buclcy Device

1. Align the Bucky device (HTC or Linear) with the
CONTACT EXPOSURES
IRSD.
Contact exposures require the use of a Bucky Device
(lITe or Linear). The recommended sequence is as 2. Slide the Budey completely onto the IRSD • until
follows: it stops.
3. Confirm that the electrical connection is made.

Pre-power Up Checks
1. Verify that all electrical and data connections are 4. Insert a loaded cassette into the cassette slot until
secure, it snaps in place.
2. Check that all interlocks are set (Le., IRSD lock. 5. Confirm that the "Receptor" data field indicates
Gantry panels closed, etc.). the presence of the mounted Bucky.
3. Ensure that the Operator Console's position

provides a clear view of the patient and Gantry. Installing the Compression Paddle
c
1. Select the appropriate Compression Paddle for the
4. Check the area near the Gantry for obstructions procedure.
that may hinder C-ann movement.
2. Install the Compression Paddle into the mounting
5. Remove any disk from the floppy disk drive. holes in the Compression Carriage.
3. Check that the automatic collimator moves to

M-WPowerUp reflect tbe Compression Paddle format.
1. Switch ON the Gantry power Circuit Breaker.
4. Raise the Compression Device to provide ample
2. Check the Operator Console display for "boot-up" room for positioning the patient's breast.
errors and diagnostic messages.
3. Verify that the M-IV advances to the Run Mode

screen.
4. Place a disk in the floppy disk drive for post-

exposure storage of patient and exposure data.
~ NonCE .•• AlwGY$ correct all error. ".fore

trying to male. exposures.

Clinical Procedures
Entering Selecting Exposure Techniques

Patient & Exam Information I. Select the exposure mode (Manual, Auto-kV.
1. Enter a patient identification number (up to IS Auto-Time or Auto-Filter).
characters), then press Enter.
2. Choose the filter for the exposure (Mo or Rh) • all
2. Enter the patient's name (up to 24 characters). modes except Auto-Filter.
then press Enter.
3. Set the exposure IcV level - Manual and Auto-
3. Record the patient's gender; (F= female, M::::male, Time modes only.
o--Other), then press Enter.
4. Select the mAs setting - Manual mode only.
4. Type the patient's date of binh in the appropriate
format. then press Enter. 5. Adjust the film density setting - all modes except
Manual.
5. Record the technologist identification number (up
to 3 characters), then press Enter. 6. Verify that the Spot data field indicates the focal
spot size required for the exposure.
6. If applicable, enter the five character CPT code,
then press Enter. 7. Select the film I screen combination being used
7. Use the View Keypad to record the clinical view

for the exposure.
C
for the exam, then press Enter.
Positioning the C-arm & Patient
8. Enter any comments (up to 25 characters) I. Rotate the C-arm to the necessary angle for the
regarding the examination. selected clinical view.
~: NOTICE ••• When pollen' demog,..plrla 2. Adjust the C-arm height to adapt to the patient.
0'• • n,....eI u"n. tit_ ",....dr.du/. Ie.
'u~ AU patient Information doto 'Wd. RII 3. Position the patient. Place the patient's arm or
automatKa/Iy..,..... ......... ",. poII- hand on the patient handle.
_r_rwmIMr,
WAaNING, Mo,orlzerl."u'pmon'a U••
care wilen od/u.tlne lor patlen' u...
O •••rve equipment and patlen' at all
tim •• durin••• r up. " a chair I. nec...
MIry lor CI procedure, wit.,.. po_••'.,
".I.h,".1.",
v •• 0 YGrfob'.
minimum
cItaIr ..t .ky. ".
t . . . .,., with rII • •• , up
proc••••
WA.N'NG' foot.wltch ••: T. ovoid

'ool.wltcll ovtlVOflon, k ••p . .".
',,'.wltcll •• deor 01 til. patlen, and C.
CIrnt • • 'up .,. •.

CHAPTER
Clinical Proc••d,"......
Compressing the Patient's Breast Releasing the Patient

1. Apply motorized compression (Pre·, Full·, or
1. Press a Compression Release switch to raise the
Dual-).
Compression Carriage.
2. Press the light field button to illuminate the x-ray
2. Assist the patient away from the C-arm.
field an additional 3D-seconds (if necessary),
3. Press the Collimator Override button to adjust the

~' NOTICE ••• The Compression Carriage will
automatically raise approximately 6cm
x-ray field for the exposure.
a'ter the exposure when the compression
4. Apply adequate manual compression to obtain a release me"thod is set to Automatic. "a
homogeneous imaging surface. Localization Paddle is used 'or the exam,
the system disables ALL the Compression
NOTICE • •• rhe automatic collimator limit. Release switches. Use 0 Compression UP
0'
the maximum $;ze the x-f"ay fie'd to the
size of the image receptor {i.e., rBcm.x
button, the 'ootswitch, or the handwheel
to re/eose the patient.
24cm, 24cm x 30cm}.
c Positioning the AEC Sensor

1. If an automatic exposure mode is selected. move
the AEC Sensor handle forward or back to
Post-exposure Checks
1. Evaluate the post-exposure mAs value (automatic
modes only) for subsequent exposure technique
~justments.
position the sensors.
2. Check the Message data field for post-exposure
2. Check that the sensor position is beneath the errors.
portion of the breast where the tissue is most
dense.
Labeling the Film
Taking the Exposure 1. Remove the cassette from the Bucky device.
1. Check that all exposure parameters and patient
demographics are correct. 2. Insert the cassette (DIN-style only) into the
integrated AutoFilm ID. After the audible tone
2. Make any final technique changes and demo- sounds, remove the cassette.
graphic corrections.
3. Develop the film .
3. Move completely behind the radiation shield.
~' NOTICE ••• Tlte optional printer provides 0
4. Instruct the patient to be as still as possible and to 0'
hord copy record patient demogrophics
ond technique in'ormation when the
hold her breath during the exposure.
printer is connected and selected (in the
5. Press and hold both X-RAY buttons for the entire De'oul, Mode).
exposure duration - until the tone stops.
( WARNING I Observe ALL so'ety precau-

tions when making x-ray exposures.

Clinical Procedures
Making Additional SEQUENCE OF OPERATION

Exposures (same patient) MAGNlFICATION STUDIES
1. Change the film cassette and load it into the
The magnification technique improves the representation
Bucky device.
and djfferentiation of microcaJcifications. Tbe recom-
mended sequence of operation for magnification studies
2. Re-position the C-arm (rotation & height) as
is as follows:
necessary for the clinical view.
3. Position the patient (i.e.• compression. AEC

sensor, etc.), Place the patient's arm or hand on
Pre-power Up Checks
the patient handle. 1. Verify that all electrical and data connections are
secure.
4. Check all patient demographics and make the
necessary changes. 2. Check that all interlocks are set (i.e., IRSD lock,
Gantry panels closed, etc.).
5. Evaluate the exposure technique factors and make
the necessary cbanges. 3. Ensure that the Operator Console's position
provides a clear view of the patient and Gantry.
6. Verify that the M-IV status reads READY and
make the exposure. 4. Check the area near the Gantry for obstructions
that may hinder C-ann movement.
(
.&. t;on. when making
WARNING IOb••rve ALL salety precau-
X-f'oy exposure•. 5. Remove any disk from the floppy disk drive.
M-lV Power Up
2. Check the Operator Console display for "boot-up"

errors and diagnostic messages.
3. Verify that the M-IV advances to the Run Mode

screen.

M NOTICE ••• Alwoys correct oil .rror.

&./ore trying to molee expo.ur••.

Clinical Pnoc.,du:r",
Installing the Magnification Table Entering

l. Raise the Compression Device completely. Patient & Exam Iriformation
I. Enter a patient identification number (up to 15
2. Align the Magnification Table's built-in image characters). then press Enter.
receptor holder with the IRSD.
2. Enter the patient's name (up to 24 characters).
3. Slide the Magnification Table completely onto the then press Enter.
IRSD - until it stops.
3. Record the patient's gender; (F= female. M=male,
4. Insert a loaded cassene into the cassette slot until O=other). then press Enter.
it snaps in place.
4. Type the patient's date of birth in the appropriate
5. Confirm that the "Receptor" data field reads MAG format, then press Enter.
TABLE.
5. Record the technologist identification number (up
6. Check that the Mode data field changes to: MAG to 3 characters), then press Enter.
MODE and the Spot data field reads: SMALL.
6. If applicable. enter the five character CPT code,
c Installing the Compression Paddle

1. Select the appropriate Compression Paddle for the
procedure.
7.
then press Enter.
Use the View Keypad to record the clinical view

for the exam. then press Enter.
2. Install the Compression Paddle into the mounting 8. Enter any comments (up to 25 characters)
holes in the Compression Carriage. regarding the examination.
3. Check that the automatic collimator adjusts to the ~' NOTICE •.• When potient demographic5
Compression Paddle format. are entered u5ing the pre-schedule 'eature,
ALL patient in'ormation data 'ield. 'ill
4. Raise the Compression Device to provide ample automatically upon entering the patient
room for positioning the patient's breast. identi'ication number.

Clinical Procedures
Selecting Exposure Techniques WARNING I 'oo'.wlrell••, To ovoi"

'oot.wlrell ovtlvotlon, Ic••p lto,1I
1. Select the exposure mode (Manual, Auto·kV,
Auto-Time or Auto-Filter). 0'
'oot.wirell•• clear til. po".nt and C-
orm ••tup area.
2. Choose the filter for the exposure (Mo or Rh) - all
modes except Auto-Filter.
Compressing the Patient's Breast
3. Set the exposure kV level- Manual and Auto-
Time modes only. 1. Apply motorized compression (Pre-. Full-, or
Dual-).
2. Press the light field button to illuminate the x-ray
5. Adjust the film density setting - all modes except field an additional 3D-seconds (if necessary).
Manual.
3. Press the Collimator Override button to adjust the
6. Switch the Spot data field to indicate the focal x-ray field for the exposure.
spot size required for the exposure.
4. Apply adequate manual compression to obtain a
7. Verify that the Spot data field displays SMALL. homogeneous imaging surface.
8. Select the film I screen combination being used M the ma.ximum .iI. 01 the
NOTICE ••• n.. automatic collimator limi,.
~-nEY field to the
C
for the exposure.
m. 01 th.'mag. receptor (I•••, 'BCdlX
24an, 24an" 30an).
I. Rotate the C-ann to the necessary angle for the
selected clinical view.
POsitioning the AEC Sensor
1. If using an automatic exposure mode, move the
2. Adjust the C-arm height to adapt to the patient. AEC Sensor handle forward or back to position
the sensors.
3. Position the patient. Place the patient's ann or
hand on the patient handle. 2. Check that the sensor position is beneath the
portion of the breast where the tissue is most
WAaNING' Motor'zerlequlpment. u•• dense.
co,.. wlt.n ad/v.,'ng lor patl.nt u••.
Ob••rve equIpment an" patIent at all
tIme. "urlng .et up. " a cllalr I. nece..
• ary 'or a proce"ur., wII.... poulltle,
u.e a varialtl. lIeiglit clloir .et oltoYe it.
minimum lI.igll, to o ••i.t with the •• , up
proc••••
80 M·W Operator's Manual

(
Taking the Exposure Labeling the Film

I. Check that all exposure parameters and patient 1. Remove the cassette from the Magnification
demographics are correct. Table.
2. Make any final technique changes and demo- 2. Insert the cassette (DIN-style only) into the
graphic corrections. integrated AutoFilm ID. After the audible tone
sounds. remove the cassette.
3. Move completely behind the radiation shield.
3. Develop the film.
4. Instruct the patient to be as still as possible and to
hold her breath during the exposure. ~' NOTICE ..• The aptianal printer provides a
5. Press and hold both X-RAY bunons for the entire
0'
hard copy record patient demagraphics
and technique in'ormation when the
exposure duration - until the tone stops. printer is connected and selected (in 'he
.&. WARNING I OIt•• rYe AU sol.,y precau-

De'aul'Mode).
"on. when maleing x-roy exposure••

Making Additional
c Release the Patient

1. Press a Compression Release switch to raise the
Exposures (same patient)
1. Change the film cassette and load it into the
Magnification Table.
Compression Carriage.
2. Re-position the C-arm (rotation & height) as
2. Assist the patient away from the C-arm, necessary for the clinical view.
~' NOTICE •.• The Compr••• ion Carriage will 3. Position the patient (i.e .• compression. AEC
automatically,ois" approximately 6cm sensor, etc.). Place the patient's arm or hand on
alter ,h.
exposure whon the compreuion the patient handle.
r.'ea•• method is sat to Automat;c. 110
Loca/i%ot;on Paelel/. i. us.d lor the exam, 4. Check all patient demographics and make the
the system aisoble. AlL the Compression necessary changes.
Release switches. Use a Compression UP
button, the 'ootswitch, or the handwheel
the necessary changes.
ta release the patient.
6. Verify that the M-IV status reads READY and
make the exposure.
& WARNING I Observe ALL sa'ety precau-
tions when making x-ray expasures.
adjustments.

errors.
(

Clinical Procedures
SEgUENCE OF OPERATION Installing the Bucky Device

SPOT EXPOSVRES 1. Align the Bucky device (HTC or Unear) with the
IRSD.
With spot mammography, a limited object field is
compressed more than usual, thus providing a high level
2. Slide the Bucky completely onto the IRSD until it
of contrast on the exposed film. This technique, espe-
stops.
cially in combination with the magnification
technique,provides a method of differential diagnostics to
3. Confinn that the electrical connection is made.
clarify indistinct findings.
4. Insert a loaded cassette into the cassette slot until
it snaps in place.
Pre-power Up Checks
1. Verify that all electrical and data connections are S. Confirm that the "Receptor" data field indicates
secure. the presence of the mounted Bucky.
2. Check that all interlocks are set (i.e., IRSD lock,

Gantry panels closed, etc.), Installing the Compression Paddle
1. Select the appropriate spot Compression Paddle
3. Ensure that the Operator Console's position
for the procedure.
provides a clear view of the patient and Gantry. (
2. Install the Compression Paddle into the mounting
4. Check the area near the Gantry for obstructions
holes in the Compression Carriage.
that may hinder C-arm movement.
3. Check that the automatic collimator moves to
5. Remove any disk from the floppy disk drive.
reflect the Compression Paddle fonnat.
4. Raise the Compression Device to provide ample

M-1V Power Up room for positioning the patient's breast.
~' NonCE ••• When using spot mammogra-
2. Check the Operator Console display for «boot-up" phy in coniunction witll magnilication
errors and diagnostic messages. studies, first raise tile Compression Car-
riage completely up, ;nstaIl lite Magnification
3. Verify that the M-IV advances to the Run Mode Ta&le, then install"'e spot Compression
screen. Poddle Iorthe exom.

M NOTICE ••• Always correct 011 errors

&elore trying to make exposures.

Clinical Pnx:edure.s
Entering 5. Adjust the film density setting - all modes except

Patient & Exam lriformation Manual.
1. Enter a patient identification number (up to 15 6. Switch the Spot data field to indicate the focal
characters), then press Enter. spot size required for the exposure.
2. Enter the patient's name (up to 24 characters). 7. Select the film I screen combination being used
then press Enter. for the exposure.
3. Record the patient's gender; (F= female. M=male.

O=other), then press Enter.
4. Type the patient's date of birth in the appropriate 1. Rotate the C-arm to the necessary angle for the
format, then press Enter. selected clinical view.
5. Record the technologist identification number (up 2. Adjust the C-arm height to adapt to the patient.
to 3 characters), then press Enter.
3. Position the patient. Place the patient's arm or
6. If applicable. enter the five character CPT code, hand on the patient handle.
c 7.
then press Enter.
Use the View Keypad to record the clinical view

for the exam, then press Enter.
WARNING I Mo'orlzed equlpmen,. U.e
core when od/u.,'na lor po"en, u••.
Ob.erYe equlpmen, and po"en, all0'
"m•• durlna •• , up. " a choir I. n.c...
8. Enter any comments (up to 25 characters) • ary 'or a proc.dur., wII.re po..;b'.,
regarding the examination. u.e a varlobl. h.;ah, chair •• , above i,.
minimum h.,,,h, '0
a ••i., wltlt tit•••, up
~' NOTICE ••• When potlent demoflrOph'c. proc••••
are enfe...d u.lng rII. ",.....ch.rlul. NO-
lure, ALL pal'ent Inlonnafion rlata Ii.I"."" WARNING I Foo'.wlreh••: To avoid
automoti",'1y upon ."tering fII. patient 'oo'.wlreh av,'va"on, k••p bo,h
IrI.ntillcotlon nu........ 'oo'.w/reh•• cl.ar of tit. parl.n, and C-
orm •• 'up area.
Selecting Exposure Techniques

1. Select the exposure mode (Manual, Auto-kV,
Auto-Time or Auto-Fiiter).
2. Choose the filter for the exposure (Mo or Rh) - all

modes except Auto-Filter.
3. Set the exposure kV level - Manual and Auto-

Tune modes only.

Clinical Procedures
Compressing the Patient's Breast Taking the Exposure

1. Apply motorized compression (Pre., Full-, or 1. Check that all exposure parameters and patient
Dual-), demographics are correct.
2. Press the light field button to illuminate the x-ray 2. Make any final technique changes and demo-
field an additional 30-seconds (if necessary). graphic corrections.
3. Press the Collimator Override button to adjust the 3. Move completely behind the radiation shield.
x-ray field for the exposure.
4. Instruct the patient to be as still as possible and to
4. Apply adequate manual compression to obtain a hold her breath during the exposure.
homogeneous imaging surface.
5. Press and hold both X-RAY buttons for the entire
NOTICE • •• Th. automatic collimator IIml,. exposure duration - until the tone stops.
fII. maximum me 01 tit. x-n.y field to the
';ze 01 ria. Image rec.ptor (i•••, 'Scm x .&. WARNING I Observe ALL sa/ety precau-
2""", 2"an" 30an) tions when making x-ray exposures.
Positioning the AEC Sensor Releasing the Patient (

I. When using an automatic exposure mode, move 1. Press a Compression Release switch to raise the
the ABC Sensor handle forward or back to Compression Carriage.
position the sensors.
2. Assist the patient away from the C-arm.
2. Check that the sensor position is beneath the
portion of the breast where the tissue is most ~c NOTICE •• • The Compression Carriage will
dense. automaticolly raise approximately 6cm
alter the exposure when the compre..;on
release method is set to Automatic. Use a
Compr...ion UP button, the lootswitch, or
the handwh ••1 to r.'eas. the patient.
adjustments.

errors.

CHAPTER
Clinical Prc,.,edu;res
Labeling the Film Making Additional

1. Remove the cassette from the Magnification Exposures (same patient)
Table. 1. Change the film cassette and load it into me
Magnification Table.
2. Insert the cassette (DIN-style only) into the
integrated AutoFilm ID. After the audible tone 2. Re-position the C-arm (rotation & height) as
sounds, remove the cassette. necessary for the clinical view.
3. Develop the film. 3. Position the patient (i.e .• compression. ABC
sensor, etc.). Place the patient's arm or hand on
~' NOTICE •• • The optional printer provide. a the patient handle.
0'
hard copy record pot;ent demographia
and technique inFormation when the 4. Check all patient demographics and make the
printer;s connected und selected (in the necessary changes.
DeFault Mode).
the necessary changes.
c 6. Verify that the M·IV status reads READY and

make the exposure .
.&. WAR.NING I Observe ALL safety precau-

tions when making x"'ay exposures.

Clinical Procedures
OTHER FEATURES Film Labeling

The system incorporates many features that contribute to There are two methods of labeling the films:
exam efficiency and ease of operation. This section
describes some of these features. • Hard Copy (Printer) Labels (optional)
• AutoFilm ID
C-arm Rotation Memory Printer Label Information

To help with patient positioning, the system memorizes The optional printer provides a hard copy label for
oblique C·arm angles. After making an oblique expo- manual attachment to the mammogram. After each
sure, the C-arm angle stores in memory. When the exposure, a label containing exposure identification data,
technologist rotates the C-arm past 0 degrees for the technique factors, and any exam comment (up to 10
next exposure, the system automatically stops the C-arm characters) is made, provided that the printer is turned on
at the opposite oblique angle. The technologist may then and selected.
rotate the C-arm to an angle other than the memorized
oblique angle to best accomplish breast positioning.
ZNSTZTUTION NAKE 1 76092
MCCORMZCIt. LINDA L CC
When the Exam View data field is set for Mediolateral 01:Z-3f.-5678 AItV 28kVMO S +1 35.
c
(ML) or Lateromedial (LM) views, C-arm rotation 1:Z/12/1934 63 P 226mA. 0 3 f..Oem
memorization is preset. C-arm rotation automatically 3118/1997 :z.43pm 18x2f. BUCKY 123
stops at the angles required for ML or LM views (±900). Figure 8-1:

Printer Label

Clinical Pr'oc,edur.",
AutoFilm IV Label lriformation SYSTEM SHUTDOWN

The Auto Film ID label is photographically placed onto Below is the sequence to follow when turning the unit
the film. This label is 40 characters wide and contains OFF,
the following information:
1. Remove the floppy disk from the disk drive.
•• Patient Name
Exam Date 2. Verify that the RUN MODE screen is present on
•• Patient ID
Patient Date of Birth
the E.L. Display.
••
Patient Age 3. Press the OFF Switch on the Control Panel.
Patient Gender
•• Institution Name
C-arm angle
•• Institution Address
Clinical View
•• Exposure Mode
kV
•• mAs
c ••
Density
Filter
AEC Sensor Position
••
Compression Force
Comment
•• Compression Thickness
Tech ID
• Unit Number
Also included in the AutoFilm ID label is a space for a

graphic representation of the patient's breast position and
the approach angle of the x-ray beam.
HCCORHICl, LINDA 03/18/1997

012-3'-5678 13/12/1']. 63 7
:Z: lII STITIJTIOlil ."MC
A . YTO •• ,"lIIYSTAT',IJ ••• A.
AKV llkY 126_11.
'11:1:111 LT vOQ
D •• a _0 1
".6.00"
L ILO
123
Figure 8-2:
AutoFilm ID Lobel

Clinical Procedures
CARE & CLEANING Recommendations

Handle the plastic accessories carefully. and inspect them For general cleaning, use a non-lint cloth dampened with
frequently. If they should begin to crack, discontinue water, or a lukewarm, diluted aqueous solution of
their use and replace them. household dishwashing liquid.
WARNING I Before cleaning anti tlisinfec- The following cleaning solutions have been found to be
tion, remove power from the equipment. compatible with polycarbonate compression paddles and
accessories:
Cleaning & Disinfection • 10% chlorine bleach & water solution
ALL pans of the unit which come in contact with the • 70% (by volume) isopropyl solution
patient must be cleaned and disinfected prior to each
examination. • 90% maximum concentration of Hydrogen
Peroxide solution
The standard hospital regimen for disinfection should be
followed, with the following qualifications: NOTICE • •• A'ter cleaning with the above
solutions, the paddles MUST be washed
• DO NOT clean with solvent-based cleaners
(containing benzene, or stain removers) surfaces
on pans which contact the patient (i.e .• face
shield. cassette holders, Bucky devices, compres-
with soap and warm water.
c
sion trays).
• DO NOT use extra strength or abrasive cleaners.

polishes. or waxes on parts which contact the
patient.
Proprietary disinfection 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, since the mist generated by spraying may
penetrate into the unit. which may damage electronic
components. To use a disinfectant agent in spray form,
first apply the agent to a sterile cloth or pad, and then use
the pad to apply the agent to the surface requimg
disinfectant.

(
PREFACE: I The CPT Setup.Setup screen permits the user to select clinical views for
standard and custom billing codes. The Tech 10 Setup screen permits
custom setup of technologist preferences. such as the view ordcr and the
compression mode.
OVERVIEW: I This first part of this chapter describes the CPT Setup Mode screen and
guides the user through the steps for selecting:
• Clinical Views for the default billing codes

. , ·Clinical Views for up to 12 custom billing codes
The second part of this Chapter describes the Tech ID Setup Mode screen
and guides the user (Mough the steps to:
• Define Technologist ID Data

• Set Technologist preferences
c
OBJECTIVES: I After reading this chapter. the user will be familiar with:
• The basic layout and functions of the CPT Setup & the Tech ID
Setup mode screens.
• Defining clinical views for standard and custom billing codes.
• Setting Technologist ID data and defining preferences.
(
Chap-ter 9:
CPT Code & Tech ID Setup
(
(
CHAPTER
CPT Code & Tech ID SeiwE
CPT SETUP SCREEN

The CPT Setup screen permits the user to select or
deselect views for eight default CPT codes. However,
the user can define an additional 12 CPT codes with
descriptions and selected views.
To access the CPT Setup screen, perform the following

steps:
CI Highlight the Setup Options data field in the

Setup Screen.
Q Press the Change key until CPT CODE I VIEW

appears as highlighted choice.
o Press Enter to access the CPT Setup screen.

Figure 9-1:
The CPT Setup Screen
The CPT Setup screen is divided into three main sec-
tions:
( The CPT Data Entry Fields
• The CPT Data Entry Window
The two data fields at the top of the CPT Setup screen are
• The View Selection Window used to:
• The Message Window
• Scroll through previously entered billing codes
The CPT Data Entry Window is made up of two data and descriptions for edit or review.
fields which permit the user to view the the standard
billing codes and descriptions. or to enter custom billing • Enter a custom billing code and its description.
codes and descriptions.
• Delete a billing code and its description.
The View Selection Window is used to select the views
for each custom CPT Code for both the left and right The CPT Code data field shows all the CPT Codes that
breast. have been defined for use with the M-IV (8 default. and
up to 12 custom). The Exam Description data field
The Message Window displays instructions for entering shows the clinical description for the billing code
or deleting CPT data and for selecting or deselecting the displayed in the CPT Code data field (i.e.• screening.
clinical views for each code. An example of the CPT diagnostic. etc.).
Setup screen is shown in Figure 9·1.

(
To view the billing codes, perform the following: The View Selection Fields
The center portion of the CPT Setup screen shows a
o Move the highlight to the CPT Code data field, or
listing of the 12 most common exam view labels and
press the Clear key to remove existing CPT data.
their descriptions. Selection boxes to the left of the
descriptions are used to select or deselect the appropriate
o Press the CPT Code key to scroll through the
exam views for the left and right breast for each dis-
available choices.
played CPT Code.
To clear the CPT Code and Exam Description data fields
The choices available for each selection box are:
for entry of a custom billing code, perform the following
steps:
• S - selected
o Press the Enter key until the highlight is in the • 0 - optional
CPT Code data field.
• X - not selected
o Press the Clear key to remove the existing data
Perform the following steps to add a custom CPT Code
from the two data fields.
to the CPT Code list.
M NonCE ... Pressing the Clear key only o

c
Press the Enter key until the highlight is in the
clear. the data lield./or entry of new
CPT Code data field.
information. Thi. doe. not del.t. the
exi.ting CPT Code and exam d.5cription o Type the custom CPT Code, then press Enter to
from the pre-clefined li5t. move the highlight to the Exam Description data
field.
To delete an exising CPT Code and Exam Description,
perform the following steps: o Type the appropriate description (25 characters
maximum) for the exam billing code, then press
o Press the Enter key until the highlight is in the Enter to move the highlight to the View Selection
CPT Code data field. field.
o Press the CPT Code key until the desired billing o Use th'e arrow keys to move the highlight through
code appears. the list of exam views.
o Press the Shift and Clear keys together to delete o Label each exam view for the CPT Code by
the billing code and description. pressing the Change key to switch among the
three settings.
Repeat the steps above each time a custom CPT Code is

added to the CPT Code list.
M-N Operator's Manunl

CPT Code & Tech IV Seltul'
TECHNOLOGIST m
SETUP SCREEN
The user can assign Tech ID codes. and define individual
preferences for the Compression mode and the screening
exam's view order by accessing the Technologist ID
Setup screen. After an ID code is assigned and defined,
entering that code in the Run Mode's Tech ID 6eld
brings that users preferences to the appropriate fields in
the Run Mode.
To access the Technologist ID Setup screen, pcrfonn the

following:
Q Highlight the Setu p Options data field in the

Setup Screen. Figure 9-2:
The Technologist ID Setup Screen
a Press the Change key until Technologist 10 Setup
T he data fields in the Setup Window are:
c a
appears as highlighted choice.
Press Entcr to access the Tech ID Setup screen. • Technologist ID: this is a unique alphanumeric
ID that contains up to 3 characters
The Technologist Setup screen is divided into two main
sections: • Compression Mode: this data field permits
selection of one of three compression modes
• T he Setup Window (Full. Pre. Dual).
• The Message Window • First View: permits selection of the prefered first
view of a screening exam.
The Setup Window contains the data fields used to define
the preferences and view order for the selected technolo- • Second View: permits selection of the prefered
gist. second view of a screening exam.
The Message Window displays instructions for entering • Third View: permits selection of the prefered
the ID data and for selecting the view order for screening third view of a screening exam.
examinations. An example of the Technologist ID Setup
screen is shown in Figure 9-2. • Fourth View: permits selection of the prefered
fourth view of a screening exam.
r-.
'0 '
. '----~

Defming Technologist ID Data
Perform lile following to define technologist identifica-
tion data and to set the view order for screening exams.
o Press the Clear key to clear the fields for a new

entry. This does not erase previously entered ID
data.
a Highlight the ID data field and enter 3 characters

for the identification data, then press Entcr to
advance to the Compression Mode data field.
o Press the Change key to toggle through the

choices of: PRE. FULL or DUAL. Press the
Enter key to advance to the First View data field .
a Press the Change key to toggle through the four

screening views, then press the Enter key to
advance to the Second View data field.
o Repeat this step for the second, lhird. and fourth

(
view data fields.
To permanently remove the displayed Technologist ID.

recall the Tech ID from storage. then press the Shift and
Clear keys together. To exit the Technologist Setup
Mode, press the Run I Setup Screen.
c

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The fo llowing are registered trademarks of LORAD:

Chapter 1 Introduction & Specifications

M-N Operator's Manual (

Chapter 2 Accessory Set Up & Installation

ii M-IV Operator's Manual

Chapter 3 System Controls

M-W Operator's Manual iii

Chapter 4 User Interface - The Run Mode

Iv M-W Operator's Manual

Chapter 5 User Interface - The Setup Mode

Chapter 6 User Interface - Additional Setup

M-N OperaiDr's Manual v

Chapter 7 Patient Pre-ScheduUng & Data Storage

Chapter 8 CUnical Procedures

Chapter 9 CPT Code & Tech m Setup

vi M·W Operator's Manual

PREFACE: I The LORAD M-IV is a mammographic system that combines advanced

• Major features, parts. and components

• Identify major components of the M-IV system

SYSTEM OVERVIEW Major Features

Automatic Exposure Control (AEC) modes.

• It is an operating guide that assists the user during

The manual takes a building block approach that starts

• Read this manual in total, and in the sequence in

• Keep the manual in an accessible spot for use as a

M-N Operator's Manual 1

MAJOR PARTS & COMPONENTS

• the Operator Console

The Operator Console

2 M-N Operator's Manual

The C-ann houses the x-ray tubehead, the Compression

c Down, C-arm Rotation. Compression Release. Compres-

I. Tubehead Figu re 1·2:

M-W Operator's Manual 3

MANUAL ARRANGEMENT Chapter 5:

This chapter describes the areas that make up the Run

4 M-N Operator's Manual

SAFETY NOTES WARNING I Mo'oriz." equ/pmen,. U••

c The M-IV is designed with state-of-the-art protective

WARNING I I,;, fII. ,..."on.&IIlty 0'

M-W Operator's Manual 5

INTERWCK SYSTEM The Automatic

• Prevent x-ray exposure when unsafe or undesir-

The Cassette Interlock The Compression Interlock

• Absence of a cassette in a Bucky Device

• Failure to remove previously exposed film! (

The X-ray Switch Interlock

The Early Release Interlock

6 M-W Operator's Manual

ACCESSORIES Optional Accessories

• HTC Bucky Device (l8cm x 24cm) • lOcm Localization Paddle (perforated)

• Screening Compression Paddle (l8cm x 24cm) • 15cm Localization Paddle (perforated)

• Screening Compression Paddle (24cm x 3Ocm) • Crosshair Device

• 7.scm Compression Paddle (contact & mag) • Bar Code Reader

• Dual Function Footswitch (2)

COMPLIANCE REQUIREMENTS Compliance Statement

Responsibility Statement • IS09001

8 M-N Operator's Manual

Label Locations ~' NorrCE •••••cord tit_ control num&.r

U.S. and CANADA

M-IV Operator's Manual 9

SYSTEM SPEClFICATIONS Operating Environment