Professional Documents
Culture Documents
Operation Manual
1
IMPORTANT!...X-RAY
PROTECTION
X-Ray equipment if not properly used may cause injury. Accordingly the instructions herein contained
should be thoroughly read and understood before you attempt to place this equipment in operation.
The SG Healthcare Company, will be glad to assist and cooperate in placing this equipment in use.
Although this apparatus incorporates a high degree of protection against x-radiation other than the
useful beam, no practical design of equipment can provide complete protection. Nor can any practical
design compel the operator or his assistant to take adequate precautions to prevent the possibility of
It is important that everyone having anything to do with x-radiation be fully acquainted with the
NCRP Reports available from NCRP Publications, 7910 Woodmont Ave., Bethesda, MD 20814, and of the
International commission on Radiation Protection, and take adequate steps to insure protection against
injury.
It is assumed that all persons authorized to use the equipment are cognizant of the danger of
excessive exposure to x-radiation and the equipment is sold with the understanding that the SG
Healthcare Company, its agents, and representatives have no responsibility for injury or damage which
Various protective materials and devices are available. It is urged that such materials and devices be
used.
2
Table of Contents
Chapter 1 ........................................................................................................................................................................ 5
Chapter 2 ........................................................................................................................................................................ 8
Safety ........................................................................................................................................................ 9
Symbols .................................................................................................................................................. 19
Chapter 3 ...................................................................................................................................................................... 25
Chapter 4 ...................................................................................................................................................................... 26
3
Chapter 5 ...................................................................................................................................................................... 28
Appendix A .................................................................................................................................................................. 49
Maintenance .......................................................................................................................................................... 49
Appendix B .................................................................................................................................................................. 52
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Chapter 1
This chapter the purpose and design of this Learning and Reference Guide. It is an introduction to the
guide, providing information on the purpose, prerequisite skills, guide organization, chapter format, and
graphic conventions that identify the visual symbols used throughout the guide.
!! Safety Information
!! Safety Notice
5
Safety Information
Please refer to Chapter 2: Safety and Regulatory. in this Learning and Reference Guide. The Safety
chapter describes the safety information you and the physicians must understand thoroughly before you
begin to use the system. Note that you will find additional safety information throughout your Learning
and Reference Guide. Additional training is available, contact qualified SG Healthcare personnel for a
training. The equipment is intended for use by qualified personnel only. This guide should be kept with
the equipment and be readily available at all times. It is important for you to periodically review the
procedures and safety precautions. It is important for you to read and understand the contents of this
6
Safety Notices
The following safety notices are used to emphasize certain safety instructions. This guide uses the
international symbol along with the danger, warning, or caution message. This section also describes the
purpose of a Note.
DANGER
WARNING
CAUTION
ignored.
7
Chapter 2
This chapter explains the safety considerations, general equipment and patient related precautions, and
the symbols used for the safe operation of your equipment. This chapter also includes information
This chapter presents the concepts necessary to successfully operate your system safely.
8
Indications for Use
Medical Diagnostic Digital Radiography System Jumong is applicable for all the patients who need any
of these general purpose diagnostic procedures. This device is not intended for mammographic and
dental applications.
WARNING
WARNING
woman.
Safety
The electrical wiring of the relevant rooms complies with all national and local codes, as well as the
Regulations for the electrical equipment of buildings published by the Institution of Electrical Engineers.
All assembly operations, extensions, re-adjustments, modifications, or repairs are carried out by SG
Healthcare authorized service representatives. The equipment must be used in accordance with the
WARNING
9
WARNING
WARNING
WARNING
Never touch patient and any exposed extra low safety circuits
WARNING
WARNING
10
CAUTION
CAUTION
patient.
Read and understand all of the instructions in this Learning and Reference Guide before attempting to
use the product.
Equipment Classifications
The following equipment classifications are applicable to the Learning and Reference Guide before
!! Equipment not suitable for use in the presence of a flammable anesthetic mixture with
11
Electromagnetic Compatibility
WARNING
WARNING
accompanying documents.
WARNING
equipment are powered off before they are taken near this
equipment / system
WARNING
12
WARNING
will operate normally after the power surge, but the image
must be reacquired.
WARNING
Radiation Safety
Always use the proper technical factors for each procedure to minimize X-ray exposure and to produce
the best diagnostic results. In particular, you must be thoroughly familiar with the safety precautions
before operating this system. Default system techniques are recommended for AEC acquisition. Default
CAUTION
CAUTION
13
parameters.
CAUTION
CAUTION
replace one of them, make sure total filtration for this X-ray
CAUTION
image quality.
CAUTION
CAUTION
14
CAUTION
15
Emergency Procedures
It is not always possible to determine when some components, such as the X-ray tubes, are nearing the
end of their operating lives. These components could stop operating during a patient examination.
WARNING
WARNING
the radiation.
WARNING
Do not load non-system software onto the system computer. This may
cause system to crash.
WARNING
Use of operation methods other than those specified herein may result
in hazardous radiation exposure.
WARNING
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reference. It may be desirable for the facility to print this manual from
department.
WARNING
patient at all times. When the table is in use the patient should be
WARNING
WARNING
WARNING
falling down.
WARNING
WARNING
immediately.
CAUTION
Alwary assist the patient during loading and unloading from table.Keep
the patient in full view at all times and never leaves the patient
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unattended while on the table.
CAUTION
CAUTION
WARNING
During patient procedures, ensure the patient’s head, hands and feet
are completely within the tabletop area. If any portion of the patient’s
body extends over the edge of the tabletop, serious injury may result.
WARNING
WARNING
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monitored to avoid interference during patient positioning.
WARNING
When operate the Stand & Table, the operator shall always watch the
patient for the moving parts to avoid injury by collision.
Symbols
This section explains the symbols used on this system and in its accompanying documents.
X-ray Tube
Table describes the operational symbols for the system such as X-ray emissions and collimator locations.
Symbol Description
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Power ON and OFF
A gray POWER OFF button is used to turn off the system. The button
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Electrical Tpye
Symbol Description
Electrical Current
Table describes the symbols for the different types of electrical current that may be used on your
system.
Symbol Description
current only.
only.
Ground
Symbol Description
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purposes.
Collimator
Symbol Description
Indicates the collimator blades are closed. The controlled blades are
Indicates the collimator blades are open. The controlled blades are
REgulatory Requirements
NOTE This equipment generates, uses, and can radiate radio frequency
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interference will not occur in a particular installation.
–Increase the space separating the equipment and the affected device.
affected device.
further suggestions.
NOTE The manufacturer is not responsible for any interference caused either
NOTE Do not use devices which intentionally transmit radio frequency (RF)
Keep the power to these type devices turned off when near the equipment.
The medical staff in charge of this equipment is required to instruct technologists, patients, and other
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people who may be around this equipment, to fully comply with the above requirement.
Disposal of Waste
This symbol indicates that the waste of electrical and electronic equipment must not be disposed as
unsorted municipal waste and must be collected separately. Please contact an authorized representative
Manufacturer’s Responsibility
This equipment is sold with the understanding that the manufacturer, its agents, and representatives do
not accept any responsibility for overexposure of patients or personnel to X-Ray radiation. No
responsibility is assumed for any unit that has not been serviced by qualified authorized service
personnel.
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Chapter 3
Record of Revision
Revision History
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Chapter 4
This section provides an overview of common tasks. Refer to the relevant chapters for detailed
information.
Current Workflow
1! Press the Power On button on the console .Login on the system after about 1 minutes.
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4! Press the motion control keys on the operation panel(tube stand) and position the patient.
5! When all preparations for the exposure are completed, you can progress an exposure.
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Chapter 5
Hardware Overview
This chapter explains the different hardware components of your system, such as the, strecher table,
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System Descriptions
System component
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!! Bucky Stand(SS-1000K)
!! 4-Way TAble(ST-2200K)
!! Tube(E7239X)
!! Collimator(M38)
!! Generator(CMP200DR)
System position
Motion Component
Item Description
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Tube Arm
2
It holds collimator, tube and also supports the arm to move forward / backward.
Table Top
4
It is used to suport patients still and make longitunial/latitundinal movements.
Detector assembly
5
Contain the detector or cassette, motion control key.
movement buttton
Tube Arm up
movement
Operation
button
Panel
movement
button
movement
button
S/W By pressing "All Free S/W" the table top can make latitudinal and lonbgitudinal movements.
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Motion control keys
Up/Down
Push S/W
By pressing "Up/Down Push S/W" the detector assembly can make vertical movements.
By pressing "Tube Arm Up/Down movement button", tube arm can make vertial movement. This allows
By pressing "Tube Stand on rail movement button", tube collimator assemly can move along tube stand
By pressing "Tube Stand Rotate movement button", tube stand can spin clock-wise and anti clock-wise.
The tube collimator assembly can rotate maximum clockwise 135° or counterclockwise 135° around the
By pressing "Up/Down Push S/W" , detector assembly can make vertial movement. This allows change of
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Collimator
The collimator limits patient radiation exposure to a desired area at a given distance from the x-ray tube
focal spot.
Item Description
1. Collimator Light Switch Turns the collimator light on and off. Cutout can also be performed
2. Vertical Adjusts the vertical field size. Turning the dial to the left closes the
Collimator Field Size collimator, turning to the right opens the collimator.
3. Lateral Collimator Adjusts the lateral field size. Turning the dial to the left closes the
Press the field light button located on the collimator face to activate the high-intensity field lamp.
The field light is timed and automatically turns off 30 seconds after your release the switch. To activate
the field light for another 30 seconds, press the button again when the light goes out.
Note Do not frequently and continuously turn on the collimator light to avoid
3 minutes interval.
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Positioning
Position the collimator and tube using the field light and cross hair shadow as guides. The cross hair
Collimate by adjusting the size of the field with the two control knobs located on the front of the
collimator.
Field sizes from 0x0 up to 17” x 17” at a 100 cm SID can be obtained. The knob selectors indicate the
field size for a selected SID. The maximum field size is 17” x 17”.
Collimator Rotation
Note Check the Collimator status before using this equipment, to prevent it falling
down.
4-Way Table
The patient can lay over the 4-Way table to make exposure.
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Control'Console'
Control Console controls the power and exposure functions for the system. The Control console has the
Item Description
While pressing the prep or button, press and hold the EXPOSE or
The X-ray exposure indicator will light when an X-ray exposure is being
taken.
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Pressing the EXPOSE or button only will cycle the generator through
prep and then exposure.
When the prep button is pressed, SPINNING ROTOR will be displayed in the LCD
display window.
When the prep cycle is complete, X-RAY READY will be displayed in the LCD
display window.
During the X-ray exposure, X-RAY ON will be displayed in the LCD display
window.
3. Radiography
4. Image Receptor
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5. Anatomical
Programming Controls
and Display
2. Tube 1 display
- Indicates the tube anode heat for the selected X-ray tube. An anode heat-
warning message will be displayed at an installer-programmable level, typically
80 % of the maximum tube H.U. rating. Exposures that will exceed a value of
typically 90 % of the tube H.U. rating will be inhibited (this is also installer
programmable).
4. Time readout - 24 hour mode.
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- Press button 6A (BACK) and button 6B (FORWARD) to scroll forward or
backward through the display. The symbols << or >> will be displayed when
these buttons are active.
7. MENU button.
- Press the MENU button to return to the main menu when in one of the APR
submenus. RESET will be displayed below the MENU button when this is active.
- Pressing this button will clear error messages.
Item Description
and Indicator(for AEC combination of fields. The adjacent LED(s) will light to indicate the selected
field(s). All three fields may not be deselected.
Only)
Operates only when AEC is selected.
The delivered reference Air Kerma / Air Kerma per frame will be minimized if only
the required AEC fields are selected and if the X-ray beam is collimated to expose
the region of interest only.
3. Film/Screen Select In AEC mode, press the FILM SCREEN or button to select the desired film / screen
Button Indicators.(Non- combination. The appropriate LED will light to indicate the desired selection.
• I for film / screen I. Normally the lowest speed film.
DR models only)
• II for film / screen II.
• III for film / screen III. Normally the highest speed film.
This adjusts the dose to maintain the correct optical density.
In non-AEC mode, indicates which film / screen has been programmed for the
selected APR. The corresponding film / screen combination should then be used
for that exposure.
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Increasing the film speed will decrease the delivered
reference Air Kerma / Air Kerma per frame.
4. Focus Select Button Press the FOCAL SPOT button until the appropriate LED lights to indicate the
and Indicators desired focal spot.
• SMALL or for small focus.
• LARGE or for large focus.
This function may be programmed for auto focal spot
selection.
The delivered reference Air Kerma / Air Kerma per frame will decrease if the
selected focal spot decreases the mA.
5. kV up/down button To increase kV / CM thickness, press +.
and Display(CM up / To decrease kV / CM thickness, press -.
down buttons and Displays demanded kVp of the exposure.
display in CM-thickness Displays selected CM thickness when CM-thickness function is active.
mode) Decreasing the kV / CM thickness will decrease the delivered reference Air Kerma
/ Air Kerma per frame.
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selected.
DENS will be displayed above or below the backup ms /
mAs in these modes, depending on setting.
The + / - buttons only adjust the parameter displayed on top. To swap the
density and the backup ms or mAs displays, press both the - and + density
buttons. Refer to Setting AEC Backup ms or mAs for further details.
The density range is typically -5 to +5. (Installer programmable to have a range of
up to -8 to +8).
This varies the optical density by changing the dose.
The % dose change per density step change is installer
programmable.
• Displays mAs when mAs is selected.
• Displays time (ms) when mA/ms is selected.
Decreasing the density, ms or mAs will decrease the delivered reference Air Kerma
/ Air Kerma per frame. When setting the backup ms or mAs, the lowest practical
values should be used. These are values of backup ms or mAs that are low
enough to quickly terminate an abnormally long AEC exposure but high enough
that normal AEC exposures are not terminated by the backup timer.
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selected).!
• In!mA/ms!mode,!the!calculated!mAs!of!the!exposure!will!be!displayed!
(based!on!the!
mA!and!ms!selected).
9. AEC - ON indicator / • Displays AEC when AEC is selected.
post-mAs display • Displays Post mAs after an AEC exposure.
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4. Image Receptor Burron and Indicators
Item Description
1. Table, with Bucky, Press this button to select the table Bucky image receptor. The adjacent indicator
Image Receptor will light.
2. Table, no Bucky, Press this button to select the table non - Bucky image receptor.
Image Receptor The adjacent indicator will light.
3. Wall Bucky Image Press this button to select the wall Bucky image receptor. The adjacent indicator
4. Aux 1 Image If CM thickness mode is enabled, this is used for CM thickness programming.
5. Aux 2 Image If CM thickness mode is disabled, this receptor is active, and may be programmed
Receptor by the installer.
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Hand Switch
Record exposures are made with the console Hand-switch. The Prep/Expose button on this switch has
Position Description
Off The OFF position is when no pressure is applied to the Prep/Expose button on top of the
Hand-switch.
Prepare PREPARE is the next position on the Hand-switch. When it is partially pressed, it brings
the rotor up to speed and heats the filament. PREPARE also checks the system interlocks
and verifies the system is ready to make an exposure. If you release the button, it returns
to OFF.
Exposure The EXPOSE position is when the button on the Hand-switch is fully depressed. This
produces X-rays that are recorded. Release the Prep/Expose button after the exposure is
completed.
Follow the procedure below to operate the console Hand-switch to prepare and record exposures
1.! Make sure your patient and the console are set up for the procedure.
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Note A procedure must be selected prior to attempting an exposure or an error will occur
Environmental Constraints
CAUTION
Constraints
Temperature, +35°C
humidity,
Ambient humidity range: 30% to 75%,
Pressure
Electromagnetic Compatibility
Suggest keepping IV pumps,Infusion pumps,patient monitoring, Air conditioners 1meter or more away
from any detector surface. More information for Electromagnetic Compatibility please refer to
Electromagnetic Compatibility
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Grid Installation
Grid is used to reduce the imaging impact of scattered radiation. To use the grid for image acquisition
WARNING
PLease move the grid with care. Put it in the accessory box
while idle. Accidentally falling will damage the grid and reduce
Hold the grid handle to draw out the grid from the slot.
Face the surface with the label on the grid to the tube side and insert the grid in to the slot.
it is essential that the x-ray tube be warmed up before allowing it to operate on full power to avoid
reducing its life cycle. Therefore, before starting the days examinations, condition the x-ray tube by
When warming up the tube, always take the precautionary measures to protect personnel from X-ray
radiation.
The warming up must be done by the qualified service personnel when the below circumstances occurs:
!! After the trouble shooting and when the X-ray tube voltage seems unstable during cross
function running;
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REQUIREMENTS
2.! The operating tube voltage and current should be monitored all exposures during this
seasoning operation.
3.! The anode rotation should be utilized at normal speed (3000 or 3600 min-1).
WARNING
CAUTION
1.! 50kV, 100mA, 100ms - one exposure, then wait for 30s
2.! 80kV, 100mA, 100ms - one exposure, then wait for 30s
Note If discharge happened, re-warm up again under the previous condition. If the tube occurs
intense static charge repeatedly what will damage the sensitive part of electronic
component, please discontinue the operation and inform the service personnel.
After these seasoning operations are completed, the X-ray tube unit can be used in the usual way.
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Tube conditioning
The X-ray tube assembly needs to be conditioned if it is idle for 7 days. Precautions before conditioning
This procedure establishes the proper relation to its new environment with the equipment in used. The
action establishes a favorable distribution of the electrical charges and Electrostatic stresses in the
REQUIREMENTS
1.! Use the large focal spot (LF) or the small focal spot (SF) as specified.
2.! The operating tube voltage and current should be monitored all exposures during this
seasoning operation.
3.! The anode rotation should be utilized at normal speed (3000 or 3600 min-1).
CAUTION
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The conditioning procedure
1.! Make sure that the X-ray tube assembly is at room temperature before starting the X-ray tube
assembly conditioning
3.! To avoid the risk of electrical shock, the equipment must only be connected to supply with
protective earth.
4.! The Environment Conditions must be maintained for about 10 mins before use.
When the system is built first time or halt more than 1 week, please follow table shown below to do the
Note If the X-ray tube assembly is unstable at high voltages reduce the kV until no high voltage
instability observed and then increase the kV at a slower rate than as shown in table.
After these seasoning operations are completed, the X-ray tube unit can be used in the usual way.
48
Appendix(A(
Maintenance(
It is the owners responsibility to provide regular periodic maintenance and service. Only this type of
!! Periodic Maintenance
!! Qualified Service
!! Recycling!
Periodic Maintenance
Periodic maintenance is required for continued SAFE operation. Periodic maintenance should be
performed as specified in the maintenance schedule of the service manual by qualified personnel.
Descriptions and scheduled frequency of the required periodic maintenance are provided in the Service
manual supplied with the equipment. Inspection intervals are based on average daily use of one eight
hour shift. These periodic maintenance procedures will be performed by SG service if contracted to do
so. Generally, most of the parts need maintenances once a year; general cleaning and painting as
required; Replace NonVolatile RAM on the kV Control Board every 10 years. More frequent inspection is
CAUTION
Safe equipment performance requires the use of service personnel specially trained on medical X-ray
apparatus. SG Healthcare Medical Systems and its associates, maintain a world-wide organization of
stations from which to furnish periodic and/or emergency service on a contract basis. A SG
representative will be glad to discuss this plan. SG Healthcare Medical Systems X-ray equipment
contains operating safeguards designed to provide maximum safety. Before calling for service, be certain
This equipment should be cleaned frequently, particularly if corroding chemicals are present. Use a cloth
moistened in warm soapy water (use mild soap) to clean the trim and nameplate of the Operator’s
Controls. Wipe with a cloth moistened in clean water. Do not use cleaners or solvents of any kind as
they may dull the finish or blur the lettering. Polish with a pure liquid or paste wax. Other surfaces of
the equipment can be cleaned using a clean cloth moistened slightly with a good mild cleaner and
polish acceptable for use on enameled metal surfaces. Before each use, equipment surfaces that contact
the patient should be cleaned with an EPA registered, low-level disinfection or sanitizing agent.
CAUTION
agents.
Note Be sure to follow the label instructions and pre-cautions for use,
Packing Materials
- . . A . A A : . . - A .: :
. .: C A. : : A: C . : . . A: . !
- :. : . : .: . A : . .: C :. :. A. : C.
: . . .: : : . A . : : : A
. : . : .: . . .: C . .:
. : A A . , ( :. . : A
Appendix(B(
System(Specification
Basic Specification
Environment Requirements
Operating Conditions
!! Impedance: ≤ 0.15
Power Output
Time of Exposure
kV Range 40-125kV
mA Range 10-500mA
. : .
Max Anode : :: ): :
Tube Assembly Focus Type
Heat Content . . . :
. . :
Norminal
E7239X 1.0/2.0 140kHU 125kV, 4.0mA 0.9mAl
Focal Spot
Tube
Product Description
Maximum Potential Difference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 kV
Cathode to Ground . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82.5 kV
Anode to Ground . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82.5 kV
Anode Heat Storage Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 kJ (140 kHU)
Maximum Anode Heat Dissipation Rate . . . . . . . . . . . . . . . . . . . . . . . . 475 W (667HU/s)
Housing Heat Storage Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 900 kJ (1250 kHU)
Maximum Continuous Heat Dissipation :
Without air circulator . . . . . . . . . . . . . . . . . . . . . . . . . . . 180 W (150 kHU/min)
X-Ray Tube Assembly (Insert and Housing) :
Permanent Filtration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.9mm Al/75kV IEC 60522:1999
Loading Factors for Leakage Radiation . . . . . . . . . . . . . 125 kV, 4.0 mA
Operating Limits :
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 ~40°C
Humidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 ~85%
High Voltage Cable receptacles. . . . . . . . . . . . . . . Accommodated with IEC 60526 type
Nominal Focal Spot Value :
Large Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.0mm
Small Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.0mm
Collimator
150kvp.
Maximum x-ray tube voltage
Weight 5kg
*( The tube rotation angle range around tube arm shall not less than +135 degree~ -135
degrees.
*( The positioner shall have a SID range from 1000mm to 1800mm. Both ends of SID error limit
±15mm.
!! SID Indicator
!! Angle Indicator
Load Bearing
Unit :
!( Tube(
!! TUBE (E7239X)
2 9X) mm
E7 3
Unit :
mm
!! Collimator
!! Bucky Stand(SS-1000K)
!! Floor Mounted Tube Stand(SS-2000K)
SG Healthcare Co., Ltd.
Tel : +82-70-7011-6161
FAX : +82-31-737-4954
Website : http://www.sghealthcare.com