Angiography

Prerequisite

17 Angio attachment

17-1 Prerequisite
- Basic adjustment of all unit movements, particularly 0°-
position for swivel angle, unit position and tube
rotation must have been carried out.

- The tube unit must be centered to the "spotfilm device"

- Presetting of S 1 1 5 / S 1 1 6 (angio attachment, guide rail

spotfilm device) must have been made (installation
instructions R18-042.031.02...)
- Jumper X9.A7-B7 (D60, remote-control console) must be
inserted.
- Connect PT to Z2.K2.

R18-042.032.04 17-1
Angiography
Basic position

17.2 Basic position

- Unit position > 0° or < 0°, as required.
- Layer height approx. middle of adjustment range.
- Optional swivel angle headwards/footwards.
- Longitudinal carriage headwards/footwards, as required.
- SID = 135 or 150.
- Table top optionally headwards/footwards.
- Compression approx. middle of travel range (cone
inserted).
- Press (remote-control console). Watch the unit
reaction.
Requirement: The following adjustments are made
automatically.
* Compression cone into uppermost decompression position
* SID = 115 cm
* flashing

- Press and keep it depressed. Watch the unit

reaction.
Requirement: The following adjustments are made
automatically:

* Unit position 0°
* Swivel angle 0°
* X-ray system in center of angio range
* goes out
- Measure dimension "X" according to drawing.
Requirement: X = 860 mm (+/- 10 m m ) .

Longitudinal
carriage Transom
foot-end

Correction:

S/MEM F533 9E Mid-position, angio range EE

Resolution: +1 bit = +3 mm headwards

- System "off".

17-2 R18-042.032.04
 Angiography
Matching the PUCK-carriage

>

17.3 Matching the PUCK carriage to the guide rails

Check the following conditions:

a) The top edge of the guide plates (3) should be
horizontal
b) The distance between the top edge of the guide plate
(3) and the rail (1) on the spotfilm device:
12 mm (+3 mm)
R18-042.032.04 17-3
Angiography
Matching the PUCK-carriage

Adjustment a) and b ) :

o By placing washers (included in scope of delivery)

underneath at (X), adjust the pulleys of the PUCK car-
riage, as required.

17-4 R18-042.032.04
 Angiography
Matching the PUCK carriage

c) With the PUCK carriage inserted in the guide rail (2)

on the spotfilm device, the guide plate (3) of the
carriage in the rail may have neither lateral play nor
may its movement be sluggish. Measure the required
distance.
Adjustment:
o Unscrew rail (6) at x
o Remove spacing strips at y, as required
o Fasten the rail (6) with screws again.
R18-042.032.04 17-5
Angiography
Matching the PUCK-carriage

d) Buffered locking when inserting the PUCK carriage into

the guide rail on the spotfilm device as far as the
stop. No stop of the cam (8) on the unit! Minimum
distance: 2 mm. No play in transverse table position!
When pressing the PUCK carriage lightly against the
buffer (5), the latch (1) must be easy to release (pull
at bracket 4 ) .

Adjustment, play/buffered stop:

o Adjust the buffer (5) as required.
Adjustment, distance 2 mm:
o Loosen guide rail (2) at A. Shift as required.
Note: Final adjustment will follow later.

17-6 R18-042.032.04
 Angiography
Matching the PUCK-carriage

e) With the PUCK carriage inserted in the guide rail (7)

on the transom, the guide plate (3) of the carriage may
have neither lateral play in the rail nor may its move-
ment be sluggish. Measure the required distance.
Adjustment:
o Unscrew rail (7) at x
o Remove spacing strip at y, as required.
o Fasten rail (7) with screws again.

R18-042.032.04 17-7
Angiography
Matching the PUCK-carriage

f) Buffered locking, when inserting the PUCK carriage,

with the changer in frontal position, into the guide
rail on the transom as far as the stop.
No play in cross-direction of table!

The catch (10) must be easy to release (pull at bracket

4) when pressing the PUCK carriage lightly against the
buffer (15).
Adjustment:
o Slacken 2 Allen screws at x
o Adjust buffer (15) as required (oblong holes)
o Tighten Allen screws again.

Note: No locking, when inserting the PUCK carriage with

the changer in lateral position.

17-8 R18-042.032.04
 Angiography
Matching the PUCK-carriage

g) Dimension "a" must be 168 mm (+2 mm)

Adjustment:
o Unscrew and detach PUCK (only with PUCK carriage "F")
o Extend telescope of PUCK carriage (only with PUCK
carriage "F/L")
o Turn out 4 Allen screws (17); take out the system,
o Turn out 2 Allen screws (16)
o Shift the cam (18) into the position shown
(position "SIREGRAPH D2")
o Reinsert the system and screw it on
o Position the PUCK and screw it on (only with PUCK
carriage "F")

R18-042.032.04 17-9
Angiography
Matching the PUCK-carriage

h) Function s115/s1l6/s227/s228
- System "on"
- Press key

- Press key and keep it depressed until it is

extinguished.
The basic position must be established (17.2)

Note: Test the following procedures several times.

S115/S116:

- Insert PUCK carriage into the guide rail on the

spotfilm device until it locks in place.

* Switch s115 / si 16 must be operated reliably

(S/Port 63: 2° bit = s115, 21 bit = s116)
* Layer height moves to minimum

* Key is flashing

* Multifunction display lights up

* The following functions must be blocked:

17-10 R18-042.032.04
 Angiography
Matching the PUCK-carriage

Adjustment s115/s116:
o Uncouple PUCK carriage from spotfilm device. Pull out.
o Advance the complete set of switches (holding angle
accessible from below) to the guide rail so that the
flat reed of S 1 1 6 rests planely on the rail and just has
not yet operated.
Note: Do not shift switches individually! Varnished
factory adjustment!

R18-042.032.04 17-11
Angiography
Matching the PUCK-carriage

S227/S228:
- Uncouple PUCK carriage from spotfilm device. Couple with
the changer in frontal position. Lock down on the head
side transom.

* Switch s227 must be released. s228 must be actuated.

(S/Port 63: 22 bit = s227, 23 bit = s228)
* Layer height moves to maximum ^

* Key lights up.

* Multifunction display lights.

* The following functions must be blocked:

Adjustment s227/s228:
o Uncouple PUCK carriage from transom, pull out.
o Unscrew cap (20)
o Individually adjust switches so (oblong holes) that the
ball-shaped feeler projects 2 mm into the guide slot
(A).

17-12 R18-042.032.04
 Angiography
Matching the PUCK-carriage

Couple PUCK carriage to the head-side transom, with the

changer in lateral position.

* No locking takes place

* Switch s228 must be released.

* Switch s227 must be actuated reliably

(S/Port 63: 22 bit = s227, 23 bit = s228)
* Key lights up
* In addition to , "transverse
table movement" is blocked.

>
R18-042.032.04 17-13
Angiography
Travelling ranges of longitudinal carriage

17.4 Travelling range of longitudinal carriage

17.4.1 Peripheral angiography

- Couple PUCK carriage with the changer in frontal posi-

tion. Lock in place on the spotfilm device (layer height
minimum /Multifunction display lights up /
flashing)
- Move spotfilm device maximally headwards. Measure
dimension "x".
Requirement: x = 1020 mm (- 5 mm)

Adjustment:
S/MEM F535 D3 +1 bit ? + 3 mm EE
head-side

- Cautiously move spotfilm device footwards. S 2 1 4 is

overtravelled. Shut-down must be affected by software,
with x = 700 mm (- 5 mm).

Adjustment:
S/MEM F534 74 + 1 bit = + 3 mm EE
head-side

17-14 R18-042.032.04
 Angiography
Travelling ranges of longitudinal carriage

17.4.2 Cerebral angiography

- Move into basic position (17.2)

- Couple PUCK carriage with the changer in frontal

position. Lock in place on the head-end transom (layer
height max. / Multifunction display lights
up/key lights up).
- Press .This results in automatic Centering movement
of longitudinal carriage, swivel angle, telescope, tube
unit rotation. This is of interest only for the lon-
gitudinal carriage.

- Measure dimension "x".

Requirement: x = 1100 mm (- 5 mm)

Adjustment:
S/MEM F532 EA + 1 bit = approx. EE
+ 3 mm headwards
Note: The contents of address F532 must be smaller by 1
bit or, at the most, equal to the contents of
address F52B (max. longitudinal carriage position,
head-end, in normal mode).

Activate longitudinal carriage travel (function )

Requirement: Function must be blocked.

Rl8-042.032.04 17-15
Angiography
Centering of central ray

17.5 Centering of central ray relative to the PUCK

Important: Follow the specified sequence!
17.5.1 Cerebral angiography
- With the changer in the frontal position, couple the
PUCK carriage to the transom (head-end) (layer height
moves to max. lights up)
- Press key and watch the response.
Requirement: The following adjustments are made
automatically:
* Longitudinal carriage moves headwards (17.4.2).
* Column swivels approx. 31° to 35° headwards
* Tube rotates into position approx. 25° clockwise
(= 6° horizontal)
» SID _= 150 cm
* Key is extinguished, Multifunction display and
key light up.

- Move table top footwards

- Light localizer (collimator) "On". Collimator leaves
maximally "open"
- Judge position of the projected cross-wire axis
(collimator) relative to the PUCK center axis (input
surface).
Requirement: Congruent (+0.5 cm)

17-16 R18-042.032.04
 Angiography
Centering of central ray

a) Adjustment in longitudinal table direction:

o Change swivel angle and/or tube-unit rotation as
required.

Swivel angle
S/MEM F523 20 Approx. value: 31° (column) EE
relative to vertical

Note: A decrease in contents results in enlargement of

the angle in head-end direction.
The contents of F523 must be smaller than the
contents of F51A (max. swivel angle at head-end
in normal mode), however, the cranio-caudal obli-
que projection angle onto the PUCK input area
should be as large as possible.

Tube-unit rotation

S/MEM F168 C0 Approximate value: 6.5° EE

to horizontal

Note: A decrease in contents results in enlargement of

the angle clockwise.

b) Adjustment in cross-direction of table:

o Loosen fastening screws of the changer
o Shift the PUCK on the carriage as required (oblong
holes)
o Fasten PUCK with screws again

Note: Finally fasten changer with screws only in case

of PUCK carriage "F/L".

R18-042.032.04 17-17
Angiography
Centering of central ray

17.5.2 Peripheral angiography

- Press key .Wait until automatic movements are
completed.

- Uncouple PUCK carriage from transom.

* The longitudinal carriage moves footwards (Center

angio range).
* goes out
- Couple PUCK carriage with the changer in frontal posi-
tion, lock in place on the spotfilm device.
* Layer height moves into position min
* lights up, flashing
- Press key and keep it depressed until the automatic
movements are finished.

* table top moves footwards

* Column swivels approx. 31° to 35° footwards
* Tube unit rotates vertically above the PUCK
and must light up (reference to F524)

- Move table top maximally to head-end.

- Move longitudinal carriage maximally to foot-end.

- Light localizer (collimator) "on". Collimator leaves

fully "open".
- Assess position of projected cross-wire axes (collima-
tor) relative to the PUCK center axes (input a r e a ) .
Requirement: Congruent. Tolerance: ± 0.5 cm. In this
connection, the collimator must be horizontal. Measuring
point: slide-in rails.
17-18 R18-042.032.04
 Angiography
Centering the central ray

a) Adjustment in longitudinal table direction:

o Alternately change swivel angle and tube-unit rota-

tion in coordination.

A decrease in contents results in enlargement of the

angle clockwise.

Swivel angle
S/MEM F524 E2 EE

Note: The contents of F524 must be smaller than the

contents of F51B (max. swivel angle at foot-end
in normal operation), otherwise blocking!
(Button is not illuminated!)

Tube-unit rotation
S/MEM F164 8C EE

b) Adjustment in cross-direction of table:

o Uncouple PUCK carriage, pull out.
o Loosen rail (2) at A and shift as required (oblong
holes). Do not shift the changer on the carriage!
o Fasten rail with screws, however, not yet with the
final moment.

R18-042.032.O4 17-19
Angiography
Centering the central ray

- Measure and record dimension "b" until the panels are

fitted.
- Couple the PUCK carriage to the spotfilm device again,
lock in place.
- Measure dimension "C". Requirement: 2 mm (+ 0.5 mm)
Adjustment for PUCK carriage "F":
o Uncouple PUCK carriage, pull out.
o Very exactly mark the position of the changer on the
carriage,
o Unscrew and detach the changer,
o Slacken 4 Allen screws at x, shift the system as
required.
o Tighten countersunk screws again,
o Reinstall the PUCK. Finally fasten with screws as
marked.

17-20 R18-042.032.04
 Angiography
Centering the central ray

Adjustment for PUCK carriage "F/L"

o Uncouple PUCK carriage, pull out
o Extend telescope of carriage
o Slacken 4 Allen countersunk screws at x
o Shift the system as required.
o Tighten countersunk screws again.

R18-042.032.04 17-21
Angiography
Rotational speed of tube unit

17.6 Rotational speed of tube unit

17.6.1 Cerebral angiography

(PUCK coupled to (head-end) unit transom, frontal position
of changer).
- Move several times from position to In doing so:

- Assess the rotational speed of the tube unit.

Requirement: Rotation should be terminated together with
tube rotation.
Adjustment:
S/MEM F191 28 Rotation CW EE

Note: A decrease in contents results in reduction of the

rotational speed.

- Move several times from position to In doing

so:
Assess rotational speed of tube unit.
Requirement: Rotation should be terminated together with
the SID retraction.

Adjustment:

S/MEM F19E 29 Rotation CCW EE

Note: A decrease in contents results in reduction of the

rotational speed.

17.6.2 Peripheral angiography

(Puck coupled to spotfilm device)
Select several times. In doing so,

- Assess rotational speed of tube unit

Requirement: Rotation should be terminated together with
the column swivel.

Adjustment:
S/MEM F1A2 28 Rotation CCW EE

S/MEM F18C 2C Rotation CW EE

17-22 R18-042.032.04
Angiography
PBL-System

17.7 PBL system (POCK format)

17.7.1 Cerebral angiography

(PUCK coupled to (head-end) unit transom, frontal position
of changer).
- Activate (red dot must light u p ) .

- Push .The button lights up, when exposure position

has been reached.

- Table top footwards.

- Light localizer (collimator) "on".
- Requirement: The light-field borders must be tangent to
the PUCK input area. Automatic adjustment to max. PUCK
format is made as soon as the centered angio-radiogra-
phic position of the tube unit has been reached. Digital
display on the collimator: 35,0 x 35,0 cm.

Adjustment
S/MEM F090 5E Height; Low-Byte EE
S/MEM F091 01 Height; High-Byte EE
S/MEM F092 5E Width; Low-Byte EE
S/MEM F093 01 Width; High-Byte EE

17.7.2 Peripheral angiography

(PUCK coupled to spotfilm device).
- Activate (red dot must light up).
- Push and keep it depressed until the button lights
up.

- Table top max. headwards.

- Longitudinal carriage max. footwards.

- Light localizer collimator "on".

- Examine light-field borders on PUCK input area.

Requirement: The light-field borders must be tangent to
the PUCK input area. Automatic adjustment to max. PUCK
format takes place as soon as the centered angio-
radiographic position of the tube unit has been reached.
Digital display on the collimator: 35 x 35 cm.

R18-042.032.04 17-23
Angiography
PBL-System

Adjustme nt:
S/MEM F094 5E height; Low-Byte EE
S/MEM F095 01 height; High-Byte EE
S/MEM F096 5E width; Low-Byte EE
S/MEM F097 01 height; High-Byte EE

17-24 R18-042.032.04
 Angiography
Required positions of table top

17.8 Required angio positions of table top

17.8.1 Cerebral angiography

(PUCK carriage coupled to transom, frontal changer
position)
- No required positions of table top. Optional positioning
in longitudinal direction. Function (table crosswise)
must be blocked when PUCK is coupled to unit transom
(head-end) for lateral operation.

17-8.2 Peripheral angiography

(PUCK carriage coupled to spotfilm device)
a) Programming the tavel speed ...
... for the steps :
- Check connections at t1
Requirement: Line hs4.13 - t1.24
hs4.23 - t1.23 5333-11
0 - tl.28
- Check speed programming
Requirement: max. speed

S/MEM F270 3F 3F = max. speed EE

... for automatic travel into position and

- Already fixed (F21C, regular longitudinal travel of

table step 7 ) .
... for individually controlled travel (control lever
console):

S/MEM F26D 10 Speed deduction EE

from regular longitudinal
travel of table;
F216 to F21C

R18-042.032.04 17-25
Angiography
Required positions of table top

b) Start/stop behavior in position and

- Move to positions several times.
Assess the table-top behavior at start and stop.
Requirement: no abrupt movements, no swinging, no
overswing. Efficient stop
Adjustment "swinging/overswing" at destination:

S/MEM F26A 08 Counterbraking time EE

Adjustment "no abrupt movements" at stop:

S/MEM F26B 17 Time to maximum braking EE

Adjustment "no abrupt movements" at start:

S/MEM F268 0A Time to V m a x EE

c) Radiographic position
- Press and keep it depressed until all systems have
adjusted. The key is illuminated.

- Measure distance "X". (End of table frame head-end to

beginning of table top).
Requirement: x = 600 mm (+5 mm)

Adjustment:
S/MEM F214 1D +1 bit = approx. +0.5 cm EE
headwards

17-26 R18-042.032.04
 Angiography
Required positions of table top

d) Fluoroscopic position
- Press and keep it depressed until all systems have
adjusted. The key is illuminated.
- Light localizer (collimator) "on".
- Mark central ray (cross-wire center) on table top.

- Press and keep it depressed until table top stops

automatically.
- Assess stop position of table top.
Requirement: The marking (central ray) must be posi-
tioned again in the central ray. must light up.
Adjustment:
S/MEM F215 6D +1 bit = approx. +0.5 cm EE
headwards

e) Steps
- Press and keep it depressed until all systems
have reached the radiographic position. must
light up.
- Light localizer (collimator) "on".

- Check: The marking on the table top must be

positioned in the central ray (projected cross-hairs)
again.

- Proceeding from this mark, affix 4 additional step

marks at intervals of 25 cm each on the table top in
foot-end direction.

- Select workstation "peripheral angiography"

(generator).

- PUCK control (PCQ) "on". Alternatively, for system

with SEP, SEP "on".
- kV-reducer (PAG) "on".

- Check: The green lamp on the PAG control panel must

light up.

R18-042.032.04 17-27
Angiography
Required positions of table top

Push H (kV-reducer PAG) and keep it depressed. Watch

the table-top reaction.
Requirement: First step direction head-end. Smooth
start; smooth stop. No overtravel. No swinging back
after stop. Projected cross-wire axis and first step
mark congruent (+/-0.5 cm).

Adjustme nt "smoo th start":

S/MEM F275 10 Time to V m a x * EE

Adjustment "swinging back after stop":

S/MEM F276 0C Counterbraking time * EE

Adjustment "overtravel/smooth stop":

S/MEM F277 17 Time to maximum braking * EE

Correction "accuracy of stop":

S/MEM F278 10 Brake delayed* EE

Correction "position 1st step":

S/MEM F271 3A +1 bit = +5 mm headwards EE

* Influences all steps

17-28 R18-042.032.04
 Angiography
Required positions of table top

For steps 2 to 4, proceed in the same manner as for step

In each case, assess the stop position of the table top.
Adjustment "position, step 2/3/4":

S/MEM F272 5D Step 2 EE

S/MEM F273 80 Step 3 EE

S/MEM F274 A3 Step 4 EE

Note: To. return the table top into start position, push
button and keep it depressed. Button (kV-
reducer) is inoperative!

- Connect timer (r17/rl8; G5333.11)

- Measure travel time for each step individually.
Requirement: < 2 s; reference value: 1.7 s

Adjustment:
o Improve braking behavior

17.9 Adaptation, radiation release at SEP

- Check memory location 0438 (SEP!) and if required,
entirely remove the programmed delay time for table-top
start (= new contents 00).

TDT 42/Lengefeld
GTU 32/Semmler

R18-042.032.04 17-29