SIEMENS Operating Manual AXIOM Iconos R200 with fixed table height Safety System Overview System Operation Examination Generator Digital Image Processing Interventional Application Stands/Tube Supports Bucky Wall UnitPlease observe the Safety Operator Manual Order No.: RX0-000.621.01 This must be studied thoroughly before system start-up. Important information from the manufacturer “This products provided with a CE marking in accordance withthe ce regulations stated n Append lof the Directive 9142/EEC of June oe ‘ath, 1989 concerning medial doveos In accordance with Appendix K ofthe Directive 93/42/EEC, this product is assigned to clas Ib ‘The CE marking applies only to medical products which have been put on the market according to the above-mentioned EC Directive Unauthorized changes to this product invalidate this declaration.Operator Manual System Overview Chapter: System Description Applicaton Product description System configuration System overview Unit overview Chapter: Protective Measures Emergency Provedures Radiation protection zones Poston ana sge a he msin operating aa ‘Stay adtion nthe main operating are acording to DIN EN 60601-13 Mechanical safety Danger zane vith unitin heron postin Danger zane wth unin vera postion [hecsinpeia System Overview Table of Contents 10 10 13 13 “System Overview Table of Contents Safety-elevant parts subject to wear Maintenance intervals CAREWATCH Display data Resetting tho area dose product Chapter: Operating and Display Elements System remote control console Displeys general Inaeatrs inte dso System settings Image intensities formate ‘Automat taroseopy ental Image rversl Calirator settings Semtransparen ters Stop bution [General operating laments Operating modes Segmentation program Foot switch for fluoroscopy and radiography in the control room. Tabloside control panel Displays System settings Image intensitrformatsSystem Overview System Description Application ‘The ICONOS R200 isan Xa system for nivrsl use andi suitable Both as ‘intensively uted universal werataon and asa high loeded spacial wetataten ‘You can pecorm examinations wth he flowing taciques |B Fluoroscopy trough image intonsifor and ekovison syst Cassette exposures with spt device lasena = spi= = Bucky exposures = Tomearaphy (optona) Digit raiogranty DA = Spats ~ Tomoaraphy (optona) ~ Pericannng = Peistoppng(optona = DR scanning loptona Dita subactonangenraty leptin Tabletop cassette xgosures 2 Bessie exposures 1 Exposures onto the wal tend fptona) Product description ICONOS R200 unverel Xray agnosto unit with swiveling ovetableX-2y tubo sssembiy,obaue projection and tomogiaphy nal table postions and gant ‘Sartng and braking system meversants “Tworsage sting ofthe soucesimage distance idiedecor er atlcademececliading,System Overview System Description Fulyautate sparti device with extensive subsvison program and39.om oF 40cm image inns’ oI. nage receptor wth 40 em image ntensir, each ‘with age ac teavel ange Fluoroscopy and imaging system with exgenemicremate conto Irvarated system mavement contraon the spattin doce System configuration ‘The abel with MODEL. NO: 5902 767 bears the CE 0129 marking forthe entra ICONOS R200 system anc is atached te the eck ofthe abe tee. Standard version {@ ICONOS R200 system | Cassette spottim device with mage intense withSIRECON 33 em or 40 {emimage tense or. image receptor with SIRECON 40 ern image inten VIDEOMED DH TV aystem fith DSA or BHC fithout DSA} LOPTTOP Xray tbe assembly POLYDOROS Sx Xeay generator Primary coimator Monitor woot cling suspension system evccoce 440m or $4 m montis ° FLUOROSPOT Compact wth DICOM Send and Storage Commitment Footswitch fr furascopy and adlography Options = Gat Works and MPPSSystem Overview ‘Syste Description System overview (0) ICONOS R200 examination unt (2) Genertar conto console with FLUOROSPOT Compact inated contro (9) Monitor ole foovona) (4) System remote contol consoleSystem Overview System Description Unit overview » 4 0 o UI on [ oi ® = o ot (1) image intention TV system wth safety shut dence (2) Handi fot the ont, aaustble (8) Cassoto spotfim dove or I. receptor unit wth tableside contol panel and removable seattred vation grid (4) Grip protection strip thead enc, detachableSystem Overview ‘Syste Description (7) Cotimater ith eutomate Forma collation anal numerical format inca, ‘with tegrated mech addtond Cu iter, motordrivensjusable Semtransparent fiers (optional (8) Xray tube asseeny ‘cooled, partly enclosed can be swat (6) Handle for swiveling the tube assembly (0) Tube assombiy stand onthe ongtusinalearane ‘coupled with he spt device by centring ro, oly swiveling, telescop 5/510 118m and 150em) (1) Lengitunalcarige with tachad tbe assembly stand rmolorzediengitudnal tae), pressely contalane speed (12) Temoraphic eign esply (option with as ine ight ecaaar (13) Tabletop with at accessory ras ‘motordrven lng! snd wransverse travel (4 Footboard adjustable for use as seat ‘with attachment pints fr fot restraints, ‘an ba changed over fram foot and ta head end (15) Table ame ‘otorrvenadustable in height, canbe ted + 90°17" (16) Unitbase with thing ve on instalation latoSystem Overview System DescriptionSystem Overview . Protective Measures = . Emergency Procedures lunctons ding en examination or precede cannot be completely exe, Ask of fallure during interventior '¢ Consider threfore the need to establish emergency prooedues such a=System Overview Radiation protection zones Position and size of the main operating area Hoszenta patient table:Protective Measures Vertical patent rable: Dmenseons nmSystem Overview Stray radiation in the main operating area according to DIN EN 60601-1-3 “Toleronce of he sir kerma measurement & 5% Characteristic A and C: continous fuoreseony E3kV, Om nti ‘Chaactrste 8 and D: continuous fuorescopy 110k, 3M Potiont table horizontal Heght above floor 200 +00 Airkerma Gyn % Pasion table vrtcal Height above toor 150|System Overview Protective Measures Mechanical safety Danger zones with unit in horizontal position D> Teter ares ne unratn how eae nar cen a nh the patent repeater can be inured,System Overview Protective Measures Danger zones with unit in vertical position! ‘The places marked inthe ilustation indicate possible danger pins where the vont or operating personne can be jue ithe patient is locate inthe danger zone it must atnays be ensued thatthe ‘peraing personnel sin he foom ane within each of an emergency Stop. I the operating personne leaves the roam ancl moves cut ol each ofan ‘emergency stop, then the palonthas lobe moved eu ol the danger zone Waring signs “Special danger zones ae marked onthe unit witha waming #9, Ly... TNs warning sinisa reference toa posite riko inuy by crushing for hep TZ tert aie ‘This warning sian shows th poston ofthe patint abe noariopulmonary imation (CPR) with pressure compression up io BOON OKSystem Overview Protective Measures Grip locations Warning Z 4 X ‘When neiing the sytem cvtecty a well as wen posloning he pint, ‘peratrs and patents should use ony the orp lcatons roves forts purpose. ‘The olewing gp locations ae provide! 2 hard ron) Gp protection ei head enc 2 Hendarp stip back '# Ensure that he hendpi stip, the grip protection stp andthe hands are always attached. I these arin eestor cannot be used '# Pay speci atontion othe stated possbities of rushing between moving parts and ther guide openings. “Ensure during the examination that he patent under no creumstancos holds ‘onto the edges ofthe patont abe. Notintended as ripping pin: ‘The handle fortuming the tube assembly must not be used as gp leaton or bold er the pation.System Overview Protective Measures Danger zones ‘The dotted seas mak the danger zane, where no objects must be ested ding ti, “ Priori activating any movoments of he unit especaty thn ofthe unt, make sure that there ae no objects such a5 sta, steps, stands, waste cn ‘anes, instument ables. beds, gureys. monitor support systems, operat ing consces or the ie nite movement eng. ‘hase oboots are not detested by the clison monitoring ofthe unit Avoiding alison of te unit vith hese objects subject tothe operator's ty to ake Hacolision of tho unit with arid obstaci (eg tophas oosuret | ross one ofthe red emergency stop buttons, | rescue the patant, Warning A Under no ccumstancas must he unit ited down further otited up, since ‘extemal nisl, but satan felevant damage tothe tting dive may occu Severe consoquetal damage including persona damage cannot be excluded inthis ease.System Overview Protective Measures [2 Avoid standing or sting immediately atacent othe system acd especiy Go not sit next the system with yur legs knees under the cass beam at the head cr oot and the table | Take care that during system movements noone isin he area betwen the {2 Take car thatwth he fontboardatached thor is sk of alison wth he extended cane lptiona whan the tabletop and othe angina ange ‘removing. Donat gasp in the long shalt of the spot device Because of thersk of crusting, Patient positioning {2 Alsafeyelated equipment must be installed snd operable. In parti he hand strps head ond and ator, handgip, footboard oot es ait, Ccomaresion belt nd shader supports, | The pation’ hands, ams, legs, head and har must nt exten unsecured be ‘yond the ede ofthe tbletop. | Observe the patent hile moving the tabletop andinsystom movements and Tako car tat any catheters crrcty locate In exarinatons with he tbl sited up vercaly the footboard serves as an austble sop or seat. ~ Ensue that he featboardis locked together with the tabletop on bath ~ Check he fm lection ofthe fotboard Patient positioning with unit in vertical position using examinations withthe unit i the upsight poston there ask of crush ‘njnes tothe patient ho Xray system (stand wth tute univecepter unt wth Image intensities moved nthe longitudinal direction. ‘@ Poston tho Xray syst approximately in the acquisition pesion “+ Move the patient inte the acquion positonSystem Overview Protective Me Remote compression (optional) The metordven compression device requires specal caren the pat al the ‘xarner fr the applied compression Fores. especialy nthe ¢as0 0 al {e9. infants), sck and etery patents. | Observe especialy thatboth an nressedrisk of eushng forthe pation ith consequent nity and considerable mechanzal shearing terces wth sk of ‘éamago can occur Betwoen the compression cone and attached acessores, 2. shouler supports, aera support [opiana or motor driven infant rae ole options by colision dung the metordeven aletop mavernent |B Whan moving the compression carago int the west postion, the caring ‘may cole with the patent's hand an he ip potecton stp i Use exteme caution when actuatng ie cone mover. Safety devices —S= (1) Switch al between tabletop and stand (2) Switen alain each ease a he endo the rave ofthe spin unit {@)Saety switching sensors on the mage intensiier TV device (2 sensors) Vheerennen cilia cisiereiionsilasieen'tslien een sistcendid mmenteraeensSystem Overview Protective Measures Possible collisions of the system with a ceiling-mounted support! sytem movement te possibie only if he een mounted suppor i ine park poston or the bypans swstch i aetated i necessary Prior to actuating system movements wth the bypass switch sctvated vay That na elision can take place wth the eeligprounted support the Xny tube assembly ortho collmato No celison menting! Warning Z 4 s I systam mavement are possible even though theeeing mounted support it notin the park postion ad te bypass sith snot actvated ‘mediately press the emegeney shutdown Button and nati the SIEMENS Uptie Sorin, ‘Measures for avoiding equipment damage 1 Belore scwotng system movements, expect eg the table, make sure that te mouemant range ere of structions ‘@ Move especiaty monitor support systems, operating consoles, umoys, bods and instrument alos out from the titing range of he tble and ramove chats, step stands, waste containers an smb bjcts Hom the move ment aes No colisin mntering) + Donct pace any otects or consumable mate on the cover athe able sup- port on the spon device an onthe longtudinalguides ofthe ston ca rage = Considorablefrcos which can damage those objects inthe aos of move rent of tho ystems aris during movements ofthe sptfim device or of the tito. '@ Dernot place any loos objacts anywhere onthe table. "These objets cau falldown when the abe sited, causing my or amone.System Overview Protective Me ‘Dont stand at ny paee on the spot device or onthe covers of te table ‘support outside tha med areas provided fr thi. “The covers cn be deformed, CComparens lated uneneath them are dsmaged and thus nad 0 oper ning disturbances “ Pocono objects on the operating areas ofthe contol consoles andthe abe side conto Den’ lace folders nex tothe operating area of he conta consoles and next to tho tabesde conto. Folders faling down might cause unwanted system mavements “ Inverteatable positions do notuse the sand column, the tube assembiy sup port am, the tube assembly cover ete primar coliator3s seat supper. Th unllowed laeding can lead a materal brskage and dog to bes ings. “# Never putcantast medium cups. ar open contains with ido pasty con tts an the an, en thermo console or onthe contol exbinets = Contast medium can sl, leak a evariow nto sjstom pats and lead to ‘operations isturbancns ofthe Un oro mishteprtation of exposures. “© When storing contrast mem nthe cup holder on the compression cage, use only cups wth maximum volume of 0.25 iter made of uneeakable ma tonal Ye. under no creumatances glass opel. ‘Measures for avoiding unwanted radiation 1 Belov staring system movements mae sie that the fot seth a ue ‘oso0py and rasenrapiy optional in he examination om snot the travel ‘ange ofthe image tensor sgt detrbuton system,System Overview Measures Safety-relevant parts subject to wear ‘This systom contains no saftysolovant pats subject to wear. Maintenance intervals Maintenance must be performed anny oder ensure the fey and fun: ning aby ofthe syst, I youhave not concuded amaintnance contac, lessen the Siemens Up time Serves on tine,System Overview Protective Me CAREWATCH Display data AL he sat of furoscopylacquisition the falling system parameters ae di played nthe wer ight area ofthe ive mont Display ofthe praitr in furatcopy ~ Dsplay of the preter in raxiography ‘yun he sre dose product meter option! edna ~ Area dose product in B 4 4 o@e 2@o Pn @s Pt Displays general "Radiation OWT indetor Symbol ighs yp orange Symbol igh up orangeSystem Overview Operating and Displiy Elements Indicators in the display" Obique projection angle a Tablet age aq © Deaton oi hcomestonuth conten pC omens (2 Addons Cu ered in & R © Case ones ve hn eprenttn Wy ° “trp nce sat es © aren zion and mim posi exe postin eiseing op > psu | Fulerum height aul obqueprjetion = isosentr ex tomographic height = pionSystem Overview Operating and Display Elomonts System settings without unetion 2 oystik for table i doves up 2 Obiqueproection ermi-caudaenudoeanial 2 Obiqueproction +/ 0 (thogonlprojstonSystem Overview Operating and Displiy Elements A v ia A v a a um height for obiae projection (= is Tomographic height sting above tabletop laptcnall 12 Move cassett ito unloading positon Sours stance with. iage recopter uni (115 em, 150 em) a utamai stop for" ont Stet poston for various system settings inthe operating mades Scanning Iochniqe optional ~ Perstepping optional Image intensifier formatsSystem Overview pecating and Display Elo Automatic fluoroscopy controf Automat roscony rogram 3 Image reversal ont igo rovers! verteay mired a Tos/tottom image reversal horizontally mired) Additional filter <\addonal Cu iter 01 mm, 0.2 me, 0:3 mnSystem Overview Operating and Displiy Elements Coliimator settings 1 Coorsinate sate lose) = in letagena colimation in uorescopy snc DR \ueting the pay colimator by tor dive lopan! Selec rectangular its (ctagonal primary colimatot fr manual collation a sw a Disoay of gashies for CAREPROFILE fotond light locaizr of the primary climate oot Semitransparent filters! 1 Semivansparent wedge titer A. Semizansparent double wedge iter 2. Move semitransparent wedge fiter and double wedge tite ut fom the “LED igs up: efor inthe beam path 2 Cootinae site for sight wedge liter Iptenelated projection and oublo wodee itorSystem Overview pectng and Depiy Elements Radiation release Expat ease button ith pre-and main contact ‘Stop button ed emergency stop button General operating elements Room ight ono onsite nstlation required) Preselection functions 1B Automatic format collation for cassette exposes fony wih cassette spo tim dove) ~ Height and width: both LEDs ight up ~ phi ltt LED ight up = Wath: Fon LED bas Object seting Orented tothe monitor left LED Hohts up ~ Ontod tothe abe: ight LED Iights up {Switching ore single imoge/ seis for cigtlaicnraphy with seridgraphySystem Overview Operating and Displiy Elements Operating modes 1 Burky mode! jth temporary automate ormat cotati) a DR exposure tecniave [= sata roreoranhy uth image neni a Periconning exposure technique native angiographic bos tracking 12 Poristeppingexcosure tochniue optional native pelvis teg angioaranhy) Selection of tomas program fr DR or casset HBeecce so Exposure echniave withthout seater radiation sid LED igs up rain the Beam pathSystem Overview pecating and Display El Segmentation program! Fat ormat Format segmented 2 on Format segmented o 1 Format segmented 4 on 1 Foot switch for fluoroscopy and radiography in the control room? (1) Swit for asiography (thou recentSystem Overview Operating and Displiy Elements Tableside control panel Displays Table angle 4 Dioliy of ashing “E* fron enor message 2 Obique projection angle mak. 40 4 Diotiy of ashing “E* for an enor message System settings 2. Obique projection erni-caudaleaudo cana 2 Obsque erocton +0" ethogonl projection a Sourcsmage distance wih cassette spotim device 115 em se wath. image fecepter unit (115 em, 150 em)System Overview pectng and Depiy Elements v poe 1. Coorinate switch for moving tablatop egitudnalyvansversely A <=> v a Move case oe ucng ston Go 2. Move automatic poston of alsystem movements er patent wanstr © Bypatky racing sytem movers fh ceng eu sponSystem Overview Coliimator settings st Ea cooraats nt or opatlte oo ‘eeeeyoireeSystem Overview pectng and Depiy Elements Monitor SIMOMED HM/HC (1) oom Soh sensor only SIMOMED HM) (2) Sever-segment spay (©) Contest setting (5) Green LED operating incoator (6) Poner onl aniteh ‘The SIMOMED monitors are switched on automatcaly by the central system canto: The green LED operating instar 15) must Eght up. ‘The SIMOMED HM manitors ae equisped with room tight sensors (1. The Lbegher the ambient ight the mate the monitr contest guste up toa max The brightness and const sting) sti the factory ta the best image _uaity and cone enanged onl by te sores engineer i Te alspay uniform luminance, an automat caltaton procedure is performed on tne monter SIMOMED HW After the monitors switched on, to messa90System Overview Operating and Displiy Elements LCD Monitor (optional) ting elaments. The buttons for austng the LCD monitor ae lated nthe housing ‘The necessary settings afe made at startup. Ne operation is equi during op Power owvalf The nithes power switch onthe botom which youmust operate ony i the LCD menitrs not svtched tough a system, Operating indiestor Thount has agreen LED operating indcstoran the right side above the acustng Errore the LCD monitor dspliys no enage ra lured image, vertical eso therSystem Overview pectng and Depiy Elements Primary collimator aanjanny eee |. One O= ao (0) Aocessony ale (2) Light loctzarfiser in ight leazet ON/ OFF swetches off aterateally after 10-80 s(configuabo) (2) Manual sting of with sleight ofthe ation ld (4) Manual selection ofthe Cupreliter (6) Dicky tals (6) Selection of the coats radiation lt of he last exposure (2) Stop love for +448" roraton ofthe collmate abut the verti ans! (8) Keys for entering the sourceimage datance fr fee setting (9) Tape measure fo SIO sting (10) Sie for overing the ler ine inh ealzer (1) tegrated measuring chambar fr dose are product fptonallSystem Overview Operating and Displiy Elements Display panel on the primary collimator ul [959). leh (99), le (0) Solctes tube assomblysolocted (2) Operating mode: ACSS = with automat ormateomation, Manual = with ‘ut automate format olimation (0) Ready = system rey (8) Disly for Cu prefer the bea path (©) Disly for boight of he colimated radiation fot (6) Display for wth ofthe collmated radiation (7) Disoly ofthe set sourcemage distance!System Overview pectng and Depiy Elements Changing the lamp on the primary collimator 1 Hrequied thelamp of the primary ealimatorcan alse be changed the user Warning A ect shock on changing he lo, {Avoid touching thelr and patont athe same time Lemp housing Sitch the system of athe generator contol console. Loosen bath len sorts onthe lamp housing Remave the lamp housing Loosen the tw Allan corset stews the lrg, seeee Replaoe the detect en, Domethoidthe lap wih your bare ingens ence . (pen the protective steve of the new imp the frat. 4 Insert the new amp with protective stove inthe lamp sacket unt bth pins nichapel mdelonn,System Overview Operating and Displiy ElementsOperator Manual System Operation Chapter: On-Oft/Emergeney Stop ‘Switching the system on Switching the system off Standby power supply Standby power supply sie the hospital Battery-supponed standby pawer supply lapona) Red Emergency STOP button Pationt rescue Chapter: Functional and Safety Check Daly tests ‘Mor switching the systom on Prior to he examination During the examinaton Monthly tests Legally required tests System Operation Table of Contos u n n 2 13 13‘System Operation Table of Contents Moving the Xray system longitudinally Tabletop : Moving the tabletop loratudinalyivansversey Lowering the tabetop completa withthe abe vera! Tube assembly stand Seung the projecton ng abique rojectan) Settag athogoral projection abique prection +! 0° Reading ofthe projection angle Tabletop e OF peston af the ale Tiking the table upon Reading the abot Compression device (optional Using the compression dove Readeg the compression love Tomographic equipment (optional) Seung the flrum height, Sieg on the flrum neghtght oealzer Reading the flu height ‘Manual tube assembly rotation Moving the grid into / out of the beam path Setting the souree image distance Chapter: Setting the Image Geometry | cutincs sine partharinm €ieeiel femiliemenem’ ayAdditional Cu fiter Image reversal Switching over the image intensifier format System Operation Table of Contos 36 a7 a7‘System Operation Table of ContentsSystem Operation On-Off/Emergency Stop ‘onthe generator ‘ontral console ‘nthe system remote contra console Switching the system on ‘© ross he button onthe generator contol console! The ene aystom anda futher connected desices ar switched on, = Asatty test program runs automaticly rom thi ime = The weleome menu appears on the moniter. “The ayer a ey ste intiszaon and the and he saat test progam 6 seer masseoe sparsinthe message in of the deta meni, none ofthe kV, mAs orms displays flashes, 2 8 system seections active, he ptient menu apes, no dspays fash, 1 noeror message appeors 2 re diay ash, nosed emergency top button is activated, Inthe case of fat the saety test program switch the system ol nd back ‘on within 18, The system agan stars wth the automat ately West srogam. [As sue thefts rected by thi. Iti isnot the cas, switch ho systom of ter th image systom has auto ‘mataly switched ff fmanitr da wait and then swtehitanagonIntha ‘neo the image system is un down ond restated A posse era willbe d= payed on tha manor, Pioasonoty the SIEMENS ptr Service i hiss the caso. 2 Rees othe FLUOROSPOT Compaet aperating instructions or uth infor:‘System Operation (On-otemergeney Stop lO Switching the system off “# Press the btn onthe generate conta nso. "Teenie aystom and ot futher connected devices are immaciately setehed ot = Ailstarted operating sequences willbe intruoted andthe selected pro (rams wi be desolected 2 oro the FLUOROSPOT Compact operating instructions for ftho ifr: Standby power supply ‘Only coninuous Nueroscopy is possi in standby operation, Pulsed fuoroscopy an raograpty modes are not posible. “Standby power suply2cwve" appears onthe generator contol consle inthe message ne ofthe dota menu anon the mont Standby power supply inside the hospital ‘A sandy power suply side the hosp switches on re lnevotage fl. However, ts not oe ule othout interruption and can take some tre, ‘The sytem ie sitched off and must be switched an ane Battery-supported standby power supply (optional) re rupted Power Suppy ‘An uninteruped power supply ia bateysupported system for the standby ‘power sulin te case of mains power SuPDy fares, lan UPS is nse for your system, then this UPS sche automaticaly to ‘standby operation the mans vlan asso ito ow Ta peeve os of dat paren -areeanontviemyntinrve errr nie rattySystem Operation ‘On-otfEmergeney Stop In the case ofa power failure “The maging system remains evitchod on, The goneratorand table are svitched Cl. The goon lamp on tho contol unio the UPS goos out, “The red lampon the conto uni Kghsup after approx. 4 '@ Now switsh ho system on within the nox 6. ithe system snot switched back an within this tne, then the imaging system {sahut down ina centoled manne and subeequanty restrtac ‘Alter restoration of the power supply ‘The green andrd laps onthe contol nit of he UPS lg 1# Switch he system of The imaging sytem remains switched on, = The generator and table are switch |# Pras here button on the contol nit Press To tage Power Supp = The red lamp on the conta unit goes out ‘© Switen the system on within the next 8. ithe system snot switched back an within this tne, then the aging system {shut down in controled manner and subeequamty stra‘System Operation there an emergency sation that potenti hazardous tothe patent, the cman heron reA System Operation On oWEmergency Stop Patient rescue the pationthas tobe rescuedin an emergency stuation leg. power false) sroreed 98 floes “Bring accessors into a postion which makes rescue possible. the patients compeasted wth the cone optional) ‘# Pullout the knob (1 fom the engaged position band turn by 80" wt a {gages nthe deep notch itch postion '# Litthecone amr the patient unslitecks na pesiton of approx. 10" Warning If shoulder supports oF fot restraints ar loosened in Tenelonburg positon then take care atthe operating personnel secure the patent suicenty Obtain the arsstance of suticient persone! forthe rescue ofthe pate.‘System Operation (On-otemergeney StopSystem Operation Functional and Safety Check Daily tests After switching the system on “Peron a sual inspection ofa displays and signals onthe operating No errs shouldbe inate esther he redaton ON ndeator onthe eperting units not headin wang lamp ia te oom shoul ght up Waring Ifthe radiation ON into ora adtion waning lap ahs ve, of alive uo ‘escopie mage (nt UH) appears onthe mont withaut actuating a switch | nmaciatey switch tho Xray syste off using the emergency shutdown notity he SIEMENS Uptime Sane Use exclusively foot riches rom SIEMENS origina pars wth anova for: dation release, Prior to the examination |# Remove unnecessary objets and equipment rom the aes of ston ofthe primary coat | Attach the devices requ fr pint posting andimmabision sacs yw he syst, “# Atcha sateryrleted accessory pts erect fg footboard, gp prtee ‘oni inky Fede veamaet ned tin eee‘System Operation Funatonal and Safety Check “Fun a functional test ofthe STOP buttons by = priming an abtary system movement and pressing the STOP button during the maverent {The movement concerned must stop mmedaty ‘Then uniock the buon Tum elke, “# Run a functionals ofthe proximity switches (olision protection by pestering an abivary system movement and = Bressing a proximity switch ding the movement. {The movement concerned must stp ined, After elossing the proximity switch, a system movements are possibe gan. During the examination |# Check he ration ON nestor: It should ight up only = ihene ofthe tucrascopy sweichos has beonprescod or tor the auration ofan Xray expos, Warning L 4 \ I radiation (heroscopy. nit raiogapy i released andthe reation ON i= Inform yours inthe “Safety” operating nsrvtions‘System Operation i Safety CheckSystem Operation System Settings 30 suppor General notes Collision protection / Safety areas 1 Allsystem movements stop when a ealision protection davies activated a The movements stoped when calision zone is veached, {the 30 suppor fptonal notin its sak psiion then the system move monts ae abled ‘This system movements enable by simultaneously sctotng the bypass key and a operating element. 4 Press and ald this key ‘© Start system movment ator 2. Operating elements for system positions Warning Immediate roca the newest STOP burton the caveat danger tothe patent. ‘Alleytem movements ore stooped. {Aor femoving tho cause ofthe dango, unlock the STOP button by tering ietohe nah 1 Operating elements with deadan unetions {Al operating olernants forthe system stings ate designed ae deadman tne tone. system setings ae ave aly a long ashe operating elements ats oo‘System Operation System Settings Object-dependent system settings ‘The agreement ofthe setustion direction of the operating element with the ravement ofthe Xa system [stand with abe assembly and primary climate, Image receptor unt wih imap intensifier and spotim doves depends upon the solected object soting, 2 Loft LE tights up: “Object setingoronted othe monitor” is selected 1 RightLED tights up: “Objet setng iene to he stem” is selected ‘Only possible rom the system remote contra console or he fling move = Moving the ay stm lorgtainaly ~ Moving the tabletop longiudraytransversely Start positions ‘Automatically determined sytem stings are performed with the Stat baton ‘Senendng upon the ssected operating made [tomography Pereeannng. Poistopping, scanning technique LED fashes: tho approved system settings av not yet consuded LED does rot ight up the approved system satings ae concluded General notes on error messages ‘The system is constantly monitredintemaly during operation. ‘men faut detested, the system blocked ad the faults displayed s error Inthe messoge neo he generator contlconsoe and stored canceling beck “Brie proas the expccure release bution onthe generator contvolconsol up tothe Tst pressure po ~The faut message i eanceled as are Fee eae eeA System Operation System Satings Behavior of the system settings in the case of a fault thee fault while sctuttng one of the folening movements hong the able dovntip meng the tabletop lrgtudnally = ming the Xa system ransversly than these movomen are stopped andthe faults spayed as an aor in the ‘ratsage ine ol the generator conto console an sores Canceling te au: “ Betly press the exposure release bution on the generar contolcensole up tothe Ist pressure port. The faut is canesed 36a rule ‘Actuatng the same movement again Ia faltacours again when the saene movements aclvated, then these move: ‘ants we once again stopped andthe aut eaplayed a3 an erin the ras: ‘sage ine of the generator contol console and stored ‘Canceling te a: {4 Brtly prs tha exposure release baton on the generator ontvolcensole up tothe tat pressure pot. ~The faut is canceled asa ue by tis ‘Actuating the same movernent again the same movements tated again and ther is a faut once agin, thon 2 ‘wating sign ahs] Sounds and ts moverent is lacked. The folowing ‘or message is dspayetin the message line of the generator convl conse “Severe rer, lease cal sevice Warning oa on rnin snap, The operators responsible or avoiding coisions of the system with objects and he foo.‘System Operation System Settings Moving the X-ray system longitudinally Tho Xray aytom oni ot ™ sland with ube assembly and primary colenstor Imago receptor unit wth image intenstirand spottim device System remote control console © Actuate te ors: “Dalectupldowr Xray system moves headivardsfecnnards Use tis operating elemont primary dung ueroscopy. i The speed of te movement increases the further you lect he aystick “Tableside control panelSystem Operation Systom Setings Tabletop ‘Moving the tabletop longitudinally/transversely B+ setuste ne coortinte swt QB >” “screntnetetungn te ltop moves tansersetr fy Sbovetdor the aleton moves logo v 4 Actuate tne jptck H@)B * Setect te tetettght: the tletop moves tanaveely £ Tabesde conta D6 Actuate te coortinate switch!‘System Operation System Settings Travel range Inder to avid alton withthe lor, the system wlrevact the tabletop automata 85 needed you tit the able wp or don The ray system allows this movement synehvaneus ifthe avaiable wave ‘ange i stot. The objet always remains centered in his cose 4 youhave ite the table more than-20* down or mor than +30" up the system continously alcustes the meximum posse travel ange ofthe a Blot, depending upon tho reor height and the system positon You can rove he tbltop ent wun ths ange Lowering the tabletop completely with the table vertical Warning I the tabletop is owered to les than 12 em above the foe with the table 1 Make sue betoreremete operation that ne anaisin the ect vicinity ofthe (Auld lcation deo at he table erin he case of tableside operation, "Yu wil nese # ving tore, if he tbleop i ered to ese than 120 mn |¢ Then control he mavement with increase caution, | Move the table into a verte postion 90°) ‘System remote con ‘woleonacle M4 Press don btn ul he able stops atom t 12 en em BD te toer V+ lee te button nd pes ton in The tabletop moves maximum ta 40 mm fom he oor coneereas iaeneanssinaeneraneneeenrennennen“Tableside controt panel A <=> v System Operation ‘System Settings ‘© Pross te ight button un the abet stops automaticaly a 120 mm from the foo ‘© Release te button an press it once again The tabletop moves maximum ta 40 mm fom he oor an acne signal sounds ding the tableog racverent Tube assembly stand Setting the projection angle (oblique projection) “The sting ange ofthe projton ang ts macmaly «40° ‘The conor of rotation of the swivel can be alustod in heightby moter sive from 10.mm to 200 mm above th abet o adjust to tho positon of ho object. ‘This lows isoconti viewing an the monitor ‘Te ational mechanical contering device ensures hat the cetral beam icon tered onto the mage recopor foreach projection anal‘System Operation System Settings System remote control console 1 the tbe assembly stand othe image receptor uit reach the end or Fe spective travel ange, the movement wil sop. ‘To pertorn turer abave projections “@ Pross tho kay for otique projection again = The ube assombly stand o rector unt moves toa poston for dona ~The objectcortring ost '# Reposition the objectby moving the abate longtusinaly provided therange i For forascopy, poston the center tor bu projection athe obec height The atjctconterng onthe mantor wil rea the some without shift ou se ect obtave projecton Setting orthogonal projection (oblique projection +/- 0°) 1 Pras thi koy “i the canal beam i onthogona! othe receptar unit, the LED Hah us = Tre spay for ebique projection indicates Reading off the projection angle ‘@ ead tho anal in doareos(*" on he depoSystem Operation System Satings Tabletop Warning ‘Avid a seated working postion drt tthe system with yourlgsees ur- ‘er the henalootend erssbosm, “The system monitors the safety stance ol with reget the floor. Calsions can over with other room equpment and mobile cbecs such a oot sweh- (2 stop reluse bins, ee |¢ Make sure before you actuate movements hat na cbsttons ar present 1 Thon contl the system wih increased caution If you nave set tho footboard in an exceptional case onthe hood ond ofthe tabletop the set distances which your system mantains automata ae epi. ‘# Actuate movements thon only with direct visual conto, 0° position of the table ‘You switon he automatic stop poston of he tabi inthe * pasion on or ot LED lights up: the abla moves through the" poston when ttng uns = LED ios nt Hight up th able stepsin the O* poston whan ting up! \ith ne “Stop in 0 postion” fureton stitched on, the movement stops even "the ting owing up operating ements sre apertadin the 0” poston ‘Yeu can continue the movement beyond the O° poston by ling 90 the ona Ing lament and setting agen,‘System Operation System Settings ‘system remote control console Tilting the table up/down ct tha opstick to he tight jade. is don. ~The tabitop ts downdup, LUnitations whan tting in Trendelenburg positon “abltop titng stops when the distance tale mage Intensitr t floors ess than 40, To ura it to tabi, + Fooas0 ho‘system remote control console aq Tabloside contol nel System Operation System Satings ‘When ting the table down io Tendelenburg pion 16°, the shoul sup- ports svppic rte foot restraints avalible ae optional acsory must be Used te secure te patent. The weight of he patont must rot exceod 10 ka, Inthe case of Trendelenburg postion 40% the foot estas avaiable as Op tional accessory must ba ved in addon tothe shoulder support, The weight fhe patent must rot exceed 160 ks Ino case of Trendolenurg positon >45" the weight of he patint mustret fvcoed 150k. Reading the table tlt “fea he iin dagrees I") on he spay 4 Read the cspayn ara")‘System Operation System Settings <> Compression device (optional) (0) Compression doves with cone Using the compression device 1 Insert he sone sn 9 Relerto the “Accessories” chapter 1 Seton oblique projetion angle eas han 30° # Prose. okey. ~ ky above: docompression ey below: compression, Tho motorivon compression device is subject fo he examiner's pecial uty to take duo care regarding the applied compression eres, especialy nthe (caren ain ae ames teas eeCone arm in park Position System remote control console y Monitor System Operation ‘system Stings You can apy 2 maximum compression force af 155 1V or BON", dutabiein 1Sord! steps |B Movemonts are nolongerpossibo at compression force of 50 Nand higher | Thecone caroge moves automatically into the park position topmost decom pression positon) in tomography Tin Petateping,Periseanning, sensing technique hen seting a sel angie great tnan 20" ‘Unde the folowing contions na shadowing ofthe cotimated format willrasut ftom the cone rm the pak postion {2 Max 40 em high, onthe hovizntal unit wth onhegona colimaton and 150, 2 Mae 35 em high, onthe vertical unt with hogoral colimatin or ebiaue preston inal unt postions tom em SID. Reading the compression level |# Red he nseaton onthe spay |# Read he nseaton a the bot ght on the mont‘System Operation System Settings Tomographic equipment (optional) (1) Miner ©) Seale Setting the fulerum height ‘The average fuera height (120 mm i et automaticaly when the sytem is -sretened en Fuleum heights of 10mm aprox. 300mm above the abet can be st fr eassetiatomgrapny an gta tomography. Aajustevent sono Aajustvert downwards i Press tity and the fucrum height changes by ¥ mn Press longer, the forum height changes continuously n steps of mm.v System remote control console I ‘onthe systom System Operation System Satings Switching on the fulerum height light localizer ‘Prose onaol tho kaye ety ~"Thelght eeizar goes aut eutomaticaly alter aprox 20s. Reading the fulcrum height “The fulcrum heh dspay onthe system remate contol cancel is dese for examinations “© esd the display lala in “me Sten the fuera height ot locale on ‘You hive 2 possibbies of reading the unum height Direct method ight ine on the abject Look tom the right side in the mar onthe syste You wil ae the projection of ared laser sgh ie decom ho patnt. is bgt ine inate the et flu eight ety onthe pent. Intrect method fon ssl | Look tthe sese next to the minor onthe system. You wills od igh mare hee, | Read the ssl vince by thet nak One dsion cerespends 1005 om,‘System Operation System Settings Manual tube assembly rotation | During the rotational movement aan releases ot blocked | Outside the 0" rotation positon, the automat format ctimaton system swtches overt tho “Manual” mode ee racaton fil sting Tube assembly rotations possible tom +90"te-90" wth stop postion every 10" ana fam 0° 10-180" wath stop pestons every 30" “# Removs the compression coe i praten. “© Pu tbe handle 1the font and hl it em “# Turnthe Xtay tute assembly othe eared positon andhold i emi ates '# Prass the handle towards the ar and alent to engage 1 Check or eck by tring the tube assembly sigh tote et and ghtSystem Operation sytem Setings Moving the grid into / out of the beam path Moving be int re beam path Press this key. D lights up: te ids inthe beam path Morin the tuto the Beam path “© Pros his koy again D dak: the id ¢ moved eto the beam path Setting the source-image distance Mao set beeen te to SO postin of 115 cand 180 then ot fie oxposueeehnaue pono ~ Once tha selected SID i reohed, the LED in the bay ght up. ~ tye release the key belore the end poston, the LEDS n Both Key Mash 18em, 180.‘System Operation System SettingsSystem Operation Setting the Image Geometry Fuoroscopy and ‘ital Reiesephy (OR) Topiona Cassote exposure Limiting the radiation field (collimation) Rectangular and /or iris collimation ‘You can view te colimation an the moni under fuoroscapy. The df ie calimation i The maximum possible climate apertures ever greater than the selected i 92 intensitor rs ‘Thecollmator is penedor closed synchronously ae symmetrically to teirage receptor cert, ‘thin he seocted image nts format, he asain field can be calimated basiealy 35 desired and you ean sutch ove ro ist eetangulrcoleaten. ‘On seletion of loner 200M tove et il or mage intensifier ul format, the ectnguar andi collation ae etaied, othe ager eld colina (canbe configure (On selection of high: ZOOM level smaller Fl, thecoimstrabnays site ‘10 the smaller eld is colmation, ‘To sysiom switches ovr automaticaly to rectangular colinaton an sletion of the spofim device or tabletop cassette exposure techniaue, tes not pout to Select sis collation Selection /deselection Use the key onthe syster remote conte console fo selection deselecton. '# Prose ths hoy ~Rectonguntcolinations selected et LED hts wo.‘System Operation Setting the image G cy Setting System remote SOntrOl Refer tothe FLUOROSPOT Compact operating instructions fa arte deta CAREPOSITION (optional) ‘The CAREPOSITION function enables you 1 posion the patent anew without further fuoreseopy wih the at ofthe lat fusreseape image LM 2 Role to tho FLUOROSPOT Compact operating instructions for athe deta Additional Cu filter ‘The argn programs determine which editions Cuter is maved nt the beam ath on selection ofthe program, temporary change ofthe avematic addins Cu te seestion wth erga o> ‘1am spore by manvalswichover. The manual selected addtional Cu iter ‘mantaned untl renewed switchover or election of an organ program vith configured adona Cu fier, ‘The currently selected adtonalCuttris displayed onthe canal units and mary eoimatrSystem Operation sting the image Geometry Image reversal Warning Its part the user's duty to pay attention to th correct ‘venation af the sepa anthe monitor. Use stale ads forts tectonic displayed ght markings are notiored when the image is ‘A fauty disgnsis is poss le due toincorect poston information, #9. conf Sion between night nif wth ngl consequences and under cartain eeu ‘You can miter the images on the image monitor horizontal or vertical wth those 2 Keys none of he keys i reseed then the image is splayed inthe Switching over the image intensifier format ‘Yu can switch over the format even during a current examination. D igh up: the function i select. Zoom evel, 2.3‘System Operation Setting he imagOperator Manual Examination Chapter: Transferring and Positioning the Patient General information Positioning the pationt Chapter: Fluoroscopy Fluoroscopy operating modes Selecting the fluoroscopy operating mode Changing the selection ofthe fluoroscopy operating mode Fluoroscopy with Supervision optional Posed fuorescoy options Rosdmap Releasing fluoroscopy Fluoroscopic data Display of the kV and md values Display atthe uoroscopc te Displey of te area dese product ioptenal Resetting the uorscopie deta ‘Automatic fluoroscopic control Examination Table of ContentsExamination Table of Contents Fluorescopy programs Dose reduction Chapter: Cassette Exposures in the Spotfilm Device (optional) ‘Automatic format collimation in radiography Bucky mad Semautomatis mode Cassette program Cassette formats ana segmentaton program Selecting the Sagrentation program Ferma segmentation ‘Skipping 8 segnentation segment Mixed mode Loading / unloading the spottilm device Loacing Unloading Exposure measurement for eassatte exposures ‘Astangement ofthe dominants Selection of he dominants Releasing the exposure Organ programs Single exposures serilography Single exposure Senalography 18 18Examination Table of Contents Chapter: Digital Radiography Automatic format collimation in cigital radiography 29 Exposure measurement in digital radiograghy a 29 ‘rangement ofthe dominants 29 Selecting the domnants 30 Spotfiming without tomography 31 Selection a Single image serilography 31 Changing section 31 Framerate 2 Releasing tho exposure 32 gen programs. 3 Programs oo 33 Creation of programs 33 Temporary changes of pogroms 3 Tomography (optional) 34 Selection er TTemographc sequence « oo 35 Releasing tho exposure 36 gen programs. 26 Programs ssn semen 3B Ceanton of pregame a Temporary changes of srograms a7 Periscanning 38 ‘General 38 Selection 38 Deselection 28 Releasing tho oxposwre 39 Examination procedure 40 Preperation 40Examination Table of Contents Selection Deletion Releasing an exposure Examination procedure Preparation Programming wn Filing rn End of scone gn programs Creation of progiams Temporary changes of sronrams DR-Scanning (optional), ‘General Selection Deseection Image wanster Relesing an exposure. Examination raced for sbdominl sino images Preparation Moving the system and abet inc he starting positon Scanning process Examination procedure or mages of he spine ard ochopade langle mages Proparation ‘Mouing the sytem and abet int he staring positon Scanning process End of the eo Organ programs Program suagestions far FLUOROSPOT Compact Pertepping examination sequence ler suvey images Chapter: Free Cassette ExposuresChapter: Cassette exposures with wall stand Collation during exposure Selecting the exposure technique Releasing the exposure Examination Table of Contents 65 65 68Examination Table of ContentsExamination Transferring and Positioning the Patient General information 1B Attach all sooty acessories, especialy the arp prtection str, handarip stip, hondgip, eotboard and shoul supports 2 Use onl positioning ais excess approved by Siemens. Conte your lea Siemens repcesentatve if you have any questions. Feferto the “Accessories Register fora accessories avalible for poston- ing. Attaching he sccossories elo desrbod hee, Ensure that these doves and postoning aids ate secured corey and are functioning prove 1. Make sur thatthe body pats ofthe patent, especialy ams andlegs, dont ‘extend over the edge ofthe tabletop. 2 Eneure that the paint uses the grip oeatons provided, Positioning the patient tht ou an poston te patent conor, “+ Press is key, he system movesinte a pasion faverable orpatiet vans ' Immatiize he patent with the corresponding accessory pas Move the adiagraphic sytem ita the requied positon, Warning ‘The alison protection system des na recogrize accessory pars which fecjct beyond the system contours ‘Te systm ad the accessories can be damaged ard passby the paint canExamination Transfering ana Postionng the PatientExamination Fluoroscopy Fluoroscopy operating modes 1D Standard foroscopy lconnuous fuorscopy! In continuous nusrscopy 3025" frames par second are generated by tho leevson central cont! un a uorascopy with pulsed television scanning [Superson ton = in SUPERVISION ony 15 125)" ames pr second ae generate, In this case uroscopyis applied at al ta aditon dose with hal he tomo resolution 1 Prmry pulsed tucroscopy [CAREVISION option) In pice Huoroscony, te taton pulsed at 16 (125° oF 7.8" oF 3 {3 pulses per second. n this way aconespending dose saving with a lower temporal esluion is posse, 1. Roaémap ony with OSA option with standard uroscopy, with Supervision (optional or pused uoreseopy fotena ~ Roadmapisa special furescepicmede with subtraction splay Selecting the fluoroscopy operating mode ‘parameters necessary faoscpy oe stored gon roars {© Solct a corospensing organ program onthe gonerator contol consoleExamination Changing the selection of the fluoroscopy operating mode Its possi o change he sett a he aperating mates in conection with the Supersion of CAREVISION options ‘Te cutent operating mode is displayed inthe operating menu of the Ive mont Use the FLUOROSPOT Compact nrared canta fr operation your systom i equipped only with standard thorescopy, the Fuoro+ and Fluo te" boys have function, Fluoroscopy with Supervision (optional) |# By pressing one a the koys you sola Standard furescopy Fue + or Spansion (Fluo i You cn also switch am one apsrting mode to another curing» Huorascom Pulsed fluoroscopy (optional) ~ Pulsed uoroscopy with a puse rate of 313", 7.516" ws oF 15(12.5" peor Increase Fuoraeh/ decrease (lure) the pulse rateExamination Fuoroscopy Roadmap? Roadmap canbe combined with al fucrascope mades, Therese conesponding Roadmap Flor ogra fr ever combination, ‘© Pross his kay to sletiosciet Roadmap. i You cn sloctidesolect this function ony when racaton not bong released Reodmap is atomically Seseocted when you change to Oe "Pat List” men, Jon changing the expasute systom Per, bed sie exposure) othe organo. pram selection 2 elorto the FLUOROSPOT Compact eperatinginsructons for iformaton on the operating sequence. Releasing fluoroscopy 1 Use the foot snitch to releate uorascepy dations released ang o you continue to press the oottch fer ae roscopy Aller you lt the suten go, thelast image is eae and paved {onthe mania (LIK a. Wim he red emergency STOP buon actuated, fucroscopy can be switched Back on consciously afte lating the fuxeseopy switch go and pressing t agen. A pation flder must be crested and select inthe FLUOROSPOT CompaExamination a No processing functions apart am string the image ae possible dug th exsacopy The radiation ON indicators must ight up A Warning I tse radiation ON indicators Hit up though no switch has been actuated and he urentfuoroseope mapa cannot be seen onthe monitor: 1 Switch the systom off immediately! “© Nott the SIEMENS Uptime Srice. Fluoroscopic data Te meron dao, mA, ea ee ote rot tnt Display of the kV and mA values During tuoroscopy Running dpe of the ramentary kV and mA values After he end of fresco “and mn mean van ofthe examination Display of the fluoroscopic time ‘Continuous dzpay ofthe tee accumulating inthe exeminaion minutes, Display of the area dose product (optional) fede titer cenchenssiideidnck leExamination Fuoroscopy Resetting the fluoroscopic data ‘Once he exainationis ended then peaserate the dpayed Muovoscopi dela 1 Prose thareset toy. ~The spay fr the Muerosopic data and heats dose product ate reset Automatic fluoroscopic control Selecting automatic fluoroscopic contro! ‘The tuoroscopcsves and dove levels preset in the oxomn progam can be ‘changed wth the automate proaram keys on the systom romeo conte console ‘You can select diferent uorossopic curves with the automates programs, Stop function the tuoroscoic values, ml set by the system should remain constant Press the stop key during uorszopy Ir you want to cane! the stop function 4 ‘Slect one ofthe automstie programs bya key oan exgan progam Fluorescopic curves Depending upon the system conguation, the folowing furoscopic umes re ‘ssigned to the automate rogramExamination Fucroscepy Fluoroscopy time limit Fuoroscoprs switched off automaticaly and can no longer be stched on ator ‘a aroscopy ime of 10 minutes! To continue working {© letthe troscopy switch go and press nce again. Fluoroscopy warning signal sn ans Sl sends ters Resco ine of maxima mint + Tesi specs when ou rssh kyon the gener onl on a ‘Tote ore asst alan be ea 20 tay ti Automatic format collimation in fluoroscopy ‘Atma rmatcolimatoni slo sished on automaticaly when rscony Lethe frost fds revere tan th selatediman intense for ‘ou cnn th frosor eld othe reqs wih th oespondng Crovsrg olamntsmhn aExamination Fuoroscopy Fluoroscopy programs ‘Al parametors necessary for Muorescopy ao stood in programs. ‘The flowing programs ean be sored ™ standard forescopy ~ Suporision = Pulsed furoscooy(Careision! Rosdmapstandordflatoscopy ~ Roadmap Supervision ~ Roadmap pulsed uoroscopy > Refer othe Fuoraspat Compact operating instuctons Dose reduction’ In fscoxcopy with CAREVISION ipused fluoroscopy) or SUPERVISION the a: lowing dose reductions configured the factory result related 0 sandard fae: coscopy: [Automatik: | CAREVISION | CAREVISION | CAREVISION | SUPER. programm 15 Ps 75% aR Vision, T 30% 73% 730% 50% 2 rs ssi? 78H 5M 3 30% 0% 65% 0%ExaminationExamination Cassette Exposures in the Spotfilm Device (optional) Automatic format collimation in radiography Bucky mode Intne Busty mode the rectangular dlaphragms move othe formato he inser ld cassette orto the selected eegrnetation format. The baht ocalzer= ‘ritened on automatically on slacton. The aaa feccan then beclimated “mall as deste, The olimations retained ding the expose, Bucky made ete: LED gh up Semiautomatic mode Inthe semiautomatic mode, he rectangular dlaphragmsar limited automaticaly tote caseatoar eegmantation format te posi clr srbtray thin the casset or segmentation frat, Te calito is retained ding the ex50- Semiautomatic modes active: no LED lahts vp, Fully automatic mode Inthe uly atomic mode, the rectangular daphragms fe imited autamaticly tothe cassette or segmenteton format ts posible toca ebay thin the cassette or segmentation fort Ifthe ectnguldaphvagms ete pened ess than the easseta er segmentation {ermat, thon te are opened up oto selected casstt or sagmantaton format ‘zing the preparation, ‘Automate format cotimation can ago be selected sparta or eight endwicth ‘daptvagms, The daptvagmsnot selected hen behave in the sme way 38 wh ‘semiautorate mode, “clu emmmnamie melee yes eel hermit be ettasee teas Ube Neane ve‘le bee | i coe cs bl el Cassette program6 Examination Cast Exposures inthe Spot Device optional) Selecting the segmentation program Soler potfim doce exposure enrique atthe syste remote conta {Insert an approve eaeettn inthe satin doc, *# Selec the requied segmentation program by sressing one of he keys. The LED in the prossed Key Fonts ~The numberof re exposures is dipleed inthe dl. Ful femat no segmentation) Seamentaton 200 Segmentation 300 1 Segmentation 4 0n i you have solectd a sogmentaton program whic cannotbeabtained wit ho ncorted te of cassette, then the LEDS m th keys er tho soected segment tion program fash IN°0°iscislyedin te gy afer the exposure the selected evogra his ben comptesExamination CCasett Exposures inthe Sptilm Device pana) Format segmentation ‘Skipping a segmentation segment “@ ross the selected sogmentation key once agai it you wish o stip a seg mont curing exposure. Mixed mode this posse o change the segmentaton within a cassette a ong athe ure ‘posed part of the easeetie permits the newly selected vegientaion, Loading / unloading the spotfilm device Warning Fisk of injury during automatic eabsete size sensing! 1@ Do rot each nt the lasing cat ofthe spotfim dec, Loading LED Eahts up: Casstiin unosdng positon, + Insert te casset with the smoot side upwards and inert atleast 25 ofthe assete with into the loacng sat "Tha easstt is dawn in outraticaly and parked inthe spotin dic. = At the same time the cassette form is maacuted andthe LED in the co responding segmentation ty igs up ~ Thecassette sei shown nthe displ ol the system remote contol con Ita cassott format which i no approved is used, the cassette moves automatExamination Cssetto Exposures inthe Spotiim Devco optional) Ina tbe poston of aperox. 45° o 9° can happen tha he cassette it not Inverter encugh drops ut rom the sading shaft gan on tera center {ng depending ans matetype. The formets 20% 0 em, 18% 28 on an 2. 30 er inert in upright format ae epee affected by he + insert tho oassoto with its smooth sido upwards and with at east 34 of tho cassete within tha losing sat | ho the allo your hum’ aint he cassette untiti securely gasped by caution Under no ckcumstances may you poke your ngersint the leasing ot as is ‘would interrupt the sensing ight baer. Otherwise the cssete rejected. Untoading '# Pras ha kay on tho spatli deuce ar system remote contol console "Te cauectte appear inthe lading so the spt device, = TheLED ights up ~ Fuerscopy and radiography ae beckod Possitle confgurations "for cassette unloading ‘Once he selected program hasbeen completed, ie, “0” is slave in the ds ‘ply, he cassie wil ether automaticaly appeain the leasing sat or emoval ‘orl be moved tothe parking pasion canbe eongured,Examination Casco Eposursin the Spt Devin options Exposure measurement for cassette expo- sures Arrangement of the dominants ‘The olowng sketch shows the rangement the daminantsin he spin de- ‘oobi othe antenir posterior patent poston Iheadandat thet loking ‘nto the patient wth he table nezora @) O ° 0 (1) Lot dominant (2) Rig cominant (©) Mid dominantA i (| Examination Cast Exposures inthe Spot Device optional) Selection of the dominants ‘The dominant re Hedin the organ programs ar they ean be selon the generator utile selection ofthe dominants is possibe, Warning Pease make sur when changing the slecton of th dominant that he corect dominant is aways selected + Prass ane ofthe keys Let dominant Mia dominant Fight dominant i {fa selected oft right dominant becomes invalid temporary 0. de tocol mation then the mdale dominant sfected and dsaved automaticaly. The esetocted domnant is splayed essed trough The orignal selected dornan is active and alspayed again only tthe Tt loressure pont ofthe oxposure release button praconac or wan the elie tris apened again “The poston ofthe measuring fle! the meas wing Fld inrlaton to he abect ‘ean bo checked onthe LH image by means of bre uroscopy.Adlanram with Preceded nachna nei ieentaeieetie,Examination CCasett Exposures inthe Sptilm Device pana) Releasing the exposure 1. Rooas0 the exposure wth tho excesure release button inthe system emote Conta console oa the foot sitehn the cantl oem, 0 ableside|op- ton). The fet etch has no precontac, The sgl ams fo radiation must oh up bi A If tes radiation ON indicators light up although no switch has been actuated and the current fuoroseope mage cannot tempor be eeen on the mart 1 Switch the systom off immediately! 1 Notity the SIEMENS Uptime Service { Discontinue operation of he system, Organ programs ‘Al parametors necessary forthe exposure aro stor in organ Programs. > Refer othe POLYDOROS Sx operating instructions for futher dels onthe ‘roan programs and ther programming,Examination Cast Exposures inthe Spot Device optional) Single exposures / serialography Single exposure Sale exposure seletod he LED doesnot ight up “© Solct a suitabe sagmentaton progam, Possible section: Segmentation Zon 1/3814. 1 Inyou now release te expore, you receine one singe exposue per exposixe Serialography Sovilography solocted: the LED gh up 1 Sloc segmentation program ~ Sagrontaion 20n 1/08 1/4 nt Ityounow leas the series a keep th exposure fleas button pressed, you i | Sriography in combination with tomography is nt goss!Examination CCasett Exposures inthe Sptilm Device pana) 8 e Bucky mode Use eny th ight ozalzr and tho operating elements ofthe primary ealirstr for calimaten Do rot lease furostopy, otherwise Bucky mods is deselected Press this key ~ Bucky mode is slectec he LED hts up 4 Insorta cassotte and selec segmentation program. Spotfilming without tomography ~ Spot device exposure technique is soected: the LED ahs up 4 -Stoct sngle exposure o serigraphae Examination Cast Exposures inthe Spot Device optional) Tomography (optional) “The tomographic exposures ate taken a linear slangrphy wih 3 diferent a: ring anaes. 1+ Press this key. ~ Spot device exposure technique selected: the LED lahts up | Pras ths key. ~The LED inthe start key Hashes i the conditions for tomography are nat sates, = The possible combinations fr tomographic anlatomogrphic ime appar inthe clay, The seiected combination i emphssied. Press the key again and the nowt possible combination becomes active “© Select Bucky semiautomatic mode | Insert casstte anc selae the cassette program. 1th LED inthe star key Hashes, © ros is ke. = The compression device moves int its pak poston prosent = The tube assembly stand moves int the O° poston eee ieee teadlaclsExamination Cassette Exposure inthe Spotim Deve (ptonal) Tomographic sequence “© Prats the exposure rlanse button un tothe ist pressure pon. "The tube atsombly stand moves othe Reader tomography staring po tin tte et withthe unt herzona |# ve he breathing command tthe pation, 1# Pros the expose release down fly and keep it eessed unt! the ube as sembly stand stops inthe footed positon. = During the exposure te tube assembly stand moves towards the foot end nd automaticaly remans there folowing the exposure th the exposure release button pressed the tube assembly stand moves back rt the stoning pesban, Propare the next romegaphic exposure |# Ser anew tomograpie height, ‘© Pross tho exposure release button up tothe ist pressure pont The ube extembl stand move trom the tot end pasion towards the aden tomography starting positon the left wih the unt nezorta.= Examination Digital Radiography Automatic format collimation in digital radio- graphy ‘The exposure fei never anger than he selected image intention erat thin this area you on Imi he exposure fed othe required size wit he cor responding operating sements Exposure measurement in digital radiogra- phy Arrangement of the dominants “The allowing sketch shows the rangement ofthe dominansin the moniter in ‘elton tthe 9p patent poston thes! end at hele looking onto the pation ‘th the able hozona 2 Offs ° (0) Let dominant pireapremineExamination Daal Rastoraphy Selecting the dominants ‘The dominant ein the gan programs or canbe set onthe geneatorcon utile selection ofthe dominats is possible, Exception: canal ciclar dominant. A Warning Pease make sure when changing the slecton ofthe dominant that he co roet dominant is aways selected Li | Prass one ofthe keys: Lett dominant Mids dominant Fight dominant Central excula dominant i va sesocted let anaeright dominant becomes nvaks temporary due colimatin cen the conta crcular dominant selected and displayed autora rcaty The orginal selected darnant(s] wil be acto and displayed agan wien theExamination Data! Rasography Spotfilming without tomography Selection Digital aiopraphy i selected: the LED lights up © Onthe generator control sonal, select an organ program For = Single mage or ~ Seisegraphy er = sa Single image - serialography Not possbie n OSA “The lay ie inthe operating aos of te ie image moni. Tho mage tensor format cannotbe changed duingan exposure ses. Only the ellmation is corected on changing ovr to alge 200m level changing selection ~ te system switches over to singe image inthe “Seregraphy cxgan pte gam" ~ Singla image resins selcted inthe “Single mage expen prograrn” i changed evan program for seioraphy remains retained any unt you se- ect anthor same egan rowam er switch tho system offExamination Daal Rastoraphy Frame rate ‘Operation i on ho inared conal af the FLUOROSPOT Compact. '# During a nave series the programmed fame at can be rdveadin a max mmumot 2stagesby pressing the button ithe corespondingraductions havo been programmed inthe evant ergan program (se FLUOROSPOT Com pact Releasing the exposure | Release tho exposure with the exposure release button inthe system remete onto console or a tha foot sith nthe contl roe, or abe de op- ton) | The rediaton ON ndiestos must Eght up bey dung the exposure A Warning I these radiation ON indicators light up although no switch has been actusted and the curentfuoreseope mage cannot be seen onthe moniter: 1 Switch the generator ff immediately | Nott the SIEMENS Untine Serve, ‘ Discontinue operation ofthe system. dition interruption Exposure ond Ifyou let goof the exposure release button during radiation the exposure en ‘erupted med n single expotize, in sorisugyaphy the last exposute is sil exposed corecty I DSA seis is inerrupted betere exposing the mas, then he frst nage is ‘sed as mast The sores then dspayed nave In sinale exposure only one images exposed, even ifthe exposure cleat but ten continue to be presses In seisigtapy,leting the exposure release button go, afl mage memory ‘reaching the programed maximum scene time ends the exposure sei,InDSA exposures Examination Data! Rasography ‘Te system sritehes automaticaly to subracton ater predetermined number of mages leg2. “The pent in tno at which the conta medium shouldbe ijcted must be 6 lected dependag on the examination Organ programs ‘Al parameters necessary forthe exposure ate store in organ programs > feet athe FLUOROSPOT Cempect na POLYDOROS Sx operating nse tons fr further deals on the organ programs and ther prograrymina Programs ‘The flowing programs ean be ster ~ Sing image organ program = Serigraph organ progam = DSA organ program optional Creation of programs 2 or tothe FLUOROSPOT Compact operating instructions. Temporary changes of programs Forth ollowing parameters soredinteorgn program itis posible wo change ‘them femporany with the corespondag operating eements “im density | ~ Switching ove fom single imagelsrlogaphy = Cu prefiter = Automatic level 12.3 i The changed parameters apply onl unt you select another same organ pro pram er sich the systemExamination Dial Rashgraphy Tomographic are Tomography (optional) Selection 1# Prose the key Digital aiopraphy i selected: the LED lights up 1# Prass his key ="The LED inthe star hoy flashes ifthe conditions for tomography are not ‘sti, — Thepossitie combinations of tomographic angl/tomograple ume per inthe display, ~The selected combination i ermphssized. Press the key again to activate the next possible combination. HF the LED in the stare ky Hashes, + press te key "The compression dovce moves ito pak positon, if resent ~The tube assembly stand moves into the O* poston. = A soucesmage nent distance of 115 em ts ~The image receptor unt moves ino the tomagraphic 20a, ‘Once he aston ae reached the flshing LED gots ut, It you have positioned the image reeptor unit eutside the tomographic ara, itisExamination Data! Rasography Tomographic sequence Inthe case af oveabserponebecte with a water vale blow 10 em f.. pe- ‘dares, upperiower exvemites) ether ucroscopy must bo performed bole tomegrahy or Cu adational ter of atleast © 1 men must be moved tothe boar path Otherwise exposuresmay be overexposodorintorupod ard thore- fore useless ‘Pres the exposure release button up othe ist pressure pont "The tube assembly stand move othe Neath tomography staring pos tion at the et wath the unt horizon {© Gv he breathing command to the pation ‘© Press the exposure veleese burton al he ay down andhold pressed unthe ‘ube assembly stan stops = Dutng the exposure he tubo assembly stand moves towards the foot ond nd aumatealy remains there folowing the exposure i ih eh exposure release button pressed the tube assembly stand moves back ovo te stong positon, Prope he next tomaqraphi exposure {© Sot anew tomographic height + Press the exposure release button up tothe ist pressure pont The tbe astembiy stand moves fom the foot end pasion tvs the head omagiophy starting position (a the la wih the unt hozora.Examination Dial Rashgraphy Releasing the exposure Toreleae the exposure, actuate the exposure release baton in the unit mote conrl conse. 1 The rediouon ON ndizstrs must ght up dung he exposure A Warning If these radiation ON ndiatos light up although no switch has been actuated and he curentfuoteseopie mage cannot be seen onthe monte: © Switch the goneratr ot immediately! © Not the SIEMENS Ustine Soice 1 Discontinue eperation of he systom, Fediton interruption Exposure end Ir you et goof the exposure release button during radiator the exposure en ‘erupted mmedntety and he tomographic movements Siooned, Letting 90 of the exposure relent buton or elapsing of the tomograpie tine fonds tho exposure Organ programs ‘Al parameters necessary forthe exposure te store in gan programs. 2 oro the FLUOROSPOT Cempact na POLYDOROS Sx operating instru ‘is fo urher data onthe organ rogram an her programming Programs “The folowing programs can be sor Tomography gan programsExamination Data! Rasography Creation of programs > feo tothe FLUOROSPOT Comsact operating instructions. Temporary changes of programs For the ollwing parameters soredinthecrgan program itis posible a change them temporary withthe corespondng operating ements: “rim density = Cuprtiter Lr} The changed parameters ae oni unt you select another same organ fro gram ersten th system of)Examination Dial Rashgraphy Periscanning Soria exposures of the coast bolus ding aoncarteriography with he pation General Peiscaning selected after the patent has been postions the catheter has ben paced and ie system setings lr aertoterogaphy hove been per formed, Proceeding trom tho abdomen (sartng poston, tho entre pargheral xamine ‘ion areas seamed. The sean rravement takes pace with nreesing movement ‘speed ol the Xray 2/stem longa placement wth finely graduated eon Wollbieedapaton ofthe speed othe contost medium How, The may el speed a the Xray system incensed to 16 ers i You generate an organ program with image sees for Peniscanning inthe Dal Rsiezaphy manu Selection | Pras this key = Pericanning is selected the LED Hits UP i The LEDS inte buttons fer Paiscanning sod DA Mesh if the prerequisites for Perscanning are not met. “# Select on organ pogtam for Periscaning Deselection “} Prnss thes kaw ov wmtent onotver wapneme eyeteen,A Feditoninterupion Exposure end Examination Data! Rasography Releasing the exposure Release theexposure withthe exposure release buttonon the aster remote ‘conto console a the foot rithm the contl tom, or abe |op- ton. Radiation i leased long as long as you cotnuo to press the exposure lease bution The aston ON indeators must ight up Warning tne radiation ON indicators light up slthough no switch has been actuated and the curentfuorescope mage cannot be seen onthe moniter: 1 Swich he system of immediately! |¢ Not the SIEMENS Uptine Sarin, It you et goof the exposure ease button during radiaten the exposare terupted immediate Lating go ofthe expanure ease button alliage memory or eaching the ‘roprrmmed masimum scene ime ends the exposute seesExamination Daal Rastoraphy Examination procedure Preparation -# Propare te digital maging syst | Move he tubo assombiy into the 0" postion | Position te atant {© Sota nominal sourcesmage intnsifir dstanoe of 115 em oF 180 mn ‘© Bring tho Xray sysiom and abot into the intonded starting pasion ‘You must ensure thatthe wave range forthe Keay systemis suffient 1 Pross ths hoy = The LED Ights up: Pesistanning is selected = Serigraphs soectat i The LEDS inthe Parscannng and star keys ash i ho cncvons fr exposure arent tutte. 1th LED inthe star ke Hashes, + press hokey A The compression device moves into pak poston prosent = Qatgueseting moves inthe O" Boston ‘Once hese positions are esched, he sting LED goes ut. “# Select on organ pogtam for Periseaning ‘4 Postion the patient and et he flowing parameters wih the eonespending epenating elements: primary ealimation rectangular aphragm) = semitansparent wedge titers options avaible) = Gu prefiterpreferaby fied inte organ rogram) ity <4: -1.0)8 £ Examination tal Rasegrpey ‘Adapting te dominant he dominant preset nthe organ program is overwrite, i alight dominant r both dominats are selected, he system switches ver automaticaly tothe conta orculr dominant tthe preselected dominant is covered bythe itr, ence this would movably resut ina faulty exposure. Prepare the nestor | Connect the nestor pug othe letronis cabinet only ith cation sy ehronousinectr release opin). | Sot the injston data and ewich ta ready fonctions, Test run “The Kray sytem stands inthe starting poston for he searing process Star atest ron without ation, '# Switch the Sant lacalzor of he callratr on # Detect the joystick up down or he key othe et Hah unl the eed ‘vamnaton wea hasbeen anna,Examination Dial Rashgraphy ‘Scanning process ‘The Kay sytem stands inthe starting poston for he searing process “# Prass an axposue release bution and keep it pressed upto the en af he x amination se, lithe seaning proce endo “© ger the eton,autematialy or manu '# Detect the joystick up/down ce press the ey to thelet eight unt he ane ‘xarnnaton area has baen sane, | tt necessary duc the rime ate ina mtximum ot 2 steps ain the xg progr (saving doso and storage capac Folow to contrast medm few onthe mentor Adept the movement speed ofthe Xray syst to the contast mem Now End of the scene 4 Lotthe exposure release button 9, The exposure sei isto ended i tho mage mean) ul na the maximum scene lime hasbeen reaches independently a he postion which the systemExamination Data! Rasography Organ programs ‘Al parameters necessary fr the exposure restored in gan programs 2 orto the FLUOROSPOT Cempact na POLYDOROS Sx operating nerve tons fr further details on the organ programs andthe prgramming Creation of programs > Refer tothe FLUOROSPOT Compact operating instructions. Temporary changes of programs For the follwing parameters stored in thecrgan program, itis pssibleo change them temporary with the corespondng operating elements! im density = Dominants ~ cu prtiter = Audomatic level 2.2 i The changed parameters apply ani unt you select another same organ pro pram ev smich the sytem ofExamination Daal Rastoraphy Peristepping (optional) General Peistepping comprises the flowing phases: 2 Progremming man Filing rn rave) Pistopping i selected ator the patont has bean poston, the catheter has ‘been placed and te system setings fr aero stereyaphy have been pr ferred, ‘uth selection the Xray system can be moved nt ongiudnaly steps ‘and he vansverse movement aulomataly booked. Poistepping is possible in all unit positonsandin te axl rection, both to ‘wards the nead end and towards the fat end ‘The stop length por stop is 18cm wih 40 Sings istenae 1.2 3. 4 5. 6, Postion ee eA fororobotot Mota Keay system tnt staring postionExamination Data! Rasography Programming run Proceeding tom the abdomen (stating poston. he primary coltmatrs som transparent weuge Hers and dominant requved, ae set sep by sep up to the lst positon ‘You must delet tho joystick or press tho oy or “Xray systom longitudinal smavement” inthe movement feconfor eath step astong.as thereat step 20 ‘tion reached. Once the next step poston is reached, the Xray systom stops Sutera ante corespacing poston ber openson onan ‘The ast set collmtior position, titer positions and dominants ae sored ato ‘ratcaly assigned teach step postion ‘maximum of 6 postions (Sets) a posable ‘Alter the programing tun comolted the Xray system mustbe moved back tw the stating positon [abdomen autematc stop Filing ean Irate tein steps of the Xray sytem using the oyster he key for “ray eystm lng mavernent” corresponding ta the contrast med ow wath manioing onthe ve mage monitor Selection 1 Prose hie hoy ~ Poristopoinaissoloctec the LED ahs up Deselection i There is no automa selection of Paisteppng ater tho end af the scone. '# Prass ths key or slot another xp system, ~Tperisteppng i deselectedExamination Dial Rashgraphy A Releasing an exposure Release theexposurewith the exposure release buttonon the ystem remote ‘conto console a the foot rithm the contl tom, or abe |op- ton. Radiation i released as long a yu continue to press the exposure release The rasiation ON indeators must ight up Warning tne radiation ON indicators light up slthough no switch has been actuated and the curentfuorescope mage cannot be seen onthe moniter: Sich the system of immediately! © Netty the SIEMENS Uptime Sore. Feditoninterupion Exposure end It you et gp of the exposure lease button dung dation, the exposures inter ‘ped immediately Letng the exposure release button go, aul image memary or eaching the mae Immum scene ime ands the exposure sees including comtast medumn jection “The scene time rete fo he set maximum framerate. Aredvetion of he fame rate eads toa coresponding lengthening of he scene timeExamination Data! Rasography Examination procedure Preparation -# Propare te digital maging syst “Move he tubo assombiy into the 0" postion | Tanster and posion the paint '# Move the Xray systom and taletop into the intone starting positon 1 Prass ths key ~ Paistegeingis selected the LED lights up = The starting positon now defi ~ The lpay ofthe curtent positon andthe masimum exzosureposins, 9, V8 appears onthe cspay in the remote contol conse ti ulfonmat elected Transverse able travels locked i The LEDS nthe Patopping and start Hoy lash he condons for exposure arnt tte. Hf the LED in the star kay Hashes, # pees wekey The compression device moves into pak poston resent = Oblique seting moves int O postion = A soucesmage nensifer distance of 115 em eset Once these positions ae euched the lshing LED goss out. ‘© Solct an organ program fr Poristepping |# Sette foloning parameters with the cmesponding operating laments: primacy rectangular cinstre ~ cupreiter ~ Semiuansporent wedge fitsExamination Daal Rastoraphy Release ts step - <> 10% = ‘Adapting te dominant '# Prassoneseverl keys ~The dominant ros ln the organ programs ovonwriten i alight dominant r both dominats are selected, he system switches ver automaticaly tothe conta orculr dominant tthe preselected dominant is covered bythe itr, ence this would movably resut ina faulty exposure. Prepare the nestor | Connect the nestor pug othe letronis cabinet only ith cation sy ehronousinectr release opin). | Sot the injston data and ewich ta ready fonctions, Programming run “The Kay system stands in the stating poston (postion 1} forthe programming som aeomon! | Detect he joystick above teow or prs the koto theft ight = The Xray system moves ito the next poston ~ The poston is islayed on te asplay’ in thereat contol console, © 20" = The setings othe starting positon oe stored } scious che fetlenmsine pararmmere with dhe cnmneenpd) ney eperstiney etemmemneExamination Data! Rasography Release 2nd step and further steps + Date ihe joystick above! bw or press he Kerf the et / ht Ze _* “ery stan moves ite nox poston GED BDF — epost is aspayod on tho wisply inthe romote control consok, "St po mex "4 = theta th posi ae stared |# Move to ach poston ane aftr te ether and adapt the radiation fle ach dominant a far a5 requred i |4 maximum of 5 stops and hus 6 positions ae possible. Move the Xray sy tem Into the stating portion x * Sttomnas eahed te sring psn oe QB HO NOES Sateen te sanoy athe remot contel console eg = va — The stood parameters ae et automateExamination Dial Rashgraphy Fiting ean ‘The Xray system stands inthe starting poston fore ling run astomen, 14" for instance ie deployed on the py inthe ramet control const. tr Check the corset programming ofthe injector to avid uacessiry contrast medium myectons, '@ Pross tho throsoopy release switch brio at ast sb ~The exposure pormeters ore eluted and taken ove er the Rue -seopie valos (0 pont ech) ‘Press the exposire release button and Keep it pressed up tthe end of the ‘vaminaton unl the fling run onde “# Tger the eton, automaticaly er manual “ Observe the canvast medium fing onthe ive image mite i 1 te moctors not connect, tho fest xposure sensi stated immediately. ah be mectr connect, fis de ction is eigered or te exposure se ris eased depending upon the so tggenIng Release tet step and tribe steps ‘# Detect he oratory up/down or pass the ke oto ft oh, onca x thera cnet meen ing tac. ED 8D) B-—— Tre X:0y system moves in ach case nto the next poston = ~The positon is displayed on he dsp in the remote contol console 214" up to max. “4Examination Data! Rasography End of scone ‘ Lotthe exposure relaso button go once the required ontast medium ing SS roached in the st expose positon i The exposure series is aso ended i the mage merry sland the maximum scene time hasbeen reached. independent ofthe poston in which the system fs ocsed Organ programs ‘Al parameters necessary forthe exposure re stored in organ programs. 2 floor tothe FLUOROSPOT Compact ans POLYDOROS Sx operating instruc tons fr lurher details on the organ programs and ther prgramming Creation of programs > fleet the FLUOROSPOT Compact operating instuctions. Temporary changes of programs For the follwing parameters stored in thecrgan program, itis passible to change ‘ham emparany with the soresponding operating slaments oominants i The changed parameters sop ani unt yu sleet nother same organ pro pram ersten the sytem ohExamination Daal Rastoraphy DR-Scanning (optional) General To display lige abject, series of payed images is combined to give sage format image nthe mage processer of the weston “The entire exposure areas raved ever continuoutly wih he image receptor proceacng rom the staring penton [net in Porsteeing, Alter the sequisiton the images resent rm the imaging system tome LE ‘ONARDO workstation fer pracessing e.g. mage econstucten. Depending onthe exsnination, thre ae 2 ype of sequsiton: 1 DR scanning for = mages of he spine = orthopedic ongieg mages Abdominal survey images a Persteping fx survey mages othe perohetl vessels i Generate an aon progam or the scanning technique nthe series image Selection “+ Pras this hey = DR scanning is selected ~ The dspay shows 3 scanning proarams with 2 directions each | Solct an organ program for OR sancing a the generator console,A edition interruption Exposure end Examination Data! Rasography Image transfer {4 Send the images liom the imaging system tthe LEONARDO workstation us sagt DICOM Send” functon Releasing an exposure a. eease the exposure with the exposure release button inthe sytem ate ‘contra conso or vin the fotsitchin tha contotroom,oFtbieside option) © adlation i released as long as you continue to press tho exposure rosso bast, The signal lamps for adaton must ight up, Warning If these radiation ON indicators light up although no switch has been actuated and the curentfuoteseopie mage cannot be seen onthe mente: 1 Swich the system off immediately! | Notty SIEMENS Uptime Seri, ‘ Discontinue operation ofthe system. Ir you et goof the exposure release button during adiaton the exposure en temuptedimmeditey Letting 90 of he exposuce release burton, atl mage memory o teaching the ‘maximum scare time ends the exposure seri,Examination Dial Rashgraphy Examination procedure for abdominal survey images Preparation “© Propare te aigialimaging system, ‘© Solct ho DA system tthe unit remote contel conse “+ Move the patient lento the O° positon oven ‘ Poston the patent baad on thot For eacons relating to tho exposure tecknsiogy the scanning direction for OR _scanning shoul be frm th pelvis headware, 1 Ser veri projection (© Ser the largest possile SD. ‘© Perfor the examination, 9, colon double contest, as usu, 1 ross this key ~The LED inthe star hoy lights up fe contons for scanning are not fu ties = DR scanning is selected usta tra elected. ~The rectangular neigh lapragr moves automaticaly to the congue value lapprox 10-12 «m) — The display shows 3 scanning programs with2 directions each ~The selected seaning program is hghghte, By pressing the key again the nent possible sranning program with decton be-Examination Data! Rasography the LED inthe start key Rashes, + press hokey A The comprossion device moves into park poston poser, = Qa setting moves no the O" poston ‘Once these pesitlons are reached, he sting LED goes ot. ‘@ Solctan organ program with sealograpy according the typo ot examina. ‘Moving the system and tabletop into the stating position + Position the patent. {© Bring the Xray ystom and abot into the intended starting positon ‘The exposure seis i generally sated nthe pee region er better exposure conta ‘The entre examination rea must be stannod without interruption. I necossany, perform atest run without fluroscopy and cotrect the starting sion + Detect the joystick for "ray system lngtudnal movement” inthe deection ‘ofthe head unt he enire examination area has been seamed, ‘@ Return othe stating poston. © Check he starting psiton with uerascopy switched on ‘Scanning process “The Xay system inthe stating poston for he scanning process. Lea During the exposure series the pation should tale only show breaths or not ‘4 Pross the exposure release button unl the entre examination area has boonExamination Dial Rashgraphy End of the scene Loto of he exposure release button ~Thedray system movement stops stomatal i The scene i also ended if te image memo i land the maximum scene ime has boon reached independent ofthe posion in which the syst iso ested Examination procedure for images of the spine and ortho- pedic fongleg images Preparation 1# Prepare te uit maging system 1 Select the DA system atthe unit remote contol conse ‘@ Poston he pation table vertealy (+ 80" '@ Have the patent tain the unit (withthe footrest and immobilize the pationt with the compression bel, For easons relating ta the exposure technoogy, the scanning destin for OR om bottom to tp towards the headend for spinal acquistons tom top to bot (awards he foot end or orthopedic wee leg aoa “Set horontl roectin, # Sortho largest possitle SD.Examination Data! Rasography 1 Press ths key = TReLED inthe ky ight uo he condiions fr seannng arena filed = DR aeanning i selected 1. al formats selected ~The rectangular night hapragr moves automaticaly to the contigured value fpprex. 10-12 em) — The lispay shows 3 scanning peogtams with 2 drections each = The selected searing program is highighte, By pressing the key again the next posse scanning program with direction be ‘ Solct a scanina presam fo spine orthopedic onal rages “lett srow saneing ection Hom bottom top = ight row: seaming direction rom top to bettom Hf the LED in he star ky Hashes, © pees hokey The compression device moves ito park poston if present Obtque soting moves into the O* poster ‘Once these positions are resched, he shin LED goes out. “© Select an organ proprar with seilography seceding othe typeof examine 1 Select the messuing ede (dominans: = center dominant for images of te spine liters dominant fr ertopadi lonleg agesExamination Dial Rashgraphy ‘Moving the system and tabletop into the starting position {© Poston te pation. “@ Bring the Kay ystom and abot into the intone starting positon ‘The exposure seis is ganerally stated nthe pvc region for batter exposure conta “The eno examinaton area nut bo scanned wthout interruptions necessary, perform atest run without fluroscopy and correct he staring positon SL Detlct he joystick fr “Xray system longitudinal movement” unldoen uni ‘he entre examination area hasbeen scanned “© Retum tothe stat pesiton ‘© Check he starting positon suring faroscop. ‘Scanning process ‘The Xray system isin the stating poston forthe scanning process. i During he exposure series the patent shoul tke ony shallow breaths or not rosea a ‘# scwuate te exposure re.ase bon unl the enike examination area has been seamed. The ray system moves automaticaly when th exposure is eloased End of the scene * Lot go of the exposure release button SThe2cray system movement stops stomatly i The scene i also ended if te image memory (land the maximum sceneExamination Data! Rasography Organ programs ‘Al parameters necessary fr te exposure are stored in gan programs 2 For further das onthe organ programs and tho programming rer othe FLUOROSPOT Compact and POLYDOROS SX operating nstuctons. “The programs ar intone forthe flowing examinations | Program A: Survey ages of he unary raet kidney a blade) ‘wih scanning program “Abdomen” and ection of scanning “hesdwards™ Weniaec sanning speed) 12 Program 8: rthopec:longlogimapes with scanning preg "Lenglea" and Stecten of scaning “Toatwatds” (i emisee seanning speed) | Program ¢: 1p. and atralimages of he spine with ssanning program ‘Spne” sd drection of scanning "headwards”/ amisee scanning speed) | Program 0: Suey image ofthe colon with soaning progam “Abdomen” and drecton of scanning “heatwards” (8 envser scanning Spee Program suggestions for FLUOROSPOT Compact (Organ program [A 8 c > Progameeme | Raney Tes Spine aor Con Fuorescopic | Flow? Fuoro 7 Fuoro1 Fiore 1 Superson’ | SVS W3 Phe Sma SIP Carevison SDM dominant ke ir ° é Deseleve! | 100 100 100 100 ‘equsiton dia | Yes Yee Yeu Yee from tre Ww ao to auto uta Cnwacierate [C16 oF cis zi curve (6)Examination Dial Rashgraphy Organ program [A 5 ce . Freripe Joo oF oF 00 Camel ‘equiiion mode | Nove series | Natwe songe Nave sees Nave series Mamimage [Yes Yes Yes Yer ores White | Black Bock White® [Black White | Black Convastic) [700 | 700 yoo /700 [700 700 ‘| 700 Brighiness 6) [906460 [ave a0. a7e «(ae at6—| ato Soone lratisl_| 10 20 30 10 Framerate [3 2 2 a Fronerate2 [3 z 2 a Froneratea [3 2 2 a Edge tore] | 18 5 5 16 Komelsee |S 5 5 5 Harmonisation | 20 cy Cy 30 bl Harmonization [127 va 1 a ere!Examination Data! Rasography Peristepping examination sequence for survey images Take Pesstepping exposures as deserbed under Peritepsng. 8 Satoct an exposure fr oath exposure postion fo. 2 “max. pac imago" of this series and send it rom the imageg system 1a the LEONARDO werkt ‘ton using the “ICOM Send” uncon.Examination Dial RashgraphyExamination Free Cassette Exposures Collimation on exposure {2 The automatifrmat collation ofthe system snot effective if you haves lected “abet cassette exposure o Hee mode” Fi you have tanec the tube assembly into a postion ouside 0 = You ean set the exgosure format fea = Theliits ofthe maxerur rcation ll are detrmined by tha mosho- iam ofthe primary colin ~ The colimator does nat ect to & change of he SID. = Theil display aldo the primary colimatr shows "Manual Selecting the exposure technique Tabletop cassette exposure or free mode '# Pras ths kay =TheLED iahts up With abletop cassette exposure othe tbe assembly swivel ou the sy tom automaticaly sites overt “Free mod tabletop exposire”. The Au tomate format colimation system a dstled.Examination Froe Cassette Exposures Releasing an exposure To reoase the exposure, actuate th exposure oloase button onthe gone tor contol eonsle Before every expose release check te feral imation ith the ad he Sght locale onthe collate the s9t SID wit ho tape measure onthe eotimsior (Te raaton ON indians must ght up Warning If nec radiation nseators ight up although no sch has en actated {¢ Switch to system off immediately! 1 Notiy the SIEMENS Uptime Sence {¢ Diseomtnus operation ofthe system,Examination Cassette exposures with wall stand vith automate format tolimationlegton! without automatic for Collimation during exposure With abl voi an 18 roton fhe tbo ase th atom or tothe “ACSS Made" ith atoratic format calimatin ising aval stand ‘with automate format collation (pon) @ tothe “Manual Mode” (without automate format colimtin! using a Wat ‘stand without automat form collation Selecting the exposure technique Seloc the “wal stan system a the goraatr contol consola So th abet a vera positon Set tho tub assem ta soucedmage distance of 115 em er 180m “Tum the ae assembiyhareontaly nto he wal tnd Position the patenin font of the wal sand Set thew stand othe obec height ee eeeaee ‘Aju tho tube assombl tothe oboe using tho ul‘ ght ocataer and positioning laser {# Cosimate inition tothe obec ‘The radiation fills automata sett the cassette format and can then boca limated as smal as required in elation tote obec. ‘Theres ne limitation ofthe raaton Field and caliation must be performed ‘elton to he objet using the flied ght lcaExamination Casette exposures wth wll stn Releasing the exposure To reoase the exposure, actuate th exposure oloase button onthe gone tor contol eonsle Before each exposure tease chock: "ne calration with thea ol the light locaton the muta elitr the sot SID wit ho tape measure on the multe colimator = matt the dominant te changed tre corect dominant savas selected ne canvalay onto the caret center wih the ado tho ace ne ight, local on the mullet eoimst | The signal lamps for alain ON must ight up Warning Ir ese radiation indicator ight up ethough no switch hs been sctated “© Switch te system of immedately! | Nott SIEMENS Uptime Serie, 4 Do not stat the system up agin,Operator Manual Accessories Chapter: Preliminary Remarks Proper use of the product Safety Orientation Use of several accessory components Chapter: Standard Accessories Grip protection stip Handgrip strip Handgrp Shoulder supports Footboard Chapter: Optional Accessories Accessories Table of Contos 2 “Accessories Table of Contents Cup holder holder Lateral cassette holder Cassette hoger wit varale positioning Crest heiger witout arate paatonng Foot switch assemblies for fuoroscopy and radiography Armrest Lateral radiation shila Holder for BABIK cradles BABIX cradios BABIX hanger Holder for pediatic eadle, manual Potiont positioning mattress Comaression cones Raciation protection for tableside examinations Raciation protection fr the upper body Compensating fiers Holding device for eight titers Three-tiold templates 30 31 ey 4 37 39 a 43 ar 50 51 82 56 etAccessories Preliminary Remarks Proper use of the product “This Operate Manual describes al the acessories provided by Siemens for the Proper use af the accessories presupposes that tho user has read and under steed this Operator Manual ie deta Inston, the user must be thoroughly far th th Operator Manual forthe basi system, Final, detailed knowedge ofthe appcabe safety regulon forthe mecha ‘equipment being used is mdispensable. These regulations a stein the "Sae- ty" Regier ate respective system Operator Mara, Esplnation of “proper use” soni af tuttated descriptions of attaching. us {ng and removing the accessory component Imporant information willbe emphasized and oncosod in 2 toxt box. ‘Situations nvotng the use of accessories which could endangor the patient the ‘operator the eaument wil be ernphasze with» WARNING, Safety For reasons of stety fo patents operators cathe aqument, only rg ae cessories manufactured and sod by Siemens o Semens approved accessories tom another manufacture ray be used ‘Siomens eanat assume any responsibil or acessories not approved by UsAccessories Preliminary Remarks Orientation \Whon using the acessories ano simply the description the flowing drec- tonal indiation sal appli this Operate: Manual with regard tthe working poston ofthe user: In front he patient table ooking in the rection athe ay tbe aft ste head ao he ptattable tight isthe foot ond ofthe patent abe frontal moans the longus sie ofthe patent tle cose othe operating ane Im batk mesns the longitu ie of the paint table aay from the op sting pana a 2 tur toward the right mean ighton azcessery ith ruled serene ale vor (cookies) tum toward the lat mana remve scessery withknusiad srews or vers or ther fastening ovens feountersoskwsel sarge “4 Turbos knurled sora toward the et ‘@ Push the grip protection strip on the head etinta bath accessory as “# Turn both knurled screws toad the night |@ Check hat he gip protection stip is sented securelyAccessories Prokmnary Remarks Use of several accessory components ‘Ts document aoscrbos thus of sng acceso componentin exch chap ter It you neod to work with sever! components during an examination, 2.9. com. ‘reson belt and shoulder supports thase components must be attached and ‘moved in the caret soquence because most’ accessory components are ‘Steched tothe patent tale using the accessory rl Example: | Gio prteotin erp and eotbosd aro akoady attached tothe patent abe You nee the shoulder supporsin action because they wi be hap for + Fst, you must remove the grip protection stp a5 describ in these instru ‘Then postion the pation nthe table Now attach ho shouier support. Nex push he grip protection stip back nto the accessery rails and secure. eaee ‘Check that all accessory components are securely tachedAccessories Preliminary RersarksAccessories "" Standard Accessories Grip protection strip ——— Application Hendrip and tinge protection fr patients diving examination ine ltr of ‘prone pasion ‘Attachment # Move te tabletop othe horizontal positon | Loosen the cap serews 1 on the gp protestion ap:Accessories Standard Accescories Warning “The ip protection stp is intended or the salety fhe patent in the prone po- the patent uses he gi rotation stip and net ne head ender these odge © Looson the cap sews 4 Remove the ap protection sip om the acessorAccessories Standard Accessories Handgrip strip @_____& Application Handarp strip fr mounting on the Font or back cessor rao assis nos tioning the patient ‘Attachment @ Move the paint abet the borzontal positon Loosen the right and et ap serene (onthe hand tin ——} | 1 2 MORNE ENEAccessories Standard Accescories # Tiomen bot ap sexes “© Mace sure thatthe hand sup is secure by puling ad pressing on it A Warning ‘Te handgrip stip provides adttona safety forthe patent. To provent ir 0 Ine patent's hands when moving the tabletop, make sure hat tha paint utes the handgrip it the esp sere and does nt hold onto the head end or the sid edge ofthe patentable Removal ‘© Move the patient abet the horzontal positon: # Loosen both cap serens onthe handarip stip Pulte handgyip stp ut of the aceestory i requ an adeitonal hands forthe fant accessory ral en be ordered athe Siemons Uptime Senco agnnst paymentAccessories Standard Accessories Handgrip [Applestion Thehindgip canbe mounted in herent or back accessory cio stable and secure patont postionng Attachment Move the patient abe to the harzonta positon: ' Holaing the base othe handgrip leosen the handgip (1 Slide the handorip ont he edge of he accessory tl end move nt pos | Tighten tn nano + Check hat ne hinds secu by sung ont Warning Z 4 x ‘Te hardgip provides atonal satay forthe patient To pravont in 1 the patients Rands when moving the abetp, mako sure that the patients using the handgrip and not he haad end or te side ede ofthe patient ab Removal # Move the patent bento the hrzontal positon: @ LessentoalenitekeAccessories Standard Accescories ‘Application Attachment Shoulder supports “To suppor th patient dzing examination in Trandlenturg postion, eg myeloganty {Aa Trendlenburg positon 16, he shoulder supports must be used, The max: ‘mum neightol the patent must no exceed 18D 9 1025" Trendetnbuy os In Trendelenbug pesiion =25, the max. patent weight af 150g must not be ovceeded Move he patient abet the hozental poston: Position the patent Loosen the cap srews [on both suopo1s Move he suppots into position on both acessor ras ‘Tighten the cap screws (1 Check he shoulder suppres: Looson tho cap screws 2 forthe shoutder pads + . . |# Pultbe shoulder pads ut upto he mide of the patent's shoulders . ‘@ Acjust hePsight ofthe shouder pads for secure and comfortable positioning:Accessories Standard Accessories Warning When in Trendlerburg poston, the patent i protected apuinst sipping only bythe shoulder suppers, Pullon he shoulder support tobe sure that they ere securely attached before moving the patent into the Tendolenbug postion, Removal Move the patient tale into the horontl positon Loosen tho cap sarews [en both ses “+ ul tbe shoulder supports out ofthe accessory rasAccessories Standard Accescories Attachment Footboard Postionng aid for examination of patents when standing o iting and for ack clonal uae with fe foot restraint or recumbent patents in TendelenBur po- “The maximum permissibo pation woight on he foetboardis 180 ko ‘The fotboars can als be atached to the head ond ofthe patent abe, he patent has to be tuned for positon ight heed end) ‘lockon positions each atthe headend and foot nd at adistanc of 20cm each are velale. “# Move he pant let the honzenta positon 1 Hold ootboudlateralyenthe hendrips and res the spingoadedhandgip {tips in the hands “the two rd burton (} must be visible + Insert he footbondanywherein the acconstony i at any place ofthe abe top nthe React range, fist en one se and then on the the ‘# Move he footboard to the desired positon (oekin positon WS PalieeeRieciarsisincitienicliiieiistimenishdiiitecerticedsAccessories Standard Accessories + Postion te patent. Warning L 4 Ss Be sue to check hat the fotzoard has lacked ino positon bere allowing = tents tosit ar stansanit yu vant t the patent tbe om he her zontal poston tothe Trendelenburg poston, you must secwze the pent wth the Shoulder supports or the fot restraints ot 1°, incase of a Trendeenburg pos ton > the fot restraints must be used in addition othe shuld supper. ake sre tht pationts standing on te footbesrs not ant tne handaip ans tne handgrip stp. Fr sdtions! safety, use the compression bel fr fa ‘very unsteady patent Adjustment Pross the spingSoades handgrip stpsin the handars the two rd brtons must be vile |# Move the footboard t the dasied positon (oekin positon, ' Release thohando sips and shit he ootboird sighty bak and forth unt itech i ne tw rd bstons must be flush with he ano Warning Z 4 \ The feetboaed may ony be unlocked, adjusted or removed when the tables a te rzontal poston nal ther ystom postons, the fotboard coud alot and presenta high isk of scsdons Removal # Move the paint abe to the horzenta positon: {© Pross the springoadad hana spn the handos tne two red brtons must be vibe; | Lit the footboard fst on one side and remove from the accessory it “© Remove other id ofthe fotbowd rm the accassry a [Maintanance note Increr to prevent infu of conuast modium ite tho Sockets, the podal must bo ‘covered with absorbent lagce materi.Accessories Standard AccescoriesAccessories hl je . Optional Accessories Head support Appleton Hote orronal examination. Canb asta in ight with and ara Attachment # Move tol tte orzo poston Loosen bot cap screws () for attaching the head suppet tothe accessory Insert head supportimo the accessory as atthe headend or foot end of the fable and move othe appropiate poston {© Tighten te cp sews (1 ‘@ Pull tbe hea supporto ensure tat its secure propery 1 Turn he folowing cap serevs as indested a permit adustvent of he (2) poston om sie ose. = Biheighe = Water trom 0° to «80° (dopendng onthe hoght set} = 18) pods (8) 1 the width of ho pation’ Read; tm tte ert | Sot the postion fom sie oso, ie TakanicteataganaanteAccessories Optional Acreszonos Removal Fae the stbiuing ars othe height requee. ‘Tighten th cap screw 8 Push and pul onthe stabizing arms to ensure they a8 seated prope “Tain the cap sews (5) cael tothe it. ‘Both pad stating arms will move toward he patent's head Ensure tho patent's heads sally stbivod. soeeee Warning ‘Taavoisinury tothe patient's head ensure thatthe stabilzng ame ae opaned suoanty and thatthe cap sorews [| ae not tightened oo much srr po stoning the patio = head nthe support ‘© Turn the pation’ head tothe ght required for the examination, (The seal ndiates the angle in degrees“ 4 Tionten to ea stow I, Ensure that he patient is comforabe and propery stabized “+ Move the patient able ta the ronal positonApplication Accessories Options! Acressories Knee crutches For facitating positing fr gmacological and woogical examinations '# Move he patent ble to the horzontal positon. 4 Loosen both cap screws i 4 Side anges (ont the accessory ra 1s Wenge Naknaiareauene ba eaNe ean.Accessories Optional Acreszonos | Raise the leg supports othe examination poston and aust the poston of ‘ne lags inward ar euard a {@ Tighten to cap screws 2. “Pull and push on the leg supost andthe flanges to ensute hey ate seated propery '# Place the eater pads oer the center of the patients lower eg ' Poston the svaps around the pains lower es. {¢ Tionten the saps spree Move the patent ble to the hotzontal positon. Release tho saps, Lt the patent's tegs er the le supports. I necessary, remove the leg supports by loosening the cap stews 2 1 Wrap the saps areund the la suppers . @ Loosen ho cap screws Remove the flanges from the accessory as Note on biological compatibilityApplication Accessories prions! Acces Compression belt Used for patient compression during thoracic or abdominal examinations 8s wo {5 for imobiing stesso vary al patent, Make sure tata races of contrast mac have been emoved rom he conn pression be. Otherwise, the ray image ul show atfocts Tho compression bot is ae of tansparentpastiand an be ceaned witha damp ct. “+ Move the patient able to the ronal positon | Position the patent on the tableAccessories Optional Acreszonos || '# Prass both erson fevers (2) outwars |# Check that he tensioning rele ie rly seated by paling ont | Pras the ratchet handle (downward The bot ie released Forvety obese patents the belt hole is easier to secure ityouarestncing a the back ofthe pation abe In this caso, and fr very resis oral pation, ‘we recarmpend tat someane asst you in attaching he compression ball “Lite older with the bel across the pationLoosening the compression belt Removal Accessories Options! Acressories ——") Pras he tension lover a out Chack that he holders seated fry by pling ont “Turn the cap serws onthe tensioning rater toward the ra ‘The bot i thon Push and pul back n tho ratchat handle 1, util the bel tensions optimal Check the bel tension onthe patent once again Move he patient tale tthe horizontal positon Press the ratchet harale back “Turn the cap sew (onthe tensioning role toward the ‘The compression bot wil nosen, Using he ratchet handle, eta lower belt tension Move he patient abet the horzontl positon ross tho ratchet haralo bck “Tarn the cap serw {3} en the tosioning rol toward the lt. ‘The competion bet willcosenAccessories Optional Acreszonos '# Prass both enson fevers (on the bt holder nr | Pulte belt holler backnard ofthe accessory a 4 Litho ‘Fat up the compression belt hallway using he cap sero, holder over tho patent. “+ Ploce tha belt alder next ta the tansioning rer, “© Pros both vers 2 inward on the tensioning ral. © Pul the tensioning role from the font accessor ralAccessories Options! Acressories Footboard Extension Extension bos for anaiging the surface of he footboard, speci fr aera patent postions. ‘The mmm perissite patent weight on he featboard extensions 180k. ‘The footboard tension i not montared by tho collin computer. Therefore proce with care whan tng the tabltep withthe fotboard ae extonsion sttaced towards the cing, ‘Witn he featioard extension the foot earns cannot be used Attachment 4 Move the tabletop withthe footbosd attached to approximately the 80° pos:Accessories Optional Acreszonos '# While exerting pressure on the extension boat, tthe meta gs ofthe ex tanson ina the hol ofthe feotboard om '# Push he feking ever I) on the rer othe faoboard a the way tothe sop inthe drecton ef the aro | Mace sure the fotbourd is attached my by pushing and pling it Removal Move the tabletop approuimatly the BO" positon (© Move he tabletop heaswards |# Push he leking ever I) on the our of he foatboain the action of he ‘comma ialApplication Attachment Accessories Options! Acressories Foot restraint Seety device for paints in Teendeenburg examinations ta relive the rSESUe en tho spinal clumn A Trendelenburg positon 240", the foo! estrints must be used in aden to the Shoulder supports. The maximum patent weight must rot exceed 1803 ‘The maimum patent Weight must not exexed 150 kya Tendelonburg post tion 345" “@ Move he patient tablet the horizontal poston | Push the fastbosrdint the working postin, ‘© Check hat he footboard ie locke by puting on Position te patent in the prone or supine positon with hse feet onthe footboars . ‘Attach ho font retain snugly around he ankles 4 Tighten the swaps. Warning if yousre using ony the foot restrain to secure the patent onthe patenteAccessories Optional Acreszonos | Move locking hance} an the rear of the fotboard in tro dvection and roid fat + Inserthe mets clin of the foot estan] nt the hoe onthe footboard po- | Whon positioned coroeth the paint heels or tvs should touch the pa ent able sight | Release the locking handle “© Check hat he device locked by pling on the foot restsRemoval Ccontroveare note Accessories Options! Acressories “© Move te patent tablet the horizontal poston Move locking har on tho oar ofthe footbearn arow ditecten and hold fast + + Pull tbe metal lip ofthe foot estan out ofthe hole inthe fotboard Loosen the straps 4 Litthe patent’ feet out of the fot restaint + ‘Check th foot restraints fr corect condition at agus tervals of apscox. 2 rronths ‘Chock especsaly the fer seating ofthe fastonng rivets, of supporting bats an ‘losing bots, aswetas he completeness of ther seam andthe condition othe leather foreracks and porous plans, Befor using he fot esr. akays check that the safety devices presont, Irth safety dvi isnot preset, then the foot restrain rust not be used any ‘placement though tha Siomens Uptine Service. ‘We recommend using &commercay avaiable impregnating pum spray er cleaning and cae.Accessories Optional Acreszonos Applicaton Inserting the cup Cup holder ‘valle ony with he"Compression ton Radiographic oxaminatons of th gatointestinaltvact. or patents sinking con trast meds fds ‘The flowing recuiremonts apply tthe cup and contents: “Dameter'55 nto 7.0m = Maxum tl quantity 250 com (0.28 He = Maximum fihaght 8 em Mater Rigi plastic osiiar materi ne poreelsin orgs. The cup Rote is permanent mounted an thee side a he compression cariage. I ean sing mand out, “© Filho cup with contast medium fui Insort tho cup inthe elder.Accessories prions! Acces IV holder 2 . kes Applieation —Forinvavenous thoapy or administration ofa contrast agent dung the asoog [Attachment Move the pint abe to the Porzona positon,Accessories Optional Acreszonos '# Position he W holder atthe weatment postion and cp ant he oecessony ‘allo se tant he aecssson ra + Tighten te cp stew “+ Push and pul onthe IV halder io ensue it seated propery {© Hang one or more V's onthe loops © To set he eight ofthe V hoder push he fing sng 2) athe removable upper section ofthe IV holder upward [as shown abave) and move the upper "tin tothe desied height. 1 Toc the height just lease the ng Hing ‘© Ensura that ho height usta rod is sated propery and sore ‘The lM holder an be used system positions upto 2°Removal . oe wees Accessories Options! Acressories Move the patent let the horizontal poston Remove thes. Push the feng rng (2) tthe removable upper section ofthe Vholdor upward and mave the upper secton downard Release the thing ng (2 Ensure thatthe upper ston and extension rol are seeued Loosen tho oap serow Lt he base ofthe V hol fom the aecessory rl rs ofthe acces serra.Accessories Optional Acreszonos Lateral cassette holder Application Forlatel exposures using 2 second Xa tbe; the esssete upright ‘There are two dtfrent versions of he cassette holder: ZF Bf 1. sith varable postionng 2, without varabe postionngtachment Accessories Options! Acressories Move the patent let the horizontal poston Poston te patent. Loosen tho cap screw i Pace the cassette hlder onthe accessory rand mave to the exposure ‘Tighten the cap sere 0 Push and pul the cassette holder to ensure that its seated propery seeee + Lt he tensioning devin 8 Place the catstte onthe lowe hale Side the tensioning dovice downward Ensure that ho cassoto fs soated prpaty inthe ldo. Loosen tho cap srew (2) to permit adjustment of thaheight and he cap sore 2) 10 permit isteral adjustment |Win he patent postione forthe examination, adust tho height and lateral tuto the cassatt, Tighten the cap screws (2 and (8 “Enum shat the wtuant ie atatiteedl and eorvteetabhe.Accessories Optional Acreszonos Removal Move the patent let the horizontal poston ‘Asis the pant in stepping down frm the patent ale. Holter or eight aston Loosen the sp erew 2 Lit the rl forheiht austen Tighten the cp sew 12) Loosen tho cap screwAccessories Options! Acressories Cassette holder without variable positioning [Application Forlsterl encour with «second Xray tube: to ald he asset upg wih ‘te tabletop ithe horizon peston ‘Attachment @ Move the paint abet the horzental poston. Warning Use this cassette hole onlyfhepatiant abe wilremain inthe horzotal po- sion toughout he entre examination procedue. The cassette hold wil all ihe patent tabi tied. Obeervanoe of this racommendation prevent po- tential iury othe patient cr personel as wel as enuipment damage 4 Position the pint, ‘# Ensuro that he patent is comfortable and staid,Accessories Optional Acreszonos Removal | Sido the cassette into the bracket of he cassette holder, “© Ensue that he asset sestd pray inthe had. ‘ Position the cassote holder onthe tabletop a he patent in the location ap opt fo tbe examination, Ensure that he cassette holier stable Have tho pation plas hisher hands onthe ap protcton sro. the arp sro. ‘orthehindgrs depending on theenrinaon procedure, This wilinetee the Patents feng of security during te examination. |# Remove the cesstt rom the bracket of th cassette alder. 4 Flemove the cassette hades rom the tablet, “# Assist the pationt in stepping down from the tabletepApplication Accessories Options! Acressories Foot switch assemblies for fluoroscopy and radiography For releasing radiographic or fuoroscopic exposures during tableside examina | Insert the oot sich pg into te septa inte electronics cabinet, “# Turnthe locking ing of he plug othe right unt the connectors seated prop ey “ Route the cable along tho flor appropriately. | Poston te patent. Route the cable caefly to voi salty hazards (e.g Wiping o rot permit the whoos of anspor devices such a carts and whetlchaks to run over the pedals of ho oot suteh assembly ‘ince this could cause inadvertent radiation release, “The flowing stops requesraiaton release. Mine sone: meieiianersiaddion:Accessories Optional Acreszonos Removal Releasing Muoroscopy | Stapon the ight pad oot witch or uerascopy) Cantinue pressing dawn ‘onthe pedal a ong 3s furoscepy should rnin stv, 1 Let goof he pedal | Puoroscopy then ends. Releasing atioaraphy + Stapon the et pos fot sith for adiagrahyl,Contine to press down ‘on tho pedal unt the exposure has enced |The exposure has ended when the oition ON intern he remote con ‘vo console goes cut 1 Lot go of he podal Depending onthe requoney of use, you can eave the foot swich attached or dduccnnact eter the examination, © Tuite incléng sing cn the cable pling to tee lofAccessories Options! Acressories Armrest oa) [Application For scusing the patent's sm or nctons, N's, rinseron a athe. ‘Attachment @ Move the paint tbe to the horzona positon + Poston ne patent. © Open the ctmping ever (0.Accessories Optional Acreszonos Place the sap over the patient's atm and under th pe Prass down on the ela eee Ensure that he patent’ am stable and combo Removal @ Nove the pint able tothe horton positon. Pall the clamp upward and leosen he stp. Rais the patient's arm rom the ares. ‘Open the clamping lve (tl Flemove the armies rom the aocessory a seeeeAccessories Options! Acressories Lateral radiation shield mn For adtonal adation protection during tableside operation of exposures Applica ‘Attachment @ Nove the pin able tothe horzona position, { Looson tho right andl ap screws onthe ator radiation shi beer tiie ec del ccmeeenc innit Bin demeAccessories Optional Acreszonos Removal # Move the pin ee tothe horzona positon | Tike adation shold to the verbal potion, © Loosen both ca screwsApplication Attachment Accessories Options! Acressories Holder for BABIX cradles For pela examinations using BABI cradles with he patentable ited orn “© Move he patient tablet the hozontal positon: 4 ‘Slide the 8A holder wath the hook along the fant a rer accossary ro the center ofthe patient able and maveit tothe exposue poston 1 Tiomen ne cap sere “+ Pulland push the holder to nr that seated propery A Warning “Tigten th cap serew and ensure that itis secu, Remember thatthe BABIX holes the sole means of supper fr the hanging BAEK cade. Securing the cap screw propery ansves tht the BABI holder wil nt side dawn the 9° “@ Place the hangor of the BABIX cra onthe heok ofthe BABI har.Accessories Optional Acreszonos | Tako the BAB cradle with the infant taf the examination em and attend 1 Looson tho cap serow: | Remove the ABIX holder fom the accessor aAccessories Options! Acressories BABIX cradles Application For peditic examinations with the patient table inthe vertical x horaont ps ‘The BABOK rads are made of tansparot,radiolucant plastic ‘They ae avaiable 2 shapes: BARK: Is uitable fr examinations onthe hed to vet tabltapin which the body of the infant must be fly encased in a svaght pasture. ‘Only in connection with the holder for BARK cradles.Accessories Optional Acreszonos Attachment BaBIK Fa: ‘This shape is suitable for pai and spinal examinations. The fet eae can be placed sey an the abl in the horzontl poston. othe sade ‘The intant canbe secured in the abdominal region though sts a tho sides. Use tne ubber or Valeo taps provided fr immobilizing infants © Mave the patient abe tothe harzantal or vere poston as needed 4 If me abl notin the heizontal positon, insert the BABOX toler to the ansessary al, poston i and s2cure it “# Push and pul onthe BABIX alder ta ensure that tis seated property | Bring the BABI crac uth the Secured inant inte the examination 2mRemoval Information on the possibility of wear Clesning A Accessories Options! Acressories 1 Flemove the BABIKU fom the holder ‘# Tako the BAB cradle wit the infant ov the examination oem and tnd tothe infant “# Hong the BABIX crac onthe corresponding BABIX ack and store aperop eh, Radiation protectin vale ‘The atenuston equivalent of the BAX eae <1 Simm A Pormiesbe ood ofthe BABI ead ‘Site 600 re Bg Size T0500 mm: 10 kg ‘Sie 1000 nm: 5k9 Inateiton to "Aeeessories’ pease nate the folowing information concemng the poss of wear on BABIX ead ans thor mobilizing straps 1 After rolanged use eras may formin the PC plastic materi The immobizng stiaps may stow wer, 4 Folowngavisul check, the detective parts have lo bereplaced i necessary, ‘ortho entre BABIX cradle has obo aisposed 0. The tensiesshear svength othe welded chains, rackets and tings hes boon designed 3 ao onsuce a eae factor of 20, | Hany externa drag can be seen on hese parts, they must be replaced, The BAEK erases canbe clean using commercial vase detergents and disinfectants, Caution De mot use chemical-based slvents!Mounting the ABIX hanger‘Removing the BABIX cradles Keeping BABIX era: ‘ies Accessories Options! Acressories Pu tbe BABOXrade careful out rom the lt of te BABIX hanger Hols te cradle ont Lut he cra off rom th wooden hook ofthe hanger Place the BAEK cradin ona secur bate Immabiie the infant securely nthe cradle ‘Chock forthe sto poston ofthe infant inthe BABI cradle . | Poston he infant caraflly and comfortably inthe BAB cradle . {# Bring the nian ita the akan prepared Xray teom forthe examination, | Remove the infant rom the cae a tan othe fant “© Cary the eral to the BABIX hanger of suitable shape and length “Hook the cade on the wooden hook with he pening towards the hanger “ross tho cra at th two longitudinal ios int the lt of ho hanger '# Check or fim saaing ofthe BABIX cradle in the BABIK hanger. Holder for pediatric cradle, manual > See separate Operator Manual ‘This holder nor lea aval fer oonas 200,Accessories Optional Acreszonos Application Attachment Patient positioning mattress Mausess for tachment tthe ip protection sp fr camfrtble patent pos tenn {# Attach are protection stip to head en ‘@ Place the mattess on the tabletep and pull ops ovr the cap screws ofthe i protection stp. Radiation protectin vale ‘The attenuation equivalents <0. mm AlCompression cones Examinations ofthe pastosntestnal ct “Three one shapes are avaiable: Accessories Options! Acressories rami optional Tattened cone [stancar) neepapen. pointed cone (optionsAccessories Optional Acreszonos ‘Changing the cone ‘shape Attachment Removing 4 Hols the cone ar with one hand ‘© Grasp the cane with your etor hand and push eu ho sido fom the holt Inserting 1 Place the cone arm with the opening upmard on afm sstce Insort the cone lateral and press tin unl it snaps into place ‘Move he patent able tthe horzonal poston = The compression caiage should be ihe uppermost poston. 1 Hold the compression cone so that itis haan ' Insert the pins of the cone mint the onering in the compression earioge upto the step Theos lever eck et place, .# Pullon the cone atm and cheok for firm seating ofthe cone arm © Poston te pation. |# Mave the cane int the compression positon For safety reasons the misimum compression canot be exceeded. The com pression drive i automaticaly shut off when itreeches the maximum compres-Removal Patiant assistance Accessories Options! Acressories “© Move te patent tablet the horizontal poston “# Move the compression carriage one notch upward

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