Flexavision (Operation Manual)

M506-E051T
Jun. 2017
Remote Controlled R/F System
ZSU-5D
ZSU-5DS
Operation Manual
Read the manual thoroughly before you use the product.
Keep this manual for future reference.
About the Symbols Appearing in this Manual
Throughout the text in this manual, warnings and other information essential when using this unit, such as
cautionary or prohibited items, appear classified as per the following:
Mark Description
Indicates an imminently hazardous situation which, if not avoided, will

result in serious injury or death.
Indicates a potentially hazardous situation which, if not avoided, could result

in serious injury or possibly death.
Indicates a potentially hazardous situation which, if not avoided, may result

in minor to moderate injury or equipment damage.
Emphasizes additional information that is provided to ensure the proper use

of this product.
Indicates information provided to improve product performance.
Indicates the location of related reference information.
Revision History
Revision Date Comments Software Revision
Changed F3 package "4.5.5 Setting Fluoroscopic Image

J Mar. 2013 H-reverse", "4.5.6 Setting Fluoroscopic Image V-
reverse"
K Jun. 2014 Caution on the X-ray tube unit pulling back added
Imaging unit shift button (Collimator) added

L Sep. 2014
Changed "6.12 Auxiliary Tabletop"
M Sep. 2015 Changed "6.15 Add On Console"
Changed "4.10 Add On Console"

N Jan. 2016
Added Second X-ray tube
Added Note in "4.2.2 Digital Radiography Technique"

P Sep. 2016
Changed Labels
Changed "8.1 Specifications" and "8.3 Product

Nameplates and Labels" and a caution in "4.2.5
R Nov. 2016
Selecting the FPD Portable Radiography Technique".
Added some cautions in Introduction.
Modified "3.6 X-ray Tube Unit Warm-up"

T Jun. 2017
Changed "8.1 Specifications"
Introduction
Thank you for purchasing the Remote Controlled R/F System ZSU-5D/5DS
(hereafter referred to as "equipment").
Before reading this operation manual, be sure to read M517-E132 REMOTE-
CONTROLLED R/F SYSTEM FLEXAVISION Operation Manual, which
describes product warranty, after-sales services, various precautions for safety,
use conditions, product maintenance, etc. This operation manual contains
further detailed information for using the equipment correctly. Read each of
these manuals before using the equipment, and use it correctly. Failure to
observe the cautions in these manual may result in damage to the equipment or
harm to the operator and the patient (person being X-rayed). Also note that it is
not possible to anticipate all hazards and include cautions that cover them.
Therefore before using the equipment with a method not explained in the
instruction manual, or if you are unsure about any point in the operation manual,
contact the Shimadzu representative from whom you purchased the equipment.
This manual should be kept available for future reference. If the user or usage
location changes, ensure that this operation manual is always kept together with
the equipment. Periodically check to be sure that the operation manual and the
warning labels are not missing or damaged. If they are, contact your Shimadzu
service representative for replacement.
Original version is approved in English.
Notice
• All copyrights regarding this manual are property of Shimadzu
Corporation.
• Neither all nor part of these contents shall be reproduced or duplicated
without the express permission of Shimadzu Corporation.
• Content of this manual may be changed for improvement without notice.
Although every possible effort has been made to avoid errors while
creating this manual, immediate revision may not be possible in the
event that errors or missing information are detected.
• Screen images and illustrations contained in this manual may differ from
those in actual use, and are intended for example purposes only.
Illustrations may also use partial images.
• ZSU-5D/5DS is registered trademark of Shimadzu Corporation in the
United States and Europe (Office for Harmonization in the Internal
Market).
• Other company names and product names mentioned in this manual
are trademarks or registered trademarks of their respective companies.
• The TM and  symbols are omitted in this manual.
2007-2017 Shimadzu Corporation. All rights reserved.

Introduction
Software
This instruction manual corresponds to the following software.
• X-ray diagnostic table: Revision: 2.

• X-ray high-voltage generator: Revision: 10. or Revision: 2.
• R300: Revision: 1.
Technical Terms
 Abbreviations
AEC: Automatic Exposure Control
APR: Anatomical Program
CR: Computed Radiography
DR: Digital Radiography
FFD: Focus to Film Distance (Distance between X-ray focus and cassette surface)
IBS: Image Brightness Stabilizer
I.I.: Image Intensifier
EMC: Electromagnetic Compatibility
FPD: Flat Panel Detector
SID: Source Image Distance
 Units
kV: kilovolt
mA: milliampere
mAs: milliampere second
min: minute
ms (msec): millisecond
sec: second
II ZSU-5D/5DS Operation Manual M506-E051

Introduction
Disposal Precautions 1
1
When disposing of the equipment, contact your Shimadzu service representative.
An improper disposal of this equipment may pollute the environment by substances
contained in parts. 1
 Action for Environment (WEEE)
To all users of Shimadzu equipment in the European Union 1
Equipment marked with this symbol indicates that it was sold on or after 13th August 2005, which
means it should not be disposed of with general household waste. Note that our equipment is for
industrial/professional use only.
1
1
WEEE Mark
Contact your Shimadzu service representative when the equipment has reached the end of its
life. They will advise you regarding the equipment take-back. 1
With your co-operation we are aiming to reduce contamination from waste electronic and electrical
equipment and preserve natural resource through re-use and recycling. Do not hesitate to ask your
Shimadzu service representative, if you require further information.
1
 For California, USA Only
1
This product contains a battery that contains perchlorate material.
Perchlorate Material - special handling may apply. 1
See www.dtsc.ca.gov/hazardouswaste/perchlorate
1
M506-E051 ZSU-5D/5DS Operation Manual III
Introduction
This page is intentionally left blank.
IV ZSU-5D/5DS Operation Manual M506-E051

Contents
CONTENTS
Introduction
Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II
Technical Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II
Disposal Precautions . . . . . . . . . . . . . . . . . . . . . . . . III
Chapter 1 System Outline
1.1 Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

1.2 Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.3 Principle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.4 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Chapter 2 Configuration
2.1 Standard Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

2.2 Optional Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.3 Section Names and Functions . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
2.3.1 Remote Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
2.3.2 Collimator (R-300) Type Front Operation Panel . . . . . . . . . . . . . . . . 2-17
2.3.3 Local Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18
Chapter 3 Preparation
3.1 Start-up Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

3.1.1 Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.1.2 Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.1.3 Safety Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.2 Attaching Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
3.2.1 Attaching Foot Rest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
3.2.2 Attaching Hand Grips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
3.2.3 Attaching Shoulder Rests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.2.4 Attaching Grips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.2.5 Attaching Barium Cup Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
M506-E051 ZSU-5D/5DS Operation Manual Contents-1

Contents
3.3 Mounting/Removing/Rotating the FPD . . . . . . . . . . . . . . . . . . . 3-9

3.3.1 Mounting the FPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
3.3.2 Removing the FPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
3.3.3 Rotating the FPD to Change the Field . . . . . . . . . . . . . . . . . . . . . . . . 3-15
3.4 Mounting/Removing the Grid . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17
3.4.1 Removing the Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17
3.4.2 Mounting the Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
3.5 Turning Power On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
3.5.1 Turning Power On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
3.5.2 Turning Power Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21
3.6 X-ray Tube Unit Warm-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-22
Chapter 4 Operations
4.1 Fluoroscopy/Radiography Flow Charts . . . . . . . . . . . . . . . . . . . 4-2

4.1.1 Cassette Spot Radiography/Digital Radiography Flow Charts . . . . . . . 4-2
4.1.2 Cassette Tray Radiography/General Radiography Flow Chart . . . . . . 4-3
4.1.3 Digital Radiography Flow Chart That Includes Fluoroscopy . . . . . . . . 4-4
4.1.4 FPD Portable Radiography Flow Chart . . . . . . . . . . . . . . . . . . . . . . . . 4-5
4.2 Selecting Radiography Technique . . . . . . . . . . . . . . . . . . . . . . . 4-6
4.2.1 Cassette Spot Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
4.2.2 Digital Radiography Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
4.2.3 Cassette Tray Radiography Technique . . . . . . . . . . . . . . . . . . . . . . . . 4-7
4.2.4 General Radiography Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
4.2.5 Selecting the FPD Portable Radiography Technique . . . . . . . . . . . . . 4-11
4.2.6 Radiography by Extending the FFD/SID . . . . . . . . . . . . . . . . . . . . . . 4-13
4.2.7 Radiography with the X-ray Tube 37Swing-out Unit (Optional) . . . . 4-21
4.2.8 Radiography with the X-ray Tube 37/90 Swing-out Unit (Optional) . 4-22
4.3 Selecting APR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
4.3.1 Memory Shot Radiography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
4.3.2 Exposure by Manual Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
4.4 Positioning Operation for Exposure . . . . . . . . . . . . . . . . . . . . . 4-26
4.4.1 Safety Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26
4.4.2 Tilting Tabletop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27
4.4.3 Moving Tabletop Laterally . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
4.4.4 Moving Tabletop to Up/Down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
4.4.5 Moving Imaging Unit Longitudinally . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
4.4.6 Inclining Imaging Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-32
4.4.7 Operating Compression Cone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35
4.4.8 Specifying X-ray Exposure Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-37
4.5 Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
4.5.1 Selecting Fluoroscopic Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
Contents-2 ZSU-5D/5DS Operation Manual M506-E051

Contents
1
4.5.2 Changing Fluoroscopy Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
4.5.3 Setting the I.I. Field Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-43
4.5.4 Setting the FPD Field Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-44 1
4.5.5 Setting Fluoroscopic Image H-reverse . . . . . . . . . . . . . . . . . . . . . . . . 4-45
4.5.6 Setting Fluoroscopic Image V-reverse . . . . . . . . . . . . . . . . . . . . . . . . 4-45
4.5.7 Starting Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-46
4.5.8 Finishing Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-47 1
4.6 Changing Radiography Settings . . . . . . . . . . . . . . . . . . . . . . . 4-48
4.6.1 Switching Control Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-48
4.6.2 Setting Radiography kV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-49
4.6.3 Switching Radiography Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-49 1
4.6.4 Setting Radiography mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-50
4.6.5 Setting Radiography mAs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-50
4.6.6 Setting Radiography sec . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-51
4.6.7 Setting AEC Radiography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-51 1
4.6.8 Setting AEC Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-52
4.6.9 Setting AEC Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-52
4.6.10Setting AEC Pickup Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-53
4.6.11Selecting Division Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-53 1
4.6.12Setting the X-Ray Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-54
4.7 Preparing Cassette for Spot Radiography . . . . . . . . . . . . . . . 4-55
4.7.1
4.7.2
Loading Cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Moving Cassette to Stand-by Position . . . . . . . . . . . . . . . . . . . . . . . .
4-55
4-59 1
4.7.3 Checking Cassette Size Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-60
4.7.4 Removing Cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-61
4.8 Exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-63
4.8.1 Cassette Spot Radiography/Digital Radiography (Including FPD) . . . 4-63
1
4.8.2 Cassette Tray Radiography/General Radiography/
FPD Portable Radiography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-66
4.8.3 Display after Exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-68
4.9 Operating Interphone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-69
1
4.9.1 Outputting Sound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-69
4.10 Add On Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-70
1
Chapter 5 User Settings
1
5.1 Updating APR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
5.1.1 APR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
5.1.2 Updating APR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
1
5.2 Setting Fluoroscopy Timer . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
5.2.1 Setting Preset Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
1
Contents
Chapter 6 Optional Components
6.1 Local Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

6.2 X-ray Tube Swing-out Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
6.2.1 X-ray Tube 37 Swing-out Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
6.2.2 X-ray Tube 37/90 Swing-out Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
6.3 Cassette Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
6.4 Rolling Step . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
6.5 Communication Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
6.5.1 Receiving and Sending Radiography Settings . . . . . . . . . . . . . . . . . . 6-12
6.5.2 Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
6.6 Compression Band . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
6.7 Lateral Cassette/FPD Holder . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
6.8 Leg Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
6.9 Endoscope Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
6.10 Drain Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22
6.11 Elbow Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-23
6.12 Auxiliary Tabletop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
6.13 Tabletop Mat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-27
6.14 X-ray Tube 180° Swing Unit . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28
Chapter 7 Troubleshooting
7.1 Flow Chart for Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

7.2 Code List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.2.1 X-ray High-voltage Generator-related Codes . . . . . . . . . . . . . . . . . . . . 7-3
7.2.2 X-ray Diagnostic Table-related Codes . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Chapter 8 Technical Data
8.1 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

8.1.1 Specifications of Diagnostic Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.1.2 Specifications of X-ray Fluoroscopy/Radiography System . . . . . . . . . 8-8
8.1.3 Specifications of Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23

Contents
1
8.2 Reference Axis of Equipment . . . . . . . . . . . . . . . . . . . . . . . . . 8-34
8.3 Product Nameplates and Labels . . . . . . . . . . . . . . . . . . . . . . . 8-35
8.3.1 System Label FLEXAVISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-35
1
8.3.2 ZSU-5D Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-36
8.3.3 SDR-100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-42
8.3.4
8.3.5
SF-6020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
D14MM Series (Monitor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-44
8-44
1
8.3.6 SDR-150C (Insulation Transformer) . . . . . . . . . . . . . . . . . . . . . . . . . 8-45
8.3.7 FPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-45
8.4 Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-46 1
INDEX
1
1
Contents

1 System Outline
 Chapter Contents
1.1 Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.2 Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
1.3 Principle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7
1.4 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8
1 System Outline
1.1 Applications
The ZSU-5D/5DS is fluoroscopy equipment that comprises the X-ray television system FLEXAVISION
SF Package, FLEXAVISION HB Package, FLEXAVISION FD Package, and FLEXAVISION F3
Package, which are mainly intended for use in diagnoses of the chest and digestive organs.
Each package supports the following diagnoses applications.
FLEXAVISION FLEXAVISION FLEXAVISION FLEXAVISION

Application
SF HB FD F3
Fluoroscopy    
General Radiography    
Cassette Spot Radiography  
Cassette Tray Radiography 
Digital Radiography   

FPD Portable Radiography
(Optional)
* In this operation manual, the FLEXAVISION SF Package is represented as "FLEXAVISION ",

FLEXAVISION HB Package as "FLEXAVISION ", FLEXAVISION FD Package as "FLEXAVISION
", and FLEXAVISION F3 Package as "FLEXAVISION ".
By attaching options, the apparatuses such as the bucky stand, bucky table and wireless FPD can be
used in combination.
1-2 ZSU-5D/5DS Operation Manual M506-E051

1.2 Features
1.2 Features 1
 User-friendly Console
Various operations are available from a single console, i.e. operating diagnostic table and configuring 1
fluoroscopy/radiography settings. Advanced console design can respond flexibly to an immediate
radiography setting change. Multi-division exposure is achievable with the same operation for cassette
radiography as well as digital radiography (for FLEXAVISION and FLEXAVISION ).
Changing Fluoroscopy
1
/Radiography Settings Selecting Technique and APR
1
Operating X-ray Diagnostic Table Selecting Multi-division Exposures
Fig. 1.1 Console Features

1
 Compact Design
Requiring a small installation area, the system facilitates an effective use of your examination room.
*Minimum installation space: approx. 3.5 m x 2.3 m 1

 Cassette Spot Radiography Device Available for R/F in Various Sizes
With a variety of cassette sizes from 8" x 10" to 14" x 17", the size suitable for the examination region 1
can be selected. Exposure can be made in the best timing during fluoroscopic observation (with
FLEXAVISION and FLEXAVISION ).
 Wide-Examination Variety 1
• Large-area exposure including chest radiography or urology examination can be performed with
14" x 17" size cassette.
• Extending the X-ray tube unit by 1.5 m FFD (standard feature) enables a deglutition observation 1
even for patients in wheelchairs.
• Group examination mode provides a significant increase in the examination throughput (with
FLEXAVISION and FLEXAVISION ).
• Effective for chest radiography, examination of the urinary organs and so on using a 17"  14"
1
size FPD. (FLEXAVISION )
1
M506-E051 ZSU-5D/5DS Operation Manual 1-3
1 System Outline
• Radiography can be performed with the FPD removed from the fluoroscopy table (FPD portable
radiography), and the system also has a wide range of application to general radiography.
(FLEXAVISION )
• The X-ray grid can be removed, making it possible to hold exposure in check in gynecological
and pediatric examinations. (FLEXAVISION )
 Use in Combination with High Performance Digital Radiography Equipment

(FLEXAVISION , , )
• The digital radiography function eliminates the need for film replacement allowing physicians to
concentrate on examination.
• Supports the DICOM 3.0 global standard for medical images.
 User-friendly Tabletop (5DS Elevating Tabletop)

This adjustable tabletop can be lowered to a position that reduces patient stress. Adjust the tabletop up/
down for the operator to achieve a comfortable posture.
 Supportable to Various Optional Units

X-ray Tube 37 Swing-out Unit (FLEXAVISION , , )
Allows rotating the X-ray tube toward the front side of the diagnostic table to perform chest radiography
combined with a lieder stand.
Fig. 1.2 Radiography Using Lieder Stand

1.2 Features
X-ray Tube 37/90 Swing-out Unit (FLEXAVISION )

Allows rotating the X-ray tube toward the front side of the diagnostic table to perform chest radiography
1
combined with a lieder stand or bucky stand.
X-ray Tube 37 Swing-out X-ray Tube 90 Swing-out 1

Fig. 1.3 Radiography Using Lieder Stand and Bucky Stand
Oblique Projection Unit

1
Oblique projection by tilting the X-ray tube at a maximum 30° allows for effective GI, orthopedics and
other examinations.
- 30° 30° 1
Fig. 1.4 Tilting X-ray Tube

1
Chest Radiography Unit (1.8 m/2.0 m)
Extending the X-ray tube by 1.8 m/2.0 m achieves a longer FFD and enables chest radiography. FFD is
to be chosen between 1.8 m and 2.0 m at installation. (Cannot be used with FLEXAVISION )
1
1.8 m/2.0 m FFD
1
Fig. 1.5 Extending X-ray Tube 1
1
1 System Outline
X-ray Tube 180° Swing Unit

Allows rotating the X-ray tube by 90°,180° to perform chest radiography combined with a bucky table,
etc. and lieder stand.
90°
Mobile bucky table, etc.
Fig. 1.6 In case of bucky table
Lieder stand
180°
Fig. 1.7 In case of Lieder stand

1.3 Principle
1.3 Principle 1
• FLEXAVISION , FLEXAVISION and FLEXAVISION
This equipment visualizes the X-rays, which are radiated from the X-ray tube unit and passed
through the patient's body, using the image intensifier on the X-ray detection unit, picks up the
1
images using the television camera, and displays them on the monitor.
The images are not only displayed on the monitor but also recorded on the internal storage of the
digital image memory device. The user can play back the recorded images and apply various
processing on those images.
1
This equipment can also obtain flat images of the patient's body by measuring X-rays passed
through the patient's body on a film cassette or photostimulable phosphor plate cassette loaded
on the cassette radiography unit.
The optional X-ray tube swing-out unit allows for taking X-rays by directing the X-ray tube 1
towards the lieder stand or stretcher.
When combined with the X-ray radiography unit for the second X-ray tube (optional), it is also
possible to perform radiography using the second tube.
1
• FLEXAVISION
This equipment detects the X-rays, which are radiated from the X-ray tube unit and passed
through the patient's body, using an FPD, converts the detected data into image signals, and
takes them into the digital image memory device.
1
The images are not only displayed on the monitor but also recorded on the internal memory
storage.
The user can play back the recorded images and apply various processing on those images.
When combined with the X-ray radiography unit for the second X-ray tube (optional), it is also
1
possible to perform radiography using the second tube.
1
1 System Outline
1.4 Symbols
The symbols used on the equipment are shown below:
Symbol Location Meaning
On name plate Alternating current
On name plate Direct current
Inside the equipment, where protective

earth conductor in power cord is Protective earth ground
connected
On applied parts Safety classification: Type B
Remote control panel Power ON (partial circuit ON)
Remote control panel Power OFF (partial circuit OFF)
Observe described items, or refer to

On warning and caution labels
operation manual.
On name plate Refer to operation manual
On name plate Refer to operation manual
On name plate Serial number
On name plate Year and month of manufacture

1.4 Symbols
Symbol Location Meaning

1
On name plate Manufacturer
1
Collimator Danger of X-ray irradiation
1
On warning and caution labels Refer to operation manual
1
1 System Outline

2Configuration
2.1 Standard Configuration . . . . . . . . . . . . . . . . . . . . . . . . .2-2
2.2 Optional Components . . . . . . . . . . . . . . . . . . . . . . . . . .2-5
2.3 Section Names and Functions . . . . . . . . . . . . . . . . . . . .2-7
2 Configuration
2.1 Standard Configuration

ZSU-5D/5DS consists of the following components.
Collimator
Control Cabinet
Imaging Unit
Compression Unit
X-ray Diagnostic Table
Cassette
Radiography Device
( , , )
FPD Radiography Device

( )
Local Control Panel
Remote Console
(With DR , , ) (Without DR )
Fig. 2.1 Standard Configuration

2.1 Standard Configuration
 X-ray Diagnostic Table

The X-ray diagnostic table consists of an X-ray tube, collimator, cassette radiography device, and
tabletop. The accurate positioning for fluoroscopy and radiography is possible by tilting the tabletop or
moving it front and rear/up and down, and moving the imaging unit longitudinally/obliquely. Two table
types are available: 5DS (elevating tabletop) and 5D (not elevating tabletop). 2
 Collimator
The collimator automatically controls the X-ray exposure field required for fluoroscopy or radiography. 2
The following two types of collimator are available that depend on the package in use.
Collimator Package
R-30H FLEXAVISION , FLEXAVISION , FLEXAVISION

2
FLEXAVISION , FLEXAVISION , FLEXAVISION ,
R-300
FLEXAVISION
2
 Cassette Radiography Device/FPD Tray
• Cassette Radiography Device (FLEXAVISION , FLEXAVISION , FLEXAVISION
There are two types of cassette radiography devices: cassette spot radiography device and
)
2
cassette tray radiography device. For the cassette tray radiography device, 14"  17" cassette
tray is attached as standard and fluoroscopy can be performed even with the cassette tray
•
inserted when the cassette is not loaded.
FPD Tray (FLEXAVISION )
2
Fluoroscopy and general radiography can be performed using an FPD. The irradiation field size
can be changed between 14"  17" and 17"  14" by rotating the FPD.
2
 Local Control Panel
The local control panel is installed on the tabletop front cover to operate the diagnostic table locally.
2
 Control Cabinet
The control cabinet has an X-ray high-voltage generator built-in to control the high-voltage for
appropriate radiography. Units and PCBs are also built-in for controlling the table operation. 2
 Remote Console
The remote console operates the diagnostic table and spot radiography device remotely and configures
fluoroscopy/radiography settings.
2
2
2 Configuration
 Standard Accessories
The following accessories are attached as standard:
• Foot Rest 
• Hand Grips
• Shoulder Rests
• Grips
• Barium Cup Holder (optional for FLEXAVISION )
• Grid* (FLEXAVISION only)
: An applied part that contacts the patient's body.

2.2 Optional Components
2.2 Optional Components

The options for this system are as follows:
Name Description Reference

2
Used to move the diagnostic table and for other operations inside the
Local Console P.6-2
examination room. Mounted on wheels.
X-ray Tube Swing-out Enables radiography by swinging the X-ray tube unit toward the lieder
P.4-21
2
Unit stand.
For 14" x 14" (35 cm x 35 cm) cassette used in FLEXAVISION .

P.4-7
FLEXAVISION
Cassette Tray
cassette as standard.
INCLUDES a tray for 14" x 17" (35 cm x 43 cm)
P.4-9 2
Rolling Step Rotates with an electric turn table. P.6-11
Configures radiography settings received from an external equipment

Communication Unit such as CR. Also sends radiography settings to the external equipment. P.6-12 2
Cannot be used with FLEXAVISION .
Compression Band Fixes patient to compress the region to be examined. P.6-14
Lateral Cassette
Holder/Lateral FPD
Mounted on the tabletop side for lateral radiographs. Used for the
P.6-16
2
radiography combined with the second X-ray tube.
Holder
Support patient's lower legs for examinations in, e.g. urology and
Leg Supports
genitalia.
P.6-19
2
Endoscope Support Supports endoscope-fiber tube. Combined with the optional leg supports. P.6-21
Holds excretory substances such as urine in urethra or other

Drain Bag P.6-22
examinations. Vinyl material.
2
Fix operator’s elbows in urology examination. Combined with the drain
Elbow Supports P.6-23
bag.
Auxiliary Tabletop
Supports a tall patient's head as not to come out of the diagnostic table
during an examination of the patient’s toes.
P.6-25 2
Table top Mattress Reduces patient's discomfort on the tabletop. -
Voiding Cystographic
Chair
Used for urological examination in a sitting position -
2
Hand Grips(D) Large-sized hand grip. -
Hand Grips(E) Used to support the patient's body. -
Drip Stand Drip stand to attach to the tabletop of the X-ray diagnostic table. - 2
Foot Switch Used at fluoroscopy or radiography near the diagnostic table. -
Has more photo pickup fields than the standard photo timer. Used for
Direct Photo Timer
(AEC)
parts such as chest and abdomen, which need wider photo pickup fields. - 2
Supplied with FLEXAVISION as standard.
Controls the second X-ray tube. Supplied with a specific operation panel.
Second-tube Option -
For 20 kW cabinet, a tube selector unit is necessary.
2
2 Configuration
Name Description Reference
X-ray Tube 180 Swing Enables radiography by rotating the X-ray tube unit by 90, 180 toward
P.6-28
Unit the bucky table and lieder stand.
: An applied part that contacts the patient's body.

2.3 Section Names and Functions
2.3.1 Remote Console

2
 FLEXAVISION SF, HB, FD
1 2 3 4 8 9 0
2
n
5 6
o
2
m 7
d
a b c
j
2
l k i h g f e
2
Fig. 2.2 Remote Console (FLEXAVISION SF, HB, FD)
No. Button/Lever Name Function 2

Press to turn on the power.
Power ON Button
^ P.3-20
1 2
Press to turn off the power.
Power OFF Button
^ P.3-21
X-ray Tube Indicator

Lights up the number of the tube available for
exposure.
2
Lights up when the APR, to which memory shot
Memory Shot Indicator radiography is assigned, is selected.
^ P.4-24, P.4-48 2
2
Lights up green when the system finishes preparation
Radiography Ready
for exposure.
Up Indicator
^ P.4-63, P.4-65, P.4-66
2
Lights up yellow while X-rays are being irradiated.
X-ray Indicator
^ P.4-63, P.4-65, P.4-66
2
2 Configuration
No. Button/Lever Name Function
Lights up green when the system sets into the status

where radiography is available.
Stand-by Indicator Confirm this indicator is on before pressing the
[Exposure Button] or the hand switch to start
radiography.
Lights up yellow when fluoroscopy or radiography is

Caution Indicator unavailable.
^ P.7-3
Lights up red when the equipment breaks down.

Fault Indicator
^ P.7-3
2 Radiography kV Press or to set radiography kV.

Setting ^ P.4-49
Press or to set radiography mA/mAs. In 2

Radiography mA/mAs control mode, radiography mAs is displayed. In 3
Setting control mode, radiography mA is displayed.
^ P.4-50
Press or to set radiography sec in 3 control

mode.
Radiography sec
If the X-ray high-voltage generator has any defect, a
Setting
code indicating the status is displayed.
^ P.4-51, P.7-3
Press or to set fluoroscopy kV when the

Fluoroscopy kV
[IBS Switch] button is off.
Setting
^ P.4-42
Fluoroscopy accumulated time (actual measurement

Fluoroscopy value) is displayed. Before fluoroscopy, displays the
Accumulated Time preset time set by the [Fluoroscopy Timer
3
Indicator Preset] button.
^ P.4-47, P.5-5
Fluoroscopy mA Displays fluoroscopy mA. For pulsed fluoroscopy, the

Indicator average tube current is displayed.
Press to change the preset time on fluoroscopy timer.

Fluoroscopy Timer
The time value decreases by 30 seconds from 4.5 min.
Preset Button
^ P.5-5

Press (up) or (down) to set the density for AEC

Density Up/Down radiography to 7 levels. The density changes by 15%
Button for each level.
^ P.4-52 2
4
Specifies AEC radiography sensitivity in order of L, M,
H, and L. The sensitivity changes by 1.6 times for each
Speed Button
level.
^ P.4-52
2
Radiography mA/mAs Switches the mode between 2 and 3 controls.
Switch Button ^ P.4-48 2
5
Sets the focus at radiography. Select small focus to
Radiography Focus
light up the button.
Switch Button
^ P.4-49
2
Adjusts fluoroscopy kV automatically to keep the
6 IBS Switch Button brightness of fluoroscopy images.
^ P.4-41
Select for AEC radiography.

2
AEC Switch Button
^ P.4-51
7
Photo Pickup Field
Specifies the photo pickup field from the optional direct 2
photo timer (AEC).
Selection Button
^ P.4-53
Updates APR. Press the relevant [APR Button 2

Selection] while pressing this button, to update the
8 APR Setting Button
current condition setting.
^ P.5-4
2
2
2 Configuration
For chest radiography with the extended FFD, or for

General Radiography
cassette radiography.
Technique Button
^ P.4-10
Cassette Spot For cassette spot radiography.

Technique Button ^ P.4-6
For fluoroscopy examination, spot radiography (digital

Digital Radiography spot exposure), or serial radiography (digital
9 Technique Button continuous exposure).
^ P.4-6
Cassette Tray
For direct radiography using a cassette.
Radiography
^ P.4-7
Technique Button
Calls up the registered fluoroscopy/radiography

settings. Press to display the conditions, set at the APR
APR Button Selection
registration, on the remote console.
^ P.4-24
0 Stop Button Press to stop the diagnostic table movement.
Press after installing the cassette, to move it from the

a Cassette IN Button loading position to the stand-by position.
^ P.4-59
Displays the installed cassette size. If the diagnostic

Cassette Size table has any defect, a code indicating the status is
b
Indicator displayed.
^ P.4-60, P.7-7
*The following are for Spot and Digital Radiography. However, available buttons vary with each package.
^ P.4-53

1-ON-1 Format Button For non-division radiography.
2-ON-1 (vertical)
2
For vertical multi-division exposure.
Format Button
4-ON-1 Format Button For quarter multi-division exposure.

2
c
2-ON-1 (horizontal)
Format Button
For horizontal multi-division exposure. 2
For tripartition multi-division exposure.
3-ON-1 Format Button
Not selected when the digital radiography is performed. 2
Multi-division Displays available exposure times. Off if the exposure
Exposure Indicator cannot be performed.
2
Seriography Selection For serial radiography.
d
Button ^ P.4-54
2
Spot/Serial Press to select between spot and serial at digital
e
Radiography Selector radiography. Lights up for serial radiography.
Exposure Button
2
Exposure Button
Press to start radiography. For cassette spot and digital
radiography.
f
Tabletop/Imaging Unit
^ P.4-63 2
Control Lever
Tabletop/Imaging Unit Control Lever
Moves the tabletop laterally, and the imaging unit
Tabletop/
Imaging Unit Control
Lever
longitudinally.
^ P.4-29, P.4-31
2
2
2 Configuration
Press the left button to turn the rolling step (optional)

Rolling Step Control
counterclockwise and the right button clockwise.
Button
^ P.6-11
Inclines the imaging unit in the direction of the patient’s

Oblique Projection head (systems equipped with oblique projection unit
Head-side Button only).
^ P.4-32
g Moves the imaging unit from the oblique projection
position back to center position. Lights up when the X-
Oblique Projection
ray tube unit turns vertically against the tabletop
Center Button
(systems equipped with oblique projection unit only).
^ P.4-32

Oblique Projection feet (systems equipped with oblique projection unit
Foot-side Button only).
^ P.4-32
Reverses the fluoroscopic images in a horizontal

Image H-reverse
direction.
Button
^ P.4-45
Reverses the fluoroscopic images in a vertical

Image V-reverse
direction.
Button
^ P.4-45
The field size is changed between large and small with

I.I. Field Size Selection cyclic operation when the system is equipped with 12-
Button inch I.I. that supports more than 2 field sizes.
h ^ P.4-43
Fluoroscopy can be performed by stepping on the foot

Fluoroscopy Selection switch with this button on. Available only when the
Button selected technique supports fluoroscopy.
^ P.4-46
Press to turn off the audible warning. Blinks while the

audible warning sounds. Press and hold to reset the
Fluoroscopy Timer
fluoroscopy accumulated time with the fluoroscopy not
Button
performed.
^ P.4-47

Allows for the Trendelenburg tilting of the diagnostic

Trendelenburg table from the horizontal position. Operate [Tabletop
Permission Button Tilting Lever] to the left when the button is on.
^ P.4-27
2
Moves the tabletop upwards. Available only at the
Tabletop Ascending
horizontal position (only for 5DS).
Button
i ^ P.4-30
Moves the tabletop downwards. Available only at the

2
Tabletop Descending
horizontal position (only for 5DS).
Button
^ P.4-30
Tabletop Tilting Lever

Tilts the tabletop. 2
^ P.4-27
Adjusts the exposure field size automatically to the

Collimator Full-auto maximum according to the selected cassette size and
Mode Selection Button division button.
2
^ P.4-38
Keeps the fluoroscopy exposure field.

j
Collimator Manual
Mode Selection Button ^ P.4-38 2
Adjusts the vertical size of exposure field automatically
Collimator Semi-auto to the maximum, and keeps the horizontal size for
Mode Selection Button exposure.
^ P.4-38
2
Controls the automatic X-ray collimator shutters.
k
Collimator Operation
The right handle opens/closes the shutters in the
longitudinal direction.
2
Handle
The left opens/closes in the lateral direction.
^ P.4-37
2
2 Configuration
*The following are available for the system with the compression unit.
Squeeze Compression For squeeze compression.

Button ^ P.4-36
Compression Control Operates the compression unit.

Lever ^ P.4-35
MIC Volume Adjusts microphone volume on the operator’s side.
Speaker Volume Adjusts speaker volume on the operator’s side.
Operate the system from the remote console when this

Remote/Local Console
n button is on.
Selector
Operate from the optional local console when it is off.
1st 2-position switch. The 1st position is to be ready for

position 2nd
o position Hand Switch exposure, and the 2nd is to make exposure.
^ P.4-65, P.4-66

 FLEXAVISION F3
This section explains the functions specific to FLEXAVISION that are available on the remote
console.
For details on other functions, see the following reference.

^ "FLEXAVISION SF, HB, FD" P.2-7 2
b 9
2
2
j h
Fig. 2.3 Remote Console (FLEXAVISION F3)

2
General Radiography
For chest radiography with an extended X-ray tube
(FFD) and cassette radiography.
2
Technique Button
^ P.4-10
9
FPD Portable
Radiography Button
For radiography when the FPD is placed on the
tabletop of the X-ray diagnostic table. 2
^P.4-11
For fluoroscopy examination, spot radiography (digital

Digital Radiography
Technique Button
spot exposure), or serial radiography (digital
continuous exposure).
2
^ P.4-6
Displays the size of the FPD. If there is a problem with
b
FPD Field Size
Indicator
the X-ray diagnostic table, a code indicating the status
is displayed.
2
^ P.4-44, P.7-7
• Lit: Indicates that the grid unit is not installed.
h
Grid Status Lamp
Button
• Blinking: Indicates that the grid unit is not inserted
all the way in.
2
• Off: Indicates that the grid unit is installed.
2
2 Configuration
Change the field size to a smaller field.

Field Size Selection
j
Button
Change the field size to a larger field.

2.3.2 Collimator (R-300) Type Front Operation Panel
This section explains the functions available on the front operation panel of the collimator (R-300).
2
1
6 2
7 2
3
2
5 8 9 4
2
Fig. 2.4 Collimator (R-300) Front Operation Panel

2
Displays information including the irradiation field and
1 Display Panel
SID.
When the SID is displayed, change the SID that is used

2
as the reference for the irradiation field.
2 Change SID Button The SID changes each time the button is pressed.
The irradiation field will be calculated based on the set
SID, and will be shown in the display panel. 2
On pressing this button, the lamp and line marker
(option) are turned on for 30 seconds.
3 Lamp Button
On pressing it again, the lamp and line marker are
turned off. 2
Irradiation Field
4 Adjustment Knob
(for V leaves) 2
Used to adjust the irradiation field.
Irradiation Field
5 Adjustment Knob
(for H leaves) 2
Change the X-ray filter during exposure.
6 Filter Selection Button
This cannot be used during fluoroscopy examination.
2
2 Configuration
Enables knobs when digital technique is selected. The

Knob/Remote
7 irradiation field can be set using the knobs when this
Selection Button
button is lit.
The imaging unit moves towards where the patient's

Imaging unit shift
head is. The moving speed is fixed at 50 mm/sec
8 button
(* 100 mm/sec for some specifications, depending on
(towards the head)
the factory options).
The imaging unit moves towards where the patient's

Imaging unit shift
feet are. The moving speed is fixed at 50 mm/sec
9 button
(* 100 mm/sec for some specifications, depending on
(towards the feet)
the factory options).
2.3.3 Local Control Panel
The local control panel is located on the side of the X-ray diagnostic table. This enables the operation
right next to the diagnostic table, checking the patient and examination conditions.
Collimator Front
Operation Panel
Local Control Panel
Fig. 2.5 Local Control Panel
5DS (elevating tabletop)
1 2 3 4 5 6 7 8 9

5D (not elevating tabletop)
2
1 2 3 4 5 6 9
2
No. Button Name Function
Tabletop Tilt-down Tilts the tabletop to the Trendelenburg position.

2
1
Button ^ P.4-27
2 Tabletop Tilt-up Button

Tilts the tabletop.
^ P.4-27
2
3 Tabletop Rear Button

Moves the tabletop to the patient’s left direction.
^ P.4-29 2
Moves the tabletop to the patient’s right direction.
4 Tabletop Front Button
^ P.4-29 2
Imaging Unit Head Moves the imaging unit to the patient’s head direction.
5
Button ^ P.4-31
2
Imaging Unit Foot Moves the imaging unit to the patient’s foot direction.
6
Button ^ P.4-31

2
Tabletop Ascending
7 horizontal position (only for 5DS).
Button
^ P.4-30
Tabletop Descending
Moves the tabletop downwards. Available only at the 2
8 horizontal position (only for 5DS).
Button
^ P.4-30
2
2
2 Configuration

3 Preparation
3.1 Start-up Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
3.2 Attaching Accessories . . . . . . . . . . . . . . . . . . . . . . . . . .3-3
3.3 Mounting/Removing/Rotating the FPD . . . . . . . . . . . . .3-9
3.4 Mounting/Removing the Grid . . . . . . . . . . . . . . . . . . . .3-17
3.5 Turning Power On/Off . . . . . . . . . . . . . . . . . . . . . . . . .3-20
3.6 X-ray Tube Unit Warm-up . . . . . . . . . . . . . . . . . . . . . .3-22
3 Preparation
3.1 Start-up Maintenance
3.1.1 Purpose
Start-up maintenance is required prior to operation in order to keep each unit in perfect condition, and
to prevent system malfunction during diagnoses.
3.1.2 Procedure
The start-up maintenance procedure is described in "Checklist for Start-up Maintenance" in the
REMOTE-CONTROLLED R/F SYSTEM FLEXAVISION Operation Manual. The list is intended to be
copied and filled in at every maintenance.
We recommend that the completed checklists be kept on hand for a certain period.
3.1.3 Safety Checks
The [Power ON] button on the remote console turns on/off the whole system
including the X-ray diagnostic table and the X-ray high-voltage generator.
Confirm that no work is being performed in the examination room before turning on the
power.

3.2 Attaching Accessories
3.2.1 Attaching Foot Rest

3
Insert foot rest into entries on tabletop slot rails.
1
2 Grasp both levers.
3
Slide the foot rest along the rails to the desired position.
3
The foot rest is adjustable to secure to any position on the rails (except the entry).
Release both levers.

3
4
Shake the foot rest back and forth to confirm that it is firmly secured on the rails.
5
3
Entry
Tabletop Slot Rail

3
3
Lever
Stopper
3
Fig. 3.1 Attaching Foot Rest

3
3
Completely fasten the Foot Rest to the tabletop.
If not secured, the Foot Rest may fall off the tabletop and injure the patient. 3
3
3 Preparation
Do NOT remove the stoppers at the end of the tabletop.

If they are removed, the foot rest may fall off the tabletop and cause patient injury.

3.2.2 Attaching Hand Grips
Turn 2 locking knobs counterclockwise to loosen and insert hand grips into tabletop
1
slot rails.
Slide the hand grips along the rail to the desired positions.
3
2
The hand grips are adjustable to secure to any position on the rails.
3 Turn the 2 locking knobs clockwise to tighten completely. 3

The hand grips are now secured.
Locking Knob
3
3
Tabletop Slot Rail
3
Fig. 3.2 Attaching Hand Grips
Completely fasten the Hand Grips to the tabletop. 3

Otherwise, the Hand Grips may fall off the tabletop and injure the patient.
3
Do NOT use the Hand Grips to support a patient's full weight.
When tilting the tabletop, the patient may fall off the tabletop.
3
Attach the hand grips where the patient can hold them comfortably (where his arms or elbows do
not protrude beyond the tabletop).
3
3 Preparation
3.2.3 Attaching Shoulder Rests
Turn knobs counterclockwise to loosen and insert shoulder rests into tabletop slot
1
rails.
Slide the shoulder rests along the rails to the desired positions.
2
The shoulder rests are adjustable to secure to any position on the rails.
Turn the knobs clockwise to tighten completely.

3
The shoulder rests are now secured.
Locking Knob
Tabletop Slot Rail
Fig. 3.3 Attaching Shoulder Rests
Completely fasten the Shoulder Rests to the tabletop.

Otherwise, the Shoulder Rests may fall off the tabletop and injure the patient.
Do NOT use Shoulder Rests to support a patient's full weight.

When tilting the tabletop, the patient may fall off the tabletop.

3.2.4 Attaching Grips
Turn grips counterclockwise to loosen nuts and insert the grips into tabletop slot rails.
1
2 Slide the grips along the rails to the desired positions.
3
The grips are adjustable to secure to any position on the rails.
Turn the grips clockwise to tighten completely.

3
The grips are now secured. 3
3
Grip
3
Tabletop Slot Rail
Nut
3
Fig. 3.4 Attaching Grips
Completely fasten the Grips to the tabletop.

3
If not, the Grips may fall off the tabletop and injure the patient.
3
Do NOT use the Grips to support a patient's full weight.
When tilting the tabletop, the patient may fall off.
3
3
Attach the grips where the patient can hold them comfortably (where his arms or elbows do not
protrude beyond the tabletop).
3
3 Preparation
3.2.5 Attaching Barium Cup Holder
After removing the barium cup holder to wash, follow the procedure below to reattach it.
Hook the barium cup holder onto the collar groove portion of the diagnostic table
1
column.
Confirm that the barium cup holder rotates smoothly.

2
Collar Groove Portion
Fig. 3.5 Attaching Barium Cup Holder

3.3 Mounting/Removing/Rotating the FPD

The FPD is used with FLEXAVISION .
This section explains the procedure for mounting and removing FPD as well as rotating it to change the 3
field.
The FPD can be mounted and removed while the power to it is ON.
3
3.3.1 Mounting the FPD
3
Press the [Tabletop Rear] button on the local control panel to move the
1
tabletop all the way back.
2 Draw the FPD tray toward you by its handle. 3
3
FPD Tray
Fig. 3.6 Pulling Out the FPD Tray 3
Push the FPD in firmly as far as it will go.
3
3
3
Fig. 3.7 Inserting the FPD
4 Pull up the stop's pin and set the stop on the FPD. 3
3
Pin Stop
Fig. 3.8 Setting the Stop 3

3 Preparation
Hold the guide and rotate the FPD tray until the power box's connector can be seen.
5
Guide
Fig. 3.9 Rotating the FPD
Route the sensor cable around the guide.

6
Sensor Cable
Guide
Fig. 3.10 Routing the Sensor Cable
Connect the sensor cable while it is directed by the guide.

If the sensor cable is not connected by directing it with the guide, it may be pinched and
damaged when the FPD tray is stowed away.
Hold the guide with your left hand and line up the alignment marks of the connector at
7
the power box side and the connector at the FPD side.
Connector at Connector at
FPD Side Power Box Side
Connector at
Power Box Side Alignment Mark Alignment Mark
Connector at
FPD Side
Grip Grip
Guide
Fig. 3.11 Connecting the Connector

Hold the grip on the sensor cable when connecting or disconnecting the 3
connector.
Making the connection while holding the sensor cable itself, or while the cable is twisted,
can break wires in the cable or lead to short circuits.
3
Push in the grip of the connector at the FPD side with your right hand until you feel it
8
click.
3
Now push the grip in further until you feel it click again.
9
Stow away the FPD tray.
10 3
When the connector is locked, the status indicator lamp (Power lamp) on the FPD lights in
blue.
Status Indicator Lamp

3
(Power Lamp)
Fig. 3.12 FPD Status Indicator Lamp

3
Hold the guide and straighten up the FPD tray.
11
3
Guide
3
Fig. 3.13 Setting the FPD
3
3 Preparation
Hold it by the handle and push the FPD tray in firmly as far as it will go.
12
Fig. 3.14 Setting the FPD Tray
Push the FPD tray in firmly as far as it will go.

If it is not in as far as it will go, the X-ray diagnostic table may not operate, and fluoroscopy and
radiography may not be possible.
Do NOT apply any force to the top of the FPD tray while it is pulled out.
This could damage the FPD tray.
Do NOT put your hand on the FPD tray when pushing the FPD tray.
Otherwise, your hand may be caught in it.

3.3.2 Removing the FPD
1
Draw the FPD tray toward you by its handle.

3
2
3
FPD Tray

Hold the guide and rotate the FPD tray to a position where the connecting part of the
3
connector can be seen.
3
Guide 3
Fig. 3.16 Rotating the FPD 3

While holding the guide with your left hand, pull the grip at the FPD side toward you
4
with your right hand to unlock the connector.
3
Connector at
Power Box Side
3
Connector at
FPD Side
3
Guide
Fig. 3.17 Removing the FPD

3
3
Do NOT disconnect the sensor cable when the BUSY status indicator lamp is lit in
yellow.
Captured radiographic images will be lost. 3
3 Preparation
Pull the grip further toward you to disconnect the connector at the FPD side.
5
Hold the guide and straighten up the FPD tray.
6
Guide
Pull up the pin and remove the stop.

7
Pin Stop
Fig. 3.19 Releasing the Stop
Holding it by its handle, take the FPD out of the FPD tray.
8
Handle
Draw the FPD out by its handle.

The surface of the FPD (particularly back surface) can become very hot immediately
after fluoroscopy.

3.3.3 Rotating the FPD to Change the Field
By rotating the FPD the filming size can be changed to 14  17 or 17  14.
1 Press the [Tabletop Tilt-down] or [Tabletop Tilt-up] button on the local 3

control panel to tilt the tabletop to the horizontal position, and then press
the [Tabletop Rear] button to move the tabletop all the way back.
2 Draw the FPD tray toward you by its handle. 3
3
FPD Tray

Hold the guide and rotate the FPD through 90.
3
3
Guide
3
3
Rotate the FPD using the guide and without placing your free hand on the tray.
Placing either of your hands on the tray or rotating the FPD without using the guide may
cause your hands to become caught. 3
Hold it by the handle and push the FPD tray in firmly as far as it will go.
4
3
3
3
3 Preparation
Push the FPD tray in firmly as far as it will go.

The collimator recognizes the filming size.
Check that the filming size has changed on the collimator's display panel.
5
Fig. 3.24 Collimator Display Panel
Do NOT apply any force to the top of the FPD tray while it is pulled out.
This could damage the FPD tray.

3.4 Mounting/Removing the Grid

Using the anti-scatter grid improves image quality by reducing the impact of scattered X-ray.
However, the X-ray grid should be removed when the exposure level must be reduced to perform
radiography for pregnant women or infants.
3
3
Move the tabletop all the way back and lift the hand guard when removing or
attaching the grid. 3
Otherwise, your hand may be caught between the tabletop and the grid, and your
fingers may be injured with the hand guard.
3
3
Do NOT operate the device by other operators when removing or attaching the
grid.
Otherwise, your hand may be caught between the tabletop and the grid.
3
3.4.1 Removing the Grid 3

1
3
Draw the grid toward you by its handle.
2
3
3
Grid Hand Guard Grid Hand Guard
FLEXAVISION , , FLEXAVISION
Fig. 3.25 Pulling Out the Grid 3
3
3 Preparation
The grid is heavy. Do NOT hold the grid with one hand. Do NOT hold the grid type
indicator.
The grid type indicator is not designed to support the entire weight of the grid.
Dropping the grid may cause personal injury or damage the grid.
3.4.2 Mounting the Grid
1
Check the top/bottom orientation of the grid and push it firmly in as far as it will go
2
along the guides.
Guide Top Guide
Bottom
Grid
Hand Guard Hand Guard

Guide Guide
Grid
Guide Grid Guide
FLEXAVISION , , FLEXAVISION
Fig. 3.26 Mounting the Grid
Check the vertical orientation of the grid when mounting it. It cannot be mounted upside down.

Push the grid in firmly as far as it will go.

3
The state of the grid can be checked using the grid status button. 3
Button Display State
Lit The grid is not installed. 3

Blinking The grid is not inserted all the way in.
Off The grid is installed.
3
3 Preparation
3.5 Turning Power On/Off

This section describes the procedures for turning the system on/off.
3.5.1 Turning Power On
Contact your Shimadzu representative if any of the following problems occurs

while the power is on.
• The remote console display shows an abnormality, such as flickering.
• An abnormal sound arises from the remote console.
• The X-ray tube produces an abnormal sound or vibration.
Confirm that the [Power OFF] button is lit on the remote console.
1
If not, turn on the circuit breaker of the distribution board.
Press the [Power ON] button on the remote console.

2
The system is now turned on.
The [Stand-by Indicator] will light up on the remote console display after approx. 2
seconds from the time the [Power ON] button is pressed.
Wait at least 10 seconds before turning the power back on.

Otherwise, the system may not operate normally.
Wait approx. 10 seconds before starting operations after turning on the power or
canceling via the [Stop] button.
Otherwise, the system may not operate normally.

3.5 Turning Power On/Off
3.5.2 Turning Power Off
3
Do NOT turn off the power until approx. 5 seconds after X-ray irradiation, except
in case of an emergency.
If not, the life of X-ray tube may be shortened. 3
^ Instruction Manual of the X-ray tube
1 Press the [Power OFF] button on the remote console. 3

The system power is now turned off.
2 Confirm that the [Power OFF] button is lit on the remote console.
3
To turn off the [Power OFF] button, turn off the circuit breaker of distribution board.
* If a digital radiography unit is installed in your system, refer to the following operation manual for how to
turn off the unit power.
^ Digital Radiography System SDR-100 Operation Manual
3
Digital Radiography System SDR-150C Operation Manual
3
3 Preparation
3.6 X-ray Tube Unit Warm-up

Warm-up, breaking in the equipment, is required for the use of X-ray tube unit. Performing a
radiography without warm-up may result in an X-ray tube unit discharge. Before radiography, perform
warm-up following the procedure below.
To perform warm-up, be sure to completely close the exposure field shutters on the collimator.
Select a technique available for fluoroscopy ([Cassette Spot Technique] or [Digital

1
Radiography Technique]).
^ "4.2 Selecting Radiography Technique"
Turn off the [IBS Switch] button.

2
Set the fluoroscopy kV to 50 kV.
3
^ "Adjusting Fluoroscopy kV Manually" P.4-42
While performing the fluoroscopy, gradually increase the tube voltage by 10 kV/min.
4
Perform the fluoroscopy for 5 minutes at maximum voltage.
^ "4.5 Fluoroscopy"
Select [General Radiography Technique].

5
^ "4.2.4 General Radiography Technique"
Select [Large Focus].

6
^ "4.6.3 Switching Radiography Focus"
Pause for approx. 60 seconds. Configure each condition in the order below and
7
make exposures.
^ "4.6 Changing Radiography Settings"
1 80 kV, Approx. 1/2 of the maximum mA, 0.1 sec., Once.

For high-voltage radiography (130 kV or more), subsequently perform the following

8
exposures.

3.6 X-ray Tube Unit Warm-up
3
Confirm that the focuses can be switched to make exposures for an X-ray tube with multi-focus.
3
If an error occurs during warm-up, wait at least 60 seconds. Restart warm-up with less
radiography kV value by 30 kV than that at the time of error.
3
3
If using 2 or more X-ray tubes, perform warm-up for each unit.
3
^ For details on warm-up, refer to the instruction manual of your X-ray tube unit.
3
3 Preparation

4 Operations
4.1 Fluoroscopy/Radiography Flow Charts . . . . . . . . . . . . .4-2
4.2 Selecting Radiography Technique . . . . . . . . . . . . . . . . .4-6
4.3 Selecting APR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24
4.4 Positioning Operation for Exposure . . . . . . . . . . . . . . .4-26
4.5 Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-40
4.6 Changing Radiography Settings . . . . . . . . . . . . . . . . .4-48
4.7 Preparing Cassette for Spot Radiography . . . . . . . . . .4-55
4.8 Exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-63
4.9 Operating Interphone . . . . . . . . . . . . . . . . . . . . . . . . . .4-69
4.10 Add On Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-70
4 Operations
4.1 Fluoroscopy/Radiography Flow Charts
4.1.1 Cassette Spot Radiography/Digital Radiography Flow Charts
(FLEXAVISION , , )
Cassette Spot Radiography
Digital Radiography (Including FPD)
"3.1.3 Safety Checks" P.3-2

"3.5.1 Turning Power On" P.3-20
"3.6 X-ray Tube Unit Warm-up" P.3-22
"3.3.1 Mounting the FPD" P.3-9
"4.2 Selecting Radiography Technique"
"Radiography by Extending the FFD/SID" P.4-13
Enter patient information and start the examination
"4.3 Selecting APR" P.4-24
"4.4 Positioning Operation for Exposure" P.4-26

"4.5 Fluoroscopy" P.4-40
"4.6 Changing Radiography Settings" P.4-48
"4.7 Preparing Cassette for Spot Radiography" P.4-55
"4.8.1 Cassette Spot Radiography/Digital Radiography (Including FPD)" P.4-63
"4.8.3 Display after Exposure" P.4-68
End the examination
"3.5.2 Turning Power Off" P.3-21

4.1.2 Cassette Tray Radiography/General Radiography Flow Chart
Cassette Tray Radiography
General Radiography
4
4
"4.2 Selecting 4
Radiography Technique"
"Setting Cassette" P.4-7

4
"Radiography by Extending
the FFD/SID" P.4-13
"Cassette Radiography" P.4-10
"Radiography with the X-ray Tube 37
Swing-out Unit (Optional)" P.4-21
4
4
"4.3 Selecting APR" P.4-24
4
4
"4.8.2 Cassette Tray Radiography/General Radiography/ FPD Portable Radiography" P.4-66

4
"4.8.3 Display after Exposure" P.4-68 4

4
4
4 Operations
4.1.3 Digital Radiography Flow Chart That Includes Fluoroscopy
(FLEXAVISION )

"3.3.1 Mounting the FPD" P.3-9
"4.2 Selecting Radiography

Technique"
"Radiography by Extending the FFD/SID" P.4-13
Enter patient information and the radiography protocol and start the examination
(Check the radiography technique P.4-6)
(Check the APR P.4-24)

"4.5 Fluoroscopy" P.4-40
"4.8.1 Cassette Spot Radiography/Digital Radiography (Including FPD)" P.4-63
End the examination

4.1.4 FPD Portable Radiography Flow Chart

4
4
"Preparing the FPD" P.4-11
4
Enter patient information and the radiography protocol and start the examination
(Check the radiography technique P.4-6)
(Check the APR P.4-24) 4
"4.4 Positioning Operation for Exposure" P.4-26 4

4
"4.8.2 Cassette Tray Radiography/General Radiography/ FPD Portable Radiography" P.4-66
4
4
End the examination
4
4
4 Operations
4.2 Selecting Radiography Technique

Select the remote console button of the radiography technique that corresponds to the desired
examination purpose.
Available buttons vary depending on the system in use.
4.2.1 Cassette Spot Technique
Press the [Cassette Spot Technique] button for cassette spot radiography. With the cassette spot
technique, you can locate an examination region while observing fluoroscopic images.
This technique is available with FLEXAVISION and FLEXAVISION .
Press the [Cassette Spot Technique] button.

1
The button lights up.
4.2.2 Digital Radiography Technique
Press the [Digital Radiography Technique] button for spot radiography (digital spot exposure) and
serial radiography (digital continuous exposure). The DR technique allows you to perform an exposure
while observing fluoroscopic images in order to locate the region being examined. Acquired image data
can be post-processed in the digital radiography unit.
This technique is available with FLEXAVISION , FLEXAVISION , and FLEXAVISION .
Press the [Digital Radiography Technique] button.

1
For details on the digital radiography, refer to the following operation manual.
^ Digital Radiography System SDR-100 Operation Manual (FLEXAVISION , FLEXAVISION )

Digital Radiography System SDR-150C Operation Manual (FLEXAVISION )
The radiography condition is limited to 50 kW for serial radiography in the digital radiography.
Also, do not perform serial radiography under the radiography condition exceeding the high-
speed serial load rating that is described in the X-ray tube instruction manual.

Press the stoppers located on opposite sides of the drawer to return it to its initial position (in the
remote control desk) after pulling it out when inputting patient data during digital radiography, etc.
4
4
4.2.3 Cassette Tray Radiography Technique
Press the [Cassette Tray Radiography Technique] button for direct radiography using a cassette.
4
This technique is available with FLEXAVISION .
* The cassette tray radiography technique does not support fluoroscopy. 4

Press the [Cassette Tray Radiography Technique] button.
1
4
 Setting Cassette
For available cassettes, refer to the following operation manual.
^ Remote-Controlled R/F System FLEXAVISION Operation Manual

4
Pull out the cassette tray.
1
Align the center of the cassette with the notch on the clamp handle when placing the
4
2
cassette on the cassette tray.
3 Slide the clamp handle toward the cassette. Push forward (A) until the cassette stops 4
at the marker of arrows on the tray.
4
4 Operations
Turn the knob (B) to secure the clamp handle.

4
Cassette
Knob
Notch
(B)
(A)
Clamp Handle
Fig. 4.1 Setting Cassette
Insert the tray all the way.

5
When the cassette is correctly set, the size of the installed cassette is displayed on the
[Cassette Size Indicator] of the remote console.
Confirm that the cassette tray is completely secured.

A loose tray may result in operator injury and/or system damage.
If the clamp handle is not completely locked, cassette size cannot be detected.
* FLEXAVISION comes standard with a 14" x 17" cassette tray. 14" x 14" cassette tray (optional) is sold
separately.

 Removing Cassette
Pull out the cassette tray.
1
Loosen the knob (A).
2
The clamp handle is released. 4
Pull the clamp handle (B).
3
Cassette
4
Knob
4
Notch
(A) 4
(B)
4
Clamp Handle
4
Fig. 4.2 Removing Cassette
Remove the cassette.

4 4
Completely reinsert the tray.
5
4
If the cassette tray is not completely inserted, fluoroscopy cannot be conducted and the imaging
unit will be inoperable.
4
4
4 Operations
4.2.4 General Radiography Technique
Press the [General Radiography Technique] button when you wish to a) rotate the X-ray tube to
access the exposures on the lieder stand, b) extend the FFD to conduct chest radiography, or c) place
the cassette on the tabletop to perform exposures.
* The general radiography technique does not support fluoroscopy.

Press the [General Radiography Technique] button.
1
 Cassette Radiography
To perform radiography, place a cassette directly on the tabletop and then place the region to be
examined onto the cassette.
Fig. 4.3 Cassette Radiography

4.2.5 Selecting the FPD Portable Radiography Technique
FPD portable radiography is performed for examinations that do not involve fluoroscopy.
Taking the FPD out of the tray and connecting it to the sensor unit cable (option) allows tabletop
radiography and stretcher radiography using the FPD. 4
The X-ray filter can be used in FPD portable radiography.
This button can be selected when using FLEXAVISION .
4
* Fluoroscopy cannot be performed using the FPD portable radiography technique.
1 Press the [FPD Portable Radiography Technique] button. 4

 Preparing the FPD 4

• Mount the FPD
Mount the FPD by referring to "3.3.1 Mounting the FPD" P.3-9.
• Move the FPD 4

Take the FPD out of the FPD tray and place it on the X-ray diagnostic table.
1
4
FPD
Fig. 4.4 Preparing the FPD

4
^ "3.3.2 Removing the FPD" P.3-13
Line up the alignment marks on the connector of the sensor unit cable (option) and
2 4
the connector at the FPD side.
FPD Side Connector Power Box Side

Connector
Alignment
Mark
Alignment
Mark
4
4
Grip Alignment Marks
Grip
Fig. 4.5 Positioning Marks on the Connector
4
4 Operations
Push in the grip of the connector at the FPD side until you feel a click.
3
4
Move the FPD to where it will be used.
5
Hold the FPD by the handle when moving it.

Hitting the FPD against anything, dropping it or subjecting it to strong impact could
cause its failure or damage it.
Be sure to clean the equipment frequently and after each patient use.
While doing so, do NOT directly apply or spray any disinfectant, cleaner, or water onto
the equipment. Wipe down all contact surfaces using a cloth moistened with an
appropriate disinfectant or cleaner. Make sure the cloth is NOT too wet. If it is, liquid
may enter into system electronics, causing failure or malfunction.
Hold the grip on the sensor cable (option) when connecting or disconnecting the
connector.
Making the connection while holding the sensor cable itself or pulling on the sensor
cable can break wires in the cable and lead to short circuits.
 Performing FPD Portable Radiography

Check the radiography position and perform radiography.
Fig. 4.6 FPD Portable Radiography (Example of Tabletop Use)

4.2.6 Radiography by Extending the FFD/SID
Perform chest radiography by extending the X-ray tube unit with the tabletop in the vertical position and
lengthening the FFD/SID. The FFD/SID can be extended up to 1.5 m on standard systems and up to
1.8 m/2.0 m on systems equipped with the relevant option (excluding FLEXAVISION ).
4
Tilt the X-ray diagnostic table up to the vertical position.
1
2 Hold the handle with your left hand, and raise the releasing lever at the X-ray tube
support with your right hand.
4
4
Releasing Lever
Handle
Fig. 4.7 Releasing Lever at X-ray Tube Support

4
4
The 37/90 swing-out unit option for FLEXAVISION has a grip-type handle.
4
4 Operations
Remove your hand from the releasing lever, and pull out the X-ray tube unit.
3
Completely pull out the unit until it clicks into position. Move the column back and forth to
check the unit is certainly locked. Operate standing behind the X-ray tube unit.
.
Fig. 4.8 Standing Position When Pulling Out X-ray Tube Unit
Move the column back and forth to check the X-ray tube unit is certainly locked.
* During installation, you can select one of the following system configurations to be used when the X-ray tube
(FFD/SID) is extended.
FFD is used as an example in the following explanation.
• The system will automatically change the technique so that you can perform radiography with the FFD
extended (FFD 1.5 m: Cassette Spot Technique or Cassette Tray Radiography Technique ;
FFD 1.8 m/2.0 m: General Radiography Technique ).
• The system will automatically change the technique so that you can perform radiography with the FFD
extended (FFD 1.5 m: Cassette Spot Technique or Cassette Tray Radiography Technique ;
FFD 1.8 m/2.0 m: General Radiography Technique ). In addition, the system will change the current
APR ( ) to the one used only with the FFD extended.
• The system will automatically change the current APR ( ) to the one used only with the FFD
extended. (Radiography technique will not change automatically.)
• Neither the radiography technique nor APR ( ) settings will change automatically.
* For the radiography by extending the X-ray tube unit by 1.8 m or 2.0 m FFD, use the cassette holder
provided as an option.
* Fluoroscopy cannot be performed with 1.8 m/2.0 m FFD.

Grasp handle firmly when pulling unit to avoid finger injury. 4
Pull out the X-ray tube unit after the tabletop stops automatically in a completely
vertical position by operation of the [Tabletop Tilting Lever] or the [Tabletop
4
Tilt-up] button.
The X-ray tube unit may slide out unintentionally if the tabletop is in a manually-
stoppable position. 4
The tabletop cannot be tilted when the X-ray tube is extended.

4
4
After pulling out the X-ray tube unit, it may be locked. Pull it out again about 5cm, and return it
slowly.
4
4 Operations
After radiography is complete, raise the releasing lever with your left hand and pull
4
back the X-ray tube unit with your right hand.
Completely pull back the unit until it clicks into position. Move the column back and forth to
check the unit is certainly locked. Operate standing between the tabletop and the X-ray tube
unit.
Fig. 4.9 Standing Position When Pulling Back X-ray Tube Unit
If not, the tilting or oblique projection may cause unintended movement of the unit.
* During installation, you can configure the system so that the following features can be selected while the X-
ray tube (FFD) is retracted.
• The system will restore the radiography technique and APR ( ) settings to what they were before the
FFD was extended.
If the chest radiography unit is used in combination, the speed at which the tabletop tilts will
decrease in accordance with the angle of the tilt or the position of the imaging unit.

 Extending X-ray Tube Unit by 1.8 m/2.0 m

Available when using FLEXAVISION , FLEXAVISION , and FLEXAVISION .
Tilt the diagnostic table to the vertical position.

1
2 Hold the handle with your left hand, and raise the releasing lever at the X-ray tube 4
support with your right hand.
4
Releasing Lever
Handle
Fig. 4.10 Releasing Lever at X-ray Tube Support

4
Remove your right hand from the releasing lever and pull out the X-ray tube unit.
3
Completely pull out the unit until it clicks into position. Move the column back and forth to check 4
the unit is certainly locked. Operate standing behind the X-ray tube unit.
Fig. 4.11 Standing Position When Pulling Out X-ray Tube Unit
4
4
4
4 Operations
To mount the cassette holder, follow the procedure of order 1 and 2 shown in Fig.
4
4.12.
The cassette holder only accommodates a 14" x 17" cassette. Grasp the cassette holder tightly as
shown in the figure below.
Chin Rest
1
Fig. 4.12 Mounting Cassette Holder
Install the cassette as shown in 3 below.

5
Completely insert the cassette.
Move the imaging unit longitudinally to adjust it to the patient’s height.

6
When moving the imaging unit longitudinally, instruct the patient to remove his
chin from the chin rest and take a step backward.
This will prevent the patient’s chin from making contact with the cassette holder.

Use the collimator lamp to adjust the size of the exposure field.
7
* The distance between the cassette holder and X-ray tube focus is 1.8 m or 2.0 m.
4
1.8 m or 2.0 m FFD

4
4
Fig. 4.13 Distance between Cassette Holder and X-ray Tube Focus
 Removing Cassette Holder 4

Firmly grab the cassette holder with both hands.
1
Pull the lower tab out in the direction of arrow 1 to remove.
2 4
While pushing the cassette holder lightly toward the column, pull up the holder in the
3
direction of arrow 2 to remove.
4
2
Column
4
1 4
Fig. 4.14 Removing Cassette Holder
4
4 Operations
After radiography is complete, raise the releasing lever and hold the handle to pull
4
back the X-ray tube unit.
Completely pull back the unit until it clicks into position. Move the column back and forth to
check the unit is certainly locked. Operate standing between the tabletop and the X-ray tube unit.
Fig. 4.15 Standing Position When Pulling Back X-ray Tube Unit
If not, the tilting or oblique projection may cause unintended movement of the unit.
Be sure to remove the cassette before removing the cassette holder.

This will prevent the cassette from falling out of the cassette holder.

4.2.7 Radiography with the X-ray Tube 37Swing-out Unit (Optional)
The X-ray Tube Swing-out Unit (optional) allows the X-ray tube to rotate towards the lieder stand
nearby, with the diagnostic table tilted to the vertical position.
Available when using FLEXAVISION , , and . 4

* During system installation, you can configure the system so that the following features can be selected while
the X-ray tube is rotating.
• The system will automatically change the radiography technique to General Radiography (
• The system will automatically change its setting to General Radiography (
).
), and the current APR
4
( ) setting will change to the one used only with the lieder stand.
• Neither the radiography technique nor APR ( ) settings will change automatically.
During system installation, you can configure the system so that the following features can be selected after
4
the X-ray tube stops rotating.
• Both the radiography and APR ( ) settings will revert to what they were before the X-ray tube unit
rotated.
4
Adjust the position of the lieder stand according to the patient's region.
1
Tilt the diagnostic table up to the vertical position.
2 4
Rotate the X-ray tube.
3
Pull the handle to rotate the X-ray tube toward the lieder stand. Confirm that the X-ray tube
clicks to be locked into position. The technique is switched to General Radiography ( ).
4
Handle
4
Fig. 4.16 Rotating X-ray Tube

4
4
The tabletop cannot be tilted while the X-ray tube is rotating.
4 Install the cassette on the lieder stand. 4

Move the imaging unit longitudinally to align the lieder stand with the collimator light
5
irradiation field.
4
4 Operations
4.2.8 Radiography with the X-ray Tube 37/90 Swing-out Unit

(Optional)
The X-ray Tube Swing-out Unit (optional) allows the X-ray tube to rotate manually towards the lieder
stand or bucky stand, with the diagnostic table tilted to the vertical position.
Available when using FLEXAVISION .
The tube rotation angle is 37 or 90.
Adjust the position of the lieder stand, or the bucky stand according to the patient's
1
region.
Tilt the diagnostic table up to the vertical position.

2
Pull up the stopper.
3
Stopper
Rotate the X-ray tube by 37 or 90.

4
While pulling up the stopper, rotate the tube by pressing the rubber part of the collimator.
Confirm that the X-ray tube clicks to be locked into position. The technique is switched to
General Radiography ( ).
Rubber Part of
the Collimator
Install the cassette or FPD on the radiography stand.

5

Move the imaging unit longitudinally to align the radiography stand with the collimator
6
light irradiation field.
4
• The tabletop cannot be tilted while the X-ray tube is rotating.
• Be sure to press the rubber part of the collimator when rotating the X-ray tube.
4
• The vertical position of FLEXAVISION is not completely at 90 angle but tilted by 2 for
safety. Therefore, when combined with a lieder stand or bucky stand for general radiography,
the exposure center will slightly shift due to the vertical angle 88, in the horizontal direction of
the bucky device according to the longitudinal movement of the imaging unit. 4
(The shift amount is 3.5 mm per 100 mm movement of the imaging unit.)
For this reason, when using a position-fixed type radiography stand, it is recommended to fix
the stand according to the position where the imaging unit is the most frequently used.
4
Shift Direction
of Exposure
Center 4
Movement
Direction of the
Imaging Unit
4
X-ray Tube 37 Swing-out Unit
4
After exposure, lift up the stopper while holding the collimator to return the X-ray tube
7
unit to the original position.
4
4
When returning the X-ray tube unit, be sure to hold the collimator with your
hands.
Otherwise, the collimator may move unintentionally, causing injury. 4
4
4 Operations
4.3 Selecting APR

There are two methods for exposure. Select an APR suitable for the desired appropriate exposure
method.
• Memory Shot Radiography

• Exposure using Manual Settings
^ For setting APR, see "5.1.2 Updating APR".
4.3.1 Memory Shot Radiography
In the memory shot radiography, the system automatically configures radiography settings according to
the X-ray dose detected during the fluoroscopy process.
The APR, to which the memory shot radiography is assigned, is selectable in the fluoroscopic
techniques (Cassette Spot Technique or Digital Radiography Technique ).
* When using FLEXAVISION , selecting the radiography protocol of the digital radiography system
automatically selects the radiography technique and APR and sets the fluoroscopy and radiography
conditions.
Press the [APR Button] to which the memory shot radiography is assigned.
1
The selected [APR Button] and [Memory Shot Indicator] will light up.
Preset conditions cannot be changed if memory shot radiography is preset to an APR.

To change memory shot settings, contact your Shimadzu service representative.
Be sure to conduct fluoroscopy before making exposures.

The system will not set appropriate X-ray conditions unless fluoroscopy has been conducted.

4.3 Selecting APR
4.3.2 Exposure by Manual Settings
When not selecting the memory shot, set the fluoroscopy/exposure settings manually.
^ "4.5.2 Changing Fluoroscopy Settings"

"4.6 Changing Radiography Settings" 4
Press an [APR Button] to which the memory shot radiography is not assigned.
1
• The selected [APR Button] will light up.
• The conditions preset with the APR are displayed on the remote console.
4
4
4 Operations
4.4 Positioning Operation for Exposure

Adjust the tabletop and imaging unit to make it easy for the patient to mount/dismount.
Move the tabletop and imaging unit to the appropriate positions in accordance with the area you wish to
examine.
4.4.1 Safety Sensor
The system is equipped with a sensor for the safety of caregiver and operator.
Should a foot or any object be caught by the tabletop at the vertical position while tilting it back
horizontally, the safety sensor will detect this and automatically bring the tilting movement to an
emergency stop. The tabletop cannot be moved horizontally or down (ZS-5DS only).
Safety Sensor
Fig. 4.17 Safety Sensor Position
Even if the safety sensor is activated, the tabletop can move back to the horizontal position. Removing
the detected object or foot releases the safety sensor.

4.4.2 Tilting Tabletop
Shift [Tabletop Tilting Lever] on the console, or press buttons on the local control panel as follows.
Tilt toward 1 Tilt toward 2

4

4
2
To left To right
4
Local Control Panel
4
* Releasing the [Tabletop Tilting Lever] stops the tabletop. 4

 Tilting Tabletop by Remote Console
Tilting from vertical to horizontal positions
4
Shifting the [Tabletop Tilting Lever] to the left tilts the tabletop to the horizontal position. The tabletop
will automatically stop at the horizontal position.
4
Tilting from horizontal position to Trendelenburg position
Press the [Trendelenburg Permission] button and shift the [Tabletop Tilting Lever] to the left while
the button is on. (The [Trendelenburg Permission] button can only be used when the tabletop is in 4
the horizontal position.)
* As long as the tabletop is in the Trendelenburg position, the [Trendelenburg Permission] button will 4
stay activated. When the tabletop tilts up beyond the horizontal line, the [Trendelenburg Permission]
button will be automatically deactivated.
4
4 Operations
 Tilting Tabletop by Local Control Panel

Tilting from vertical position to horizontal position
Pressing the button tilts the tabletop to the horizontal position. The tabletop will automatically stop
at the horizontal position.
Tilting from horizontal position to Trendelenburg position

After the tabletop automatically stops at the horizontal position, release the button, and press it
again.
Be sure to exercise caution to prevent the patient from falling off the tabletop
when it is in the Trendelenburg position.
Confirm that the shoulder rests, hand grips, and other accessories are completely
secured to the tabletop. Instruct the patient to grab the hand grips firmly.
Ensure that no people or objects are under the tabletop.

People or objects may become caught under the tabletop.
Do NOT tilt the tabletop if Leg Supports, a Drain Bag, or an Auxiliary Tabletop is
attached.
Accessories may be damaged by contact with the ceiling or floor.
If the oblique projection unit or chest radiography unit are used in combination, the speed at
which the tabletop tilts will decrease in accordance with the angle of the oblique/tilt or the position
of the imaging unit.

4.4.3 Moving Tabletop Laterally
Shift [Tabletop/Imaging Unit Control Lever] on the console, or press buttons on the local control panel
as follows.
Move to 1 (rear) Move to 2 (front) 4
4
Control Lever
2
1 4
To right To left
Local Control Panel 4
4
* The forward movement of the tabletop here refers to the patient's right when he lies face-up on the tabletop.
Do NOT press [Exposure Button] accidentally when operating the tabletop using 4
[Tabletop/Imaging Unit Control Lever].
Exposure Button
4
4
4 Operations
4.4.4 Moving Tabletop to Up/Down
Press the following buttons on the console or local control panel to raise or lower the tabletop at the
horizontal position. The tabletop will remain in motion while buttons are pressed. When lowering, the
tabletop will automatically stop once at the height of 850 mm (only for 5DS).
Raise to 1 Lower to 2
Remote Console
Local Control Panel
* The tabletop can be moved longitudinally only at the horizontal position.
* The LED status indicates the current tabletop height.

1 Off with tabletop above 850 mm
2 Blinks with tabletop below 850 mm
3 On with tabletop at the lowest position (690 mm)
*The standard height: 850 mm (The height does not limit the imaging unit stroke.)
At 2 and 3, the imaging unit travel is limited in head and foot directions.
*If the tabletop descends below 850 mm, an audible warning will sound.
Fig. 4.18 LED Indicating Tabletop Height (Remote Console: Left, and Local Control Panel: Right)

4.4.5 Moving Imaging Unit Longitudinally
Shift [Tabletop/Imaging Unit Control Lever] on the console, or press buttons on the local control panel
as follows. The system is configured so that the motion of the [Tabletop/Imaging Unit Control Lever]
corresponds to the direction of the patient’s movement as displayed on the monitor.
4
Move to 1 (head) Move to 2 (foot)
4
Control Lever
1
4
2
Backward Forward
Local Control Panel

4
1
4
Collimator
4
2
* The head direction of the imaging unit denotes the patient's head direction on the tabletop. 4
* Operating the [Image H-reverse] or [Image V-reverse] button changes the apparent movement 4
direction of the imaging unit and tabletop.
4
The tabletop and imaging unit can also be operated by coordinating movement of the lever and
tabletop so that the patient can be viewed directly without reversing the actual position of the 4
tabletop.
For details, contact your Shimadzu service representative.
4
4 Operations
4.4.6 Inclining Imaging Unit
Press the [Oblique Projection] button on the console to incline the imaging unit. Oblique projection can
be performed on the system in which an oblique projection unit is installed, which allows for an oblique
angle of  30º at maximum.
Pressing each [Oblique Projection] button inclines the imaging unit. Check the angle indication on the
column, and adjust the oblique angle by pressing the [Oblique Projection Head-side],
[Oblique Projection Center], and [Oblique Projection Foot-side] buttons. The unit will continue to
be inclined while the buttons are pressed.
- 30º 30º
Fig. 4.19 Oblique Projection
Oblique Button Function
Inclines the imaging unit toward the patient's head direction on the
[Oblique Projection Head-side]
tabletop.
Returns the imaging unit from the oblique projection position to the
[Oblique Projection Center] center. The button lights up when the X-ray tube unit turns vertically
against the tabletop.
Inclines the imaging unit toward the patient's foot direction on the
[Oblique Projection Foot-side]
tabletop.
Pay close attention when inclining the imaging unit in the direction of the
patient’s feet. Carefully move the tabletop and the imaging unit horizontally when
the unit is in close proximity to the patient’s feet.
The compression cone, or, when the cone is stored, the projecting portion including the
compression unit will be in close proximity to the patient and/or system accessories.
Exercise caution to avoid patient injury and/or accessory damage.

Pull out the X-ray tube unit after the tabletop stops automatically in a vertical 4
position completely by keeping operation of the [Tabletop tilting Lever] or the
[Tabletop Tilt-up] button.
Also, set an oblique angle to 0 degrees ( lights ON) by pressing
Projection Center] button on remote console.
[Oblique
4
The X-ray tube unit may slide out unintentionally if the tabletop stays in a manually-
stoppable position.
4
4
Imaging unit movement is limited during oblique projection to prevent contact with the ceiling
and/or floor.
4
4
Compression can be used when the oblique angle is between  10º.
Compression 4
available
- 10º 10º
Compression
unavailable
Compression
unavailable 4
4
The imaging unit can only be inclined outside of a range of  10º when the compression cone is
in the stand-by position.
4
4 Operations
In cassette radiography, fluoroscopic images are not reflected on radiographic images because
of the difference in height between the fluoroscopic and radiographic image reception areas.
Consequently, the radiographic and fluoroscopic fields are different when the X-ray tube is in an
inclined position.
If the oblique projection unit is used in combination, the speed at which the tabletop tilts will
decrease in accordance with the angle of the oblique/tilt or the position of the imaging unit.
When extending the X-ray tube unit, oblique operation is not available.

4.4.7 Operating Compression Cone
Shift [Compression Control Lever] on the console to compress the patient’s region. Compression can
be performed when the system is equipped with a compression unit.
4
Operate the compression unit with the [Squeeze Compression] button in the
off position, except when conducting Squeeze Compression.
Moving the tabletop or imaging unit with the
presents a risk of fracturing the patient’s ribs.
[Squeeze Compression] button on
4
With the [Squeeze Compression] button off, the compression cone automatically moves to the 4
stand-by position if the tabletop or imaging unit is operated during the compression.
Install the cone which best fits the thickness of the patient's body.
Return to 1 Move to 2
4
(stand-by position) (compression position)
4
1
Compression Control
Lever 2
4
Backward Forward
4
4 Operations
 Squeeze Compression
Squeeze Compression can be performed while moving the tabletop or imaging unit. Press the
[Squeeze Compression] button to prevent the compression cone from moving to the stand-by position
automatically even if the tabletop or X-ray tube unit is being moved.
If the tabletop or imaging unit is moved without operating [Compression Control Lever], the
compression cone will start retracting to the stand-by position approx. 0.5 sec. later.
Pay close attention to the patient at squeeze compression.

Squeeze compression may fracture the patient's ribs.
If any problems (e.g. compression cone does not stop or retract) occur during compression,
immediately turn off the system power or press the [STOP] button and manually move
the cone before removing the patient from the tabletop.

4.4.8 Specifying X-ray Exposure Field
Adjusting a precise exposure field allows for a reduction in patient X-ray dose and provides high quality
fluoroscopic and radiographic images.
The exposure field is adjusted differently depending on the selected technique. 4

• For the fluoroscopic techniques ([Cassette Spot Technique] or [Digital Radiography Technique] ),
adjust by [Collimator Operation Handles] on the console.
• For techniques that do not support fluoroscopy ([Cassette Tray Radiography Technique] , [Portable
Radiography Technique]
front of the collimator.
, or the [General Radiography Technique] ), adjust using the knobs on the 4
 Adjusting Exposure Field by Collimator Handles
Operate [Collimator Operation Handles] on the console to adjust the shutters of the automatic X-ray 4
collimator.
Narrow the Exposure

Widen the Exposure Field
Field 4
Handles
4
(Right Handle) (Widen)
(Narrow)
Widen the shutter
(vertical)
Narrow the shutter
(vertical) 4
4
Handles (Narrow)
(Left Handle) (Widen)
Widen the shutter

(horizontal)
Narrow the shutter
(horizontal)
4
4
4 Operations
 Adjusting by Exposure Field Buttons

Only for [Cassette Spot Technique] ( ) can the exposure field be switched by [Exposure Field]
buttons on the console as in the following table. (The [Irradiation Field] button is not provided for
FLEXAVISION and FLEXAVISION .)
Confirm that the key on the collimator front panel is set to [Auto].
1
If it is set to [Manual], turn it to [Auto].
Key
Fig. 4.20 Key (Collimator Front Panel)
Select the [Exposure Field] button that corresponds to the purpose of the
2
examination you wish to conduct.
The selected button lights up.
Exposure Field Button Function
Adjusts the exposure field size automatically to the maximum

[Collimator Full-auto Mode Selection] size according to the selected cassette size and division
button.
Keeps both of the vertical and horizontal sizes of fluoroscopy

[Collimator Manual Mode Selection]
field for exposure.
Adjusts the vertical size of exposure field automatically to the

[Collimator Semi-auto Mode Selection]
maximum size, and keeps the horizontal size for exposure.
Auto Manual Semi-auto

Although this system automatically controls X-ray exposure, operators should adjust the 4
exposure field to minimize the radiation dosage received by the patient.
4
* While the [Fluoroscopy Selection] button is lit, the size of collimator light irradiation field is the selected
I.I. size or the size according to a division button.
4
* While the [Fluoroscopy Selection] button light is off, the size of collimator light irradiation field is the
selected cassette size or the size according to a division button.
4
 Adjusting Exposure Field Manually
For general radiography , adjust the exposure field manually.
1 Press the [Collimator Lamp] button on the collimator front panel. 4

The collimator lamp will light up for 30 seconds, and then turn off automatically.
Turn the knobs on the collimator front panel to adjust the exposure field size,
2 4
checking the collimator light irradiation field.
• Turn the knobs clockwise to open the exposure field.
• Turn the knobs counterclockwise to close the exposure field.
4
* The collimator lamp can also be turned on by the [Collimator Lamp] button on the local console.
4
* Press and hold the [Collimator Lamp] button to turn off the collimator lamp.
4
* Pressing the [Collimator Lamp] button allows manual adjustment of the irradiation field size even when
[Digital Radiography Technique] is selected.
4
4 Operations
4.5 Fluoroscopy
Step on the foot switch to activate fluoroscopy functions.
Confirm that the [Fluoroscopy Selection] button lights up, and step on the foot switch to perform
fluoroscopy.
Fluoroscopy cannot be performed if a technique not supporting fluoroscopy ([Cassette Tray

Radiography Technique] or [General Radiography Technique] ) is selected.
4.5.1 Selecting Fluoroscopic Mode
There are two types of fluoroscopic modes: Continuous Fluoroscopy and Pulsed Fluoroscopy. Select
continuous fluoroscopy or pulsed fluoroscopy according to examination regions and purposes.
Fluoroscopic Mode Description
Continuous Irradiates X-ray continuously to perform fluoroscopy. (Excluding FLEXAVISION

Fluoroscopy )
Irradiates pulsed X-ray to perform fluoroscopy. (FLEXAVISION , FLEXAVISION

Pulsed Fluoroscopy
, FLEXAVISION )
For details on the fluoroscopic mode, refer to the following operation manual.
^ Digital Radiography System SDR-100 Operation Manual (FLEXAVISION , FLEXAVISION )

Digital Radiography System SDR-150C Operation Manual (FLEXAVISION )
* When using FLEXAVISION , selecting the radiography protocol of the SDR-150C automatically selects
the pulsed fluoroscopy rate.
4.5.2 Changing Fluoroscopy Settings
The conditions can be modified when a fluoroscopic technique ([Cassette Spot Technique] or
[Digital Radiography Technique] ) is selected.

4.5 Fluoroscopy
 Setting Auto Adjustment of Fluoroscopy Brightness

The [IBS] button automatically controls the image brightness on the monitor.
Press the button to toggle the setting.
(Blinking)
Fluoroscopy kV fix IBS
Fluoroscopy kV
4
Fluoroscopy kV IBS not adjusted automatically
(Off)
(On)
4
When Fluoroscopy kV fix IBS is invalid
Fig. 4.21 Toggling Fluoroscopy Brightness
4
* Always disable fluoroscopy kV fix IBS in FLEXAVISION .
* Fluoroscopy mA is automatically adjusted related to fluoroscopy kV. The standard fluoroscopy mA values are 4
shown below.
2.5
3
4
Fluoroscopy 2
mA 1.5
1
0.5 4
0
50 60 70 80 90 100 110 120
Fluoroscopy kV
4
Fig. 4.22 Fluoroscopy mA and Fluoroscopy kV
* The figure above is a standard example with P-type X-ray tube, and is changeable depending on installation 4
arrangements or combined tubes.
* When selecting memory shot radiography, Fluoroscopy kV fix IBS is not available. Fluoroscopy kV IBS is
available.
4
4
4 Operations
 Adjusting Fluoroscopy kV Manually

Set IBS to off before adjusting fluoroscopy kV manually.
If the [IBS] button is on, press it.

1
The button goes off (IBS off) or blinks (Fluoroscopy kV fix IBS).
Press the [Fluoroscopy kV Setting] button ( [plus] or [minus]).

2
The value is changed.
• Press the button to increase/decrease the value by 1.
• Press and hold for a minimum of 1 second to increase/decrease the speed at which the
setting value changes.
• Available setting range of the fluoroscopy kV is from 50 kV to 120 kV (depending on the
tube type, 50 kV to 110 kV, or 50 kV to 125 kV).
Fig. 4.23 Fluoroscopy Tube Voltage Setting
* If fluoroscopy kV is beyond the limit of auto adjustment in Fluoroscopy kV fix IBS mode, the fluoroscopy kV
display blinks. When it’s blinking, readjust the fluoroscopy kV.

4.5 Fluoroscopy
4.5.3 Setting the I.I. Field Size
The LED lighting pattern is different depending on the number of I.I. visual field. The LED status
changes following the table below. (Excluding FLEXAVISION )
I.I.Field Size Small Large 4

LED
Button 4
LED Status Light On Blinking Fast Blinking Light Off
inch    99
4
IA-9SZ
cm    23  23
IA-12KD
inch 99   12  12 4
cm 23 23   30  30
inch 7 7  99 12  12

IA-12KT
cm 18  18  23  23 30  30
4
inch 6 6 77 99 12  12
IA-12KM
cm 16 16 18  18 23  23 30  30
4
inch 99   12  12
IA-12LD
cm 23 23   30  30
inch 7.5 7.5  99 12  12 4

IA-12LT
cm 19  19  23  23 30  30
inch 6 6 7.5  7.5 99 12  12

IA-12LM
cm 1616 19  19 23  23 30  30
4
The field size can only be toggled if the system is equipped with a 12-inch I.I., which is used to 4
modify a minimum of two exposure fields.
4
4 Operations
 Procedure for Checking Light Irradiation Field Size

Set the SID to 1100.
1
Open the collimator to its widest setting.
2
Turn the collimator lamp on and measure the length of each side of the field on the
3
tabletop.
Confirm that the measured values fall within the range in the table below for each
field size.
FOV Side Length
12" 26 to 30 cm
9" 19 to 23 cm
4.5.4 Setting the FPD Field Size
Set either a large field or small field for the FPD field size. Press the relevant button to change to the
corresponding FPD field size. (FLEXAVISION )
The settable field sizes are shown below.
Field Size
Large Field/Small Field
INCH CM
Large Field 14  17/1714 35  43/43 35
14  14 35  35
12 12 30  30
Small Field 9 9 23  23
The set field size is displayed as (FPD field size indicator).
Large Field Small Field
Fig. 4.24 Setting the FPD Field Size
Changing FPD field size is available only when SID1100 or SID1500 is selected.
* Either the imperial or metric system can be selected. For details on configuration changes, contact your
Shimadzu service representative.

4.5 Fluoroscopy
 Procedure for Checking Light Irradiation Field Size

Set the SID to 1100.
1
Open the collimator to its widest setting.
2
Turn the collimator lamp on and measure the length of each side of the field on the
4
3
tabletop.
Confirm that the measured values fall within the range in the table below for each
field size. 4
FOV Side Length
17"  14" 39 to 42  32 to 35 cm
14" 14" 32 to 35  32 to 35 cm
4
12" 12" 27 to 30  27 to 30 cm
9" 9" 20 to 23  20 to 23 cm 4
4.5.5 Setting Fluoroscopic Image H-reverse
Specify whether or not to reverse the fluoroscopic images displayed on the monitor horizontally. Press
4
the button to toggle between an original image and the horizontally reversed image.
Horizontally reversed Not horizontally reversed 4

(On)
4
Fig. 4.25 Horizontal Reversal of Fluoroscopy Images
4.5.6 Setting Fluoroscopic Image V-reverse 4

Specify whether or not to reverse the fluoroscopic images displayed on the monitor vertically. Press the
button to toggle between an original image and the vertically reversed image.
4
Vertically reversed Not vertically reversed
(On)
4
Fig. 4.26 Vertical Reversal of Fluoroscopy Images
4
4 Operations
4.5.7 Starting Fluoroscopy
If the [Fluoroscopy Selection] button on the console is off, press it.

1
Step on the foot switch.

2
Fluoroscopic image is displayed on the monitor.
Do NOT place anything on the foot switch.

The foot switch will be depressed, activating the X-ray.
• Systems equipped with the cassette spot radiography device can perform fluoroscopy only
when the carriage is in the stand-by position.
If the carriage is not in the stand-by position, the [Cassette IN] button will blink. Press
the [Cassette IN] button to move the carriage to the stand-by position.
• Push the FPD tray or grid in firmly as far as it will go. Failure to do so will prevent the X-ray
diagnostic table from operating and fluoroscopy and radiography from being performed.
• "Not Ready" is displayed on the monitor if the FPD sensor cable is not connected.
Fluoroscopy cannot be performed while "Not Ready" is displayed.
^ Digital Radiography System SDR-150C Operation Manual
* Fluoroscopy cannot be performed if the key on the collimator front panel is set to Manual.

4.5 Fluoroscopy
 Controlling Fluoroscopy Timer

The duration of fluoroscopy is displayed on the [Fluoroscopy Accumulated Time Indicator].
An audible warning can be set to sound at the preset time.
^ "5.2 Setting Fluoroscopy Timer"

4
Stopping audible warning
The audible warning will sound and the
reaches the set time.
[Fluoroscopy Timer] button will blink when the timer
4
Press the [Fluoroscopy Timer] button.
1
The audible warning stops and the [Fluoroscopy Timer] stops blinking.
4
4
• After the audible warning initially sounds, fluoroscopy can be continued for a total of 10
minutes without stopping the audible warning.
• If no time is preset, the audible warning will sound continuously during fluoroscopy.
4
• The cumulative fluoroscopy time is not reset even after the audible warning is stopped.
4
Resetting Fluoroscopy Accumulated Time
Reset the fluoroscopy accumulated time displayed on [Fluoroscopy Accumulated Time
Indicator] after fluoroscopy by following the operation below. 4
Press and hold the [Fluoroscopy Timer] button for a minimum of 3 seconds
1
while the fluoroscopy is not performed.
The fluoroscopy accumulated time is reset. 4
4.5.8 Finishing Fluoroscopy
4
Remove your foot from the foot switch.
1
The [X-ray Indicator] will go off.
Press the [Fluoroscopy Selection] button on the console.

4
2
Confirm that the button is off.
4
4 Operations
4.6 Changing Radiography Settings

Adjust control mode, radiography kV/focus/mA/mAs/sec, and AEC radiography/density/sensitivity
settings as necessary.
Radiography settings cannot be changed if the [Memory Shot Indicator] is lit (if an APR using
memory shot radiography is selected).
4.6.1 Switching Control Mode
The [Radiography mA/mAs Switch] button switches the control modes. The control mode cannot
be switched during the radiographic operation.
3 control mode 2 control mode
(On)
Fig. 4.27 Switching the Control Mode
Control Mode Description
Specifies the parameters of radiography kV/mAs for exposure.

2 Control Mode In this mode, the parameters of the maximum Radiography mA and shortest
Radiography sec are selected automatically.
3 Control Mode Specifies the 3 parameters of radiography kV/mA/sec for exposure.
For radiography settings in 2 control mode, see the following.
^ "4.6.2 Setting Radiography kV"

"4.6.5 Setting Radiography mAs"
For radiography settings in 3 control mode, see the following.
^ "4.6.2 Setting Radiography kV"

"4.6.4 Setting Radiography mA"
"4.6.6 Setting Radiography sec"

4.6.2 Setting Radiography kV
The [Radiography kV Setting] button is invalid during the radiographic operation.
Press the [Radiography kV Setting] button ( [plus] or [minus]).

1
The value is displayed. 4
• The buttons increase/decrease the value by 1.
4
Fig. 4.28 Radiography kV Setting 4
4.6.3 Switching Radiography Focus 4

If the system is equipped with a dual-focus X-ray tube, pressing the [Radiography Focus Switch]
button will toggle the focus between large and small. Focus cannot be toggled during radiography.
4
Small focus Large focus
(On)
4
Fig. 4.29 Switching the Radiography Focus
4
4
Radiography focus cannot be toggled in systems equipped with a single focus X-ray tube.
Radiography focus cannot be toggled during fluoroscopy/radiography or when X-ray irradiation is
ready to start. 4
4
4 Operations
4.6.4 Setting Radiography mA
The [Radiography mA/mAs Setting] button is invalid during the radiographic operation.
Confirm that the [Radiography mA/mAs Switch] button is on.

1
• If the button is off, press [Radiography mA/mAs Switch].
• The unit [mA] will light up.
Press the [Radiography mA/mAs Setting] button ( [plus] or [minus]).

2
The value is displayed. Select an appropriate value from among the preset values.
• The buttons increase/decrease the value.
Fig. 4.30 Radiography mA Setting
4.6.5 Setting Radiography mAs
The [Radiography mA/mAs Setting] button is invalid during the radiographic operation.
Confirm that the [Radiography mA/mAs Switch] button is off.

1
• If the button is on, press [Radiography mA/mAs Switch].
• The unit [mAs] will light up.
Press the [Radiography mA/mAs Setting] button ( [plus] or [minus]).

2
Fig. 4.31 Radiography mAs Setting

4.6.6 Setting Radiography sec
The [Radiography sec Setting] button is inactive during radiography or when X-ray irradiation is ready
to start (if [Radiography Ready Up Indicator] is on).
1 Confirm that the [Radiography mA/mAs Switch] button is on. 4

• If the button is off, press [Radiography mA/mAs Switch].
Press [Radiography sec Setting] button ( [plus] or [minus]).

2 4
setting value changes. 4
Fig. 4.32 Radiography sec Setting 4
4.6.7 Setting AEC Radiography 4

Turn AEC radiography on/off. AEC controls the approximate amount of the X-ray dose used during
radiography. Press the [AEC Switch] button to toggle the setting.
4
AEC radiography: ON AEC radiography: OFF
(On)
Fig. 4.33 Setting the AEC Radiography 4
Always make sure that AEC is set to OFF before configuring the optimal X-ray
conditions for radiography when using the FPD removed from the FPD tray in the
4
portable FPD radiography technique with FLEXAVISION .
AEC does not operate even when AEC radiography is set to ON.
4
4 Operations
 AEC Backup Function

When AEC radiography is selected, radiography is usually finished before the time set for its
completion (radiography sec). Radiography will be completed by the time set by the user (AEC backup)
at the latest.
^ "4.8.3 Display after Exposure"
4.6.8 Setting AEC Density
The [Density Up/Down] button is inactive if AEC radiography is not selected.
Press the [Density Up/Down] button ( [up] or [down]).

1
The value is displayed, and the LED according to the value will light up.
• The value can be set to 7 levels between - 3 and + 3. Increase the value by pressing
to lighten the image, and decrease the value by pressing to darken it.
• The density changes by 15% with each level.
Fig. 4.34 AEC Density Setting
4.6.9 Setting AEC Sensitivity
Select an AEC radiography sensitivity. Press the button to switch the sensitivity display in order of L, M,
H and L. Sensitivity settings cannot be changed if AEC radiography is off.
Low sensitivity High sensitivity

(longer exposure time) Standard
(shorter exposure time)
Sensitivity: up Sensitivity: up
by 1.6 times by 1.6 times
[L] lights up [M] lights up [H] lights up
Fig. 4.35 Setting the AEC Sensitivity

4.6.10Setting AEC Pickup Field
If the AEC radiography detector indicates multiple pickup fields when the optional direct photo timer
(AEC) is installed, press the [Photo Pickup Field Selection] button to specify the AEC pickup field
you wish to use. The setting is unavailable when the AEC radiography is off. Press the
Pickup Field Selection] button to switch the selected pickup fields as follows.
[Photo
4
Fig. 4.36 Setting the AEC Pickup Field

4
4.6.11 Selecting Division Buttons
Division buttons are selectable for the exposure in Cassette Spot Technique ( ) or Digital 4
Radiography Technique ( ).
The selectable buttons vary with your system and the cassette size used during radiography.
^ "8.1.1 Specifications of Diagnostic Table"

4
^ Digital Radiography System SDR-100 Operation Manual (M517-E091) 4

^ Digital Radiography System SDR-150C Operation Manual (M517-E205)
Ç´
* These buttons can be selected when performing radiography using the cassette spot technique ( ) or
digital radiography technique ( ).
The division buttons that can be selected differ depending on the system and cassette size used in
4
radiography.
 Selecting Division Buttons 4

Press the [Division] button.
1
• The [Division] button lights up.
• The number of remaining exposures is displayed on [Multi-division Exposure 4
Indicator]. The display turns off when no more exposures remain.
4
Fig. 4.37 Multi-division Exposure Indicator
4
4 Operations
 Selecting Rapid Sequence

Rapid sequence can be performed when 2-ON-1 (vertical) Format ( ), 3-ON-1 Format ( ), or 4-
ON-1 Format ( ) button is selected (The seriography selection button cannot be used with
FLEXAVISION ).
Press the [Seriography Selection] button.

1
4.6.12Setting the X-Ray Filter
Set the X-ray filter using the collimator R-300.
 Types of X-Ray Filter
Display/Material Applications
Cu0 mm No filter
Cu0.1 mm The limbs, etc.
Cu0.2 mm Trunk, vertebral body, etc.
Cu0.3 mm Chest, abdomen, etc.
 Selecting an X-Ray Filter

The X-ray filter is selected automatically in accordance with the set APR, but it is also possible to
select the X-ray filter with the collimator's [Filter Selection] button after the APR has been
set.
Press the [Filter Selection] button.
Successive actuations of this button cycle the filter type through the sequence: "Cu0 mm" 
"Cu0.1 mm"  "Cu0.2 mm"  "Cu0.3 mm"  "Cu0 mm".
The X-ray filter is fixed for techniques that permit fluoroscopy (such as the DR technique) in order
to provide stable image quality.

4.7 Preparing Cassette for Spot Radiography

This section explains how to prepare the system for cassette spot radiography and remove the cassette
after the procedure is complete.
4
Available when using FLEXAVISION and .
4.7.1 Loading Cassette 4

Press the [Cassette IN/OUT] button on the right side of the cassette input slot to
1
move the carriage to the loading position.
4
Manually move the carriage rails on either side outward so that they are wide enough
2
apart to accommodate the cassette.
3 Completely insert the cassette until the stoppers in front of the carriage hold it in 4
place.
Insert the cassette, pressing it with your thumb toward the center of the carriage as in Fig.
4.38 until you hear a clicking sound and the stoppers hook it in place. 4
Cassette IN/OUT
Button
4
Releasing Lever
Carriage Rail
Stopper
4
Fig. 4.38 Cassette Loading
4
4
Insert the cassette straight along both side rails.
If the cassette is not inserted straight, a size detection fault or system malfunction may
result. 4
* Turning off the [Fluoroscopy Selection] button sets the field to the cassette size and allows
4
confirmation of the field using the irradiation field lamp.
4
4 Operations
The releasing lever may injure your hand if you hold the cassette by the top and
bottom when inserting it.
Do NOT put your hand inside the spot radiography device.

Doing so may result in injury. A warning label is attached as indicated in the illustration
below.
If the carriage is repeatedly moved without a cassette loaded, the carriage might not be widened
to the cassette size. In this case, close the rails once and widen them again to the cassette size.

The following cassettes are available. Use the INCH or CM series cassette compliant with the IEC
Standard.
Cassette Size
Thickness Weight
INCH CM
4
14  17 35  43 2.3 kg max.
14  14 35  35 2.0
11  14 (14  11)  15 mm max. 1.6 4

10  12 (12  10) 24  30 (30  24) 1.3
8  10 (10  8) 18  24 (24  18) 0.9

4
4
Use only the cassettes listed in the table above.
Loading an unacceptable cassette may cause system malfunction or failure. 4
4
* The system can be set to either INCH or CM. Contact your Shimadzu service representative to change the
cassette series setting.
The cassette size will not be displayed if the size is not listed in the table above or the cassette is
incorrectly inserted.
4
4
To correct cassette radiography density more precisely, use cassettes with the same total lead
equivalence. Total lead equivalence, which is shown on the back of the cassette, indicates how many
mm of lead the cassette contains.
4
4
Failure to use cassettes with an identical total lead equivalence may cause an incorrect
radiography density.
4
4 Operations
To avoid a photographic fog, load the cassette immediately before the exposure. After
radiography, promptly remove the cassette.

4.7.2 Moving Cassette to Stand-by Position
After loading the cassette, press the [Cassette IN/OUT] button, or the [Cassette
1
IN] on the remote console.
The cassette moves to stand-by position. 4
* When the cassette is loaded and moved to the stand-by position,
automatically lights up.
[Fluoroscopy Selection] button
4
The status of the [Cassette IN/OUT] button on the right side of cassette input slot or the
[Cassette IN] button shows the current carriage position.
4
* *[Cassette IN/OUT] button on the right side of cassette input slot
Indicator on -the carriage is at loading position.
Indicator blinking -the carriage is moving. 4
Indicator off -the carriage is at stand-by or exposure position.
* [Cassette IN] button on the remote console

Indicator on -the carriage is moving from stand-by position to loading position. 4
Indicator blinking -the carriage is moving to loading or stand-by position.
Indicator off -the carriage is at stand-by or exposure position.
4
Do NOT turn off the power while the cassette is moving.
It may cause system failure.
4
Do NOT turn off the power with the cassette loaded.
If the system is turned off with a cassette left on the carriage, the system will not be able to detect
the cassette position/size the next time the power is turned on. Turning the system off with a 4
cassette left in place will also render the division buttons inactive. To recover from this status,
move the carriage to the loading position once, then to the stand-by position again.
4
4 Operations
4.7.3 Checking Cassette Size Indicator
When the cassette is loaded correctly, the cassette size is displayed as follows.
The cassette size is displayed only when Cassette Spot Technique ( ) or Cassette Tray
Radiography Technique ( ) is selected.
Fig. 4.39 Cassette Size Display
If a cassette is in the stand-by position and no cassette size is displayed, confirm to see that the
size of the cassette you have loaded is available and try again.
As the factory default, cassette size is displayed in inches (INCH) on the indicator. Contact your
Shimadzu service representative to change the unit to centimeters (CM).
* When Digital Radiography Technique ( ) is selected, is displayed. When General

Radiography ( ) is selected, nothing is displayed.

4.7.4 Removing Cassette
Remove the cassette immediately after performing exposure.
Press the [Cassette IN/OUT] button.

1 4
The cassette will move to the cassette loading position.
While holding the cassette with your thumb, raise the releasing lever located on the
2
carriage front to remove the cassette. 4
Press the [Cassette IN/OUT] button again.
3
The carriage will move to the stand-by position.
4
Cassette IN/OUT
Button
Releasing
4
Lever
Carriage
Rail
Stopper
4
Fig. 4.40 Removing Cassette
4
Do NOT lower the carriage stoppers manually.
The cassette may eject and hit your body, face, or head. 4
Fluoroscopy cannot be performed when the carriage is at the cassette loading position. 4
Be sure to follow procedure 3 above to move the carriage to the stand-by position after
performing exposure.
4
4 Operations
Do NOT turn off system power when a cassette is loaded.

If the system is turned off with a cassette left on the carriage, the system will not be able to detect
the cassette position/size the next time the power is turned on. To recover from this status, move
the carriage to the loading position once, and to the stand-by position again.

4.8 Exposure
4.8 Exposure
4
Exposure cannot be performed if either [Fault Indicator] or [Caution Indicator] is on.
If an indicator is on, an error code will be displayed on the indicator located next to the
[Radiography sec Setting] button ( ). For the countermeasure, see "7.2 Code List".
4
Exposure cannot be performed if [Stand-by Indicator] is off.

4
The display will turn off if the X-ray high voltage generator malfunctions. Contact your Shimadzu
service representative in the event of a malfunction.
4
4.8.1 Cassette Spot Radiography/Digital Radiography (Including
FPD)
4
 Spot Radiography
Press [Exposure Button] on the console to perform spot radiographs. The radiography here can also be
performed by stepping on Foot Switch for Exposure (optional). 4
Press [Exposure Button].
1
• The carriage will move to the exposure position if the cassette spot radiography is
selected. 4
• When the system is ready, [Radiography Ready Up Indicator] on the remote console
will light up, the X-ray will start to irradiate, and [X-ray Indicator] on the remote console
will light up.
4
Exposure Button
4
Fig. 4.41 Exposure Button
4
4 Operations
Spot radiography cannot be performed unless "Ready" is displayed on the monitor when
conducting digital radiography using the FPD.
Press and hold the [Exposure Button] until the exposure is complete. (Keep the foot switch
depressed.)
Exposure will fail if the button (foot switch) is released before the process is complete.
After the exposure, release [Exposure Button].

2
The carriage will return to the stand-by position if the cassette spot radiography is selected.
3 Remove the cassette if you wish to perform cassette spot radiography.
^ "4.7.4 Removing Cassette"
^ Digital Radiography System SDR-100 Operation Manual (M517-E091)
* Stepping on the foot switch leads to the same operation.

4.8 Exposure
 Timing Exposure
The hand switch allows you to control timing exposure, which is effective if the patient has swallowed
barium. Control timing exposure as indicated below.
Partially press the button on the hand switch into 1st position and hold.
1 4
The carriage will move to the exposure position if the cassette spot radiography is selected.
When the exposure is ready to start, [Radiography Ready Up Indicator] on the remote
console lights up.
4
Fig. 4.42 Depress the 1st Position of Hand Switch

4
Press the button on the hand switch into the 2nd position in the timing where you
2
wish to take the exposure. 4
X-ray irradiates.
[X-ray Indicator] on the remote console lights up.
Fig. 4.43 Depress the 2nd Position of Hand Switch 4
4
Timing exposure cannot be performed unless "Ready" is displayed on the monitor when
conducting digital radiography using the FPD. 4
After the exposure, release the hand switch.
3
For the cassette spot radiography, the carriage returns to the stand-by position. 4
4
^ "4.7.4 Removing Cassette"
4
4 Operations
4.8.2 Cassette Tray Radiography/General Radiography/

FPD Portable Radiography
The Hand Switch is used for exposure in cassette tray radiography/general radiography.
Partially press the button on the hand switch into 1st position.
1
When the exposure is ready to start, [Radiography Ready Up Indicator] on the remote
console will light up.
Fig. 4.44 Depress the 1st Position of Hand Switch
Press the button on the hand switch into the 2nd position.
2
X-ray irradiates. [X-ray Indicator] on the remote console lights up.
Fig. 4.45 Depress the 2nd Position of Hand Switch
Radiography cannot be performed unless "Ready" is displayed on the monitor when conducting
FPD portable radiography.

4.8 Exposure
After exposure is complete, release the hand switch.

3
4
Press and hold the hand switch until exposure is complete.
If the button is released during the exposure, the exposure will be ruined.
4
4
^ "4.2.3 Cassette Tray Radiography Technique"
4
4
If the user attempts to use an already-exposed cassette during cassette tray radiography ,
the system will display on the [Cassette Size Indicator].
4
4
4 Operations
4.8.3 Display after Exposure
The actual radiography sec and mAs values (only when the mAs value is set) are displayed after AEC
radiography is complete.
When these values are displayed, the points (dots) beside the rightmost digits light up as follows.
Light up when the actual values are displayed
Fig. 4.46 Display after Exposure
If the AEC backup function is activated, an error code will be displayed on the [Radiography sec
Setting] button indicator and you will not be able to perform further radiography. To continue
radiography, press any of the buttons below to cancel the error code.
^ "7.2 Code List"

4.9 Operating Interphone
4.9 Operating Interphone
4.9.1 Outputting Sound

4
Step on the interphone foot switch to output the sound from the remote console microphone using the
examination room speaker. Sound is output only while the switch is stepped on.
4
Interphone foot
switch
Sound from the tabletop microphone and additional microphone is always output from the control room
speaker.
4
Adjusts the volume for the control room speaker Adjusts the volume for the examination room speaker
4
Rotate the volume adjustment dial for the control room Rotate the volume adjustment dial for the examination
speaker. room speaker.
4
Turning it to the right increases the volume, and turning Turning it to the right increases the volume, and turning
it to the left lowers the volume. it to the left lowers the volume.
4
4
Do not set the volume too loud.
An excessive current may cause damage to the speaker. Use the speaker with
4
moderate volume.
4
Setting volume to loud may cause sound distortion. Set the volume lower or place a microphone
a bit afar.
4
4 Operations
4.10 Add On Console

The Add On Console is usually allocated on the remote console.
8 1
2
6
4 3
The technique and the X-ray tube number currently

Technique selected are displayed.
1
Selection Button Press it to open the menu window for the technique
selection.
The X-ray filter is displayed during the first X-ray tube

selected.
• R: Filter selected for radiography
• F: Filter selected for fluoroscopy
In techniques that do not permit fluoroscopy with the first
X-ray filter
2 X-ray tube, press it to open the menu window for the X-ray
Selection Button
filter selection.
With the R-20J, the information on the added filter can be
displayed during the second X-ray tube selected.
• F ON: Added filter is inserted.
• F OFF: Added filter is not inserted.
Exposure is permitted.
Exposure
3
Permission Button
Exposure is not permitted.

4.10 Add On Console
The grid is inserted.

The grid status is
4 GRID Status
displayed only in the
technique which performs The grid is half-inserted, or
4
radiography using the cannot be detected.
grid of the diagnostic
table.
The grid is removed. 4
SID currently selected is displayed.
5 SID
It is not displayed during second X-ray tube selected.
4
The accumulated dose area product is displayed during
the first X-ray tube selected.
• In SDR-150C, the area dose product is accumulated
until the reset button of the fluoroscopy integration time
is pressed, or from the study start to end.
4
• In SDR-100, the area dose product is accumulated
until the reset button of the fluoroscopy integration time
6 Dose Area product
is pressed, or new study start.
• In the system which does not include SDR-100 or 4
SDR-150C, it is accumulated until the reset button of
fluoroscopy integration time is pressed under
fluoroscopy technique selected.
During the second X-ray tube selected and the R-20J
used, it is displayed for every radiography.
4
The accumulated reference air kerma is displayed. In
SDR-100 or SDR-150C, the reference air kerma is
Accumulated
accumulated until the reset button of the fluoroscopy
integration time is pressed, or from the study start to end.
4
7 Reference Air In the system which does not include SDR-100 or SDR-
Kerma 150C, it is accumulated until the reset button of
fluoroscopy integration time is pressed.
The accumulated reference air kerma is not displayed in
the technique which does not include fluoroscopy.
4
The reference air kerma rate is displayed during
Reference air fluoroscopy or in the serial radiography with DR technique.
8
kerma rate It is not displayed in the technique which does not include
fluoroscopy.
4
4
4 Operations
The displayed dose area product value contains a maximum of 35 % of measurement

uncertainty.
The measurement uncertainty may exceed 35% when the reference air kerma rate is 6 mGy/min
or lower, as well as when the accumulated reference air kerma is 100 mGy or lower.
With the radiography condition of a small X-ray irradiation field or low dose, the difference
between a value of the actually emitted radiation and a calculated value may increase.
When the irradiation field size cannot be detect correctly, the dose area product display after
radiography will show "----". Contact your Shimadzu service representative.
A periodical calibration is required in order to maintain the display performance for the
accumulated dose area product, accumulated reference air kerma, and reference air kerma rate.
Contact your Shimadzu service representative for details.
The indicated value of Reference Air Kerma Rate may be disrupted for a moment immediately
after the collimator leaf is moved largely.
After the system startup, the Add On Console starts up in the preparation mode of 20 seconds
during which it does not show valid information and not receive any operation. After the
preparation the Add On Console will be ready for use.

4.10 Add On Console
With the R-20J combined:

4
When inserting the added filter, confirm that it is firmly inserted by visually checking the collimator
R-20J.
When the added filter information is not updated even after inserting or removing the added filter, 4
dose area product values may not be displayed correctly. In such case, contact your Shimadzu
service representative.
Dose area product values are automatically calculated by detecting only the one type of added
filter supplied with the R-20J. Therefore, do not use any added filter other than the one
4
registered at the time of installation adjustment. Doing so will prevent displaying correct dose
area product values.
4
4 Operations
 Calibration of Touch Panel

In order to perform the calibration of the Touch panel, keep pressing anywhere inside of the circle on
the Touch panel (as shown below) 10 seconds or more.
The calibration screen of the Touch panel is displayed. Touch the center of the crosshair for more than
1 sec until the buzzer beeps.
The crosshair is displayed ten times. Follow guide on the screen.
When necessary operation is completed, the previous screen will return automatically.
In the case where the calibration fails, or no operation is performed for more than 30 seconds, the
buzzer beeps twice, and the previous window returns automatically.

User Settings
5
5.1 Updating APR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
5.2 Setting Fluoroscopy Timer . . . . . . . . . . . . . . . . . . . . . . .5-5
5 User Settings
5.1 Updating APR
5.1.1 APR
With the APR (Anatomical Program), radiography settings such as kV, mA/mAs and sec can be
registered to an APR button. These conditions can be called up by selecting the button for the desired
region to make an exposure. Each APR button contains one program.
Registering APR in advance makes for a smooth examination.
For each technique, 12 kinds of APR can be registered.
• With FLEXAVISION , up to 24 kinds can be registered.
• A maximum of 36 types of APR can be registered in FLEXAVISION , FLEXAVISION

, and FLEXAVISION .
For details on the selectable techniques of each package, see "5.1.2 Updating APR".
Procedures preset at the factory can be changed by the user afterwards.
5.1.2 Updating APR
This section describes the APR registration procedure.
The APR is linked to the radiography protocol of the SDR-150C when using FLEXAVISION .
Because there can be multiple radiography protocols linked to the same APR, it is necessary to
select all the radiography protocols used by the SDR-150C and check that each protocol is
configured with appropriate radiography conditions when changing the radiography conditions
registered to an APR.
For details, contact your Shimadzu service representative.
Press the [Technique] button to register APR.

1
The selected [Technique] button lights up.
* The selectable techniques vary with the package you use.

5.1 Updating APR
FLEXAVISION FLEXAVISION FLEXAVISION FLEXAVISION

Technique
SF HB FD F3
Cassette Spot Technique

5
Digital Radiography
Technique
Cassette Tray Radiography

Technique 5
General Radiography
Technique
FPD Portable Radiography 5

Technique
Change the fluoroscopy or radiography settings.

2 5
^ "4.5.2 Changing Fluoroscopy Settings"
"4.5.3 Setting the I.I. Field Size"
"4.5.5 Setting Fluoroscopic Image H-reverse"
"4.5.6 Setting Fluoroscopic Image V-reverse"
"4.6 Changing Radiography Settings"
5
5
Fig. 5.1 Changing Radiography kV Set Value
The fluoroscopy/radiography settings registrable to APR are shown in the table below.
Registrable: 
5
Not registrable: blank
Technique
5
Fluoroscopy/
Radiography Setting
1 IBS  
5
2 Fluoroscopy kV  
3 I.I. Field Size *2 *3
4
Fluoroscopic Image
*2 *3 *4
5
H-reverse
Fluoroscopic Image
5 *2 *3 *4
V-reverse
5
6 Switching Control Mode     
7 Radiography kV     
8 Radiography Focus      5
5 User Settings
Technique
Fluoroscopy/
Radiography Setting
9 Radiography mA     
0 Radiography mAs     
a Radiography sec     
b AEC Radiography *1   
c AEC Density *1   
d AEC Sensitivity *1   
e AEC Pickup Field *1   
X-Ray Filter for

f   
Radiography
Serial Radiography/Spot
g 
Radiography
*1: When I.I. standard photo timer is not used, the optional photo timer such as [Direct Photo Timer (AEC)] should be used in
combination.
*2: If FLEXAVISION is used, configure the setting on the DR setting screen.
*3: Configure the setting on the DR setting screen.
*4: Setting cannot be configured when using FLEXAVISION .
While pressing the [APR Setting] button, press [APR Button] corresponding to
3
the number you wish to register.
A registration sound will beep and the current fluoroscopy/radiography settings will all be
changed in the [APR Button].
Fig. 5.2 Changing/Overwriting [APR Button] Settings of No. 5
Write/Rewrite the memo column of the registered [APR Button].

4
* You can write down the information on the front surface of the [APR Button].
It is helpful to show which conditions have been registered.

5.2 Setting Fluoroscopy Timer
5.2 Setting Fluoroscopy Timer

The fluoroscopy accumulated time is displayed on [Fluoroscopy Accumulated Time Indicator].
An audible warning can be set to sound at a preset time. 5

5.2.1 Setting Preset Time
An audible warning will sound when the timer has reached the preset time.
5
Select a technique available for fluoroscopy ([Cassette Spot Technique] or [Digital
1
Radiography Technique]).
The button LED lights up.
5
^ "4.2 Selecting Radiography Technique"
2 Press the [Fluoroscopy Timer Preset] button. 5

The preset time blinks on [Fluoroscopy Accumulated Time Indicator].
5
Fig. 5.3 Preset Time Display
3 Press the [Fluoroscopy Timer Preset] button to select the preset time. 5
The value decreases by every 30 seconds, displayed as follows.
4.5 min  4.0 min  3.5 min  3.0 min  2.5 min  2.0 min  1.5 min  1.0 min 
0.5 min  --- min  4.5 min 5
After 3 seconds from the time the button is pressed, the preset time is determined.
4
The current fluoroscopy accumulated time is displayed.
5
5
If the preset time is not set (the indicator shows ), an audible warning sounds
continuously during the fluoroscopy. The audible warning cannot be canceled.
For details on how to stop the audible warning, see "Controlling Fluoroscopy Timer" P.4-47. 5
5
5 User Settings

6 Optional Components
6.1 Local Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

6.2 X-ray Tube Swing-out Unit. . . . . . . . . . . . . . . . . . . . . . .6-8
6.3 Cassette Tray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-10
6.4 Rolling Step . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-11
6.5 Communication Unit. . . . . . . . . . . . . . . . . . . . . . . . . . .6-12
6.6 Compression Band . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14
6.7 Lateral Cassette/FPD Holder . . . . . . . . . . . . . . . . . . . .6-16
6.8 Leg Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-19
6.9 Endoscope Support . . . . . . . . . . . . . . . . . . . . . . . . . . .6-21
6.10 Drain Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-22
6.11 Elbow Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-23
6.12 Auxiliary Tabletop . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-25
6.13 Tabletop Mat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-27
6.14 X-ray Tube 180° Swing Unit . . . . . . . . . . . . . . . . . . . .6-28
6.1 Local Console

The X-ray diagnostic table is operated within the examination room via the local console. The local
console is mounted on casters, making it fully mobile for easy operation. The local console is equipped
with cassette spot/digital radiography functionalities.
* X-ray radiography settings cannot be changed from the local console.
Fig. 6.1 Local Console
Exercise caution in operating the local console while the tabletop is in/moving to
the vertical position.
The X-ray tube or other components may make contact with the operator’s head if the
imaging unit is moved up/down when the tabletop is in the vertical position.
Use both hands to carry the local console.

The console may fall over if carried with only one hand.

6.1 Local Console
 FLEXAVISION SF, HB, FD

1 2 3 4
d 6
5 6
a
0
7
6
c b 9 8 6
Fig. 6.2 Local Console (Flexavision SF, HB, FD)
* For details about how to operate the buttons and levers, see "4 Operations". 6
Displays the installed cassette size. If the X-ray

6
Cassette Size diagnostic table has any defect, a code indicating the
1
Indicator status is displayed.
^ P.4-60, P.7-7
6
6
*The following are for Spot and Digital Radiography. However, available buttons vary with each package. ^ P.4-53
1-ON-1 Format Button For non-division radiography.
2-ON-1 (vertical)
For vertical multi-division exposure.
Format Button
4-ON-1 Format Button For quarter multi-division exposure.
2
2-ON-1 (horizontal)
For horizontal multi-division exposure.
Format Button
3-ON-1 Format Button For tripartition multi-division exposure.
Multi-division Displays available exposure times. Off if the exposure

Exposure Indicator cannot be performed.
Seriography Selection For serial radiography.

3
Button ^ P.4-53

Oblique Projection head (systems equipped with the oblique projection
Head-side Button unit only).
^ P.4-32
Moves the imaging unit from the oblique projection

position back to the center position. Lights up when the
Oblique Projection X-ray tube unit turns vertically against the tabletop
5
Center Button (systems equipped with the oblique projection unit
only).
^ P.4-32

Oblique Projection feet (systems equipped with the oblique projection unit
Foot-side Button only).
^ P.4-32

6.1 Local Console
Toggles the field size between large and small when

I.I. Field Size Selection the system is equipped with 12-inch I.I. for switching 2
Button field sizes min.
^ P.4-43
6
Fluoroscopy can be performed by stepping on the foot
Fluoroscopy Selection switch with this button on. Available only when the
6 Button selected technique supports fluoroscopy.
^ P.4-46 6
Press to turn off the audible warning. Blinks while the
audible warning sounds. Press and hold to reset the
Fluoroscopy Timer
fluoroscopy accumulated time with the fluoroscopy not
Button
performed.
^ P.4-47
6
Digital Spot/Serial Press to select between spot and serial at digital
7
Radiography Selector radiography. Lights up for serial radiography.
6
Exposure Button
Exposure Button
Press to start radiography. For cassette spot and digital
radiography. 6
^ P.4-63
8
Control Lever
Tabletop/Imaging Unit Control Lever
Tabletop/
Moves the tabletop laterally, and the imaging unit 6
Imaging Unit Control longitudinally.
Lever ^ P.4-29, P.4-31
Allows for the Trendelenburg tilting of the diagnostic 6

Trendelenburg table from the horizontal position. Operate [Tabletop
Permission Button Tilting Lever] to the left when the button is on.
^ P.4-27

6
Tabletop Ascending
horizontal position (for 5DS).
Button
9 ^ P.4-30
Tabletop Descending
Moves the tabletop downwards. Available only at the
horizontal position (for 5DS).
6
Button
^ P.4-30

Tilts the tabletop.
^ P.4-27 6
Press to light up the collimator lamp. Use if the
Collimator Lamp [Collimator Lamp] button on the collimator front panel is
0
Button too far to press for the exposure.
^ P.4-39
6
6
Adjusts the exposure field size automatically to the

Collimator Full-auto maximum according to the selected cassette size and
Mode Selection Button division button.
^ P.4-38
Collimator Manual Keeps the fluoroscopy exposure field.

a
Mode Selection Button ^ P.4-38
Adjusts the vertical size of exposure field automatically

Collimator Semi-auto to the maximum, and keeps the horizontal size for
Mode Selection Button exposure.
^ P.4-38
Controls the shutters of automatic X-ray collimator.

The right handle opens/closes the shutters in the
b longitudinal direction.
Handle
The left opens/closes in the lateral direction.
^ P.4-37
*The following are available for the system with the compression unit.
Squeeze Compression For squeeze compression.

Button ^ P.4-36
Compression Control Operates the compression unit.

Lever ^ P.4-35
Operate the system from the optional local console

Local/Remote Console
d when this button is on. Operate from the remote
Selector
console when it is off.

6.1 Local Console
 FLEXAVISION F3
This section explains the functions specific to FLEXAVISION that are available on the local
console.
For details on other functions, see the following reference.

^ "FLEXAVISION SF, HB, FD" P.6-3 6
1 6
a
6
Fig. 6.3 Local Console (FLEXAVISION F3)
* For details on button and lever operations, see "4 Operations". 6
No. Button/Lever Name Function 6

Displays the size of the FPD. If there is a problem with
FPD Field Size the X-ray diagnostic table, a code indicating the status
1
Indicator is displayed.
^ P.4-60, P.7-7 6
• Lit: Indicates that the grid unit is installed.
Grid Status Lamp • Blinking: Indicates that the grid unit is not inserted
6
Button
•
all the way in.
Off: Indicates that the grid unit is not installed. 6
Change the field size to a smaller field.
a
Field Size Selection
Button
6
Change the field size to a larger field.
6
6.2 X-ray Tube Swing-out Unit
6.2.1 X-ray Tube 37 Swing-out Unit
Available when using FLEXAVISION , , .
Before taking an exposure, make the diagnostic table in the vertical position, release the handle that
secures the X-ray tube unit, and manually rotate the X-ray tube unit in the direction of the lieder stand.
Lieder stands are sold separately.
The tube rotation angle is 37º. See the following page for instructions on how to rotate the unit.
^ "4.2.7 Radiography with the X-ray Tube 37Swing-out Unit (Optional)" P.4-21
* We recommend a mobile lieder stand because, depending on the location of the stand, the stand may hit
against an apparatus such as a stretcher.
Lieder Stand
Fig. 6.4 Radiography Using Lieder Stand
The X-ray tube unit can only be rotated when the diagnostic table is in the vertical
position.
The tabletop cannot be tilted during rotation.
Also, set an oblique angle to 0 degrees ( lights ON) by pressing [Oblique
Projection Center] button on remote console.
Otherwise, the X-ray tube unit may slide out unintentionally and cause danger.

6.2 X-ray Tube Swing-out Unit
6.2.2 X-ray Tube 37/90 Swing-out Unit
Available when using FLEXAVISION .
Before taking an exposure, make the diagnostic table in the vertical position, and manually rotate the X-
ray tube unit in the direction of the lieder stand or bucky stand. Lieder stands and bucky stands are sold 6
separately.
The tube rotation angle can be selected from 37 and 90. See the following page for instructions on
how to rotate the unit.
6
^ "4.2.8 Radiography with the X-ray Tube 37/90 Swing-out Unit (Optional)" P.4-22
* We recommend a mobile lieder stand because, depending on the location of the stand, the stand may hit 6
against an apparatus such as a stretcher.
Lieder Stand
Bucky Stand
6
6
X-ray Tube 37 Swing-out Unit Option X-ray Tube 90 Swing-out Unit Option
Fig. 6.5 Radiography with Lieder Stand and Bucky Stand

6
The X-ray tube unit can only be rotated when the diagnostic table is in the vertical
position.
6
The tabletop cannot be tilted during rotation.
Also, set an oblique angle to 0 degrees ( lights ON) by pressing [Oblique
Projection Center] button on remote console. 6
Otherwise, the X-ray tube unit may slide out unintentionally and cause danger.
6
6.3 Cassette Tray

With FLEXAVISION , a cassette tray of 35 cm x 43 cm (14" x 17") is attached as standard. An
optional cassette tray of 35 cm x 35 cm (14" x 14") can be also used by removing the standard one.
Fluoroscopy can be conducted using either the standard or optional tray with no cassette loaded.
See the following for instructions on how to install/remove cassettes.
^ "Setting Cassette" P.4-7

"Removing Cassette" P.4-9
Specification
14" (H) x 14" (V) cassette only (JL type, or cassettes compliant with the IEC
Available Cassette Size
standard)
Selectable Division Button Only the [1-ON-1 Format] button can be selected.
To use the optional cassette tray, remove the standard tray.
Fully extend the standard cassette tray by pulling it out.

1
While pushing the lever down, remove the cassette tray from the diagnostic table.
2
Cassette (14" x 17")
Lever
2
Fig. 6.6 Removing Cassette Tray
Insert the optional cassette tray into the diagnostic table.

3
Cassette (14" x 14")
Fig. 6.7 Inserting Cassette Tray

6.4 Rolling Step
6.4 Rolling Step

The rolling step is a foot step with an electric turn table intended for use in GI examinations. The step
turns clockwise/counterclockwise as viewed from the patient’s head on the tabletop.
6
Pressing the or [Rolling Step Control] button on the remote console turns the rolling step in
the directions shown below. (The buttons indicate the directions in relation to the patient’s feet on the
tabletop.)
6
[Rolling Step Control] Button on Remote Console Turn Direction of Patient on Tabletop
Clockwise
6
6
Counterclockwise
6
During the rolling step operation, the compression cone automatically retracts to its stand-by
position. 6
Compression cannot be performed at this time.
6
6.5 Communication Unit

The communication unit configures radiography settings received from/sent to the CR or other external
systems.
Available when using FLEXAVISION , FLEXAVISION , and FLEXAVISION .
6.5.1 Receiving and Sending Radiography Settings
Receiving Radiography Settings

Radiography settings received from external equipment are configured as the new settings. Settings
can be changed subsequently.
Radiography Setting Error

If the system receives incorrect radiography settings, an error code will be displayed on the
[Radiography sec Setting] button indicator ( ).
Radiography cannot be performed while the error code is displayed. Press the [Power ON]
button to cancel it.
Sending Radiography Settings

After radiography, actual exposure settings are automatically sent to the external system.
6.5.2 Specification
 Communication Specifications
Connector RS-232C
1 FG
2 TX
3 RX
Pin Allocation
4 RTS
5 CTS
7 GND
D-SUB25P (female)

6.5 Communication Unit
 Basic Communication Protocol
Transmission Mode Half duplex
Synchronization Mode Asynchronous
Transmission Code
8-bit code prescribed in JIS-X-0201 6
(not including "*", "@" and "?" codes)
Start bit 1 bit 6

Data 8 bits
Communications Data Format
Parity
Stop bit
1 bit (even)
1 bit
6
Transmission Rate 4800 bps 6

Communication Control Protocol Conforms to JIS-X-5002.
Response Mode ACK, NAK
BCC (text block horizontal parity)

6
Error Check Protocol
XOR from character after STX to ETX
Error Correcting Method Automatic re-transmission

6
 Basic Communication Details
The following can be transmitted.
1 Reception: technique, radiography settings (kV, mA, sec, AEC settings) or APR number (AEC density
6
setting range is - 3 to + 3)
2 Transmission: technique, actual radiography settings (kV, mA, sec, AEC settings) (AEC transmittable
density setting range is - 3 to + 3) 6
6
6.6 Compression Band

The compression band is used to secure patients on the tabletop and to facilitate examinations by
compressing the areas you wish to observe.
 Attaching Compression Band

Attach the compression band unit to the tabletop rail. Turn the grip clockwise to
1
secure the unit.
Hold down the lever in direction A and extend the compression band.
2
Cover the region of the patient’s body you wish to examine with the compression
3
band. Fasten the end bracket to the rail on the opposite side of the tabletop.
Turn the knob to tighten the compression band temporarily.

4
The lever works like a ratchet. Hold down the lever in direction B to tighten the
5
compression band completely.
Lever Grip
B
A
Knob
Fig. 6.8 Attaching Compression Band
* Hold down the lever to direction A to loosen the compression band.
While paying attention to the patient, slowly tighten the Compression Band.
Sudden compression may fracture the patient’s bones.

6.6 Compression Band
6
The Compression Band is to be used for compressing a region of the patient’s body.
It is not to be used for holding the patient in place.
6
6.7 Lateral Cassette/FPD Holder

This cassette/FPD holder attaches to the tabletop when performing lateral radiography of the patient.
Use the holder to perform radiography in combination with the second tube.
The following procedures explain the attachment of the lateral cassette holder and setting of a cassette
as an example.
 Attaching Lateral Cassette/FPD Holder to Tabletop

Attach the lateral cassette/FPD holder to the tabletop rail.
1
To determine its position, slide the holder along the rail.
2
Tighten knob 1 in the clockwise direction and make sure it is secure.
3
 Setting Cassette in Lateral Cassette Holder
Loosen knobs 2 and 3 in the counterclockwise direction and adjust the position of the
1
cassette holder.
Tighten knobs 2 and 3 in the clockwise direction and make sure they are secure.
2
While pushing the rear lever of the cassette hook, move the hook upward.
3
Place the cassette into the cassette holder.
4
Lower the cassette hook.
5
Insert the cassette into the right end of the cassette holder. Use the cassette hook to
completely secure the cassette in place.
Knob 3 Lever
Knob 2
Cassette Hook
Knob 1
Cassette Holder
Cassette
Fig. 6.9 Lateral Cassette Holder

6.7 Lateral Cassette/FPD Holder
 Setting the FPD into the Lateral FPD Holder

Loosen knob 2 in the counterclockwise direction and adjust the height of the FPD
1
holder.
Adjust the height so that the bottom of the FPD holder rests snugly along the tabletop.
6
Knob 2
Knob 1
6
FPD Holder
Tabletop
Fig. 6.10 Height Adjustment of the Lateral FPD Holder 6

Tighten knob 2 in the clockwise direction to fix the height of the FPD holder.
2
3 Move the FPD stopper upward while pressing its rear lever. 6
Set the FPD in the FPD holder.
4
6
6
Fig. 6.11 Setting the FPD
Secure the FPD in place using the FPD stopper.

6
5
FPD Stopper
6
Fig. 6.12 Securing the FPD

6
Loosen knob 3 in the counterclockwise direction and adjust the forward/back position
6
of the FPD.
Knob 3
Fig. 6.13 Forward/Back Position Adjustment of the FPD
Tighten knob 3 in the clockwise direction to secure the forward/back position of the
7
FPD.
Line up the alignment marks on the connector of the sensor unit cable (option) and
8
the connector at the FPD side.
Alignment Marks
Fig. 6.14 Positioning Marks on the Connector
9 Push in the grip of the connector on the FPD side until you feel a click.
10
Do NOT move the imaging unit when using the lateral cassette/FPD holder.
The imaging unit may be damaged if it comes into contact with the cassette or FPD.

6.8 Leg Supports
6.8 Leg Supports

The leg supports are for use in urological, genital, and similar examinations. They can only be used
when the tabletop is in the horizontal position.
6
 Attaching Leg Supports
Move the tabletop to the horizontal position.
1 6
Attach the leg supports to the tabletop rails.
2
Fully tighten knobs A clockwise.
3 6
The leg supports are now secured.
Adjust the footrest positions using knobs B, handles and levers.

4
Adjust according to each patient.
6
Footrest
6
Handle
Knob B
Lever
6
Knob A
6
Fig. 6.15 Leg Supports
6
Completely fasten the Leg Supports to the tabletop.
Shake the leg supports in both longitudinal directions to confirm that they are completely
attached.
6
If not, they may fall off the tabletop and injure the patient.
6
After adjusting the footrest positions, confirm that knobs B, handles and levers
are completely fastened.
Do NOT tilt the tabletop if Leg Supports are attached.

Use the leg supports only when the tabletop is in the horizontal position. If the tabletop is
tilted with the leg supports attached, the supports may make contact with the floor or
ceiling.

6.9 Endoscope Support
6.9 Endoscope Support

The endoscope support is used to attach the endoscope fiber tube to the optional leg support for use
during endoscopic examination.
6
 Attaching Endoscope Support
Attach the leg supports to the tabletop.
1 6
^ "6.8 Leg Supports"
Insert the endoscope support into the pin of leg support bracket.
2
3 Fully tighten knob A clockwise. 6
The endoscope support is now secured.
4 Loosen the knob at each joint of the endoscope support, and determine the support
position, then fully tighten the knobs.
6
6
Endoscope Support
Knob
6
Knob
6
Knob A
Knob
Fig. 6.16 Endoscope Support 6
6
Do NOT tilt the tabletop if an Endoscope Support is attached.
Use the endoscope support only when the tabletop is in the horizontal position. If the
6
tabletop is tilted with the endoscope support attached, the support may make contact
with the floor or ceiling.
6
6
6.10 Drain Bag

The drain bag is a vinyl container that holds excretory substances such as urine during examinations of
the urethra or other areas of the patient’s body. The drain bag is to be used when the tabletop is in the
horizontal position. The drain bag (urine holder) and drain hose mesh filter are consumables. 10 sets of
each are supplied.
 Attaching Drain Bag

Put the bracket through the drain bag front sleeve.
1
Insert the connector bracket through the drain bag back sleeve.
2
Insert the bracket into the holder pin and secure the holder with the connector
3
bracket.
Insert the hose into the drain pipe at the bottom of the drain bag. Secure the hose
4
with the nylon fastening tape.
Place a mesh filter into the bottom of the drain bag.

5
2 Bracket
Connector Bracket 1
Holder
Mesh Filter
Nylon Fastening Tape

4
Hose
Fig. 6.17 Attaching Drain Bag
Do NOT tilt the tabletop if a Drain Bag is attached.

Use the drain bag only when the tabletop is in the horizontal position. If the tabletop is
tilted with the drain bag attached, the bag may make contact with the floor or ceiling.

6.11 Elbow Supports
6.11 Elbow Supports

The operator should place his elbows on the elbow supports during urology examinations. Elbow
supports are to be used in conjunction with the optional drain bag.
6
 Attaching Elbow Supports
Move the tabletop to the horizontal position.
1 6
Insert the drain bag bracket pin into the elbow support.
2
Fully tighten the knob clockwise.
3 6
The elbow support is now secured.
Adjust the arm to an appropriate length.

4
5 Adjust the height of elbow rest. 6
To raise the height, hold up the elbow rest and release it at the desired position.
To lower the height, push the stopper to lower the elbow rest.
6
Drain Bag Bracket Pin
Pin
6
Knob Elbow Rest
6
Arm
6
Stopper
6
Fig. 6.18 Elbow Supports
6
Do NOT apply your weight on the elbow rest.
Doing so may damage the Elbow Supports and/or cause injury.
6
Secure the elbow rest with your hand when pushing the lever.
This will prevent the elbow supports from falling down.
Do NOT tilt the tabletop if Elbow Supports are attached.

Use the elbow supports only when the tabletop is in the horizontal position. If the
tabletop is tilted with the elbow supports attached, the supports may make contact with
the floor or ceiling.

6.12 Auxiliary Tabletop
6.12 Auxiliary Tabletop

To accommodate taller patients, attach the auxiliary tabletop to the head of the diagnostic table during
the examination of feet or toes.
6
 Attaching Auxiliary Tabletop
Insert the insertion guides of the auxiliary tabletop into the tabletop slot rails.
1 6
Insert until no gap remains between the auxiliary tabletop and the tabletop.
Fully tighten knobs clockwise.

2
The auxiliary tabletop is now secured. 6
Tabletop Slot Rails
6
Insertion Guide
Knobs
Fig. 6.19 Attaching Auxiliary Tabletop

6
Completely fasten the Auxiliary Tabletop to the tabletop. 6

Shake the auxiliary tabletop in both longitudinal directions to confirm that it is completely
attached.
If not, it may fall off the tabletop and injure the patient. 6
Do NOT let the patient sit on Auxiliary Tabletop.

The auxiliary tabletop cannot support more than 30 kg. If the patient sits on Auxiliary
6
Tabletop, it may get damaged and cause the patient injury.
6
Do NOT tilt the tabletop if an Auxiliary Tabletop is attached.

Use the auxiliary tabletop only when the tabletop is in the horizontal position. If the
tabletop is tilted with the auxiliary tabletop attached, the auxiliary tabletop may make
contact with the floor or ceiling.

6.13 Tabletop Mat
6.13 Tabletop Mat
 Mounting Tabletop Mat
1 Set a tabletop mat on the tabletop. 6

Secure it with surface fasteners.
2
Surface
6
Tabletop fastener
Tabletop mat
Surface 6
fastener
6
 Removing Tabletop Mat
Peel off the surface fastener to remove the tabletop mat.
1 6
6
6.14 X-ray Tube 180° Swing Unit
 Rotate and fix the X-ray tube

Before taking an exposure, set the diagnostic table in the vertical position.
1
Release the rotation lock of the X ray tube and manually rotate the X ray tube unit at
2
90° or 180° in the direction of the bucky table, etc. and the lieder stand.
Fix the X ray tube with grip bar at 0°, 90° or 180° (For detail of releasing and fixing
3
the X- ray tube, refer to "CAUTION" in the next page).
^ "4.2.7 Radiography with the X-ray Tube 37Swing-out Unit (Optional)" P.4-21
 In case of bucky table
Move the imaging unit

with column switch
90°
Mobile bucky table, etc.
Fig. 6.20 In case of bucky table
 In case of Lieder stand
Move the imaging unit

with column switch
Lieder stand
180°
Fig. 6.21 In case of Lieder stand

6.14 X-ray Tube 180° Swing Unit
Certainly release the end of grip bar from base plate when rotating the X-ray tube 6
(make sure that the green line of grip bar is visible).
The grip bar and base plate may damage.
Base plate Green line Grip bar 6
Certainly lock the end of grip bar to the base plate when fixing the X-ray tube.
6
The X-ray tube may rotate unexpectedly and cause the misalignment of X-ray beam.
Base plate Grip bar
6
The X-ray tube unit can only be rotated when the diagnostic table is in the vertical position.
The table cannot be tilted during rotation.
6
6

Troubleshooting
7
7.1 Flow Chart for Troubleshooting . . . . . . . . . . . . . . . . . . .7-2
7.2 Code List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
7 Troubleshooting
7.1 Flow Chart for Troubleshooting

If any trouble occurs with the system, follow the flow chart below.
Trouble occurs.
Is a code ([Exx], [Hxx], [Lxx], or [Cxx]) displayed?
Yes No
See "7.2 Code List".
Has the trouble been fixed?
Yes No
End
Fill in "Trouble check sheet" in the instruction manual for the

package where the equipment is combined.
Contact your Shimadzu service representative.

7.2 Code List
7.2 Code List

This section describes the codes indicating current system conditions and warnings, as well as
countermeasures against errors.
7
The X-ray high-voltage generator-related codes are displayed on the indicator of the [Radiography sec
Setting] button ( ). The diagnostic table-related codes blink on the [Cassette Size
Indicator].
If an error occurs and no code is displayed, contact your Shimadzu service representative.
7
7.2.1 X-ray High-voltage Generator-related Codes

7
The codes displayed as [Cxx], [Lxx] and [Hxx] automatically disappear by performing the
countermeasures in the table below. The codes displayed as [Exx] disappear by pressing the
[Power ON] button. 7
Code Content Countermeasure
The examination room door is open. Close the door.

7
Timer has operated because fluoroscopy had been
performed successively for 10 minutes. To restart fluoroscopy, release the
fluoroscopy foot switch once and step on it
Fluoroscopic mode (DC/Pulsed Fluoroscopy) has
been switched during fluoroscopy.
again.
7
AEC did not work but AEC backup was activated
Extend the sec.
during AEC radiography (optional).
An unavailable radiography condition was received Send an available radiography condition 7

from the CR or DR system. from the CR or DR system again.
Battery for control panel data memory is empty.
Battery for control panel data memory needs to be Contact your Shimadzu service
7
replaced soon. representative.
Clock has been reset.

7
Inputting EEPROM was failed. Input APR again.
Equipment rating has been exceeded. Decrease the tube voltage or current. 7
The limit of emission characteristics has been Increase the tube voltage or decrease the
exceeded. tube current.
The mAs is below 0.5 mAs, or the tube current is

7
below the minimum value in mAs setting formula.
Change the set value.
The mAs has exceeded equipment rating.
7
7 Troubleshooting
The sec exceeds 10 seconds because mAs is too

large, or the sec has exceeded permitted range.
Reduce the set value.

The value is beyond available range in mAs setting
formula.
The heat unit will exceed permitted limit if the heat

Change radiography settings or stop
expected to go up in the current radiography setting
operation until the heat unit decreases.
is added.
The current heat unit has reached permitted limit.

Stop operation until the heat unit decreases.
X-ray tube unit temperature has exceeded
permitted limit.
Control board is abnormal.
24 V power supply/voltage for IGBT is abnormal.
- 15 V power supply/voltage is abnormal.
+ 15 V power supply/voltage is abnormal.

Contact your Shimadzu service
representative.
+ 24 V power supply/voltage is abnormal.
Connection status to high-voltage transformer is

abnormal.
Power supply/voltage has exceeded permitted

range.
Charging voltage of primary smoothing condenser

is abnormal.

7.2 Code List
Filament heating current is abnormal (Large

Focus).
Filament heating current is abnormal (Small

Focus). 7
Filament heating or inverter control was detected to
be abnormal.
The set tube voltage or current is abnormal. 7

The set filament heating current value is abnormal.
Filament heating current is abnormal (Large 7

Focus).
Filament heating current is abnormal (Small

Focus).
7
Starter is abnormal.
7
Measured tube voltage has exceeded permitted
range.
If the code appears repeatedly, contact your
7
7
The tube current has exceeded the set value.
The fluoroscopy tube current has exceeded the set

value. 7
Arcing occurred repeatedly.
7
Inverter temperature was detected to be abnormal.
Iris was detected to operate abnormally.

7
Any button or lever was operated at the power-on
sequence.
7
Hand switch is abnormal.
7
7 Troubleshooting
Exposure Button is abnormal.

Fluoroscopy foot switch is abnormal.
Measured mAs has exceeded permitted range.
If the code appears at the start of an

examination, click [Cancel] or [Suspend
Exam] on the digital radiography unit.
If power to the system has been turned OFF,
turn the power back ON and wait about
30 seconds before operating.
Starter does not operate at the start of fluoroscopy If the code appears repeatedly, contact your
or examination. Shimadzu service representative.
*Approximately 30 seconds is required after
turning the power ON for the starter to be
ready for operation.
If you attempt to start an examination during
the preparation period, this error may occur
but does not indicate any abnormality.
The fluoroscopy tube voltage balance is abnormal.

Radiography timer has trouble.
Fluoroscopy timer has trouble.

7.2 Code List
7.2.2 X-ray Diagnostic Table-related Codes
The codes displayed as [Cxx] appear for 5 seconds and disappear automatically. The codes displayed
as [Exx] are canceled by turning the [STOP] button on/off.
Code Content Countermeasure 7

An exposure was attempted with no cassette
Install a cassette.
loaded.
An exposure was attempted with the already

exposed cassette left in the unit.
Replace the cassette. 7
Bring the cassette back to the loading
Cassette size cannot be detected. position once, and insert the cassette
Collimator key switch is not set to [Auto] for

again.
7
Set to [Auto].
Digital Radiography/Spot Radiography.
Remove the object away to unlock the

Safety sensor has activated interlock.
sensor. 7
Tilting the tabletop or oblique-projecting the X-
Return the X-ray tube to its original
ray tube was attempted while X-ray tube is
position.
extended.
Tilting the tabletop or oblique-projecting the X-
ray tube was attempted while X-ray tube is
Return the X-ray tube to its original 7
position.
rotated.
Return the imaging unit to the center of
Compression was attempted during oblique
projection.
diagnostic table. (Oblique angle is ± 10º
max.) 7
The imaging unit was attempted to move with Remove or insert the cassette tray
the cassette tray inserted halfway. completely.
A button was pressed on remote console at

start-up.
Do not touch any button on the remote 7
console/front operation panel at start-up.
A button was pressed on the X-ray tube unit If the code is still displayed, contact your
panel at start-up. Shimadzu service representative.
Battery level is low.

7
representative.
Stroke end limit switch was detected.
Move the cassette to its stand-by

7
Fluoroscopy and Radiography are not available
position or insert the tray to rear without
with a cassette or cassette tray detected.
a cassette.
Fluoroscopy and Radiography are not available
while the X-ray tube is rotated or extended.
Return the X-ray tube to its original
position.
7
Tabletop ascending/descending buttons are
Tilt the tabletop to the horizontal position.
valid only at the horizontal position.
Operation from remote console is unavailable

while the X-ray tube is extended.
Operate from local console or front
operation panel.
7
The FPD is not installed correctly. Install the FPD correctly. If the message
is not cleared, contact your Shimadzu
7
7 Troubleshooting

The grid is not installed correctly. Install the grid correctly.
If the message is not cleared, contact
your Shimadzu service representative.
A button was pressed on the collimator at start- Do not touch any button on the
up. collimator at start-up. If the code is still
displayed, contact your Shimadzu
Operating the table form remote console is Operate from local console or front
unavailable while the X-ray tube is rotated. operation panel.
Tilting potentiometer value does not change

according to the output.
Imaging unit potentiometer value does not

change according to the output.
Table-elevating potentiometer value does not

Tube-oblique potentiometer value does not

Carriage X potentiometer value does not

Carriage Y potentiometer value does not

The collimator H potentiometer value does not
change according to the output (excluding
FLEXAVISION ).
The collimator (H leaves) is not operating
correctly (FLEXAVISION ).
Turn on/off the [Stop] button or the
The collimator V potentiometer value does not
system power.
change according to the output (excluding
FLEXAVISION ). If the system still does not recover,
contact your Shimadzu service
The collimator (V leaves) is not operating representative.
correctly (FLEXAVISION ).
A disconnection was detected with the tilting

potentiometer.
A disconnection was detected with the imaging

unit potentiometer.
A disconnection was detected with the table-

elevating potentiometer.
A disconnection was detected with the oblique

potentiometer.
A problem was detected with the carriage X

potentiometer.
A problem was detected with the carriage Y

potentiometer.
A problem was detected with the collimator H
potentiometer (excluding FLEXAVISION ).
A sensor or motor may have failed
(FLEXAVISION ).

7.2 Code List

A problem was detected with the collimator V
potentiometer (excluding FLEXAVISION ).
A sensor or motor may have failed
(FLEXAVISION ). Turn on/off the
system power.
[Stop] button or the
7
An alert was detected with tilting inverter.
If the system still does not recover,
An alert was detected with imaging unit representative.
inverter.
7
An alert was detected with table-elevating
inverter.
The positions of drive axes are not registered.

7
An abnormality was detected on the [Stop] Contact your Shimadzu service
button circuit. representative.
Cassette spot radiography alignment does not

consistent with DIP SW (3-8) on DTC PCB.
7
The (R-300) collimator's X-ray filters are not
operating correctly. Press the [Stop] button, or turn the
The motor for the (R-300) collimator's X-ray

filters is not operating correctly.
system's power OFF and back ON.
If this doesn't recover correct operation,
7
representative.
Cannot communicate with the collimator
correctly.
The FPD cooling fan has stopped. The FPD can reach high temperatures.
7
Do not make continuous exposures.
representative.
Cannot communicate with the dosimeter.
Displayed dose value is not reliable.
representative.
7
Software revision of X-ray high-voltage Contact your Shimadzu Service
generator is not correct. Representative.
The collimator of the second X-ray tube is

7
abnormal. The potentiometer is disconnected or Press the [Stop] button, or turn the
the position is not registered. system's power OFF and back ON.
If this doesn't recover correct operation,
representative. 7
Do NOT remove the FPD from the tray after fluoroscopy while is 7
displayed.
Touching the back surface of the FPD may result in burns.
7
7 Troubleshooting

8Technical Data
8.1 Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2
8.2 Reference Axis of Equipment . . . . . . . . . . . . . . . . . . .8-34
8.3 Product Nameplates and Labels . . . . . . . . . . . . . . . . .8-35
8.4 Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-46
8 Technical Data
8.1 Specifications
The system type can be identified with a combination of model number symbols on labels attached onto
the diagnostic table and the X-ray high-voltage generator.
^ The model number shown below is represented on the labels of [4 Name Plate of ZS-5D Series] and [j Name
Plate of ZUD Series]. For details, see "8.3 Product Nameplates and Labels".
 Label on Diagnostic table
Example: ZS-5DSFHA
2
1
Model Number
Number Meaning of Number Type
Symbol
D Not elevating tabletop

1 Type of diagnostic table
DS Elevating tabletop
SF/HB Cassette spot radiography
2 Type of radiography device FD Cassette tray radiography
F3 FPD tray
 Label on X-ray high-voltage generator

Example: ZUD-L40D
Model Number
Number Meaning of Number Type
Symbol
P 20 kW
L 50 kW*
Output of X-ray high-voltage
3
genarator V 65 kW
B 80 kW
*If using the X-ray high-voltage generator for 50 kW output with a single-phase 200 V power supply, the
output is limited to 32 kW.

8.1 Specifications
 System type identification
Example: ZSU-5 * * *
2
1
3
8
* On the following pages in this chapter, Type of Diagnostic Table (1) and Type of Cassette Radiography 8
Device (2) are represented as an * (asterisk).
8
8 Technical Data
8.1.1 Specifications of Diagnostic Table
The values below are standard values. Actual values may differ.
Each value is subject to change without notice.
Item Description
Over-Table tube system

1 X-ray tube unit Island type
2 Automatic X-ray collimator
3 Patient
4 Tabletop
5 Cassette radiography device
6 I.I. (Image Intensifier)
7 TV camera
Method of adjusting exposure field Adjusted with automatic collimator.
• The square inscribed in the circular I.I. input screen is the

maximum size. A rectangular field is available with the
maximum or given smaller size.
Exposure field for fluoroscopy (Excluding FLEXAVISION )
• The square irradiation field is the maximum size. A rectangular
irradiation field of arbitrary size can be attained at smaller
X-ray Exposure Field
sizes. (FLEXAVISION )
Automatically adjusted to a rectangular field according to a

Automatic
selected exposure field.
The fluoroscopy exposure field is the maximum size. A

Exposure
Manual rectangular field with the maximum or given smaller size is
field
available.
A rectangular field of which the horizontal size is manually

Semi-auto
adjusted is available.
Operate knobs on collimator front panel for setting, checking light

Exposure field at general radiography
irradiation field.

8.1 Specifications
Item Description
Cassettes in INCH/CM series compliant with the IEC standard.
Either INCH or CM is selectable.
Cassette type
INCH: 8 × 10, 10 × 12, 11 × 14, 14 × 14, 14 × 17
8
CM: 18 × 24, 24 × 30,  , 35 × 35, 35 × 43
INCH series
8"  10" 10"  8"

8
10"  12" (**) (**) 12"  10"
11"  14" (*) 14"  11"

8
14"  14"
8
Cassette spot radiography device
14"  17"
Selectable division button CM series

according to cassette size
18  24 24  18
8
Exposure System
24  30 (**) (**) 30  24
8
35  35
35  43
8
(*) There are unexposed margins of approx. 10 mm at the left and
right edges.
(**) The multi-division exposure programs may be unavailable in
horizontal direction for some unit types. 8
Operation Select a technique and APR on the remote console.
Selected cassette type
Display The progress status of multi-division exposure is shown on the
indicator of the remote console.
8
Serial multi-division exposure Twice/sec
Mask for multi-division The size of multi-divisional mask is automatically adjusted
exposure according to the selected division button. 8
Cassette Size
14" x 17", 14" x 14" (optional)
Cassette tray radiography unit
35 x 43, 35 x 35 (optional)
For each size, only non-division radiography can be performed. 8
8
8 Technical Data
Item Description
Irradiation field size
14"  17", 17"  14", 14"  14", 12"  12", 9"  9"
For each size, non-division, vertical division, horizontal division,
FPD unit
and quarter division exposures can be performed.
The seriography function is not available for multi-division
Exposure System
exposure.
System SF system HB FD system F3 system
48.2 cm 45.2 cm
Type 38.8 cm  46.4 cm (fixed)
(fixed)
X-ray grid
X-ray grid ratio r 10 r12 r10

X-ray grid density N 40 cm-1 N 60 cm -1
N 40 cm-1
Focusing distance f0 120 cm
Intermediate material Al Fiber
Compressive strength 80 N max. (approx. 8.2 kgf max.)
Compression position is adjustable by moving imaging unit or
Compression Cone *1
tabletop.
Compression position adjustment
For the compression cone head, there are Flat and Protrusive
types. Choose the type according to the patient's body thickness.
Compression, stop, and retraction are operated with
Operation
[Compression Control Lever] on the remote console.
Distance between compression cone
100 mm to 340 mm
head and tabletop
Dimension 650 mm  2100 mm (W x L)
135 kg (* 150 kg for some specifications, depending on the factory
Maximum allowable load
options.)
Travel 220 mm (motor-driven)
Lateral
movement 30 mm/sec 50 Hz
Speed
36 mm/sec 60 Hz
Angle - 30° (Trendelenburg) to + 90° (upright)
Tabletop
Tilting Soft start/stop feature

Speed 6°sec at maximum (* 5/sec for some specifications, depending
on the factory options.)
5D (not elevating tabletop): 890 mm (Type F3)
900 mm (Type SF/HB/FD)
Vertical Distance between
5DS (elevating tabletop): 690 mmto 950 mm (Type F3)
movement tabletop and floor
(Soft start/stop) 700 mmto 960 mm (Type SF/HB/
FD)
Attenuation Wood-made 1.25 mm Al equivalent amount

equivalent Carbon-made 0.59 mm Al equivalent amount

8.1 Specifications
Item Description
900 mm (Motor-driven)
Travel *May be limited according to tilting angle, tabletop height,
oblique angle, and other factors. 8
Longitudinal
movement Soft start/stop feature
50 mm/sec
Speed
(* 100 mm/sec for some specifications, depending on the
factory options.)
8
Imaging Unit
X-ray focus - Cassette distance (FFD) 1100 mm

With the tabletop in the vertical position, FFD/SID can be
Distance from X-ray focus to FPD surface set to 1500 by manually drawing out the X-ray tube unit. 8
(SID) (*The tube can be pulled out by 1.8 m or 2.0 m with chest
radiography unit attached. (Excluding FLEXAVISION )
Distance between X-ray beam axis and

floor (vertical position)
750 mm to 1650 mm
8
Patient's head direction: 30° to foot direction: 30°
Oblique angle (* factory option)
(*only with oblique projection unit)
I.I., X-ray TV Unit

9" and 12" I.I., and X-ray TV unit can be installed to spot 8
radiography device using the provided I.I. mounting plate.
Table top
Attenuation equivalent 0.33 mm Al equivalent amount*3
mattress*2
8
Component
Foot rest 150 kg
Rolling Step*2 150 kg

Allowable load weight
Auxiliary
tabletop*2
150 kg 8
W x D: approx. 3500 mm  2300 mm min.
Required space (*For the system with the chest radiography unit, approx.
4200 mm  2300 mm min.) 8
SF: Installation available with 2400 mm min.
Installation
2550 mm min. recommended

Required ceiling height
HB, FD, F3: Installation available with 2450 mm min.
2600 mm min. recommended
8
Required Door Opening for Installation W x H: approx. 900 mm  1800 mm min.
Operation/maintenance weight
ZSU-5D: 600 kg, ZSU-5DS: 730 kg (*For cassette spot
radiography device)
8
*1: When the system is equipped with compression cone.
*2: Option 8
*3: If a tabletop mat other than the SHIMADZU certified parts is used, the attenuation equivalent may
be affected.
8
8 Technical Data
8.1.2 Specifications of X-ray Fluoroscopy/Radiography System
The values below are standard values. Actual values may differ.
Each value is subject to change without notice.
 ZSU-5*P*
Item ZSU-5*P*
General radiography, Fluoroscopic diagnosis, Cassette spot radiography*1, Digital

Radiography
radiography*2, Cassette tray radiography*3, Vertical bucky radiography*4, Horizontal
Technique
bucky radiography*4
Number of
Connectable X-ray 2 tubes*5 (tube selector unit required)
Tubes
Tube
40 kV to 125 kV
voltage
10 mA to 250 mA
Tube 12 values can be selected from the following available with the X-ray tube.
current
250, 220, 200, 180, 160, 140, 125, 110, 100, 90, 80, 71, 63, 56, 50, 45, 40, 36, 32, 28,
25, 22, 20, 18, 16, 14, 12, 11, 10 mA
0.5 mAs to 320 mAs

Setting Range *6,*7, *8,*9, *10
Select from the following 57 positions.

mAs
0.50, 0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.25, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6,
Radiography
4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10, 11, 12.5, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40,
45, 50, 56, 63, 71, 80, 90, 100 110, 125, 140, 160, 180, 200, 220, 250, 280, 320 mAs
0.001 sec to 10 sec
Select from the following 81 positions.

The value below 0.5 or above 320 mAs cannot be set.
Time 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0,
10, 11, 12, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40, 45, 50, 56, 63, 71, 80, 90 ms,
0.10, 0.11, 0.12, 0.14, 0.16, 0.18, 0.20, 0.22, 0.25, 0.28, 0.32, 0.36, 0.40, 0.45, 0.50,
0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0,
4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10 sec
Tube
50 kV to 125 kV
voltage
Fluoroscopy
Tube
0.3 mA to 2.5 mA
current
Time Continuous fluoroscopy time: 10 min
APR 12 APRs can be registered for each technique.

8.1 Specifications
Item ZSU-5*P*
Nominal Supply
Single-phase: 200/220/240 V
Voltage (50/60 Hz)
Recommended
Transformers
30 kVA (single-phase)
8
Power input AC: 45 kVA
Single-phase: 20 kW (80 kV, 250 mA)

Rated Output The maximum product of the tube voltage and current that can flow in 0.1 sec at 100 kV 8
tube voltage
Short-time Rating*7 Single-phase: 125 kV 160 mA, 100 kV 200 mA, 80 kV 250 mA
Long-time Rating*7 125 kV 2.5 mA 8

Nominal Max. Tube
Voltage, and Max.
Short-time rating (single-phase): 125 kV 250 mA
Tube Current that can
flow at nominal max.
tube voltage*7
Long-time rating: 125 kV 2.5 mA
8
Max. Tube Current,
and Max. Tube Voltage Short-time rating (single-phase): 80 kV 250 mA
to achieve max. tube
current*7
Long-time rating: 125 kV 2.5 mA 8
Combination of Tube
Voltage and Tube Short-time rating (single-phase): 80 kV 250 mA, 125 kV 160 mA
Current as max.
electrical output*7
Long-time rating: 125 kV 2.5 mA 8
Product of Min. Tube
0.5 mAs
Current and Time
Nominal Min. Exposure

8
Time 3 ms
(at AEC radiography)
8
*1: Selectable only for the cassette spot radiography device.
*2: Selectable only for the digital radiography unit device.
*3: Selectable only for the cassette tray radiography unit. 8

*4: Selectable only when 2 tubes are connected.
*5: When connecting 2 tubes, second-tube option is required.
*6:
*7:
Setting range varies with X-ray tube types.
Limited according to the X-ray tube type.

8
*8: Accuracy of each condition is given below (confirm to IEC standards).
Tube voltage (within 10 %), tube current (within 20 %)
mAs: within (10 %+0.2 mAs), time: within (10 %+1 ms) 8
*9: X-ray output stability is given below.
Variation coefficient: 0.005 or less
8
8 Technical Data
*10: The X-ray output stability with neighboring setting values satisfies the following formula.
K1 K2
----------- + -----------
K1 K2 I1 t1 I2 t2
----------- – -----------  0.2 -----------------------------
I1 t1 I2 t2 2
Where
K 1 K 2 : Mean value of measured X-ray output values obtained using neighboring setting values
I 1 I 2 : Neighboring tube current setting values
t 1 t 2 : Neighboring radiography time setting values

8.1 Specifications
 ZSU-5*L*
Item ZSU-5*L*
General radiography, fluoroscopy, cassette spot radiography*1, digital radiography*2,

Radiography
Technique
cassette tray radiography*3, vertical bucky radiography*4, and horizontal bucky
radiography*4 8
Number of
Connectable X-ray 2 tubes*5
Tubes
8
Tube
40 kV to 150 kV
voltage
10 mA to 630 mA
For each focus, 12 values can be selected from the following available with the X-ray
8
Tube
current tube.
630, 560, 500, 450, 400, 360, 320, 280, 250, 220, 200, 180, 160, 140, 120, 110, 100, 90,
80, 71, 63, 56, 50, 45, 40, 36, 32, 28, 25, 22, 20, 18, 16, 14, 12, 11, 10 mA
8
0.5 mAs to 800 mAs
Radiography
Set from the following 65 positions.

Setting Range *6,*7, *8,*9, *10
mAs
500 mAs is the upper limit for AEC radiography.
0.50, 0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.25, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6,
8
4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10, 11, 12.5, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40,
45, 50, 56, 63, 71, 80, 90, 100, 110, 125, 140, 160, 180, 200, 220, 250, 280, 320, 360,
400, 450, 500, 560, 630, 710, 800 mAs
0.001 sec to 10 sec

8
Time 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0. 9.0,
10, 11, 12, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40, 45, 50, 56, 63, 71, 80, 90 ms,
8
0.10, 0.11, 0.12, 0.14, 0.16, 0.18, 0.20, 0.22, 0.25, 0.28, 0.32, 0.36, 0.40, 0.45, 0.50,
0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0,
4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10 sec
8
Tube
50 kV to 125 kV
Fluoroscopy
voltage
Tube
current
0.3 mA to 4.0 mA
8
Nominal Supply Three-phase*11: 200/220/240/380/400/415/440 V

8
Voltage (50/60 Hz) Single-phase: 200/220/240 V
Recommended
Transformers
50 kVA (three-phase) / 30 kVA (single-phase) 8
3-phase AC: 80 kVA
Power input
1-phase AC: 60 kVA
8
8 Technical Data
Item ZSU-5*L*
Three-phase: 50 kW (100 kV, 500 mA)

Rated Output
The maximum product of the tube voltage and current that can flow in 0.1 sec at 100 kV
tube voltage
Three-phase:
150 kV 320 mA, 125 kV 400 mA, 100 kV 500 mA, 80 kV 630 mA
Short-time Rating*7
Single-phase:
150 kV 200 mA, 125 kV 250 mA, 100 kV 320 mA, 80 kV 400 mA, 60 kV 500 mA
Long-Time Rating*7 125 kV 4 mA
Nominal Max. Tube

Voltage, and Max. Short-time rating: Three-phase: 150 kV 320 mA
Tube Current that can Single-phase: 150 kV 200 mA
flow at nominal max. Long-time rating: 125 kV 4 mA
tube voltage*7
Max. Tube Current, Short-time rating: Three-phase: 80 kV 630 mA

and Max. Tube
Single-phase: 60 kV 500 mA
Voltage to achieve
max. tube current*7 Long-time rating: 125 kV 4 mA
Combination of Tube Short-time rating: Three-phase: 80 kV 630 mA, 100 kV 500 mA

Voltage and Tube
Single-phase: 80 kV 400 mA, 100 kV 320 mA
Current as max.
electrical output*7 Long-time rating: 125 kV 4 mA

0.5 mAs
Current and Time
Nominal Min.
Exposure Time 3 ms
*3: Selectable only for the cassette tray radiography unit.
*5: When connecting 2 tubes, second-tube option is required.
*6: Setting range varies with X-ray tube types.
*7: Limited according to X-ray tube type.

mAs: within (10 %+0.2 mAs), time: within (10 %+1 ms)


8.1 Specifications
K1 K2
----------- + -----------
K1 K2 I 1 t 1 I 2 t2
----------- – -----------  0.2 -----------------------------
I1 t1 I2 t2 2
Where
8
t 1 t 2 : Neighboring radiography time setting values 8

*11: When using three-phase power voltage of 200/220/240 V, the Automatic Transformer Option is required.
8
8 Technical Data
 ZSU-5*L2
Item ZSU-5*L2
General radiography, fluoroscopy, cassette spot radiography*1, digital radiography*2,

Radiography
cassette tray radiography*3, vertical bucky radiography*4, and horizontal bucky
Technique
radiography*4
Number of
Connectable X-ray 2 tubes*5
Tubes
Tube
40 kV to 150 kV
voltage
10 mA to 630 mA
Tube For each focus, 12 values can be selected from the following available with the X-ray
current tube.
630, 560, 500, 450, 400, 360, 320, 280, 250, 220, 200, 180, 160, 140, 120, 110, 100, 90,
80, 71, 63, 56, 50, 45, 40, 36, 32, 28, 25, 22, 20, 18, 16, 14, 12, 11, 10 mA
0.5 mAs to 800 mAs

Radiography

Setting Range *6,*7, *8,*9, *10

mAs
0.50, 0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.25, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6,
4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10, 11, 12.5, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40,
45, 50, 56, 63, 71, 80, 90, 100, 110, 125, 140, 160, 180, 200, 220, 250, 280, 320, 360,
400, 450, 500, 560, 630, 710, 800 mAs
0.001 sec to 10 sec

Time 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0. 9.0,
10, 11, 12, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40, 45, 50, 56, 63, 71, 80, 90 ms,
0.10, 0.11, 0.12, 0.14, 0.16, 0.18, 0.20, 0.22, 0.25, 0.28, 0.32, 0.36, 0.40, 0.45, 0.50,
0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0,
4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10 sec
Tube
50 kV to 125 kV
Fluoroscopy
voltage
Tube
0.3 mA to 4.0 mA
current
Nominal Supply
Single-phase: 200/220/240 V
Voltage (50/60 Hz)
Recommended
50 kVA (single-phase)
Transformers

8.1 Specifications
Item ZSU-5*L2

Rated Output The maximum product of the tube voltage and current that can flow in 0.1 sec at 100 kV
tube voltage
Short-time Rating*7 Single-phase: 150 kV 320 mA, 125 kV 400 mA, 100 kV 500 mA, 80 kV 630 mA 8
Long-Time Rating*7 125 kV 4 mA
Nominal Max. Tube

Voltage, and Max.
8
Long-time rating: 125 kV 4 mA
tube voltage*7
Max. Tube Current,

8
and Max. Tube
Voltage to achieve Long-time rating: 125 kV 4 mA
max. tube current*7
Combination of Tube
Short-time rating (single-phase): 80 kV 630 mA, 100 kV 500 mA
8
Voltage and Tube
Current as max. Long-time rating: 125 kV 4 mA
electrical output*7

0.5 mAs
8
Current and Time
Nominal Min.
Exposure Time
3 ms
8
8
*5: When connecting 2 tubes, second-tube option is required. 8

*7: Limited according to X-ray tube type.

*8: Accuracy of each condition is given below (confirm to IEC standards). 8

Variation coefficient: 0.005 or less 8
8
8 Technical Data
K1 K2
----------- + -----------
K1 K2 I 1 t 1 I 2 t2
----------- – -----------  0.2 -----------------------------
I1 t1 I2 t2 2
Where

8.1 Specifications
 ZSU-5*V*
Item ZSU-5*V*

Radiography
Technique
bucky radiography*4 8
Number of
Connectable X-ray 2 tubes
Tubes
8
Tube
40 kV to 150 kV
voltage
10 mA to 800 mA
8
Tube
current tube.
800, 710, 650, 560, 500, 450, 400, 360, 320, 280, 250, 220, 200, 180, 160, 140, 125,
110, 100, 90, 80, 71, 63, 56, 50, 45, 40, 36, 32, 28, 25, 22, 20, 18, 16, 14, 12, 11, 10 mA
8
0.5 mAs to 800 mAs

Radiography
Setting Range *5,*6,*7, *8,*9
mAs
0.50, 0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.25, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6,
8
4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10, 11, 12.5, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40,
45, 50, 56, 63, 71, 80, 90, 100, 110, 125, 140, 160, 180, 200, 220, 250, 280, 320, 360,
400, 450, 500, 560, 630, 710, 800 mAs
0.001 sec to 10 sec

8
Time 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0,
10, 11, 12, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40, 45, 50, 56, 63, 71, 80, 90 ms,
8
0.10, 0.11, 0.12, 0.14, 0.16, 0.18, 0.20, 0.22, 0.25, 0.28, 0.32, 0.36, 0.40, 0.45, 0.50,
0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0,
4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10 sec
8
Tube
50 kV to 125 kV
voltage
Fluoroscopy
Tube
current
0.3 mA to 4.0 mA
8
Nominal Supply
8
Three-phase*10: 200/220/240/380/400/415/440 V
Voltage (50/60 Hz)
Recommended
75 kVA (three-phase)
Transformers
8
8
8 Technical Data
Item ZSU-5*V*

tube voltage
Short-time Rating*6 Three-phase: 150 kV 400 mA, 125 kV 500 mA, 100 kV 650 mA, 80 kV 800 mA
Long-time Rating*6 125 kV 4 mA
Nominal Max. Tube

Voltage, and Max.
Short-time rating (three-phase): 150 kV 400 mA
tube voltage*6
Max. Tube Current,

and Max. Tube Voltage Short-time rating (three-phase): 80 kV 800 mA
to achieve max. tube Long-time rating: 125 kV 4 mA
current*6
Combination of Tube
Voltage and Tube Short-time rating (three-phase): 100 kV 650 mA
Current as max. Long-time rating: 125 kV 4 mA
electrical output*6

0.5 mAs
Current and Time
Nominal Min.
Exposure Time 3 ms


*6: Limited according to the X-ray tube type.



8.1 Specifications
K1 K2
----------- + -----------
K1 K2 I 1 t 1 I 2 t2
----------- – -----------  0.2 -----------------------------
I1 t1 I2 t2 2
Where
8

8
8
8 Technical Data
 ZSU-5*B*
Item ZSU-5*B*

Radiography
Technique
bucky radiography*4
Number of
Connectable X-ray 2 tubes
Tubes
Tube
40 kV to 150 kV
voltage
10 mA to 1000 mA
Tube tube.
current
1000, 900, 800, 710, 630, 560, 500, 450, 400, 360, 320, 280, 250, 220, 200, 180, 160,
140, 125, 110, 100, 90, 80, 71, 63, 56, 50, 45, 40, 36, 32, 28, 25, 22, 20, 18, 16, 14, 12,
11, 10 mA
0.5 mAs to 800 mAs

Radiography

Setting range*5,*6,*7, *8,*9

mAs
0.50, 0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.25, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6,
4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10, 11, 12.5, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40, 45,
50, 56, 63, 71, 80, 90, 100, 110, 125, 140, 160, 180, 200, 220, 250, 280, 320, 360, 400,
450, 500, 560, 630, 710, 800 mAs
0.001 sec to 10 sec

Time 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0, 4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0,
10, 11, 12, 14, 16, 18, 20, 22, 25, 28, 32, 36, 40, 45, 50, 56, 63, 71, 80, 90 ms,
0.10, 0.11, 0.12, 0.14, 0.16, 0.18, 0.20, 0.22, 0.25, 0.28, 0.32, 0.36, 0.40, 0.45, 0.50,
0.56, 0.63, 0.71, 0.80, 0.90, 1.0, 1.1, 1.2, 1.4, 1.6, 1.8, 2.0, 2.2, 2.5, 2.8, 3.2, 3.6, 4.0,
4.5, 5.0, 5.6, 6.3, 7.1, 8.0, 9.0, 10 sec
Tube
50 kV to 125 kV
voltage
Fluoroscopy
Tube
0.3 mA to 4.0 mA
current
Nominal Supply
Three-phase*10: 200/220/240/380/400/415/440 V
Voltage (50/60 Hz)
Recommended
75 kVA (three-phase)
Transformers

8.1 Specifications
Item ZSU-5*B*

tube voltage
Short-time Rating*6 Three-phase: 150 kV 500 mA, 125 kV 630 mA, 100 kV 800 mA, 80 kV 1000 mA 8
Long-time Rating*6 125 kV 4 mA
Nominal Max. Tube

Voltage, and Max. 8
Tube Current that can Short-time rating (three-phase): 150 kV 320 mA
flow at nominal max. Long-time rating: 125 kV 4 mA
tube voltage
*6
8
Max. Tube Current,
and Max. Tube
Short-time rating (three-phase): 80 kV 1000 mA
Voltage to achieve
max. tube current
*6
8
Combination of Tube
Voltage and Tube Short-time rating (three-phase): 80 kV 1000 mA, 100 kV 800 mA
Current as max.
electrical output*6
Long-time rating: 125 kV 4 mAs, 75 kV 20 mA 8
0.5 mAs
Current and Time
Nominal Min.
8
Exposure Time 3 ms
8

8
*6:
*7:
Limited according to X-ray tube type.
Accuracy of each condition is given below (confirm to IEC standards).

8
*8: X-ray output stability is given below. 8

8
8 Technical Data
K1 K2
----------- + -----------
K1 K2 I 1 t 1 I 2 t2
----------- – -----------  0.2 -----------------------------
I1 t1 I2 t2 2
Where

8.1 Specifications
8.1.3 Specifications of Power Supply
Specifications of the system power supply are shown as follows. The necessary power supply differs
depending on the output amount of X-ray high-voltage generator.
Do NOT use a power supply other than those specified below.

8
Otherwise, serious accidents such as fire, smoke emission or explosion may occur.
8
Be sure to connect the equipment only to a (commercial) power outlet with a
ground terminal.
If the outlet does not have a ground terminal, electric shock may occur. 8
If using an earth leakage breaker, be sure to use an inverter-type earth leakage

breaker for every power voltage in order to prevent malfunctions in the high-
8
frequency circuits.
8
Use the short circuit breaker supporting harmonic surge.
8
8 Technical Data
 Types of X-ray Fluoroscopy/Radiography System and Available Power

Supply
Type of X-ray Fluoroscopy/Radiography System

Available Power Supply Reference
(Model Number)
ZSU-5*P* Single-phase 200/220/240 V P.8-25
Single-phase 200/220/240 V* P.8-26
ZSU-5*L* Three-phase 200/220/240 V P.8-27
Three-phase 380/400/415/440 V P.8-28
Three-phase 200/220/240 V P.8-30

ZSU-5*V*
Three-phase 380/400/415/440 V P.8-31
Three-phase 200/220/240 V P.8-32

ZSU-5*B*
Three-phase 380/400/415/440 V P.8-33
*If ZSU-5*L* is used with single-phase 200 V power supply, the output is limited to 32 kW.
^ Type of Diagnostic Table and Type of Cassette Radiography Device are represented as an *
(asterisk). For details, see P.8-2.

8.1 Specifications
 ZSU-5*P* (single-phase 200 V)

• Frequency: 50/60 Hz
• Standard voltage, allowed voltage range under non-load conditions, and power-supply
impedance:
Standard Voltage Allowed Voltage Range Power-supply Impedance

8
200 V + 10 %, - 5 %
220 V  10 % 0.08  max.

8
240 V  10 %
• Relationship between cable length and cross-sectional area to match the transformer capacity
30 kVA (single-phase): (Using conduit wiring) 8
Width Width
Length Length
(Cross-Sectional Area) (Cross-Sectional Area)
10 m max. 14 mm2 60 m 100 mm2

8
20 m 22 mm2 70 m 100 mm2
30 m 38 mm2 80 m 100 mm2

8
40 m 60 mm2 90 m 100 mm2
50 m 60 mm2 100 m 100 mm2
8
• Safety device:
Type Frame Capacity Rating Breaking Current
Knife-switch with fuse or molded-case circuit 100 A min. 100 A 8

• Ground conditions: Grounding resistance 100  max.
8
8 Technical Data
 ZSU-5*L* (single-phase 200 V)

impedance:
200 V  10 %
220 V  10 % 0.08  max.
240 V  10 %
30 kVA (single-phase): (Using conduit wiring)
Width Width
Length Length
10 m max. 14 mm2 60 m 100 mm2
20 m 22 mm2 70 m 100 mm2
30 m 38 mm2 80 m 100 mm2
40 m 60 mm2 90 m 100 mm2
50 m 60 mm2 100 m 100 mm2
• Safety device:
Knife-switch with fuse or molded-case circuit 100 A min. 100 A

8.1 Specifications
 ZSU-5*L* (three-phase 200 V, automatic transformer option required)

impedance:

8
200 V  10 % 0.087  max.
220 V  10 % 0.087  max.

8
240 V  10 % 0.087  max.
50 kVA: (Using conduit wiring) 8
Width Width
Length Length
10 m max. 8 mm2 60 m 38 mm2

8
20 m 14 mm2 70 m 38 mm2
30 m 14 mm2 80 m 60 mm2
8
40 m 22 mm2 90 m 60 mm2
50 m 38 mm2 100 m 60 mm2
8
• Safety device:

8
8 Technical Data
 ZSU-5*L* (three-phase 400 V)

impedance:
380 V  10 % 0.16  max.
400 V  10 % 0.17  max.
415 V  10 % 0.19  max.
440 V  10 % 0.21  max.
50 kVA: (Using conduit wiring)
Width Width
Length Length
10 m max. 5.5 mm2 60 m 8 mm2
20 m 5.5 mm2 70 m 8 mm2
30 m 5.5 mm2 80 m 14 mm2
40 m 5.5 mm2 90 m 14 mm2
50 m 8 mm2 100 m 14 mm2
• Safety device:

8.1 Specifications
 ZSU-5*L2 (single-phase 200 V)

impedance:

8
200 V + 10 %, - 5 %
220 V  10 % 0.051  max.

8
240 V  10 %
50 kVA (single-phase): (Using conduit wiring) 8
Width Width
Length Length
10 m max. 14 mm2 60 m 100 mm2

8
20 m 22 mm2 70 m 100 mm2
30 m 38 mm2 80 m 100 mm2

8
40 m 60 mm2 90 m 100 mm2
50 m 60 mm2 100 m 100 mm2
8
• Safety device:

8
8 Technical Data
 ZSU-5*V* (three-phase 200 V, automatic transformer option required)

impedance:
200 V  10 % 0.054  max.
220 V  10 % 0.054  max.
240 V  10 % 0.054  max.
Width Width
Length Length
10 m max. 14 mm2 60 m 60 mm2
20 m 22 mm2 70 m 60 mm2
30 m 38 mm2 80 m 100 mm2
40 m 38 mm2 90 m 100 mm2
50 m 60 mm2 100 m 100 mm2
• Safety device:

8.1 Specifications
 ZSU-5*V* (three-phase 400 V)

impedance:

8
380 V  10 % 0.10  max.
400 V  10 % 0.11  max.

8
415 V  10 % 0.12  max.
440 V  10 % 0.13  max.
8
Length
Width
(Cross-Sectional Area)
Length
Width
8
10 m max. 5.5 mm2 60 m 22 mm2
20 m 8 mm2 70 m 38 mm2
8
30 m 14 mm2 80 m 38 mm2
40 m 22 mm2 90 m 38 mm2
50 m 22 mm2 100 m 38 mm2 8

• Safety device:
Type Frame Capacity Rating Breaking Current 8

• Ground conditions: Grounding resistance 10  max. 8
8
8 Technical Data
 ZSU-5*B* (three-phase 200 V, automatic transformer option required)

impedance:
200 V  10 % 0.054  max.
220 V  10 % 0.054  max.
240 V  10 % 0.054  max.
Width Width
Length Length
10 m max. 14 mm2 60 m 60 mm2
20 m 22 mm2 70 m 60 mm2
30 m 38 mm2 80 m 100 mm2
40 m 38 mm2 90 m 100 mm2
50 m 60 mm2 100 m 100 mm2
• Safety device:

8.1 Specifications
 ZSU-5*B* (three-phase 400 V)

impedance:

8
380 V  10 % 0.10  max.
400 V  10 % 0.11  max.

8
415 V  10 % 0.12  max.
440 V  10 % 0.13  max.
8
Length
Width
Length
Width
8
10 m max. 5.5 mm2 60 m 22 mm2
20 m 8 mm2 70 m 38 mm2
8
30 m 14 mm2 80 m 38 mm2
40 m 22 mm2 90 m 38 mm2
50 m 22 mm2 100 m 38 mm2 8

• Safety device:
Type Frame Capacity Rating Breaking Current 8

• Ground conditions: Grounding resistance 10  max. 8
8
8 Technical Data
8.2 Reference Axis of Equipment

The reference axis which allows the equipment to perform proper radiography is the vertical incident
X-ray axis from the X-ray tube unit to the cassette (FPD) surface as shown below.
Reference Axis

8.3 Product Nameplates and Labels

The product nameplates and labels are attached onto the following positions.
8
8.3.1 System Label FLEXAVISION
8
1
3 2
8
1 Name Plate of FLEXAVISION 2 Label CE 3 Bar code identification label

8
8
4 Transport Label
(attached on package)
8
8 Technical Data
8.3.2 ZSU-5D Series
1 "Spot Film Device F-5" or

"Cassette Tray" or
"FPD mount kit"
1 In Case of R300
2 67
n
j
m k
9 l o
p
Spot Film Device "F-5" 1 0ab
g 5
d e
Cassette Tray 6
9
7
FPD Mount Kit

Grid Unit for Spot Film Device "f-5",
Cassette Tray
1
i

1 Caution Label A of 2 Caution Label B 4 Name Plate of ZS-5D Series

Starter SA-60 (Option)
8
5 Name Plate of 6 Warning Label A 7 Collimator Filter Label
Collimator R-30H
8 Caution Label C 9 TYPE B Equipment Mark 0 Name Plate of FPD Mount Kit
8
8
a Name Plate of F-5 b Name Plate of Cassette Assy c Caution Label D
(Spot Film Device )
8
8
d Caution Label E ( For F-5) e Caution Label F (For F-5) f Caution Label G
(For Cassete tray)
8
8
g Caution Label H h Caution Label I i Caution Label J
(For FPD Mount Kit) (For FPD Mount Kit)
j Name Plate of Collimator k Label CE-MDD Mark l Label WEEE Mark (For R-300) 8
R-300 (For collimator R-300)
8
8 Technical Data
m Label SEG address(For R-300) n Label EMC(For R-300) o Warning Label B (For R-300)
p Caution Label K (For R-300) q
 Components (ZSU-5D Series)

Auxiliary Tabletop (option) Oblique Projection Unit (option)
2 3 4
X-ray tube 180Swing Unit (option) Oblique Unit (option)

5
6
Lateral Cassette Holder (Option) Foot switch (option)
8
9
0a
7

Foot sw (Remote) Control Cabinet
b
8 d
c
8
0 efghi
8
j
Remote Console Local Console 8

k
k 8
m
l
n
8
8
0
Stepup Transformer XAT-2 (Option)

8
m
p
h 8
o
8
8 Technical Data
1 Caution Label L 2 Caution Label M 3 Caution Label N

(For Auxiliary Tabletop) (For Auxiliary Tabletop) (For Auxiliary Tabletop)
4 Caution Label O 5 Caution Label P (For X-ray 6 Caution Label

(For Oblique Projection Unit) tube Swing Unit)
7 Caution Label R 8 9
(For Lateral Cassette Holder)
0 a b
FOOT SWITCH
c Caution Label S d Caution Label T e Warning Label C
f Warning Label D g Warning Label E h Caution Label U
i Name Plate of Transformer j Name Plate of ZUD Series j Name Plate of ZUD Series
Type B Type V

j Name Plate of ZUD Series j Name Plate of ZUD Series j Name Plate of ZUD Series
Type L (3phase) Type B (1phase) Type L2
8
j Name Plate of ZUD Series k Name Plate of Control Console l
Type P
m n o Name Plate of SA-60 (Option)

8
8
p Name Plate of XAT-2 (Option)
8
8
8 Technical Data
8.3.3 SDR-100
 PC Kit of SDR-100
1 Identification Label of SDR-100
 Transformer Box
1 Identification Label of
Trans Box
 Digital I/F BOX

Digital I/F BOX

 Monitor Cart
CRT Type LCD Type (A)
345 1
8
1
78
345
6 8
LCD Type (B)

8
34
8
2 8
8
1 Identification label of 2 Identification label of 3 Caution label of Monitor Cart
Monitor Cart Monitor Cart 8
MONITOR CART
8
4 Caution label of Monitor Cart 5 Caution label of Monitor Cart 6 Warning label of Monitor
7 Warning label of Monitor Cart 8 Warning label of Monitor Cart

8
8
8 Technical Data
8.3.4 SF-6020
1 Name plate of SF-6020 Main

Board
Main Board (In the X-ray generator)
2 Name plate of SF-6020

Camera Head
8.3.5 D14MM Series (Monitor)
1 Name plate of D14MM Series
Backside view of D14MM

8.3.6 SDR-150C (Insulation Transformer)
SDR-150C
1
8
8
8.3.7 FPD
8
1
8
2
8
1 Caution Label 2 Nameplate
8
Indicates that due care should be taken when handling the
unit. 8
CAUTION
Do not subject to impact or excessive loads (localized load
of 100 kg).
8
8
8 Technical Data
8.4 Dimensions
The following are the system dimensions (unit: mm).
ZSU-5DS

8.4 Dimensions
8
ZSU-5D
8
8 Technical Data
Remote Console (Panel)
315 604 70
Remote Console (X table)

Control Cabinet (For system of 20 kW) Control Cabinet (For systems of 50 kW, 65 kW, and 80 kW)
M506-E051
ZSU-5D/5DS Operation Manual
8.4 Dimensions
8-49
8
8
8
8
8
8
8
8
8
8
8
8
8 Technical Data

Index
INDEX
Numerics 38, ......................................................................... 6-6

Communication Unit............................................... 2-5
1-ON-1 Format Button.................................. 2-11, 6-4 Compression Band ................................................ 2-5
2 Control Mode.................................................... 4-48 Compression Control Lever ..........................2-14, 6-6
2-ON-1 (horizontal) Format Button ............... 2-11, 6-4 Continuous Fluoroscopy ......................................4-40
2-ON-1 (vertical) Format Button ................... 2-11, 6-4 Control Cabinet ......................................................2-3
3 Control Mode.................................................... 4-48
3-ON-1 Format Button.................................. 2-11, 6-4 D
4-ON-1 Format Button.................................. 2-11, 6-4
Density Up/Down Button ........................................2-9
A Digital Radiography................................................ 1-2
Digital Radiography Technique.......................4-6, 5-3
AEC Backup Function ......................................... 4-52 Digital Radiography Technique Button .......2-10, 2-15
AEC Switch Button ................................................ 2-9 Digital Spot/Serial Radiography Selector ...............6-5
APR .............................................................. 4-24, 5-2 Direct Photo Timer (AEC) ......................................2-5
APR Button Selection .......................................... 2-10 Display Panel .......................................................2-17
APR Setting Button ............................................... 2-9 Division Buttons ................................................... 4-53
Ascending Button .................................................. 6-5 Drain Bag ...............................................................2-5
Auxiliary Tabletop .................................................. 2-5
E
C
Elbow Supports ......................................................2-5
Cassette for Spot Radiography ........................... 4-55 Endoscope Support ............................................... 2-5
Cassette IN Button .............................................. 2-10 Exposure Field Buttons........................................ 4-38
Cassette Radiography ................................ 4-10, 4-12
Cassette Radiography Device............................... 2-3 F
Cassette Size Indicator ................................ 2-10, 6-3
Cassette Spot Radiography .................................. 1-2 Fault Indicator ........................................................ 2-8
Cassette Spot Technique ............................... 4-6, 5-3 Field Size Selection Button ...........................2-16, 6-7
Cassette Spot Technique Button......................... 2-10 Filter Selection Button.......................................... 2-17
Cassette Tray ........................................................ 2-5 FLEXAVISION FD Package...................................1-2
Cassette Tray Radiography................................... 1-2 FLEXAVISION HB Package .................................. 1-2
Cassette Tray Radiography Technique .......... 4-7, 5-3 FLEXAVISION SF Package...................................1-2
Cassette Tray Radiography Technique Button ... 2-10 Fluoroscopy ........................................................... 1-2
Caution Indicator ................................................... 2-8 Fluoroscopy Accumulated Time Indicator .............. 2-8
Change SID Button ............................................. 2-17 Fluoroscopy kV Setting .......................................... 2-8
Chest Radiography Unit ........................................ 1-5 Fluoroscopy mA Indicator ......................................2-8
Collimator .............................................................. 2-3 Fluoroscopy Selection Button .......................2-12, 6-5
Collimator Full-auto Mode Selection Button ... 2-13, 4- Fluoroscopy Timer Button.............................2-12, 6-5
38, ........................................................................ 6-6 Fluoroscopy Timer Preset Button ..........................2-8
Collimator Handles .............................................. 4-37 Foot Switch ............................................................2-5
Collimator Lamp Button......................................... 6-5 FPD Field Size Indicator ...............................2-15, 6-7
Collimator Manual Mode Selection Button 2-13, 4-38, FPD Portable Radiography .................................... 1-2
6-6 FPD Portable Radiography Button....................... 2-15
Collimator Operation Handles ...................... 2-13, 6-6 FPD Portable Radiography Technique ..................5-3
Collimator Semi-auto Mode Selection Button. 2-13, 4-
M506-E051 ZSU-5D/5DS Operation Manual Index-1

Index
G Oblique Projection Foot-side Button............. 2-12, 6-4

Oblique Projection Head-side Button ........... 2-12, 6-4
General Radiography............................................. 1-2 Oblique Projection Unit...........................................1-5
General Radiography Technique.................. 4-10, 5-3
General Radiography Technique Button .... 2-10, 2-15 P
Grid Status Lamp Button .............................. 2-15, 6-7
Photo Pickup Field Selection Button ......................2-9
H Power OFF Button..................................................2-7
Power ON Button ...................................................2-7
Hand Switch......................................................... 2-14 Pulsed Fluoroscopy..............................................4-40
I R
I.I. Field Size Selection Button...................... 2-12, 6-5 Radiography Focus Switch Button .........................2-9
IBS Switch Button .................................................. 2-9 Radiography kV Setting..........................................2-8
Image H-reverse Button....................................... 2-12 Radiography mA/mAs Setting ................................2-8
Image V-reverse Button....................................... 2-12 Radiography mA/mAs Switch Button .....................2-9
Imaging Unit Foot Button ..................................... 2-19 Radiography Ready Up Indicator ...........................2-7
Imaging Unit Head Button.................................... 2-19 Radiography sec Setting ........................................2-8
Imaging unit shift button (towards the feet).......... 2-18 Remote Console.....................................................2-3
Imaging unit shift button (towards the head)........ 2-18 Remote/Local Control Selector ............................2-14
Irradiation Field Adjustment Knob (for H leaves) . 2-17 Rolling Step ............................................................2-5
Irradiation Field Adjustment Knob (for V leaves) . 2-17 Rolling Step Control Button ..................................2-12
K S
Knob/Remote Selection Button............................ 2-18 Safety Sensor.......................................................4-26
Second-tube Option ...............................................2-5
L Seriography Selection Button....................... 2-11, 6-4
Lamp Button ........................................................ 2-17 Speaker Volume...................................................2-14
Lateral Cassette Holder ......................................... 2-5 Speed Button..........................................................2-9
Lateral FPD holder................................................. 2-5 Spot/Serial Radiography Selector ........................2-11
Leg Supports ......................................................... 2-5 Squeeze Compression Button...................... 2-14, 6-6
lieder stand .......................................................... 4-21 Standard Accessories ............................................2-4
Local Console ........................................................ 2-5 Stand-by Indicator ..................................................2-8
Local Control Panel ............................................... 2-3 Stop Button.......................................... 2-10, 2-19, 6-4
Local/Remote Control Selector.............................. 6-6
T
M Table top Mattress..................................................2-5
Memory Shot Indicator........................................... 2-7 Tabletop Ascending Button ................. 2-13, 2-19, 6-5
Memory Shot Radiography .................................. 4-24 Tabletop Descending Button ............... 2-13, 2-19, 6-5
MIC Volume ......................................................... 2-14 Tabletop Front Button...........................................2-19
Multi-division Exposure Indicator .................. 2-11, 6-4 Tabletop Rear Button ...........................................2-19
Tabletop Tilt-down Button ....................................2-19
O Tabletop Tilting Lever................................... 2-13, 6-5
Tabletop Tilt-up Button .........................................2-19
Oblique Projection Center Button ................. 2-12, 6-4 Tabletop/Imaging Unit Control Lever............ 2-11, 6-5
Index-2 ZSU-5D/5DS Operation Manual M506-E051

Index
1
Trendelenburg Permission Button ................ 2-13, 6-5
V 1
Vertical Multi-division Exposure Button ................. 6-4
X
1
X-ray Diagnostic Table .......................................... 2-3
X-ray Indicator ....................................................... 2-7
X-ray Tube 180? Swing Unit ................. 1-6, 2-6, 6-28
X-ray Tube 37? Swing-out Unit ............. 1-4, 4-21, 6-8 1
X-ray Tube 37?/90? Swing-out Unit ...... 1-5, 4-22, 6-9
X-ray Tube Indicator .............................................. 2-7
X-ray Tube Swing-out Unit ............................. 1-4, 2-5
1
1
M506-E051 ZSU-5D/5DS Operation Manual Index-3
Index
Index-4 ZSU-5D/5DS Operation Manual M506-E051

Flexavision (Operation Manual)

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M506-E051T

Remote Controlled R/F System

Indicates an imminently hazardous situation which, if not avoided, will

Indicates a potentially hazardous situation which, if not avoided, could result

Indicates a potentially hazardous situation which, if not avoided, may result

Emphasizes additional information that is provided to ensure the proper use

Indicates information provided to improve product performance.

Indicates the location of related reference information.

Changed F3 package "4.5.5 Setting Fluoroscopic Image

Imaging unit shift button (Collimator) added

M Sep. 2015 Changed "6.15 Add On Console"

Changed "4.10 Add On Console"

Added Note in "4.2.2 Digital Radiography Technique"

Changed "8.1 Specifications" and "8.3 Product

Modified "3.6 X-ray Tube Unit Warm-up"

2007-2017 Shimadzu Corporation. All rights reserved.

• X-ray diagnostic table: Revision: 2.

APR: Anatomical Program

CR: Computed Radiography

DR: Digital Radiography

IBS: Image Brightness Stabilizer

I.I.: Image Intensifier

EMC: Electromagnetic Compatibility

FPD: Flat Panel Detector

SID: Source Image Distance

mAs: milliampere second

II ZSU-5D/5DS Operation Manual M506-E051

This page is intentionally left blank.

IV ZSU-5D/5DS Operation Manual M506-E051

Chapter 1 System Outline

1.1 Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

2.1 Standard Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

3.1 Start-up Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

M506-E051 ZSU-5D/5DS Operation Manual Contents-1

3.3 Mounting/Removing/Rotating the FPD . . . . . . . . . . . . . . . . . . . 3-9

4.1 Fluoroscopy/Radiography Flow Charts . . . . . . . . . . . . . . . . . . . 4-2

Contents-2 ZSU-5D/5DS Operation Manual M506-E051

Chapter 6 Optional Components

6.1 Local Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

7.1 Flow Chart for Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Chapter 8 Technical Data

8.1 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Contents-4 ZSU-5D/5DS Operation Manual M506-E051

This page is intentionally left blank.

Contents-6 ZSU-5D/5DS Operation Manual M506-E051

Each package supports the following diagnoses applications.

FLEXAVISION FLEXAVISION FLEXAVISION FLEXAVISION

Cassette Spot Radiography  

Cassette Tray Radiography 

* In this operation manual, the FLEXAVISION SF Package is represented as "FLEXAVISION ",

1-2 ZSU-5D/5DS Operation Manual M506-E051

Fig. 1.1 Console Features

*Minimum installation space: approx. 3.5 m x 2.3 m 1

 Use in Combination with High Performance Digital Radiography Equipment

 User-friendly Tabletop (5DS Elevating Tabletop)

 Supportable to Various Optional Units

Fig. 1.2 Radiography Using Lieder Stand

1-4 ZSU-5D/5DS Operation Manual M506-E051

X-ray Tube 37/90 Swing-out Unit (FLEXAVISION )

X-ray Tube 37 Swing-out X-ray Tube 90 Swing-out 1

Oblique Projection Unit

Fig. 1.4 Tilting X-ray Tube

Fig. 1.5 Extending X-ray Tube 1

X-ray Tube 180° Swing Unit