CX-9 Plus User-Service Manual

Technical Publication
CX9Plus (Rev 1.00)

English
CX9PLUS Mobile C-arm X-Ray System

Installation, Operation & Service Manual
EcoRay Co., Ltd.

621-14, Docheon-Dong, Gwangsan-Gu, Gwangju, Korea, 506-301.
Tel: +82-62-952-3251 / Fax: +82-62-951-5261
IRE RAYOS X S.A.
Calle lsla de la palma 22 bis; 28703 San Sebastian de los Reyes – Madrid Espana
Phone : +34 916531151, Fax: +34 916531236
CX9Plus Installation, Operation & Service Manual
CONTENTS
1 About This Manual __________________________________________________________________ 8
1.1 Revision History _______________________________________________________________________________________ 9
1.2 Warranty _______________________________________________________________________________________________ 9
1.3 Safety instructions ___________________________________________________________________________________ 10
2 Introduction ________________________________________________________________________ 12
2.1 Operating Principle __________________________________________________________________________________ 12
2.2 Intended Use ________________________________________________________________________________________ 12
2.3 Features _____________________________________________________________________________________________ 13
2.4 Contraindications to the use of X-rays _____________________________________________________________ 13
2.5 Options ______________________________________________________________________________________________ 13
2.6 Training ______________________________________________________________________________________________ 13
2.7 Use According to Regulations ______________________________________________________________________ 14
2.8 Classification of Equipment _________________________________________________________________________ 14
2.9 Applicable Standards ________________________________________________________________________________ 15
2.10 ESSENTIAL PERFORMANCE ________________________________________________________________________ 15
2.11 Intended Patient Population _______________________________________________________________________ 15
2.12 Intended User Profile ______________________________________________________________________________ 16
2.13 Symbols marked on CX9PLUS _____________________________________________________________________ 17
2.14 Label location ______________________________________________________________________________________ 18
3 Safety _______________________________________________________________________________ 20
3.1 General safety _______________________________________________________________________________________ 20
3.2 Safety from Explosion or Electric Shock ____________________________________________________________ 21
3.3 Radiation Safety _____________________________________________________________________________________ 21
Rev 1.00 2
3.4 Radiation Protection ________________________________________________________________________________ 22
3.5 Electromagnetic compatibility _______________________________________________________________________ 22
3.6 Disposal of Used Electrical & Electronic Equipment________________________________________________ 23
3.7 Service information _________________________________________________________________________________ 23
3.8 Service Life __________________________________________________________________________________________ 24
3.9 DECLARATION OF RESPONSIBILITY _________________________________________________________________ 24
4 System Description _________________________________________________________________ 26
4.1 C-arm stand _________________________________________________________________________________________ 26
4.2 Rear of the main unit _______________________________________________________________________________ 27
4.3 Vertical movement control switch & Collimator control switch ____________________________________ 28
4.4 Console ______________________________________________________________________________________________ 29
4.5 Monitor cart _________________________________________________________________________________________ 30
4.6 Workstation _________________________________________________________________________________________ 31
4.7 Hand Switch and Foot Switch _______________________________________________________________________ 32
4.8 LAN Connector for External Connection ____________________________________________________________ 33
4.9 Screen assignment __________________________________________________________________________________ 33
5 Installation of CX9PLUS ____________________________________________________________ 35
5.1 Conditions for installation___________________________________________________________________________ 35
5.2 Equipment dimensions ______________________________________________________________________________ 36
5.3 Preparations for installation _________________________________________________________________________ 36
5.4 Unpacking ___________________________________________________________________________________________ 37
5.5 How to Open/Close the Covers _____________________________________________________________________ 39
5.6 Assemble for the Monitor Cart _____________________________________________________________________ 40
5.7 Installing the LAN Card for CCD Camera ___________________________________________________________ 41
5.8 Image Intensifier ____________________________________________________________________________________ 42
5.9 CCD Camera _________________________________________________________________________________________ 44
Rev 1.00 3
5.10 X-ray Tube__________________________________________________________________________________________ 46
5.11 Assembly of the X-ray tube, the Collimator and DAP meter _____________________________________ 47
5.12 Wiring ______________________________________________________________________________________________ 49
5.13 Installation of CX9PLUS Control S/W ______________________________________________________________ 50
5.14 Run “XVision” ______________________________________________________________________________________ 74
5.15 How to use the “DICOM” function __________________________________________________________________ 77
6 Calibration __________________________________________________________________________ 86
6.1 Generator Calibration _______________________________________________________________________________ 86
6.2 Installation of “USB to RS232 Converter Driver”____________________________________________________ 88
6.3 Installation of calibration software program ________________________________________________________ 91
6.4 Preparations for the calibration _____________________________________________________________________ 95
6.5 Program execution for calibration __________________________________________________________________ 97
6.6 Program functions __________________________________________________________________________________ 100
6.7 Calibration of radiography _________________________________________________________________________ 105
6.8 Sequence of calibration for radiographic mode ___________________________________________________ 112
6.9 Calibration of Fluoroscopy mode __________________________________________________________________ 116
6.10 Sequence of calibration for fluoroscopy mode __________________________________________________ 123
6.11 Image Calibration _________________________________________________________________________________ 125
6.12 How to view the values set _______________________________________________________________________ 127
6.13 Image functions ___________________________________________________________________________________ 128
7 Mechanical Handling ______________________________________________________________134
7.1 Orbital rotation _____________________________________________________________________________________ 134
7.2 Arm rotation ________________________________________________________________________________________ 135
7.3 Panning motion ____________________________________________________________________________________ 135
7.4 FR Arm unit_________________________________________________________________________________________ 136
7.5 Steering Handle ____________________________________________________________________________________ 136
Rev 1.00 4
7.6 Wheel brake ________________________________________________________________________________________ 137
7.7 Vertical device ______________________________________________________________________________________ 137
7.8 Collimator __________________________________________________________________________________________ 138
8 Starting and Shutting Down the System _________________________________________140
8.1 Preparing the system _______________________________________________________________________________ 140
8.2 Starting and Shutting down the Main unit ________________________________________________________ 141
8.3 Starting and Shutting down the Monitor Cart ____________________________________________________ 142
8.4 EMERGENCY STOP button _________________________________________________________________________ 143
9 Fluoroscopy Operation ____________________________________________________________145
9.1 Steps ________________________________________________________________________________________________ 145
10 Radiography Operation __________________________________________________________147
10.1 Steps ______________________________________________________________________________________________ 147
11 Function __________________________________________________________________________149
11.1 Selecting the ABC _________________________________________________________________________________ 149
11.2 Selecting the field of Image intensifier ___________________________________________________________ 150
11.3 Selecting the Pulse Exposure _____________________________________________________________________ 151
11.4 Selecting the X-ray radiation conditions. _________________________________________________________ 152
11.5 Setting the Radiation Time display _______________________________________________________________ 153
11.6 Screen display during radiation __________________________________________________________________ 154
11.7 Dose Area Product meter _________________________________________________________________________ 155
12 Xvision ____________________________________________________________________________157
12.1 Main Screen _______________________________________________________________________________________ 157
12.2 Display the live image ____________________________________________________________________________ 158
Rev 1.00 5
12.3 Last Image Hold (LIH) _____________________________________________________________________________ 158
12.4 Saving the LIH Image _____________________________________________________________________________ 159
12.5 Loading the saved LIH image ____________________________________________________________________ 161
12.6 Image Tools _______________________________________________________________________________________ 162
13 Maintenance _____________________________________________________________________166
13.1 Maintenance Schedule ____________________________________________________________________________ 166
13.2 Correction of Dose area product meter ___________________________________________________________ 168
13.3 Cleaning ___________________________________________________________________________________________ 169
14 Error code ________________________________________________________________________171
15 Specification ______________________________________________________________________175
16 Trouble Shooting _________________________________________________________________183
16.1 Overview __________________________________________________________________________________________ 183
16.2 Tools Required for Repair _________________________________________________________________________ 183
16.3 Before servicing equipment ______________________________________________________________________ 183
16.4 System Block Diagram ____________________________________________________________________________ 184
16.5 How to repair _____________________________________________________________________________________ 185
Rev 1.00 6
Chapter 1
About This Manual
Mobile C-arm X-ray System
[CX9Plus]
Rev 1.00 7
1 About This Manual

This manual is designed to enable owners and operators of any member of ECORAY to operate the
systems described herein safely and efficiently.
This manual may not be reproduced in whole or in part without the written permission of ECORAY CO.,
LTD.
Scope of validity of this manual
CX9PLUS, software version 1.0 or higher.
All illustrations in this manual are exemplary only, and may differ from the actual situation.
The present Operating Instructions describe a system with maximum configuration. The system
configuration chosen by you may not contain all options and functions described here.
Separate operating instructions
For this system options, separate operating instructions may be available. They are supplied with the
system, provided that the system configuration includes the respective option. You will find a
corresponding reference to those operating instructions in the relevant sections of this document.
Rev 1.00 8
1.1 Revision History
Each page of the document has revision letter at the bottom of the page. The revision letter identifies
the document’s update level.
The revision history of this document is summarized in the table below.
Revision Date
Revision No. Change Description
MM DD, YYYY
Rev 1.00 Apr. 30, 2013 Release version
1.2 Warranty
 This warranty shall apply only to defects that arise within 12months of purchase.
 This product could have a free of charge service if troubles are occurred during the warranty
period.
 The warranty does not cover defects caused by abuse, mishandling, accidents or improper
installation.
 The following will not be covered under the warranty.
- Modifications to the product, or repairs made by unauthorized person but manufacturer or
authorized person by manufacturer.
- Acts of God. Including fire, flood, storm, power or voltage surges.
- Improper use or installation.
- Defects that arise in conjunction with the use of other machines.
- Use of improper parts or modification the circuit.
- Improper use
 In case of repaired during the warranted period, User shall advise the result of test to
manufacture.
Rev 1.00 9
1.3 Safety instructions
The present document does not constitute a complete catalog of all safety measures necessary for the
operation of the respective medical equipment, since special operating conditions may require further
measures. However, it does contain instructions which must be observed in order to ensure the
personal safety of operating staff and patients as well as to avoid damage to property. These
instructions are highlighted as follows:
▶ DANGER
DANGER INDICATES A HAZARDOUS SITUATION WHICH, IF NOT AVOIDED, WILL RESULT IN DEATH OR
SERIOUS INJURY.
▶ WARNING
WARNING INDICATES A POTENTIALLY HAZARDOUS SITUATION WHICH, IF NOT AVOIDED, COULD
RESULT IN DEATH OR SERIOUS INJURY.
▶ CAUTION
CAUTION INDICATES A POTENTIALLY HAZARDOUS SITUATION WHICH, IF NOT AVOIDED, MAY RESULT
IN MINOR OR MODERATE INJURY. IT MAY ALSO BE USED TO ALERT AGAINST UNSAFE PRACTICES.
▶ NOTE
NOTES ARE MERELY INFORMATIVE. ADDITIONAL USEFUL INFORMATION AND HINTS ARE PROVIDED
FOR THE OPERATOR HERE.
Rev 1.00 10
Chapter 2
Introduction
[CX9Plus]
Rev 1.00 11
2 Introduction
This equipment is image diagnosis system with radiology and it was controlled by high frequency type.
This equipment consists of Image Intensifier, CCD camera, Collimator, X-ray tube, X-ray generator (high
voltage transformer, generator) and “C” type of C-arm structure supporting image intensifier and
workstation (Computer & Monitor) for display unit with acquisition images, processing saving and
transmission. Also, it has accessories with hand switch and foot switch for X-ray exposure. Image
intensifier have a 9 inch with standard for purpose and image size and it has a 6 inch image intensifier
for optional and if image intensifier is bigger, could get more bigger image and could diagnosis.
2.1 Operating Principle
High voltage which is generated from the inverter X-ray high voltage generator provides a positive
into the X-ray tube. At this time, after this generated X-ray irradiates and passes an object, residual
radiation reaches the image intensifier and makes X-ray image by chemical action of emitted light
photo. These are done imaging with CCD camera and what can transmit human anatomical structure
through the monitor in real time and simultaneously image is X-ray fluoroscopic or radiographic
equipment.
2.2 Intended Use
The CX9 Plus is intended for use in mobile applications, by a qualified/trained doctor or technician on
both adult and pediatric subjects for taking diagnostic radiographic exposures of body parts.
Rev 1.00 12
2.3 Features
This equipment is used in operation room, emergency room and other clinical purpose and it has
features as follows.
 High frequency inverter type x-ray generator, it could get stability x-ray output and low
voltage ripple.
 Dual focal X-ray Tube with high level heating unit to get more good image and high value x-
ray output.
 Robust structure and smooth movement C-arm structure.
 Low dose Collimator
 Overheating sensor and Protection circuit for X-ray tube.
2.4 Contraindications to the use of X-rays
The exposure of humans to ionizing radiation must always be medically justified. Especially on
pregnant women, children and adolescents this procedure should be used with caution or be avoided
altogether. However, the final decision lies with the attending physician or attending surgeon.
2.5 Options
The present Operating Instructions describe a system with maximum configuration. The system
configuration chosen by you may not contain all options and functions described here.
The following options can be integrated into the system upon request:
 Wireless LAN
 PACS Software
2.6 Training
After installation, ECORAY engineer or ECORAY’s agent will carry our training of its use and if you have
any further questions on the system, please contact address as shown in this manual.
Rev 1.00 13
2.7 Use According to Regulations
 This X-ray system must be used by regulations after reading and understanding relative
radiation regulations.
 ECORAY’s CX9PLUS is intended for use on human beings.
 Regulations on its use cover the area of only diagnostic radiography applications.
 It is suitable for daily use in a clinical or hospital environment by various users.
2.8 Classification of Equipment
This system is classified as follows, based on safety standards for electrical medical equipment.
Protection Method Against Electric Shock
Class I equipment
Degree of Protection Against Electric Shock
No applied part
Operation Mode
Continual operation with intermittent loading
Degree of Protection Against Liquid Ingress
Ordinary equipment (Foot switch IP68)
Use in Flammable Atmosphere
Not to be used in presence of flammable anesthetics gas
Rev 1.00 14
2.9 Applicable Standards
The design and production of CX9Plus applied the following standards.
 ISO 13485
 IEC 60601-1
 IEC 60601-2
 IEC 60601-1-3
 IEC 60601-1-6
 IEC 60601-2-28
 IEC 60601-2-54
2.10 ESSENTIAL PERFORMANCE
ESSENTIAL PERFORMANCE requirements according to IEC 60601-2-54
Accuracy of LOADING FACTORS
Reproducibility of the RADIATION output
AUTOMATIC CONTROL SYSTEM
Imaging performance
2.11 Intended Patient Population
Item Details
Age No limitation
Weight No limitation
• Except for pregnant women
Healthy • Except for patients who get an implantable
pacemakers or implantable defibrillators transplant.
Nationality No limitation
PATIENT state Not relevant, unless patient is agitated
Rev 1.00 15
2.12 Intended User Profile
Item Details
Age that person can obtain the license of Radiologic

Age
Technologist or a license equal to it.
Sex No limitation
Nationality No limitation
Education Radiologic Technologist or person who has a license equal to it.
Knowledge Radiologic Technologist or person who has a license equal to it.
Language Can read and understand English.
Necessary.
Experience Every operator needs to take training for operating the
equipment before using the equipment.
Permissible Corrected eyesight is over 0.7 in the decimal number.
impairments To be unimpaired in a user’s body and limbs
Over 140 cm tall.
Others Person who can confirm the safety by looking ahead of the
equipment
Rev 1.00 16
2.13 Symbols marked on CX9PLUS
Symbol Description
EU-Consult instructions for Use : This symbol means read
manuals or descriptions from manufacture.
EU-Warning or Caution : This symbol indicates hazard.
High Voltage Caution : This symbol means high voltage parts
included.
Radiation Warning : This symbols indicates radiation warning.
Protective earth : This symbols means protective earth.
Serial Number : This symbol means serial number of product.
EU-Representatives information : The manuafcturer’s EU
representative information shows with this symbol.
Made Date : The made date of the product shows with this
symbol.
Manufacturer information : The manufacturer’s information shows
with this symbol.
Rev 1.00 17
2.14 Label location
Labeling: Product Name, Model, Main power, manufactured date, Manufacturer & Address, Serial No.
are printed and attached at the Generator.
Rev 1.00 18
Chapter 3
Safety
[CX9Plus]
Rev 1.00 19
3 Safety
3.1 General safety
▶ WARNING
YOU MUST BE FAMILIAR WITH THE CONTENTS OF THE PRESENT OPERATING INSTRUCTIONS IN
ORDER TO BE ABLE TO OPERATE THE SYSTEM AS INTENDED. READ AND UNDERSTAND THE PRESENT
OPERATING INSTRUCTIONS BEFORE OPERATING THE SYSTEM.
IT IS IMPORTANT TO OBSERVE ALL DIRECTIONS, SAFETY INSTRUCTIONS AND WARNINGS!
▶ WARNING
THE RESPONSIBILITY FOR MANAGEMENT OF USE AND MAINTENANCE OF MEDICAL EQUIPMENT LIES
IN A USER.
▶ WARNING
UNAUTHORIZED CHANGES OR MODIFICATIONS TO ANY PARTS OF THE SYSTEM CAN HAVE
DANGEROUS CONSEQUENCES AND CHANGES OR MODIFICATIONS SHOULD BE DONE AFTER
PERMISSION OF ECORAY CO., LTD.
▶ WARNING
DO NOT CONNECT NON-AUTHORIZED DEVICES TO THIS SYSTEM.
ADDITIONAL EQUIPMENT OR EXTERNAL DEVICES SHOULD ONLY BE CONNECTED BY AN
AUTHORIZED SERVICE ENGINEER OF MANUFACTURER AND ALL ADDITIONAL EQUIPMENT
CONNECTED TO EXTERNAL INTERFACES OF THIS SYSTEM.
EXTERNAL INTERFACES OF THE UNIT MUST FULFILL THE REQUIREMENTS OF STANDARD IEC 60601-1.
Operation
Only properly trained personnel are allowed to operate the system.
Assembly and service
Only authorized personnel are allowed to assemble the system and to provide technical service.
▶ WARNING
NEVER USE THE SYSTEM IF YOU SUSPECT ANY ELECTRICAL OR RADIATION-GENERATING
COMPONENTS TO BE DEFECTIVE OR IF THE SYSTEM EXHIBITS UNEXPECTED MALFUNCTIONS!
Rev 1.00 20
3.2 Safety from Explosion or Electric Shock
▶ WARNING
DO NOT USE THE SYSTEM IN AN ATMOSPHERE CONTAINING COMBUSTIBLE GAS.
THE SYSTEM IS NOT AN AP DEVICE. ITS USE IN AN ATMOSPHERE CONTAINING COMBUSTIBLE GAS
CARRIES THE RISK OF FIRE OR EXPLOSION.
▶ WARNING
DO NOT USE DISINFECTANT SPRAYS THAT ARE FLAMMABLE OR COULD CAUSE AN EXPLOSION. THE
VAPOR FROM A DISINFECTANT SPRAY MAY IGNITE, CAUSING LIFE-THREATENING OR SERIOUS
INJURIES AND DAMAGE TO THE SYSTEM.
▶ WARNING
CONNECT THE POWER CORD PLUG TO A 3-PIN GROUNDED SOCKET.
3.3 Radiation Safety
The system produces X-rays. If you do not observe the safety measures and
precautions required by your local radiation protection regulatory body, these X-rays
can be hazardous both to operating staff and other persons within the radiation zone
of occupancy.
Maximum Permissible Dose (MPD)
Many kinds of researches on effects or influences about X-radiation provide basics about maximum
permissible dose. These research results were used for ICRP to recommend Maximum Permissible
Dose but it is hard to define exactly and it is updated from time to time with new research result. For
occupational exposures, the ICRP 60 recommends that the MPD accumulated shall not exceed the
following limits:
 Annual effective dose 50 mSv
 Annual dose for the lens of the eye 150 mSv
 Annual dose for all other parts of body 500 mSv
▶ WARNING
THE SYSTEM IS INTENDED FOR PROCEDURES WHERE THE SKIN DOSE MAY BE SO HIGH THAT THERE
IS A RISK OF DETERMINISTIC EFFECTS, EVEN IF THE SYSTEM IS USED AS INTENDED.
Rev 1.00 21
▶ WARNING
THE SYSTEM MAY ONLY BE OPERATED BY PERSONNEL WHO HAS UNDERGONE RADIOLOGICAL
TRAINING.
▶ WARNING
THE RELEVANT RADIATION PROTECTION REGULATIONS OF THE COUNTRY OF INSTALLATION MUST
BE OBSERVED.
▶ WARNING
IN ORDER TO AVOID UNINTENTIONAL RADIATION, THE FOOT SWITCH MUST BE HUNG UP ON THE
FOOT SWITCH SUPPORT WHEN THE SYSTEM IS SWITCHED ON, BUT NOT IN USE.
3.4 Radiation Protection
Protection of staff
Staff members who stay within the radiation controlled area must wear X- Protection of staff ray
protective clothing.
Protection of the patient
To minimize the radiation burden of the patient, you must keep the source/skin distance as large as
possible. The generator design guarantees a minimum source/skin distance of 20 cm.
X-ray protective equipment
We recommend that you use the following X-ray protective equipment:
 X-ray protective apron
 X-ray protective eyewear
 Thyroid collar
 X-ray protective gloves
3.5 Electromagnetic compatibility
Medical electrical equipment requires special precautionary measures with respect to EMC and must
be installed and put into service in accordance with the EMC guidelines contained in the
accompanying documents.
Portable and mobile RF communications equipment may interfere with medical electrical equipment.
Rev 1.00 22
All operating modes of the system have been considered in the EMC tests. There are no exceptions to
the rules.
Only conductors, connecting cables and accessories that are specified by the manufacturer may be
used.
▶ WARNING
USING COMPONENTS OTHER THAN THOSE SPECIFIED MAY RESULT IN INCREASED
ELECTROMAGNETIC EMISSIONS OR REDUCED ELECTROMAGNETIC IMMUNITY.
3.6 Disposal of Used Electrical & Electronic Equipment
The meaning of the symbol on the product, its accessory or packaging indicates
that this product shall not be treated as household waste. Please, dispose of this
equipment at your applicable collection point for the recycling of electrical &
electronic equipment waste. In the European Union and Other European countries
which there are separate collection systems for used electrical and electronic
product. By ensuring the correct disposal of this product, you will help prevent
potentially hazardous to the environment and to human health, which could otherwise be caused by
unsuitable waste handling of this product. The recycling of materials will help conserve natural
resources, Please do not therefore dispose of your old electrical and electronic equipment with your
household waste. For more detailed information about recycling of this product, please contact your
local city office, your household waste disposal service or the shop where you purchased the product.
3.7 Service information
Technical support and purchase of accessories are available at below contacts.
ECORAY
TEL (+82)-62-952-3251
FAX (+82)-62-951-5261
e-mail x-ray@eco-ray.co.kr
Homepage www.eco-ray.co.kr
Rev 1.00 23
3.8 Service Life
The system's service life is 7 years, and is limited to systems that receive the prescribed maintenance
checks.
3.9 DECLARATION OF RESPONSIBILITY
 ECORAY is only responsible for the safety of its products when their maintenance, repair
and/or modification has been carried out by ECORAY or by personnel expressly authorized to
do so by ECORAY itself.
 ECORAY shall not be held responsible in any way for malfunction, damage and/or danger due
to incorrect use of the system or to disregard of the maintenance Regulations.
 The user of the installation where the system is connected is responsible for making sure that
the installation itself is only used by suitably trained and qualified operators.
Rev 1.00 24
Chapter 4
System Description
[CX9Plus]
Rev 1.00 25
4 System Description
4.1 C-arm stand
Function Function Description
Transmitting and receiving signals to the software of a
CCD Camera PC. (Sends the acquired images from Image Intensifier
to the PC)
Image
X-ray image receptor
Intensifier
Collimator Adjusts the exposure coverage of the X-ray
X-Ray tube The X-ray comes out from this part
Console Can be set the functions by using the button
A “C” type structure which fixed the Image intensifier

C-arm
and the X-ray tube.
Generator Boosts the input voltage at the x-ray generator and then
+ H/V supply it to the X-ray tube.
Rev 1.00 26
4.2 Rear of the main unit
Emergency
Immediately stops operation of the equipment in time of
Stop
emergency.
Switch
Connection for The connection between the Main Unit and the Hand
Hand Switch Switch
Power supply
Power input of the equipment.
Connection
Connection for The connection between the Main Unit and the Foot
Foot Switch Switch
Coupling cable The connection between the Generator and the X-ray
Connection Tube.
The connection between the Camera and the PC of the

Video out
Monitor Cart.
Connection for
The connection between the Generator and the Monitor
Generator
Cart
power
Rev 1.00 27
4.3 Vertical movement control switch & Collimator control switch
Vertical device
Adjusts the vertical movement of the C-arm
Up/Down
Collimator
Adjusts the horizontal movement of the Collimator
horizontal S/w
Collimator
Adjusts the vertical movement of the Collimator
vertical S/w
Collimator
Adjusts the rotational movement of the Collimator
rotation S/w
Rev 1.00 28
4.4 Console
No Function Function Description
Radiography mode
1 Lights on when it is selected
Button
Fluoroscopy mode
2 Lights on when it is selected
Button
3 Mute Button Mutes the beep sound
Radiation Timer
4 Makes Radiation Timer reset
Reset Button
Lights on during the operation of each

5 Indicator
function : overload, standby, ready, X-ray
6 Error Reset Button Makes CPU reset when an error occurs.
Power on/off
7 On and off the power input
Button
8 ABC on/off Button Lights on when it is selected
IMAGE INTENSIFIER
9 Selects the field of IMAGE INTENSIFIER
select Button
10 Pulse rate Button Selects the Pulse Rate
X-ray exposure
11 Performs the X-ray exposure
Button
12 kV, mA, mAs Adjusts the value of loading factor: kV, mA,
Rev 1.00 29
Set Button mAs
4.5 Monitor cart
Monitor Displays the acquired image by the Camera
Power switch Power on and off the PC.
The ‘XVision’ is installed.

PC for
Receives a signal from Camera and send it to the
Workstation
monitor.
Power Trans Supply power on the Capacitor of Generator.
LAN port Connect to the PACS.
Rev 1.00 30
CD Driver Saves images of patient on the CD
4.6 Workstation
Power supply
Connects the power cord.
Connection
LAN port for

The connection between the PC and the Camera
CCD camera
LAN port for

The connection between the PC and the PACS
PACS
Hardware key to use for confirmation before executing

USB dongle
the program
Sing port 1 Connect to the Monitor
Sing port 2 Connect to the Keyboard and Mouse
Rev 1.00 31
4.7 Hand Switch and Foot Switch
The CX9PLUS is equipped with the hand switch and foot switch.
Hand Switch
Foot Switch
Radiation is initiated either with the hand switch or the foot switch.
The default assignment of the two switches is as follows:
− Hand Switch: Radiography
− Foot Switch: Fluoroscopy
Rev 1.00 32
4.8 LAN Connector for External Connection
The external connection LAN connector is used for sending obtained image data to external
computers
Insert the cable into the LAN connector, connect the cable to the external device, and transfer data in
DICOM
▶ CAUTION
DO NOT CONNECT THE LAN CONNECTOR TO EXTERNAL PERIPHERALS NOT SPECIFIED BY ECORAY
THAT DO NOT MEET SAFETY STANDARDS.
DOING SO COULD CAUSE UNIT FAILURE, MALFUNCTION, SMOKE, OVERHEAT, ELECTRIC SHOCK, OR
LOSS OR DAMAGE OF DATA.
4.9 Screen assignment
On the monitor, the live screen function has been factory-assigned to the left screen, and the
reference screen function to the right screen.
 Live screen: Live images and saved images, both at full size.
While radiation is active, you always see a live image.
Rev 1.00 33
 Reference screen: Thumbnail mosaic, reference images at full size
Chapter 5
Installation of CX9PLUS
[CX9Plus]
Rev 1.00 34
5 Installation of CX9PLUS
5.1 Conditions for installation
Use environment
Ambient environment : 10℃ to 35℃
Relative humidity : 10% to 70% (no dew condition)
Atmospheric pressure : 800hPa to 1060hPa
Storage environment (without a package for transport and storage)
Ambient environment : -10℃ to 60℃
Relative humidity : 10% to 90% (no dew condition)
Transportation and Storage environment
Ambient temperature : -10℃ to 40℃
(The upper bound of the temperature is allowed up to 50℃ only for the period of less than one
month.)
Relative humidity : 10% to 60%
Power Supply
AC power
System : Single phase AC
Frequency : 50/60Hz
Standard voltages : 230V
Voltage variation range : ±10% of standard voltages
Supply capacity : 4kVA
Supply Impedance : 100, 110, 120 V : 1.0Ωor less
200, 220, 230, 240 V : 4.0Ωor less
Earth terminal: Earth resistance of 100Ωor less
Rev 1.00 35
5.2 Equipment dimensions
5.3 Preparations for installation
Tools Required for Installation
When installing the unit, prepare the following tools:
 Screw drivers
 Hexagonal bar L-type spanners: No. 2.5～10
 Nipper
 Pliers
 Tester
 Cutter
 Waste cloth
 Alligator clip
 Oscilloscope
 USB port hub
Rev 1.00 36
5.4 Unpacking
• Inspect the pack for evidence of shipping damage. If there is evidence of shipping damage,
note this in the event that a damage claim is justified.
• Remove the wooden covers and set aside.
▶ NOTE
OPEN THE PACK CAREFULLY. SHARP TOOLS MAY DAMAGE THE CONTENS.
• Carefully lift the equipment from the pallet.
▶ CAUTION
ONE PERSON SHOULD NOT ATTEMPT TO LIFT OR MOVE THIS ASSEMBLY WITHOUT PROPER
EQUIPMENT OR ASSISTANCE.
Rev 1.00 37
• Inspect for internal and external shipping damage.
• Remove and unpack the each unit.
• Unpack the manuals and any other paperwork that may be packed with the units.
• Keep the shipping containers. In case of shipping damage, place the unit back in its
shipping pack and notify the carrier and the customer support department.
• Make sure that the following items are contained:
 X-ray generator & High voltage transformer
 HVT & x-ray tube
 Image Intensifier
 Camera
 Collimator
 Workstation
 Monitor
 Monitor cart
 Hand switch
 Foot switch
Rev 1.00 38
5.5 How to Open/Close the Covers
• Unscrew screws as shown in Fig.
• Pull the covers in the direction of Fig.
• Get the vertical device to operate upwards as shown in Fig.
• Pull up the top of the covers.
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5.6 Assemble for the Monitor Cart
• Assemble the workstation to the monitor cart.
• Assemble the monitor to the monitor cart.
• Wire the cables to the monitor cart.
Rev 1.00 40
5.7 Installing the LAN Card for CCD Camera
• Install the LAN Card for CCD Camera to the LAN Connector as below.
• LAN Card Model: Intel(R) PRO/1000 GT Desktop Adapter.
Rev 1.00 41
5.8 Image Intensifier
X-ray image intensifier are operated with 24±1Vdc input voltage applied to the power supply. Wiring
and Connecting are shown as follows.
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Pin assignment of DIN connector
DIN Connector Pin Signal
NO
1 DC24V Input
2 NC
3 0V
4 M1
5 M2
Switching of entrance field size
Mode Pin NO State
N mode 1-4-5 Open
M1 mode 1-4 Close
M2 mode 1-5 Close
Glass Implosion
The X-ray image intensifiers (IMAGE INTENSIFIER.) are a high-vacuumed electron tube containing glass.
Do not scratch or strain the glass of the IMAGE INTENSIFIER. for the prevention of the implosion.
 Because of the risk of implosion, a protection mask shall be put on and extreme care shall be
taken when manipulating the bare tube.
 The aluminum plate (for light-shielding) on the entrance plane of housing also plays as a
protection against the injury due to implosion. When removing the plate, the input side shall
not face a person. The protection plate such as anti-scattering grid is recommended when
removing the plate.
 The distance between the surface of output window and lens attaching plate shall be confirm
due to the data sheet or the specification when the object lens is mounted for the prevention
of damage on output window.
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5.9 CCD Camera
Rev 1.00 44
CN1 Connector [Connector for GiGe Vision]
Pin I/O Signal Pin I/O Signal
NO NO
1 O TXVNA 2 O TXVNB
3 O TXVNC 4 O TXVND
5 O Shielding 6 O TXVPA
7 O TXVPB 8 O TXVPC
9 O TXVPD 10 O Shielding
CN2 Connector [Connector for Power supply]
Pin Pin
I/O Signal I/O Signal
NO NO
Power supply Power supply

1 O 2 I
(+12~30V) (+12~30V)
3 O GND 4 I GND
CON3 Connector [Connector for Control Interface]
Pin I/O Signal Pin I/O Signal
NO NO
1 I LIH 2 I Fod
3 I AGC Stop 4 I ABC Stop
5 O Reserved 6 O Reserved
7 O XR-Low 8 O XR-High
9 I GND-EXT 10 I GND-EXT
CON6 Connector [Connector for Motor Control]
Pin Pin
I/O Signal I/O Signal
NO NO
1 O VCC 2 O SCL
3 O GND 4 Reserve
5 IO SDA 6 Shielding
Rev 1.00 45
5.10 X-ray Tube
Start: Run: Winding

Coil Pin Color Condenser
220V 40V resistance
Main 2 Red 5.8A 1.0A 25Ω (C-M) 30uF
Phase
C2 Blue 2.4A 0.4A 62Ω (C-S) 30uF
shift
Common 1 Yellow 7.5A 1.3A Common 30uF
Rev 1.00 46
5.11 Assembly of the X-ray tube, the Collimator and DAP meter
• Fix the X-ray tube and the Collimator to the Support of the C-Frame.
• Wire the cable of the X-ray tube and Collimator.
• Install the X-ray tube and DAP meter
Rev 1.00 47
• Fix the Cover to the Support of Cover.
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5.12 Wiring
Rev 1.00 49
5.13 Installation of CX9PLUS Control S/W
Install CX9PLUS Control S/W “XVision” according to the following procedures.
5.13.1 Insert the "XVision" CD
• CD is inserted the CD-R drive, and the window is automatically opened.
• Open the CD’s folder.
• Files are shown as below.
5.13.2 Installation of LAN Card Driver
• Select and open the <PRO Win32.exe>file at the [Intel Pro 1000 PCI LAN Driver] folder.
• "Setup status" screen is displayed. Wait for setup complete.
Rev 1.00 50
• "Installation wizard" is displayed. Click【Next >】.
• After it agrees to the use permission contract, Click【Next >】.
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• Select the 《Advanced Network Service》 at the Setup Options, Click【Next >】.
• "Installation wizard" is displayed. Click【Install】.
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• Check the setup installation completed, Click【Finish】.
• Connect the Communication Cable between the Camera and the PC.
Rev 1.00 53
5.13.3 How to check the communication status
The Camera LAN Cable is normally connected to the PC.
The Camera LAN Cable is abnormally connected to the PC.
▷ Solution
• Check the status of the connection between the LAN port of the PC and the LAN port of the
Camera.
The PC does not recognize the Camera signal - Connected normally, but if it does not recognize the
signal.
Rev 1.00 54
▷ Solution
• Click icon
• "Local Area Connection 2 status" is displayed
• Click 【Properties】.
• Select the 《Internet Protocol(TCP/IP)》 at General Tap, Click 【Properties】.
Rev 1.00 55
• "Internet Protocol(TCP/IP) Properties" is displayed
• Select the 《Use the following IP address》, Enter as follows.
• Click 【OK】
• The connection status is displayed.
Rev 1.00 56
• Reset the “Local Area Connection Status” if the monitor is displayed as follows
The Camera LAN Card Driver not installed
▷ Solution
• Set up the “LAN Card Driver”
• Click the "My Computer" on the desktop to right mouse button.
Rev 1.00 57
• Click the “Properties”
• Select the “Hardware” at the “System Properties”
Rev 1.00 58
• Click the 【Device Manager】at the “System Properties”
• “Device Manager” is displayed.
• Check the set-up status of ““Intel(R) Pro/1000 GT Desktop Adapter” of the “Network adapters”
• If “Properties” and “LAN Card Driver” is normal, it is displayed as follows.
Rev 1.00 59
• If “Device Manager” is displayed as follows, reinstall the “LAN Card Driver”.
Rev 1.00 60
5.13.4 Installation of Camera Driver
Installation of “Kobra Manager SW”
• Insert the CD at the CD-ROM of Monitor cart.
• Select the “Korba Manager”
• Click the <Korba Manager>.
• “Korba Installer” is displayed.
• Select the 《Intel(R) PRO/1000 GT Desktop Adapter》 at the “Korba Installer”, Click 【Apply】
• "Kobra Driver Installed" is changed to "Complete" in the lower left corner.
Rev 1.00 61
5.13.5 Installation of LAN Card
• Click the "My Computer" on the desktop to right mouse button.
• Click the “Properties”
• Select the “Hardware” at the “System Properties”
Rev 1.00 62
• Click 【Device Manager】at the “System Properties”
• “Device Manager” is displayed.
• Click the ““Intel(R) Pro/1000 GT Desktop Adapter” of the “Network adapters”
• If “Properties” and “LAN Card Driver” is normal, it is displayed as follows.
Rev 1.00 63
• “Intel(R) PRO/1000GT Desktop Adapter” is displayed.
• Click 【Advanced】at the “Intel(R) PRO/1000GT Desktop Adapter”
• Select the “Jumbo Frame” at the “Property”, select the “9014 Bytes” at the “Value”
• Click 【OK】
Rev 1.00 64
5.13.6 Installation of XVision
Set up Dongle Key Driver
• Insert the CD at the CD-ROM of Monitor cart.
• Select the “Sentinel_HASP_Dongle_Driver”
• Click the < Sentinel_HASP_Dongle_Driver >.
• “Sentinel HASP Run-time Setup” is displayed.
• Click 【Next>】at the “Sentinel HASP Run-time Setup”
Rev 1.00 65
• After it agrees to the use permission contract, Click【 Next >】.
• “Ready to Install the Application” is displayed.
• Click 【Next>】at the “Ready to Install the Application”
Rev 1.00 66
• “Updating System” is displayed.
• Click 【Finish】.
Rev 1.00 67
5.13.7 Installation of Microsoft .NET Framework 3.5

• Select the “Microsoft Dotnetfx3. 5setup. exe”
• "Setup status" screen is displayed.
• " Microsoft .NET Framework 3.5" is displayed.
• After it agrees to the use permission contract, Click【 Install >】.
Rev 1.00 68
• Click【 Exit】.
Rev 1.00 69
5.13.8 Installation of Microsoft visual C++ 2008 Redistribution
• Select the “vcredist_x86.exe”
• " Extracting file" is displayed.
• " Microsoft visual C++ 2008 Redistributable Setup " is displayed.
• Click【Next>】.
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• After it agrees to the use permission contract, Click【 Install >】.
• Click【Finish】.
Rev 1.00 71
5.13.9 Installation of XVision
• Select the “XVision InstallationV1.0.0.103.exe”
• "Installation of XVision " is displayed.
• Click【Next>】.
• " Installation of XVision-Select Install folder " is displayed.
Rev 1.00 72
• Set up the installation destination, Click【Install】.
• Click【OK】.
• “XVision“ is saved at the installation destination, it is automatically created to icon at the
desktop.
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5.14 Run “XVision”
Run “XVision”
• Click “XVision” at the desktop.
Login
• “Log in” screen is displayed.
• Enter the User ID, Password, Click 【Login】
• The monitor is displayed as follow.
• It is possible to obtain an image.
Rev 1.00 74
5.14.1 How to set up the ID and Password
• Click 【Config.】in the upper left-hand corner of the monitor.
• “Configuration” is displayed.
• Click 【WORKSTATION】
• Click 【New】
Rev 1.00 75
• Register an “ID, Password” to want.
• “ID” is case-sensitive
• Click 【OK】
• Click 【Apply】
• Click 【Exit】
• Enter the “User ID, Password”, Click 【Login】
Rev 1.00 76
5.15 How to use the “DICOM” function
• Click 【Config.】
• Click 【DICOM】
• 【DICOM】 is configured “Local” Tab, “Worklist Server” Tab, “DICOM Printer” Tab and “PACS
Server” Tab.
Rev 1.00 77
5.15.1 How to set the “Local” Tab
• “Local” Tab is configured “AE”, “IP” and “Port”
• AE(Application Entity) : Enter the name of the Workstation.
• IP : Select the IP address at the list to click the arrow.
• Port : Enter the port number.
• Click 【APPLY】
• Click 【EXIT】
Rev 1.00 78
5.15.2 How to use “Work list Server” Tab
- “Work list Server" Tab is function to check the status of the connection between the product and the
Work list.
• “Work list Server” Tab is configured “Remote AE”, “Remote IP”, “Remote Port” and 【Test】
• Remote AE(Application Entity) : Enter the name of the Work list Server.
• Remote IP : Enter the IP address of the Work list Server.
• Remote Port : Enter the port number of the Work list Server.
• Click 【Test】
• When it is normal, the pop-up window is displayed to “OK”
• When it is abnormal, the pop-up window is displayed to “Failure”
• When it is abnormal, check the AE, IP, Port of the “Work list Server” and then enter correctly.
Rev 1.00 79
• Click 【OK】 at the pop-up window.
• Click 【APPLY】
• Click 【EXIT】
Rev 1.00 80
5.15.3 How to set “DICOM Printer” Tab
• “DICOM Printer” is displayed.
• 【New】 : New printer is added.
• 【Edit】 : Registered Printer is modified.
• 【Delete】 : Registered Printer is deleted.
• 【Test】 : Connection status between the product and the Printer is confirmed.
• “Layout” : Print status is displayed as the "row x column".
• Number of copies : Number of copies to be printed is displayed.
When you want to add the “DICOM Printer”
• Click 【New】
• “Setting” is displayed.
• Add the DICOM Printer in the “Setting”.
Rev 1.00 81
• Enter a unique name at the “AE Title”.
• Enter the IP address at the “ Host name”
• Enter the Port number at the “ Port”
• To specify the priority printer,, select the check box at the “DICOM Print Priority”. (If multiple
printers are selected , All the selected printers are printed)
• Enter the information needed to setting at the "Settings".
• Print after setting predetermined Table at the “Presentation LUT”.
• Modify the margin of the paper at the “Densify”
• Click 【OK】
Rev 1.00 82
5.15.4 How to set “PACS Server” Tab
• “PACS Server” is displayed.
• 【New】 : New PACS Server is added.
• 【Edit】 : Registered PACS Server is modified.
• 【Delete】 : Registered PACS Server is deleted.
• 【Test】 : Connection status between the product and the PACS Server is confirmed.
Rev 1.00 83
When you want to add the “PACS Server”
• Click 【New】
• “New PACS SCP” is displayed.
• Add the PACS Server in the “New PACS SCP”.
• Enter a unique name at the “AE Title”.
• Enter the IP address at the “ IP”
• Enter the Port number at the “ Port”
• To specify the priority PACS Server, select the check box at the “Priority”.
• Click 【OK】
Rev 1.00 84
Chapter 6
Calibration
[CX9Plus]
Rev 1.00 85
6 Calibration
6.1 Generator Calibration
6.1.1 Overview
This Generator calibration must be performed only by the calibration software program of ECORAY.
Characteristics of calibration software program
• The calibration software program is operated on PC.
• It has functions for changing X-ray exposure parameters (e.g. kV, mA and selection of X-ray
tube) and can be saved.
6.1.2 Tool and equipment for calibration
Calibration requires the following tool and equipment.
 Calibration software program of ECORAY (CD)
 Digital Voltmeter (DVM)
 X-ray kVp meter
 X-ray mA meter
 X-ray exposure time meter
 Radiation Dose meter
 Aluminum HVL attenuators for HVL measurements
 Others for equipment for calibration
6.1.3 Check before calibration start
• Power input (Supply mains)
• Protective earthing condition
• Tool and equipment for calibration
• Selected X-ray tube model, type reference of the peripherals.
Rev 1.00 86
6.1.4 When to do calibration
When to do What to do Remarks
After product
Calibration for X-ray
installation, including Refer to the chapter 5
exposure parameters
relocation
Periodic testing for
maintenance Calibration for X-ray

Refer to the chapter 13
(Every six months or as exposure parameters
required)
Replacement or repair Calibration for X-ray

Refer to the chapter 16
of critical components exposure parameters
6.1.5 Critical Components that could affects the product performance
Replacement or repair of critical components requires a calibration for X-ray exposure parameters.
Critical components are the followings :
 X-Ray tube assembly
 ECO-XR5-MiO Board
 ECO-XR5-CnD Board
 ECO-XR5-FnD Board
 Transformers of high voltage
 High voltage cables
Rev 1.00 87
6.2 Installation of “USB to RS232 Converter Driver”
6.2.1 Specifications
• Identification : USB to RS232 Converter
• Confirmation of PC specifications
 System : Pentium MMX 200 MHz or higher
 Operating System : Windows XP Service Pack2 or higher
 USB Interface : USB 2.0 or higher (USB 2.0 recommended)
• The software for RS232 Driver is available on the website and the installation method
refers to a manual which is accompanied the RS232 Converter.
6.2.2 Installation
• Turn on PC.
• Click “My Computer” icon from the wallpaper on PC to execute “Properties”.
• Click “Properties”.
Rev 1.00 88
• Click “Hardware”, then click “OK”.
• Click “Device Manager”, then click “OK”.
Rev 1.00 89
• Click “Communications Port(COM1)”, then click “Port Settings”.
• Check the selected values.
• Click “Advanced”, then click “OK”.
• On the displayed “Advanced Setting for COM1”, select “Use FIFO buffers(requires 16550
compatible UART)”.
• Select a suitable one from COM1 to COM5, then click “OK”.
▶ NOTE
If you do not select a one from COM1 to COM5, this program would not operate.
Rev 1.00 90
• Installation of “USB to RS232 Converter Driver” is finished.
6.3 Installation of calibration software program
6.3.1 Specifications
• Identification : ECO-GEN-CALIBRATION-PC-M
• Confirmation of PC specifications
 System : Pentium MMX 200 MHz or higher
 Operating System : Windows XP Service Pack2 or higher
 USB Interface : USB 2.0 or higher (USB 2.0 recommended)
6.3.2 Installation
• Turn on PC.
• Insert the CD for calibration software program into PC.
• Click “My Computer” icon from the wallpaper.
• On the “Devices with Removable Storage” pane, double click “ECORAY Calibrate”.
Rev 1.00 91
• On the “Calibrate” pane, copy “Calibrate ”.
• Move the “Calibrate” on the wallpaper.
• On the wallpaper, double click “Calibrate”.
• On the “Calibrate” pane, double click “Setup” file.
Rev 1.00 92
• On the “Setup” pane, click “auto run” file.
• Click “OK” button.
Rev 1.00 93
• Installation of calibration software program is finished.
Rev 1.00 94
6.4 Preparations for the calibration
6.4.1 PC
• Specifications : Refer to Chapter 15
6.4.2 USB cable for “USB to RS232 Converter”
• This USB cable is generally available
6.4.3 Gender for the connection of generator
• This gender is made by ECORAY.
Rev 1.00 95
6.4.4 Connection of the communication cable
• Connection between the RS232 Port and USB Port of PC.
Rev 1.00 96
6.5 Program execution for calibration
6.5.1 Program execution of “ECORAY_Calibrator”
• On the wallpaper, double click “Calibrate”.
• On the “Calibrate” pane, click “Program ”.
• On the “Program ” pane, click “ECORAY_Calibrator” file.
Rev 1.00 97
• Then, it will be displayed as the following :
Rev 1.00 98
6.5.2 Selection of the communication port
• Click “Port Check”, and confirm that the selected communication port is a suitable one from
COM1 to COM5.
• If the communication port is selected in normal range, click “Power ON”.
• Execute “Operation & Setup Part”
▶ NOTE
If the communication port is not selected in normal range, “Power ON” button will not operate.
No. Functions Description of functions
1 Port Check Confirm setting for communication
2 Communication Confirm the selected communication port
Port Check
3 Communication Display the communication signal between PC
signal Check and program
4 Power ON Supply power to generator, when “Power ON”
Rev 1.00 99
6.5.3 Reselection of the communication port
• If the communication port is not selected in normal range, change the selection of “USB to RS232
Converter”.
• The change the selection : Refer to 6.1.5
• Confirm the setting between PC and calibration program.
6.6 Program functions
6.6.1 Operation, Setup, Calibration Window Part
Rev 1.00 100

Rev 1.00 101

6.6.2 Operation Part
• Possible select X-ray exposure parameters (e.g. kV, mA and selection of X-ray tube).
1 Saving data Saving and output the calibration data.
(This function is only used in the
manufacturing process)
2 Selection of Selection of communication port
communication port between PC and calibration program.
3 Selection of X-ray tube Selection of the location and anode
functions stator of X-ray tube.
Indication of the current state for ready,
exposure and overload.
4 Indication of X-ray Selection and indication of kV, mA and
exposure parameters exposure time for fluoroscopy.
5 Selection of other Selection of bucky, AEC, MC and focal
functions spot.
6 Indication of X-ray Selection and indication of kV, mA and
exposure parameters exposure time for radiography.
Rev 1.00 102

6.6.3 Setup Part
• Possible select the capacity of generator and the filament preheat voltage.
7 Selection of bucky Selection of each bucky operating mode.
function
8 Indication of product Indication of product failure and
failure description.
9 Indication of data No. Indication of identification for calibration
data and number of X-ray exposures.
10 Selection of filament Selection of filament preheat voltage for
preheat voltage “small or large filament”
11 Selection of capacity of Selection of minimum or maximum value
generator for “kV and mA”
12 Shoe calibration window Program execution for calibration
window part
Rev 1.00 103

6.6.4 Calibration Window Part
• Adjustment, indication and saving data of kV, mA.
1 Indication of X-ray Indication of the location and focal spot of X-
tube, focal spot ray tube which is selected on the setup part.
2 Indication of kV Indication of the kV range which is selected on
the setup part.
3 Indication of mA Indication of the mA range which is selected
on the setup part.
4 Indication of data Indication of the mA range which is inputted
on the data input window.
5 Data up-load Input data of the Mio CPU into calibration
program.
6 Indication of X-ray Indication of kV, mA for fluoroscopy.
exposure
parameters
7 Selection of other Selection of filament focal, calibration On/Off,
functions X-ray tube.
8 Data input window Input kV, mA for calibration.
Rev 1.00 104

6.7 Calibration of radiography
6.7.1 Power ON
• Execute “Power ON” (see No 1 of the above fig).
• Then, it indicates 52 of data signal (input/output) address number (see No 2 of the above fig).
• Automatic start to “Operation Part & Setup Part”.
Rev 1.00 105

6.7.2 Selection of capacity of generator
• Select min. and max. kV on the “Small Focal (S.kV)” (see No 1 of the above fig).
• Select min. and max. kV on the “Large Focal (L.KV)” (see No 1 of the above fig).
• Select min. and max. mA on the “Small Focal (S.mA)” (see No 2 of the above fig).
• Select min. and max. mA on the “Large Focal (L.mA)” (see No 2 of the above fig).
• Select filament preheat voltage for small and large focal spot (see No 3 of the above fig).
▶ NOTE
It is recommended that the filament preheat voltage selected by the manufacture does not change.
• Click “Store” for saving input data (see No 4 of the above fig).
▶ NOTE
Using the stored data of MiO Board (Main Input & Output Board) of generator, it can execute
“Calibration Window Part” directly on “Show Calibration Window” without any selection of capacity of
generator.
Rev 1.00 106

6.7.3 Indication of calibration Data
• The “S/N” indicates year, month and identification for calibration data (see No 1 of the above fig).
The identification is assigned in regular sequence.
Year Month Identification
• The indication of “No 2” is only used in the manufacturing process (see No 2 of the above fig).
• The “Slice” indicates the number of X-ray exposures (see No 3 of the above fig).
• The “HV, BC” indicates the DAC values of kV and mA (see No 4 of the above fig). HV means kV of
the DAC and BC means mA of the DAC.
• The “kV, mA” indicates the detected values of kV and mA on a high voltage transformer (see No 5
of the above fig). It is detected by a detection circuit.
• The indication of “No 6” indicates the fixed 4.1 for calibration (see No 6 of the above fig).
• The “Reset” is only used in the manufacturing process (see No 7 of the above fig).
• The indication of “No 8” indicates the firmware version of MiO board (see No 8 of the above fig).
▶ NOTE
MiO board means a “Main Input & Output Board” of generator
• The “Store” indicates the function for saving data (see No 9 of the above fig).
Rev 1.00 107

6.7.4 System Check
• The indication of “No 1” indicates the state of product (see No 1 of the above fig).
• When the failure is detected, red indicator is lighting.
• When the red indicator is lighting, do not operating X-ray exposure.
• When the red indicator is lighting, reset PC and power of generator
• After reset, the red indicator is lighting still, it needs to repair.
• The indication of “No 2” indicates the state of other components and functions (see No 2 of the
above fig). When it is connected in normal, green indicator is lighting. When it is not connected in
normal, red indicator is lighting.
6.7.5 Program execution for calibration
• Click “Show Calibration Window” (see No 1 of the above fig).
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Rev 1.00 109

• Click “Calibration On/Off” (see No 1 of the above fig).
• The “System State” indicates “Now Data Access” (see No 5 of the above fig).
• When it indicates “Now Data Access”, the calibration data of MiO board move to a calibration
program of PC automatically (see No 5 of the above fig).
• Note : MiO board means a “Main Input & Output Board” of generator
• When this calibration data has been moved, data table indicates the calibration data (see No 7 of
the above fig).
• Select a suitable X-ray tube and focal spot (see No 2 of the above fig).
• Check the selected X-ray tube and focal spot (see No 6 of the above fig).
• The ““Data Clear” and “Current Focal Load” are only used in the manufacturing process (see No 3
of the above fig).
6.7.6 Start calibration
• Install equipments for calibration. (Refer 3 of this chapter)
• Execute “Calibration window”.
6.7.7 Selection of X-ray tube and small focal
• Select a suitable X-ray tube and small focal.
• Check the selected of focal (see No 2 of the above fig).
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• Click the No 5 related to No 4 for min. kV and No 3 for min. mA (see No 3, 4, 5 of the above fig).
• When click the No 5, the colume changes to yellow colour. (see No 5 of the above fig).
• Check the selected data (see No 6 of the above fig).
• Execute “X-ray exposure”.
• Note : Under pushing “Ctrl” on keyboard for “Ready”, pushing “X” on keyboard for “X-ray
exposure”
• Check the detected kV and mA (see No 6 of the above fig).
• On the “ADJ”, change data (see No 6 of the above fig).
• Click “Enter” on keyboard.
• When the detected kV and mA are not incorrect, execute “X-ray exposure” again and change data.
Rev 1.00 111

6.8 Sequence of calibration for radiographic mode
6.8.1 Selection of kV, mA for calibration
• kV : 40, 60, 80, 100, 125
• Smal focal : 10, 25, 50, 75, 100mA
• Large Focal: 150mA
6.8.2 Sequence of calibration for small focal
- Sequence of calibration, in case of small focal at 40 kV
• Select 40 kV → Select 10mA → Execute “X-ray exposure” → Check the measured dose on the
meter → Change data, if necessary → Click “Enter” on keyboard
- For sequence of calibration At 60, 80, 100, 125, 150 kV, perform the same sequence at 40 kV.
- Click “Store” for saving data.
- For sequence of calibration at 60, 80, 100, 125, 150 kV, perform the same sequence at 40 kV.
Rev 1.00 112

6.8.3 Sequence of calibration for large focal
- Sequence of calibration, in case of large focal at 40 kV
- For sequence of calibration at 60, 80, 100, 125, 150 kV, perform the same sequence at 40 kV.
6.8.4 Flow diagram for sequence of calibration
Rev 1.00 113

6.8.5 Confirmation of dose after calibration
• Execute “Operation Part”.
• The “No 1” indicates X-ray exposure parameters (kV, mA and exposure time) for radiography
(see No 1 of the above fig).
• The “No 2” indicates adjustable kV (see No 2 of the above fig).
• The “No 3” indicates adjustable mA (see No 3 of the above fig).
• The “No 4” indicates adjustable mAs (see No 4 of the above fig).
• The “No 5” indicates selectable function for msec and mAs (see No 5 of the above fig).
• Select “Small or Large” on “Focal Spot” (see No 1 of the above fig).
Rev 1.00 114

• Select “Radio or Fluor” on “Tube Select” (see No 1 of the above fig).
▶ NOTE
Under pushing “Ctrl” on keyboard for “Ready”, pushing “X” on keyboard for “X-ray exposure”
• Check the measured kV, mA on the meter.
Rev 1.00 115

6.9 Calibration of Fluoroscopy mode
6.9.1 Power ON
• Execute “Power ON” (see No 2 of the above fig).
• Then, it indicates 52 of data signal (input/output) address number (see No 1 of the above fig).
• Automatic start to “Operation Part & Setup Part”.
• Execute “Fluor” (see No 3 of the above fig).
Rev 1.00 116

6.9.2 Selection of capacity of generator
• Select min. and max. kV on the “Small Focal (S.kV)” (see No 1 of the above fig).
• Select min. and max. kV on the “Large Focal (L.KV)” (see No 1 of the above fig).
• Select min. and max. mA on the “Small Focal (S.mA)” (see No 2 of the above fig).
• Select min. and max. mA on the “Large Focal (L.mA)” (see No 2 of the above fig).
• Select filament preheat voltage for small and large focal spot (see No 3 of the above fig).
▶ NOTE
It is recommended that the filament preheat voltage selected by the manufacture does not
change.
▶ NOTE
Using the stored data of MiO Board (Main Input & Output Board) of generator, it can execute
“Calibration Window Part” directly on “Show Calibration Window” without any selection of
capacity of generator.
Rev 1.00 117

6.9.3 Indication of calibration Data
9
1
8
2
3 7
4
6
5
• The “S/N” indicates year, month and identification for calibration data (see No 1 of the above
fig). The identification is assigned in regular sequence.
Year Month Identification
• The indication of “No 2” is only used in the manufacturing process (see No 2 of the above
fig).
• The “Slice” indicates the number of X-ray exposures (see No 3 of the above fig).
• The “HV, BC” indicates the DAC values of kV and mA (see No 4 of the above fig). HV means
kV of the DAC and BC means mA of the DAC.
• The “kV, mA” indicates the detected values of kV and mA on a high voltage transformer (see
No 5 of the above fig). It is detected by a detection circuit.
• The indication of “No 6” indicates the fixed 4.1 for calibration (see No 6 of the above fig).
• The “Reset” is only used in the manufacturing process (see No 7 of the above fig).
• The indication of “No 8” indicates the firmware version of MiO board (see No 8 of the above
fig).
• Note : MiO board means a “Main Input & Output Board” of generator
• The “Store” indicates the function for saving data (see No 9 of the above fig).
Rev 1.00 118

6.9.4 System Check
• The indication of “No 1” indicates the state of product (see No 1 of the above fig).
• When the failure is detected, red indicator is lighting.
• When the red indicator is lighting, do not operating X-ray exposure.
• When the red indicator is lighting, reset PC and power of generator
• After reset, the red indicator is lighting still, it needs to repair.
• The indication of “No 2” indicates the state of other components and functions (see No 2 of
the above fig). When it is connected in normal, green indicator is lighting. When it is not
connected in normal, red indicator is lighting.
6.9.5 Program execution for calibration
Rev 1.00 119

• Click “Show Calibration Window” (see No 1 of the above fig).
Rev 1.00 120

• Click “Calibration On/Off” (see No 1 of the above fig).
• The “System State” indicates “Now Data Access” (see No 5 of the above fig).
• When it indicates “Now Data Access”, the calibration data of MiO board move to a calibration
program of PC automatically (see No 5 of the above fig).
Note : MiO board means a “Main Input & Output Board” of generator
• When this calibration data has been moved, data table indicates the calibration data (see No
7 of the above fig).
• Select a suitable X-ray tube and focal spot (see No 2 of the above fig).
• Check the selected X-ray tube and focal spot (see No 6 of the above fig).
• The ““Data Clear” and “Current Focal Load” are only used in the manufacturing process (see
No 3 of the above fig).
6.9.6 Start calibration
• Install equipment for calibration. (Refer 3 of this chapter)
• Execute “Calibration window”.
6.9.7 Selection of X-ray tube and small focal
3 2
6 1
Rev 1.00 121

• Select a suitable X-ray tube and small focal.
• Check the selected of focal (see No 2 of the above fig).
• Click the No 5 related to No 4 for min. kV and No 3 for min. mA (see No 3, 4, 5 of the above
fig).
• When click the No 5, the colume changes to yellow colour. (see No 5 of the above fig).
• Check the selected data (see No 6 of the above fig).
▶ NOTE
Under pushing “Ctrl” on keyboard for “Ready”, pushing “X” on keyboard for “X-ray exposure”
• Check the detected kV and mA (see No 6 of the above fig).
• On the “ADJ”, change data (see No 6 of the above fig).
• When the detected kV and mA are not incorrect, execute “X-ray exposure” again and change
data.
Rev 1.00 122

6.10 Sequence of calibration for fluoroscopy mode
6.10.1 Selection of kV, mA for calibration
• kV : 40, 100, 120
• Small focal : 0.5, 6mA
6.10.2 Sequence of calibration for small focal
• Sequence of calibration, in case of small focal at 40 kV
- Select 40 kV → Select 0.5mA → Execute “X-ray exposure” → Check the measured
dose on the meter → Change data, if necessary → Click “Enter” on keyboard
- Select 40 kV → Select 6mA → Execute “X-ray exposure” → Check the measured dose
on the meter → Change data, if necessary → Click “Enter” on keyboard
• For sequence of calibration at 100 kV, perform the same sequence at 40 kV.
• Click “Store” for saving data.
6.10.3 Sequence of calibration for large focal
• Sequence of calibration, in case of small focal at 40 kV
- Select 40 kV → Select 150mA → Execute “X-ray exposure” → Check the measured
dose on the meter → Change data, if necessary → Click “Enter” on keyboard
• Click “Store” for saving data.
Rev 1.00 123

6.10.4 Flow diagram for sequence of calibration
Rev 1.00 124

6.11 Image Calibration
6.11.1 Checking the Camera & Lens
• The bolts of the displayed portion are removed, and then remove the cap of the Camera
• Check the components of the Camera.
Camera Part
Iris Part
Focus Adjustment Part
Rev 1.00 125

6.11.2 Iris adjustment of the Lens
• Release the fixed state by turning the Iris Adjustment knob to the left.
• The Iris Adjustment Position moves to between No 4 and No 1.
• Fix by turning the Iris Adjustment knob to the right.'
Iris Adjustment Knob
Iris Adjustment Position

Focus Adjustment Knob
6.11.3 Focus Adjustment
• Execute the X-ray exposure at the Fluoroscopy mode by pressing on the foot switch.
• Release the fixed state by turning the Focus Adjustment knob to the left.
• Adjust to fit the focus while watching the image displayed on the Live Screen.
• Fix by turning the Focus Adjustment knob to the right.
Rev 1.00 126

6.12 How to view the values set
• Click 【Config.】in the upper left-hand corner of the monitor.
• “Configuration” is displayed.
• Click 【DSP】
• Click 【CONTROL】
▶ NOTE
The values shown is set by manufacturers, should not be possible to change.
Rev 1.00 127

6.13 Image functions
6.13.1 Functions of the DSP
Shading Correction
• Select : V.H Tilt (the four direction Shading adjustment)
V.H dome (dome-shaped shadow adjustment).
• Correction : Correcting the shadow of the camera
• The default values are displayed as shown in the figure above.
Circular Blanking
• Size : Adjusting the size of the circle at the Live image.
• Position : Adjusting the position of the circle at the Live image.
Look up table
• Gamma Index : Setting the Gamma value.
• Selecting Negative Image or Positive Image
Rev 1.00 128

Enhancement
• Brightness : Adjusting the brightness of the image.
• Contrast : Adjusting the contrast of the image
• Sharpness : Adjusting the sharpness of the image
• Selecting the Histogram Eq or the H.E. Auto
Overlay
• Show : To display a cross on the screen, select this option.
• Select : Displayed on the selected monitor.
• Position : Setting the position of the Cross.
• Color : Selecting the color of the Cross.
• Style : Selecting the style of the Cross.
Rev 1.00 129

Memory
• Vertical Flip : To Flip the image vertically, select this option.
• Horizontal Flip : To Flip the image horizontally, select this option.
• Last Image Hold : Used to hold the last image.
• Image Store : Used to save the image of the Last Image Hold
• Image Subtraction : Used to reverse the acquired image.
• Auto Motion Detection : Used to automatically detect the motion
• Recursive Filter : Used to process the acquired image..
6.13.2 Functions of the CONTROL
Analog Signal Processing
• Gain : Adjusting the gain value of the Live image.
Rev 1.00 130

AGC (Auto gain control)
• Mode : To disable this function, selecting ‘Off’
• Auto Level : Adjusting automatically the gain value of the Live image.
ABC (Auto Brightness Control) : Maintaining a constant brightness of the image.
• Mode : To disable this function, select the ‘Off’
• Threshold
- Select : Setting the brightness level of the Camera
- Value : Adjusting the value of the brightness set.
- XR Linear : Setting the smoothness of the screen brightness
Rev 1.00 131

Signal analysis
• Display Measure Frame : To activate the area of the detector at ABC, select this option.
• Measure window Position
- Radius : Setting the size of the detector area
- Circle Width : Setting the width of the Circle detector.
- X-Center : Used to move the X-axis of the Circle detector.
- Y-Center : Used to move the Y-axis of the Circle detector.
- V Stretch : Adjusting the image smoothness of the vertical axis of the Circle detector.
Test
• Select : Checking the image processing during the Camera test.
• Pattern : Selecting the image output signal of the Camera during the Camera test.
• Temperature : Showing the temperature of the Camera.
• MAC Address : Showing the MAC address of the Camera.
Rev 1.00 132

Chapter 7
Mechanical Handling
[CX9Plus]
Rev 1.00 133

7 Mechanical Handling
7.1 Orbital rotation
• Function : Rotates the C-arm in orbit
• Move to the patient position to take the X-ray exposure.
• Release the Orbital rotation fixing bar.
- The Orbital rotation fixing bar used to lock or release the movement the C-arm.
• Rotate the C-arm with the orbital rotation hand grip.
• Stop the movement of the C-arm in the best point by locking orbital rotation fixing bar.
Rev 1.00 134

7.2 Arm rotation
• Function : Rotates the C-arm with the left and right side.
• Release Arm rotation fixing bar.
- The Arm rotation fixing bar used to lock or release the movement the C-arm.
• Rotate the C-arm with the orbital rotation hand grip.
• Stop the movement of the C-arm in the best point by locking Arm rotation fixing bar.
7.3 Panning motion
• Panning motion: The C-arm move to the left and right side per 12.5⁰.
• Release Panning motion fixing bar.
- The Panning motion fixing bar used to lock or release the movement of the FR arm.
• Rotate the C-arm to the left or right side
• Stop the movement of the C-arm in the best point by locking Panning motion fixing bar.
Rev 1.00 135

7.4 FR Arm unit
• Function : Moves the C-arm to the front and rear side.
• Release FR Arm fixing bar.
- The FR Arm fixing bar used to lock or release the movement of the C-arm.
• Move the FR Arm unit to front or rear side.
• Stop the movement of the C-arm in the best position by locking FR Arm fixing bar.
7.5 Steering Handle
• Function : Used to change of direction.
• Change the position depending on the position of patient’s exposure.
• Turn the Steering Handle to desired direction.
• Push the system with manually to desired direction.
Rev 1.00 136

7.6 Wheel brake
• Function : Used to stop the movement of the system.
• Step on the Wheel brake and stop the system.
• Levers in upper position : the wheels are locked, the brake is locked.
• Levers in lower position : the wheels can move freely, the brake is released.
7.7 Vertical device
• Function : Used to move the C-arm to the vertical movement.
• Change the position depending on the position of patient’s exposure.
• It will be operated by the Vertical movement switch.
Rev 1.00 137

7.8 Collimator
• The X-ray radiation area is controlled by the collimator
• The Collimator controls radiation scattering
• Do not radiate to the non-radiation area.
• Do not radiate as the X-ray coverage larger than the exposure area.
• Adjust by the Collimator switch.
• The Collimator is adjusted by the motor and collimator switch as follow.
Rev 1.00 138

Chapter 8
Starting and Shutting Down

the System
[CX9Plus]
Rev 1.00 139

8 Starting and Shutting Down the System

8.1 Preparing the system
Before switching on the system, e.g. after a transport, you must connect the two system components
to each other and also connect the entire system to the power supply.
To prepare the system for operation, do the following:
• Plug the coupling cable connector into the socket located at the side of the C-arm stand and
lock the connector.
• Make sure that a suitable supply voltage is available and that the socket-outlet is properly
grounded and fused.
• Check the power plug on the monitor cart power cable and the socket-outlet for
compatibility.
• Connect the system to the power supply.
• Make sure that the inclination of the system does not exceed 5° from the level in operating
position.
• Put on suitable protective clothing.
Rev 1.00 140

8.2 Starting and Shutting down the Main unit
The main unit has power switches for turning the system on or off.
To start the system, do the following:
• Press the ON switch.
The system is turned on.
The Generator warms up for about 10 seconds.
The Generator warming up is complete, the following screen is shown.
To shut down the system, do the following:
• Press the OFF switch.
The system turns off. Any unsaved patient data and/or images are lost.
Rev 1.00 141

8.3 Starting and Shutting down the Monitor Cart
To turn on the system, do the following:
• Press the ON switch.
To turn off the system, do the following:
• Press the OFF switch.
Rev 1.00 142

8.4 EMERGENCY STOP button
There is an EMERGENCY STOP button on the main unit, enabling you to turn off all electrical functions
of the unit in case of emergencies.
To turn off the system in an emergency situation, do the following:
• Fully press down the EMERGENCY STOP button.
The EMERGENCY STOP button is locked in this position. The system turns off immediately. All electrical
functions of the system are disabled.
Any unsaved patient data and/or images are lost.
• To unlock the EMERGENCY STOP button, press the red knob with a slight twist in clockwise direction.
The unit remains switched off. Press the On switch on the main unit, you can turn on the power again.
Rev 1.00 143

Chapter 9
Fluoroscopy Operation
[CX9Plus]
Rev 1.00 144

9 Fluoroscopy Operation
9.1 Steps
To perform a fluoroscopy, you must always make the following steps and settings:
• Select the fluoroscopy mode on the console.
• Run the “XVision SW” at the workstation.
• Select the X-ray radiation conditions, and each feature.
• Press the Foot switch.
• Generate the fluoroscopic image.
• Save the fluoroscopic image.
• Print the fluoroscopic image, if desired.
Rev 1.00 145

Chapter 10
Radiography Operation
[CX9Plus]
Rev 1.00 146

10 Radiography Operation
10.1 Steps
To perform a radiography, you must always make the following steps and settings:
• Select the radiography mode on the consol.
• Run the “XVision SW” at the workstation.
• Select the X-ray radiation conditions, and each feature.
• Press the Hand switch.
• Generate the radiography image.
• Save the radiography image.
• Print the radiography image, if desired.
Rev 1.00 147

Chapter 11
Function
[CX9Plus]
Rev 1.00 148

11 Function
11.1 Selecting the ABC
• Press the ABC Switch as below
• When ABC is off, "Not Select" is displayed as below.
• When ABC is on, “ABC" icon is displayed as follow.
Rev 1.00 149

11.2 Selecting the field of Image intensifier
• Press IMAGE INTENSIFIER Switch as below.
• If the switch is pressed continuously, the icon is selected in the following order.
• Selected Field of IMAGE INTENSIFIER is displayed as below.
• When the Pulse Exposure is off, "Not Select" is displayed as below.
Rev 1.00 150

11.3 Selecting the Pulse Exposure
• Press the Pulse Exposure Switch as below.
• The lamp illuminates.
• Press the Pulse Rate Switch as below.
• The Pulse Rate is selected in the following order.
• When the Pulse Exposure is off, "Not Select" is displayed as below.
• The lamp is turned off.
Rev 1.00 151

11.4 Selecting the X-ray radiation conditions.
• Adjust the value to press the kV Set Button.
• The value is displayed as below.
• Adjust the value to press the mA Set Button.
• The value is displayed as below.
Rev 1.00 152

11.5 Setting the Radiation Time display
• The Radiation Time display shows the accumulated radiation time in minutes and seconds.
• The Radiation time is up to 5 minutes.
• If the radiation time is sustained for more than 5 minutes, the X-ray radiation is stopped.
• The ‘beep’ sounds from the console during X-ray radiation, the ‘beep’ is shown below.
 Until four minutes: The ‘beep’ sounds from the console.
 More than four minutes: The rate of the ‘beep’ is faster.
 Five minutes elapsed : The ‘beep’ stop, the X-ray radiation is stopped.
• If you want to radiate the stopped x-ray, press the "Time reset" switch.
 The Radiation Time display shows as "0.00 F-sec"
Rev 1.00 153

• If you want to stop the ‘beep’, press the Mute Button.
 The lamp illuminates.
 If the Mute Button is pressed again, the ‘beep’ sounds from the console.
 The lamp is turned off.
11.6 Screen display during radiation
While radiation is active, the current fluoroscopic image is displayed on the live screen.
When you terminate radiation (by releasing the hand or foot switch), the last fluoroscopic image is
displayed on the live screen and as a thumbnail on the control panel (Last Image Hold).
This image remains displayed until it is replaced by a new fluoroscopic image.
During the exposure (fluoroscopy or direct radiography), the yellow radiation warning lamp on the
console are illuminated.
Rev 1.00 154

11.7 Dose Area Product meter
The dose area product meter attaches to the front of the collimator and displays the dose-area
product as shown below on console display
After turning the power ON, wait 3 minutes for the dose area product meter to stabilize.
To use the Dose Area Product, do the following:
• Position the X-ray tube unit at the imaging position.
• Perform exposure.
• The display is reset if fluoroscopy parameters change or fluoroscopy preparation starts.
Display Unit
Measuring value DAP DAPrate ExpTime
Dimension unit μGy·cm² μGy·cm²/s s
Rev 1.00 155

Chapter 12
Xvision
[CX9Plus]
Rev 1.00 156

12 Xvision
12.1 Main Screen
The Xvision software offers unified user interface for operating CX9PLUS.
Main menu and information window are located on the right side of the software.
Main image window is located on the center side and the Thumbnail window is located on lower right
side.
Function Description
Monitor1 The Live

Displays the live image
Screen
Monitor2 The Reference

Displays the reference image
Screen
Monitor2 REC Recording the live image
Monitor2 Capture Capture the live image
Monitor2 Close study Closing the live image
Monitor2 Image Tools Adjusts the acquired image
Monitor2 Image
Thumbnail, Total, Shutdown, Exit Program
Information
Rev 1.00 157

12.2 Display the live image
• Select the radiation condition.
• The radiation to initiate pressing the Foot Switch.
• The monitor1 is displayed the Live Image.
• Stop to press the Foot Switch.
• The last image is displayed on the Monito1 as still image.(LIH)
12.3 Last Image Hold (LIH)
• Stop to press the Foot Switch.
• The last image of the Live Screen is displayed on the Monito1.
• If you want to display the other image without saving, Press the Foot Switch.
Rev 1.00 158

12.4 Saving the LIH Image
• Check the displayed LIH Image on the Monitor1.
• Click 【Capture】
• The LIH Image is saved automatically at the Workstation.
Rev 1.00 159

• The LIH Image is saved automatically at the Workstation.
• The folder is created within the [c: \ Program files \ XVision \ Image] folder.
• The LIH Image is saved there with patient information as DICOM file
Rev 1.00 160

12.5 Loading the saved LIH image
• Click 【Patient Manager】
• “PATIENT MANAGER” is displayed.
Rev 1.00 161

• Click 【Review】
• Enter the search object, Can retrieve information for the item(s) you selected.
• Click 【Search】
• Check the patient information.
• Click 【Open Study】 or Double-click the desired patient at the list.
• The loaded image is displayed on the Monitor 2.
• The patient information and image information are displayed at the top of screen.
12.6 Image Tools
• The displayed images are adjusted
• Click 【Capture】 at the current screen, Save the Live Image at the Workstation.
Rev 1.00 162

Function of Image Tools
Symbol Function Symbol Function
Displays an image Displays an image as

as 1x1 2x2
Sets the rows and

columns of an
Selects an image.
image that will be
displayed.
Selects all images. Deselects all images.
Zooms in/out an Reverts to the original

image image.
When the left

mouse is clicked, Reverses an image as
the image is horizontal.
enlarged.
Reverses an image Inverts the colors of an

as vertical. image.
Rotates an image Rotates an image

counter-clockwise clockwise by 90
by 90 degrees degrees.
Adjusts window
Initialize all settings
width and level
Clicks the image

and then moves in
Deletes the selected
the direction of the
image.
vertical and
horizontal.
Rev 1.00 163

Symbol Function Symbol Function
Selects an image Selects all Ann and

and Ann. Cine.
Measures the distance

Draws a rectangle
between two points on
on the image.
the image.
Measures angle
among three Draws an ellipse or
points on the circle on the image.
image.
Displays the arrow Inserts text on the

on the image. image.
Displays the left

and right on the Hides all Ann.
image.
Replaces by Deletes the selected

another function. Ann.
Rev 1.00 164

Chapter 13
Maintenance
[CX9Plus]
Rev 1.00 165

13 Maintenance
To ensure satisfactory operation, CX9PLUS requires periodic planned maintenance and routine user
checks. These are essential to keep the equipment operating safely, effectively and reliably. Planned
maintenance may only be carried out by qualified and authorized service technicians. In this context,
qualified means those qualified to work on this type of medical electrical equipment in the jurisdiction
in which the equipment is being used, and authorized means those authorized by the user of the
equipment. CX9PLUS is able to provide a full planned maintenance and repair service on either a call
basis or a contract basis. Contact ECORAY.
13.1 Maintenance Schedule
Check the following functions or perform the following maintenance work at the specified time
intervals:
 Yearly
Object Action required
• Check the lighting of the yellow radiation warning lamp
on the console.
Fluoroscopy • Check the Radiation Time display.
• When radiation exposure have elapsed 4 minutes,
Check the ‘beep’ sound.
Radiography Check the setting value. (Tube current x time (mAs))
Clamping levers
of
Check the Grease thread with extreme pressure lubricant
mechanical
brakes
Motorized Check the Grease lifting spindle with extreme pressure
vertical travel lubricant
Motorized
Inspect bearings for damage
vertical travel*
*：Authorized service engineer in charge
Rev 1.00 166

 Monthly
Object Action required
Radiation warning
Must be lit during radiation
lamp
• Must function with radiography

Hand switch
• Inspect cable for damage
• Must function with fluoroscopy

Foot switch
• Inspect cable for damage
Check accuracy and functioning of:

Controls
• All controls
and indicators
• All visible/audible indicators
Generator Inspect for physical damage (e.g. oil leakage)
Monitor cart wheels Check locking of the parking brake
• Clean gliding surface
C-arm • Check retention force of orbital rotation brake in all
C-arm positions
Check whether all warning and information labels are

Labels on the unit
legible
Consistency test Perform according to relevant national regulation
Power cable Inspect for physical damage
Motorized
Move up and down to respective end stops
vertical travel
Activate all operating modes and check whether they

console
display correctly
Inspect cable, plug-and-socket connections and anti-

Coupling cable
kink sleeves for physical damage
Dose area product

Check accuracy and functioning
display unit
C-arm stand wheels* Check firm seat of wheel brakes
Monitor cart wheels* Check firm seat of wheel brakes
*： Authorized service engineer in charge
Rev 1.00 167

13.2 Correction of Dose area product meter
The response of the ionization chamber is affected by the radiation quality and the air density. Graphs
1 and 2 show the respective correction factors.
The measuring chamber features an automatic function for tube voltage correction (see Instructions
for Use, Interface description). The temperature dependence of the air density is automatically
corrected.
ATTENTION
If the measuring chamber is used at altitudes above 300 m the systematic error caused
by the change of air density depending on the altitude has to be corrected.
After installation the calibration should be tested at installation conditions (refer to chapter 4 of the
DAP meter manual). The obtained calibration factor includes the correction for the altitude. If a
calibration test at installation conditions is not possible the correction can also be done by taking the
respective correction factor k2 from Graph 2 to correct the calibration factor.
Rev 1.00 168

13.3 Cleaning
Recommended detergents
For cleaning the system, use only water with mild detergents applied with a damp cloth. Never use
abrasive cleansing agents, organic solvents or detergents which contain solvents (e.g. alcohol,
petroleum ether, liquid stain remover).
Cleaning the monitor screens
For cleaning the display screens, use only pure alcohol or a mixture consisting of 1/3 alcohol and 2/3
distilled water. Wipe the screens and surrounding painted surfaces dry with a soft cotton cloth
immediately after cleaning.
Rev 1.00 169

Chapter 14
Error code
[CX9Plus]
Rev 1.00 170

14 Error code
Code Description Solution
• Check the cable connection between the
P804 of the CnD Board and the P106 of the
MiO Board.
• Check the Fuse (FH801, FH802) of the CnD

The Main
Err Board.
Capacity is
CHA • Check the input voltage of the P903 on the
bad.
CnD Board : (190V±10%)
• Check the input voltage of the U806 : 5VDC
• Check the output voltage of the U806 :
15VDC
• Check the Fuse (250V 10A) of the F701 on
the MIO Board.
• Check the wiring of the P906 on the MIO
Board
(Normal: C-M 27.5Ω, C-S 58Ω, M-S 85.5Ω)

The Tube
Err • Check that the voltage between the TP106
Anode Stator
roto and the TP109 on the MIO Board and the
does not work.
voltage between the TP105 and the TP109
on the MIO Board is the same on state of
the Ready button. If the voltage is not same,
adjust the voltage from the TP105 to the
VR701 of the MIO Board .
Rev 1.00 171

• Check the Fuse (FH901-250V 3.15A) of the
FnD Board .
• Check the no.1 voltage and the no.3 voltage
of the P501 on the FnD Board. : AC 230 ±
The Tube 10%
Filament circuit • Check the Gnd of the FnD Board : DC 72V

Err
is broken and • If the voltage is bad, adjust to the VR901 of
FILA
the Filament is the FnD Board.
disconnected. • Check the output voltage of the P202 on the
FnD Board, - Small: SF, COM 35V, Large: LF,
COM 35V
• Check the disconnection on the Tube
Filament.
The X-ray
radiation
• Check how to use again.
Err switch is
• Check the Hand Switch
SEC stopped faster
• Check the Ready Switch.
than the time
set.
• Check the connection of ‘FnD Board P401’
FND.
Err HVT
• Check the voltage between Test point(TP950,
PrO overvoltage
951) : DC 12V
O--- occurs.
• Check the ‘Calibration Data’ values of the
‘MIO Board’.
When • Check the cable connection between the
Err overcurrent is P402 of the FnD Board and the current
PrO - detected, a sensor of FET Block.
I-- fault signal is • Check the voltage between the U408 and
generated. the pin2 of the FET Block OCP. : normal 2.5 V
Rev 1.00 172

When The
• Check the lighting of the LED(D955) on the
power of the
FND Board.
FET Driver on
Err • Check the voltage between the Test point
the Board is
PrO - (TP950, 951) on the FND Board. : normal
unstable or low
-P- 12VDC ±0.5V
or not
• If the voltage is abnormal, adjust to turn the
supplied, is
VR950.
occurred.
• Check the voltage the GND U201 pin1 of the

The
Err U408 on the FnD Board. : normal DC 4.1V ~
overcurrent is
PrO - DC 4.2V
detected on
--F • If the voltage is abnormal, adjust the VR240
the Filament.
of the FnD Board.
X-ray tube is • The pin2 of the P904 and the pin1 of the
too hot and P904 on the MIO Board is a short circuit and
Err
the thermal if an error occurs, the MIO Board is bad.
tE-P
sensor is • Check the tube temperature.
opened. • Check the wires for thermal sensor of tube.
• The pin2 of the P904 and the pin of the P904
on the MIO Board is a short circuit and if an

Err The FET Block
error occurs, the MIO Board is bad.
FE-P is too hot.
• The temperature sensor of the FET Block is
broken.
Rev 1.00 173

Chapter 15
Specification
[CX9Plus]
Rev 1.00 174

15 Specification
Dimensions and Weight
Dimension (mm) Approx. Weight (Kg)

Item
Width Length Height Approx.
Main unit 1580 870 2420 366
Monitor Cart 680 610 1070 100
Power Supply
Item Specification
Supply Voltage Single phase 110V or 230VAC
Supply Frequency 50/60Hz
Rev 1.00 175

High Frequency X-ray Generator
Item Specification
Max.
12.5kW(120kV, 100mA at 100msec)
Electric Power
10kW(product of max current flow possible for 0.1

Nominal
seconds and tube voltage, at 100 kV nominal tube
Electric Power
voltage)
Rad. Mode - Nominal maximum tube voltage and
Ratings maximum tube current where nominal maximum tube
voltage output is possible: 120 kV, 100 mA
Fluoro. Mode - Nominal maximum tube voltage and
maximum tube current where nominal maximum tube
voltage output is possible: 100 kV, 6 mA
Rad. Mode - Maximum tube current and maximum
tube voltage where maximum tube current output is
possible: 120 mA, 100 kV
Fluoro. Mode - Maximum tube current and maximum
tube voltage where maximum tube current output is
possible: 100 kV, 6mA
Rad. Mode - Combination of tube voltage and tube
current that outputs maximum electrical power: 120
kV, 100 mA
Fluoro. Mode - Combination of tube voltage and
tube current that outputs maximum electrical power:
100 kV, 6 mA
Ratings Minimum current-time product: 0.5mAs
Maximum current-time product: 320mAs
Rev 1.00 176

X-ray Tube Assembly
Item Specification
Nominal Focal Spot Size Small: 0.3mm, Large: 0.6mm
Target Angle 10°
Rad. Mode-Nominal
130kV
Max Tube Voltage
Max. Heat Content 500kJ
Max. Continuous
300W
Heat Dissipation Rate
Max. Anode Heat Content 150kJ / 200kHU
Max. Anode Heat

700W
Dissipation Rate
Max. Continuous
140W
Heat Dissipation Rate
Weight 15Kg
Radiation field 70cm x 25cm, 100cm x 35cm
Inherent filtration 0.7mm Al eq
*For additional information, see IFU of X-ray Tube.
Collimator
Item Specification
Max. Field 300x300mm at 100㎝
Image Intensifier (9 inch)*
Item Specification
Type Triple Field (9”, 6”, 4.5”)
Limiting resolution 52LP /cm
Grid 103 lines
Ratio 8:1
FD 1000mm
Al equivalent <1.2 mm
*For additional information, see IFU of Image Intensifier.
Rev 1.00 177

CCD Camera (Digital)*
Item Specification
Sensor Interline transfer CCD
CCD format 1/2Inch, 5.5μm x 5.5μm Pixel size
Pixel Number 1024(H) x 1024(V)
AD Converter 14 Bit
Recursive filter Factors 2,4,8,16
LIH Stores the last image
Frame rate 30FPS
*For additional information, see IFU of CCD Camera.
LCD Monitor & Imaging Workstation
Item Specification
Resolution 1280 x 1024
Screen Size 19” diagonal
Luminance 300 cd/m²
OS Window XP, Intel Core 2 Duo CPU
RAM 2GB or higher
HDD 500GB or higher
Software vision Ver1.0
C-arm movement & dimension
Item Specification
Free space in arc 780 mm
SID 1,000mm
Depth of arc 700mm
Orbital rotation 135° (45~90°)
Horizontal travel 200mm
Vertical travel 500mm
Panning motion ±12.5°
Pivot rotation ±180°
Rev 1.00 178

Dose Area Product Meter*
Item Specification
Radiation quality (40 ... 120) kV
(0.3 ... 1.5·104) mGy/min

Air kerma rate
(at the reference point)
Dose area product rate (0.8 ... 2.3·105) μGy·m²/min
Quality equivalent filtration

0.2 mm Al
(70 kV)
Ø (8 ... 70) mm
Active area (at the location of the ionization
chamber)
Stabilization time 5 min
Supply voltage (+US) (+ 10 ... + 30) V DC
Power consumption <2W
Protection class
IP40
(acc. to IEC 60529)
Reference Air Kerma Rate

± 35 %
(acc. to IEC 60601-2-54)
Reference Air Kerma

± 35 %
(acc. to IEC 60601-2-54)
DAP (acc. IEC 60580) ± 25 %
*For additional information, see IFU of DAP meter.
Rev 1.00 179

Accuracy of the Loading Factors
X-Ray Tube Loading Factors Accuracy
Radiography
- Tube voltage ±10%
- Tube current ±20%
- Tube current-time product ±(10% + 0.2mAs)
- Loading time ±(10% + 1ms)
Fluoroscopy
- Tube voltage ±10%
- Tube current ±20%
Accuracy of the RADIATION output
Reproducibility of the RADIATION output
Coefficient of variation : Not greater than 0.05 for any combination of
Loading Factors
RADIATION dose information
Loading Factors : 85kV, 32mA, 0.1sec
SID Tube voltage (kV) / 32mA, 0.1sec
(cm) 40 60 80 100
100 0.0624 0.1671 0.2756 0.4060
Rev 1.00 180

STRAY RADIATION in SIGNIFICANT ZONES of OCCUPANCY
S : SIGNIFICANT ZONES of OCCUPANCY
Water Phantom : 25*25*15 cm3

Water Phantom Height Above Floor : 90cm
Table : Acrylic 2cm
Loading Factors : 85kV, 32mA, 0.1sec
Measuring Equipment : MODEL 9015
Rev 1.00 181

Chapter 16
Trouble Shooting
[CX9Plus]
Rev 1.00 182

16 Trouble Shooting
16.1 Overview
This generator has a self-diagnosing function and display error code on the console display if system
has an error.
16.2 Tools Required for Repair
When repairing the unit, prepare the following tools:
 X-ray kVp meter
 X-ray mA meter
 X-ray exposure time meter
 Cleaning tool for components
▶ NOTE
We will provide circuit diagrams, component part lists, descriptions, calibration instructions to assist to
service personnel in parts repair.
▶ WARNING
THOSE PARTS OF THE EQUIPMENT SHALL NOT BE SERVICED OR MAINTAINED WHILE IN USE WITH A
PATIENT.
16.3 Before servicing equipment
Turn the equipment off and disconnect the power cord from the receptacle (wall mains outlet).
Rev 1.00 183

Installation, Operation & Service Manual
184
Lan Cable
To. PC
Line Cable 18AWG
To. Monitor CART 18AWG
6 220V 6㎟
1
0V 6㎟ D-Sub, 9P
5 7 2 10㎟
GND 6㎟
16 14 12 10 8 6 4 2
190V 6㎟
4 3 15 13 11 9 7 5 3 1 Dummy
P804
190V 6㎟ To. MIO
0V 6㎟
0V 6㎟
ED-AS-CONT-0003-04 10㎟ 5 4 3 2 1
4 190V
(CND) SMC1 9 8 7 6
TB1 C2
3 0V 1uF 1500V P90
6 7 8 9
T1
L1
2 0V 6
1 190V 5 1 2 3 4 5 1 2 3
10㎟
P810 10㎟ 10㎟
Input Voltage 4
L2
T2
220V 6㎟
190V 6㎟
190V 6㎟
GND 6㎟
10㎟
0V 6㎟
0V 6㎟
0V 6㎟
3
2 D-Sub, 9P
1
NF3
220V 18AWG
NF4
0V 18AWG
Filter Choke
0V 6㎟
GND 268V 537V
0V 6㎟ 1 2 3 10㎟
537V 6㎟
SMC3 190V 6㎟ 10㎟ TC174V
268V 6㎟
0V 6㎟
190V 6㎟
G T2 T1 N2 N1 S L C
TR1 18AWG 18AWG Neutral Filament G
0V 6㎟ 0 VAC 500VA To. SMPS2 To. SMPS2
18AWG G
0 VAC 18AWG 10㎟
18AWG
10㎟ -m A
Fuse4 110 VAC 20 VAC 18AWG
AC Power 220V 30A NF1 22 VAC SMC Power SMC Power 0V 18AWG
6㎟ 18AWG 18AWG Feedback +m A
120 VAC ED-AS-HVT-0003-02
T1
T2
220V 18AWG
0VAC 0V 18AWG
6㎟ N G L 1 2 3 4
-kV
220 VAC 50 VAC 50V 18AWG
ED-AS-CONT-0003-05(FET Block) (High Voltage Tank)
P901 P801 +kV
220V Input Volrage To. FET
230 VAC
Hand SW 230V 6㎟ P709 FAN1
3 SMPS1 240 VAC 220 VAC 220V 18AWG 5
1 2 3 4
9
E 8
4 P401
DC 24V AC 3 Feedback
2 OUT PUT INPUT 7
2
1 6
1
ED-AS-CONT-0003-03 FAN2 L C S A
2 P402
+ + - - F N L 3 2 1 3 2 1 1 Sensor Trans (FND)
Foot SW 3 2 1 2 1
Com R1S R1M
2 0V 50V 220V 2 4 6 8 10
P701 P702 P906 P904 1 3 5 7 9 High Voltage Cable
Rotor_input Voltage To. SMC3 To. Tube Rotor Tube Temp
B-
b+
1 220V 18AWG Flat Cable 2 4 6 8 10
0V 18AWG 0V 18AWG 30P 1 3 5 7 9
24V 18AWG 1 0V P907
2 24V Input Voltage 2930 30 29
10㎟ 10㎟
2728 28 27
2526 26 25
1 XR_Low 2324 24 23 NF2
2 XR_High P903 2122 22 21
6C X 24AWG 3 AGC_Stop To. Camera 1920 20 19
P403
P105 C3 10000uF 350V (8EA)
4 ABC_Stop To. FND 1718 18 17
To. MIO DC IN
5 LIH 1516 16 15
10㎟ 10㎟ 10㎟ VCC+
6 1314 14 13 + 1
GND GND
1112 12 11
Fuse5 + 2
9 10 10 9 220V 30A 268V
7 8 8 7
5 6 6 5
10㎟ VCC- 3
- 537V
1 M2 3 4 4 3
P908
6C X 24AWG 2 M1 To. I.I 1 2 2 1
3
4
24V
0V
ED-AS-CONT-0004-02 P404 1
18AWG
18AWG
10 9 10 9
2
(MIO) 8 7
6 5
8 7
6 5
3
18AWG
1516 4 3 4 3
1 1314
P905 2 1 2 1
To. SMC2 11 12
P106
2 9 10
To. CND E L S C
7 8 18AWG
5 6 18AWG
220V 18AWG 3 4 18AWG
GND 1 2 18AWG
0V 18AWG P901 Flat Cable 16P
COM
MIO Power
220V 18AWG
220V
EMG_SW
18AWG
P706 SMPS2
1 Rotor CAP
2 DC AC
RL1 5V 24V
P101
2
1
8
7
P104 To. Console OUT PUT INPUT
C4
30uF 250V 3432302826242220 1816141210 8 6 4 2 1514 131211 10 9 + - + - F N L
3331292725232119 17151311 9 7 5 3 1 8 7 6 5 4 3 2 1
5V 18AWG
SC
16.4 System Block Diagram
0V 18AWG SS Tube Temp
3
4
5
6
24V 18AWG SM
0V 18AWG
C S M
TUBE
5V G2 G1 24V
Flat Cable 220V 0V Flat Cable
34P 12P 1 P112 (To. Collimator)
2 1. Brown - Aperture
3
Connting Board
6C X 24AWG 2. Green - Aperture
4 3. White - Aperture
P111 Collimator
Lift Controler
5 Input Voltage 4. Yellow - Aperture
6
2122
2324
2526
2728
2930
3132
3334
1112
1314
1516
1718
1920
1 2
3 4
5 6
7 8
9 10
LCD Membrane 5. Black - Rotation
7 6. Red - Rotation
1 P103
VSS 8 To. Lift Controler
2
Key LED VDD 9 Membrane
P1 3
To. MIO Vo 10 P908 (To. I.I)
4 1. White - N1
RS 11
5
20 18161412 10 8 6 4 2
1917151311 9 7 5 3 1
R/W 12 2. Green - N2
6
E ED-AS-CONT-0004-04 I.I 3. Red - 24V
P2 7
To. LCD 8 DB0
1 Actuator Data Lift Flat Cable
1
(Sub OP) 4. Black - 0V
ED-AS-CONS-0004-03 9
10
DB1
DB2
DB3
Membrane Lift Controler
12P
2
3
24V 18AWG
(Console) 11 0V 18AWG
Connting Board
DB4 4
12 1
DB5 5
P4 13 P112
Rev 1.00
DB6 Lift Controler 6 2
To. Switch To. Collimator LAN Cable
CX9Plus
14 Membrane
DB7 7 3
15
A(+) 8
P106
4
Camera
COM EXP Ready P3 16 To. Lift Controler
Blight K(-) 9 Membrane 5
1
10 6
3
2
1
11 7
P109
GND 18AWG 12 To. Actuator 8
EXP 18AWG P109 (To. Actuator)
Ready 18AWG 1 2 3 1. Orange
2. Red + Gray
3. Green
3C X 24AWG
16.5 How to repair
16.5.1 When the Stand-by lamp does not light up.
Stand-by Lamp
• Check the power to the product.
 Normal : AC230V ±10%
Rev 1.00 185

• Check the connection between the Monitor Cart and the Generator
• Check that the Emergency Stop Switch is pressed.
Emergency Stop Button
Rev 1.00 186

• Check the Main fuse of the front of the Generator.
• Check the fuse of the bottom of the Monitor Cart.
Rev 1.00 187

16.5.2 How to repair the Charge and Discharge Board
• Check the position on the board
• Check the fuse of the bottom of the Monitor Cart
Rev 1.00 188

• Check the fuse 801, 802
• Check the operation of the Relay 801 (normal : Relay ON)
RLY 801 F802 F801
• Check the input/output voltage of the DC/DC Converter U806
 Input : DC 5V
 Output : DC 15V
Rev 1.00 189

• Check the lighting of the lamp of the D805
 When the lamp of the P805 is lights-out, check the cable connection of the P804.
 Check the cable connection of the P106 on the Main CPU Board.
• Check the lighting of the LED 802, 803
 Check the voltage of the P801
- Check the voltage between the 1 and 2 : Normal DC 268V ± 5%
- Check the voltage between the 1 and 3 : Normal DC 537V ± 5%
 Check the voltage of P803
- Check the voltage between the 1 and 2 : Normal AC 190V ± 5%
Rev 1.00 190

16.5.3 How to repair the Filament and Driver Board
• Check the voltage and Fuse.
Rev 1.00 191

 Check the voltage of the P901.
 Check the Fuse of the FH901.
 Check the lighting of the lamp. (light on : fault)
- Check the lighting of the lamp D955. (normal : light up)
- Check the lighting of the lamp D409, D407, D957. (normal : light out)
 Check the voltage between the GND and the 72V terminal
- When the 72V terminal is not measured, adjust it by the VR901.
 Check the voltage of the Filament P202
- Check the voltage between the Common and Small. (Normal : DC35V)
- Check the voltage between the Common and Large. (Normal : DC35V)
 Check the voltage between the TP950 and TP951
- Check the voltage between the TP950 and TP951. (Normal : DC12V)
- When it is not the normal voltage, adjust it by the VR950
Rev 1.00 192

16.5.4 How to repair the Main CPU Board
Rev 1.00 193

• Check the voltage and Fuse.
 Check the lighting of the lamp D906.
- Check the voltage between the 1 and 3 on the P901 ( Normal : AC220V ± 5%)
 Check the Fuse F901, F702
- Check the lighting of green LED of the D107. (Normal : flickering)
 Check the voltage between both ends of the P702. (Normal : AC220V ± 5%)
- Check the voltage between the 3 and 4 on the P907 ( Normal : DC24V)
- When it is not measured, check the output on the SMPS. (SMPS output : DC24V)
 Check the voltage between the GND and TP110. (Normal : DC7.5V)
 Check the voltage between the GND and TP111. (Normal : DC15V)
 Check the voltage between the 1 and 3 on the P906. (Normal : AC220V)
Rev 1.00 194

 Check the voltage between the 1 and 2 on the P906. (Normal : AC60V)
 Check the voltage between the 1 and 3 on the P701. (Normal : AC220V± 5%)
 Check the voltage between the 1 and 2 on the P901. (Normal : AC50V± 5%)
• Check the voltage of Tube Rotor
 Check the voltage between the TP109 and the TP105.
- Normal : During the X-ray exposure - 1V,
1 second after the X-ray exposure - 0.5V
- When it is not measured, adjust voltage by VR701.
 Check the voltage between TP109 and TP106.
- Normal : During the X-ray exposure - 1V
1 second after the X-ray exposure - 0.5V
- When it is not measured, adjust the voltage by the VR702.
 When the above voltage is not confirmed, check the wiring of the X-ray Tube.
 Turn off the power, and then check the resistance value of the P906 on the Main CPU Board.
- Normal : Between the pin C and pin M - 24 Ω, Between the pin C and pin S - 61 Ω,
Between the pin S and pin M - 85 Ω,
Rev 1.00 195

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Technical Publication

CX9Plus (Rev 1.00)

CX9PLUS Mobile C-arm X-Ray System

EcoRay Co., Ltd.

1 About This Manual __________________________________________________________________ 8

1.1 Revision History _______________________________________________________________________________________ 9

1.2 Warranty _______________________________________________________________________________________________ 9

1.3 Safety instructions ___________________________________________________________________________________ 10

2.1 Operating Principle __________________________________________________________________________________ 12

2.2 Intended Use ________________________________________________________________________________________ 12

2.3 Features _____________________________________________________________________________________________ 13

2.4 Contraindications to the use of X-rays _____________________________________________________________ 13

2.5 Options ______________________________________________________________________________________________ 13

2.6 Training ______________________________________________________________________________________________ 13

2.7 Use According to Regulations ______________________________________________________________________ 14

2.8 Classification of Equipment _________________________________________________________________________ 14

2.9 Applicable Standards ________________________________________________________________________________ 15

2.10 ESSENTIAL PERFORMANCE ________________________________________________________________________ 15

2.11 Intended Patient Population _______________________________________________________________________ 15

2.12 Intended User Profile ______________________________________________________________________________ 16

2.13 Symbols marked on CX9PLUS _____________________________________________________________________ 17

2.14 Label location ______________________________________________________________________________________ 18

3.1 General safety _______________________________________________________________________________________ 20

3.2 Safety from Explosion or Electric Shock ____________________________________________________________ 21

3.3 Radiation Safety _____________________________________________________________________________________ 21

3.4 Radiation Protection ________________________________________________________________________________ 22

3.5 Electromagnetic compatibility _______________________________________________________________________ 22

3.6 Disposal of Used Electrical & Electronic Equipment________________________________________________ 23

3.7 Service information _________________________________________________________________________________ 23

3.8 Service Life __________________________________________________________________________________________ 24

3.9 DECLARATION OF RESPONSIBILITY _________________________________________________________________ 24

4 System Description _________________________________________________________________ 26

4.1 C-arm stand _________________________________________________________________________________________ 26

4.2 Rear of the main unit _______________________________________________________________________________ 27

4.4 Console ______________________________________________________________________________________________ 29

4.5 Monitor cart _________________________________________________________________________________________ 30

4.6 Workstation _________________________________________________________________________________________ 31

4.7 Hand Switch and Foot Switch _______________________________________________________________________ 32

4.8 LAN Connector for External Connection ____________________________________________________________ 33

4.9 Screen assignment __________________________________________________________________________________ 33

5 Installation of CX9PLUS ____________________________________________________________ 35

5.1 Conditions for installation___________________________________________________________________________ 35

5.2 Equipment dimensions ______________________________________________________________________________ 36

5.3 Preparations for installation _________________________________________________________________________ 36

5.4 Unpacking ___________________________________________________________________________________________ 37

5.5 How to Open/Close the Covers _____________________________________________________________________ 39

5.6 Assemble for the Monitor Cart _____________________________________________________________________ 40

5.7 Installing the LAN Card for CCD Camera ___________________________________________________________ 41

5.8 Image Intensifier ____________________________________________________________________________________ 42

5.9 CCD Camera _________________________________________________________________________________________ 44

5.10 X-ray Tube__________________________________________________________________________________________ 46

5.12 Wiring ______________________________________________________________________________________________ 49

5.13 Installation of CX9PLUS Control S/W ______________________________________________________________ 50

5.14 Run “XVision” ______________________________________________________________________________________ 74

5.15 How to use the “DICOM” function __________________________________________________________________ 77

6.1 Generator Calibration _______________________________________________________________________________ 86

6.2 Installation of “USB to RS232 Converter Driver”____________________________________________________ 88

6.3 Installation of calibration software program ________________________________________________________ 91

6.4 Preparations for the calibration _____________________________________________________________________ 95

6.5 Program execution for calibration __________________________________________________________________ 97

6.6 Program functions __________________________________________________________________________________ 100

6.7 Calibration of radiography _________________________________________________________________________ 105

6.8 Sequence of calibration for radiographic mode ___________________________________________________ 112