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Bransist Safire hf9 PDF
Bransist Safire hf9 PDF
General Description of
BRANSIST safire/DIGITEX safire SP is the digital angiography system with direct conversion FPD
(Flat Panel Detector).
BRANSIST safire/DIGITEX safire SP, a combination of high quality digital imaging with low dose
exposures, provides fast and efficient operation for PCI and diagnostic studies.
This Operation Guide describes the basic operation of BRANSIST safire/DIGITEX safire SP
briefly.
For detailed information, refer to the following "Operation Manuals".
Symbols
The following symbols are used in this Operation Guide.
Symbols Meaning
Indicates a potentially hazardous situation which, if not avoided, could
WARNING
result in serious injury or possibly death.
4 Fluoroscopy/Radiography .....................20
Operation of C-arm ................................................................20
Operation of Catheterization Table ........................................22
Fluoroscopy/Radiography......................................................23
Change Fluoroscopy/Radiography Program .........................24
HV Flip ...................................................................................25
Change Settings of Injection Delay .......................................26
Recording Fluoroscopy Image...............................................27
Adjusting Image .....................................................................28
Adding, Deleting and Displaying Reference Images .............30
Related Operation for Study ..................................................30
Measuring and Analyzing ......................................................31
Operating DSA Tool ...............................................................35
Printing Images......................................................................36
Closing Study ........................................................................36
5 Administration .......................................37
Managing Studies ..................................................................37
Sending Studies ....................................................................38
Writing to CD/DVD .................................................................39
3
1 System Components
Examination Room
CyberGrip
(or Cyber Console)
4
■ CyberGrip
Components
System
Catheterization Table
Up/Down Switch
Release Switch
■ Cyber Console
C-arm Rotation/Travel
5
■ Local Console
① ② ③ ④
⑧ ⑦ ⑥ ⑤
④ Operates the H/V Collimation. The Collimator opens up when this is pressed down.
6
* How to use Direct Memory Function (CyberGrip)
1
1 Select a button from , , and .
Components
System
Select the location of the C-arm
2 from this area.
Press and hold to move the Select the location of the C-arm
3 C-arm to memory position.
2 from this area.
7
■ IVR NEO
The IVR NEO features 16 buttons with LED indicators and a multi-function Joystick with button.
Joystick
8
Control Room
Acquisition Monitor Review Monitor X-ray Generator Console 1
Components
System
Keyboard Foot Switch Mouse C-arm Remote Digital Operation
Console Cabinet
Power ON
Button
Power
Aging Button Accumulated OFF
Fluoroscopy Time Button
Reset Button
Hand
Switch
9
■ Main Window
Acquisition Monitor
Selected Digital
Programs
Side Menu
(displayed when the mouse pointer
is put on the left edge of the screen)
10
Review Monitor
1
Components
System
Side Menu
Comment
11
2
Startup
System Startup and Shutdown
Circuit Breaker
2
Power ON Button
Wait a minimum of 10 seconds
after turning on the breaker, and
then press (ON)
Starting up whole system.
12
X-ray Tube Aging
CAUTION
Be careful!
During aging, X-ray exposure is performed automatically without operating
hand switch or foot switch.
Startup and
setting is set to OFF. In this setting X-ray exposure by the foot
Shutdown
switches and the hand switch is not available.
System
X-ray Generator Console
2 Press
Aging procedure is started.
13
・Press to pause aging.
Press to resume.
FPD Calibration
CAUTION
Before calibrating FPD, make sure (X-ray OFF) on the X-ray generator
console is disabled.
14
C-arm
2
2 Move the Compensation Filters to the
outside.
Startup and
Shutdown
System
The Compensation Filters move away from
the field of view.
3 Move
view.
the tabletop out of the FPD field of
FPD
Tabletop
X-ray Tube
FPD
2 Remove Grid
Grid
15
Digital Radiography System
3 Select
side menu
and click
5 Click
Progress messages are displayed during
calibration.
Completion message is displayed when
calibration is completed.
6 Click
CAUTION
Be careful!
X-ray exposure is automatic during calibration.
Put back the grid after calibration until you hear the clicking
NOTE sound.
C-arm will not operate if the grid is not put back correctly.
16
Shutdown
C-arm
Startup and
Shutdown
System
Press and hold the C-arm Parking Switch until travel
is completed.
3 Click
A confirmation message is displayed.
5 Press (OFF)
Make sure the OFF button is lit.
Circuit Breaker
17
Daily Inspection
Check the following items before using the system.
18
3 Start Study
Input Patient Information
2
Indicates Mandatory Items.
Input each items
Be sure to input the items with a dot.
Start Study
3 Click
Patient information will appear on the upper
area of the main window.
Patient Information
19
4 Fluoroscopy/Radiography
Operation of C-arm
■ CyberGrip
Rotation of C-arm
2 (RAO/LAO)
Move the grip in the up/down
direction while pressing .
C-arm rotates according to
the direction of the grip.
Rotation of C-arm
3 (CRAN/CAUD)
Twist the grip in the left/right
direction while pressing .
C-arm rotates according to
the direction of the grip.
C-arm Travel
4 Move the grip in the up/down direction
or twist it in the left/right direction while
pressing .
C-arm moves according to the direction of
the grip.
20
■ Cyber Console
Rotation of C-arm
2 (RAO/LAO)
Move the C-arm rotation/
travel lever forward/
backward while pressing
C-arm rotation selector
switch. C-arm Rotation Selector
C-arm rotates according Switch
(lower on the far side)
to the direction of the
lever.
Rotation of C-arm
3 (CRAN/CAUD)
Move the C-arm rotation/
4
Fluoroscopy/
Radiography
travel lever in the left/right
direction while pressing
C-arm rotation selector
switch. C-arm Rotation Selector
Switch
C-arm rotates according
(lower on the far side)
to the direction of the
lever.
C-arm Travel
4 Move the C-arm rotation/travel lever
forward/backward or in the left/right
direction while pressing C-arm travel
selector switch.
C-arm moves according to the direction of
the lever. C-arm Travel Selector Switch
(upper on the far side)
21
Operation of Catheterization Table
Horizontal movement or raising/lowering of catheterization table.
22
Fluoroscopy/Radiography
Fluoroscopy Radiography
Fluoroscopy/
Examination Room
Radiography
When accumulated fluoroscopy
time reaches to 5 minutes, alarm
Examination room
buzzer sounds and alarm stop button
appears on the screen. Radiography can be performed with
To stop the buzzer, the hand switch on the X-ray generator
press [alarm stop] button. console.
Depress the hand switch until the X-ray
is exposed.
Hand Switch
23
Change Fluoroscopy/Radiography Program
Fluoroscopy/Radiography program presets and corresponding parameters are changeable. These parameters
can be changed at the digital processing system in the control room or at the IVR NEO.
"IVR NEO" P. 8
1 Click
IVR NEO
or on the
■ Confirmation of Parameters
Fluoroscopy Radiography
1 Confirm
Make sure that selected Fluoroscopy
Program is displayed.
1 Confirm
Make sure that selected Radiography
Program is displayed.
24
HV Flip
Flip and acquire the fluoroscopy and radiography images in the Horizontal or Vertical direction.
2 Perform fluoroscopy or
radiography
Reversed image is acquired.
Fluoroscopy/
Radiography
reversed.
25
Change Settings of Injection Delay
Injection-Acquisition Delay (the delay in seconds between injection and beginning of acquisition) and Mask-
Acquisition Delay (the delay in seconds between end of mask acquisition and beginning of live acquisition)
are set in advance for each acquisition program. These values can be changed temporary during study
according to the following procedure.
1 Click
[Acquisition Delay] window appears.
3 Click
26
Recording Fluoroscopy Image
Last N seconds fluoroscopy record or Either Direct fluoroscopy record can be used.
1 Perform fluoroscopy
Fluoroscopy/
Radiography
Make sure that selected Fluoroscopy Program is displayed.
2 Perform fluoroscopy
Fluoroscopy loop will be saved.
27
Adjusting Image
■ Display
2
1
3
6 4
28
■ Playback
Fluoroscopy/
Radiography
Play/show previous loop/image.
29
Adding, Deleting and Displaying Reference Images
Insert Home Page
Up
Delete Page
End
Down
30
Measuring and Analyzing
■ Quantitative Coronary Analysis (QCA)
2 Perform calibration
To perform calibration, display the image of
reference object (such as a catheter) previously
4
acquired with the same magnification as the analysis
Fluoroscopy/
Radiography
object. The smaller reference object (the thinner the
catheter), the greater the analysis error.
31
3 1
Specify the stenosed artery
Click button from [Manual] menu.
4 1
Specify the reference value
Click button from [Manual] menu.
WARNING
Measuring a vessel diameter from angiography causes several errors.
Therefore, do not diagnose or treat based solely upon this analysis result.
Use the analysis result as a reference value.
32
■ Left Ventricle Analysis (LV)
Perform LV analysis with a projected image of RAO 30 degrees (or images of RAO 30 degree and
LAO 60 degree).
LV Tool Bar
4
2 Perform calibration
Fluoroscopy/
Radiography
To perform calibration, display the image of
reference object (such as a ball) previously acquired
with the same magnification as the analysis object.
The smaller reference object (the smaller the ball),
the greater the analysis error.
2 Input
image.
the ball diameter (mm) which is on the
33
3 Outline the ventricular wall
Outline each image of End-of-Diastole (ED) and
End-of-Systole (ES).
Outline both ED and ES image repeating the
following procedure.
4 Click
The result of LV analysis is displayed.
CAUTION
This analysis is calculated with an approximation formula called "Area
Length", so the calculation result includes approximation errors.
34
Operating DSA Tool
2 4 Executing reregistration.
4
(Shift the mask image)
2 Click
[Pixel Registration] tool bar will appear.
Fluoroscopy/
Radiography
1 Moves the mask image upward.
3 4
3 Moves the mask image left.
2 5
35
Printing Images
1 Click
3 Click
Printing is started.
Closing Study
36
5 Administration
Managing Studies
① ② ③ ④ ⑤ ⑥ ⑦ ⑧ ⑨
Searches based on the search target set by the [System] and [Drives]
1 Search
buttons, plus all search criteria.
2 View Displays the selected study or studies in the Image Viewer window.
When a study is selected in the Study List, Series displays all study
3 Series
series types contained in this study.
37
No. Button Function
Sending Studies
2 Click
A list of destinations will appear.
38
Writing to CD/DVD
1 1
Select the studies
Select the desired studies from the Study
List.
2 Click .
Prompted to insert a blank disc to the
writer.
2 Click
Writing is started.
5
Administration
39
6 Trouble Shooting
Emergency Halt
■ Halting the C-arm
1 Press
Stop Switch
(Stop switch)
Stop Switch Stop Switch
1 Turn
NOTE
(Stop switch) clockwise
When resetting, be sure to reset the pressed switch.
Reset the STOP switch after the message "Stop Mode:
Reset OK" is displayed on the X-ray generator console or the
information display to ensure normal operation.
Safety Switch
Proximal sensors are mounted around the FPD and touch sensors are mounted on the FPD front cover and the
collimator cover. When these sensors are tripped, the movement of C-arm and catheterization table stops.
Use care and caution when operating the CyberGrip and pressing the release switch to free the C-arm from
collision.
FPD backward movement is possible without release switch operation.
40
Shutdown Failure
If trouble occurs when trying to shut down the Digital Radiography System via [Exit] button (system does
not shut down), shut down the system according to the following procedure.
2 Open the switch cover in front of the cabinet and press the
Power button for at least 5 seconds
The location of the power button varies at different periods of delivery as following figures.
Acquisition computer is turned off.
3 Press (OFF)
X-ray high voltage generator and C-arm are shut down.
6
Shooting
Trouble
41
To restart the system, wait 1 minute after turning off power to
NOTE the X-ray generator, then press (ON) again.
Power Failure
This system is protected from power failure with UPS (uninterruptible power supply system). If the power
failure occurs suddenly such as thunderbolt, screen display disappears. When a momentary power failure
(within 5 minutes) occurs, this system will automatically retrieve, and can be available in inactivity because
that the screen redisplays.
If the power failure occurs for long time such as for more than 5 minutes or it is difficult to judge whether
the momentary power failure occurs or the longer one, once shut down the system, and then re-activate the
system according to the Startup procedure ( P.12) or "Chapter 3.3 described on DAR-9400f Operation
Manual (M517-E063)".
42
Error Messages
Common error messages are described in this section.
For other error messages, refer to the operation manual of each system.
An error occurred during cache. CD-R or DVD-R media are used as patient data archive,
re-write all unsaved patient data to new CD-R or DVD-R.
No available cache. If not, please contact Shimadzu service representative.
6
Shooting
Trouble
43
Error Messages Related to FPD
When "FPD ERROR" is displayed at upper left of the system monitor, errors in the following list are
also displayed.
DC power of FPD is
[DC Power Supply]:Overload
overloaded.
44
■ X-ray High Voltage Generator
When the equipment detects errors, the error messages will appear on the touch panel.
When an error message is displayed, press of GSC console, and take the appropriate action
listed.
Abnormal connection to
H.V.T. Not Connected
high-voltage transformer.
6
Shooting
Trouble
45
Messages Related to the X-ray Tube
The following message is displayed.
Radiography is not possible while this message is displayed.
Message Description Action
Value predicted to go
out of range Continuing
HU Over Predicted radiography with present
setting will cause heat unit
overrun. Stop the operation until
the heat unit value
Heat units reached the reduces.
HU Full Stored
permitted limit.
46
Other Messages
The following message is displayed.
Radiography is not possible while this message is displayed.
Message Description Action
■ C-arm
Message Description Action
It is possible to operate
Mismatching of position the C-arm by holding
Position Detect Error XXX
detection and motor drive. down the release switch.
Reset with the STOP
switch or turn off and on
the power again. If the
Detects disconnection of equipment cannot be
Potentio Error XXX
position detector circuit. reset, contact Shimadzu
service representative.
6
Camera Rotation Error
potentiometer.
Shooting
Trouble
47
Message Description Action
Initial Input Error ! Any switch may be pressed Release all the switches
Release All Switches during startup. and reset the equipment.
Detects disconnection of
Interlink Error ! XXX
console.
Note: "XXX" represents values and characters according to the error situation.
CAUTION
When operating the system by holding down the release switch, the collision
prevention feature and safety switches are disabled.
This may result in equipment damage or patient contact. Operate carefully to
ensure the STOP switch can be pressed immediately.
48
2009.11