OPERA T Operator's Manual Guide

OPERA T
OPERATOR'S MANUAL
OPERA T - OPERATOR'S MANUAL CODE 62235 - REVISION 13

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R/F Remote Controlled Table
OPERA T
Manufacturer: GENERAL MEDICAL MERATE S.p.A.
Via Partigiani, 25
24068 Seriate (BG) – Italy
Tel. +39 035 45 25 311
Fax +39 035 29 77 87 / 29 95 37
www.gmmspa.com - info@gmmspa.com
The original version of this publication was drafted in Italian and will be referred to for any controversy
regarding interpretation of the corresponding versions, translated into several foreign languages.
The contents of this publication may not be reproduced in any manner with any electronic or mechanical
means. It cannot be distributed in any manner without written authorization issued by the manufacturer.
The manufacturer reserves the right to modify/update this document without notice.
REVISION HISTORY
Rev. Date Notes
01 May 2005 New version
02 July 2005 Added T30 section – added labels section / position label
Updated planned maintenance table
03 October 2005 Changed identification labels position picture-added new equipment identification labels
03 November 2005 Changed labels
04 November 2005 Added Peristepping (angiography/phlebography stepping) function to push button (27) and
(28), added function Led 10
05 February 2006 Added Periscanning function – push button (26) – updated maintenance schedule
05 July 2006 Corrigenda for push buttons (22) (29)
06 May 2007 Added warning symbol about fingers squashing, added section : insert the X-ray cassette in
the table cassette holder
07 November 2007 Updated console push buttons (22/63/64/65), updated the infotec
08 January 2008 Updated collimator section/collimator extra focal collimator radiations/added section setting
the patient free from collimator
09 February 2008 Replaced the section setting: “patient free from collimator” with new section “Manually
remove the compressor”.
Paragraph 1.2 “Symbols of advice positioned on the equipment” has been completed, by
adding 3 additional symbols. In the paragraph 22.1 “Mains supply”, the current absorption
10 July 2009 value has been changed from 15A to 20A.
Chapter 20 “Functioning and safety checks” has been revised. General revision of the index,
and of chapter and paragraph numbering.
11 February 2011 New error code 165 entry following positioner software upgrade from V1.6 to V1.6A.
Global revision to update all chapters.
12 April 2014 Modifications and additions for compliance with regulations IEC 60601-1 3rd edition, IEC
60601-2-54, IEC 60601-1-3.
Additions and update of the following sections: applicable standards, labelling, symbols,
13 August 2020 accessories, intended use, dimension drawings, environmental conditions data. Dual Energy
function.

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OPERATOR'S MANUAL OPERA T
GENERAL MEDICAL MERATE S.P.A. CODE 62235 - REVISION 13
TABLE OF CONTENTS
1. GENERAL NOTES .......................................................................................................... 7
1.1. Typographic conventions.................................................................................................................. 8
1.2. Warning symbols on the equipment ................................................................................................ 9
1.3. Functioning supplementary symbols .............................................................................................10
1.4. Applicable Standards and compliance............................................................................................11
1.5. Classification (IEC 60601-1) ............................................................................................................11
1.6. Electromagnetic compatibility (EMC) .............................................................................................12
2. GENERAL DESCRIPTION.............................................................................................. 15
2.1. Intended use ...................................................................................................................................15
2.2. OPERA T range ................................................................................................................................16
2.3. Components and configuration ......................................................................................................17
2.3.1. Image receptors .......................................................................................................................17
2.3.1.1. Spot Film Device and cassette division program .....................................................................17
2.3.1.2. Image Intensifier and TV chain.................................................................................................18
2.3.1.3. DR flat panel detector ..............................................................................................................19
2.3.1.4. R&F flat panel detector ............................................................................................................19
2.3.2. Collimator .................................................................................................................................19
2.3.3. Compressor ..............................................................................................................................19
2.3.4. Grid ...........................................................................................................................................19
2.3.5. Control console ........................................................................................................................20
2.4. Performance ...................................................................................................................................21
2.4.1. Tilting........................................................................................................................................21
2.4.2. Tabletop ...................................................................................................................................21
2.4.3. X-ray tube stand .......................................................................................................................21
2.4.4. Linear tomography ...................................................................................................................22
2.5. Technical features...........................................................................................................................23
2.6. Dimension drawings .......................................................................................................................26
2.7. Diagnostic room: typical layout ......................................................................................................39
3. USER INTERFACE GENERAL DESCRIPTION ................................................................... 40
4. EQUIPMENT STARTUP PROCEDURE AND “MOVEMENT ENABLE” CONTROL ............... 42

4.1. Equipment startup procedure ........................................................................................................42
4.2. “Movement enable” control...........................................................................................................42
5. COMMAND FUNCTIONS OF THE MAIN CONTROL CONSOLE ....................................... 43

5.1. Selecting the image intensifier or RF detector magnification factor .............................................44
5.1.1. Selecting the I.I. magnification factor ......................................................................................44
5.1.2. Selecting the RF detector magnification factor .......................................................................44
5.2. Selecting the layer height ...............................................................................................................44
5.3. Tomographic functions ...................................................................................................................45
5.4. Operating mode selector/display ...................................................................................................45
5.5. Switching the X-ray room light ON or spot film device programme progress ...............................46
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5.5.1. Switching the X-ray room light ON .......................................................................................... 46

5.5.2. Spot film device programme progress .................................................................................... 46
5.6. Emergency Stop push button ........................................................................................................ 46
5.7. Fluoroscopy dose ........................................................................................................................... 47
5.8. Registration frequency or image review function ......................................................................... 47
5.9. Angiographic exercise .................................................................................................................... 47
5.9.1. Peristepping functions: push-buttons (27) and (28) ............................................................... 48
5.9.2. Periscanning function: push-button (26) ................................................................................ 48
5.10. Stitching ......................................................................................................................................... 49
5.11. Automatic sequences during tomography .................................................................................... 50
5.12. Grid parking ................................................................................................................................... 50
5.13. Mixed programming ...................................................................................................................... 50
5.14. Rapid spot filming .......................................................................................................................... 51
5.15. Pulsed fluoroscopy......................................................................................................................... 51
5.16. Monitor image inversion ............................................................................................................... 51
5.17. Focal distance selector .................................................................................................................. 52
5.18. Selecting automatic exposure or automatic filter area ................................................................. 53
1.1.1. Exposure area selector ............................................................................................................ 53
5.18.1. Filter selector........................................................................................................................... 53
5.19. Size division selector ...................................................................................................................... 53
5.20. Collimator lamp ............................................................................................................................. 55
5.21. Iris diaphragms .............................................................................................................................. 55
5.22. Image intensifier elevation ............................................................................................................ 55
5.23. Collimation mode selector............................................................................................................. 56
5.23.1. Automatic collimation (Push-button 53 enabled – LED ON)................................................... 57
5.23.2. Semi-automatic collimation (Push-button 53 enabled – LED flashing)................................... 58
5.23.3. Bucky Mode (Push-button 54 enabled – LED ON) .................................................................. 62
5.24. Stop in the horizontal position ...................................................................................................... 62
5.25. Stand vertical position ................................................................................................................... 62
5.26. Tabletop longitudinal displacement .............................................................................................. 63
5.27. Cassette holder IN-OUT ................................................................................................................. 63
5.28. Diaphragm collimation .................................................................................................................. 64
5.29. Compressor .................................................................................................................................... 64
5.30. Tabletop elevation and tilting ........................................................................................................ 65
5.30.1. Tabletop tilting ........................................................................................................................ 65
5.30.2. Tabletop elevation .................................................................................................................. 65
5.31. X-ray tube stand incidence and footrest rotation ......................................................................... 65
5.31.1. X-ray tube stand incidences .................................................................................................... 66
5.31.2. Footrest rotation ..................................................................................................................... 66
5.32. Control of the patient scanning movements ................................................................................. 66
5.33. X-Ray exposure .............................................................................................................................. 67
5.34. Fluoroscopic exposure ................................................................................................................... 67
6. VISUALIZATION ON THE MAIN CONSOLE DISPLAY ...................................................... 68

6.1. Acquisition frequency or image review function........................................................................... 68
6.2. Displaying layer height and error codes ........................................................................................ 68
6.2.1. Displaying the layer height .......................................................................................................68

6.2.2. Errors codes/ equipment condition .........................................................................................68
6.3. Displaying the tilting angle and elevation millimetres ...................................................................68
6.4. Displaying the incidence angle .......................................................................................................69
6.5. Displaying the available exposures .................................................................................................69
7. COMMAND FUNCTIONS OF THE SECONDARY CONSOLE (OPTIONAL) .......................... 70
8. FUNCTIONS CONTROLLED FROM THE EXAMINATION TABLE ...................................... 71

8.1. Focal distance selector ...................................................................................................................71
8.2. Tilting and elevation (optional) of the tabletop .............................................................................71
8.3. Oblique incidences .........................................................................................................................72
8.4. Longitudinal tabletop displacement (optional) ..............................................................................72
8.5. Patient scanning .............................................................................................................................72
8.6. Cassette holder IN-OUT ..................................................................................................................72
9. INSERTING THE CASSETTE IN THE SFD ........................................................................ 73

9.1. Selecting conventional radiography ...............................................................................................73
9.2. Procedure for inserting the cassette ..............................................................................................73
9.3. Cassette right/left marker (if available)..........................................................................................75
10. ON-BOARD CONTROL CONSOLE WITH JOYSTICK (OPTIONAL) ..................................... 76
11. COLLIMATOR ............................................................................................................. 77

11.1. Lighting up of the luminous beam ..................................................................................................77
11.2. Limiting the X-ray beam field..........................................................................................................78
11.3. DFR technique.................................................................................................................................78
11.4. X-ray cassette technique ................................................................................................................78
11.5. X-ray field adjustment for “External Radiographs” ........................................................................78
11.6. Collimator manual rotation (90°) - if present ...............................................................................79
11.7. Collimator type ...............................................................................................................................79
11.8. X-ray beams extra focal collimator radiations ................................................................................80
12. COMPRESSOR ............................................................................................................ 82

12.1. Automatic compressor parking ......................................................................................................82
12.2. Compressor display ........................................................................................................................82
12.3. Manually removing the compressor...............................................................................................83
12.4. Distance scale .................................................................................................................................84
12.5. Compressor with interchangeable cones (option) .........................................................................84
13. ERROR CODE LIST ...................................................................................................... 85
14. ACCESSORIES ............................................................................................................. 87

14.1. Standard accessories ......................................................................................................................87
14.2. Optional accessories .......................................................................................................................87
14.3. Using the accessories......................................................................................................................89
14.3.1. Patient support footrest.......................................................................................................... 90

14.3.2. Handgrips ................................................................................................................................ 92
14.3.3. Shoulder-rests ......................................................................................................................... 92
14.3.4. Compression belt .................................................................................................................... 93
14.3.5. Lower limbs support................................................................................................................ 94
14.3.6. Lateral support for cassette / wifi detector (without grid) ..................................................... 94
14.3.7. Lateral support for wireless detector /CR cassette................................................................. 95
14.3.8. On-board control console with joystick .................................................................................. 98
14.3.9. Double R/F remote foot pedal ................................................................................................ 99
14.3.10. Cushions for use on the tabletop .......................................................................................... 100
14.3.11. Paediatric cradle.................................................................................................................... 101
14.3.12. Compressor with interchangeable cones.............................................................................. 103
14.3.13. Stitching bar .......................................................................................................................... 104
14.3.14. Removable grid (optional) for detector with manual grids .................................................. 105
15. OPERATION SEQUENCE TO EXECUTE RADIOGRAPHS ON THE TABLE......................... 106
16. APPLICATION EXAMPLES ......................................................................................... 106

16.1. Thorax .......................................................................................................................................... 106
16.2. Digestive and alimentary tract..................................................................................................... 107
16.3. Cervical column............................................................................................................................ 107
16.4. Abdominal and lumbar region ..................................................................................................... 108
16.5. Alimentary apparatus of the abdominal region .......................................................................... 108
16.6. Urography and pyelography ........................................................................................................ 108
16.7. Skeleton ....................................................................................................................................... 108
16.8. Arms ............................................................................................................................................. 109
16.9. Hysterosalpingography ................................................................................................................ 109
16.10. Phlebography ............................................................................................................................... 109
17. SAFETY RECOMMENDATIONS .................................................................................. 110
18. PROTECTION MEASURES ......................................................................................... 111

18.1. Safety controls ............................................................................................................................. 111
18.2. Electrical safety ............................................................................................................................ 111
18.3. Safety devices .............................................................................................................................. 111
18.3.1. Dead man controls ................................................................................................................ 111
18.3.2. Low ceiling sensor ................................................................................................................. 112
18.3.3. Emergency stop buttons ....................................................................................................... 112
18.3.4. Movement stop buttons ....................................................................................................... 113
18.3.5. Microswitches ....................................................................................................................... 114
1.1.2. Control software ................................................................................................................... 114
18.4. Dangerous areas .......................................................................................................................... 115
18.4.1. Danger of collision ................................................................................................................. 115
1.1.3. Danger of crushing ................................................................................................................ 115
18.5. Provided gripping points.............................................................................................................. 118
18.6. Patient positioning ....................................................................................................................... 118
18.7. Applied parts ................................................................................................................................ 118

18.8. Measures to be taken to prevent damage to things ....................................................................118

18.9. Protection against explosions .......................................................................................................119
18.10. Protection against radiation .........................................................................................................119
18.10.1. Equivalent filtration ...............................................................................................................122
18.10.2. Dosimetric and quantitative information (IEC 60601-2-54, IEC 60601-1-3) ..........................123
18.11. Functioning checks on the automatic systems .............................................................................127
18.12. Checking automatic collimation ...................................................................................................127
18.13. Possible connections to other accessories ...................................................................................127
19. CLEANING AND DISINFECTION ................................................................................. 128

19.1. Cleaning ........................................................................................................................................128
19.2. Disinfection ...................................................................................................................................128
20. FUNCTIONING AND SAFETY CHECKS ........................................................................ 129

20.1. Daily checks ..................................................................................................................................129
20.2. Six-monthly checks .......................................................................................................................129
20.3. Annual maintenance.....................................................................................................................129
20.4. Periodical verification of the performance constancy .................................................................129
21. LABELLING ............................................................................................................... 130

21.1. Identification and compliance labels ............................................................................................130
21.2. Warning lables ..............................................................................................................................132
22. ENVIRONMENTAL CHARACTERISTICS AND FUNCTIONING LIMITS ............................. 133

22.1. Mains supply .................................................................................................................................133
23. RISKS RELATED TO WASTE DISPOSAL ....................................................................... 134

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1. GENERAL NOTES
Important Note
X-RAY EQUIPMENT AND DEVICES CAN BE DANGEROUS FOR THE HEALTH OF BOTH PATIENTS AND OPERATORS
UNLESS PROPER SAFETY MEASURES ARE STRICTLY OBSERVED.
Although this equipment was designed and manufactured according to the most up-to-date safety standards,
the source of X-rays is always dangerous when the operator is not properly qualified or trained. Excessive
exposure to X-rays damages the human body.
Therefore, all the necessary precautions must be taken to prevent unauthorized or unskilled personnel from
operating this equipment, thus jeopardizing themselves and other people. Do not use the equipment if you
have not received appropriate training in the correct and safe use of the equipment itself by the manufacturer
or any of his appointed instructor. Before executing any operation, the persons qualified and authorized to
operate this equipment must be informed about the protection and safety measures established by the
International Committee for Radiological Protection, as well as any other relevant national Standards.
For proper use of this equipment, it is necessary that the operator refer preventively and carefully to this
User’s manual. Special attention should be paid to the sections concerning User Interface, Command
Functions, Application Examples, Safety Recommendations and Protection Measures. Incorrect and
inappropriate use of the machine by poorly qualified personnel who are unsuitable and insufficiently
trained can cause fatal accidents.
N.B.
This device is in compliance with the requirements established by the European Directive 2007/47/EC which
amends the Directive 93/42/EEC regarding medical devices, thus it bears the EC mark stating the code number
identifying the notified body responsible for carrying out the procedures foreseen for the compliance
certification.
IMQ S.p.A.
This is a Class IIb device according to Rule 10 of Annex IX to Directive 93/42/EEC and following amendments
and additions.
The manufacturer declines all responsibility with regard to the proper functioning of the equipment, should
the installation or the maintenance of it be executed by unauthorized personnel.
The X-ray system’s installation instructions are included in a service manual, which is a separate item from the
Operator’s manual.
WARNING
Federal law restricts this device to sale by or on the order of a Physician.
According to 21 CFR 801.109

1.1. Typographic conventions

In order to facilitate the reading of the manual, different styles and types were used.
The text identified by bullets indicates:

 Instructions to be executed according to the sequence specified.
The text in italics inside a frame indicates:

Useful supplementary information for the technician.
The following icons are also used:
Important information
It is advisable that extra attention be paid in reading the topics identified with this symbol.
WARNING
The topics identified with this icon regard aspects of safety for the patient and/or operator.

1.2. Warning symbols on the equipment

Warning symbol that indicates potential generic danger for the equipment or the
operator. It invites the operator to check the equipment documentation for further
details.
Warning symbol that invites operators to follow the instructions for using the device
on which the symbol itself is applied.
Hazard symbol that indicates X-ray radiation exposure.
Warning symbol that indicates electrical components which are sensitive to

electrostatic discharge.
Warning symbol that indicates live electrical parts with a possible risk of electric
shock.
Warning symbol that indicates that fingers may be crushed.
Symbol of protective earth (ground).
“ON” symbol (power).
“OFF” symbol (power).
“ON” / “OFF” symbol (push-push).
Symbol of applied part B type.

Symbol of filtration.
Symbol that indicates electrical and electronic components which must be collected
separately.
Subchapter J label
LED radiation warning
LASER radiation warning
1.3. Functioning supplementary symbols
Fluoroscopy and radiography foot pedal connector fitting
Unlocking of the compressor (if installed)

1.4. Applicable Standards and compliance

This OPERA T90 SHARPtable complies with the requirements and design standards of the following directives
concerning electro-medical equipments:
Reference Description
European Directive 2007/47/CE which amends the
Directive 93/42/EEC Medical Device Directive (EC mark)
Class IIb device according to Rule 10 of Annex IX
General requirements for the basic safety and
IEC 60601-1:2005+A1:2012
essential performance
IEC 60601-1-2:2014 essential performance - Collateral standards:
Electromagnetic compatibility
IEC 60601-1-6:2010+A1:2013 essential performance - Collateral standards:
Usability
Particular requirements for the basic safety and
IEC 60601-2-54:2009+A1:2015 essential performance of X-ray equipment for
radiography and radioscopy
essential performance - Collateral Standard:
IEC 60601-1-3:2008+A1:2013
Radiation protection in diagnostic X-ray
equipment
Medical device software – Software life-cycle
IEC 62304:2006+A1:2015
processes
All the medical devices that interface or integrate with the table for system composition, acquired by the
manufacturer or built with OEM for the manufacturer are individually certified, must meet the requirements
of Annex I of the European Directive 2007/47/EC which amends the Directive 93/42/EEC and must comply
with the following standards regarding electro-medical equipments:
X-ray generator IEC 60601-2-54

X-ray radiant components IEC 60601-2-28
Digital system IEC 60601-1
For the north American market:

UL 60601-1 ; CAN/CSA C22,2 No 601.
NOTE: All reference standards are to be considered at the latest revision.
1.5. Classification (IEC 60601-1)

Type of protection against electric shock class I equipment
Degree of protection against electric shock with applied part B type
Degree of protection against seepage of harmful water ordinary IPX0 type equipment
continuous functioning with intermittent
Functioning mode
loading (standby - exposure)
Equipment not suitable for use in presence of a
flammable anaesthetic mixture with air or with oxygen
or nitrous oxide.

1.6. Electromagnetic compatibility (EMC)

In accordance with the intended use, this remote controlled Table complies with the European Directives
concerning Medical Devices. The CE marking affixed to this product signifies this. One of the standards of this
directive defines the allowed levels of electromagnetic emission from this equipment and its required
immunity from the electromagnetic emissions of other devices.
It is not possible, however, to exclude with absolute certainty the possibility that other high frequency
electronic equipment, which is fully compliant to the EMC regulations, will not adversely affect the operation
of this system. If the other equipment has a comparatively high level of transmission power and is in close
proximity to the system, these EMC concerns (the risk of interference) may be more pronounced. It is
therefore recommended that operations with mobile or cordless telephones, microphones and other similar
equipment, such as mobile radio systems, are strictly executed away from the R&F device.
Annex A
Guidance and manufacturer’s declaration – Electromagnetic emissions
The Equipment is suitable for use in the specified electromagnetic environment. The purchaser or user of the
Equipment should assure that it is used in an electromagnetic environment as described below:
Emissions test Compliance Electromagnetic Environment
RF emissions Group 1 This Equipment uses RF energy only for its internal function.
Therefore, the RF emission is very low and not likely to cause
CISPR 11 any interference in nearby electronic equipment.
RF emissions Class A This Equipment is suitable for use in all establishments other
than domestic and those directly connected to the public low-
CISPR 11 voltage power supply network that supplies buildings used for
domestic purposes.
Harmonic emissions Not Applicable
IEC 61000-3-2
Voltage fluctuations/ Not Applicable

flicker emissions
IEC 61000-3-3

Annex B
Guidance and manufacturer’s declaration – Electromagnetic immunity

The Equipment is suitable for use in the specified electromagnetic environment. The purchaser or user of the Equipment
should assure that it is used in an electromagnetic environment as described below:
Immunity IEC 60601-1-2 Compliance

Electromagnetic Environment
Test Test level level
Electrostatic 8 kV contact IEC 60601-1-2 Floors should be wood, concrete or ceramic

discharge (ESD) 2/4/8/15 kV air Test level tile. If floors are covered with synthetic
IEC 61000-4-2 material, the relative humidity should be at
least 30%.
Radiated IEC 60601-1-2 Portable and mobile RF communications

electromagnetic field Test level equipment
IEC 61000-4-3 3 V/m should be used no closer to any part of the
80 MHz to 2.7 GHz Equipment, including cables, than the
recommended separation distance
calculated from the equation
applicable to the frequency of the
transmitter
Recommended separation distance
Electrical fast 2 kV for power IEC 60601-1-2 Mains power quality should be that of a
transient/burst supply lines Test level typical commercial or hospital
IEC 61000-4-4 environment.
1 kV for input/output
lines > 3 m
Surge 0.5/1 kV differential mode IEC 60601-1-2 Mains power quality should be that of a
IEC 61000-4-5 Test level typical commercial or hospital
0.5/1/2 kV common mode environment.
Conducted RF 3V IEC 60601-1-2 Portable and mobile RF communications

IEC 61000-4-6 150 kHz to 80 MHz Test level equipment
should be used no closer to any part of the
6V Equipment, including cables, than the
ISM frequencies recommended separation distance
calculated from the equation
applicable to the frequency of the
transmitter
Recommended separation distance
Voltage dips, short 0% Un for 0.5 cycles IEC 60601-1-2 Mains power quality should be that of a
interruptions 0 % Un for 1 cycles Test level typical commercial or hospital
and voltage 70 % Un for 25 cycles environment. If the user of the Equipment
variations on power 0 % Un for 5 s requires continued operation during power
supply input lines mains interruptions, it is recommended that
IEC 61000-4-11 the Equipment be powered from an
uninterruptible power supply or a battery.
Power frequency 30 A/m IEC 60601-1-2 Power frequency magnetic fields should be
(50/60 Hz) magnetic Test level at levels characteristic of a typical location
field in a typical commercial or hospital
IEC 61000-4-8 environment.


2. GENERAL DESCRIPTION
OPERA is a system featured by a high degree of integration including a wide range of remote-controlled
tables, generators and digital imaging systems.
The remote-controlled tables of OPERA T range are backed up by an exclusive and advanced concept and
thanks to the high modularity of their structures they can be configured according to the user's specific needs,
thus ensuring the optimization of the performance-cost ratio.
2.1. Intended use

This equipment is indicated for performing general radiography, fluoroscopy and angiography procedures.
Applications and techniques:

- Gastroenterology
- Skeleton
- Thorax and lungs
- Paediatrics
- Urology and gynaecology
- Emergency/traumatology
- Stitching
- Linear tomography
Only in combination with Opera D4000RF digital system

(for more details, refer to the O-D4000RF user manual)
- Digital angiography
- Tomosynthesis
- Dual Energy
2.2. OPERA T range

The remote-controlled table can be configured according to the users’ specific needs. See available version
features below.
Tabletop Maximum focal Optional
Tabletop
Model Tilting height from distance longitudinal
length
floor (Max SID ) tabletop movement
O-T30CS/5 -30° +90° Fixed 86 cm 210 cm 150 cm +80/-80

+80/-80
O-T30CSX/5 -30° +90° Fixed 86 cm 240 cm 150 cm
+100/-20
+80/-80
+100/-20

+80/-80
+100/-20
+80/-80
+100/-20
Variable
O-T90CE/5 -90° +90° 210 cm 150 cm +80/-80
76 -100 cm
Variable
O-T90CE/8 -90° +90° 210 cm 180 cm +80/-80
76 -100 cm
Variable +80/-80
O-T90CEX/5 -90° +90° 240 cm 150 cm
76 -100 cm +100/-20
Variable +80/-80
O-T90CEX/8 -90° +90° 240 cm 180 cm
76 -100 cm +100/-20
O-T30CSG -30° +90° Fixed 86 cm 210 cm 115 cm (fixed) ---
The tabletop is available in carbone fibre or wood stratified version. Both versions can be either
with a flat (A) or concave (B) transversal profile, by simply inverting the tabletop.
The inversion of the tabletop can be executed during the installation or later on by the service
personnel. In addition, a plastic laminate tabletop with flat transversal profile is available.
Tabletop transversal profile

2.3. Components and configuration

OPERA T table versions listed in the previous section can be combined with different system components,
depending on the users’ specific needs.
Configuration with SFD and II-CCD or II-CCD and DR flat panel Configuration with R&F flat panel
2.3.1. Image receptors

Spot Film Device with vertical subdivision + Image Intensifier and TV chain
Spot Film Device with vertical/crossed subdivision + Image Intensifier and TV chain
DR flat panel detector + Image Intensifier and TV chain
R&F flat panel detector
2.3.1.1. Spot Film Device and cassette division program

The SFD is completely automatic and, thanks to its great versatility, can be used with any standard size
cassette from 18x24 to 35x43 cm.
Subdivision :
‐ Vertical division by 2, 3 and 4, for all cassette sizes in both direction.
‐ Vertical division by 5 and 6, for cassette size larger than 24 cm. As option, crossed
division by 4 and 6, for 18x24, 24x24 and 24x30 cm cassettes size.
SFD versatility is even enhanced by the grid retracting capability and by a cassette film marker (right/left - see
section 9.3).

OPTIONAL CROSSED
VERTICAL SUBDIVISION
SUBDIVISION (as alternative)
CASSETTE
SIZE* (cm)
1 2 3 4 5 6 4 6
18X24 〇〇〇〇〇〇
43X18 〇〇〇〇
40X20 〇〇〇〇
24X30 〇〇〇〇〇〇〇〇
* Cassette size of reference is underlined
Cassette division program
2.3.1.2. Image Intensifier and TV chain

OPERA T can be equipped with Image Intensifier from 9" to 16" and high performance TV chains complete of
automatic dose control device. The remote‐controlled table can be configured for the application of digital
imaging systems. A very important aspect is represented by the possibility (as option) of Image Intensifier
elevation, since this allows setting its input surface at the same level of the X‐ray film. This feature ensures
exposure geometry optimization in digital fluoroscopy and fluorography.
I.I. elevation system (optional)

2.3.1.3. DR flat panel detector

Instead of the normal film/CR cassette a DR flat panel detector can be used which is available in two versions:
- 35x43 cm useful area ‐ wireless mobile
- 43x43 cm useful area - tethered fixed (with I.I. up to 12”)
The 35x43 cm wireless is a “cassette like” DR flat panel, thus it can be inserted in the SFD like any normal
film/CR cassette.
With a special version of OPERA DFR digital system it is possible to acquire both RF camera images and DR
panel images using one console only.
2.3.1.4. R&F flat panel detector

A full digital solution can be chosen for both fluoroscopic and radiographic imaging. This solution is based on
OPERA D4000RF digital system and PIXIUM RF4343 flat panel detector designed to replace conventional R&F
radio‐diagnostic systems based on conventional film/CR cassette with SFD and fluoroscopy systems with
image intensifier.
2.3.2. Collimator
Motorized collimator with rectangular field
Motorized collimator with rectangular field and Iris
Motorized collimator with rectangular field, Iris and motorized filters
Motorized collimator with rectangular field and motorized filters
Motorized collimator with rectangular field, Iris and manual filters *
Motorized collimator with rectangular field and manual filters *
* Available in function of the installation Country regulations
For further information, see chapter 11.
2.3.3. Compressor
The remote controlled compressor allows an effective though not traumatic palpation; the compression force
can be adjusted up to 200 N.
A special consideration has been devoted to mechanical and electrical safety, as well as safety against wrong
manoeuvres. The compressor has a parking position from which it automatically moves in and out.
An alternative compression system with three interchangeable cones without automatic parking feature is
available, as optional accessory. For further information, see chapter 12.
2.3.4. Grid
Tables with focal distance (SID) up to 150 cm are equipped with a single grid system.
Tables with focal distance (SID) up to 180 cm can be equipped with a dual grid system to ensure optimal
radiological conditions during any exposure. The system will automatically set the proper grid focalization
based on the selected SID. The grid can be automatically parked to ensure low dose in pediatrics applications
and for extremities examinations.
To use the single grid device is however possible on tables with SID up to 180 cm.
In addition, a high focalization grid is also available.
N.B. The dual grid system is not available for SFD version with crossed subdivisions

2.3.5. Control console

The control console represents the main contact point between the operator and system.
Considerable care was therefore dedicated to this important element especially concentrating on integration
of the various components commands: remote controlled table, generator and digital system (if present).
Various console configurations are available:
- Single table console
- Table and generator integrated console with push button
- Table and generator integrated console with touch screen
The control console can be supported by a floor stand or placed on desk.
The main control console layout depends on the equipment configuration (see chapter 5).
A secondary, on-trolley console with joystick is available, as an option, for the examination room (see chapter
6). This console allows the operator to control all the table movements, while remaining next to the patient.
Single console on stand Integrated console on stand
Console with touch screen + digital system Secondary in-room console on trolley
This manual contains all the information on operating the examination table and the user interface. For
specific information regarding the single components such as the digital system, the generator and the
collimator, please refer to the respective operator’s manual.

2.4. Performance
2.4.1. Tilting
Tables can be chosen either with 90°/30° tilting system that considerably reduces the overall dimensions of
the equipment or with 90°/90° tilting to make the equipment completely symmetric. Thanks to this
characteristic the footrest can be positioned at either one table extremity or at the other, according to the
user's choice so that the most suitable condition can be defined with respect to the room entrances and the
position of the anti-X-ray booth.
Tabletop‐to‐floor distance is 86 cm both with 90°/30° and 90°/90° tilting.
The elevating 90°/90° tilting allows for setting tabletop‐to‐floor distance from 76 to 100 cm.
2.4.2. Tabletop
Tabletop can be chosen with 210 cm or 240 cm length.
The 210 cm length realizes an extremely compact table without any limitation.
The 240 cm length allows great patient explorations without repositioning.
The tabletop movements are extremely ample:
35 cm in the transversal direction
in longitudinal direction (optional):
- 160 cm (±80 cm ) with 210 cm tabletop length,
- 160 cm (±80 cm ) or 120 cm (+100/‐20 cm) with 240 cm tabletop length.
The table structure allows the operators to move easily towards the patient from any side. The patient gets
on/off easily from the table both in horizontal and in vertical.
When the table is in vertical position, if the tabletop longitudinal movement is available, it is possible to lower
the tabletop in order to ease getting on the footboard for patients with motion difficulties. For safety reasons
this operation can be commanded only from the on‐board console.
Particularly high is the patient's maximum admitted weight: 230kg without any limitations of use, up to 260kg
with limitation of use (static exams).
2.4.3. X-ray tube stand

The extended displacements of the stand make the OPERA T tables very supple.
Longitudinal displacement with image system ‐ 210 cm tabletop length:
- 124 cm, without longitudinal tabletop movement
- 108 cm with longitudinal tabletop movement.
Longitudinal displacement with image system ‐ 240 cm tabletop length:
- 154 cm, without longitudinal tabletop movement
- 138 cm with longitudinal tabletop movement.
Focus‐film distance:
- continuously variable focus‐film distance with preset positions at 115, 135, 150 and optionally 180.
High quality imaging for cardiac and chest examinations is therefore assured.
Oblique incidences:
- 40° ensure the execution of complete examinations of the spine with different incidences
in addition, the capability of layer height selection allows the operator to maintain the object to be
examined always centred on the image.
X‐ray tube assembly rotation:
- 270° with mechanical detents placed at 0°, ±18°, ±36°, ±54° ±72°, ±90° and ‐180° to allow easy execution of
examinations with cassette outside SFD, on wall bucky stand and on stretcher.
Minimum distance between X‐ray beam and table edge:
- 43 cm, makes it easy to execute effective uro‐gynaecological examinations

Due to its special structure, the table placed in vertical position ensures a great diagnostic efficiency:
- extended and easy execution of examinations on charged legs, thanks to the reduced focus‐floor distance
- examinations on stretched patients proves to be very easy since the operator can count on a large focus-
floor distance and wider space for patient positioning, thanks to the ample longitudinal displacement and
long focal distance.
2.4.4. Linear tomography

OPERA T performs high level linear tomography acquisitions; digital control ensures high accuracy and
precision.
Main performances:
- possibility of execution from ‐90°(‐30°) up to 90°, with scan in both directions
- angles: 5°, 8°, 20°, 30°, 40°; (the angles 5°, 30° are not available in case of configuration with DR digital
detector)
- two speeds for each angle
- possibility to change from linear tomography to radiography on the same cassette
- selection of the layer height from 0 to 330 mm
- automatic increase of the layer height between 1 and 10 mm pre‐arranged during installation.

2.5. Technical features

EXAMINATION TABLE
T30cs, T30csx: 90°/30°
Tilting angles
T90cs, T90csx, T90ce, T90cex: 90°/90°
Tilting speeds Variable up to 6°/s
Simultaneous movements Tilting
Longitudinal stand travel
Tabletop travel
Stand incidences
TABLETOP
Dimensions T30cs, T90cs, T90ce: 210x80 cm
T30csx, T90csx, T90cex: 240x80 cm
Absorption Wood stratified < 0,7 mm Al eq
Carbon fibre < 0,5 mm Al eq
Plastic laminate < 1 mm Al eq
Height from floor T30cs, T90cs, T30csx, T90csx: 86 cm
T90ce, T90cex: variable from 76 to 100 cm
Maximum patient weight 230 kg without limitation of use
(with patient lying on the examination table) up to 260kg with limitation of use (static exams)
Lateral movement 35 cm
Lateral movement speed Variable up to 5 cm/s
Optional longitudinal movement T30cs, T90cs, T90ce: ±47.5 cm or +80/-15
T30csx, T90csx, T90cex: ± 55 cm, ± 80 cm, +100/-20 cm
Longitudinal movement speed 5 cm/s
STAND
Source Image Distance (SID) From 115 to 150 cm (optional up to 180 cm)
Longitudinal incidences ±40°
Tube rotation 270°
Longitudinal displacement with SFD T30cs, T90cs, T90ce: 124 cm o 108 cm with
tabletop longitudinal movement
T30csx, T90csx, T90cex: 154 cm o 138 cm with
tabletop longitudinal movement
Longitudinal displacement speed From console: variable up to 20 cm/s
From SFD: 12 cm/s
Minimum distance from table edge 43 cm
SPOT FILM DEVICE for conventional cassette
Cassette size From 18x24 to 35x43 cm
Vertical division 1-2-3-4 for all formats in both introduction direction
5-6 for formats with size of reference larger than 24 cm
Optional crossed divisions 4-6 for formats 18x24, 24x24 e 24x30 cm in both introduction
direction
Tabletop-film distance 78 mm with concave profile
(+17 mm with flat profile)
Max. applicable Image Intensifier 40 cm
Tabletop-Intensifier distance 138 mm with concave profile
78 - 138 mm with optional I.I. elevator
(+17 mm with flat profile)
Rapid spot filming 4 images in 2 s
Fluoro‐radiography transition time 1s
LINEAR TOMOGRAPHY DEVICE (for film/CR and R&F flat panel solutions)
Moviment Linear with execution in the two directions
Linear tomographic area Extended all over SFD displacement
Angles/times 5°/0.4 – 0.8 s
8°/0.4 – 0.8 s
20°/0.6 – 1.2 s
30°/1.2 – 2.5 s
40°/1.2 – 2.5 s
Layer height selection 0 – 330 mm
COLLIMATOR
Type of command Manual
Remote‐controlled
Automatic
Rectangular field Standard
Iris field Optional
Luminous centering device Standard
Optional additional filters 1 mm Al + 0,1 mm Cu
1 mm Al + 0,2 mm Cu
2 mm Al
Inherent filtration 1 mm Al eq. (a 75 kV)
Square field at 1 m Min 00x00 cm Max 48x48 cm
Field light pointer >250 lx (a 100 cm, field 35x35 cm)
Radiation leakage <40 mRh (a 100 cm, 75 kVp – 4 mA)
GRIDS
System with SFD and I.I. SID max 150 cm SID max 180 cm SID max 180 cm with
double grid system*
110 lines/inch 110 lines/inch 110 lines/inch
R = 12:1 F = 120 cm R = 12:1 F = 140 cm R = 12:1 F = 120 cm
150 lines/inch 110 lines/inch
--
R = 13:1 F = 120 cm R = 12:1 F = 180 cm
Grid type Oscillating
Retractable (by push button console)
System with fixed DR flat SID max 150 cm SID max 180 cm SID max 180 cm with
panel detector and I.I. double grid system*
--
R = 12:1 F = 120 cm R = 12:1 F = 120 cm
215 lines/inch
-- --
R = 12:1 F = 180 cm
Grid type Fixed
System with R&F flat panel SID max 150 cm SID max 180 cm SID max 180 cm with
detector double grid system*
--
R = 12:1 F = 120 cm R = 12:1 F = 120 cm
215 lines/inch
-- --
R = 12:1 F = 180 cm
Grid type Fixed
* The dual grid system is not available for SFD version with crossed subdivisions
COMPRESSOR
Compression force Up to 200 N
Travel 55 cm
Parking Automatic
Optional Interchangeable cones without automatic parking
feature

ELECTRICAL CHARACTERISTICS
Nominal line voltage 230 Vac +/- 10 %
Mains frequency 50/60 Hz
Current absorption 15 A
Thermal dissipation 500 W
Type of protection Class I
Degree of protection Type B
Degree of casing protection IPX0
WEIGHTS
2
Equipment 660 - 790 kg - base plate 1.00 / 1,18 m
2
Control console 100 kg - base plate 0,20 m
2
Cabinet 140 kg - base plate 0,21 m

2.6. Dimension drawings












All dimensions are in mm.

2.7. Diagnostic room: typical layout
1 control console
2 table
3 digital system cabinet (if
present)
4 generator cabinet
5 monitor
A max. longitudinal dimension

B max. transversal dimension
(dimensions are in mm)
safety area
The manufacturer proposes the layout of a typical diagnostic room, similar to the one seen in the above
picture, which gives the operator complete visual contact with moving tabletop and monitor the patient even
from the remote control station. If it is not possible to use this layout, the manufacturer and clinic engineer
will assess all possible solutions to guarantee a safe working environment, eliminating all possible risks.
If the control console (1) is installed in other positions, (for instance laterally with respect to the tabletop), the
operator and patient are both exposed to risks caused by lack of visibility when the machine is moving.
The next section provides some advice on how to guarantee the operator complete control of all movement
activities:
1. Remove the patient footrest when working in a horizontal direction with the patient on the tabletop.
2. If necessary, arrange some mirrors which ensure the patient can be monitored even in positions where
the tabletop hides the patient from view.
3. ALWAYS watch the machine and the patient when performing all movements.
The same assessments must be made for small diagnostic rooms as the settings of the dedicated software
controlling certain movements of the machine can be adjusted to suit such areas during the installation
phase.

3. USER INTERFACE GENERAL DESCRIPTION

The user interface consists of a series of controls, both remote as well as close to the table.
OPERA T user interface includes the following components:
main control console
display on main control console
on-board control panel (remote keyboard)
secondary control console (in room) - optional
on-board control console with joystick - optional
The layout of each of the above listed elements, and the chapter providing relative description, are provided
in the next page.
WARNING
The main control console, remote keyboard, on-board console with joystick and secondary
console (in room) are enabled simultaneously.
DO NOT RUN SIMULTANEOUS CONTROLS FROM DIFFERENT POSITIONS.
Park the secondary console and the double R/F remote foot pedal outside the table
movement area when these devices are not in use.
The layout and presence of the push-buttons may vary according to the type of system
installed.
All possible push-buttons and their related functions can be found in the next chapters.

Display on main control console (see chapter 6)
Main control console - illustrative layout (see chapter 5)
On-board control panel (remote keyboard) - illustrative layout (see chapter 8)
Secondary control console - optional On-board control console with

(see chapter 7) joystick - optional (see chapter 10)

4. EQUIPMENT STARTUP PROCEDURE AND “MOVEMENT ENABLE” CONTROL

4.1. Equipment startup procedure
Upon switching on or resetting the safety/emergency status in the room or on the equipment, the following
examination table initialisation procedure is performed. During this procedure, the transmissions of the spot
film device, the I.I. and the focal distance (if installed) perform a series of automatic movements before
allowing the equipment to be used.
In systems with a 16" (40cm) adjustable table and I.I., if the table is at an elevation height of less than 60 mm,
the initialisation procedure is interrupted to prevent the I.I. from hitting the floor.
The Adjustable tabletop height – Tilting angle display (5,6,7) will start flashing on the main control console
indicating reduced functionality of the system (it is not possible to perform spot film device examinations).
To obtain full functionality of the equipment in this condition, the operator must raise the examination table
to a height of over 60 mm to permit completion of the initialisation procedure.
It is recommended to leave the equipment in position (elevation above 60 mm) before switching it off; this
will generate complete initialization of the tabletop without interruptions.
 FLASHING DISPLAY: "Standby" condition indicated by flashing display (5,6,7)

 ERROR DISPLAY: "Push-button malfunction during startup" condition indicated by code 97 on the display (2,3,4)
4.2. “Movement enable” control

If error code 97 is indicated on the (2,3,4) display when the equipment is switched on, one or more push
buttons, or tabletop displacement joystick on the console or remote control keyboard have malfunctioned or
have been pressed by mistake during startup.
On detecting the cause of the error, proceed as follows:
 If the push-button/joystick has been pressed by mistake during startup:
 Release the push-button or joystick
 Turn the equipment off and then on again
 If the push-button /joystick has not been pressed (malfunction), it is possible to use the equipment in
reduced operating mode, following the procedure below:
 Press the (55) push-button to reset error code 97
 Check all the table movements to detect which movement is inhibited; in emergency
situations use the equipment avoiding this specific movement.
 Contact Technical Assistance to repair the malfunction.

5. COMMAND FUNCTIONS OF THE MAIN CONTROL CONSOLE
1-2-3-4 Selecting Image Intensifier or RF detector magnification

5-23 Layer height selectors
6-7-8-9-10-11-12-24-25-27-28 Tomographic functions
13-14-15-16 Operating mode display/selecting
17 Switching the X-ray room light ON or spot film device programme progress
18 Emergency STOP push-button
19-20-21 Fluoroscopy dose
22 Registration frequency or image review function
24-25-26-27-28 Angiographic exercise
26 Stitching
29 Automatic sequences during tomography
30 Parking the grid
31 Mixed programming
32 Rapid spot filming
33 Pulsed fluoroscopy mode
34-35 Monitor image inversion
36-37-38-38A Focal distance selector
39-40-41-42 Automatic exposure or automatic filter area selector
43-44-45-46-47-48 Size division selector
49 Collimator lamp
50-51 Iris diaphragms
52 Image Intensifier elevation
53-54 Selecting the collimation (automatic/semiautomatic/bucky) mode
55 Stop in the horizontal position
56 Stand vertical position
57-58-59 Tabletop longitudinal displacement
60 Cassette holder in-out
61 Diaphragms collimation
62 Compressor
63 Tabletop elevation and tilting
64 X-ray tube stand incidences or footrest rotation
65 Longitudinal and transversal patient scanning movements
66 X-Ray exposure

5.1. Selecting the image intensifier or RF detector magnification factor
In order to obtain the best results, we recommend using the maximum allowed magnification
factor based on the area to be examined.
5.1.1. Selecting the I.I. magnification factor

Functions available on systems equipped with I.I.
Zoom factor 4, where available, can be enabled and configured depending on the type of I.I.
being used.
1 2 3 4
Using these push-buttons (1, 2, 3 and 4), the operator can select the most appropriate I.I. (ZOOM) factor
according to the area to be examined.
5.1.2. Selecting the RF detector magnification factor

Function only available with the RF detector (dynamic).
Zoom factor 4, where available, can be enabled and configured depending on the system setting.
1 2 3 4
Using these push-buttons (1, 2, 3 and 4), the operator can select the most appropriate image detector factor
(ZOOM) according to the area to be examined.
5.2. Selecting the layer height
23
These two push-buttons (5 and 23) allow the operator to select the tomographic layer height, in addition to
the virtual fulcrum around which the X-ray tube - image receptor unit rotation is performed for oblique X-ray
or radioscopy incidences.
The layer height is visualised on the display.
Push-button (5), moves the layer height upwards.
Push-button (23), moves the layer height downwards.
The layer height ranges from 0 to 330 millimetres.

5.3. Tomographic functions

The tomographic functions, if available, are enabled and can be configured in relation to the
capacity of the system to perform tomographic functions in SFD and/or DFR.
The tomographic functions 5 (push-buttons 24, 25) and 30 (push-buttons 27, 28) are optional.
In certain systems, push-buttons (24, 25, 27, 28 ) are used to perform an angiography. In such
cases, the 5 and 30 tomographic functions cannot be enabled.
6 7 8 9 10 11 12
24 25 27 28
The tomographic functions can be enabled by pressing one of these push-buttons (7, 8, 9, 10, 11, 12, 24, 25,
27 and 28). Each push-button allows the selection of the angle and scanning time. The LED will flash until the
preparation condition is reached.
 Push-button (6) disables the tomographic functions (condition enabled when the equipment is switched
on).
In some integrated systems, the selecting and disabling are performed externally by means of
the APR (Anatomical PRogramming) system. In these cases, the push-buttons (7, 8, 9, 10, 11, 12,
24, 25, 27 and 28) are selected externally. The LED will flash until the selected push-button is
pressed and held and the preparation condition is reached. Similarly, the disabling, push-button
(6) ON, is performed externally, selecting a non-tomographic APR.
 If you press and hold one of the following push-buttons (7, 8, 9, 10, 11, 12, 24, 25, 27 and 28) the column
stand and spot film device or detectorwill automatically return to the tomographic area, they will be
centered, and the focal distance will be positioned at 115 cm (note that if the focal distance is at 8° it will
remain in the same position) and the compressor will move to its parking position.
5.4. Operating mode selector/display

The operating mode selection/display, where available, can be enabled and configured
depending on the system version.
13 14 15 16
These push-buttons allow the operator to select and/or display the image acquisition mode, according to the
following operating modes:
 Conventional X-ray on CR or DR film (push-button 13)
 Digital fluoroscopy on I.I. or digital exams (RAD/Fluoride) on RF detector (push-button 14).
 Exams on bucky stand, stretcher or tabletop, with X-ray housing rotation (push-button 15)
 Exams with ceiling stand (push-button 16).
It is possible to alternate the enabled operating modes at any time.
The selected operating mode is indicated by the relative LED.
In case it is necessary to perform exams signalled by the indicator (15), the LED is activated when the X-ray
group is released from its normal position, (aligned on the image receptor).
In case it is necessary to perform exams with the ceiling stand, the LED (16) is activated when the ceiling stand
has been released from its parking position.
In this condition all the tabletop movements that can cause collision with the stand are inhibited.
WARNING
If the tube is rotated and the “external radiography” accessory is used, the X-ray beam will
extend beyond the primary safety barrier.
5.5. Switching the X-ray room light ON or spot film device programme progress
The X-ray room light ON or spot film device programme progress functions, push-button (17)
can be enabled and configured depending on the system version. The two functions can only
be used alternatively.
The spot film device programme progress function can only be enabled using conventional
spot film devices.
17
5.5.1. Switching the X-ray room light ON

Press this push-button (17) to switch the X-ray exam room light ON.
5.5.2. Spot film device programme progress

Pressing this push-button (17) it is possible to skip one or more divisions of the selected cassette size until you
reach the cassette division to be used for the exposure. The unused cassette size divisions can be performed
by reloading the cassette and skipping the cassette divisions previously exposed to X-rays.
Cassette inserted for the first time Same cassette used a second time.
4 4
3 Used cassette size division 3
2 2
Unused cassette size division
1 1
5.6. Emergency Stop push button
18
A large red button (18) is positioned on the console to start and stop the examination table.
By pulling the button upwards the electrical circuits of the table are enabled, vice-versa by pushing it down
they are disabled.

The symbol placed below this push-button is to remind the operator that before he starts using the
equipment it is necessary to be informed about its functional performance, or carefully read this manual.
There is also another stop button (red button - G1) with the same functions located on the left
side of the spot film device.
5.7. Fluoroscopy dose

The fluoroscopy dose selectors, where available, can be enabled and configured depending on
the system version.
19 20 21
Push-buttons (19 and 20) can be used to select the automatic dose level between the two variation curves
preset by the generator. Push-button (21) is used to enable manual fluoroscopy using the generator controls.
5.8. Registration frequency or image review function

The registration frequency or image review function, where available, can be enabled and
configured depending on the system version.
When a push-button is present with no function enabled, the push-button is free (no function
paired).
22
Push-button (22) in combination with push-button (33) and an appropriate TV system, performs the following
functions:
In acquisition mode (fluoroscopic pedal pressed), push-button (22) starts/stops image sequence
memorization at the speed previously selected by push-button (33).
In review mode, this push-button (22) starts/stops sequence image display previously stored at the speed
selected by push-button (33).
For further information on how to use this function, please refer to the TV system manuals.
5.9. Angiographic exercise

The angiographic exercise functions, where available, can be enabled and configured
On some systems push-buttons (24, 25, 26, 27, 28) are used for the tomographic function, push-
buttons (24, 25, 27, 28) and push-button (26) for stitching. In such cases, the tomographic
exercise functions cannot be enabled.
Push-buttons (24 and 25) are not enabled.
24 25 26 27 28

For further information on how to use the Angiographic exercise functions, please refer to the digital system
manuals.
5.9.1. Peristepping functions: push-buttons (27) and (28)

Push-button (6) disables the peristepping functions (condition enabled when the equipment is
switched on).
6
The peristepping functions can be activated by pressing one of these push-buttons (27) and (28).
Push-button (27) is used to select phlebography mode and feet-head (right-left) scan direction.
Push-button (28) is used to select angiography mode and head-feet (left-right) scan direction.
The LED will flash until the preparation condition is reached.
 Press and hold button 27 or button (28) to activate automatic return of the stand and SFD to the
peristepping zone, stand/spot film device centering and the positioning of the focal distance of 115 cm. In
addition, the compressor will move to its parking position.
 The number of "Steps" available will be displayed on the incidences display.
 It is possible to use the mobile area joystick to search for the phlebography/angiography starting position
and change the number of steps accordingly.
On pressing the X ray button:
the acquisition sequence will commence (step one)
when step one has been completed, the digital device will send the automatic forward feed command
the tabletop/generator/digital device will move into position for the next step
on reaching the next step, a new acquisition will start as far as the last possible step
If the X ray button is released (2nd click) during the image acquisition phase, but the preparation button is not
released (X ray button 1st click), the image sequence will be manually interrupted.
The system will consequently move on to the next step, and all the above described functions will be
repeated.
5.9.2. Periscanning function: push-button (26)

Push-button (6) disables the periscanning functions (condition enabled when the equipment is
switched on).
6
The periscanning function is enabled by pressing push-button (26), this same button allows head-feet (left-
right) direction scanning.
The LED will flash until the preparation condition is reached.
Press and hold button 26 to activate automatic return of the stand and SFD to the periscanning zone,
stand/SFD centering, the compressor moves to its parking position, whilst the perpendicular collimator
blades will close automatically at a closed field.
It is possible to use the mobile area joystick to search for the scan position.
Press and hold the X ray button to start the scan and acquisition sequence that will continue until the
button is released.

5.10. Stitching
The Stitching function, where available, can be enabled and configured depending on the system
version.
In certain systems, this push-button (26) is used for the angiographic exercise. In this case, the
stitching function cannot be enabled.
In some integrated systems, the selecting and disabling are performed externally by means of the
APR (Anatomical PRogramming) system. In these cases, the push-button (26) is selected
externally. The LED will flash until the selected push-button is pressed and held and the
preparation condition is reached. Similarly, the disabling, push-button (6) ON, is performed
externally, selecting a non Stitching APR.
Push-button (6) disables the Stitching function (condition enabled when the equipment is
switched on).
6
26
Press this push-button (26) to enable the Stitching function. The push-button LED will flash until the
preparation condition is reached.
Hold this button to obtain automatic return of the column stand and the spot film device or detector to
the stitching zone and subsequent centering; the compressor also moves to its parking position.
Stitching can be performed in 0° or ±90° conditions and a focal distance of from 115 to 150 cm; check you
have achieved these conditions before selecting the stitching function.
Inside the stitching area it is possible to perform the patient scan movement using the joystick (65) to
move to the required stitching position.
The number of imaged and the stitching direction are established according to the examination selected
on the relative digital system.
Press this push-button (66) to start the stitching sequence for x-ray exposures. The button must be held
down until the end of the sequence, its release will interrupt the stitching sequence and the digital system
will process the images acquired up until then.
Press this push-button (66) for x-ray exposures:
The X-ray tube unit reaches the start sequence position (step one)
The digital device receives authorisation for acquisition of the first image
When the first acquisition has been completed, the digital device will send the automatic
forward feed command
The tabletop/generator/digital device will move into position for the next step
On reaching the next step, a new acquisition will start as far as the last possible step
On completing the sequence, the system will display the stitching of the acquired images on
the digital monitor.
To repeat the sequence, it is necessary to run the stitching sequence again starting by re-selecting the
examination.
For further information on how to use the Stitching function, please refer to the digital system manuals.

5.11. Automatic sequences during tomography
The Automatic sequence during tomography, if available, is linked to the tomographic functions.
29
Push-button (29) allows you to automatically increase the height of the tomographic layer set during the
installation procedure, from 1 to 10 mm.
5.12. Grid parking

The Grid parking function, where available, can be enabled and configured depending on the
system version.
In some integrated systems, the selecting is performed externally by means of the APR
(Anatomical PRogramming) system. In these cases, the push-button (30) is selected externally and
the push-button, even if present, is never used. In other systems, it is possible to change the
position of the grid after it has been selected from the APR system.
When the table has two grids, on pressing this push-button (30), the relative grid will be moved
automatically in relation to the focal distance.
30
Pressing this push-button (30) it is possible to park the grid outside the X-ray beam field:
LED ON and flashinggrid parked, outside the X-ray beam field
LED OFFgrid inside the X-ray beam field
5.13. Mixed programming

The Mixed programming function, where available, is paired to the examination tables equipped
with a conventional spot film device and it depends on the system version.
Mixed programming is not enabled with a number of over 4 band divisions.
31
Press this push-button (31) to enable the mixed programming function and the division execution sequence
available is selected automatically.
It is possible to change the type of division within a program.
According to the cassette size and the type of SFD (with or without crossed-division) some push-buttons (43,
44, 45, 46, 47 and 48) are disabled, while the remaining ones can be selected in order to select the division
execution sequence. The selected sequence is indicated by the fixed LED for the program that is first executed
and will flash for the program executed later on.

5.14. Rapid spot filming

The Rapid spot filming function, where available, is paired to the examination tables equipped
with a conventional spot film device and it depends on the system version.
32
If you simultaneously press this push-button (32) and the X-ray exposure push-button a series of exposures
will automatically be executed according to the chosen size division.
This function will be disabled at the end of the exposure of the last section of the film or as soon as the
exposure push-button is released.
5.15. Pulsed fluoroscopy

The Pulsed fluoroscopy function, where available, can be enabled and configured depending on
the system version.
The function is disabled if the DFR mode button (14) is present.
33
This push-button (33) allows you to set the image review or memorization frequency.
The value associated to the image review or memorization frequency is displayed on the display screen.
For further information on how to use the Pulsed fluoroscopy function, please refer to the TV system
manuals.
5.16. Monitor image inversion

The Monitor image inversion function, where available, can be enabled and configured
34 35
These push-buttons (34 and 35)can be used to select image inversion:
Right-left (push-button 34)
Up-down (push-button 35)

5.17. Focal distance selector

The Focal distance selector function, where available, can be enabled and configured
depending on the table type.
Some table configurations foresee a maximum focal distance of 150, other configurations
foresee a maximum focal distance of 180.
The step-by-step or continuous operating mode for mobile focal distance can be configured
when the table is installed.
Moreover, in some configurations, the maximum fluoroscopy X-ray dose value is compensated
in relation to the focal distance.
The function of the Focal distance Selector push-buttons, in particular push-button (38), varies according to
the configuration, as illustrated below:
Systems with max FFD = 150
3 push-button system
36 37 38
Systems with max FFD = 180 optional
4 push-button system 3 push-button system
36 37 38 38A 36 37 38
It is possible to select from three (or four) different focal distances by pressing the relative push-button (36,
37and 38 or38A), using one of the two procedures below:
Focal distance step by step movement selector:

If you release the push-buttons before the correct distance is reached, the three (or four) LEDs will flash
stopping all possible movement. It is necessary to move the focal device to one of the three (115, 135, 150
cm) or four (115, 135, 150, 180 cm) different positions in order to commence work. The push-button LED will
remain fixed when the position has been reached.
On 3 push-button systems with maximum focal distance of 180 (optional):
To set the focal distance at 180, proceed as follows:
Press the push-button (38) and release it when the position has been reached (the focal device will
position itself at 150), the push-button LED will remain fixed when the position has been reached.
Press the push-button (38) again positioning the focal device at 180, the push-button LED will remain
fixed again when the second position has been reached.
To set focal distances lower than 180, starting from FFD=180, proceed as follows:
Press push-button (36) or (37) and release it when the position has been reached (the focal device will
position itself at 150), the push-button (38) LED will remain fixed when the position has been reached.
Press push-button (36) or (37) according to the required focal distance
Focal distance continuous movement selector:
If the push-buttons are released in intermediate position (before the selected distance is reached, the
distance will be the position in which the focal device is when the push-button is released. The related LED
will only come ON when the selected focal distance has been reached, otherwise all the LEDs on the focal
distance selector push-buttons will remain OFF; it is however still possible to use the system.
The focal distance, measurable thanks to the graduated scale fitted on the compressor column, will be the
distance in which the focal device is when the push-button is released.

5.18. Selecting automatic exposure or automatic filter area

The Automatic exposure or automatic filter area selectors, where available, can be enabled
and configured depending on the system version. The two functions can only be used
alternatively.
1.1.1. Exposure area selector
39 40 41 42
Press the push-buttons (39, 40, 41 and 42) to enable the selected sensitive areas. Enabling is confirmed when
the LED is ON.
These push-buttons are only enabled in versions with a single console separated from the
generator.
When integrated consoles are used, selection takes place in the section of the console dedicated
to the generator.
5.18.1. Filter selector
39 40 41 42
Press the push-buttons (39, 40, 41 and 42) to select the filter inserted in the collimator. Enabling is confirmed
when the LED is ON.
The push-buttons are paired in the following order:
Push-button (39) = no filter inserted
Push-button (40) = 1Al+0,1cu filter
Push-button (41) = 1Al+0,2cu filter
Push-button (42) = 2Al filter
These push-buttons are only enabled if the collimator with automatic filters is fitted and if the
filters are controlled from the table console. When the filters are controlled externally, (e.g. APR
digital system) the console selectors are not enabled.
5.19. Size division selector

The Size division selector, where available, is paired to the examination tables equipped with a
conventional spot film device, and can be enabled and configured depending on the system
version.
Some table configurations foresee the transversal division of the film size into five or six bands.
Other configurations, however, foresee crossed-divisions, therefore the push-buttons (47, 48)
will vary according to the type of system installed.
All the conventional SFDs Conventional SFDs Conventional SFDs

with 5 and 6 band divisions with crossed divisions
43 44 45 46 47 48 47 48
These push-buttons (43, 44, 45, 46, 47 and 48) allow the operator to program the transversal or crossed
division of the film.

The spot film device with 2,3,4 bands or stripes allow the division of any size in the transversal direction;
The division in 5, 6 bands or stripes is only possible for sizes over 24cm or 10 inches.
The crossed spot film device in addition to the division of any size in a transversal direction, also allows
the crossed subdivision in 4 and 6 for the 18x24, 24x24, 24x30 sizes.
This push-button (43) foresees the use of the film on the entire size (panoramic).
It is enabled at startup.
43
This push-button (44) allows the transversal division of the film size into two.
44
This push-button (45) allows the transversal division of the film size into three.
45
This push-button (46) allows the transversal division of the film size into four.
46
A B This push-button (47) allows the transversal division of the film into five (A) or the crossed
division of the film size into four (B)
Push-button (A) is optional: installed on 5 and 6 division band spot film device systems
only.
47 Push-button (B) is optional: installed on crossed spot film device systems only.
A B This push-button (48) allows the transversal division of the film into six (A) or the crossed
division of the film size into six (B)
Push-button (A) is optional: installed on 5 and 6 division band spot film device systems
only.
48 Push-button (B) is optional: installed on crossed spot film device systems only.
The LED placed on each push-button indicates the division currently selected.
The number of available exposures is always displayed according to the selected program. In addition, when
the cassette holder is in the parked position in the spot film device, it is possible to read the dimension of the
cassette inserted in the spot film device by pressing the selected cassette division button.
The selected film size division automatically determines the automatic collimation of the X-ray beam, with the
command: "Radiography preparation".
At each "Radiography" command, the division program advances one step while the number of available
exposures shown on the display decreases. After exposing the final section of the film, the cassette is
automatically sent to its parking position. The display will indicate that the division program is over (0
radiographs available) and it is not possible to perform any further radiographic exposures.
It is always possible to insert a radioscopy between one radiographic exposure and another by pressing the
radioscopic foot pedal. The following radiographic exposure will be executed by turning back to the point
where the division program was last interrupted.
When the radiographic exposure series is over, you can only perform other exposures after replacing the
radiographic cassette. When you replace the radiographic cassette, the division program last selected will
remain active.

5.20. Collimator lamp
49
This push-button (49) is used to switch on or off the lamp of the luminous centring device in order to carry out
a visual check of the collimation. The lamp will automatically switch off after 30 seconds.
5.21. Iris diaphragms

The Iris diaphragms command, where available, can be enabled and configured and paired to
tables equipped with collimator with this option.
50 51
These push-buttons (50 and 51) are provided to control a iris diaphragm, if available:
The left push-button (50) causes the diaphragm to open
The right push-button (51) causes the diaphragm to close
5.22. Image intensifier elevation

The I.I. Elevation command, where available, can be enabled and configured and paired to
examination tables with this option.
52
This push-button (52), can be used to select whether to perform fluoroscopy exams with the I.I. placed at the
minimum distance from the tabletop (normal condition) or with the I.I. left at the same distance that it
assumes when spot film device cassette-holder is in the field (condition indicated with LED on).
The normal condition is the best possible condition for geometrical magnification and resolution.
In other conditions, the fluoroscopy-radiography transition time is minimal.

5.23. Collimation mode selector
The Collimation mode selectors, where available, depend on the system version.
53 54
These push-buttons are used to select the collimation mode:
This push-button (53) selects collimation in automatic or semi-automatic mode
This push-button (54) selects collimation in Bucky mode
When neither of the two push-buttons are selected (the LED on push-button (53) is flashing), the system is set
to semi-automatic mode.
In all operating modes, it is always possible to execute collimation in reduction mode using the joystick (61) or
directly on the collimator using its knobs.
Equivalent cassette area   Iris collimation area

Equivalent I.I. area   Orthogonal collimation area

5.23.1. Automatic collimation (Push-button 53 enabled – LED ON)

FLUOROSCOPY = I.I. OR DETECTOR FIELD SIZE)
Cassette (film) size larger than the I.I. or detector field: the X-ray field will be as large as the I.I. or detector
field selected.
Cassette (film) size smaller than the I.I. or detector field: the X-ray field will be as small as the cassette (film)
size.
During the fluoroscopy phase it is possible to open the collimator shutters as far as the I.I. or detector field
size, using the joystick (61); as soon as the joystick is released the cassette size division will return to its
previous setting.
Fluoroscopy with Radiography

Fluoroscopy
collimation in reduction (automatic collimation)
RADIOGRAPHY = (COLLIMATION ON CASSETTE SIZE):

The X-ray field is always as large as the cassette size.
Cassette size smaller than the I.I. or detector field: the X-ray field will be as small as the cassette size.
Cassette size larger than the I.I. or detector field size: the X-ray field will be as large as the cassette size.
Fluoroscopy with Radiography

Fluoroscopy
collimation in reduction (automatic collimation)

5.23.2. Semi-automatic collimation (Push-button 53 enabled – LED flashing)

FLUOROSCOPY = COLLIMATION ON I.I. SIZE:
Cassette size smaller than the I.I. : the X-ray field will be as large as the cassette size.
Cassette size larger than the I.I. : the X-ray field will be as large as the I.I
FLUOROSCOPY = COLLIMATION ON RF DETECTOR SIZE:
Cassette size smaller than the detector size: the X-ray field will be preset to match the film size. During the
fluoroscopy phase it is possible to use the joystick (61) to open the collimator shutters until they match the
selected detector size.
Cassette size larger than the detector size: the X-ray field will be as large as the detector size.
RADIOGRAPHY:
The semi-automatic collimation in Radiography depends on the value set during the
installation phase. The paragraphs below describe the four different settings that provide four
different X-ray field opening modes.
Setting 001
COLLIMATION IN FLUOROSCOPIC = RADIOGRAPHIC MODE (the perpendicular diaphragm and the iris will only
open at film size in radiographic mode if the joystick is moved during the preparation phase).
The X ray field will always be as large as the cassette/I.I. size. - never larger than the I.I.
In Radiographic mode:
If the joystick (61) is not moved perpendicularly during the radiography preparation phase:
The parallel sides, perpendicular and iris, if present, remain stationary in the previously selected
position.
If the joystick (61) is moved perpendicularly during the radiography preparation phase:
The parallel side remains stationary in the previous position.
The perpendicular side and iris open on the film size (maximum aperture)
Radiography with perpendicular
Fluoroscopy (001) Radiography (001)
joystick movement (001)
Fluoroscopy with collimation in Radiography with collimation in Radiography with perpendicular

reduction (001) reduction (001) joystick movement (001)

Setting 002
COLLIMATION APERTURE PERPENDICULAR SIDE AT THE FILM SIZE SELECTED IN RADIOGRAPHIC MODE (the
perpendicular diaphragm and iris always open in radiographic mode at the film size).
- The parallel side remains stationary in the previously selected position.
- The perpendicular side and iris, if present, always open on the film size (maximum allowed aperture)
even if previously collimated.
Fluoroscopy with collimation in

Radiography (002)
reduction (002)

Setting 003
COLLIMATION APERTURE PERPENDICULAR SIDE AT THE FILM SIZE SELECTED IN RADIOGRAPHIC MODE IF
NOT COLLIMATED (the perpendicular diaphragm and iris open in radiographic mode at the film size if they
were not collimated in fluoroscopic mode).
If the size of the perpendicular side is not reduced using the joystick (61) before the radiographic phase:
The parallel side remains stationary in the previously selected position.
The perpendicular side remains on the film size (maximum allowed aperture)
The iris, if present, opens on the film size (maximum allowed aperture) even if previously collimated.
If the size of the perpendicular side is reduced using the joystick (61) before the radiographic phase:
The perpendicular side remains stationary in the previously selected position.
The iris, if present, remains stationary in the previously selected position.

Radiography (003)
reduction (003)

Setting 004
COLLIMATION APERTURE WITH THE IRIS SHUTTERS ON THE FILM SIZE SELECTED IN RADIOGRAPHIC MODE,
AND COLLIMATION APERTURE WITH THE PERPENDICULAR SHUTTERS AT THE FILM SIZE SELECTED IN
RADIOGRAPHIC MODE IF NOT COLLIMATED (the iris always opens in radiographic mode at the film size whilst
the perpendicular diaphragm opens in radiographic mode at the film size only if it was not collimated in
fluoroscopic mode)
If the size of the perpendicular side is not reduced using the joystick (61) before the radiographic phase:
The perpendicular side remains on the film size (maximum allowed aperture)
The iris, if present, even if collimated, opens on the film size (maximum allowed aperture).
If the size of the perpendicular side is reduced using the joystick (61) before the radiographic phase:
The perpendicular side remains stationary in the previously selected position.
The iris, if present, opens on the film size (maximum allowed aperture) even if previously collimated.
Fluoroscopy with collimation of

Radiography (004)
the iris in reduction only (004)

Radiography (004)
reduction (004)

5.23.3. Bucky Mode (Push-button 54 enabled – LED ON)

FLUOROSCOPY: the system ALWAYS returns to automatic or semi-automatic collimation.
RADIOGRAPHY: collimation according to the cassette size/division in the SFD and examination table, without
using fluoroscopy, in Bucky mode, the diaphragm opens on the radiography size selected the moment in
which the cassette holder carriage reaches the parking position; later on it is possible to perform collimation
in reduction using the joystick (61) or the collimator knob. In the event of a division change, the diaphragm
will move to the new selected radiographic size.
In any case, the X-ray field in radiographic mode will always remain the same as the previously set collimation
size.
5.24. Stop in the horizontal position

The Stop in horizontal position function, where available, can be enabled and configured during
the installation phase.
When this function is disabled, automatic stop of the tilting of the table in the horizontal
position is foreseen.
55
Normal condition: during tilting, the table stops automatically in a horizontal position and the push-button
(55) is OFF and disabled.
It is possible to press the push-button (55) to select whether or not to disable the automatic stop function: the
LED will come ON.
5.25. Stand vertical position
56
Press this push-button (56) to restore the vertical position of the stand after the execution of oblique
incidences, the LED will come ON as soon as it reaches the vertical position.
With table tilting wider than ±85° and X-ray group rotated (not centred on the SFD or detector ),
controlling the vertical position of the stand (centering), if this occurs with the stand moving
downwards the movement will stop at 140cm from the floor. It is necessary to release it and
repeat the command to continue with the movement. The movement will be enabled again at
minimum speed.

5.26. Tabletop longitudinal displacement

The Tabletop longitudinal displacement commands, where installed, can be enabled and
configured and paired to tables with this option.
The tabletop can move symmetrically or asymmetrically depending on the table configuration
and the tabletop model.
WARNING
If longitudinal displacement of the tabletop is performed to the right or left, it is prohibited to
allow the patient to get on/off the tabletop from the overhanging side (see figure below).
57 58 59
The lateral push-buttons (57 and 59) control the tabletop longitudinal displacement:
 The lateral push button (57) moves the table top towards the left.
 The lateral push button (59) moves the table top towards the side.
The central push-button (58) is used to place the tabletop in its original centered position. As soon as the
tabletop reaches the central position, the push button LED will come ON.
5.27. Cassette holder IN-OUT

The Cassette holder IN-OUT command, where installed, is paired to examination tables with
this option.
60
This push-button (60) alternately controls the cassette holder IN-OUT function in the spot film device; the LED
will come ON to indicate the cassette holder OUT condition.
The display indicates the number of available exposures and will switch off if the radiographic cassette is
not inserted or the relative cassette holder is in the OUT position.

5.28. Diaphragm collimation
61
Using the joystick (61), it is possible to open and close the internal collimator diaphragms.
 Push the joystick forwards to open the longitudinal diaphragms.
 Push the joystick backwards to close them.
 Push the joystick to the left to open the transversal diaphragms.
 Push the joystick to the right to close them.
5.29. Compressor
62
The tabletop is equipped with a motorized compressor, enabling the pre-adjustment of the compression
pressure. The compressor movement is enabled using a joystick type lever (62):
Tip the lever forwards to lower the compressor and enable compression.
Tip the lever backwards to raise the compressor again.
When the compressor device is in compression there will be an inhibition of the following movements:
 tabletop transversal displacement
 tabletop longitudinal displacement
 spot film device stand unit inclination and transversal displacement
 focal distance decrease
Enabling the tomography or stitching command will automatically raise the compressor.

5.30. Tabletop elevation and tilting

The Tabletop elevation function, where installed, is paired to examination tables with this
option.
63
In order to use the joystick (63) to control the movements, it is necessary to move the lever and
simultaneously press the “enable movements” button, which is positioned on the lever itself.
5.30.1. Tabletop tilting

Pushing the joystick to the right will tilt the table to a vertical position (+90°).
Pushing the joystick to the left will tilt the table to the Trendelenburg or vertical position (-90°).
The movement speed varies according to the inclination degree of the joystick.
5.30.2. Tabletop elevation

When this function is available, the elevation or lowering of the tabletop are only possible when
the table is in the horizontal position.
pushing the joystick forwards will elevate the tabletop.
pushing the joystick backwards will lower the tabletop.
5.31. X-ray tube stand incidence and footrest rotation
The Footrest rotation function, where installed, is paired to tables with this option.
64

5.31.1. X-ray tube stand incidences

 Pushing the joystick forward will move the X-ray tube stand to the left, with subsequent rotation of the
tube enabling the execution of left oblique incidences.
 Pushing the joystick backwards will move the X-ray tube stand to the right, with subsequent rotation of
the tube enabling the execution of right oblique incidences.
 The tube stand can be inclined up to an angle of 40° and the incidence angle is visualised on the display.
It is possible to enable the stand incidence command and the longitudinal patient scanning
command simultaneously.
With the table tilting wider than ±85° and X-ray group rotated (not centered on SFD or detector),
by driving the oblique incidence downwards, the movement will stop at 140 cm from the floor. It is
necessary to release it and repeat the command to continue the movement. The movement will
be enabled again at minimum speed.
5.31.2. Footrest rotation

Please refer to the "Accessories" chapter for instructions on how to install the footrest correctly.
The footrest rotation command allows rotation of the footrest with the tabletop in a vertical position (±90°):
 Pushing the lever (64) to the right will move the footrest clockwise;
 Pushing the lever (64) to the left will move the footrest counter clockwise;
5.32. Control of the patient scanning movements
65
The movement speed varies according to the inclination degree of the control lever. This allows the operator
to change the scanning speed according to the operational needs, i.e. it will be possible to increase the speed
if long movements are to be executed and then decrease the speed when approaching the area to be
diagnosed in order to achieve accurate centering.
The movements have been programmed to achieve a “topographic” correspondence with the image
displayed on the monitor.
Pushing the joystick to the right will achieve lateral displacement of the tabletop towards the internal
side, corresponding to screen image shifting to the right.
Pushing the joystick to the left will achieve lateral displacement of the tabletop towards the external side,
corresponding to screen image shifting to the left.
Pushing the joystick forwards will achieve the displacement of the I.I intensifier X-ray tube stand group
towards the left side of the longitudinal axis, corresponding to screen image shifting upwards.

Pushing the joystick towards the operator (backwards) will achieve the displacement of the I.I.-X-ray tube
stand group towards the right side of the longitudinal axis, corresponding to screen image shifting
downwards.
When the movements approach their maximum extensions, the tilting speed automatically and gradually
decreases in order to prevent them coming to an abrupt stop.
With the table tilting wider than ±85° and X-ray group rotated (not centred on the SFD or
detector ), by driving the oblique incidence downwards, the movement will stop at 140 cm from
the floor. It is necessary to release it and repeat the command to continue the movement. The
movement will be enabled again at minimum speed.
5.33. X-Ray exposure
66
The X-Ray exposure command is executed by means of a double-click push-button (66).
The first click of the push-button enables the Radiography Preparation, while the second click (deeper)
enables the X-Ray, tomographic or stitching exposure.
5.34. Fluoroscopic exposure
67
The fluoroscopic exposure command is executed by means of the pedal (67).

6. VISUALIZATION ON THE MAIN CONSOLE DISPLAY
1 Acquisition frequency or image review function

2-3-4 Layer height
5-6-7 Adjustable tabletop height / Tilting angle
8-9-10 Stand angle
11 Available exposures (optional)
Normal visualization on the display is inhibited when an error code or power off occur.
6.1. Acquisition frequency or image review function

The display screen (1) displays the following information:
It indicates movement inhibition when there is an external limitation (ceiling, floor, walls etc). As soon as
an inhibition is triggered, the display will start flashing.
When using analog systems with memory function, the display screen (1), displays the value related to
the acquisition function or image review.
6.2. Displaying layer height and error codes

The display screen (2,3,4) displays a variety of information depending on the tabletop condition.
6.2.1. Displaying the layer height

The display screen displays the following layer information:
The default layer height when the equipment is switched on =125mm
The layer height in millimetres above the tabletop (adjustment of the layer height from 0 to 330 with
increase-step of 1 millimetre)
The layer height in millimetres including the automatic increase in tomography
6.2.2. Errors codes/ equipment condition

The display also indicates any error codes.
Please refer to the “Error code list” chapter for a complete list of the codes.
6.3. Displaying the tilting angle and elevation millimetres

The display screen (5,6,7) displays a variety of information depending on the tabletop condition.
 With a tilting angle other than zero, or when there is no "tabletop elevation" option, the display screen
will display the tilting angle.
 With a tilting angle equal to zero, and the "tabletop elevation" option, the display screen will display the
tabletop elevation in millimetres.
 If a conventional spot film device is being used, with cassette parked, by pressing and holding the selected
cassette division push-button (one of the 43, 44, 45, 46, 47 or 48 push-buttons) the display screen will
display the cassette parallel size.
6.4. Displaying the incidence angle

The display screen (8,9,10) will display a variety of information depending on the tabletop condition:
 Normally the incidence angle
 During a tomography function, the selected tomographic angle
 The number of steps available (max four) is displayed during the peristepping function.
 If a conventional spot film device is being used, with cassette parked, by pressing and holding the selected
cassette division push-button (one of the 43, 44, 45, 46, 47 or 48 push-buttons) the display screen will
display the cassette perpendicular size.
6.5. Displaying the available exposures

The display (11) indicates the number of available exposures and will switch off if the radiographic cassette is
not inserted or the cassette holder is in the OUT position.
The display (11) is only available on systems equipped with conventional or hybrid spot film
device.

7. COMMAND FUNCTIONS OF THE SECONDARY CONSOLE (OPTIONAL)

Please refer to the “Command functions of the main control console” chapter for the description of the
push-buttons and relative functions.
WARNING
The main console, the keyboard and secondary console (in room) are enabled simultaneously.
DO NOT RUN SIMULTANEOUS CONTROLS FROM DIFFERENT POSITIONS.
Park the secondary console outside the table displacement area when not in use.
Push-button
Secondary console (in room) control function description
group
18 Emergency STOP push-button
30 Grid parking
36-37-38-38A Focal distance selector
49 Collimator lamp
50-51 Iris diaphragms
55 Stop in the horizontal position
56 Stand vertical position
57-58-59 Tabletop longitudinal displacement
60 Cassette holder in - out
61 Diaphragm collimation
62 Compressor
63 Tabletop elevation and tilting
64 X-ray tube stand incidences
65 Control of the patient scanning movements
66 X-Ray exposure

8. FUNCTIONS CONTROLLED FROM THE EXAMINATION TABLE

Certain functions are available on the examination table-side control panel located on the front cover of the
Spot Film Device.
Repeating these commands is useful during centering manoeuvres or to prepare the tabletop near the
patient.
In order to enable control the movements via the remote keyboard (onboard machine control
panel) it is necessary to press the desired movement push-button and simultaneously the
“enable movements” push-button (G2), which is positioned to the remote keyboard.
The only movement for which the simultaneous pressing of the "enable movements" push-
button is not required is the cassette holder IN/OUT function.
Please refer to the “Command functions of the main control console” chapter for the description of the
push-buttons and relative functions.
Push-button Associated to console Description of the functions controlled from the

group push-buttons examination table
G1 18 Emergency STOP push-button
G2 - Enable movements from the examination table
G3 36-37-38-38A Focal distance selector
G4 63 Examination table tilting and elevation (optional)
G5 56.64 X-ray tube stand incidences
G6 57-58-59 Longitudinal tabletop translation
G7 65 Control of the patient scanning movements
G8 60 Cassette in - out
8.1. Focal distance selector

(G3)
These push-buttons allow the operator to choose from three or four different focal distances by simply
pressing the relevant push-button.
If you release the push-button before the correct distance is reached, the three push-button LEDs will flash
and all movements will come to a stop. (There is an optional version where it is possible to set intermediate
focal distances during the installation phase).
8.2. Tilting and elevation (optional) of the tabletop

(G4)
Press the right or left push-buttons to tilt the table to the Trendelenburg and/or vertical position.
Table elevation is archived by pressing the top or bottom push-buttons. (Optional function).

8.3. Oblique incidences

(G5)
These two push-buttons allow the execution of the oblique incidences up to a maximum of 40°. The top push-
button commands the displacement of the stand to the right, while the bottom push-button commands the
displacement of the stand to the left. The displacement will come to a halt each time the stand reaches the
vertical position. It is necessary to release the push-button and press it again to continue the incidence.
8.4. Longitudinal tabletop displacement (optional)

WARNING
(G6)
The two remaining push-buttons control the longitudinal displacement of the tabletop. The displacement will
come to a halt each time the examination table reaches the central position. It is necessary to release the
push-button and press it again to continue the scan.
When the examination table is tilted, press the left or right push-button to lower the tabletop towards the
floor (step by step mode), in order to make it easier for patients with motor difficulties to climb onto the
patient footrest.
8.5. Patient scanning

(G7)
These four push-buttons control the patient scanning movements with displacement of the "Stand/spot film
device" group (push-buttons on the left and on the right) and the transversal displacement of the tabletop
(push-buttons on top and bottom).
With the table tilting wider than ±85° and X-ray group rotated (not centered on SFD or detector),
by driving the oblique incidence downwards, the stand centering, longitudinal scan and table
displacement will stop at 140 cm from the floor. It is necessary to release it and repeat the
command to continue the movement. The movement will be enabled again at minimum speed.
8.6. Cassette holder IN-OUT

(G8)
The push-button alternately controls the IN and OUT functions of the spot film device cassette holder.

9. INSERTING THE CASSETTE IN THE SFD

The following procedure is valid only for equipment with conventional SFD.
Before opening the SFD cassette holder, you must have previously selected the SFD receptor
(Spot Film Device) by pressing the related push-button on the control console.
9.1. Selecting conventional radiography
31
Select conventional radiography (if available and/or enabled) and/or select the generator receptor
associated to the conventional radiography selection.
9.2. Procedure for inserting the cassette

Press the push-button controlling the opening of the SFD cassette-holder: this push-button is placed on
the console or next to the cassette-holder itself
Cassette
INSERT/EJECT
Insert the cassette by pushing the two external edges

Position the cassette on the tray when it has exceeded the external tray guide.
External guide
Slot the cassette into the external guide paying attention to the position of the fingers.
Adjust the "right-left" indicator where necessary.
“Right-Left” indicator
WARNING
Inserting the cassette incorrectly could lead to squashing of fingers!

9.3. Cassette right/left marker (if available)

There is a device fitted inside the SFD cassette holder used to mark the radiographic images with the letter R
(right) and L (left). This device is enabled manually and its correct functioning also depends on the type of
collimation the user intends to perform.

10. ON-BOARD CONTROL CONSOLE WITH JOYSTICK (OPTIONAL)

WARNING
Incorrect installation of the on-board console with joystick can cause damage to patients,
operators and equipment.
Please refer to the “Using the accessories” chapter for installation instructions of the on-board console with
joystick.
The optional on-board joystick controls the patient scanning

displacement:
Move the joystick up or down to effect longitudinal
patient scanning through the positioning of the
stand/spot film device.
Move the joystick to the left or right to effect
transversal patient scanning through the positioning of
the tabletop in a transverse position.
The movements were programmed so that a “topographic”
correspondence is obtained compared with the image
showed on the monitor.
In order to use the on-board joystick to control the table displacement, it is necessary to
move the lever and simultaneously press the “enable movements” push-button which is
positioned near the remote keyboard (on-board control panel).
Pushing the joystick to the right will achieve lateral displacement of the tabletop towards the
internal side, corresponding to screen image shifting to the right.
Pushing the joystick to the left will achieve lateral displacement of the tabletop towards the
external side, corresponding to screen image shifting to the left.
Pushing the joystick forwards will achieve the displacement of the I.I.-X-ray tube stand group
towards the left side of the longitudinal axis, corresponding to screen image shifting
upwards.
Pushing the joystick towards the operator (backwards) will achieve the displacement of the
I.I.-X-ray tube stand group towards the right side of the longitudinal axis, corresponding to
screen image shifting downwards.
With table tilting wider than ±85° and X-ray group rotated (not centred on the SFD or
detector), by driving the oblique incidence lower the movement will stop at 140 cm from the
floor. It is necessary to release it and repeat the command to continue the displacement
operations. Displacement will be enabled again at minimum speed.

11. COLLIMATOR
11.1. Lighting up of the luminous beam
 Press push button (A) on the collimator.
The luminous beam will remain lit on for about 30 seconds simulating the dimension of the X-ray field. It
will switch off automatically.
 The cross (G) indicates the position of the central radiation.
Average illumination is not less than 160 LUX; edge contrast ratio is minimum four to one (4:1)
 The field size at various Focus-Film Distances (FFD) is shown by the dial indicators on the front of the
collimator.
L R
G
C
Collimator provided with control devices for the manual limitation of the X-ray field

11.2. Limiting the X-ray beam field

Turn the adjustment knobs (B) on the collimator:
- The knob on the left (L)commands the diaphragms in the width direction (parallel diaphragm) turn
clockwise to close them and counter clockwise to open them.
- The knob on the right (R) commands the diaphragms in the height direction (perpendicular diaphragms):
turn clockwise to open them and counter clockwise to close them.
11.3. DFR technique

This technique is present if the DFR push button (14) (on the main consol panel) has been selected.
It is possible to change the X-ray field within the limits of the I.I. size that was previously selected by means of
the push-buttons (1, 2, 3, 4) (on themain console panel)
11.4. X-ray cassette technique

Below the adjustment knobs (B) there are special graduated scales (C): at each segment it corresponds a
collimator aperture over the cassette or over the image intensifier related to focal distance frontal panel
table (D).
The table on the front panel shows the number to set with the knobs. The number to set is read by crossing
the FFD in use cm or in inch (vertical arrow E ) with the cassette size in cm on inches (horizontal arrow F).
Move the knob index to place it on the scale value corresponding to the requested measure/value.
11.5. X-ray field adjustment for “External Radiographs”

Place the empty cassette-holder in its parking position (outside the field) or command the tube rotation to
18°/90°/180°.
+90° +180°
Follow the same above-specified procedure. You can modify the X-ray field up to the mechanical limits of the
adjustment area of the collimator
WARNING
If you rotate the tube or use the accessory provided for external radiographs the radiation
beam will extend beyond the primary protective shielding.

11.6. Collimator manual rotation (90°) - if present

It is possible, depending on the needs, to rotate by hand the collimator to90°, as shown in the following
pictures.
Collimator rotated to the left Centred collimator Collimator rotated to the right
11.7. Collimator type

Motorized collimator with rectangular field
Motorized collimator with rectangular field and Iris
Motorized collimator with rectangular field, Iris and motorized filters
Motorized collimator with rectangular field and motorized filters
Motorized collimator with rectangular field, Iris and manual filters *
Motorized collimator with rectangular field and manual filters *
* Available depending on the regulatory of Country of installation
The collimator, provided with luminous centering device, allows three adjustment modes:
- manual
- remote‐controlled from the control panel
- automatic, according to the cassette division, I.I. field, focus‐to‐film distance..
The collimator can be a rectangular field type or a rectangular‐iris fields type very useful with
digital system applications.
- Besides, as an option, are available a series of additional filters:
position 1: 1 mm Al + 0,1 mm Cu
position 2: 1 mm Al + 0,2 mm Cu
position 3: 2 mm Al
position 4: empty
- rotation feature for easy collimation of contact radiographies with cassette out of SFD (eg.:
extremities);
- more powerful lamp for brightness compensation of the luminous field due to the DAP
meter presence.
For further information on the collimator types, make reference to the relevant manuals.

11.8. X-ray beams extra focal collimator radiations

R302 CROSS
F = Focus
A = Extra focal shutters
B = R302 collimator
C = Maximum field
D = Maximum stray radiation
E = Lead limitation
G = Upper cover
R302 LONG
F = Focus
B = R 302 collimator
C = Maximum field
E = Lead limitation
G = Upper cover

R302 MLPI CROSS
F = Focus
C = Maximum field 430 mm
E = Lead limitation
G = Upper cover
R302 MLPI LONG
F = Focus
C = Maximum field 430 mm
E = Lead limitation
G = Upper cover

12. COMPRESSOR
The remote-controlled compressor allows an effective though not traumatic palpation; the compression force
can be adjusted from 50 to 200 N.
A special consideration has been devoted to mechanical and electrical safeties, as well as safety against wrong
manoeuvres.
12.1. Automatic compressor parking

The compressor reaches its parking position automatically.
By moving proper console joystick (push button 62),the compressor will reach
automatically the parking position at the end of its stroke.
Thanks to this function, to remove the compressor manually will not be necessary in
(62)
case it is an obstacle to equipment functions.
Compressor working position Compressor parked position
12.2. Compressor display
Compressor display
The display positioned on compressor support visualizes the following data:

- First display (1) visualizes the incidence angle, in addition during the tomographic exam it will visualize the
tomographic angle.
- Second display (2) visualizes the table tilting angle.

12.3. Manually removing the compressor

Should it be necessary to release the compressor manually, you shall execute the following steps:
 Take the release lever [B] (Fig. 1 and Fig. 3) which is fixed on the cable-support turret [H] (Fig. 1) with
Velcro.
 Insert the hexagon [M] of the release lever (Fig. 3 e Fig. 2) onto the screw [L] protruding from the back
cover (Fig. 3 e Fig. 2).
H
L
B
B M
Fig. 1 Fig. 2 Fig. 3
 Lift the compressor by means of the lever [B] (Fig. 3) as shown in Fig. 4 e Fig. 5, by turning the lever
counter clockwise if you are standing behind the back side of the equipment.
Fig. 4 Fig. 5

12.4. Distance scale
Distance scale
For tables equipped with continuous variable focal distance, a distance scale is positioned on the compressor
column which allows for measuring the exact focal distance, upon releasing the related push button.
In addition the X- ray maximum fluoro dose value will be compensated related to focal distance choice.
12.5. Compressor with interchangeable cones (option)

As an option, an alternative compression system is available with three interchangeable cones of different
size (large, medium and small cap).
With this accessory the automatic parking feature is not available.

For assembling instructions of the interchangeable cones, see the chapter “Using the accessories”.

13. ERROR CODE LIST
CODE TRANSMISSION CAUSE

001 Tilting Potentiometer
002 Operation unit protection
003 Motor+dynamo/DAC inverted
004 Motor reversibility
011 Elevation Potentiometer
012 Operation gear protection
015 Missing synchronism with the tilting
021 Stand Potentiometer
023 Stand in Mobile Area
024 Stand in angle
025 Stand in tomography
026 Stand in Mobile Area+contemporary angle
028 Angle > 44°
031 SFD Potentiometer
033 SFD in Mobile Area
034 SFD in angle
035 SFD in tomography
036 SFD in Mobile Area+contemporary angle
041 FD Zero input alarm
042 Fault operation
051 Parallel collimator Potentiometer
052 Motor
061 Orthogonal collimator Potentiometer
062 Motor
071 Iris collimator Potentiometer
072 Motor
081 Parallel diaphragm Zero input alarm
082 Fault operation
091 Crossed-diaphragm or Zero input alarm
092 second grid Fault operation
101 Parallel jaws Potentiometer
111 Perpendicular jaws Potentiometer
121 Longitudinal cassette Zero input alarm
122 Fault operation
131 Transversal cassette Zero input alarm
1 With longitudinal tabletop option, the alarm code 022 may occur also in case of malfunction of the tabletop circuit.
CODE TRANSMISSION CAUSE

132 Fault operation
133 Central input alarm
141 I.I. Zero input alarm
142 Fault operation
143 Low I.I. input alarm
151 Grid Zero input alarm
152 Fault operation
161 Longitudinal tabletop Potentiometer
165 Maximum limit active when tabletop is vertical
096 CPU battery in discharge

097 Movement control at the equipment start up
098 Broken fiber optic / wrong transmission
099 Stand-by
190 Console communication error in CAN-BUS
196 System error
197 Assi board error
198 Transmission error code on RS232 during installation
199 Transmission type error code on RS232
200 E2PROM not present / broken
201 Virgin E2PROM
202 Alarm error not managed

14. ACCESSORIES
The utmost suppleness of application and universality of the table are further enhanced by the availability of a
wide range of accessories.
Note: The accessories used must be the original ones.
14.1. Standard accessories

- Patient footrest 15 kg weight
- Handgrips 0,5 kg weight
- Shoulder-rests 4 kg weight
- Grid 440x480 110L” R12:1 F120
Patient footrest Handgrips Shoulder-rests Grid
14.2. Optional accessories

- Compression belt - Double R/F remote foot pedal
- Ankle-support - On-board console joystick
- Lower limbs support - Rotating footrest
- Lateral cassette support - Patient step
- Head-contention device - Grid 440x480 110L” R12:1 F140
- Support for glass of barium - Grid 440x480 110L” R12:1 F180
- Adapter for cassette 15x40 - Grid 440x480 150L” R13:1 F120
- Adapter for cassette 13x18 - Grid 438x460 215L” R12:1 F120
- Intercommunication system - Grid 438x460 215L” R12:1 F180
- Photocell for low ceilings - Detection chamber46x46
- Camera for remote patient monitoring - Spacers for detection chamber
- Secondary console (in room) - Cushion on the tabletop
- Paediatric cradle - Compressor with interchangeable cones
- Stitching bar

Compression belt Ankle-support Lower limbs support
Lateral cassette support Head-contention device Support for glass of barium
13x18 and 15x40 cassette adapters Intercommunication system Photocell for low ceilings
Double R/F remote foot pedal On-board console joystick Rotating footrest
Patient step Detection chamber Camera for remote patient monitoring

Compressor with interchangeable

Paediatric cradle Cushion on the tabletop
cones
Stitching bar
Secondary console (in room))
14.3. Using the accessories
Please find in the next pages important information regarding use of the standard accessories
and use of a few optional accessories.
In order to ensure product safety, accessories exclusively made by the manufacturer or accessories made by
other suppliers but authorized by the manufacturer may only be used.
The user is held responsible for the use of other possible accessories that are not authorized by the
manufacturer.
WARNING
Make sure all accessories are fitted correctly on their guides or support fixtures! If this is not
the case, they could fall and cause injuries to persons or damage to equipment during
machine tilting or movement phases.

14.3.1. Patient support footrest

When examinations are to be executed with the table in the vertical position, the patient-support footrest can
be used as a base support to keep the patient in the standing position or seated and can withstand patient
weights up to a maximum of 265 kg.
The footrest can be mounted either on the right end (normally the foot-side) or the left end (normally the
head-side) of the tabletop.
To mount the footrest:

 place the table in the horizontal position
 hold the footrest so that its guides are perfectly
aligned with the guides of the tabletop
 insert the footrest in the guides A-Fig. 6 A
 rotate B-Fig. 7 and press both locking buttons on
the footrest C-Fig. 7
 make the footrest slide by keeping the locking
buttons pressed until the footrest is almost
completely inserted in the guides A-Fig. 7
 release the locking buttons and make the footrest
slide some cm more until you can hear the click of A
the locking device of the footrest itself B-Fig. 8
Fig. 6 - Footrest mounting
 make sure that the footrest is firmly secured to the guides by bearing down and pressing on the
longitudinal direction onwards and backwards.
C
A
B C
A B
Fig. 7 - Locking buttons Fig. 8 - Locked position
The footrest can also be fastened in a more advanced position compared with the center of the tabletop.
Normally this position is used when the operator wishes to seat the patient on the footrest (seat mode).
To mount the footrest in seat mode:
 press the locking buttons so as to release the locking device
 push the footrest some centimetres onwards and release the blocking buttons A-Fig. 8
 keep on pushing the footrest slowly onwards until the new blocking position is reached C-Fig. 8
 make sure that the footrest is firmly secured to the guides by bearing down on the longitudinal axis
onwards and backwards

To remove the footrest:

 press the locking buttons so as to release the locking device
 pull the footrest to draw it out from the guides (in the opposite direction compared to the center of the
table) by keeping the blocking buttons pressed at least until they are beyond the external edge of the
tabletop guides.
WARNING
Make sure the footrest is correctly assembled on its support fixtures! If this is not the case,
they could come loose and cause injuries to persons and objects during machine tilting or
movement phases.
Do not execute any adjustment of the footrest when the table is in the vertical position: you
would take the risk to make the patient fall or hurt your feet.
Mounting of the rotating footrest is done in the same manner as for standard footrest.
To mount the rotating footrest onto the tabletop, follow instructions provided in this section.
(150kg is the maximum patient weight allowed on the rotating footrest).
Upon fixing the footrest to the tabletop guides, connect the cable.
B
A
C
Fig. 9 – Rotating footrest Fig. 10 – Cable connection
 If the footrest is mounted on the foot side, the cable must be connected to point A-Fig. 10. If the footrest
is mounted on the head side, the cable must be connected to point B-Fig. 10.
 Connect the second end of the cable to point C-Fig. 10, with the equipment switched off.
 Switch the equipment on.
To remove the footrest:

 Switch the equipment off.
 Disconnect the cable from point C-Fig. 10.
 Remove the footrest from the table
 Switch the equipment on.

14.3.2. Handgrips
The handgrips ensure the patient a safe and firm holding position as well as an increased sensation of safety.
The handgrips can be fixed in any position of the tabletop guides.
To mount the handgrips:

 place the table in the horizontal position;
 loosen the knob of the handgrip as much as it
is necessary, by turning it counter clockwise;
 insert the handgrip support on the tabletop
guide in the desired position A-Fig. 11;
 fix the handgrip by turning the knob
thoroughly clockwise as shown in B-Fig. 11.
Fig. 11 - Handgrips mounting
14.3.3. Shoulder-rests
The shoulder-rests ensure complete safety to the patient when, during the examination, it is necessary to
place him in the trendelenburg position (e.g. myelography).
Since it is possible to use the shoulder-rests together with the handgrips, before mounting the shoulder-rests
it will be necessary to fix the hadgrips (if they are not already mounted on the guides):
To mount the shoulder-rests:

 place the table in the horizontal position;
 loosen the blocking knobs of the shoulder-rest
and insert it on the guide of the tabletop A-Fig.
12;
 place the shoulder-rest in the wanted position
and fix it by turning the blocking knob clockwise
B-Fig. 12.
Repeat the same procedure to mount the second
shoulder-rest.
Fig. 12 - Shoulder-rest mounting

14.3.4. Compression belt

This accessory is normally used for compressing possible layers of tissue during the execution of abdominal
examinations in order to reduce the volume of the irradiated masses and thus reducing the quantity of
radiation scattering. This accessory consists of two mechanical supports for tension of a belt which is normally
wound around one of the two supports and can be removed to be periodically washed and sterilized.
By means of knobs it is possible to dose the compression belt’s tension.
To mount the supports:

• position the table in the horizontal position;
• insert one of the two mechanical supports in the
guides of the tabletop A-Fig. 13 and turn the locking
knob B-Fig. 13 clockwise in order to fix the support
onto the guide in the requested position;
• insert the other mechanical support in the opposite
guide symmetrically to the first, using the same
precautions and locking it in the desired position.
Fig. 13 - Assembling the belt supports
To apply the belt:

 raise the lever A-Fig. 14 of the support containing the compression belt B-Fig. 14 so that it is free to
unwind;
 make the free end of the belt, inside which has been previously inserted a special rigid rod, pass under
the bar of the opposite belt C-Fig. 14;
 insert the same end of the belt with the rigid rod inside the cleft of the take-up roller D-Fig. 14;
 turn the knob of the take-up roller at least one turn clockwise E-Fig. 14;
 lower the lever of the mechanical support A-Fig. 14 from which the belt was unwound so as to stop its
unwinding.
 in order to properly extend the belt, turn clockwise the knob of the belt placed towards the free
external side of the tabletop E-Fig. 14.
Fig. 14 - Assembling the compression belt

14.3.5. Lower limbs support

The lower limbs support device consists of two separate elements.
The correct assembly position for the accessory on the tabletop guides can be seen in Fig. 15.
To mount the lower limbs support:
 place the tabletop in the horizontal position;
 loosen the blocking knob of the first element
and insert it onto the tabletop guide as shown
in A-Fig. 15;
 tighten the knob B-Fig. 15 checking that the
accessory is firmly fastened to the tabletop.
Repeat this sequence to assemble the second
element.
Fig. 15 - Mounting the lower limbs support

Mounting of Ankle-support, Lateral cassette support and Head-contention device are done in the same
manner as for the Lower limbs support. To mount the four above mentioned accessories onto the tabletop,
follow instructions provided in the present section.
14.3.6. Lateral support for cassette / wifi detector (without grid)
Mounting of the cassette/wifi detector support is

done in the same manner as for the leg support.
To mount the cassette/wifi detector support onto
the tabletop, follow the instructions provided in
the leg support section.
Attention
Always place the tabletop in the horizontal
position first.
Cassette / wifi detector support
WARNING
Both the mounting and the use of the support for cassette / wifi detector are allowed only with
the table in the horizontal position.
In no case is the operator allowed to use this accessory with the table in vertical position!

14.3.7. Lateral support for wireless detector /CR cassette

The lateral support for wireless/CR cassette is an optional accessory, used to position the following image-
receptors on the table-top:
- Wireless detector/ CR cassette without detector case
- Wireless detector/ CR cassette with detector case, without anti-scatter grid
- Wireless detector/ CR cassette with detector case and anti-scatter grid
The image-receptors, available in various formats, can be used both vertically and horizontally
(portrait/landscape). The anti-scatter grid is available in two versions: with or without handle.
Below are shown, by way of example, some types of image receptors that can be used with this accessory.

The lateral support for wireless detector/CR cassette can be mounted anywhere on the side rails of the
patient tabletop, on both sides of the table.
Mounting the support:

 Move the tabletop in a horizontal position
(A)
 loosen the locking knob (A) of the support
and insert it on the top guide in the
required position
 Screw the knob (A) back on, making sure that
the accessory is securely fastened to the
examination table.
Lateral support for wireless detector
WARNING
Both mounting and use of the lateral support for wireless detector is only permitted with the
table in a horizontal position and the accessory positioned on the patient table top.
Under no circumstances may the user use this accessory with the table in a vertical or
tilted position outside the patient tabletop!

Adjusting the height of the lateral support:

 Loosen the knob (B), holding the support
adjustment rod with the other hand
 Position the detector door at the desired
height
 Screw the knob (B) back on, making sure the
rod is firmly in place.
(B)
WARNING
This adjustment must always be made using one hand to operate the knob and the other
hand to hold the rod.
The rod is not equipped with mechanical stops: if it is not held manually, it may cause the
detector support to fall onto the patient tabletop!
Mounting the detector in the support: (C)

 Loosen the knobs (C) of the two adjustable
clamps (D)
 Widen the terminals (D), until the necessary
thickness is created to insert the type of
detector used
 Insert the detector and close the terminals (D),
making sure that the detector is properly (D)
secured and supported
 Tighten the knobs (C).
WARNING
When adjusting the clamps (D), make sure to hold them externally so as not to risk crushing
your hands.

14.3.8. On-board control console with joystick

To assemble the control joystick, insert
the accessory on the edge of the patient
tabletop as indicated by the arrow.
Position the joystick in the point of

interest on the length of the tabletop.
Turn the accessory knob clockwise to
fasten it to the patient tabletop.
There are two connectors to couple the

accessory (arrows) on the left and right
hand sides of the SFD casing. Connect the
plug (round) to the nearest connector
according to the position of the joystick.
Please refer to "User interface" chapter for instructions on how to use the joystick.

14.3.9. Double R/F remote foot pedal
In order to use the double R/F foot pedal, it is

necessary to connect the accessory to the connector
(arrow) located on the cable holder turret base at
the rear of the machine.
The double pedal is used to perform fluoroscopy

procedures using the left pedal (A) and control the X-
ray exposures using the right pedal (B). The symbols
affixed to the accessory indicate the pedal function.
This pedal can be present both in the exam room and

in the control room.
The double pedal in the control room replaces the

A B single pedal for fluoroscopy.
WARNING
Whether a footswitch for the exam room is present on the system, it is possible that its use
has been limited and that it is disabled for radiographic exams.
WARNING
Do no step on the footswitch top cover.
A wireless pedal is also available for use in the examination room. The wireless pedal is powered by three
standard batteries. It is the operator's responsibility to check the state of charge of the batteries and replace
them if necessary.

There are two LEDs on the wireless pedal, whose functions are explained below.
Symbol State Description
Off (and Battery LED off) Footswitch in Sleep Mode
Off (and Battery LED on) No pairing partner found (receiver out of range, switched off)
Green Radio connection established

Connect LED
Green blinking (slowly) Radio connection established, limited connection quality
Green blinking (fast) Footswitch is in advertising mode
Red System error. Maintenance required.
Off Footswitch in Sleep Mode
Green Battery capacity > 50% (>3.75 … 4.5 V)
Battery LED Orange Battery capacity between 20% and 50% (<= 3.75 … 3.3 V)
Blinking orange (slowly) Battery capacity < 20% (<= 3.3 … 3.0 V)
Blinking orange (fast) Battery level below limit value = 5%, <3.0 V (Deep Sleep Mode)
WARNING
Park the wireless pedal, when not in use, in a safe area that excludes the risk of accidental
activation. Do not take the device out of the examination room.
14.3.10. Cushions for use on the tabletop

To provide extra comfort for patients, a cushion can be positioned on the examination tabletop (available only
for tabletop length=2100mm).
Application:
 place the tabletop in the horizontal position;
 press firmly the Velcro strips on the tabletop foot end to fasten onto the Velcro strips on the cushion foot
end A-Fig. 16
 press firmly the Velcro strips on the tabletop head end to fasten onto the Velcro strips on the cushion
head end B-Fig. 16
Fig. 16 - Cushion application
WARNING
In order to ensure proper hygienic conditions the medical staff must make sure the parts of the
device that come into contact with the patient (such as examination tabletop, tabletop and
stretcher cushions) are protected using the relative bio-compatible material sheet.

14.3.11. Paediatric cradle

The paediatric cradle is mounted to the tabletop by means of two special handgrips provided with the
accessory. The accessory must be mounted with the table in horizontal position.
Mounting of these handgrips is done in the same manner as for those provided as standard accessory.
To mount these special handgrips, follow instructions provided in section 14.3.2.
The handgrips must be positioned on the tabletop so that the knobs A-Fig. 17 are perfectly aligned.
Fig. 17 - Positioning the support
The accessory is composed of a support with fittings B-Fig. 17 and a contention structure B-Fig. 19. The
accessory must be assembled with the table in horizontal position.
 Position the support B-Fig. 17 on the tabletop and fasten the two ends C-Fig. 17 to the tube supports of
the knobs A-Fig. 17.
 Tighten the belts A-Fig. 18, on both sides, keeping the support in the middle and tighten the safety
buckles B-Fig. 18.
 Ensure it is firmly fastened, lifting the support a few centimetres from the tabletop surface.
Fig. 18 - Fastening the support

 Insert the contention structure B-Fig. 19

in the support A-Fig. 19, fitting the
groove on the end octagon in the
support.
Fig. 19 - Assembling the contention structure

 Wind the steel cable C-Fig. 20 around
the bottom of the groove on the
octagon B-Fig. 20 and insert the ring in
the corresponding recess on the support
A-Fig. 20.
 Ensure that the cable C-Fig. 20 has
enough friction to prevent it from
coming out spontaneously, otherwise
the metal cable must be replaced.
Fig. 20 - Fastening the contention structure

To use the paediatric cradle with the table in
A vertical position:
 Install the footrest in seat mode, as
explained in section 14.3.1.
 Make sure that the base of the cradle B-
Fig. 21 rests firmly on the footrest A-Fig.
21.
 Otherwise, loosen the belts A-Fig. 18 to
adjust and place the paediatric cradle
stably on the footrest.
B
Fig. 21 - Placement of the cradle on the footrest fixed in seat mode
WARNING
16kg is the maximum weight allowed on the paediatric cradle for small patients.

14.3.12. Compressor with interchangeable cones

The compression device with interchangeable cones is available with 3 different sized cones: large, medium
and small cap. With this accessory the automatic parking feature is not available.
To assemble the compressor cone A-Fig. 22 simply insert the holder in the relative seat and apply a light
pressure B-Fig. 22, making sure the lever is positioned as indicated in Fig. 23. Pull in the opposite direction to
remove the cone.
Fig. 22 - Replacing the cone
Should it be necessary release the compressor manually, follow the instructions given below to remove the
cone:
 pull the lever towards the exterior A-Fig. 23;
 rotate the lever upwards B-Fig. 23;
 slide out the compressor cone C-Fig. 23.
Fig. 23 - Releasing the compressor

14.3.13. Stitching bar

The graduated stitching bar is an optional accessory
useful to make it easier for the operator to identify which
area of the patient will be X-rayed (Fig. 24).
The stitching bar can be mounted with the table both in

vertical and horizontal position.
Fig. 24 – Graduated bar close-up
To mount the stitching bar:

 loosen the knob of the fixing device as much as it is
necessary, by turning it counter clockwise (Fig. 25)
 insert the fixing device support on the tabletop
guide as shown in (Fig. 26)
 adjust the bar position as desired
 lock the fixing device by turning the knob
thoroughly clockwise.
Fig. 25 - Knob loosening
Fig. 26 – Stitching bar mounting

14.3.14. Removable grid (optional) for detector with manual grids

The grid must be inserted in the slot on the detector housing structure.
The correct insertion side is identified by a label which must be facing upwards (A) Fig. 27.
Fig. 27 - Grid insertion
WARNING
The system can present one or two grids focused according to the focal distance.
If the exam selected does not require the use of the grid, remove it from the detector using the
appropriate handle. If the grid is not removed, the system will not allow the transfer of the X-
rays.
When the grids have been removed, ensure that they are stored in a secure place.
If the second grid option is enabled, the system will show a warning message for the operator. According to
the focal distance, one of the two following messages will be displayed:
- Make sure you have inserted the first grid for DFF ≤ 150 focusing
- Make sure you have inserted the second grid for DFF ≥ 150 focusing

15. OPERATION SEQUENCE TO EXECUTE RADIOGRAPHS ON THE TABLE

 Power up the table, pushing the switch on the panel up (or the green START button on the wall)
 Power supply the X-ray generator
 Turn on the digital system (if present)
 Select APR (if available) on the digital system (if present)
 Select the proper working place
 Adjust the X-ray beam direction
 Adjust the focal distance
 Insert the X-ray cassette (for versions with regular SFD - see chapter 9) or the wifi detector (for versions
with “hybrid” SFD)
 Select the working mode
 Execute the patient positioning
 Execute the collimation on the area to be examined
 Select/adjust the exposure parameters on the generator
 Command the fluoroscopic or radiographic exposure, by means of the proper devices
At the end of operations:

 Turn off the digital system (if present)
 Turn off the X-ray generator
 Turn off the table, pushing the switch on the panel down (or the red button on the wall)
16. APPLICATION EXAMPLES
16.1. Thorax
With the option "variable focal
distance" the radiography of the
thorax can be executed with a
focus-film distance of 150 cm or
180 cm (depending on the table
version).
Besides, it is possible to execute

linear tomography with a focus-
film distance of 115 cm.

16.2. Digestive and alimentary tract

During the examination of the alimentary tract, the
esophagus can be analysed, in radioscopy in
continuous manner, by following the course of the
contrast mean after executing the centring on the
hypopharynx.
This procedure can be carried out by translating the
"Image Intensifier/X-ray tube column" group
downwards.
The examination of the stomach can be executed by

commanding a light inclination of the tabletop, so that
the patient can stand in a more comfortable position
and, at the same time, better adhere to the tabletop so
as to further reduce the patient-to-film distance.
Possible angles of the X-ray tube column can be useful
to better put on evidence the little curve or duodenal
bulb as well as the morphological characters of the
stomach.
Should the patient not be able to keep the standing

position, it will be possible to make him sit down on
the footrest.
(For assembling instructions of the footrest in seat
mode, see chapter “Accessories”).
16.3. Cervical column

Radiography can be executed, with the adequate
incidences, on the cervical column of particularly tall
patients too: it will be sufficient to move the
"column/spot film device" group towards the upper
end of the examination table.
The optional possibility to change the focal distance
from 115 cm to 150 cm, or from 115 cm to 180 cm
(depending on the table version), also allows to further
reduce the geometrical blurring, ensuring a greater
definition of the cervical bone structures.

16.4. Abdominal and lumbar region

If you move the "Image Intensifier/X-ray
tube column" group downwards, it will
be possible to execute examinations on
the abdominal region as well as on the
lumbar column even with oblique
projections, with no need for you to
raise the patient.
16.5. Alimentary apparatus of the abdominal region

With the patient laying in the prone horizontal position, the operator can easily execute
all projections both on the duodenal tract (A) and small intestine (B).
(A) (B)
16.6. Urography and pyelography

Examinations of loins and urinary ducts
may require the Trendelenburg position
as well as the execution of a linear
tomography.
16.7. Skeleton
The ample examination field that can be obtained thanks to the movement of the "Image Intensifier/Stand"
group, allows the operator to execute the most thorough analysis of the patient.
Examinations of the skull (C), back spine and lumbar column (D) can be executed with any incidences, as well
as examinations of the legs (E).
(C) (D) (E)

16.8. Arms
It is also possible to execute examinations with free
cassette, with the patient both laying in the horizontal
position and standing or sitting in an external position with
respect to the table.
16.9. Hysterosalpingography
The possibility of moving the "Image Intensifier/X-ray tube
column" group towards the front end (or the back end) of
the table, allows the operator to easily execute any
radioscopic examinations and radiographs of the female
genital apparatus.
16.10. Phlebography
If you command a light inclination of the tabletop, the
patient can be positioned as shown on the left. In this case
you will be able to execute a phlebography under the
radioscopic control.You shall pay your attention in order to
keep the "Image Intensifier/X-ray tube column" group in
the lowest position and fix the footrest at about 10 cm
from the lower end of the mobile plan. After centring the
patient as shown on the left, you will execute the
examination by moving the "Image Intensifier/X-ray tube
column" group upwards. Normally a 60 cm displacement
is sufficient. In this case the variable speed of the group
displacement proves to be very useful.

17. SAFETY RECOMMENDATIONS

It is the installer or operator's responsibility to observe all the governmental obligations and regulations in
force applying to the installation and/or use of this equipment.
The OPERA T system must be checked and inspected every 12 months in order to maintain reliability and
proper equipment functioning to ensure safe conditions for patients, personnel and third parties.
Nonetheless, more frequent controls could be necessary should the equipment be used in particularly intense
working conditions: in this regard, please contact our Service Department or our authorized Distributor for
request necessary interventions.
All the equipment parts that are subject to wear and tear and that may become a source of danger for people,
must be controlled at regular intervals or at least once every 12 months by qualified personnel and replaced,
if necessary.
These inspections should be effected with the annual maintenance operation by our qualified personnel or
our authorized Distributor.
It is obligatory to comply with dispositions and/or prescriptions established by potential national regulations
that require more frequent controls or maintenance operations.
Before performing any exam, the operator must make sure that all the equipment safety devices work
properly and the equipment is properly set up for use. Particular attention must be given to the verification
of all display information (visual inspection).
The X-ray exposure signal lamp should light up only for the time strictly required by the radiographic or
radioscopic exposure: should it light up when no exposure command has been activated, the radiological
generator must be immediately disengaged and our Service Department promptly notified.
Any modifications and/or amplifications/additions to the equipment must always be authorized by the
manufacturer and must only be effected in compliance with the applicable design regulations and standards.
As manufacturers and installers of this product we cannot be held responsible with regard to equipment
safety, reliability and performance in situations where:
- installation, amplifications, resetting, modifications, repair work are performed by unqualified and/or
personnel not authorized by GMM's Service Department to perform such activities;
- in the event of breakage, components that are deemed important for proper system operation are not
replaced by original spare parts;
- the electrical wiring system in the X-ray room does not comply with the specifications established by
IEC 364 series Standards or relevant national standards;
- the equipment is not used according to the relative user instructions.
Upon request, we will be happy to place the technical documentation at your disposal at the relative nominal
cost, with the understanding that this documentation is not an authorization for technical interventions on
the equipment. The manufacturer is not responsible for any repair work done without its specific
authorization in writing, demonstrating its consent.
For each technical intervention effected by our Service Department's personnel, we recommend that you
request a copy of the relevant testing report with the following specifications: type of the intervention,
modifications of the rated parameters or value range, date, name, signature of the technician who carried out
the intervention.

18. PROTECTION MEASURES

18.1. Safety controls
Before switching on the equipment, check for:
- dangerous areas on the equipment, where there are potential risks of collision or crushing;
- dangerous areas on the equipment where the patient or operator could get injured;
- dangerous movements that might damage the equipment.
WARNING
It is the operator’s responsibility to activate equipment movements only after making sure
that the patient or third parties cannot be harmed by these movements.
18.2. Electrical safety
WARNING
Do not remove covers or cables from the system. High electrical voltages are present within
this system. Removing covers or cables could lead to serious or fatal personal injury.
WARNING
The operator must not touch any part of the console or X-ray generator and the patient
simultaneously.
WARNING
An additional MULTIPLE-SOCKET OUTLET or extension cord shall not be connected to the
ME (Medical Electrical) SYSTEM.
WARNING
Do not connect unapproved equipment to the console.
Do not attempt to make any unauthorized connections to these or any other ports on the
system.
Incorrect connections or use of unapproved equipment may result in injury or equipment
damage. Consult your service representative if external equipment is to be connected to
this system.
18.3. Safety devices

The machine is equipped with different safety and control devices which act on different levels: mechanical,
electrical and software. In order to guarantee patient safety, a camera (optional) which displays the patient's
image can be fitted on the collimator, so the operator can always keep the patient under control by the
display. This display appears on a dedicated monitor (optional) which can be fitted on the control console.
18.3.1. Dead man controls

There are “dead man” controls on the console which require the continuous attention of medical personnel in
order to move the machine. The operation mode of these controls guarantees that the machine cannot be
casually or unknowingly made to move.

18.3.2. Low ceiling sensor

The low ceiling sensor guarantees that the machine will never collide with the ceiling of the examination room
in which it is installed. This sensor is optional and gets enabled in case that the software for low ceiling limits
fails to work.
18.3.3. Emergency stop buttons

The room where installation takes place must be fitted with two emergency stop buttons.
Fig. 28 shows the placement for the emergency stop buttons in a typical diagnostic room (the actual layout
can vary with respect to the one in the figure). They must be effectively arranged so that the first button is
close to the table and easily reached by the operator. The second button must be close to the main control
console (behind the anti-X-ray wall) and also easily reached by the operator.
Pressing the emergency stop buttons will shut off electric power to the entire system.
In this situation, the equipment must not be restarted and the GMM Service Department must be promptly
contacted.
EMERGENCY STOP BUTTONS

(A) Button placed inside the X-ray room
(B) Button placed close to the control console behind the anti-X-ray wall
Fig. 28 - Emergency stop button placement in a typical diagnostic room

18.3.4. Movement stop buttons

Movement stop buttons serve to prevent potential harm to the patient or operator in hazardous situations,
stopping equipment movement.
The operator must activate a movement stop button should a hazardous situation arise. Activating a
movement stop button must not be considered normal use of the equipment.
There are 3 movement stop buttons (Fig. 29). They are red with the word "STOP" for easy recognition. By
pressing a movement stop button, electric power to the remote controlled tabletop is shut off, thus stopping
all table movements.
MOVEMENT STOP BUTTONS

(1) Main control console
(2) On-board receptor
(3) Secondary control console (in room)
Fig. 29 - Movement stop button placement
WARNING
The movement stop button must be unlocked (pull the red button) only after the cause of
the hazard has been clearly identified and eliminated.

18.3.5. Microswitches
The equipment is fitted with one microswitch (1) positioned as shown in Fig. 30.
This microswitch serves as additional safety device on the end of stroke of the tilting mechanical transmission.
Two additional microswitches (2) in Fig. 30, guarantee that the machine will never collide with the floor of the
examination room in which it is installed. These microswitches get enabled in case that the software for floor
limits fails to work.
MICROSWITCHES
(1) Tilting
(2) I.I. safety (on tables equipped with I.I.)
Fig. 30 - Microswitch installation points
1.1.2. Control software

A control software limits certain equipment movements, both upwards (ceiling) and downwards (floor).
The software also provides for control of transmission end of strokes.

18.4. Dangerous areas

During the machine movement, dangerous areas can be identified in the surrounding space. It is necessary to
pay special attention to such areas, in order to prevent collisions or crushing from happening.
18.4.1. Danger of collision

Collisions may occur between the moving machine and objects in the room which are included in the whole
area concerned with the machine movements, such as: stretchers, chairs, mobile tables with instruments
aboard, baskets, stands, pedals, suspended devices, etc.
WARNING
Before commanding any equipment movement make sure that the relative area is free of
obstacles.
1.1.3. Danger of crushing

Crushing may occur between the moving machine and the operator, the patient or other persons present in
the whole area concerned with the machine movements.
WARNINGS
Before commanding any movement of the equipment, verify that no one but the patient is
present within the machine moving area and that the patient is properly positioned and
secured on the tabletop, as described further on.
While commanding the equipment, do not remain standing close to the machine.
While commanding the equipment, do not assume a working position seated directly on the
equipment.
• Be particularly wary of the risk of crushing feet when the equipment tilts.
The following pictures show and better explain which dangerous areas must be particularly paid attention to.
The cross-hatched parts shown in the pictures identify the areas where dangers of collision or crushing exist.
Dangerous areas are shown in front and side views, in the 3 main functioning positions of the equipment:
horizontal table (0°), vertical table (+90°), vertical table (-90°).

Fig. 31 - Front view (0°) Fig. 32 - Side view (-90°)
Fig. 33 - Front view (+90°) Fig. 34 - Side view (0°)

In Fig. 35 the points where danger of collision exists are shown by the black arrows, while points where
danger of crushing exists are shown by white arrows.
Fig. 35 - Dangerous points
Some warning labels are placed on the machine, close to the points where danger of crushing exists, as
illustrated in chapter 21.
WARNING
When the equipment is moving or the patient is being positioned, personnel and patient may
only grasp the grips that have been provided specifically for this purpose.

18.5. Provided gripping points

The following point has been provided for gripping:
1 pair of handgrips (standard accessory) which is described in detail in chapter “Accessories”.
Make sure that these handgrips are always installed.
If the handgrips cannot be used:
- pay particular attention to the potential threat of crushing between mobile parts and openings;
- during the examination, make sure the patient does not grasp the edge of the tabletop.
18.6. Patient positioning

The patient’s arms, legs and hair must not hang off the tabletop.
See also chapter “Accessories”.
WARNING
For patient weights higher than 230 kg (up to max. 260 kg) it is necessary to place the table at
its minimum height, to position the mobile area based on the area to be examined and, only
later, to load the patient on the tabletop.
WARNING
With a patient weighing more than 230 kg (up to max. 260 kg) on board, no movements are
allowed (static exam).
18.7. Applied parts

The tabletop is the equipment’s applied parts which, in normal use, comes in physical contact with the patient
so that the device can operate.
18.8. Measures to be taken to prevent damage to things

Before commanding any movements, make sure there are no obstacles in the movement area.
The dangerous areas of your equipment have already been indicated as “dangerous areas”.
No object or material must be placed on the tabletop, the image receptor or the bars.
While the image receptor or tabletop are moving, these objects could be crushed.
Do not place any objects on any other surface.
During tilting, such objects could fall, causing damage or injury.
Do not climb up on any part of the tabletop cover or the image receptor.
The covers could be damaged and create problems or malfunctions.

Do not sit on the column or the tube-support arm when the equipment is in the vertical position.
This prohibited weight could break the material and damage it.
Do not place glasses for contrast liquids or other containers on the equipment, the console or the cabinet.
The contrast liquid could penetrate some components of the equipment causing malfunctions or incorrect
interpretations of the X-ray films.
We suggest that you immediately eliminate contrast liquid stains. Before the examination, carry out an overall
inspection without any object with the largest possible format.
18.9. Protection against explosions
This equipment is not designed to operate in areas where there are explosion risks.
18.10. Protection against radiation

Although the automatic collimation system considerably reduces the exposure of the patient to radiations,
the following recommendations must be followed:
a) Collimate the radiated field to the minimum possible value.
b) Provide the patient with the best possible protection for the genitals (using specific protective cups
for the gonads or screens in plumbed rubber in compliance with IEC 61331-3) if exposures are to be
done near these organs.
c) If medical auxiliary personnel is required near the patient during the X-ray exposure, they must wear
specific protective garments such as: aprons, gloves/mittens, collars in compliance with IEC 61331-3.
d) Wear a personal control badge and, if necessary, a pen dosimeter.
e) Exposure should be effected from the control console, normally behind the protective partition. This
allows safety distance measures to be automatically upheld.
f) If it is necessary the presence of a doctor or auxiliary personal near the patient during the X-ray
exams, they must occupy only the “Significant zone of occupancy” shown in Fig. 36, Fig. 37 and Fig.
38. In Fig. 37 and Fig. 38 are also indicated the X ray radiations value (15 seconds) measured in the
“Significant zone of occupancy” and related to fluoroscopy modality. These values, measured on
some tables as a sample, are useful to determine the individual protection that must be used against
radiations.
WARNING
Repetitive or prolonged exposures may result in local skin dose levels that cause adverse tissue
reactions.

Fig. 36 - Significant zone of occupancy: plan view
Fig. 37 - Significant zone of occupancy: side view with horizontal machine

Fig. 38 - Significant zone of occupancy: side view with vertical machine

18.10.1. Equivalent filtration
IAE housing inherent filtration 1.2 mm Al

Collimator inherent filtration 1 mm Al
Additional filtration 0.3 mm Al
2.5 mm Al
VARIAN housing inherent filtration 0.7 mm Al

Collimator inherent filtration 1 mm Al
Additional filtration 1 mm Al
2.7 mm Al
DAP inherent filtration mm Al

18.10.2. Dosimetric and quantitative information (IEC 60601-2-54, IEC 60601-1-3)

The dosimetric information have been obtained by using the following test procedure (defined by standard
IEC 60601-2-54).
System configuration used for testing:

SYSTEM NAME OPERA
REMOTE CONTROLLED TABLE OPERA T
GENERATOR Indico 100 RF
X-RAY TUBE/HOUSING Varian (G292/B130)
RECEPTOR Thales PIXIUM RF4343
In various load, filtration and collimation conditions which are typical of intended uses as defined in the
relevant paragraph, dosimetric information were detected by using:
- PHANTOM: a 20 cm thick polymethyl-methacrylate (PMMA) rectangular block with slides equal to or

exceeding 25 cm (20 PMMA 1 cm thick and 50 cm wide plates have been used, as representative of
abdominal region). Place the PHANTOM as close as possible to the X-ray image receptor.
- DOSIMETER with a measuring detector small enough to cover no more than 80% of the area of the X-
ray beam in the plane of measurement. Measuring detector has to be positioned 20 cm from PMMA
PHANTOM.
- FILM-FOCUS DISTANCE (FFD): 115 cm or 180 cm.
FFD
115/180 cm
DOSIMETER
20 cm
PMMA
20 cm

The measured values have been recalculated by relating them to the patient entrance reference point (30 cm
above patient support).
The values thus obtained have been then compared with those measured by the system in the same
operating conditions.
The variance between the values measured by the system and the values obtained with the test is included
within the limit range defined by the standard.
Upon customer request the company can provide further dosimetric information referred to specific and
peculiar work techniques.
The following table summarizes doses expressed as Air kerma rate (Ak rate, mGy / min) or Air kerma (AK mGy)
considering a set of typical modes of operation.
ADDED FILTERS
0Al 1Al - 0,1 Cu 1Al - 0,2 Cu 2 Al
Ak rate Ak rate Ak rate Ak rate
RADIOSCOPY (*) Dose level kV mA mGy/min kV mA mGy/min kV mA mGy/min kV mA mGy/min
maximum field size Level 1 58 1,5 7,89 61 1,7 3,21 62 1,8 2,10 59 1,6 4,44
zoom 20x20 Level 1 67 2,3 15,54 70 2,6 6,91 71 2,7 4,93 69 2,5 9,62
zoom 20x20 Level 2 73 3,0 24,67 75 3,3 11,22 77 2,8 8,16 74 3,1 14,80
zoom 20x20 Level 3 73 3,0 37,00 79 3,8 18,13 85 4,2 13,44 81 4,0 23,68
ADDED FILTERS
0Al 1Al - 0,1 Cu 1Al - 0,2 Cu 2 Al
PULSED
RADIOSCOPY Ak rate Ak rate Ak rate Ak rate
4 frame/sec (*) Dose level kV mA mGy/min kV mA mGy/min kV mA mGy/min kV mA mGy/min
zoom 20x20 Level 1 56 40,0 16,06 60 41,0 5,24 63 42,4 3,49 59 40,7 7,61
zoom 20x20 Level 2 63 43,1 20,11 67 45,2 8,04 69 47,3 5,24 66 44,5 11,00
zoom 20x20 Level 3 71 48,8 28,34 75 50,0 8,21 78 50,8 5,42 73 49,2 11,19

RADIOGRAPHY FFD 115 cm (**)

0Al 1Al - 0,2 Cu
Collimation Ak Collimation Ak
cm kV mAs mGy cm kV mAs mGy
25x20 45 5 0,255 15x20 40 3,2 0,009
30x20 58 2 0,180 15x10 50 5 0,110
30x20 58 32 2,546 20x20 50 10 0,062
30x30 68 2 0,278 15x10 55 10 0,093
30x30 68 5,0 0,644 25x25 60 3,2 0,070
30x30 68 10 1,627 10x30 60 5 0,078
30x30 68 32,0 4,144 20x20 60 10 0,025
25x20 70 2,5 0,287 43x43 60 10 0,026
43x30 70 5 0,619 25x30 70 1,6 0,050
25x20 70 8 0,767 25x30 70 5 0,170
25x20 70 10 0,952 20x20 70 10 0,214
43x30 70 32 2,940 43x43 70 20 0,441
25x20 70 32 2,830 20x20 75 10 0,268
20x20 75 32 3,186 43x43 75 10 0,281
43x43 75 32 3,340 20x20 75 20 0,526
20x20 75 63 6,230 43x43 75 20 0,552
43x43 75 63 6,512 20x20 75 32 0,805
43x43 80 2 0,418 43x43 75 32 0,843
43x43 80 10 2,553 20x20 75 63 1,570
20x43 85 2,5 0,486 43x43 75 63 1,638
20x43 85 10 2,220 43x43 80 2 0,076
20x20 85 32 4,084 43x43 80 10 0,345
43x43 85 32 4,300 20x20 85 32 1,195
20x20 85 63 7,930 43x43 85 32 1,253
43x43 85 63 8,290 20x20 85 63 2,322
30x30 90 1 0,050 43x43 85 63 2,420
30x30 90 2 0,124 30x30 90 1 0,022
43x43 100 1,0 0,296 30x30 90 5 0,252
43x44 100 5,0 1,480 30x30 90 10 0,513
35x43 105 1 0,295 43x43 100 1 0,078
35x43 105 5 1,296 43x43 100 5 0,356
RADIOGRAPHY FFD 180 cm (***)

0Al 1Al - 0,2 Cu
Collimation Ak Collimation Ak
cm kV mAs mGy cm kV mAs mGy
43x43 100 1 0,048 25x30 70 2,5 0,015
43x43 100 2 0,092 30x30 90 2 0,023
43x43 100 6,3 0,270 30x30 90 10 0,132
43x43 100 10 0,420 43x43 100 1 0,020
43x43 100 20 0,977 43x43 100 2 0,038
35x43 105 1,6 0,148 43x43 100 6,3 0,113
35x43 105 10 0,681 43x43 100 10 0,177
43x43 110 2 0,109 43x43 110 2 0,049
43x43 110 6,3 0,329 43x43 110 6,3 0,151
43x43 110 10 0,509 43x43 110 10 0,233

* Radioscopy (continuous and pulsed) used in dynamic examinations (e.g., urography, cistography, clisma
barium, digestive and alimentary tract)
** Values typical of skeleton examinations (e.g., skull, upper and lower extremities, spine, pelvis)
*** Values typical of abdomen and thorax examination
The addition of a copper filter is typical of paediatric examination.
It is common knowledge that the ionization process can cause damages to cellular DNA. See following
information about deterministic effects on human body after localised and whole body irradiation by X-ray
(data source: ICRP, International Commission on Radiological Protection):
THRESHOLD ABSORBED DOSE (Gy)

Long-term exposure
Short-term exposure
Organ/Tissue Effect Yearly repeated for many
Single dose
years
Testicles Temporary sterility 0.15 0.4
Permanent sterility 3.5 - 6.0 2.0

Ovaries Sterility 2.5 - 6.0 > 0.2
Ocular lens Detectable opacities 0.5 - 2.0
> 0.1
Visual impairment 5.0
> 0.15
(cataract)
Bone marrow Haemopoiesis impairment 0.5 > 0.4
Skin 1. Erythema
2 -
2. Desquamation
18 -
3. Epidermal necrosis
25 -
4. Skin atrophy with
10-12 1
complications
Whole body Acute radiation sickness
1.0 -
(mild)

18.11. Functioning checks on the automatic systems

WARNING
During all functional tests requiring the activation of the radiological generator, protective
garments must be worn, maintaining an adequate distance and, if necessary, a pen
dosimeter for checking personal X-ray exposure must be used.
18.12. Checking automatic collimation

Equipment configuration with cassette
Move the focal distance to 115 cm
Insert a 35x43 cm cassette in the Spot Film Device and check that the collimator automatically sets
to the cassette size
Select a size division and check that the collimator automatically sets to the selected value
Vary the focal distance and check that the selected size keeps the right value
Replace the cassette in the Spot Film Device with a 24x30 cm cassette and repeat the test at a focal
distance of 115 cm for at least two size subdivisions
Check that for each selected division the size remains unchanged even if the focal distance varies
Equipment configuration with wifi detector
Insert the wifi detector in the Spot Film Device and check that the collimator automatically sets to
the detector size
Vary the focal distance and check that the size keeps the right value
Equipment configuration with R&F digital detector
Select the first enlargement and check that the collimator automatically sets to the selected value
(30x30)
Vary the focal distance and check that the selected format keeps the right value
Select the second enlargement and check that the collimator automatically sets to the selected
value (20x20)
Vary the focal distance and check that the format remains unchanged even if the focal distance
varies
Select the third enlargement and check that the collimator automatically sets to the selected value
(15x15);
Vary the focal distance and check that the format remains unchanged even if the focal distance
varies
18.13. Possible connections to other accessories

As safe connection of this equipment to other equipment or accessories can often be unclear due to the
instructions regarding these accessories, the operator should always confirm with the manufacturer or an
expert that the connection does not compromise safety for users and the surrounding environment.
WARNING
Do not attempt to install unauthorized software onto any system component.

19. CLEANING AND DISINFECTION

Turn off the equipment and disconnect the electrical supply before starting any cleaning or disinfection
operations.
19.1. Cleaning
Clean the equipment by means of a soft cloth or a cotton pad. Dampen the cloth or pad with a solution of
tepid water and normal household liquid detergent.
Do not use any abrasive detergents, organic solvents, or cleansers containing solvents (alcohol, ether).
WARNING
Do not use liquid sprays! Fluid cleansers must not under any circumstance penetrate the
equipment!
19.2. Disinfection
For disinfecting the surfaces we recommend using a liquid solution with aldehyde or amphoteric based water
solution for disinfecting surfaces such as Tego 103, Korsolin (not available in Canada. For Canadian market we
recommend using tb Minuteman or hx2).
The following disinfectants have been found compatible with the cover material of the equipment and can be
used on the outer surface of the devices, as well.
- WIP’ ANIOS Excel
- Sani-Cloth AF3
- Microzid Sensitive Wipes
- Meliseptol Rapid
- Acrylan
- Lysoformin 3000
WARNING
It is generally known that disinfectants can be hazardous to health. Concentrations of
disinfectants in air that is breathed must not exceed specific legal limits. For this reason, it is
important to follow instructions supplied by the manufacturer regarding their usage.

20. FUNCTIONING AND SAFETY CHECKS

20.1. Daily checks
Before starting the examinations
 Clean any residual contrast mediums from the patient-tabletop.
 Do a visual check of the equipment movement, the displays and the luminous signals.
 Make sure that the necessary accessories for immobilizing the patient are properly fixed to the
equipment, and particularly the handgrips.
See also chapter “Protection measures”.
During the exam
 The X-ray indicator lights up only during X-ray exposure.
 Check that the patient is immobilized using, for instance, the handgrips.
 Carry out equipment movement only after making sure not to damage the patient or other persons.
20.2. Six-monthly checks

 Check that the movement stop buttons function properly.
 Check the dimensions of the luminous field delimited by the collimator by following the procedure
included in the technical manuals.
This medical equipment must be carefully used and needs periodical maintenance as specified
in the technical documentation.
General Medical Merate S.p.A. is responsible for the safety of its products only in case their
maintenance, repairing or modification are carried out by General Medical Merate S.p.A. or by
personnel authorized by General Medical Merate S.p.A.
General Medical Merate S.p.A. denies any responsibility for improper operation, damages or
dangerous situations caused directly or indirectly by non-respect of maintenance schedules.
Note Spare parts used for maintenance or technical service must be original GMM parts.
20.3. Annual maintenance

In order to ensure good and safe functioning conditions of the equipment, preventive maintenance must be
carried out every 12 months. If you have not signed a maintenance contract, please contact the General
Medical Merate S.p.A. Service Department or its agent.
In the event of malfunction, switch off the equipment’s electrical supply and inform the Service
Department.
20.4. Periodical verification of the performance constancy

On a regular basis, at least every 12 months, it is suggested that functional performance constancy tests be
run. Particularly, we recommend performing such tests immediately after preventative and corrective
maintenance operations.
GMM Service Department offers proper support to customers who request it (service@gmmspa.com).

21. LABELLING
21.1. Identification and compliance labels
Labels are applied to identify the product from a commercial point of view and to meet the requirements of
the standards currently in force.
Pos. Description
1 Brand or distributor logo
2 Name and address of the brand or distributor
3 Name and address of the manufacturer
4 Product name (as per the CE Certificate)
5 Code or reference name for internal use
6 Serial number
7 Production Data
8 Electric power supply data
9 Additional power supply data and/or product features
10 Space reserved for product certifications
11 Additional power supply data and/or product features
WARNING
Do not remove adhesive labels applied to the machine, they are an integral part of the
documentation accompanying the equipment.
The content of the labels shown must be considered as example, valid only for their position.

The identification labels are applied on specific parts as shown below.
X-ray housing (7)
Collimator (8)
Grid (5)
AEC chamber (6) Detector (10)
IP21
2 1 I. I. group (9) 4 3
Identification labels placement
1 Table Under central table frame - head side

2 Cabinet On the front lower left corner
3 Main control console On the right of the back side
4 Tilting unit On the side of the tilting unit
-- Secondary console (in room) On the rear
In addition the following manufacture labels are supplied, placed on the following equipment components:
5 Grid Printed on the grid

6 AEC chamber On the AEC chamber inside SFD
7 X-ray housing Inside the X-ray housing cover
8 Collimator On the rear
9 I.I. On I.I. front
10 Detector On detector front
The ”IP21” symbol-label is applied on the R/F remote foot pedal.

The Serial Number appearing on the different parts specifies the progressive number attributed to each
equipment.
The identification of the product from a commercial point of view is ensured by the application of adhesive
labels on the front of the Spot Film Device, of the collimator and of the control console.
Adhesive label on the front of SFD GMM logo + full equipment and model trade name
Adhesive label on the front of collimator GMM logo
Adhesive label on control panel GMM logo + OPERA trade name

21.2. Warning lables
Warning label placement Description
Possible crush points (fingers, hands)
Attention: applied part

22. ENVIRONMENTAL CHARACTERISTICS AND FUNCTIONING LIMITS

ENVIRONMENTAL TRANSPORT AND STORAGE CONDITIONS (table and system)
Temperature -10° ÷ +55°C
Humidity (no condensation) 10% ÷ 80%
Pressure 70kPa ÷ 106kPa
ENVIRONMENTAL OPERATING CONDITIONS (table)
Temperature +10° ÷ +40°C
ENVIRONMENTAL OPERATING CONDITIONS (system)
Temperature +15° ÷ +35°C
22.1. Mains supply

All the equipments of any X-ray installation must be connected to the electrical mains by means of a
contact or another multi-polar sectioning device that must be installed by the Customer. The room of the
installation must be in compliance with the IEC/CEI or UL/CSA prescriptions in force (where requested).
The relative national regulations must be applied in all countries. Nonetheless, compliance with the above-
mentioned standards is strongly recommended, when they do not contradict the national regulations in
force, to ensure safety for the operator, the patient and third parties.
Rated voltage 230 Vac

Voltage change 220/240 V
Allowed fluctuation of mains voltage ± 10%
Mains frequency 50/60 Hz
Current absorption 15 A
Thermal dissipation 500 W
Type of protection Class I
Degree of protection Type B
Degree of casing protection IPX0
Electromagnetic compatibility Equipment in compliance with EN 60601-1-2 standards
N.B. Normally the power supply of the remote-controlled table is picked up by a 16A, delayed 400Vac
nominal bipolar sectioning automatic switch, placed in the mains supply panel board of the exam room,
with intervention differential protection not higher than 30mA in compliance with IEC/CEI standards.
The ground terminal of the equipment must be connected in a visible manner to the earth equipotential
node of the diagnostic system by means of a protection conductor, with the minimum section of 10 mm 2.
The power cable from the mains supply panel board to the equipment electrical cabinet must have a
minimum section of 2.5 mm2.
All the power connections and earth cables must be in compliance with the national rules related or
equivalent.
WARNING
To avoid risk of an electric shock, this equipment must only be connected to a grounded
electrical network.

23. RISKS RELATED TO WASTE DISPOSAL

At the end of product life, the equipment and accessories must be disposed of in
accordance with all the requirements of waste disposal rules.
The symbol shown on the left indicates that the equipment has electrical and
electronic components. In accordance with the requirements of European
directive 2012/19/UE (ex 2002/96/CE) on Waste of Electrical and Electronic
Equipment, equipment and accessories waste cannot be treated as solid urban
waste, but must be collected separately.
Please contact General Medical Merate S.p.A. or other firms authorized by the national authorities for the
disposal of electrical and electronic equipment.
In order to minimize risks, the following chart and table supply information regarding the materials used to
manufacture the equipment, relative quantities, characteristics and disposal methods.
8 7
7
4
5
1 10 1 6 2 1
00
00

Pos. Component Material Quantity Characteristics

Material that can be
1 General structure Iron and its alloys 450kg
scrapped and recycled
2 General structure Aluminium 250kg
3 Shielding Lead 12kg
Composite material
Inert material that can be
including Rohacell,
4 Tabletop 5.3kg eliminated with solid urban
melaminic, carbon fiber,
waste.
beech plywood
Inert material that can be
5 Protections Mylar 2kg eliminated with solid urban
waste.
6 Covers ABS 7kg Recyclable material
Inside the cabinet and
Epoxidic laminate + >10 cm2 control console.
7 Printed circuits
Co 5 kg Recyclable material that
must be treated as WEEE.
Assembled on
microprocessor printed
circuit positioned on cabinet
8 Battery Lithium battery 1
upper side.
Recyclable material that
Assembled inside the
cabinet, in the centre.
9 Rack motor gear Electrolytic condenser >25x25mm
Recyclable material that
Connection cables
Copper conductor +
between table Recyclable material that
10 PVC/PUR insulating 30 kg
cabinet and must be treated as WEEE.
material
console

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OPERA T

OPERA T - OPERATOR'S MANUAL CODE 62235 - REVISION 13

OPERA T - OPERATOR'S MANUAL CODE 62235 - REVISION 13

OPERA T - OPERATOR'S MANUAL CODE 62235 - REVISION 13

OPERA T - OPERATOR'S MANUAL CODE 62235 - REVISION 13

3. USER INTERFACE GENERAL DESCRIPTION ................................................................... 40

4. EQUIPMENT STARTUP PROCEDURE AND “MOVEMENT ENABLE” CONTROL ............... 42

5. COMMAND FUNCTIONS OF THE MAIN CONTROL CONSOLE ....................................... 43

August 2020 Page 1/135

5.5.1. Switching the X-ray room light ON .......................................................................................... 46

6. VISUALIZATION ON THE MAIN CONSOLE DISPLAY ...................................................... 68

6.2.1. Displaying the layer height .......................................................................................................68

7. COMMAND FUNCTIONS OF THE SECONDARY CONSOLE (OPTIONAL) .......................... 70

8. FUNCTIONS CONTROLLED FROM THE EXAMINATION TABLE ...................................... 71

9. INSERTING THE CASSETTE IN THE SFD ........................................................................ 73

10. ON-BOARD CONTROL CONSOLE WITH JOYSTICK (OPTIONAL) ..................................... 76

11. COLLIMATOR ............................................................................................................. 77

12. COMPRESSOR ............................................................................................................ 82

13. ERROR CODE LIST ...................................................................................................... 85

14. ACCESSORIES ............................................................................................................. 87

14.3.1. Patient support footrest.......................................................................................................... 90

15. OPERATION SEQUENCE TO EXECUTE RADIOGRAPHS ON THE TABLE......................... 106

16. APPLICATION EXAMPLES ......................................................................................... 106

17. SAFETY RECOMMENDATIONS .................................................................................. 110

18. PROTECTION MEASURES ......................................................................................... 111

August 2020 Page 4/135

18.8. Measures to be taken to prevent damage to things ....................................................................118

19. CLEANING AND DISINFECTION ................................................................................. 128

20. FUNCTIONING AND SAFETY CHECKS ........................................................................ 129

21. LABELLING ............................................................................................................... 130

22. ENVIRONMENTAL CHARACTERISTICS AND FUNCTIONING LIMITS ............................. 133

23. RISKS RELATED TO WASTE DISPOSAL ....................................................................... 134

August 2020 Page 5/135

August 2020 Page 6/135

August 2020 Page 7/135

1.1. Typographic conventions

The text identified by bullets indicates:

The text in italics inside a frame indicates:

The following icons are also used:

August 2020 Page 8/135

1.2. Warning symbols on the equipment

Hazard symbol that indicates X-ray radiation exposure.

Warning symbol that indicates electrical components which are sensitive to

Warning symbol that indicates that fingers may be crushed.

Symbol of protective earth (ground).

“ON” symbol (power).

“OFF” symbol (power).

“ON” / “OFF” symbol (push-push).

Symbol of applied part B type.

August 2020 Page 9/135

LED radiation warning

LASER radiation warning

1.3. Functioning supplementary symbols

Fluoroscopy and radiography foot pedal connector fitting

Unlocking of the compressor (if installed)

August 2020 Page 10/135

1.4. Applicable Standards and compliance

X-ray generator IEC 60601-2-54

For the north American market:

NOTE: All reference standards are to be considered at the latest revision.

1.5. Classification (IEC 60601-1)

August 2020 Page 11/135

1.6. Electromagnetic compatibility (EMC)