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00000525 - Rev.1 - KMC650 - OP Manual (EN,해외)
00000525 - Rev.1 - KMC650 - OP Manual (EN,해외)
FOR
MOBILE C-ARM X-RAY SYSTEM
KMC-650
No.00000525-00
KMC-650
(Fluoroscopic X-Ray System) 1023
Doc.No. 00000525-00
Operator’s Manual
CONTENTS
1. Quality Warranty
Scope & Duration of Warranty
Every products manufactured by GEMSS Medical Systems CO., LTD. are warranted to be free from defects for a
period of one year after purchase date. If during the warranty period the product you purchased is found to be
In the case of one of the following, however, a certain amount of service fees will be charged.
• Defect or damage in appearance which is not related to main function of the system.
• Damage resulting from repair or modification by someone other than GEMSS or the authenticated by GEMSS.
Any or all defect or damages in appearance, which do not affect the main functions of the
- When a defect is found, stop the using immediately. It is strongly recommended to refer to related material on
- Before a service request, must power off the entire system and check the model number, serial number, and the
Any product with a defect in appearance only shall not be returned to nor replaced by GEMSS.
GEMSS shall not be liable any incidental or consequential damages arising out of or relating to the use of the
product
GEMSS shall not be liable for any damages or losses occurring after the warranty period
This Quality Warranty prevails over the detailed Warranty for fitness or all other warranties in relation to the product
WARNING
Though this equipment is built to the highest standards of electrical and mechanical safety, the
useful X-Ray beam becomes a source of danger in the hands of the unauthorized or unqualified
operator. Excessive exposure to x-radiation causes damage to human tissue.
2. Symbol Explanations
No Symbol Explanations
1
~ AC voltage
2 DC voltage
4 Ground mark
5 Warning mark
6 Type B mark
3. Introduction
The KMC-650 is a great solution to produce radiological images of patient during medical
operations. This inverter control X-ray unit visualizes the anatomical structure on screen, which is
obtained by X-ray fluoroscopy and the image intensifier. This system can be applied in emergency
room, operation room, cast room or etc. of hospital.
The KMC-650 has following features
(1) The high voltage generation circuit uses the method of inverter with a high power of 3.0kW,
to ensure that stable X-Ray with small amount of ripples are obtained.
(2) The X-Ray tube system uses the X-Ray tube with fixing anode and minute focus, thus
enabling to obtain high-quality images necessary for the longtime operation or diagnosis.
(3) Control panel adopting TACT key, segment display for excellent controllability and visibility.
(4) Soft but solid motions of the large size C-Arm, which has a 650mm radius, gives facility to
perform an operation.(Depth:692mm)
(5) For fluoroscopy, the collimator is used to reduce an unnecessary irradiation of X-Ray..
(6) Using the built-in SNAP SHOOT mode, the image quality is improved further and it can built-
in DIS(Digital Interface System) in option.
KMC-650 should be operated by authorized person under law only, like a doctor or a
radiologist.
4. Basic Application
5. Composition
This product is composed of the X-ray support, the display device, accessories, and
options. Detail information of each component follows below.
(3) Accessories
Disinfected covers (Two sets of three kinds of cover, including four of clips)
Operation Manual
(4) Option
DIS(Digital subtraction angiography)
6. Marking Plate
(1) SPECIFICATION/COMPOSITION LABEL
SPECIFICATION LABEL
(4) FUSE WARNING, TUBE FOCAL SPOT LABEL & LABEL POSITION
① FUSE WARNING LABEL :
:Under the fuse board cover
☞ Make sure that read and follow the manual before
using this equipment.
7. Safety Precautions
1. Only an experienced expert can operated this product.
2. When install the system, the following must be considered.
(1) Install away from a water.
(2) Install so that the system is not influenced by air pressure, temperature, humidity, ventilation,
sunlight, and the air containing dirt, salinity, sulfur or etc
(3) Consider stability, free of slope, vibration and shock, in placing as well as in moving.
(4) Avoid place where gas is leaking and where chemical storage is nearby.
(5) Carefully follow the power specifications, such as frequency, voltage, current and power.
3. Before using the system, the following must be considered.
(1) Check connector contacts, polarities, dial settings, and measuring devices. Make it sure that
everything behaves precisely.
(2) Make every junction safe and correct.
(3) Aware that using a machine may result in unreliable judgments or give rise to a dangerous
situation.
(4) Carefully checking again what contacts the patient directly.
(5) C-ARM disinfected cover should be disinfected every time before use.
WARNING !
In the operation, disinfected covers of C-ARM, Tube and I.I. must be disinfected to prevent the
patient’s infection
WARNING !
Do not let the operator, doctor or nurse but patients touch the system and the patients at the same
time! It might be occurred the patient leakage current.
WARNING
In the normal fluoroscopy mode, it is desirable that shooting X-ray for 5minutes continuously, and
5minutes break, and then 5minutes shooting, and 5minutes break again. In the radiography mode,
it is desirable that shooting X-ray 1 time, and 40seconds break, and then shooting 1 time, and
40seconds break again. In the boost mode, you don’t have to push the foot switch over 3seconds
per 1 shooting, because the X-ray exposes just for 3seconds per 1time shooting in the boost
mode. As above, it is desirable that shooting X-ray for 3seconds per 1time, and then 30seconds
break, and then 3seconds shooting, and then 30seconds break again in the boost mode.
WARNING
If the tube is overheated, thermal sensor attached to the exterior of it warns the system and ‘Tube
Limit’ sign will be displayed on the TFT screen. Then the machine can work again by the time the
tube gets cooled.
WARNING
The significant zone of occupancy has a floor area not less than 60x60cm, and a height of not less
than 200cm
5. After operation, the following must be considered.
(1) Restore switches and dials to initial states and power off.
(2) When disconnecting the power cord, be sure to hold its plug and pull it out gently.
(3) When keep the machine, the following must be considered.
1) Keep away from a water.
2) keep so that the system is not influenced by air pressure, temperature, humidity, ventilation,
sunlight, and the air containing dirt, salinity, sulfur or etc.
3) Consider stability, free of slope, vibration and shock, in placing as well as in moving.
4) Avoid place where gas is leaking and where chemical storage is nearby
5) Put together accessories, cord and connecter etc after cleaning.
6) Machine must be clean for next operation.
6. If the system breaks down, leave a suitable mark on it and let the expert fix the unit.
8. Maintenance
(1) Follow the maintenance procedure in the chapter 12.
(2) When the machine is not be used, check that the system works correctly and safely before.
9. If the tube is overheated, thermal sensor attached to the exterior of it warns the system and
‘E16’ sign will be displayed on the screen. Then the machine can work again by the time the tube
gets cooled.
10. etc
Please try to follow operation on this manual.
-15 - GEMSS MEDICAL SYSTEMS CO., LTD.
No.00000525-00
8. Specifications
2) Rating
(1) Macro focus rating
Tube Voltage 40 ~ 100 KV
Tube Current range 8 mA Snap shot Mode
20 mA Boost Mode
mAs range 8 ∼100mAs 14step
mAs step
8.0 10.0 12.0 15.0 20.0 25.0 30.0 40.0
50.0 60.0 70.0 80.0 90.0 100
4) X-ray control
(1) Type MICRO PROCESSOR controlled digital interface
(2) Fluoroscope Mode MANUAL mode
ABC(Automatic Brightness control) mode
(3) Radiography Mode MANUAL MODE
5) X-Ray tube
(1) T Y P E Fixing anode X-ray tube
(2) TUBE NAME TOSHIBA DF-151SBR
(3) Focus 0.5mm / 1.5mm
(4) Anode Capacity 50 KHU
(5) Maximum tube voltage 110 KV
(6) TARGET angle 16°
(7) Unique filter 0.8 mm Beryllium
(8) Cooling type OIL COOLING
(9) FILAMENT volatage Fluoroscopy(Small) – 4V ~ 6V
Radiography(Large) – 4V ~ 12V
(10) Operation voltage 40 ~ 110KV
(11) Operation current Fluoroscopy(Small) – 0.5 ~ 4mA
Fluoroscopy(Large) – 8mA, 20mA
Radiography(Large) – 20mA
8) Radiography support
(1) C-ARM movement
C-ARM Inner circle space 797mm
C-ARM depth 692mm
C-ARM Orbital movement 135°
Horizontal movement 200mm
Vertical movement 450mm
PANNING ± 12.5°
Width 800mm
(2) C-ARM rotation
rotation range right 180°, left 180°
Locking Manual
9) Accessories
(1) Disinfected covers two sets of three kinds of cover (Four of clips)
10) Option
(1) DSA Digital subtraction angiography
C-arm Unit
Movement
9. Electric Safety
(1) Check a suitable voltage and capacity between PSU(Power Supply Unit) and Systems
(2) Check correctly connected all connecting terminal(voltage-line, optional device etc)
(3) Check the system correctly earthed (If not correctly earthed, a noise may be occurred)
WARNING
To reduce noise during examination, do not place the system near a voltage generator, broadcast
lines nor any other X-ray devices. And use exclusive power and be sure to earth the system.
Noise can make screen distorted and interfere with getting an uniform screen.
WARNING
The KMC-650 can be used in ~220-230V mode. If you want to change the input voltage mode, it
should be handled by expert of this system. You should call GEMSS R&D center before changing
the input voltage.
F5 F4 F3 F2 F1
PSU BOARD
Fuse # 1 FUSE 1 3.15 A/250V
MAIN POWER
WARNING
- When you change fuse
1. You should check the rating, power, part no., and marking according with the
manual.
2. It should be performed by an expert or an engineer who is well trained.
♦ Do not install and operate the machine at any of the places described below.
Highly humidified or dusty place
Places exposed by direct sunlight
Places with poor ventilation
Places with high salinity, leaking gas, or chemical material
♦The machine should be within the following temperature and humidity. Also, strong vibration
would be harmful to the system
♦ Initial status
When powered on, the startup screen (FIG 11.) is displayed on the SEGMENT. (During about
10sec and not allowed input with key)
After10sec, Initial display will be changed like as Fig 11. And displayed normal fluoro
offset condition “60KV, 1.0mA”
[Fig 13. The locking lever of the left-right rotation of the C-ARM]
♦ Steering movement
To move the whole C-Arm, push the front-side of the break pedal to release the
steering handle and the break. Hold the handle of the main unit, and move it. Use the
steering handle to change the direction
♦ Fixing
Fix the unit in a new location by pushing the back-side of the brake pedal.
2) OP – BASIC CONTROL
1. FLUORO S/W
2. EMERGENCY S/W
3. OP – PANNEL
Collimator forward-backward
B
direction Open-Close
J ABS KEY
K KVP DISPLAY
L mA(mAs) DISPLAY
M MEMORY DISPLAY
P STORE KEY
Radiography key
R
READY & X-RAY ON Key
ALRAM DISPLAY
Fluoroscopy Switch
U
(instead of the Foot Switch)
V Emergency Switch
C-ARM Up
While pressed, C-ARM goes upward direction.
Automatically stopped a maximum height 1370mm ± 15mm
position
C-ARM Down
While pressed, C-ARM goes downward direction.
Automatically stopped a minimum height 920mm± 15mm position
CW collimator rotation
Rotate the range of the X-Ray to clockwise direction.
E. LASER Key
LASER On Key
Be capable of adjusting the operating position easily, with a high-
brightness laser beam.
ABS KEY
Activates ABS(Automatic Brightness System)
function
Memory key
The key to store the image to 16 if we push
STORE key at the seeing Monitor through.
Zoom key
The key to choose the size of image.
Radiography key
This key is same function with Hand s/w.
When pushing ready s/w, system is ready to
exposure state.
And pushing the X-ray s/w enable to exposure.
Fluoro Switch
Start Fluoroscopy. You can use foot switch either. Both keys have
exactly same function.
Emergency STOP
If emergency arises on positioning the C-Arm, press the Emergency
switch. Then the movement stops immediately, “Emergency S/W
Pressed” is displayed on the LCD and alarm sounds. To escape the
emergency state, turn the Emergency switch clockwise direction.
5) MODE FUNCTION
The area:
The area:
The area:
BOOST MODE
Boost mode select key
When pushing the foot s/w, x-ray emission is
continued 3sec with highest current(20mA).
The area:
RADIOGRAPHY MODE
Radiography mode select key
The film must prepare the cassette to install.
Should be use hand s/w or ready and x-ray key in
OP- pannel.
The area:
mAs step
8.0 10.0 12.0 15.0 20.0 25.0 30.0 40.0
50.0 60.0 70.0 80.0 90.0 100
6) ALRAM DISPLAY
WARNING !
Operating the hand switch comprise two procedures. Though you jump to the second
procedure at once, X-Ray emits after two seconds.
WARNING !
For complete X-Ray emitting, HAND SWITCH BUTTON must pressed until the
end of the X-Ray emitting
WARNING !
The hand switch is a dead man switch, which means that you should hold to
press the button during the whole X-ray emitting procedure. In any case you release
the button before the emitting is over, the procedure stops, the examination does not
finish. But it can be restarted without any problem.
WARNING !
In order to protect the tube, the machine should have enough wait time. After each
fluoroscopy, this system has the wait time of 30 seconds
(3) CLEANING
Keep the machine clean when it gets dirt, especially after a surgery.
To clean the main-body, turn off the power and pull the plug out from the outlet.
Scrub surfaces smoothly with soft fabric or gauze.
Keep the machine clean when it gets dirt, especially after a surgery.
WARNING
Make sure the disconnection from the mains before cleaning the unit !
Clean the extra covers, carrying handles, foot switch, hand switch, breakers, X-TV
monitors and the accessories using a damp cloth.
WARNING
Do not keep near the magnetic stuffs and water pails etc! They might bring a serious
harm to the system
-47 - GEMSS MEDICAL SYSTEMS CO., LTD.
No.00000525-00
13. Appendix
(1) Error Message
When an error occurs, error message appears on the SEGMENT and indicates what the
problem is.
Point 7 Point 8
☞ NOTE !
The statistics and specifications of this unit and manual can be modified with or without
notification for the improvement of performance and safety.
INDEX
1. INTRODUTION p. 56
2. QUICK START p. 58
A. Composition of a picture p.59
B. Turn on the system p.60
C. Set the study Information p.61
D. Select the operating mode p.64
E. Acquire an image p.64
F. Image Tools p.65
G. DICOM sending p.66
H. Load Previous Images p.66
I. Quit p.68
3. Database p. 69
VIEW p.69
EXAM p.69
CONTINU p.69
NEW p.70
DELETE p.70
EDIT p.70
TRANSFER p.70
EXPORT p.71
SEARCH p.72
4. Viewer p. 74
SAVE
-54 - GEMSS MEDICAL SYSTEMS CO., LTD.
No.00000525-00
IMPORT
SENT TO SERVER
DICOM &MACHINE
PACS
SYSTEM
MACHINE
PRINTER
IMAGE CONTROL MENU
1. Introduction
Thank you for choosing our new CXVIEW system for KMC surgical C-
ARM unit.
CXVIEW supports your surgical C-ARM system with very essential and
useful features for managing the unit and images.
CXVIEW has various image tools. Also with DIS system, volatile images of
surgical C-ARM will turn into very well organized DICOM database. These
features are integrated in a single system, providing full access of useful
functions.
1. RS-232C COM1
2.RS-232C COM2
3. RS-232C COM3
4. FRM-11
4.1 Camera Link
4.2 Digital I/O
Standard
• Make sure all the connections are tight and fixed. RS-232C cable should be
plugged in COM1, COM2 port of PC System.
• Try to use isolation adapter for RS-232C connection. This is for the safe
grounding of RS-232C port of PC System.
2. Quick Start
A. Composition of a Program
Display Window
[FIG 2. DB View]
B. Turn on When power switch is on, both the C-ARM unit and the PC system
begin the booting procedure. When CXVIEW is loaded without problem,
The system. following screen will appear.
C. Set the study In the left monitor, ‘NEW’ window is opened. You can set study
information here.
Information.
If you want to change the other patient or Exam after finishing an
operating, you should finish the DIS program at “Close Study”
( )
Select Image
D. Select the In KMC-650 unit, select operating mode. You cannot enter each
operating mode in CXVIEW application. CXVIEW shows which mode
operating the system is operating in
mode
Again, before selecting operating mode, set the patient information first.
E. Acquire When the image you want to save appears on Main View window,
click Memory button on ‘Memory’ layer of Control window or press
an image
memory button on the touch screen of C-ARM unit. Then the image is
captured and you can see the image on Display window of the right
monitor.
F. Image Tools Now we consider the right monitor. In the right monitor, you can see
‘Display Window’, ‘View Thumbnail’, ‘View Thumbnail Toolbar’ and
‘View Toolbar’.
To save images and information in CXVIEW, the system has its own database system so normally you
don’t need to care about a DICOM file.
But sometimes you still need to extract a DICOM file to copy or to backup, etc.
To view one image, select the image and it will be highlighted with a
green line. Then click View button below the thumbnail window, and it
will be loaded in Display window, of the right monitor. The patient
information is along to the image, and you can check image information
in Display Window (Read chapter 4 to know how to check patient
information in Display Window). To load all images of the Exam, click
I. QUIT
First, In the DIS program Exit ( ) click
3. Database
In this chapter, you will learn how to manipulate patient information and
Images. To select a command described below, Click an item on the
Database View (FIG 12)
VIEW
Search the patient and View the Patient Information at the Monitor.
EXAM
Before exists Work list, existing patient Examination.
(Created new Study)
CONTINUE
The patient exists in the EXAM tree, to continue a study of the patient.
NEW
Add new patient & new Exam. Fill the dialog (FIG. 4) with the patient information and
new patient is created
DELETE
Delete an Exam. You should select a Exam to perform this action. Every images of the Exam will be
deleted too, and never be recovered. Be careful to use this command.
EDIT
Edit patient & Exam information. You should select a study to perform this action. Dialog box shows
up, and edit patient information as you want and confirm.
TRANSFER
Send every image as a DICOM format of selected EXAM to Display Window.
EXPORT
Export an image as a *.bmp file, *.jpg file, *.dcm file, DICOMDIR. You should select Exam to
perform this action.
And, the selected Exam List will be saved to the CD disk,
Converted to the DICOMDIR automatically
SEARCH
Search a patient in the patient tree. You can search a patient with name, or ID string
(Select search option in the dialog)
4. Viewer
In this chapter, you will learn how to view images, use image tools on it and manage
image information. This will cover every features on the right monitor screen.
A. Displaying Images
▌Thumbnail Window and select an image to view
When you acquire images from surgical C-ARM system, the images are displayed in a
row in Thumbnail window. You can scroll images with scroll bar and select an image to
view in Display window.
To load an image in Display Window, double-click on the image you want to see in
Display window.
▌Selected key image view and Delete images in Thumbnail Window
When you click on an image on thumbnail window, the image will be highlighted with
a Yellow line. This Yellow line means that the image is selected in thumbnail window. It
is different from the main image of Display window, which will be described in next
section.
B. Image management
▌Load/Save Option
• Save
( )
• Import
( )
- Existed Patient in Database DICOM file, load the Display View, Save and Transfer
Server.
• Send to server
- Transfer IMAGE File, DICOM file format to Server.
Select Want Transfer IMAGE in Thumbnail Windows
Click the Mouse Right Button “Send to server”
( )
• PACS
Appear setting Dialog, Select the PACS.
Select Server of Change setting and Edit Button
Modify Display Window Text and“OK” then “Select” Button click.
• SYSTEM
Change IMAGE PATH and Search option and Monitor setting in “System TEP”
Setting Dialog.
• Machine
Via Change Operator, input the ID and Password enable Machine TAP.
( ) Paper print is appointed as a “basic printer” used in the window.
If there are no printers appointed in the window, no images will be displayed
in the paper print preview. Please register printer at“Windows print setting”.
Imager setting ( )
(Option)
[PRINTING_INFO-1]
AETITLE=PRINTSCP Print Name
HOSTNAME=127.0.0.1 Print IP Address
PORT=104 Print Port
DESC=TEST SERVER
ALIAS=EM
SEND=Y
PRINT_LEVEL=S
PRIORITY=LOW
REG_APP_NAME=SCAN
WAIT_COUNT=1
Recursive Filter
1, 2, 4, 8, 16
A dialog (FIG 28) will appear, and you can manually adjust brightness
• Horizontal Flip
( )
- Flip image horizontally.
• Vertical Flip
( )
- Flip image vertically.
• Inverse
( )
- Get a negative image.
• Window Level
( )
-
• Left Rotate
( )
• Right Rotate
( )
• Gamma
( )
-
• Magnify
( )
• Layout
( )
Display Window mode 1X1, 2X2 and etc change button.
- Info
( )
- Overlay
( )
Image Information The information is displayed at each edge of left corner of
monitor as a form of “OVERLAY”
• Annotation
• CINE
- Run CINE
CINE-REC
CINE PLAY
Speed Cine
- DSA
- Roadmap
“Roadmap” ( ).
5. Trouble Shooting
Captured image have interlaced lines on it.
It happens when you capture an image exactly when A/D converter triggers on
NTSC video signal. Please try again to acquire a good image.
I changed Host address setting for DICOM transfer but it still sends images to
old address.
You should reboot the PC after you change DICOM.ini file.