MOONRAY User Manual Rev34 20200122-151-218

MOONRAY User Manual - Rev.
34 - 2020/01/22 6 Software Guide
6.18.3 Import Command Settings

Save Changes Saves changes.
applies the new settings to the views. Not all

Apply Changes settings can be reset without rebooting. It is
advisable to reboot the system.
resets parameters as they were set when the
Factory Settings machine was delivered. After activating, save
changes.
Exit Exits the setting window.
Table 49: Import Command Settings
6.18.4 Importing a Series Ch.
“Searching a series to import”: 6

1 Activate the import server from the “Archive>Series” view,
point and left click on the “Import Series” key.
2 Activate the search with the “Begin Process” key (See Table
48).
3 Select the path in the directory from which the search is to
begin. (See Figure 115).
4 Point and left-click on the “OK” key and wait for the system to
terminate searching the sub-directories.
5 Once the search is finished the series found will be listed and
available for import. (See Figure 116).
Figure 115
Figure 116
© Copyright SIMAD srl 2020

Total pages: 218 Importing 151
6 Software Guide MOONRAY User Manual - Rev.34 - 2020/01/22
“Importing series”
1 Select the series to import by checking the box on the left of the patient’s
surname. (See Figure 117).
Figure 117: Selecting a Series to Import
2 Point and left-click on the “ON/OFF” button in the bottom right-hand corner.
3 Point and left click on the “Import Series”
Each imported series, even if partia, is marked with an internal identifica-

tion number. Two series with the same identification number cannot be
found in the same archive.
152 Importing
Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 6 Software Guide
6.19 DAP Report

The DAP report form (See Figure 118) can be activated by pointing and left-
clicking on the icon key found in the Monitor B and Archive views.
Ch.
6
Figure 118 - DAP Report Window
Previous Report
Next Report
Save report as an image
Print
Proceed exporting details
Exit
Table 50 DAP Report Commands

Total pages: 218 DAP Report 153
6.19.1 Printing a DAP Report

Select one or more patients, point and left-click on the reports to print by
utilizing the “Previous or Next Report” keys.
Point and left-click on the “Print” key and select a printer. (See Figure 119)
When you select a list of series, a dialog message will appear to ask if you
want to print only the current report or all the reports of the series.
Figure 119 Sample DAP Report
154 DAP Report

Total pages: 218
6.19.2 Saving a DAP Report as an Image

Select one or more patients, point and left-click on the reports to print by
utilizing the “Previous or Next Report” keys. Left-click on the “Save as Ima-
ge” key and a dialog window will open to ask for confirmation. (See Figure
120).
Figure 120 - Dialog window to confirm saving a DAP report as an image
Confirm by left-clicking on the “Yes” key to create an image of a DAP report,

an image like the one below (Figure 121) will be created inside the selected
series. Ch.
6
Figure 121 - DAP Report saved as an Image inside a series
When you select a list of series, a dialog message will appear to ask if you
want to create an image of the current DAP report or of all the reports of
the series selected.

Total pages: 218 DAP Report 155
6.19.3 Exporting DAP details

This function allows you to save a summary of the details of the doses emit-
ted for every series, including every single image onto a hard disk, a flash
drive, or an external resource connected to the Moonray. (See §3.12).
Select the export detail mode. (See Figure 122).
Figure 122 – Select Export Detail Mode
The two types of formats to export DAP details are:

• Structured Text
• Microsoft Access
Point and left-click on the “Enter” key and a dialog box will ask you to cho-
ose the path in the directory or sub-directory and the name of the file in
which the data is to be saved.
The data can then be saved or elaborated with scientific applications.
156 DAP Report

Total pages: 218
6.20 Customizing
The “Settings” view groups all the configuration parameters of the system subdivi-
ded into categories.
The categories are represented by tabs in the tab strip. The groups are indicated
in a single gray row which separates them from the preceding row. The parame-
ters are represented in two columns: the left column represents the name of the
parameter and the right column its value.
Ch.
6
Figure 123: Customizing Window
Factory Settings
resets parameters as they were set when the machine was delivered. After activa-
ting, save changes.
Apply Changes
applies the new settings to the views. Not all settings can be reset without reboo-
ting. It is advisable to reboot the system.

Total pages: 218 Customizing 157
6.21 STATLAB data export (plug-in

DbExporter)
The STATLAB software carries out statistical-mathematical elaborations of
the data collected by Moonray during execution. The DbExporter program
extracts the data requested by STATLAB directly to a CD/DVD.
For optimal functionality, the device must have at least one CD or DVD bur-
ner. If more than one burner is present it will automatically select the first
one available.
6.21.1 Description
When this program is installed and active, the shortcut key will appear in
the upper right hand corner of the monitor B.
through which the user interface can be accessed from a window that
opens overlapping the current view:
Left-click anywhere on the screen outside the open window to automatical-

ly hide (not close) it, the window can be reactivated by left-clicking on the
shortcut key.
6.21.2 Use
To export, simply insert a blank CD, point and left-click on the “Export”
button. A DVD can also be used but is not necessary, due to the reduced
dimension of the file that will be created.
If the CD or DVD is Re-writable and not blank before burning, it will be auto-
matically erased after asking the user to confirm.
During export execution, progress messages and error messages are viewed
in the window in the center of the interface form and the progress bar
indicates the status of its completion. After export, the disk is ejected from
the burner and the DbExporter plugin window can be closed by clicking on
the “Exit” button.
To download the STATLAB data, open the import menu in STATLAB, select
the desired file and initiate import (see the STATLAB software manual).
STATLAB data can be uploaded to another PC with statlab software instal-

led, use the same CD
158 STATLAB data export (plug-in DbExporter) © Copyright SIMAD srl 2020

Total pages: 218
7 Guide to the
use of the
7
Accessories
A Sago Medica Company MOONRAY User Manual - Rev.34 - 2020/01/22

7 Guide to the use of the Accessories MOONRAY User Manual - Rev.34 - 2020/01/22
7.1 Sterile Drapes

Refer to the illustrated leaflet inside the SIMAD disposable sterile cover
packages.
7.2 Film Cassette Holders

Only for the 9’ (23 cm) Image Intensi-
fier.
To obtain Radiographic Film while using
the Moonray system, you must mount
the appropriate X-Ray cassette holder 9’ (23 cm)
in front of the image intensifier. Image
Intensifier
As indicated in Figure 124 align the
three fixing pins on the cassette holder
in the “UNLOCKED” position with the
receptive anchoring holes on the exter-
nal crown of the II.
Insert the pins in their seats and lock
the cassette holder support by rotating
the cam lock in the “LOCKED” position.
To avoid accidental damages to

the patient, assure correct casset-
te holder mounting.
Figure 124: Mounting the Cassette Holder
160 Sterile Drapes © Copyright SIMAD srl 2020

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MOONRAY User Manual - Rev.34 - 2020/01/22 7 Guide to the use of the Accessories
7.3 Infrared Remote Control

The infrared remote control consents activation from a distance of some of
the functions of the system.
Following is a description of the infrared remote control keyboard and the
functions associated to each key.
Not active
Not active
Not active
Ch.
Transfer images from monitor A to monitor B

7
Move the cursor upwards in the icon bar
Select the icon highlighted by the cursor
Move the cursor downwards in the icon bar
Not active
SUB Not active
Save the image on Monitor A in the database
Decrease/Increase Contrast Window
Decrease/Increase Contrast Level
F Cyclically select the recursive filter values
Enter
F1 Not active
F2 Not active
F3 Not active
F4 Not active
Table 51: Remote Control Commands

Total pages: 218 Infrared Remote Control 161
7 Guide to the use of the Accessories MOONRAY User Manual - Rev.34 - 2020/01/22
162 Infrared Remote Control

Total pages: 218
8 Troubleshooting
Possible malfunctions and proposed solutions for the system. Refer to the
technical manual for anything not specified in this manual.
8
For any type of malfunction, it is always a good idea to contact the autho-
rized SIMAD Service Department. SIMAD declines any responsibility due to
repairs carried out on the system unless authorized in writing by SIMAD.

8 Troubleshooting MOONRAY User Manual - Rev.34 - 2020/01/22
8.1 Proposed solutions

PROBLEM Solution
The white light on the side of the workstation

(monitor cart) does not light, after having plugged Check the fuses F2 and F3 found in
in the system to a power supply and having Solution 1 the Fuse Panel on the back of the
switched the magneto thermal circuit breaker to workstation (monitor cart)
the ON position,
Verify that the device is correctly

supplied with power, that the magneto
thermal circuit breaker is in the ON
Solution 1
position and that the yellow light on the
Neither the digital imaging system nor the mobile side of the workstation (monitor cart)
X-Ray unit turn on after having turned the start key is on.
to the I position.
Check the fuses F2 and F3 found in
Solution 2 the Fuse Panel on the back of the
workstation (monitor cart).
The mobile X-Ray unit turns on after having turned Check the F1 fuse found in the Fuse
the start key to the I position, but the digital Solution 1 Panel on the back of the workstation
imaging system does not. (monitor cart).
The monitor power supply indicator lamp turns on Check the F4 fuse found on the Fuse
after having turned the start key to the I position Solution 1 Panel on the back of the workstation
but no images appear. (monitor cart).
Check the F1 fuse found in the Fuse

Solution 1
The digital imaging system turns on after having Panel in the mobile X-Ray unit.
turned the start key to the I position but the mobile
X-Ray unit does not. Check that both units are connected
Solution 2
correctly.
After start-up procedures, the control panel of the

Check the F4 fuse found in the Fuse
mobile X-Ray unit is backlit, but the function icons Solution 1
Panel in the mobile X-Ray unit.
are not visible.
The icon seen on the right

appears on the control panel Check the F2 fuse found on the fuse
of the mobile X-Ray unit and Solution 1 panel on the side of the mobile X-Ray
the system does not produce unit.
X-Rays.
The icon seen on the right

appears on the control panel Check the F3 fuse found on the fuse
of the mobile X-Ray unit and Solution 1 panel on the side of the of the mobile
the system does not produce X-Ray unit.
X-Rays.
164 Proposed solutions

Total pages: 218
9 Maintenance
9

9 Maintenance MOONRAY User Manual - Rev.34 - 2020/01/22
9.1 Introduction
The Moonray Systems must be used correctly and maintenance procedures
must be scheduled and carried out as indicated.
It is recommended not to carry out any type of maintenance on the device

in the presence of a patient. In particular, maintenance and / or repair
activities that generally concern the device settings where it is necessary
to emit an X-ray beam are prohibited, and specifically, it refers to technical
interventions on the X-ray generator and on the detector image.
Do not carry out repairs on any part of the device’s electrical system in the
presence of a patient.
Do not perform mechanical repair on the device in the presence of a

patient.
9.2 Scheduled Maintenance

The scheduled maintenance can be carried out only by qualified and autho-
rized technicians.
The user must ascertain that the scheduled maintenance has been carried
out before utilizing the device.
Object Inspection Frequency
Earth Leakage Check for Earth Leakage

Annually
Alerts & Error
Visual and acoustic Check
Indicators Annually
UPS Check for correct function

Annually
Labeling Check legibility

Annually
“ATTENTION”: in case of prolonged inactivity (from two to four weeks) we

recommend proceeding with a preparation of the radiological parts (see
below) before executing any clinical procedure, to avoid transient pheno-
mena that could reduce efficiency and duration.
Follow the procedure described below:
1 -RADIOGRAPHY /FLUOROSCOPY: 70 kV, 3 mA FOR 5 MINUTES + 5 MINU-
TES PAUSE. REPEAT 5 TIMES
2 -RADIOGRAPHY: 70 kV, 20 mA, FOR 0.5 SECONDS + 30 MINUTES PAUSE.
INCREASE BY 5 kV UP TO kV MAX
SIMAD declines responsibility tied to disregard of this warning.
166 Introduction
Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 9 Maintenance
9.2.1 Scheduled Maintenance for motorized version

The motorized parts of the C-Arm must be serviced by a Simad
authorized service center every 12 months .
The user must keep a record of the maintenance and service carried out and
must make sure that they are executed regularly.
9.3 Routine Check by User

Routine Check to be carried out by the user:
Object Inspection Frequency

Ch.
Accessories Availability and Integrity
Daily 9
Cable Protection device for
Check aspect and/or damages
wheels Daily
Brake, Wheels and Handlebar Check for correct function

Daily
Wiring Check cable for any knots or breakage

Daily
X-Ray Lamp Check for correct light and sound function

Every Start-up
Connectors Check for damages and correct connections

Daily
Start-up Check monitor for possible error messages

Daily
Check for correct function – check lamp and buzzer
X ray
Check iris setting and position Daily
C-Arm Base Check for correct console function

Daily
Hand-Held Radiography
Check for correct function
Command Daily
Pedal / Double Pedal Check for correct function

Daily
Vertical Movement Check for correct function

Daily
Check for correct monitor and keyboard functions -
Workstation Check for available disk space (we recommend keeping the
Daily
maximum amount of disk space free)
Remote Control Check for correct function

Daily
Laser Check alignment and function

Daily
Printer Check for function and availability of paper / film

Daily

Total pages: 218 Routine Check by User 167
X-Ray Check
Carry out the following daily check with no obstacles to the
X-Ray beam.
1 Select automatic fluoroscopy
2 Press the X-Ray emission and check images on the monitors
Check iris collimator

Check the following daily without obstacles to the X-Ray beam:
1 Select the iris collimator icon on the C-Arm console
2 Press the the X-Ray key
3 Open and close the iris collimator
4 Verify correct function of the workstation monitor
Check Laser Pointer

Instructions
1 Turn the laser pointer on.
2 Verify the presence of the laser’s red cross.
Lamp Check
Verify lighting and the acoustic indicator by pressing the X-Ray key on the
workstation and the C-Arm.
Check Emergency Stop Button
Before every use of the device, make sure the emergency button is functio-
ning by verifying shutdown and lock of the motorized riser movement.
168 Routine Check by User

Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 9 Maintenance
9.4 Cleaning & Disinfection

The Moonray Systems must be cleaned and disinfected regularly.
Disconnect the device from the power supply before cleaning and disinfec-
ting. This will avoid short-circuiting.
Keep all liquids from entering the device because they could cause short-
circuits and corrosion.
Cleaning and disinfection must be executed according to sanitary laws and

norms.
9.4.1 Cleaning
The aluminum surfaces can be cleaned with a damp cloth and a neutral cle-
aner, and then dried with a dry wool cloth. Do not use corrosive detergents,
Ch.
solvents or abrasive cleaners. 9
To conserve varnish use an anti-abrasive wax.
9.4.2 Disinfection
Every part of the device, including accessories and the connecting cables,
can be disinfected by cleaning them with a damp cloth and a disinfectant.
NEVER use phenol based disinfectants, corrosive agents or solvents. If
you’re not sure of the disinfectant’s properties, please do not use it.
Do not use inflammable or potentially explosive sprays.
Before start-up, make sure there are no traces of vapors.

To disinfect, we recommend the use of a product similar to MadaCide-FD,
which is a specific product for hospital use, registered with the EPA. Effec-
tive against Type A Influenza, HIV, Hepatitis B and C, TB, MRSA, VRE, SARS,
fungi. It is non-corrosive. (CEI EN 60601-2-43)

Total pages: 218 Cleaning & Disinfection 169
9.5 Cleaning and disinfection the

motorization console
Disconnect the console from its connecting cable with the C-Arm before
cleaning and/or disinfecting.
To clean use a damp cloth, dampened with water and neutral detergents; do
not use corrosive or abrasive solvents.
To disinfect proceed as with normal cleaning but use a disinfecting product
that is not corrosive or abrasive.
Do not immerse the console in liquids.
Dry carefully with a soft cloth before using.
9.6 Cleaning the motorization console

cable
To clean the cable, disconnect both connectors from the base of the C.Arm
and the console and proceed as described above for the console with pro-
ducts used for cleaning and disinfection that are not corrosive or abrasive
and do not contain solvents.
Do not immerse the cable in liquids.
Dry carefully with a soft cloth before using.
9.6.1 Printer
See the relative user manual for cleaning procedures.
170 Cleaning and disinfection the motorization console

Total pages: 218
10 Recycling the
Device
10

10 Recycling the Device MOONRAY User Manual - Rev.34 - 2020/01/22
10.1 Introduction
The device contains material that can be polluting for the environment
therefore pay particular attention when disposing of all or part of the device
after its use has been terminated.
10.2 Transferring the Device

If the device should be ceded to third parties, its documentation must be
consigned and the new owner must become familiar with this manual. Fur-
thermore, the new owner must be communicated to the manufacturer and
written records of the new location of the device must be kept to guarantee
tracing of the device as indicated by law.
10.3 Recycling
IMPORTANT ENVIRONMENTAL INFORMATION

The symbol above means that the product requires correct disposal at the
end of its life-cycle and according to the current standards; it cannot be
considered as normal waste, product disposal must conform to the environ-
mental requirements of directives 2002/95/EC, 2002/96/EC, 2003/108/EC
which are relative to the reduction of dangerous materials in electrical and
electronic devices.
The user can consign the device to specialized companies who recycle and
reuse electrical or electronic parts or return it to the seller in exchange of a
newly purchased product on a one-to-one basis.
Adequate disposal of the device at the end of its life-cycle and recycling of
its parts and components contributes in avoiding a negative impact on the
environment.
172 Introduction
Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 10 Recycling the Device
10.4 Batteries
10.4.1 Remote Control

The infra-red remote control is equipped with a battery. For optimum
results substitute batteries at regular intervals. Dispose of used batteries in
appropriate containers where no damages to the environment are caused.
10.4.2 Laser
The laser pointer is equipped with a battery. For optimum results substitute
batteries at regular intervals. Dispose of used batteries in appropriate con-
tainers where no damages to the environment are caused.
10.4.3 UPS Ch.
To protect the PC from power supply interruptions which could damage the 10
software, the workstation is equipped with a UPS (uninterruptable power
source). The UPS is equipped with rechargeable gel batteries which do not
need maintenance. Dispose of the used batteries in appropriate containers
where no damages to the environment are caused.

Total pages: 218 Batteries 173
10 Recycling the Device MOONRAY User Manual - Rev.34 - 2020/01/22
174 Introduction
Total pages: 218
11 Technical Data
11

11 Technical Data MOONRAY User Manual - Rev.34 - 2020/01/22
11.1 Functionality - Ambient Conditions

SIMAD guarantees correct functionality of the Moonray systems in the following ambient
conditions:
Condition: Values:
+10° to + 40 °C (maximum)
Normal
+10° to + 20 °C (optimum)
Relative Humidity in use 10% - 75% (in absence of condensation)
Storage -20°C / +40°C
Relative Humidity in storage 5% - 95%
Pressure 700/1066 hPa
Vibrations 10 – 150 Hz, 0.35 mm peak
11.2 Power Supply

DEFINITION SPECIFICATIONS
Voltage 230/115 V
Max Voltage Deviation ± 10 %
Configuration Mono-phase (Phase, Neutral, Earth)
Frequency 50/60Hz
Before connecting the system to the power supply, the user must make sure that the system
socket is homologated with the current and voltage requirements necessary for the opera-
tion of the device. The electrical socket must be equipped with an earth connection accor-
ding to laws and norms in force.
In case of non-conformity, consult qualified personnel and SIMAD’s technical assistance.
11.3 Generator
Definition Data
Type High Frequency
kV range 40-120kV (40-110kV)
Typical X-ray power
mA range 0,2-100mA
11.4 Maximum Ratings

Fluoroscopy Radiography
Nominal X-Ray Tube Voltage 120 (110) kV 120 (110) kV
Max X-Ray Tube Current 20 mA 100 mA (@ 80 kV)
Max electrical power absorbed 600 W 3500 W
176 Functionality - Ambient Conditions

Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 11 Technical Data
Acceptable tolerances in various measurements

The device falls into the following functional tolerances, as verified in the
trials included in the Test Report that accompanies each new device.
TUBE VOLTAGE
Tube Voltage [kV] ± 10 %
Tube Current [mA] ± 10 %
Exposure duration [s] ± 1 % se ≥ 0.1 [s]
MAS [mAs] ± 10 %
TOTAL FILTERING
Inherent Filtration @ 80 kV ≥ 1.8
Total Filtration @ 80 kV Measured [mm] ≥3
Half Value Layer @ 80 kV ≥ 2.8
X-RAY BEAM LIMITATIONS & INDICATIONS
Difference A+C and B+D 3 % SID
Difference A+B+C+D 4 % SID
Center to Center Difference 1 % SID
Radiography
Horizontal X-Ray Beam Span 300 +3/-20
9” 13” Ch.
Vertical X-Ray Beam Span
Difference A+C and B+D

Difference A+B+C+D [mm]
240 +3/-20
3 % SID
4 % SID
300 +3/-20
11
Difference Center to Center 1 % SID
Diameter X-Ray Beam Field 13” 300 +3/-20
Fluoroscopy
9” 13”
Diameter X-Ray Beam Field 7”
160 +2/-20 160 +10/-20
RADIATION SCATTERING
Scattering during radiography@ 1 m [mGy/h] ≤ 1.0
Scattering without radiography@ 5 cm [µGy/h] ≤ 20
LINEARITY & REPRODUCIBILIY OF TRANSMISSION KERMA
Typical Values (Tolerance ± 10 %)
Air Kerma
Minimum Maximum
80 [kV] – 0.1 [s] – 25/100 [mA] 7 35
80 [kV] – 25 [mA] – 0.02-3 [s] [nGy] 1 380
80 [kV] – 7.5 [mAs] – (25-75 [mA] – 0.1-0.3[s]) 22 38
RESOLUTION
≥ 8 Field 13”
≥ 10 Field 9”
Coupled visible lines– Manual Fluoroscopy @ 40 [kV] – 0.5 [mA] [lp/cm]
≥ 14 Field 7”
≥ 20 Field 4”
9 “/ FD22 or 13” / FD30 focused in medium field of view, in
automatic modality, placing 1 cm of Al with 1 mm of Cu onto
Dosimetric value
the x-rays output the dosimetric value measured have a range
between 160/260 µGy/s
DAP
DAP measured ± 20 % error
DAP calculated < 35% error
TOTAL FILTRATION
Inherent filtration @ 80 kV ≥ 1.8
Total filtration @ 80 kV Measured [mm] ≥3
Half Value Layer @ 80 kV ≥ 2.8

Total pages: 218 Maximum Ratings 177
11.5 Radiation Leakage Factors

TRIAL CONDITIONS VALUE
Fluoroscopy 120kV 3mA @ 1m ≤ 1 [mGy/h]
Machine on without X-Ray emission @ 5cm ≤ 20 [µGy/h]
11.6 Grid
DEFINITION SPECIFICATIONS
Type Circular or square
Material Carbon Fiber
Ratio h/D (ccd 1k x 1k) 17
Ratio h/D (ccd 576 x 782) 12
Lines/cm (ccd 1k x 1k) 70
Lines/cm (ccd 576 x 782) 40
178 Radiation Leakage Factors

Total pages: 218
11.7 Options - Accessories and Detachable

Parts
For information regarding new accessories and their availability please con-
tact SIMAD’S customer service.
List of accessories and removable parts:

DESCRIPTION CODE
Hand-Held Radiography Command ON DEMAND
Single Fluoroscopy Pedal – Double Fluoroscopy/Cine ON DEMAND
Focal Spot-skin Spacer 1k ON DEMAND
Cable C-Arm-workstation ON DEMAND
Ch.
Optionals List: 11
DESCRIPTION CODE
Infra-Red Remote Control ON DEMAND
UPS ON DEMAND
Laser Centering Device 9” / 13” ON DEMAND
Cassette holder 9” / 13” ON DEMAND
Firewall ON DEMAND
Hand Rest ON DEMAND
Printer ON DEMAND
Kit Sterile Drapes for ventilated monobloc / Ortho ON DEMAND
All detachable parts are provided with special identification label showing
the manufacturer’s name and model.
All accessories come with a special identification label showing the name
of the manufacturer, model and serial number and date of manufacture.

Total pages: 218 Options - Accessories and Detachable Parts 179
11.8 X-Ray Scattering
180 X-Ray Scattering

Total pages: 218
11.9 Interventional Reference Point

For INTERVENTIONAL X-RAY EQUIPMENT, specified point on the REFERENCE
AXIS used as a reference location for the indication of PATIENT-incident.
AIR KERMA and AIR KERMA RATE. Since the Moonray device is equipped
with an isocenter, the IRP is located along the central ray of the X-Ray beam
at a distance of 15 cm from the isocenter in the direction of the focal spot,
therefore the distance of the focal spot results as being 50,3 cm.
The IRP is utilized as a reference point for patient incident Air Kerma and Air
Kerma Rate indication (CEI EN 60601-2-43 - par. 6.8.2 ff)
Ch.
11
medium (air) and the Air Kerma:

Total pages: 218 Interventional Reference Point 181
Air Kerma strength

Automatic
modality kV mA pulse/s Pulse width [ms] Air Kerma Strength [mGy/s]
mode
X DSA 79 2,3 Pulsed -- 0,08
X DSA Ingrand 1 88 2,4 Pulsed -- 0,09
X DSA Ingrand 2 105 2,5 Pulsed -- 0,09
X DSA HQ 77 34 25 14 0,6
X DSA HQ Ingrand 1 78 35 25 14 0,6
X DSA HQ Ingrand 2 80 35 25 14 0,6
X Fluro 79 2,3 Pulsed -- 0,08
X Fluro Boost 87 5,9 12 14 0,17
X Fluro Pulsed 91 2,9 12 14 0,13
Calculated values
Automatic Pulse width Air Kerma
modality kV mA pulse/s Ratio Note
mode [ms] Strength [mGy/s]
DSA and
X DSA HQ Ingrand 1 79 36,2 25 14 0,61 1
CINE
X Fluoro Pulsed 103 3,2 12 14 0,147 1
X Fluoro Pulsed 93 2,9 6 14 0,09 0,5
X Fluoro Pulsed 93 2,9 4 14 0,05 0,34
X Fluoro Pulsed 93 2,9 2 14 0,03
X Fluoro Pulsed 93 2,9 1 14 0,015
X Fluoro Pulsed 93 2,9 0,5 14 N.M.
X Fluro Boost 92 5,9 12 14 0,20 1
X Fluro Boost 92 5,9 6 14 0,10 0,5
X Fluro Boost 92 5,9 4 14 0,07 0,34
X Fluro Boost 2 14 N.M.
X Fluro Boost 1 14 N.M.
X Fluro Boost 0,5 14 N.M.
Maximum AirKerma strength in fluoroscopy mode

Air Kerma Strength
Automatic mode modality kV mA pulse/s Pulse width [ms]
[mGy/s]
Pulse width [ms] Air Kerma Strength mGy/s 79 35,2 25 24 1
X SCOPY 120 3 --- --- 1,3
Maximum AirKerma strength in radiography mode
Manual mode Modality kV mA pulse [ms] Air Kerma Strength [mGy/s]

X Radiografia 120 66 100 1,13
182 Interventional Reference Point

Total pages: 218
11.10 Leakage radiation

Manual mode 70Kv-3mA continuos; 100Kv3mA
Attenuation Body: PMMA 25x20x20 cm
cm
200
21 cm
150
Ch.
100 11
100 cm 50
0
0 500 1000 1500 2000 2500 3000
µSv/h
one hour Air Kerma @ 3mAs

60x60 cm
1 70Kv with x-ray PPE 0,5mm Pb eq.
2 100Kv with x-ray PPE 0,5mm Pb eq.
3 70Kv without x-ray PPE
4 100Kv without x-ray PPE
45
cm

Total pages: 218 Leakage radiation 183
11.11 Labeling
Explanation of Symbols used:
CE Marking ensures conformity with

Special Waste.
safety EC directives
The device presents an applied Type

Indicates Manufacturer
B part
General Warning. Consult

Manufacturing Year
instructions before using
Consult instructions for use
184 Labeling
Total pages: 218
11.11.1 Labels position

F
D
E
H A
Ch.
B
11
G
D
E
A Serial number and model

B Serial number
C Rx tube and monobloc serial number
D Laser model and serial number (if applied)
E Detector serial number
F Monitor model and serial number

Total pages: 218 Labeling 185
11 11 MOONRAY User Manual - Rev.34 - 2020/01/22
186 © Copyright SIMAD srl 2020

Total pages: 218
12 List of Icons/
Console
12
Commands

12 List of Icons/Console Commands MOONRAY User Manual - Rev.34 - 2020/01/22
12.1 List of icons
1 Warning – Action Not Permitted 18 Iris Diaphragm Regulation
Small Focal Spot selected

2 automatically in Fluoroscopy Compensating filter aperture/
19
Mode. Closure
Large Focal Spot selected
3 automatically in Radiographic 20 Compensating filter Rotation
Mode
4 Exposure Preparation 21 Horizontal Flip
5 X-Ray Generator Status 22 Vertical Flip
6 Anode Rotating State 23 Maximum Radiation Field
7 Low Speed Anode Rotation. 24 Medium Radiation Field
8 High Speed Anode Rotation. 25 Small Radiation Field
9 Correct Power Supply 26 Minimum Radiation Field
Power Supply Voltage higher than

10 27 Automatic Control
the functional limit.
Power Supply Voltage lower than

11 28 Manual Control
the functional limit.
12 Anode - Initial Heat Level 29 Radiography Manual Control
13 Anode - Low Heat Level 30 Exposure Time
14 Anode - Medium Heat Level 31 Voltage Regulation
15 Anode - High Heat Level Elec. Current Reg./View

32
Exposure Types
Overheating Anode/ Autonomy

16 33 12 impulses/second
Limit
17 Camera Rotation 34 6 impulses/second
188 List of icons

Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 12 List of Icons/Console Commands
35 4 impulses/second 52 Video chain Error
36 2 impulses/second 53 Communication Error
Example icon of optional mode

37 54 C-Arm Card Error
instead of boost mode
38 1 impulses/second 55 Collimator Error
Ch.
12
39 1 impulse every 2 seconds 56 Filament Error
40 DR (Digital Radiography) 57 Voltage Error
41 Fluoroscopy
Consolle touch screen
42 12 impulses/second
58 Maintenance menu
59 Increase value
60 Decrease value
61 Iris Aperture
46 1 impulse/second
62 Iris closure
47 1 impulse every 2 seconds Semitransparent Collimator

63
Aperture
48 Pulsed Exposure 25 imp/sec Semitransparent Collimator

64
Closure
49 Pulsed Exposure 12 imp./sec Clockwise Rotation of the Camera

65
or the Collimator
Counter-Clockwise Rotation of the

50 Error rotating anode 66
Camera or the Collimator
51 Low Battery

Total pages: 218 List of icons 189
12 List of Icons/Console Commands MOONRAY User Manual - Rev.34 - 2020/01/22
190 List of icons

Total pages: 218
13 Motorized
Version
13

13 Motorized Version MOONRAY User Manual - Rev.34 - 2020/01/22
13.1 Specific warnings

Moonray Precisio includes a radiological device with all its functions, and a
mechanically articulated motorized device of the Moonray itself.
Please refer to the other sections for all aspects that do not pertain to the
motorized movement (for example general information and warnings, ra-
diological functions, software, cleaning, accessories, etc.)
During the execution of a motorized movement, the operator must always
be vigil and must observe the part of the arm in movement, in order to
avoid colliding with surrounding objects and/or people.
The Moonray Precisio system is equipped with a safety feature to automa-
tically arrest the movement of the arm should it come into contact with
people or things, however operators are not exempt from keeping a vigil
eye during automatic movements of the arm and from acting quickly by
releasing the movement command and pressing the emergency stop button
in cases in which there is a risk of collision or unexpected conditions arise.
To activate the emergency stop button, press the red emergency button
present at the base of the arm: all movement will be instantly arrested.
Pressure on the emergency button immediately interrupts movement of
the arm and shuts down the movement system. The radiological part of the
Moonray Precisio remains active and its functions are not limited or altered
in any way.
It is always possible to arrest the movement(s) in course by pressing the
emergency button; this button can also be pressed by another person,
whom is not operating the arm directly.
To arrest a movement or combination of movements, just release the
pressure from the button placed on the extremity of the joystick, in cases
in which the commands are governed by a joystick, or release the “Zero”
button or the “Go To” button according to which is being pressed.
Do not reactivate motorization by unlocking the emergency button in cases
in which the arrest became necessary due to a malfunction of the C-arm’s
motorization device and contact customer service for technical assistance.
Under emergency conditions and for brief periods, the C-Arm can be moved
manually except for the up/down movements.
Do not subject the motorization console cable to pressure or pulling.
Extract the console cable by pulling on the connector at the base of the C-
arm and not by pulling directly on the cable.
192 Specific warnings © Copyright SIMAD srl 2020

Total pages: 218
14 THE
MOTORIZATION
14
CONSOLE

14 THE MOTORIZATION CONSOLE MOONRAY User Manual - Rev.34 - 2020/01/22
14.1 Description and connections

The motorization control console is housed on the C-Arm base, from which
it receives power through the dedicated cable. It is therefore inoperable if
disconnected from this cable.
The connecting cable between the console and the C-Arm is separable at
both ends by means of the polarized connector, it is therefore sufficient to
grip the body of the connector and pull it to separate the console from the
cable or the cable from the C-Arm base.
To reconnect the cable to the C-Arm base or to the consosle, insert the
connector respecting the position of the red circle visible both on the cable
connector and the panel connectors mounted both on the console and the
C-arm base.
194 Description and connections

Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 14 THE MOTORIZATION CONSOLE
14.2 LCD Display
A backlit four-lined display is found in the centre of the console; the four
coordinates (positions) are always visible for the four motion directions on
the initial screen view
Is the coordinate of the horizontal translation motion of the C-Arm,
X
expressed in mm Ch.
Z Is the coordinate of the up/down motion of the C-Arm, expressed in mm
Is the coordinate of the rotation of the “C” of the arm, also known as 14
R the “rotational motion” or simply “rotational”, expressed in sexagesimal
degrees.
Is the coordinate of the sliding motion of the “C” of the arm upwards
O and downwards, also known as the “orbital motion” or simply “orbital”,
expressed in sexagesimal degrees.
When the end of travel is reached in any one of the above directions, an
acoustic signal is emitted and the message “Warning – Run Limit Reached”
Range” appears on the display, which is then removed automatically or can
be removed by pressing the “OK” key.
During motorized motion the coordinate values for each direction will chan-
ge and be visible on the display.
The movements that can be executed simultaneously are the following:
• Horizontal translation combined with the up/down motion of the C-Arm,
the “X” e “Z” values will simultaneously vary.
• Rotation and orbital motion of the “C”: The “R” and “O” values will
simultaneously vary.
• Reaching the “Zero” position: all the coordinates will simultaneously
vary in cases in which they are all different from the “zero” value.
During a combined movement, if one end of travel position is reached, the
motion continues along the remaining direction with the acoustic signal
being emitted and the “Warning – Run Limit Reached” message on the
display.
The display can view the menu items, the submenu items, the alert messa-
ges and the guide during articulated procedures like pre-set, isocenter and
position memory management positions
The display language can be changed at any time through the dedicated
menu item. .

Total pages: 218 LCD Display 195
14.3 “Menu” Key
Pressing the “Menu” key takes you from the main screen view to the list of
functions with direct access to:
• Save
• Recall Position
• Manual Position
• Select Language
The cursor key allows you to move from one menu item to the next pressing
“OK” selects the item and accesses the submenu.
14.4 “Zero” Key
When the C-Arm is not in use or during transport and transfer from one pla-
ce to another, it must be placed in the rest position which includes the mi-
nimum height and the horizontal translation completely retracted towards
the command side of the arm (the side with the handlebar), the rotational
position of the “C” in the zero position with the “C” centered along its an-
choring point. In this position all the coordinates are viewed as 0 mm or 0°.
To obtain this position the operator must press and hold the “Zero” key: all
the parts of the C-Arm that are not in the zero position will simultaneously
move to reach it.
When the positioning is terminated an intermittent acoustic signal will
sound until the “Zero” key is released.
If an obstruction should impede movement, the operator must release the
“Zero” key and the C-Arm will arrest the movement in course.
196 “Menu” Key

Total pages: 218
14.5 “Go To” Key
Press and hold this key to carry out the following:

• Recall a memorized position.
• Bring the rotational position to zero before beginning to move the arm
in the isocenter mode.
If the key is pressed without first selecting a memorized position to recall or
outside the iscocenter mode of preparation, the alert message “No Memory
Selected” appears on the display and an intermittent acoustic signal will
sound until the key is released. The message will automatically be cleared or
it can be cleared by pressing the “OK” key. Ch.
If an obstruction should impede movement, the operator must release the
“Go To” key and the C-Arm will arrest the movement in course.
14
14.6 “Save” Key
To Save a determined position of the C-Arm, press the “Save” key after ha-
ving selected one of the quick recall memory functions, M1, M2, M3..

Total pages: 218 “Save” Key 197
14.7 Numeric keyboard:
The numeric keyboard is used for the following functions:

• Input the memory number from 1 to 13 in which one wishes to save a
determined position of the C-Arm.
• Input the memory number from 1 to 13 one wishes to recall.
• In the “Manual Positioning” function a numeric value of the various
coordinates that one wishes to reach can be input; translation motion of
the C-Arm, the up/down column movement, the rotation or the orbiting
of the “C”.
Correctness of the numeric value inserted is checked by the system: in
cases in which the number does not correspond to variation intervals or the
coordinates or numbers in the memory, the message “value-out-of-range
– insert value” will appear on the display; this message will automatically
clear or it can be cleared by pressing on the “OK” key
14.8 Cursor Keyboard
The four arrows surrounding the “OK” key form the Cursor Keyboard. It is
utilized to scroll the menu and to move the cursor when imputing a numeri-
cal value, to delete or add the “+” or “-“ sign.
If the cursor movement or input of one of the above mentioned signs is not
a feasible operation, pressing the keys will not produce any change in the
display view.
198 Numeric keyboard

Total pages: 218
14.9 Quick Recall Memory Keys
Up to three positions of the mobile parts of the C-Arm can be saved and
recalled quickly with the “Save”, “M1”, ”M2” and “M3”keys:
Ch.
Saving a C-Arm position in the Quick Recall
14.9.1
Memory Keys 14
1 Position the C-Arm as desired.
2 Press one of the three Memory keys (M1, M2, M3), the dot to the left of the
chosen key will light.
3 Press “Save” and the message “Memory M1 (or M2 or M3) Saved” will ap-
pear on the display, a short acoustic signal will sound and the dot to the left
of the key will turn off.
14.9.2 Recalling a position from the Quick Recall Me-

mory Keys
1 Press one of the three Memory keys (M1, M2, or M3) the dot to the left of
the chosen key will light.
2 Press and hold the “Go To” key until the desired position has been reached,
an acoustic signal will sound and the dot to the left of the chosen key will
turn off when the position is reached.
If a position has previously been saved in any of the three quick memory
keys (M1, M2 or M3) and a new position is saved in the same key, the pre-
ceding position will be deleted without a request of confirmation.
If no position has ever been saved in any one of the three keys and a recall
from memory procedure is carried out, the message “Memory not set – no
memory selected” will appear on the display. .

Total pages: 218 Quick Recall Memory Keys 199
14.10 Isocentric Function Keys
In order to utilize this function, or mode, two previous positions need to

have been acquired, these positions are called ISO1 and ISO2 with which the
desired isocentric point and the distance from the Image Intensifier is defi-
ned. This distance will be kept automatically during the “orbital” movement
of the “C” of the arm.
Three different luminous colours are associated to the three ISO keys. ISO,
ISO1 and ISO2.
By pressing the ISO key the acquisition procedure for the ISO1 and ISO2
positions begin and the isocentric mode is entered; the white signal light
distinguishes the difference between these two situations:
• Fixed white luminous signal lit: the isocentric mode is activated, therefo-
re if the orbital movement is activated, the up/down, horizontal transla-
tion motions are also activated as a consequence keeping the isocentric
point and the distance from the Image Intensifier fixed in the frame. The
only active command on the joystick is the orbital movement.
• Flashing white signal light: the acquisition of one or more positions is re-
quired to determine the isocentric point therefore the orbital, up/down,
horizontal translation motions are all activated; the previously acquired
positions ISO1 and ISO2 can also be utilized.
The signal lights under the keys “ISO1” and “ISO2” indicate the following:
• Flashing green signal light under the “ISO1”:
Acquiring the ISO1 position is necessary to calculate the isocenter.
• Fixed green signal light under the “ISO1” key:
ISO1 position already in memory.
• Flashing yellow signal light under the “ISO2”:
Acquiring the ISO2 position is necessary to calculate the isocenter.
• Fixed yellow signal light under the “ISO2” key:
ISO2 position already in memory, therefore isocenter already calculated
200 Isocentric Function Keys

Total pages: 218
14.11 Joysticks
The console is equipped with two joysticks that command the four moto-
rized movements. The inclination of the handle (lever) varies the speed of
the motorized movement and is directly proportional: the more the lever is
inclined the higher the speed of the C-Arm movement.
14.11.1 Using the joysticks

In order for the command to reach the C-arm the joystick lever must be
inclined and the button found on the uppermost tip of the lever must simul-
taneously be pressed. Tilting the lever without pressing the button will not
activate the desired movement.
Only one joystick can be used at a time therefore only a maximum of two
motorized movements can be carried out simultaneously.
Ch.
For a smooth start, press the button on the tip of the lever and incline the
lever slowly to avoid sudden jolts 14
14.11.2 Movement Commands
The joystick on the left
The joystick on the left (standing in front of the console) commands

the following:
• The orbital movement, if the handle is inclined towards the top
and towards the bottom.
• The rotational movement if the handle is inclined towards right
or left.
Inclining the handle towards the intermediate corners of the four
quadrants of the circle results in simultaneous orbital and rotational
movement, meaning the “C” slides while rotating.
The joystick on the right
The joystick on the right (standing in front of the console) commands

the following:
• The up/down movement, if the handle is inclined towards the
top and towards the bottom.
• The horizontal translation movement if the handle is inclined
towards right or left.
Inclining the handle towards the intermediate corners of the four

quadrants of the circle results in simultaneous up/down movement
of the arm while it slides outwards or towards the handlebar.

Total pages: 218 Joysticks 201
14.12 Arresting movement

Any motorized movement can be arrested be it single, composed or com-
manded with the joystick as follows:
• Releasing the button on the tip of the joystick one is using to command
movement or
• Bringing the joystick that is being used in the central position with no
deviation in any direction
If the movement is commanded by means of the “Go To” or “Zero”, move-
ment is arrested by releasing either the “Go To” or the “Zero” keys, accor-
ding to the command that is being used on the console.
In all cases, both the operator who is using the console or any other person
present can arrest movement by pressing the red emergency stop button.
14.13 Re-Setting the Emergency Stop Button

After an emergency stop, the motorized part of the C-Arm can be reactiva-
ted only by releasing the emergency stop button. To do so, rotate the red
button in the direction indicated by the arrow: it will release and lift and
when the control unit starts up two short acoustic sounds will be heard.
If the emergency stop was activated due to a malfunction of the motorized
part, do not re-activate and call Technical Assistance (See Chapter 10).
14.14 Arrest due to overcurrent

If, during the motorized movement, a part of the C-Arm meets and obstacle
with which it collides, the movement will come to a stop when the overcur-
rent limit is reached. The display will read an error message and a conti-
nuous acoustic alarm will sound and only by pressing “OK” or “Esc” will the
sound stop.
Always check the surrounding area when operating the C-Arm with a moto-
rized movement and arrest the movement in the proximity of an obstacle.
202 Arresting movement

Total pages: 218
14.15 Luminous Signal Lights

Standing in front of the console, three luminous signal lights are found on
the lower right hand side; they indicate the state of the console and its com-
munication with the motorization control unit.
14.15.1 Power
When the console’s cable is connected to the base of the
C-arm, the C-Arm is on and the emergency button is not
inserted, then the console is powered and the green signal
light next to the letters PWR will be lit.
14.15.2 Ongoing Communication Ch.
When the console communicates with the control unit the 14

blue signal light will flash next to the three curved lines that
represent transmission waves.
14.15.3 Error
The red signal light next to the letters ERR will light when
there is an error in communication with the control unit.

Total pages: 218 Luminous Signal Lights 203
204 Luminous Signal Lights

Total pages: 218
15 MENU ITEMS
15

15 MENU ITEMS MOONRAY User Manual - Rev.34 - 2020/01/22
15.1 Accessing Menu Items

Pressing the “Menu” key (found in the top left-hand corner of the numeric
keyboard) a list of possible functions is accessed as follows:
• Save
• Select Language
• Recall Memory
• Manual Positioning
These functions can be scrolled with the up/down arrows and can be selec-
ted and confirmed with the “OK” key.
To exit the menu press “Esc”.
15.2 Save
Aside from the three “recall memory” keys (see paragraph 3.9 in Chapter 3).
other ten different positions can be saved numbered from 4 to 13.
HOW TO PROCEED:
1 Position the C-Arm as desired.
2 Access the menu by pressing the “Menu” key in the upper left-hand corner
of the numeric keyboard and select “Memorize Position”.
3 Press the “Ok” key.
4 Input the number you wish to assign this position in the numeric keyboard.
• An error message will appear if you attempt to input a number that is
higher than 14 and the operation will be cancelled.
5 Once the position is memorized a confirmation message will appear “Me-
mory “x” Saved”.
• If another position had previously been saved in the position selected
(from 1 to 13) then that position will be cancelled and the new one will
overwrite the previous.
206 Accessing Menu Items

Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 15 MENU ITEMS
15.3 Memory Recall

To recall a position previously saved with numbers from 4 to 13 proceed as
follows:
1 Press the “Menu” key (found in the top left-hand corner of the numeric
keyboard) access the Memory Recall item listed.
2 Confirm selection by pressing on the “Ok” key.
3 Type the memory number you wish to recall in the numeric keyboard.
If no position has previously been saved and a recall from memory proce-
dure is carried out, the message “Memory not initiated” will appear on the
display.
4 Press and hold the “GO TO” key and the C-Arm will automatically reach the
desired saved position or press “Esc” to cancel the selection.
Ch.
5 An acoustical sound will confirm having reached the desired position.
If the “Go To” key is released before the arm reaches the desired position, 15
the movement will be arrested and the operation will be cancelled.
15.4 Manual Positioning

This function can be accessed from the main menu (found in the top left-
hand corner of the numeric keyboard) and allows you to set the desired po-
sition for each of the four movements of the C-Arm using four coordinates:
1. Long.X (mm)
2. Highlow.Z (mm)
3. Orb.ang.(°)
4. Rot.ang.(°)
With the cursor keyboard, select the desired coordinate and press “OK” to
confirm.
Set the numeric value of the desired coordinate using the numeric keybo-
ard: if you attempt to set a value that does not fall into the consented range,
an error message will appear and you will be brought back to the coordinate
selection menu. If you set the coordinate range correctly a message inviting
you to press the “Go To” key will appear in order to carry out the positioning
requested or “Esc” can be pressed to exit the procedure.
If you wish to set only one coordinate press and hold the “Go To” key until
you reach the desired position which will be audible with an acoustic signal
and the value of the set coordinate visible on the display next to the chosen
movement coordinate.
If you wish to set other coordinates and execute a combined movement
wait until the message on the display disappears “keep Go TO pressed, Esc
to Exit” and select another coordinate whose value you wish to set.
If you wish to insert a new coordinate and execute a combined movement,
wait till the message on the display disappears and select another coordina-
te.

Total pages: 218 Manual Positioning 207
15 MENU ITEMS MOONRAY User Manual - Rev.34 - 2020/01/22
When you finish setting all the desired coordinates, press and hold the “Go
To” key, the C-Arm will carry out the combined movements to reach the
coordinates set. No movement will be carried out for those parts whose
coordinate has not been set.
• The horizontal translation movement: only has positive values; 0 mm
corresponds to the end of travel position in which the arm is totally
retracted towards the handlebar.
• The up/down movement: only has positive values; 0 mm corresponds to
the end of travel position in which the arm is at its lowest height.
• The rotational movement: of the “C” has values that go from -360° to
+360°; the “C” can, in fact rotate completely clockwise and counter-
clockwise. The positive angles correspond to the counter-clockwise
rotation, looking at the arm from the handlebar side. To set a negative
value, press the right arrow key in the cursor keyboard, to go back to the
“+” sign, press the right arrow key again.
• The orbital movement: of the “C” has values that go from -87°to +45°; to
set a negative value, press the right arrow key in the cursor keyboards,
to go back to the “+” sign, press the right arrow key again.
15.5 Select Language

The language of the messages that will appear on the display can be selec-
ted as follows:
1 After having pressed the “Menu” key in the upper left-hand corner of the
numeric keyboard move the “*” indicator up or down with the use of the
up/down arrow keys of the cursor keyboard until you reach the desired
language.
2 Select the desired language confirming with the “OK” key.
You will automatically be brought back to the main menu, which will appear
in the new language selected.
208 Select Language © Copyright SIMAD srl 2020

Total pages: 218
16 ISOCENTRIC
FUNCTION
16

16 ISOCENTRIC FUNCTION MOONRAY User Manual - Rev.34 - 2020/01/22
16.1 Definition of the Isocentric Feature

The possibility of moving the “C” of the arm while keeping a specific point
in space centered, so as to guarantee that the central axis of the beam
directed in that spot, no matter the inclination of the beam itself, continues
to center it. (This point is known as the ISOCENTER).
A device that is able to radiate towards this point from various angles is
called an isocentric machine.
The isocenter can be selected by the utilizer as requested.
16.2 The Isocenter Mode

In order to operate in this mode it is necessary to carry out two (2) acquisi-
tions called “ISO 1” and “ISO 2”, with positions that are diverse from the “C”
in the orbital direction.
16.2.1 Configuration procedure to activate the Iso-

center Mode
PROCEDURE:
1 Press the “ISO” key: the signal light under the key will begin to flash.
2 Press and hold the Go To key till the rotational movement moves to 0° and
an acoustic signal is heard
3 The messages “Select M.ISO 1 and M.ISO 2” will appear on the display.
4 To acquire the first position press the “ISO 1” key: the signal light under the
key will begin to flash.
5 Move the C-Arm so as to frame the point you want to use as the isocenter:
during this phase the rotational movement command is disabled while the
orbital, up/down and horizontal translational movement are active.
6 once found the desired point press the “ISO 1” key to confirm the acquisi-
tion, the signal light under the “ISO 1” key will now stop flashing and stay lit.
• If the “Esc” key should be pressed instead of the “ISO 1” key to confirm
the acquisition, the preceeding isocentric “ISO 1” point already saved, if
present, will be retained valid; entering the isocentric mode will not be
possible until an acquisition for the “ISO 1” position is confirmed.
7 once the “ISO 1” point is confirmed, press the “ISO 2” key, the signal light
under the key will begin to flash to indicate that the second acquisition is
required: during this phase, as with the ISO 1 position, the rotational move-
ment command is disabled.
8 Move the C-Arm so as to frame the same point as with the “ISO 1” position
put with a different orbital angle. To frame this point you must modify the
“C” position with the orbital, the up/down and the horizontal translational
movements.
9 To confirm the second acquisition press the “ISO 2” key. The signal light
under the key will stop flashing and the isocentric point will be calculated in
three dimensions.
210 Definition of the Isocentric Feature

Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 16 ISOCENTRIC FUNCTION
10 Press the “ISO” key and the signal light under the key will stop flashing and
remain lit to indicate that movement in the isocentric mode is possible.
11 At this point, all three signal lights under the keys “ISO”, “ISO 1” and “ISO 2”
are lit: the only enabled joystick command is the orbital movement. With
every orbital movement the up/down and horizontal translational move-
ments will compensate the position so as to keep the isocenter and keep
the same distance between the isocenter point and the image intensifier.
During movement of the arm in the isocentric mode, the isocenter will
always be at the center of the frame and the distance between the framed
point and the image intensifier will be kept constant and equal to the ac-
quired frame with “ISO 2”. If you wish to keep the isocenter point but want
to change the distance from the Image Intensifier just re-acquire the “ISO
2” position.
To re-acquire the “ISO 2” position press the “ISO 2” key and repeat the pro- Ch.
cedure for this position only; if you press “ISO 1” then both the acquisitions
need to be re-acquired. 16
12 To exit the isocentric mode, press the “Esc” key or press the “ISO” key again.
16.2.2 Utilizing a previously acquired isocenter confi-

guration
A previously acquired isocenter configuration can be considered valid. In
this case pressing the “ISO” key will result in the signal lights under both the
“ISO 1” and “ISO 2” keys to remain lit to indicate that both positions have
previously been acquired and can be used
If the “ISO 1” and “ISO 2” positions have NOT previously been acquired
the signal light under the “ISO” key will begin flashing and the isocentric
function cannot be used. The configuration procedure must be carried out
as explained in paragraph 5.2.1 above.
How to Proceed:
1 Press the “ISO” key to activate the Isocentric mode.
2 Press and hold the “GO TO” key to align the rotational movement if it is not
already in the 0° position.
3 Press the “ISO” key again and the signal lights under the keys “ISO 1” and
“ISO 2” will remain lit if the positions have previously been acquired.
4 The orbital movement can be carried out with the joystick and the C-arm
will automatically act on the up/down and translational motion to keep the
isocenter point framed.
5 To exit the isocenter mode press “Esc or press the “ISO” key again.

Total pages: 218 The Isocenter Mode 211
16 ISOCENTRIC FUNCTION MOONRAY User Manual - Rev.34 - 2020/01/22
16.3 Important aspects regarding the

Isocenter Function of the Moonray
Precisio
If the isocenter is not kept due to the excessive speed requested of the up/
down and horizontal translation to keep up with the “C” orbital movement,
just release the joystick handle and press only the button of the joystick
itself comanding the rotational/orbital movement until the up/down and
horizontal translation movements stop; the isocenter movement can now
resume.
If the up/down or horizontal translational movements reach their end of

travel points and the isocenter cannot be kept for the desired isocenter
point, the display will show an error message “Attention – Compensation
Error” and an acustic signal will be heard during movement attempts. .
When the C-arm is shut down, the “ISO 1” and “ISO 2” positions already
set are deleted.
If you try to acquire an invalid isocenter point (for example if you try to
use the same position of the arm for both the “ISO 1” and the “ISO 2”
positions, the machine does not begin positioning in the isocentric mode
(when you confirm the “ISO 2” position the signal light under the “ISO 2”
key remains flashing).
212 Important aspects regarding the Isocenter Function of the Moonray Precisio
Total pages: 218
17 Monitor
console touch
17
screen

17 Monitor console touch screen MOONRAY User Manual - Rev.34 - 2020/01/22
The Monitor-console touch screen is provided only on certain models of the

series Moonray and is not an option.
When present, all of the Moonray system software functions are managed
via this interface.
17.1 Activating the C arm control console

To activate the C arm control console in the Moonray Systems series equip-
ped with Touch Screen Monitor console is necessary to click the icon availa-
ble in the view monitor A, circled in the figure A. The C arm control console
will appear as in Figure B
Fig. A Fig. B
214 Activating the C arm control console

Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22 17 Monitor console touch screen
Activates the various functions of the C arm control console by tapping on

the corresponding icons displayed on the Touch Screen.
To hide the the C arm control console, simply tap in an area of the touch
screen not covered by it.
For all the functions of the C arm control console see chapter 5.
17.2 Views organization

In the Moonray Systems series equipped with Touch Screen Monitor-Conso-
le all the software views will be present on it and accessible by tapping on it.
The software views present are:
- Monitor A Ch.
- Patient data 17
- Monitor B
- Archive
- Notes
- Settings
- ?
To operate the software, see chapter 6.
In systems with Monitor-Console Touch screen: the touch screen console,

the monitor positioned on C-arm device (if present) and the left monitor
of the monitor trolley (if present) are synchronized and show the same
picture.
The right monitor on the monitor trolley (if present) always shows the
“Monitor B” view.
The monitor on the C-arm device and the monitor trolley are not present in
all models available with Monitor-Touch Screen Console.

Total pages: 218 Views organization 215
17 17 MOONRAY User Manual - Rev.34 - 2020/01/22
216 © Copyright SIMAD srl 2020

Total pages: 218
MOONRAY User Manual - Rev.34 - 2020/01/22
user manual
SIMAD SRL reserves the right to make

changes without notice for continuous
improvement of all its products.
ISO 9001:2015 ISO 13485:2016
A Sago Medica Company
CONCEIVED
DESIGNED and
www.simad.net MANUFACTURED
IN ITALY
info@simad.net
SIMAD s.r.l. Via Benedetto Zallone 25 PEC: simad@legalmail.it C.F./P.I./Reg.Imp.di Bologna

40066 Pieve di Cento, info@simad.net 01854280367
Società Unipersonale Bologna www.simad.net REA di Bologna 433497
Direzione e coordinamento Italy Iscr. RAEE
di Sago Medica s.r.l. Tel: +39 051 686 08 11 IT09110000006357
Fax: +39 051 686 12 46 Cap. Soc. € 76.500,00 I.V.

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MOONRAY User Manual - Rev.

34 - 2020/01/22 6 Software Guide

6.18.3 Import Command Settings

applies the new settings to the views. Not all

Exit Exits the setting window.

Table 49: Import Command Settings

6.18.4 Importing a Series Ch.

“Searching a series to import”: 6

© Copyright SIMAD srl 2020

Figure 117: Selecting a Series to Import

Each imported series, even if partia, is marked with an internal identifica-

6.19 DAP Report

Figure 118 - DAP Report Window

Save report as an image

Proceed exporting details

Table 50 DAP Report Commands

© Copyright SIMAD srl 2020

6.19.1 Printing a DAP Report

Figure 119 Sample DAP Report

154 DAP Report

6.19.2 Saving a DAP Report as an Image

Figure 120 - Dialog window to confirm saving a DAP report as an image

Confirm by left-clicking on the “Yes” key to create an image of a DAP report,

Figure 121 - DAP Report saved as an Image inside a series

© Copyright SIMAD srl 2020

6.19.3 Exporting DAP details

Figure 122 – Select Export Detail Mode

The two types of formats to export DAP details are:

156 DAP Report

Figure 123: Customizing Window

© Copyright SIMAD srl 2020

6.21 STATLAB data export (plug-in

Left-click anywhere on the screen outside the open window to automatical-

STATLAB data can be uploaded to another PC with statlab software instal-

158 STATLAB data export (plug-in DbExporter) © Copyright SIMAD srl 2020

A Sago Medica Company MOONRAY User Manual - Rev.34 - 2020/01/22

7.1 Sterile Drapes

7.2 Film Cassette Holders

To avoid accidental damages to

Figure 124: Mounting the Cassette Holder

160 Sterile Drapes © Copyright SIMAD srl 2020

7.3 Infrared Remote Control

Transfer images from monitor A to monitor B

Select the icon highlighted by the cursor

Move the cursor downwards in the icon bar

SUB Not active

Save the image on Monitor A in the database

Decrease/Increase Contrast Window

Decrease/Increase Contrast Level

F Cyclically select the recursive filter values

Table 51: Remote Control Commands

© Copyright SIMAD srl 2020

162 Infrared Remote Control

A Sago Medica Company MOONRAY User Manual - Rev.34 - 2020/01/22

8.1 Proposed solutions

The white light on the side of the workstation

Verify that the device is correctly

Check the F1 fuse found in the Fuse

After start-up procedures, the control panel of the

The icon seen on the right

The icon seen on the right

164 Proposed solutions

A Sago Medica Company MOONRAY User Manual - Rev.34 - 2020/01/22