0-Level Documentation Part - 1 (System Manual Installation BV Family R2.3)

0-level Documentation Part 1
BV Family R2.3
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Copyright © 2008 Koninklijke Philips Electronics N.V.

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This document and the information contained in it is proprietary and confidential information of Philips Medical Systems ("Philips")
and may not be reproduced, copied in whole or in part, adapted, modified, disclosed to others, or disseminated without the prior
written permission of the Philips Legal Department. This document is intended to be (a.) used by customers and is licensed to
them as part of their Philips equipment purchase or (b.) used to meet regulatory commitments as required by the FDA under 21
CFR 1020.30 (and any amendments to it) and other local regulatory requirements. Use of this document by unauthorized persons
is strictly prohibited.
Liability / Warranty Disclaimer:

Philips provides this DOCUMENT without warranty of any kind, implied or expressed, including, but not limited to, the implied
warranties of merchantability and fitness for a particular purpose. Philips has taken care to ensure the accuracy of this document.
However, Philips assumes no liability for errors or omissions and reserves the right to make changes without further notice to any
products herein to improve reliability, function, or design. Philips may make improvements or changes in the product(s) or
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Table of Contents
TABLE OF CONTENTS
1 INTRODUCTION, TOOLS, ROOM CHECK .................................................................................... 1-1

1.1 Introduction .......................................................................................................................... 1-1
1.1.1 General .................................................................................................................... 1-1
1.2 Tools .................................................................................................................................... 1-1
1.3 Room check ......................................................................................................................... 1-1
1.3.1 Site survey ............................................................................................................... 1-1
1.3.2 Overview and checklist of on-site activities ............................................................. 1-1
2 TRANSPORT, UNPACKING ........................................................................................................... 2-1

2.1 Unpacking instructions ........................................................................................................ 2-1
2.2 Unpacking time .................................................................................................................... 2-1
2.3 Tools .................................................................................................................................... 2-1
2.4 Dismantling the crate ........................................................................................................... 2-2
2.4.1 Initial state of the crate ............................................................................................ 2-2
2.4.2 To remove the front side panels and prepare an extended platform ....................... 2-2
2.4.3 Drive out the C-arm stand and the MVS from the bottom panel ............................. 2-2
2.4.4 To remove the back panel: ...................................................................................... 2-3
2.4.5 Unpacking: Loose items in the sledge underneath the MVS ................................... 2-3
2.4.6 To remove the support construction that supports the image intensifier (II) ........... 2-4
2.4.7 To remove the support construction that supports the X-ray tank ........................... 2-5
2.5 Unpacking the C-arm stand ................................................................................................. 2-5
2.6 Unpacking the MVS ............................................................................................................. 2-8
3 INSTALLATION .............................................................................................................................. 3-1

3.1 Introduction .......................................................................................................................... 3-1
3.2 On-site installation ............................................................................................................... 3-1
3.2.1 Checking the power supply requirements ............................................................... 3-1
3.2.2 Connecting cabling & earthing ................................................................................ 3-4
3.2.3 Installing relevant options ........................................................................................ 3-4
4 SETTING TO WORK ....................................................................................................................... 4-1

4.1 Setting to work ..................................................................................................................... 4-1
4.1.1 Power ON the system ............................................................................................. 4-1
4.1.2 Conditioning the X-ray tube ..................................................................................... 4-1
4.2 Setting to work the DICOM interface ................................................................................... 4-3
4.2.1 DICOM and network devices ................................................................................... 4-3
4.2.2 Access configuration ............................................................................................... 4-5
4.2.3 Network configuration .............................................................................................. 4-6
4.2.4 Configuring DICOM storage targets ........................................................................ 4-8
4.2.5 Loading of the printer types file (ptf) ...................................................................... 4-10
4.2.6 Configuring DICOM print targets ........................................................................... 4-11
4.2.7 Configuring DICOM worklist management ............................................................ 4-13
4.2.8 DICOM queue management ................................................................................. 4-18
4.2.9 Empty patient schedule list .................................................................................... 4-20
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4.2.10 Faultfinding ............................................................................................................ 4-20

4.3 Customization .................................................................................................................... 4-24
4.3.1 Checking the default (factory) settings .................................................................. 4-25
4.3.2 Customizing the system ........................................................................................ 4-27
4.4 Software programming ...................................................................................................... 4-34
4.4.1 Checking the software license authority ................................................................ 4-34
4.4.2 Checking or adjusting the examinations names .................................................... 4-34
4.5 Functional checks .............................................................................................................. 4-34
4.6 Dose limitation ................................................................................................................... 4-34
4.6.1 Dose Limiting procedure ....................................................................................... 4-36
4.7 Completing of the setting to work ...................................................................................... 4-38
5 3D-RX CONFIGURATION ............................................................................................................... 5-1

5.1 3D-RX Configuration ........................................................................................................... 5-1
6 PERFORMANCE CHECK PROGRAM ........................................................................................... 6-1

6.1 Introduction .......................................................................................................................... 6-1
6.1.1 The scopes of the checks ........................................................................................ 6-1
6.1.2 Required tools & test equipment ............................................................................. 6-1
6.2 Performance checks ............................................................................................................ 6-1
6.2.1 Mechanical checking ............................................................................................... 6-1
6.2.2 Functional testing .................................................................................................... 6-2
6.2.3 Image quality ........................................................................................................... 6-5
6.2.4 Key test ................................................................................................................... 6-6
6.2.5 X-ray tube performance test .................................................................................... 6-6
6.3 Export functions ................................................................................................................... 6-8
6.3.1 Target selection ....................................................................................................... 6-8
6.3.2 Examination data ..................................................................................................... 6-8
6.3.3 DICOM targets ........................................................................................................ 6-9
6.4 Checking locally required compliance(s) ............................................................................. 6-9
6.5 Completing the performance check program ...................................................................... 6-9
7 3D-RX CALIBRATION .................................................................................................................... 7-1

7.1 Calibration ........................................................................................................................... 7-1
8 HAND-OVER PROCEDURE ........................................................................................................... 8-1

8.1 Introduction .......................................................................................................................... 8-1
8.2 Performing quick checks for user acceptance ..................................................................... 8-1
8.2.1 Required documentation ......................................................................................... 8-1
8.2.2 Required tools & test equipment ............................................................................. 8-1
8.2.3 The test program ..................................................................................................... 8-1
8.2.4 Evaluation of the test results ................................................................................... 8-1
8.3 Hand-over certificate ........................................................................................................... 8-1
8.4 Completing the commissioning of the system ..................................................................... 8-1
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Table of Contents
9 TERMS AND ABBREVIATIONS ..................................................................................................... 9-1

9.1 Overview .............................................................................................................................. 9-1
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BV Family R2.3 Chapter 1
0-level Documentation Part 1 Introduction, tools, room check
1 INTRODUCTION, TOOLS, ROOM CHECK
1.1 INTRODUCTION
1.1.1 General
The document name ’0-level Documentation Part 1’ is the new name for SMI (System Manual Installation).
This manual is intended for installation of BV Family systems. The total installation activities will not take more
than one working day for one Field Service Engineer (FSE).
NOTE
The data of the factory obtained test results are incorporated in the 0-level Documentation Part 2, chapter
‘‘Record of measured data’’. This information should always be kept close to the system in order to be used as
on-site reference values.
NOTE
The installation and service of equipment described in this manual is to be performed by qualified personnel
only.
1.2 TOOLS
A standard tool kit and a service PC are required to install a BV Family system. The installation and
configuration of the service PC is described in the 0-level Documentation Part 3.
For systems with the 3D-RX option the 3D calibration toolkit is available.
1.3 ROOM CHECK
1.3.1 Site survey
1.3.1.1 Relevant aspects

Prior to ordering the system, it is recommended to carry out a site survey, thereby focusing on the power
supply requirements.
The relevant aspects of the power supply are:
• Voltage
• Frequency
1.3.1.2 DICOM
If the option of the DICOM workflow interface is ordered, also a questionnaire has to be filled in (see 0 level
Documentation Part 2, chapter "DICOM questionnaire"). The relevant data of the DICOM Workflow Interface
should be reported via the questionnaire. The DICOM workflow interface questionnaire is also part of the PRD
and should be filled in and sent to the local service organization.
1.3.2 Overview and checklist of on-site activities

The following table shows all consecutive on-site installation activities of a BV Family system: the initial
installation procedure, the setting to work procedure, the performance checking procedure and the handing-
over procedure. The list is also included in the 0 level Documentation Part 2. Check the check box in the table
of that document for each performed action.
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Chapter 1 BV Family R2.3
Introduction, tools, room check 0-level Documentation Part 1
Table 1 Sequential checklist for handing over the system
Action Refer to chapter

Start installation:
Unpack C-arm stand and MVS 2.5
2.6
Check mains & adapt if necessary 3.2.1
Connect cabling 3.2.2
Install options (if applicable) 3.2.3
Start setting to work:
Power ON the system 4.1.1
Condition the X-ray tube (if necessary) 4.1.2
Optionally: check the printer 4.1.2.4
Optionally: check the Medical DVD-Recorder 4.1.2.5
Optionally: configure the DICOM interface 4.2
Optionally: configure the ViewForum 4.3.2.4
Customize the system 4.3
Optionally: configure XtraVision (for systems with the 3D-RX option) 5
Check software license/options 4.4.1
Check the default factory settings 4.3.1
Execute a global functional check 4.5
Limit the X-ray dose (only if required by local regulations) 4.6
Start performance test:
Execute all mechanical checks 6.2.1
Execute all functional checks 6.2.2
Execute the image quality check 6.2.3
Execute the key check 6.2.4
Execute the X-ray tube performance check 6.2.5
Make a backup of the system data 6.3
Optionally: execute the 3D-RX calibration and verification (for systems with the 3D-RX option) 7
Check all locally required compliances 6.4
Start handing over:
Perform the client acceptance procedure 8.2
Hand over the system 8.3
NOTE
For safety instructions, see 0-level Documentation Part 3, chapter "Safety".
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0-level Documentation Part 1 Transport, Unpacking
2 TRANSPORT, UNPACKING
2.1 UNPACKING INSTRUCTIONS

This section contains instructions for unpacking, transportation and mounting. The unpacking instructions are
also supplied within the system’s packing.
There are two alternative ways in which a BV Family system can be packed:
• The C-arm stand and the mobile viewing station (MVS) are wrapped in plastic foil.
• The C-arm stand and the MVS are packed together in a single disposable crate.
NOTE
The unpacking procedures described in this chapter can also be find in a separate unpacking document,
which is packed inside the crate.
2.2 UNPACKING TIME

The time needed to unpack a BV Family system is:
• Disposable crate: 1.5 hr. for 1 FSE
2.3 TOOLS
• The standard tool kit.
NOTE
A pallet forklift is required to move the crate to the desired position.
Figure 1 Pallet forklift
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Transport, Unpacking 0-level Documentation Part 1
2.4 DISMANTLING THE CRATE
2.4.1 Initial state of the crate
Figure 2 Initial state of the crate
1. The packed system has to be transported with a dedicated forklift to move the pallet towards its
destination. At its destination, the crate must be dismantled by respectively removing the front panel, the
left and right side panels, and the back panel. Subsequently, the support constructions inside the crate
must be consecutively removed. After the system is loosened from the bottom panel, it can be driven out.
This is done in two stages: first the C-arm stand and finally the MVS.
2.4.2 To remove the front side panels and prepare an extended platform
Figure 3 Unpacking: Front and one side panel removed
1. Remove the front panel by unscrewing the relevant screws.

2. Remove the left and right side panels by unscrewing the relevant screws.
2.4.3 Drive out the C-arm stand and the MVS from the bottom panel
To drive out the C-arm stand and the MVS from the bottom panel, preparations have to be taken. A ramp
panel is mounted on the inner side of the side panel that is located next to the C-arm stand. The ramp panel is
used together with its side panel to drive out the C-arm stand and the MVS.
To prepare the extended platform for later usage:
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1. Take out the extended platform support beam by unscrewing it from the bottom panel.
2. Remove the screws that fix the ramp panel to the side panel.
NOTE
The extended platform will be used later on in this procedure.
2.4.4 To remove the back panel:
Figure 4 Unpacking: All panels removed
1. Remove the back panel by unscrewing the relevant screws.
2.4.5 Unpacking: Loose items in the sledge underneath the MVS

At this stage of the unpacking process, it is recommended to take out all the parts that are supplied as loose
items.
The following items are delivered as so-called loose items. They are packed separately in boxes and can be
found on the bottom of the crate, underneath the MVS. It is recommended to take out the loose items before
unpacking the subsystems.
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Figure 5 Unpacking: Loose items in the sledge underneath the MVS
1. Check the quantity and the contents of the boxes for the following supplied loose items:
• Instructions for Use (IfU), 0-level Documentation Part 1, 0-level Documentation Part 2, 0-level
Documentation Part 3, SMCM and Product Manuals.
• Foot switch.
• Remote control (option).
• DICOM workflow interface (option).
• Possible other options (cassette holder, steralisable covers orto trac, etcetera)
2.4.6 To remove the support construction that supports the image

intensifier (II)
Figure 6 Unpacking: Image intensifier support construction removed
1. Remove the right front beam, which supports the II, by unscrewing the relevant screws.
2. Pull out the II support construction, from the rear side of the crate.
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2.4.7 To remove the support construction that supports the X-ray tank
Figure 7 Unpacking: X-ray tank support construction removed
1. Remove the left front beam, which supports the X-ray tank, by unscrewing the relevant screws.
2. Pull out the X-ray tank support construction, from the rear side of the crate.
2.5 UNPACKING THE C-ARM STAND
Figure 8 Unpacking: C-arm stand released from the bottom panel
1. Remove the bolts that fix the C-arm stand to the bottom panel.
2. Lift up the wing to release the C-arm stand from the bottom panel.
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Figure 9 Unpacking: Extended platform laid down against the bottom panel
3. Lay the extended platform support beam down on the ground, directly against the bottom panel.
4. Lay the extended platform on top of the support beam and let it rest tightly against the bottom panel.
Figure 10 Unpacking: Extended platform opened up
5. Open the extended platform by lifting up the ramp panel.
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Figure 11 Unpacking: Driving out the C-arm stand
6. Release the (foot) brake of the C-arm stand, so that it can be moved from the bottom panel.
7. Take position in front of the C-arm stand and grab the appropriate handles.
8. Safely drive out the C-arm stand by controlling its speed and direction.
Figure 12 Unpacking: Height movement released
9. Remove the wooden protection box that protects the height movement of the C-arm.
10. Drive the C-arm stand to its final location.
11. Apply the (foot) brake again to safely fix the C-arm stand into its position.
12. Release the C-arm, rotate it into its vertical position and fix the arm again.
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2.6 UNPACKING THE MVS
Figure 13 Unpacking: Release the MVS from the bottom panel
1. Remove the screws that fix the MVS to the bottom panel.
NOTE
When all screws are removed, the two MVS support springs will be released, thereby slightly lifting up the
MVS. The two support springs make it easier for a person to erect the MVS.
Figure 14 Unpacking: Extended platform at the other side of the bottom panel
2. Bring the platform support beam and the extended platform to the other side of the bottom panel.
3. Lay the extended platform on top of the support beam and let them rest tightly against the MVS side of the
bottom panel.
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Figure 15 Unpacking: Erecting the MVS
4. Take position in front of the MVS and grab the appropriate handles.
5. Safely erect the MVS by lifting it up and bringing it into its vertical end position.
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Figure 16 Unpacking: Horizontal and vertical front beams removed
6. Lay the two MVS cables down on the ground. The cables are located opposite of each other at the left and
right side of the MVS.
7. Remove the three horizontal and the one vertical front beams, by unscrewing the relevant screws.
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Figure 17 Unpacking: MVS support construction removed
8. Pull away the MVS support construction, from the rear side of the MVS.
9. Fold the LCD monitors to bring them in the transport position. When folding the monitors to each other an
’end-click’ will be audible.
10. Drive the MVS to its final position.
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0-level Documentation Part 1 Installation
3 INSTALLATION
3.1 INTRODUCTION
This section describes the on-site installation activities for a BV Family system. Perform the appropriate
instructions for the relevant BV Family system (BV Endura or BV Pulsera).
NOTE
When the system is stored in a cold environment for a long period of time, the system needs sufficient time in
the room the system is used. To prevent condensation water entering the transformer and PCB.
3.2 ON-SITE INSTALLATION
3.2.1 Checking the power supply requirements
3.2.1.1 Checking the mains voltage & frequency

1. Ensure that the voltage and the frequency of the wall outlet in the room meet with the requirements as
mentioned in the 0-level Documentation Part 3, chapter "Technical data".
3.2.1.2 Adapting the input voltage to the mains

The system uses an internal voltage of 230 V AC. The system input voltage has been adjusted in the factory
according to the label on the MVS. To adapt the system to a different hospital voltage, perform the procedure
mentioned below:
• For 230 V, cross out 120 V on the mains rating label at the rear of the MVS.
• For 120 V, cross out 230 V on the mains rating label at the rear of the MVS.
CAUTION
• For other voltages, add the new label delivered with the system indicating the programmed voltage.
• Check if the fuse rating is properly crossed out (IEC requirement).
To adapt the input voltage to the mains voltage proceed as follows:

1. Remove the rear and front panel of the MVS.
2. Remove the USB BOB.
3. Connect WA1X7 according to table 1 (see also figure 1).
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Installation 0-level Documentation Part 1
Figure 1 MCU: Connector WA1X7 connected to X5. Transformer leads connected for 120 V.
4. Check/insert the proper fuses for F1 and F2 according to table 1.

5. Connect the five transformer lead wires according to table 1. See also example fig 2.
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Table 1 Mains voltage adapting
Mains Mains to Fuses 1) Transformer lead wires connected to:

(voltage) WA1 (F1, F2)
1 2 3 4 5
100 V X5 15 A2) 105 101 104 106 109
2)
110 V X5 15 A 102 101 104 105 109
2)
120 V X5 15 A 106 101 104 105 109
130 V X5 15 A2) 107 101 104 105 109
200 V X4 15 A 105 102 103 107 108
210 V X4 15 A 105 102 103 106 108
220 V X4 15 A 104 102 103 105 108
230 V X4 15 A 106 102 103 105 108
240 V X4 15 A 107 102 103 105 108
1). If the fuse rating is changed: cross out the incorrect fuse rating on the label next to the fuses.
2). The fuses F1 and F2 should be 30 A for the BV Endura when the Radiography mode is enabled.
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0-level Documentation Part 1 Installation
Figure 2 Example of a 120 V connection.
6. BV Pulsera: Check or position the jumpers on the SEA2 board (figure 3) for 50 or 60 Hz, (the jumper in the
highest position is 50 Hz, in the lowest position is 60 Hz). See the settings in table 2.
Figure 3 BV Pulsera generator unit: Stator supply board : jumper SEA 2

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Table 2 BV Pulsera generator unit: Stator supply board: jumper SEA 2
Mains frequency Jumpers position SEA2

K1 K2
50 Hz IN OUT
60 Hz OUT IN
7. Check the jumpers in case of installation of a new MCU. See table 3.

8. Re-install the USB BOB, the rear and front panel of the MVS.
CAUTION
Check WA1:X5/X4 connector according to table 1.

Improper connection can cause damage.
NOTE
The frequency settings for Endura happen automatically
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Installation 0-level Documentation Part 1
3.2.1.3 Programming the mains voltage

1. Check the MCU hardware programming settings according the table below.
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Table 3 MCU hardware programming
System type Connect SW3-1 SW3-2 SW3-3 Bridge of X115-X116

WA-X5 to:
BV Endura WA - X2 OFF OFF OFF wire 6 inserted
BV Pulsera WA - X3 ON OFF OFF wire 6 removed
3.2.2 Connecting cabling & earthing

Cabling Instuctions:
CAUTION
Never extend or replace the special type hospital mains supply cable of the BV Family system. The cable is
subject to legal requirement.
CAUTION
The hospital mains plug must be ‘‘Hospital Grade’’ in the USA and Canada. In other countries, the plug must
comply with local safety regulations. For further information, see 0-level Documentation Part 3, chapter
‘‘Technical Data’’.
3.2.2.1 Connect cabling

To connect the cabling:
1. Connect the equipotential earth cable between the C-arm stand and the patient table.
2. Connect the footswitch to the C-arm stand.
3. Connect the cable between the MVS and the C-arm stand.
3.2.3 Installing relevant options

All ordered options have been installed in the factory. To install any new options, see the relevant product
manual.
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0-level Documentation Part 1 Setting to work
4 SETTING TO WORK
4.1 SETTING TO WORK
4.1.1 Power ON the system

To power ON the BV Family system:
1. Plug in the hospital mains cable of the MVS to the mains supply (grounded) wall socket.
2. Press <POWER-ON> (on the MVS or C-arm stand console) to switch ON the system.
3. Enable the key switch.
4.1.2 Conditioning the X-ray tube
4.1.2.1 General
1. Click |SETUP| in the Patient administration panel of the MVS. The Setup panel appears.
Figure 1 MVS - Setup panel
2. Select Enable Service. The text ’Service Enabled’ appears.

3. Open BV-Scope. The Target Address Confirmation window appears.
4. Enter the Service IP address (see Setup panel of MVS). A connection to the MVS will be made.
Perform the BV-Scope procedures below for the relevant BV Family system (BV Endura or BV Pulsera).
NOTE
Only carry out the X-ray tube conditioning procedure if the X-ray tank has been out of use for a longer period
of time (about 3 months), has been replaced or arcs too much (more than 3 times a day).
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Setting to work 0-level Documentation Part 1
4.1.2.2 Conditioning the X-ray tube of the BV Endura

The duty cycles for the BV Endura are incorporated in the BV-Scope panels.
1. Select Install > Adjustment > X-ray Tube > Conditioning.
2. Perform the BV-Scope instructions in the Conditioning panel.
Figure 2 X-ray Tube Conditioning panel (BV Endura)
4.1.2.3 Conditioning the X-ray tube of the BV Pulsera

The particular values for the BV Pulsera are incorporated in the BV-Scope panels.
1. Select Install > Adjustment > X-ray tube > Conditioning.
2. Perform the BV-Scope instructions in the Conditioning panel.
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Figure 3 X-ray tube conditioning panel (BV Pulsera)
4.1.2.4 Setting to work the paper printer (optional)

To set to work the paper printer:
1. Press <I/O> on the paper/transparency printer for setting to work the device. After the setting to work, the
printer is not switched OFF, due to central ON/OFF switching of both the MVS and/or C-arm stand.
2. Optimize the printer settings if the current settings are not satisfactory. See the product manual of the
printer.
4.1.2.5 Setting to work the Medical DVD-recorder (optional)

To set to work the Medical DVD-recorder:
1. The Medical DVD-recorder does not have an ON/OFF button. The device is switched ON/OFF with the
central ON/OFF switch of both the MVS and/or C-arm stand.
2. Test the Medical DVD-recorder. See the product manual, "Medical DVD-recorder".
3. Check in BV-Scope if the Medical DVD-recorder has been ’enabled’: in BV-Scope select Install > Program
Manual > System configuration. Select ’enable’ for the DVD-recorder.
4.2 SETTING TO WORK THE DICOM INTERFACE
4.2.1 DICOM and network devices

This chapter describes how to configure the DICOM interface with the BV-Scope software. This DICOM
function is optional.
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NOTE
To allow for re-configuring the DICOM workflow interface, see the site survey data obtained from the user via
the DICOM workflow interface questionnaire (see 0-level Documentation Part 2, chapter "DICOM
questionnaire").
DICOM (Digital COmmunication in Medicine) is a protocol for communication between medical devices.The
DFI of an Endura or Pulsera communicates via DICOM with the network of a hospital. The DFI sends images
acquired with an Endura or Pulsera together with information of patients, acquisition data etc. to a network
target.
Devices on this network can be:
• Printers
• Archives to archive images and data, for example PACS.
• Workstations for analyzing of images.
• WLM servers (Worklist Management), for planning of examinations of patients.
• MPPS (Modality Performed Procedure Step), to report the status of performed examinations.
• A service PC for configuration of the devices connected to the network.
With certain functions of the user interface of the BV Family, the images and data on the DFI can be sent to
the above-mentioned devices on the network. All functions are optional.
The functions are:

• Export
• Print
• WLM
• MPPS
• Storage commitment (SC)
See the IfU of the BV Family system for more information on these functions.
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Table 1 Relation between devices and functions on the DICOM network
Device Printers Archives Workstations WLM servers MPPS

Function:
Export x x
Print x
WLM x
MPPS x
Storage commitment x x
In DICOM terms, the BV Family system is called the modality. Printers, archives, workstations, WLM/MPPS
servers are called targets and functions are called application entities (AE).
The following procedure applies when a new patient enters the hospital:
1. The data of a patient will be entered in a Hospital Information System (HIS) or a Radiology Information
System (RIS). In case of an emergency, this step can be omitted.
2. On a WLM server, the examinations a patient has to follow have to be scheduled.
3. When a certain examination on a modality has been performed, the status will be reported to an MPPS.
4. The data and images of each examination can be printed, stored or sent to a workstation.
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5. Images that are manipulated on a workstation can eventually be printed and/or be stored from the
workstation.
6. To be sure images are stored safely, a storage commitment procedure is used. Images that are sent from
a modality to the storage device are only deleted on the modality if the storage device gives commitment.
This commitment will only be given if the images are stored safely on the storage device.
This chapter describes the order for configuration of the BV Family system for DICOM networking. Described
are:
• System configuration: configuration of the DICOM settings of the BV Family system.
• Configuration of DICOM storage targets: steps needed to add DICOM storage (export) targets (the targets
can be devices as printers, archives, workstations, WLM servers, MPPS).
• Loading of pre-configured printer types: required before adding DICOM print targets.
• Configuration of DICOM print targets: steps needed to add DICOM print targets.
This section assumes the user is familiar with:

• Basic TCP/IP networking concepts, such as:
- IP address, TCP port, subnet, gateway.
• Basic DICOM concepts, such as:
- DICOM AE title, service class provider and service class user.
NOTE
For an overview of all terms and definitions that are used in relation to DICOM functionality, see 0-level
Documentation Part 3, chapter "Terms and abbreviations".
4.2.2 Access configuration
4.2.2.1 Creating a BV-Scope administrator account and password

Access to BV-Scope is possible in two ways:
• With a BV-Scope administrator account and a password.
• With IST or PMSSec and a hardware key.
To create a BV-Scope administrator account:

1. Open BV-Scope.
2. Select Install > Access control > BV-Scope Password Configuration.
3. In the BV-Scope Administrator account field, enter a user name.
4. In the 2 other fields enter the same password.
5. Click |OK| to activate the changes.
NOTE
If the password for the BV-Scope administrator has been lost, a Philips service engineer can create a new
account.
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4.2.3 Network configuration
4.2.3.1 Introduction
NOTE
Prior to executing the procedures in this section, the connection between the service PC and the BV Family
system must be configured and established as described in the 0-level Documentation Part 3, chapter
"Software installation".
Before the BV Family system can be used in a DICOM network, the BV Family system itself has to be
configured by the steps as indicated below.
4.2.3.2 Preconditions
The following information is required before the BV Family system can be configured (see 0-level
Documentation Part 2, chapter "DICOM questionnaire"):
• IP address of the system (to be obtained from the network administrator).
• Subnet mask to be used (to be obtained from the network administrator).
• Default gateway to be used when accessing targets outside the subnet (if applicable to be obtained from
the network administrator).
• Station name to be used for the system (to be obtained from the network administrator).
• DICOM AE title to be used for the system (to be obtained from the network administrator).
• For BV-Scope administrators: a user name and a password.
4.2.3.3 Actions & checks

To configure the DICOM network, perform the following actions and checks:
1. Click |SETUP| in the Patient administration panel of the MVS. The Setup panel appears.
Figure 4 MVS - Setup panel
2. Select Enable Service. The text ’Service Enabled’ appears.
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3. Open BV-Scope. The Target Address Confirmation window appears.

4. Enter the Service IP address. A connection to the MVS will be made.
5. Select Install > Program Manual > Network Configuration
NOTE
Administrator rights for Windows are required for some of the following actions.
6. In the Network configuration part of the Settings panel enter :

- IP address
- Subnet mask
- Default gateway (when no default gateway will be used, so all targets are on the same subnet, the
default gateway should have a value of: "0.0.0.0")
7. In the DICOM configuration part of the Settings panel enter:
- Station name
- AE title (note that the title is case sensitive)
NOTE
Do not change the default maximum DPU size of time out values. These settings will be used by the
hospital IT specialist to optimize the network performance.

9. Physically connect the BV Family system to the network.
10. Restart the BV Family system.
NOTE
After restarting the BV Family system, to make service possible, always go to the Setup panel of the MVS
and select Enable service. In the lower right corner on the MVS screen (left monitor) "Service Enabled" (or
a translation of this text) appears.
PMS security hardware key or IST (level 0) is required to service the system.
4.2.3.4 Configuring a digital navigation link

A navigation device can be connected to the BV Family system. A navigation device optimizes fluoro
navigation. The Last Image Hold is transferred automatically over the Ethernet line.
Procedure to configure the digital navigation link:
1. Open BV-Scope.
2. Select Install > Program Manual > Network Configuration
3. In the Settings panel under Digital Link configuration enter the port number of the navigation device and
select for image transfer 8 or 16 bit.
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4.2.4 Configuring DICOM storage targets
If the BV Family system has been configured according to the chapter 4.2.3, the procedure described below
can be followed. On the BV Family system a maximum number of 25 storage and/or print targets can be
configured. Before a target can be selected in the Export panel on the user interface of the MVS, it needs to
be configured via BV-Scope. This subchapter describes the addition of a storage (export) target. For a print
target see chapter 4.2.5.
The following information is required before a DICOM storage target can be configured:
• DICOM AE title of the storage target (to be obtained from the network administrator).
• IP address of the storage target (to be obtained from the network administrator).
• Port number used for DICOM storage on the storage target (to be obtained from the network
administrator).
Before the configuration of a DICOM storage target, make sure:

• The target device is on the list of devices tested by Philips, see the PMS MIT Interoperability Intranet site.
If the target device is NOT on the list of devices tested by Philips, the conformance statement of the
DICOM print target must indicate the support of service class provider for basic grayscale print SOP class.
In case of doubt, contact the X-ray help desk.
• If the target device is NOT on the list of devices tested by Philips, the conformance statements of the
DICOM storage target and that of the BV Family system must indicate their compatibility. In case of doubt,
contact the X-ray help desk.
• The BV Family system has been configured (see chapter 3).
• The BV Family system has been connected to the network.
• The DICOM storage target has been configured to receive images from the BV Family system.
• The DICOM storage target has been connected to the network.
• The DICOM storage target SCP is running.
• The service PC has been connected.

To configure the DICOM storage targets, perform the following actions and checks:
1. Open BV-Scope.
2. Select Install > Program Manual > DICOM Target Configuration > Export Targets.
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Figure 5 Export Targets panel
3. Select a No Name target in the Export Target list of the Reference panel. In the Settings panel, a No Name
target appears with all default values.
4. In the settings panel, enter or select:
- Name (user selectable name for the target. The name will appear in the Export panel of the user
interface of the MVS).
- Type, select Store.
- Order in list, enter a digit. This is the order of targets as they appear in the Export panel of the user
interface of the MVS.
- Enable, select Yes.
- Default 3D Export target. This item is only visible in case of a system with the 3D-RX option. Select
Yes for the 3D workstation (first selected as export target). The default export target name will be
visible in the Reference panel. The default export target is the target images will be sent to when the
Create 3D Images button on the MVS is activated.
- AE title (to be obtained from the network administrator)
- IP address (to be obtained from the network administrator)
- Port number (to be obtained from the network administrator)
- Storage commit1) (Enabled/Disabled).
- SC AE Title1)2)
- SC IP address1)2)
- SC Port number1)2)
1. Only selectable when Extended DICOM options have been installed.

2. These fields are only relevant when storage commit has been enabled.
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5. Click |CHECK|. The BV Family system sends a DICOMC_ECHO request to the storage target to verify the
TCP/IP as well as the DICOM connection with this target. On success, BV-Scope displays the message
"The target is reachable". Note that, in some cases, it takes 1 min. to get response from the system.
NOTE
In case of failure, the possibilities are:

• Network error (TCP/IP ping fails).
• Target error (TCP/IP ping succeeds but error on DICOM level).
• Configuration error. Check if the settings on the BV Family system and the target match.
6. Click |OK|. The target is saved in the BV Family system and is immediately visible in the Export panel of
the user interface of the MVS (without rebooting).
7. For the DICOM configuration of the ViewForum, refer to the product manual of the ViewForum.
4.2.5 Loading of the printer types file (ptf)
The procedure below has to be followed to install new printers or new versions of software for printers. For all
DICOM Printer types supported by the BV Family system, pre-defined (default) values for all printer
parameters have been specified in the printer types file.
There are 3 different kinds of printer parameters:
• Printer parameters that can be modified in BV-Scope by both the administrator and the Philips Service
engineer. In the printer types file all possible values are defined, the first value is the default value
(example: "Film Orientation").
• Printer parameters that can be modified in BV-Scope by the Philips Service engineer only. To modify these
parameters detailed knowledge of DICOM print is required. In the printer types file all possible values are
defined, the first value is the default value (example: ‘‘Magnification Type’’).
• Printer parameters that cannot be modified. The value in the printer types file is fixed.
Before DICOM print targets can be configured, the pre-configured printer types have to be loaded into the
system. Only DICOM printers that make use of the pre-defined printer types can be configured on the BV
Family system.
The DICOM printer types file must be available on the service PC. The printer types file (dicom.ptf) can be
found on the BV Family Software cd-rom.

To load the printer types file, perform the following actions and checks:
1. Open BV-Scope.
2. Select Install > Program Automatic > Printer Types. The Printer Types panel appears.
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Figure 6 Printer Types panel
3. Click |BROWSE|. The name of the printer types file is: dicom.ptf (to be found on the BV Family Software cd-
rom, subdir: dfi/data).
4. Click |OK|. The printer types file automatically will be loaded into the system.
NOTE
Please note that modification of the printer types file is not recommended. All pre-configured printer types
have been validated by Philips Medical Systems in Best. When a printer target does not use one of the
pre-defined printer types or there are problems with the pre-defined printer types, please contact Philips
Medical Systems in Best.
4.2.6 Configuring DICOM print targets
On the BV Family system a maximum number of 25 storage and/or print targets can be configured. Before a
target can be selected in the Export panel on the user interface of the MVS, it needs to be configured via BV-
Scope. This chapter describes the addition of a print target. If the BV Family system has been configured and
a printer types file has been loaded according to the previous chapter, the procedure described below can be
followed.
Before a DICOM print target can be configured, the preconditions below have to be met.
Concerning compatibility:
• The target device must be on the list of devices tested by Philips, see the PMS MIT Interoperability
Intranet site.
If the target device is NOT on the list of devices tested by Philips, the conformance statement of the
DICOM print target must indicate the support of service class provider for basic grayscale print SOP class.
In case of doubt, contact the X-ray help desk.
• The pre-configured printer types file must have been loaded (see chapter 4.2.5).
• The Conformance Statement of the DICOM print target must indicate that the printer is based on one of
the printers pre-configured in the printer types file.
The following information must be available:

• DICOM AE title of the print target (to be obtained from the network administrator).
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• IP address of the print target (to be obtained from the network administrator).
• Port number used for DICOM print on the print target (to be obtained from the network administrator or the
Conformance Statement of the print target).
Concerning system and target:

• The BV Family system must have been configured (see chapter 4.2.2).
• The BV Family system must be connected to the network.
• The DICOM print target must have been configured to receive images from the BV Family system.
• The DICOM print target must be connected to the network.
• The DICOM print target SCP must be running and operating successfully.
• The service PC must be connected.

To configure DICOM print targets, perform the following actions and checks:
1. Open BV-Scope.
2. Select Install > Program Manual > DICOM Target Configuration > Printer Targets. The Printer Targets
panel appears.
Figure 7 Printer Targets panel
3. Select a No Name target in the Printer Target list of the Reference panel. In the Settings panel, a No
Name target appears with all default values.
4. In the Settings panel enter or select:
- Name (user selectable name for the target. The name will appear in the Export panel of the user
interface of the MVS).
- Type, select Print.
- Order in list, enter a digit. This is the order of targets as they appear in the Export panel of the user
interface of the MVS.
- Enable, select Yes
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- Printer type
5. Click |CHECK|. The BV Family system sends a DICOMC_ECHO request to the printer target to verify the
TCP/IP as well as the DICOM connection with this target. On success, BV-Scope displays the message
"The target is reachable". Note that, in some cases, it takes 1 min. to get response from the system.
NOTE

• Target error (TCP/IP ping succeeds, but error on DICOM level).
6. Click |OK|. The values in the Settings panel are stored and the printer settings are displayed with all
default values.
7. In the Settings panel, modify the printer parameters if required (see also the Conformance Statement of
the DICOM print target).
8. Click |OK|. The target is saved in the BV Family system and is immediately visible in the Export panel of
the user interface of the MVS (without rebooting).
NOTE
After configuring a print target, select a representative image on the MVS and print it. If the result is not
acceptable: change the relevant settings for the print target.
NOTE
It is possible to define two separate DICOM print targets that make use of the same physical DICOM
printer. This can be useful when for example the user wants to have one print target that prints the images
on the film in a landscape format and one that prints the images in a portrait format. The "Film orientation"
cannot be selected in the Export panel on the user interface of the MVS but by defining two separate print
targets, it is still possible to support both.
4.2.7 Configuring DICOM worklist management
4.2.7.1 Worklist query definition
4.2.7.1.1 Introduction
With the function Worklist query definition, queries can be predefined to search on a worklist management
server. A maximum of 4 queries can be predefined. These queries can be used to search the worklist server
for examination entries scheduled for the BV Family system. The function Worklist query definition is not
available for the BV-Scope administrator (= access level A).
4.2.7.1.2 Preconditions
Extended DICOM options have to be installed.
4.2.7.1.3 Actions & checks

To configure queries for the worklist management server, perform the following actions and checks:
1. Open BV-Scope.
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2. Select Install > Program Manual > DICOM Target Configuration > Worklist Query Definition. The Worklist
Query Definition panel appears.
Figure 8 Worklist Query Definition panel
NOTE
The items below, which define the query, have a logical AND relation

- Name (enter a representative name for the query, e.g. OT_AE_today).
- Enable, select Yes/No (if selected No, the query will not be available to select during configuration of
the worklist server).
- Modality, select Enable/Disable (if enabled, the query includes the modality type. To select the
modality type, select OT/RF/XA, in the upper drop down box).
- Scheduled Station AE Title, select Enable/Disable (if enabled, the query includes the Station AE Title)
- Scheduled Station Name, select Enable/Disable (if enabled, the query includes the station name).
- Scheduled Procedure Step Start Date, select Enable/Disable (if enabled, the query includes the
Scheduled Procedure Step Start date. If enabled, select a time span in the lower drop down box).
4. Click |OK|. The message Parameter values are OK and stored successfully appears.
5. Click |OK|. The BV-Scope menu tree appears.
Example:
The following example shows how to set a query definition to search for:
• An OT (other type) modality.
• The AE title of the scheduled station.
• The start date of scheduled procedure steps for today.
To configure the query of the above example:

1. In the Worklist Query Definition Settings panel enter or select:
- Name: OT_AE_today
- Enable: Yes
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- Modality: Enable. In the upper drop down box select OT.

- Scheduled Station AE Title: Enable.
- Scheduled Station Name: Disable.
- Scheduled Procedure Step Start date: Enable. In the lower drop down box select Today.
2. Click |OK|. The message "Parameter values are OK and stored" successfully appears.
Example:
The following example shows how to set a query definition to search for:
• An RF modality.
• The AE title of the scheduled station.
• The start date of a scheduled procedure step for one week.
To configure the query of the above example:

1. In the Worklist Query Definition Settings panel enter or select:
- Name: RF_AE_this week
- Enable: Yes
- Modality: Enable. In the upper drop down box select RF.
- Scheduled Station AE Title: Enable.
- Scheduled Station Name: Disable.
- Scheduled Procedure Step Start date: Enable. In the lower drop down box select One week range.
2. Click |OK|. The message "Parameter values are OK and stored" successfully appears.
4.2.7.2 Worklist management server
On the BV Family system one worklist server can be configured. The worklist server needs to be configured
before worklists can be imported in the BV Family patient administration database.
Extended DICOM options have to be installed.
Before a DICOM Worklist server can be configured, the preconditions below have to be met.
• Check if the target device is on the list of devices tested by Philips, see the PMS MIT Interoperability
Intranet site. If the target device is NOT on the list of devices tested by Philips, see the conformance
statement of the worklist server you want to use.

• DICOM AE title of the worklist server (to be obtained from the network administrator)
• IP address of the worklist server (to be obtained from the network administrator)
• Port number used for DICOM on the worklist server (to be obtained from the network administrator or from
the Conformance Statement of the Worklist server)

• The BV Family system must have been configured (chapter 4.2.2).
• The DICOM Worklist server must have been configured to handle a request for a worklist from the BV
Family system.
• The DICOM Worklist server must be connected to the network.
• The DICOM Worklist server SCP must be running and operating successfully.
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• The service PC must be connected.

To configure the worklist management (WLM) server, perform the following actions and checks:
1. Open BV-Scope.
2. Select Install > Program Manual > DICOM Target Configuration > Worklist Management. The Worklist
Management panel appears.
Figure 9 Worklist Management panel

- Name (enter a representative name for the WLM server, e.g. Easy_RIS).
- Enable, select Yes (select No if you do not want to use the worklist server).
Enter or select appropriate values for the following worklist server items:
- Query. In the Query drop down box select a query definition.
4. Click |CHECK|. BV-Scope displays the message "The target is NOT reachable" or the message "The target
is reachable" . Note that, in some cases, it takes 1 minute to get response from the system.
NOTE

5. Click |OK|. BV-Scope displays the message "Parameter values are OK and stored successfully".
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4.2.7.3 Modality performed procedure step
The MPPS server has to be configured before communication with the modality is possible.
Extended DICOM options have to be installed. Before a DICOM MPPS server can be configured, the
preconditions below have to be met.
• Check if the target device is on the list of devices tested by Philips, see the PMS MIT Interoperability
Intranet site. If the target device is NOT on the list of devices tested by Philips, see the conformance
statement of the MPPS you want to use. In case of doubt, contact the X-ray Helpdesk.

• DICOM AE title of the MPPS (to be obtained from the network administrator)
• IP address of the MPPS (to be obtained from the network administrator)
• Port number used for the MPPS (to be obtained from the network administrator or the Conformance
Statement of the MPPS)

• The BV Family system must have been configured (see chapter 4.2.2).
• The DICOM MPPS must have been configured to receive images from the BV Family system.
• The DICOM MPPS must be connected to the network.
• The DICOM MPPS SCP must be running and operating successfully.

To configure the MPPS server, perform the following actions and checks:
1. Open BV-Scope.
2. Select Install > Program Manual > DICOM Target Configuration > Modality Performed Procedure Step.
The Modality Performed Procedure Step panel appears.
Figure 10 Modality Performed Procedure Step panel
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- Name (enter a representative name for the MPPS server, e.g. Easy_MPPS).
- Enable, select Yes (select No if you do not want to use the MPPS server).
- AE Title (to be obtained from the network administrator)
4. Click |CHECK|. BV-Scope displays the message "The target is NOT reachable" or the message "The target
is reachable" . Note that, in some cases, it takes 1 minute to get response from the system.
NOTE

5. Click |OK|. BV-Scope displays the message "Parameter values are OK and stored successfully".
4.2.8 DICOM queue management
Both DICOM storage and DICOM print actions can be performed when the system is not connected to the
network. Therefore, the images to be exported or printed will be stored in a queue on the BV Family system.
When the BV Family system is connected to a network, all prepared export and/or print sessions can be
started by one simple action (with the |RESUME| button in the Export panel on the user interface of the MVS).
When an export/print session fails (for example when the DICOM storage target is not available), the prepared
export/print session will be kept in the queue on the BV Family system.
When a problem with one or more DICOM targets persists, it is possible the queue on the BV Family systems
gets full. Therefore, it is possible to access the DICOM queue via BV-Scope. In BV-Scope each export/print
session can be selected, the detailed information can be viewed and the entry can be removed from the
queue.
4.2.8.2.1 Deleting queue entries

To delete queue entries, perform the following actions and checks:
1. Open BV-Scope.
2. Select Install > Program Manual > DICOM Queue Management. (For BV-Scope administrator select
DICOM Queue Manegement). The DICOM Queue Management panel appears.
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Figure 11 DICOM Queue Management panel
3. In the DICOM Queue Management Reference panel select a queue entry. The Reference panel lists all
export and print sessions that are currently in the queue.
4. In the DICOM Queue Management Settings panel select Yes to remove the queue entry.
5. Repeat step 3 and 4 to delete other queue entries.
6. Click |OK|.
4.2.8.2.2 Resending queue entries

To resent queue entries, perform the following actions and checks:
1. Open BV-Scope.
2. Select Install > Program Manual > DICOM Queue Management. (For BV-Scope administrator select
DICOM Queue Manegement) .The DICOM Queue Management panel appears.
3. In the DICOM Queue Management Reference panel select a queue entry. The Reference panel lists all
export and print sessions that are currently in the queue.
4. In the DICOM Queue Management Settings panel select Yes to resent the queue entry. The queue
entries will be resent after clicking |RESUME| in the Export panel of the MVS.
5. Repeat step 3 and 4 to resent other queue entries.
6. Click |OK|.
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4.2.9 Empty patient schedule list

With this option it is possible to empty the patient schedule list.
1. Open BV-Scope
2. Select Install > Program Manual > Empty Patient Schedule List . (For BV-Scope administrator select:
Empty patient schedule list). The Empty Patient Schedule List screen appears.
3. In the setiings window, select " YES" if you want to empty the schedule list and select OK
4. A warning message appears , select YES if you want to delete the patient schedule list
4.2.10 Faultfinding
The faultfinding procedures described in this chapter can be used if problems occur during installation of the
BV Family system.
4.2.10.1 Association close time-out
NOTE
The "Association Close Time-out" in the Network Configuration is default set to 1 second. Changing this value
might cause incorrect behavior of the export functionality of the BV Family system in case the transfer is
aborted and resumed. Therefore, do not change this value unless advised by the X-ray Helpdesk.
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4.2.10.2 Problems using BV-Scope on the service PC

/i
Table 2 Troubleshooting configuration problems using BV-Scope on the service PC
Symptoms Error text Error in log file Cause Solution

The service PC → → The Enable Service On the MVS, select
cannot connect to the checkbox in the Setup the Setup panel and
DFI panel of the MVS is select the Enable
not selected. Service checkbox.
Note: After a power
up of the MVS, this
checkbox always is
disabled.
Destination host → The IP address on the On the MVS, select
<name> unreachable; service PC and the the Setup panel to
exiting. MVS do not match. display the IP address
of the MVS. Match it
with the IP address on
the service PC.
Restart BV-Scope
with this IP address.
No physical Connect a Cross-link
connection between ethernet cable
service PC and MVS. between the service
PC and the MVS. If
the connection is OK:
contact the network
administrator for help.
The Service PC was Add Solution: Perform
not connected to the these steps: 1.
MVS and /or started Connect a cross-link
before the system ethernet cable
was switched on between the Service
PC and MVS. 2. Start-
up the Service PC. 3.
Power on the system.
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Symptoms Error text Error in log file Cause Solution

Target ‘‘Check’’ fails. Target is NOT Could not open System has not been Check if the system
reachable. association with connected to the physically has been
<target name>: network. connected to the
(Association was network.
aborted)
Network configuration Check the network
(gateway and/or settings (IP
subnet mask) is addresses, gateway,
incorrect. subnet mask, port
no.)
Target is not Check if the target
connected to the has been connected
network. to the network.
Target is not running a Check that the target
DICOM Storage is running a DICOM
Service Class Storage Service Class
Provider application. Provider application.
Check network and
DICOM configuration
on the service
PC.Check on the
target the
configuration of the
BV Family system.
Network problems. Contact the network
administrator for help.
Could not open Association reject
association with
<target AE>:
(StoreAE):
(Association
negotiation failed)
Printer configuration No valid printer types → No valid printer types Load valid printer
fails file has been loaded file has been loaded types file via the
Program Automatic
menu.
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4.2.10.3 Problems using the MVS
4.2.10.3.1 Transfer of images to storage/print target fails

/i
Table 3 Troubleshooting image transfer problems to storage/print targets
Error text (MVS) Error in log file Cause Solution

No connection. Could not open association BV Family has been Connect the BV Family to
Please check the network with <target name>: disconnected from the the network
connection network cable disconnected network.
TCP init error (first connect Both the BV Family and the Start DICOM SCP on the
call) Transport unexpectedly target are connected to the target.
closed DCM Could not open network but probably no
association with <target DICOM SCP is running on
name>: (Failed to connect the target.
to remote host)
Peer aborted Association The target aborted the Check the target.
transfer.
After a time-out: No TCP init error, time out in The target is not connected Connect the target to the
connection. select call Transport to the network or network or configure the
Please check the network unexpectedly closed DCM the target is on a different subnet mask of the target or
connection Could not open association subnet or contact the network
with <target name>: (Failed other networking problems. administrator.
to connect to remote host)
Failed. Could not open association There was a time out during Increase the Association
Please check the target with <target AE>: the association. Probably Reply Time out in the
configuration (Connection aborted before the network is busy. Network Configuration in
association BV-Scope.
negotiation was completed)
DCM Could not open The target rejected the Check the configuration on
association with <target association. the target.
AE>: (Association
negotiation failed)
C_STORE_RSP: error: The target sent an error in Check the target.
<reason> example the response message of a
<refused; no resources> transfer.
After time-out: Failed. DCM Receive message A time out occurred while Increase the Receive
Connection with the timed out waiting for a response Message Time out.
selected target timed out message from the target.
Failed. PrintMessage:Interpret The printer is not ready. Check the exact problem in
Printer is not ready Printer Status: PRINTER the log file. Check the
FAILURE: <reason> printer.
example: PRINTER
BUFFER FULL
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4.2.10.3.2 Printed images are not as expected

/i
Table 4 Troubleshooting image printing problems

Are the images on a print- → Correct configuration of Check the printer
job output too dark or too printer parameters? configuration and the printer
light? No → parameters on the service
No → Yes ↓ PC and on the printer.
Yes ↓ See the display of the
printer, its log file and/or its
manual.
→ → Are the printer parameter Change the
settings OK? minimum/maximum density
No → settings in the printer
Yes ↓ parameters.
Problem with printer. The settings can be found
under: /Program
Manual/DICOM Target
Configuration/Printer
Targets.
For the default printer
settings see the relevant
SM-CM chapter.
4.2.10.3.3 Queue problems

/i
Table 5 Troubleshooting queuing problems

Not possible to queue the → Has the BV Fam. system Connect the BV Fam.
exam for export/print. Exam been connected to the system to the network.
export queue is full. network?
No →
Yes ↓
Has the target been Connect the target to the
connected to the network? network.
No →
Yes ↓
Is the target running a Connect a DICOM Storage
DICOM Storage Service Service Class Provider
Class Provider application? application.
No →
Yes ↓
When the problem remains,
remove the queued export
sessions from the queue via
the service PC.
4.3 CUSTOMIZATION
The BV Family systems can be customized upon request of the user, according the guidelines in the IfU
section "User Customization".
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4.3.1 Checking the default (factory) settings
NOTE
Downloading the application software has to be repeated in case of malfunctioning.
In the factory the system settings have been configured based on default values. This check is a check on
these default values only.
Perform the Program Manual procedures for (configuration and examination of) default programming. A
requirement is that the service PC is configured properly (see 0-level Documentation Part 3, chapter
"Software installation").
4.3.1.1 Checking the system configuration settings

To check the system configuration settings:
1. On the MVS, select Enable service
2. Open BV-Scope.
3. Select Install > Program Manual > System Configuration. The panel below appears. For default values,
see table 6.
Figure 12 System Configurations panel
4. Click |INFO|. A panel appears that gives a survey of installed and not installed options.
/i
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Table 6 Default system configuration settings
Parameter Default setting

System Serial number ’string’
Shutter L + R Coupled No
Image rotation (deg) 0
Default shutter position angle 0
Radiography possible Yes (for HHS systems: default = No)
High Power Radiography No
No. of examinations types 5
Max kV (kV) 110
Auto Contrast/Brightness Off
Auto Shutter Placement Enable
DVI L/R MON frequency 60 Hz
1)
Analog Video Output 50 Hz
Initialize Image Disk NO
SW License Key ’string’
DVD Recorder Disable
USB Memory stick Enable
HHS / IEC * Enable
3D Auto Export Disable
1). Changing the Analog Video Output frequency has influence on the optional MDVDR settings and vice
versa. The default settings for Analoge Video Output is 50Hz and for the optional MDVDR is DFI-III 50 Hz. For
example, when it is necessary for some reasons to change the Video Output frequency to 60 Hz, it is also
required to adapt the settings for the MDVDR. In this case the settings for the MDVDR must be DFI-III 60 Hz.
Refer to section 4.3.3.2 for customizing the MDVDR.
* Determines which regulations apply for the dose display and fluoroscopy timers.
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4.3.2 Customizing the system

Customization takes place in the BV-Scope panels. For default values, see table 6.
NOTE
The external Video input is automatically set to the same frequency as the Analog Output has been
progammed.
4.3.2.1 Customizing the user configuration settings

To customize the user configuration settings:
1. Select Install > Program Manual > User configuration.
2. Change the parameter settings in the Settings panel.
3. /i
Table 7 Default user configuration settings
Parameter Default setting

Hospital "clear"
Language English
Date Format dd-mm-yyyy
Units of measure 0.1 mm
4.3.2.2 Customizing the examination settings
WARNING
Compliance with IEC 60601-2-43 Interventional Procedures.

For compliance with IEC 60601-2-43, the system must not be customized with "Pulsed LDF" mode as the
switch on default mode ( i.e. Default technique = Exposure and Default X-mode = Pulsed). This mode has a
dose output above the IEC normal dose level (see 0-level Documentation Part 3, chapter "Technical data").
As the default examination can be selected by the user on the MVS interface, this applies to all examination
types.
NOTE
The settings below should only be modified after application has been done.
/i
Table 8 Selection - Examination settings
Item Possible values Default value

Examination type - Orthopaedic
X-mode - Digital Exposure
Flip-mode - Exposure
/i
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Table 9 Reference - Examination settings
Item Possible values Explanation

1)
Actual Examination ID The name of the examination (as selected in the Selection
window).
Last examination update date The date of the most recent change of the examination settings.
The value is automatically read from the settings.
1). The name of the examination type as defined in the Selection window,refer to table 8.
/i
Table 10 Settings - Examination settings
Item Possible values Default value Explanation

Common:
kV/mA curve Normal, High kV/mA curve selection.
Contrast1), Isowatt1) Caution: For the HQ Ortho and Thorax
Examination changing kV/mA curve can
result in unexpected kV stabilized values.
Note: The kV/mA curve, in combination with
the selected X-mode, also defines the mA
and gain factor.
Note: The kV/mA curve selection is disabled
for HQ modes.
Focus1) Small, Large Select small or large X-ray focus. The X
modes Pulsed and Digital can only be used
with a large focus.
Note: Only one focus type per left/right
combination is allowed.
Image Measure Field Size 0 = auto, 1 ... 7 Relative field size, fixed size 20% up to 70%
or automatic mode.
Leave in automatic mode (only 20% is
feasible).
Left button:
Image processing:
Enable subtraction Yes, No Enables / disables subtraction parameters
Trace black/white Black, White Depends on the commercial option, trace
white (CO2) or trace black. Depends on used
contrast medium (For iodine select Black, for
CO2 select White)
Landmarking level 0 ... 3 Default landmark level during subtraction
Image storage:
Storage Rate [fr/s] 2)
Default setting of image store rate, depending
on disk capacity. In case of pulsed exposure,
the frame rate is equal to the pulse rate.
Store Last Image Hold Yes, No If enabled, Last Image Hold will be stored.
DVD Control On, Off Automatic switch on the video C-arm stand
set the recorder or Medical DVD-Recorder:
yes or no.
Video processing:
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FM Noise/Movement Level Off, 1 .. 19 Noise/Movement Level, specifies the level of
(FM = Fluoro Mode) noise and movement in the image. Each
separate noise-movement level is optimized
per radiation technique and coupled to an
examination. For example level 8 is not better
or higher than level 1 but specially adjusted
for a radiation technique. Caution: Do not
change the value!
FM Contrast -49 … + 49 Default position of the contrast ruler in the
Post proc screen of the MVS during
fluoroscopy.
FM Brightness -49 … + 49 Default position of the brightness ruler in the
fluoroscopy.
FM Edge Enhancement Off, 1 .. 15 Default position of the edge ruler in the Post
proc screen of the MVS during fluoroscopy.
FM Video Invert On, Off Default 'position' of the button |INVERT| on the
UI of the MVS during fluoroscopy.
SM Noise/Movement Level Off, 1 .. 19 Noise/Movement Level, specifies the level of
(SM = Subtraction Mode) noise and movement in the image. Each
change the value!
SM Contrast -49 … + 49 Default position of the contrast ruler in the
subtraction.
SM Brightness -49 … + 49 Default position of the brightness ruler in the
subtraction.
SM Edge Enhancement off, 1 - 15 Default position of the edge ruler in the Post
proc screen of the MVS during subtraction.
SM Video Invert On, Off Default 'position' of the button |INVERT| on the
UI of the MVS during subtraction.
Right button:
X-ray generator1):
Pulse width1) Short, Medium, Long Duration of the pulse.
1)
Initial pulse rate 3, 5, 8, 15, 30 Initial pulse rate in frames/sec.
Image processing:
Enable subtraction Yes, No Enable or disable the subtraction function.
Trace black/white Black, White Depends on the commercial option, trace
white (CO2) or trace black. Depends on used
contrast medium. For iodine select Black, for
CO2 select White.
Landmarking level 0 .. 3 Default landmark level during subtraction.
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Image storage:
2)
Storage Rate [fr/s] Default setting of image store rate, depending
on disk capacity. In case of pulsed exposure,
the frame rate is equal to the pulse rate.
Store Last Image Hold Yes, No If enabled, the Last Image Hold will be stored.
DVD Control On, Off Automatic switch on the DVD recorder: Off or
On
Video processing:
Integration factor 0 … 60 Required number of image frames in order to
achieve a desired noise reduction level.
FM Noise/Movement Level Off, 1 .. 19 Noise/Movement Level, specifies the level of
noise and movement in the image. Each
change the value!
FM Contrast -49 … + 49 Default position of the contrast ruler in the
fluoroscopy.
FM Brightness -49 … + 49 Default position of the brightness ruler in the
fluoroscopy.
FM Edge Enhancement off, 1 - 15 Default position of the edge ruler in the Post
proc screen of the MVS during fluoroscopy.
FM Video Invert On, Off Default 'position' of the button |INVERT| on the
UI of the MVS during fluoroscopy.
SM Noise/Movement Level Off, 1 .. 19 Noise/Movement Level, specifies the level of
noise and movement in the image. Each
change the value!
SM Contrast -49 … + 49 Default position of the contrast ruler in the
subtraction.
SM Brightness -49 … + 49 Default position of the brightness ruler in the
subtraction.
SM Edge Enhancement off, 1 - 15 Default position of the edge ruler in the Post
proc screen of the MVS during subtraction.
SM Video Invert On, Off Default 'position' of the button |INVERT| on the
UI of the MVS during subtraction.
1). BV Pulsera only.

2). See table 11.
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/i
Table 11 Storage rate - Value range
X-mode License Key (max. storage rate1)) Storage rate range

1/2 Dose, Pulsed fluoro,Pulsed generic 30/25 (10000IMG package) 12, 5, 3, 1, 0
1/4 Dose 30/25 (10000IMG package) 5, 3, 2, 1, 0
Pulsed exposure 30/25 (10000IMG package) 30, 15, 8, 5, 3
1/2 Dose, Pulsed fluoro, Pulsed generic 8 (5000IMG package) 5, 3, 2, 1, 0
1/4 Dose 8 (5000IMG package) 5, 3, 2, 1, 0
Pulsed exposure 8 (5000IMG package) 8, 5, 3
1/2 Dose, Pulsed fluoro,Pulsed generic 5 (500IMG package) 5, 3, 2, 1, 0
1/4 Dose 5 (500IMG package) 5, 3, 2, 1, 0
Pulsed exposure 5 (500IMG package) 5, 3
Pulsed exposure for 3D 30/25 (10000IMG package) 15, 8, 3
1). Coupled with the image disk size.
To customize the examination settings, example for 01: Orthopedics:

1. Select Install > Program Manual > Examination Settings; 01: Orthopaedics.
2. Perform the BV-Scope instructions in the Examination settings panel (scroll in the Settings panel for more
settings).
Figure 13 Examination settings panel
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4.3.2.3 Configuring or customizing a system password

A system password has to prevent unauthorized persons to have access to the patient administration of the
BV Family system, via the UI of the MVS. The possibility to configure or customize a system password is
optional.
To configure or customize a system password:
1. Open BV-Scope.
2. Select Install > Access control > System Password Configuration.
3. System password, select Enabled.
4. In the New System Password field, enter new password (6-20 characters).
5. In the Confirm System Password field, enter the new password again.
NOTE
If the system password has been lost, a BV-Scope administrator or a Philips service engineer can create
a new password.
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4.3.2.4 ViewForum
See the separate manual of the ViewForum.
4.3.2.5 Customizing the printer

To optimize the printer according to the requirements of the user, the service engineer will adjust the settings
accordingly. After having customized the system, the BV Family system is ready for actual operation to be
performed by the user.
For details about how to customize the user printer, see product manual of the printer.
Use the jog dial to set the following settings (how to use the jog dial is described in the instructions for use of
the printer):
1. Set INIT to OK in order to reset the printer to the factory default settings.
2. For 990AD only: set AT CUT to OFF.
3. Set GAMMA to 1 to print on transparent film, set GAMMA to 3 to print on paper.
4. Set FEED to 0 (990AD), set FEED to ON (970AD).
5. Set SFT.H to 192 (990AD), set SFT.H to 0 (970AD).
6. Set SHARP to 3.
7. Set MENU to ME:OK. The current settings will be printed.
For details about how to customize the user printer, see the product manual of the printer.
4.3.2.6 Customizing the MDVD recorder (MDVDR)

To optimize the medical DVD recorder (MDVDR) according to the requirements of the user, the service
engineer will adjust the settings accordingly. After having customized the system, the BV Family system is
ready for actual operation to be performed by the user.
For details about how to customize the user printer, see product manual of the printer.
1. If the system already has been powered ON: press the STOP button. Wait until the display of the DVD
Recorder shows: STANDBY or NO DVD DISC.
2. If the system power is OFF: power ON the system.
3. Start BV-Scope.
4. Select Install > Program Manual > System configuration
5. Inspect if the value in the Analog Video Output field is 50 or 60 Hz.
6. When the display of the DVD Recorder shows: STANDBY or NO DVD DISC: continue with the next step.
7. Press the REW and FWD buttons shortly simultaneously. On the display appears: SETUP RECORDER
8. Press the REW button repeatedly until on the display, in the upper line, appears: SYSTEM TYPE ….
9. Press the PAUSE button repeatedly until DFI-3 50 HZ appears or DFI-3 60 HZ appears, corresponding
with the value of the Analog Video Output field (step 5).
10. Press the FWD button. On the display appears: SET SYS DEFAULTS
11. Press the PLAY button to confirm. The display must show: PLEASE WAIT and SET SYS DEFAULTS
12. Press the STOP button. On the display appears: STANDBY or NO DVD DISC
4.3.2.7 Recording of changes
NOTE
Write down changed values in the IfU section "User changed APF settings". Make a copy of the new values
on disk.
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4.4 SOFTWARE PROGRAMMING
4.4.1 Checking the software license authority
NOTE
When the system is delivered, initially the software license string has already been entered in the factory. The
form showing the license string is shipped together with the system. This form should be filed in the 0-level
Documentation Part 2 as a contract document.
4.4.2 Checking or adjusting the examinations names

1. Select Install > Program Manual > Examination names
2. Adjust or check the examination names.
Figure 14 Examination names panel
4.5 FUNCTIONAL CHECKS

Check if the system starts-up without error codes on the display of the MVS or C-arm stand, if not note the
error code and check and perform the service instructions before continuing the functional checks.
In general, the delivered equipment could have been stored in warehouses before the setting to work. For this
reason an X-ray tube conditioning program is developed and should be considered.
If the X-ray tube has been out of order for more than 3 months, the conditioning program has to be performed
(see chapter 4.1.2).
4.6 DOSE LIMITATION

The maximum patient entrance dose is in many countries limited by law. The BV Family systems are designed
to comply with American HHS regulations. To ensure that a BV Family system operates according to local
regulations of other countries, it is possible to limit the maximum possible dose output of the system.
The procedure described in this chapter is only necessary in case additional (local) laws & regulations require
a lower max dose output than the one required by HHS.
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The dose-limiting feature depends on a correctly calibrated system, including a calibrated dose output
indication. To carry out the dose limiting procedures, it is essential to have a calibrated dosimeter available.
After completing the procedure, it is necessary to check the results with the dosimeter again.
The limits for dose output measured at 30 cm before the Image Intensifier are:
/i
Table 12 Dose limitation
Mode Maximum dose output

LDF 10 R / min = 1456 uGy / s
HDF and pulsed exposure 20 R / min = 2912 uGy / s
The system has to comply with the above HHS/IEC regulations, there is no need for measuring the dose at
legal position. Just make sure that all figures, as mentioned in the tables below, are entered or set by default
(see chapter 4.6.1).
/i
Table 13 Dose at legal position
BV Family system Measured dose output (uGy / s)

BV Endura 400 (Factory default)
BV Pulsera 750 (Factory default)
/i
Table 14 Default legal dose limits
Mode Limit name default, uGy / s for HHS

(legal limit -5%)
LDF manual kV Dose A 1382
HDF manual kV Dose B 2765
LDF automatic kV Dose C 1382
HDF automatic kV Dose D 2765
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4.6.1 Dose Limiting procedure

1. Select Install > Adjustment > X-ray tube > Dose Limiting
2. Perform the BV-Scope window instructions (step 1 of 1).
Example Dose Limiting panel for BV Endura:
Figure 15 Install > Adjustment > X-ray Tube > Dose Limiting panel (BV Endura) (step 1 of 1)
Example Dose Limiting panel for BV Pulsera:
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Figure 16 Install > Adjustment > X-ray Tube > Dose Limiting panel (BV Pulsera) (step 1 of 1)
Step 1 - Place the dose probe at the legal required position (for example 30 cm from the centre of the
entrance screen of the II for HHS and Japan). Measure the dose output and enter the measured value in the
corresponding field.
/i
Table 15 Dose at legal position
Measured dose output (uGy / s)

Dose to be measured at 30 cm before the
entrance screen of the image intensifier .............................................
/i
Table 16 Required legal dose limits
Mode Limit name Required legal limit (uGy / s) Limit for Japan (uGy / s)
LDF manual kV Dose A 833
HDF manual kV Dose B 2083
LDF automatic kV Dose C 833
HDF automatic kV Dose D 2083
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NOTE
LDF mode: left button, normal fluoro.

HDF mode: right button (audible signal), boost fluoro or pulsed exposure.
Step 2 - Write down the maximum dose output values permitted by local regulations in the table below
(1 mR / min = 0.1456 uGy / s; 1 uGy/s = 6.87 mR / min)
Step 3 - Enter the legal limits A, B, C D in the corresponding fields.
Step 4 - Restart the system. The system now automatically calculates which is the max-allowed kV value for
a certain X-ray mode, being the minimum level of the LDF and HDF kV limit (left and right button have the
same kV limit).
Step 5 – Check whether the system complies with the local regulations;
For manual mode - Put 5 mm lead on II surface. Set kV manual to max possible value. Confirm by measuring
that the dose output at legal position is below the limit for both LDF and HDF. Repeat this procedure for all
Xray modes (LDF, HDF, and Pulsed exposure) and all exam types.
For automatic modes - Put 5 mm lead on II surface. Perform fluoroscopy until system stabilizes. Confirm by
measuring that the dose output at legal position is below the limit for both LDF and HDF. Repeat this for all X-
ray modes (LDF, HDF, and Pulsed exposure) and all exam types.
NOTE
For pulsed exposure modes (BV Pulsera only): in cases where the max kV setting is well below 110 kV,
field service is advised to limit the max pulsed frame to 15 frames / s instead of the default 30 frames / s in the
BV-Scope menu. This should then give a full kV range up to 110 kV.
The hospital application specialist has to be consulted before the action.
NOTE
The left and right buttons (LDF and HDF) have the same kV limit. This means that in cases where the max kV
is limited only by the HDF dose limit, the LDF mode will be limited too.
When this is unwanted, it is also possible to completely disable HDF mode in the BV-Scope menu. This
should then give a full kV range up to 110 kV.
The hospital application specialist has to be consulted before any action
4.7 COMPLETING OF THE SETTING TO WORK

After the setting to work procedures above, continue with chapter 5.
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0-level Documentation Part 1 3D-RX Configuration
5 3D-RX CONFIGURATION
5.1 3D-RX CONFIGURATION

Refer to the 3D-RX product manual for 3D-RX configurations
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3D-RX Configuration 0-level Documentation Part 1
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0-level Documentation Part 1 Performance check program
6 PERFORMANCE CHECK PROGRAM
6.1 INTRODUCTION
After setting to work, a number of performance checks have to be carried out to ensure that the BV Family
system is functioning properly and within the specification(s).
6.1.1 The scopes of the checks
NOTE
The function of all operator controls and indicators are described in the IfU as per the relevant BV Family
systems (BV Endura or BV Pulsera).
The performance check program is defined as follows:

1. Mechanical movement checks (see chapter 6.2.1)
2. Functional tests (see chapter 6.2.2)
3. IQ (level 1) checks (see chapter 6.2.3). These IQ (level 1) checks are not obliged.
Performance testing has been done already in the factory. A full status report is supplied together with each
individual BV Family system (see 0-level Documentation Part 2, chapter "Record or measured data").
6.1.2 Required tools & test equipment

A service PC is required to execute the performance check program.
For (level 1) image quality measurements, a set of special IQ phantoms is required.
6.2 PERFORMANCE CHECKS
6.2.1 Mechanical checking
CAUTION
Prior to rotating the C-arm, measures must be taken to avoid the 12” IDS camera to touch anything.
An uncontrolled touch down will damage the camera.
The following mechanical movements have to be checked.

/i
Table 1 Mechanical movement checks - Overview
Check Description Checked?

Angulation Check the functioning: +90°/-25° (+90°/-45° for extended
rotation)
Rotation Check the functioning: beyond +/- 180°, safety stop at
135°
Panning movement Check the functioning: +/- 10°
Longitudinal travel Check the functioning: 20 cm
Motorized height movement Check the functioning: +43 cm/-6 cm
+41 cm/-8 cm (for extended rotation)
Locks Check the functioning
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Performance check program 0-level Documentation Part 1

All mechanical stops Check the functioning
Wheels, wheel alignment and cable Check the functioning
deflectors
LCD height adjustment (optional) Check the functioning
Folding of LCD monitors incl. end click Check the functioning
C-arm angulation lock (for systems equiped Check the functioning
with the 3D-RX option)
6.2.2 Functional testing

Functional checks have to be performed according to the user routine checks program below. The user of a
BV Family system must institute a user routine checks program as detailed in the table below. The service
engineer can use the check boxes in the table.
/i
Table 2 Functional checks - Overview

Accessories Availability and integrity
Cable deflectors Check for presence and damage
Brakes, wheels, steering Ensure correct functioning
Cabling Inspect all cables for kinks and/or cracks
Beep and lamp test Check for correct functioning (see chapter 6.2.2.5)
Connectors Check correct connection and damage
Power-on Check display and monitor for error messages
X-ray Ensure correct functioning (see chapter 6.2.2.1)
Check beep and lamp (see chapter 6.2.2.5)
Check iris settings and verify their position (see chapter 6.2.2.2)
Check the correct functioning of the system lock
Check radiography (see chapter 6.2.2.7)
C-arm stand Ensure correct functioning of the keys
Energy storage unit (Pulsera only) Check for battery charge warning message
Hand switch Check for damage and correct functioning
Foot switch Check for damage and correct functioning
Height movement Check for correct functioning
Mobile viewing station Ensure correct functioning of the monitors
Ensure correct functioning of the keys
USB storage device Check for damage and correct functioning
Remote control (optional) Check for damage and correct functioning
Laser alignment tool Check for correct alignment (see chapter 6.2.2.3)
Printer (optional) Check for correct functioning and paper/ transparency presence
Medical DVD-Recorder (optional) Check for correct functioning/DVD+RW presence
Fan Check for damage and correct functioning
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ViewForum (optional) Check for damage and correct functioning
3D-RX workstation (for systems Check for damage and correct functioning
equiped with the 3D-RX option)
3D-RX handswitch (for systems Check for damage and correct functioning
equiped with the 3D-RX option)
3D laser (for systems equiped with Check for damage and correct functioning
the 3D-RX option)
A number of functional test indicated in the table above can be found in detail in the subchapters below.
6.2.2.1 X-ray control function test

The X-ray control function check should be performed daily without any objects in the X-ray beam.
1. Press <KV> to select manual kV.
2. Enter 70 kV.
3. Press <KV> to select automatic kV and perform fluoro.
4. If the kV value drops to 42 - 47 kV, the X-ray control function is working properly.
6.2.2.2 Collimator test

To perform a collimator test:
1. Perform fluoroscopy without any objects in the X-ray beam and close the iris to about half the size.
2. Stop Low Dose Fluoroscopy.
3. Press <SELECT IRIS> for a moment (the collimator iris circle is displayed).
4. When the circle covers the edge of the image the iris setting is correct.
5. Perform the steps for the other II sizes.
6. Perform the steps 1 to 5 for shutters instead of the iris.
6.2.2.3 Laser aiming device test

To test the laser aiming device:
1. Aim the laser. See the IfU chapter "Laser positioning tools".
Figure 1 Checking the laser aiming device with a scissor point and marking cross
2. Place a pair of scissors, with the scissor point in the laser beam at 30 cm of the II.
3. Perform fluoro.
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4. Check if the scissor point coincides with the marking on the image.
6.2.2.4 Laser alignment tool test

The laser alignment tool (LAT) alignment check should be checked daily.
1. Install the target plate on the II (see the IfU chapter "Laser positioning tools").
2. Press <LAT ON/OFF> to turn the laser ON.
3. Check if the laser cross coincides with the centre of the lead target plate cross.
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6.2.2.5 Beep and lamp test C-arm stand

The beep and lamp test should be performed after start-up.
1. Simultaneously press <INFORMATION> and <RESET SHUTTER(S)/IRIS> to activate the beep and lamp test. All
LEDs are illuminated, a blank (i.e. white/amber) screen will be displayed and all buzzers will sound.
2. Release the keys, or one of the keys, to stop the beep and lamp test.
6.2.2.6 Indicator test MVS

The indicator test should be performed after start-up.
1. Simultaneously press <LEFT ARROW> and <RIGHT ARROW> to activate the indicator test. All LEDs will be
turned ON.
2. Release the keys, or one of the keys, to stop the indicator test.
6.2.2.7 Radiography test

This check is only applicable for systems with radiography.
1. Make the iris as small as possible and check the visual position of the iris.
2. Check if during a switch to radiography the iris does not move.
3. Check if during a switch to film the iris opens.
4. Make an exposure with 40 kV and the lowest possible mAs and check for beeps after exposure.
6.2.3 Image quality

There is no need to test the image quality, because this has already been done in the factory. However,
checking is possible:
1. Select Install > Performance Test > Image Quality
2. Perform the BV-Scope window instruction (step 1 of 1).
Figure 2 Install > Performance Test > Image Quality panel (step 1 of 1)
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6.2.4 Key test

To execute a key test:
1. Select Install > Performance Test > Key Test
2. Perform the BV-Scope window instructions (semi-automatic).
Figure 3 Install > Performance Test > Key Test panel
NOTE
The "Key Pressed" field displays the ‘key name’ at the moment that a key is pressed. It displays “NONE”
when all keys are released.
NOTE
The "Key Released" field displays the released “key name”. It displays “NONE” at the moment that any
key is pressed.
6.2.5 X-ray tube performance test
NOTE
This procedure is the verification of the performance test.
To do an X-ray tube performance test:

1. Select Install > Performance Test > X-ray Tube Performance
2. Perform the BV-Scope window instructions (fully-automatic).
NOTE
Before starting this procedure, place a lead plate on top of the diaphragm cover (X-ray protection).
X-ray tube performance panel for BV Endura:
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Figure 4 Install > Performance Test > X-ray Tube Performance panel (BV Endura)
X-ray tube performance panel for BV Pulsera:
Figure 5 Install > Performance Test > X-ray Tube Performance panel (BV Pulsera)
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NOTE
For BV Endura: If the X-ray tube Performance test fails or the Performance test is not successful, do the
Fluoroscopy and Filament adjustment. Check the messages on the desk for any failure or error message. For
BV Pulsera: If the X-ray tube Performance test fails or the Performance test is not successful, refer to the 0-
level Documentation Part 3 (section 8.4.12) for more information.
6.3 EXPORT FUNCTIONS

After successfully having executed the performance checks of the BV Family system, it is recommended to
make a backup of the relevant system data. Use the BV-Scope export functions to make a backup of:
• The examination data (system settings).
• The DICOM targets.
The backup can be restored after re-installation of the software.
6.3.1 Target selection

Export functions are BV-Scope window supported as shown in the menu below.
Figure 6 Install > Export panel
6.3.2 Examination data

To export the examination data:
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1. Select Install > Export > Examination

2. Perform the BV-Scope window instructions.
Figure 7 Install > Export > Examination panel
3. Click |OK| to export the file to the preferred drive.
6.3.3 DICOM targets

To export the DICOM target information:
1. Select Install > Export > DICOM targets
2. Perform the BV-Scope window instructions.
Figure 8 Install > Export > DICOM targets examination panel
3. Click |OK| to export the file to the preferred drive.
6.4 CHECKING LOCALLY REQUIRED COMPLIANCE(S)

These checks have to be investigated by the local PMS SSR/SSD organization and filled in the 0-level
Documentation Part 2.
6.5 COMPLETING THE PERFORMANCE CHECK PROGRAM

This will complete the performance check program. Continue with the “Hand-over procedure” chapter.
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0-level Documentation Part 1 3D-RX Calibration
7 3D-RX CALIBRATION
7.1 CALIBRATION
For the calibrations of the 3D-RX application, refer to the 3D-RX Product manual.
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3D-RX Calibration 0-level Documentation Part 1
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0-level Documentation Part 1 Hand-over procedure
8 HAND-OVER PROCEDURE
8.1 INTRODUCTION
After the BV Family system has been unpacked, installed, set to work and the performance has been
checked, the owner and the service engineer have made sure that the system is operating in accordance with
the specifications. This section describes the evaluation of the results of the witnessed performance checks
and enables the owner and/or user to accept the system accordingly.
According the IEC standard it is required to check the performances at a regular basis. It should be advised,
due to the specialistic knowledge, the special environment necessary (to be able to do the performance
checks) and the special tools & test equipment required, to have these services rendered by the supplier of
the system. For this reason PMS has developed a general planned maintenance service contract including a
regular (image) performance check program.
8.2 PERFORMING QUICK CHECKS FOR USER ACCEPTANCE
8.2.1 Required documentation

To be able to make a selection of performance checks, together with the customer, the following
documentation is required:
• Shipping documents.
• System Manuals (0-level Documentation Part 1 and 0-level Documentation Part 3).
• Record of measured data (part of the 0-level Documentation Part 2).
This can result in:

• A dedicated test program.
• An advice to the customer to witness certain tests.
8.2.2 Required tools & test equipment

To carry out the performance checks, the standard service kit is required.
8.2.3 The test program

The test results of the setting to work program are available, see the 0-level Documentation Part 2.
8.2.4 Evaluation of the test results

In the 0-level Documentation Part 3, chapter "Technical data" the evaluation criteria are tabled. As long as the
test results are within the prescribed tolerances, the system is working within specification. The system can
now be handed over, in order to be used by specified and qualified personnel.
8.3 HAND-OVER CERTIFICATE

To hand-over the system to the owner, a hand-over certificate has to be signed by PMS and the owner. The
date of signing this certificate is also the date, the warranty period will start. The hand-over certificate, the
invoice and the system documentation together will form the (contractual) warranty document.
8.4 COMPLETING THE COMMISSIONING OF THE SYSTEM

This will complete the hand-over procedure. The system is now ready for the owner or user.
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Hand-over procedure 0-level Documentation Part 1
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0-level Documentation Part 1 Terms and abbreviations
9 TERMS AND ABBREVIATIONS
9.1 OVERVIEW
Term Meaning
12 NC The numbering system of Philips to uniquely identify parts.
3D-RX workstation PC with Xtravision software for reconstruction of 3D images. 3D-RX is optional.
A
AC Alternating current
ABC Automatic brightness control
ACB Approbation control board
ACQ Acquisition
AE Application entity. Multiple AEs can be connected to the DICOM network.
AE title A unique name identifying an application entity on the DICOM network.
AMS bus Advanced microcomputer system bus
APF Anatomically programmed fluoroscopy
ASP Automatic shutter positioning
ATR Adaptive temporal recursive. ATR is a noise reduction algorithm that also includes movement
detection.
ATR Automatic text recognition. Feature integrated into all Philips BV Family systems that
automatically extracts DICOM data from the image pixel information.
AVG Average
AVO Analog video output
B
BOB Breakout box
BIST Built-in self test (DFI and SCPU)
BV-Scope Service control operating environment. BV-Scope is a service program running at a Philips BV
Family system, which can be used for configuring, customizing, adjusting and troubleshooting
the system.
C
CAN Control area network
CAS C-arm stand
C/B Contrast/brightness
CBE Contrast, brightness and edge enhancement
CCD Charge Coupled Device
CCIR Comité consultatief international des radio communications (international radio consultation
committee)
CE Conformité européen
CM Corrective maintenance
Commissioning The on-site process of unpacking, re-assembling, setting to work, (IQ) performance testing,
customizing and handing over of a Philips BV Family system.
CT scan Computed tomography scan
Customizing Changing the factory installed default system settings.
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Terms and abbreviations 0-level Documentation Part 1
Term Meaning
D
DC Direct current
DFI Digital fluoroscopy imaging
DICOM Client/server based protocol for digital imaging and communications in medicine. The DICOM
service is integrated into the DFI-3 unit of the Philips BV Family system, which can be
connected as a DICOM modality to the DICOM network. A Philips BV Family system provides
4 basic DICOM functions (print, image storage, verification and modality worklist query).
DMC Philips’ Development and manufacturing center
DRCS Dose rate control signal
DRS Dose report screen
DVD Digital versatile disk
DVI Digital visual interface
E
EL display Electroluminescent display (flat panel LCD display)
EMC Electromagnetic compatibility
Engineer User qualified service engineer
ESD Electrostatic discharge
ESU Energy storage unit
F
FA Fixed anode
FCO Field change order
FM Fluoroscopy mode
FRU Field replaceable unit (see also spare parts)
FSE Field service engineer
H
HCU Hard copy unit
HDF High definition fluoroscopy
HIP High penetration
HIS Hospital information system which can be connected as AE to the DICOM network.
HF High frequency
Host ID A (DFI) system unique 8-bit string, part of a 32-bit string forming the software license key,
allowing on-site selected authorized use of Philips BV Family systems.
HT High tension
I
ID Identification number. Both the CAS and the MVS contain an ID. The system ID is formed out
of the CAS ID and the MVS ID and uniquely identifies a CAS/MVS combination.
IDS Image detection subsystem
IEC International electrotechnical commission
IfU Instructions for use
II Image intensifier
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Term Meaning
I/O Input/output
IPC Image quality performance check
IP set Image processing (parameter) set
IQ Image quality
IR Infrared
ISO Iso watt kV/mA curve
IST Integrated Security Tool
L
LAN Local area network. The LAN is to be connected to DICOM.
LAT Laser alignment tool
LCD Liquid crystal display
LDF Low dose fluoroscopy
LED Light Emitting Diode
LIH Last image hold
LUT Look-up table
M
MAP Main administration panel
MCU Mains control unit
MIDAS Main control board in the C-arm stand
MPPS server Modality performed procedure step server which can be connected as AE to the DICOM
network.
MS Windows Microsoft Windows operating system (XP, 2000) running on the ViewForum Surgical WS.
MVS Mobile viewing station
N
NRL Noise reduction level
nvData Non-volatile (system) data contained by NV-RAM
NV-RAM Non-volatile random access memory
O
Owner Formal user (managerial)
P
PACS Picture archiving and communication system which can be connected as AE to the DICOM
network.
PC Personal computer
PCB Printed circuit board
PEI Product end item
Phantom kit Standard phantoms enabling on-site IQ (level 1) and/or lower level performance testing,
adjustment and verification of Philips BV Family systems.
PM Planned maintenance
PMS Philips Medical Systems Nederland BV
POST Power on self test
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Term Meaning
PSO Philips service organization
PTF Printer types file
R
RA Rotating anode
RIS Radiology information system which can be connected as AE to the DICOM network.
ROI Region of interest
S
SC Secondary capture
SC Storage commitment. An SC can be send over the DICOM network as a confirmation that
images have been safely stored after exporting to a remote AE.
SCH Schedule
SCP Storage class provider
SCU Storage class user
SM Subtraction mode
SM-CM Service manual corrective maintenance
SM-I Service manual installation
SM-L0 Service manual level zero
SOP Service object pair
Spare parts Replaceable items (see also FRU)
Special tools Special tools required in addition to the standard service kit.
SRM Service reference manual
SRS System requirements specification
SSD Source-skin distance
SSR System status report
SSR/SSD Sales service region, sales service district
Standard service kit A set of standard tools and test equipment required for field servicing Philips BV Family
systems.
Standard service PC A laptop equipped with all minimum hardware and software requirements suitable for
servicing Philips BV Family systems.
SCPU Stand Controller & Power Unit
SW Software
T
TC Tool code
TCB Timing control board
TCP/IP Transmission control/Internet protocol
U
UI User interface
USB Universal serial bus
User Operational user (clinical)
User password Password for a person who wants to view patient data.
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Term Meaning
V
ViewForum Surgical Workstation running the Philips ViewForum software package for viewing scanned pictures.
WS
VX Works @
W
WLM server (WLS) Worklist management server centrally managing the examinations of patients. The WLM
server target can be queried by the Philips BV Family system via the DICOM network.
WS Workstation which can be connected as AE to the DICOM network.
X
XA X-ray angiographic
XGC X-ray generator control
XRD X-ray department
XTV X-ray television
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0-Level Documentation Part - 1 (System Manual Installation BV Family R2.3)

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0-level Documentation Part 1

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Copyright © 2008 Koninklijke Philips Electronics N.V.

Liability / Warranty Disclaimer:

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1 INTRODUCTION, TOOLS, ROOM CHECK .................................................................................... 1-1

2 TRANSPORT, UNPACKING ........................................................................................................... 2-1

3 INSTALLATION .............................................................................................................................. 3-1

4 SETTING TO WORK ....................................................................................................................... 4-1

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4.2.10 Faultfinding ............................................................................................................ 4-20

5 3D-RX CONFIGURATION ............................................................................................................... 5-1

6 PERFORMANCE CHECK PROGRAM ........................................................................................... 6-1

7 3D-RX CALIBRATION .................................................................................................................... 7-1

8 HAND-OVER PROCEDURE ........................................................................................................... 8-1

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9 TERMS AND ABBREVIATIONS ..................................................................................................... 9-1

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1 INTRODUCTION, TOOLS, ROOM CHECK

1.3 ROOM CHECK

1.3.1 Site survey

1.3.1.1 Relevant aspects

1.3.2 Overview and checklist of on-site activities

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Table 1 Sequential checklist for handing over the system

Action Refer to chapter

For safety instructions, see 0-level Documentation Part 3, chapter "Safety".

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2.1 UNPACKING INSTRUCTIONS

2.2 UNPACKING TIME

A pallet forklift is required to move the crate to the desired position.

Figure 1 Pallet forklift

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2.4 DISMANTLING THE CRATE

2.4.1 Initial state of the crate

Figure 2 Initial state of the crate

Figure 3 Unpacking: Front and one side panel removed

1. Remove the front panel by unscrewing the relevant screws.

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The extended platform will be used later on in this procedure.

2.4.4 To remove the back panel:

Figure 4 Unpacking: All panels removed

1. Remove the back panel by unscrewing the relevant screws.

2.4.5 Unpacking: Loose items in the sledge underneath the MVS

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Figure 5 Unpacking: Loose items in the sledge underneath the MVS

• Remote control (option).

• DICOM workflow interface (option).

2.4.6 To remove the support construction that supports the image

Figure 6 Unpacking: Image intensifier support construction removed

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Figure 7 Unpacking: X-ray tank support construction removed

2.5 UNPACKING THE C-ARM STAND

Figure 8 Unpacking: C-arm stand released from the bottom panel

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Figure 10 Unpacking: Extended platform opened up

5. Open the extended platform by lifting up the ramp panel.

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Figure 11 Unpacking: Driving out the C-arm stand

Figure 12 Unpacking: Height movement released

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2.6 UNPACKING THE MVS