Professional Documents
Culture Documents
Technical Manual
DOC. 726-722-G1
REV. H
ECN 4387
11/07
www.ge.com
www.gehealthcare.com
www.gemedicalsystems.com
TM 726-722-G1 Intro - 1
Introduction
TM 726-722-G1 Intro - 2
Introduction
Revision History
Software Work Team
Revision Date ECN Reason for Release
Reference
A 4/5/04 3431 - New Release
B 4/30/04 3445 - Changes per John Lybrook
C 9/30/04 3554 - Updates on interface and dose calibration
D 4/15/05 3677 - Add information on system backup/restore
E 6/30/05 3772 - Update Backup/Restore Procedures
F 6/20/06 4026 V2006.05.12.xx Update the Add HIPAA Manual to back of Appendix; Update Heliflex CS., JMP,
lens type in manual SW, SBV
G 4/07 4244 V2006.05.12.04 Need to include Electromagnetic Compatibility (EMC) Compliance data D.Klem,
on emissions and safe/separation distances (update Introduction); C.Mulcahy,
include Warranty Summary; Update HW components to match Y2007 K.Buhagiar,
platform changes; add applicable procedures for camera installation/ P.Marlowe,
replacement for Large Format Camera using Heliflex lens S.Wilson,
configuration. Corr. Maint. Required update on procedures and images M.Paciliak,
to bring current. Include optional/additional Serial I/O Board at position H.Ferdinando,
#5 & move LVDS board up to position #4 in chassis. SNB-Verwij
H 11/07 4387 V2007.07.26.xx Add FDA regulated descriptions for main image display data (mA, kV, L.Soeder,
V2007.07.26.02 mAs, Fluoro Time) to Appendices and to UM Section C – Acquiring S.Wilson,
HW Y2007 Images; TM: Y2007 HW; w/dual serial I/O additional optional board at SNB-Verwij
location Pos#5; LVDS at Pos#4; add DVD features visually to CD/DVD ,H.Ferdinando
replacement procedures Para 4.2 in CM section and UM Section F – , Kan Yi,
Importing and Exporting. Updated System Backup & Restore Jeff Zhoa,
procedure from floppy to CD in Service Application Overview; M.Paciliak,
throughout entire manual to meet DVD specs. Remove Corrective
Maintenance section and all references to it through
SCR#10741, -- customer to refer and utilize the accompanying
instructions with their replacement equipment.
TM 726-722-G1 Intro - 3
Introduction
TM 726-722-G1 Intro - 4
Introduction
Table of Contents
Introductory Pages:
Revision History, List of Changed Pages, Table of Contents, Using this Manual,
Manual Scope, Manual Conventions, Tools and Test Equipment, Trademarks,
Warranty Summary, Safety Summary, System Usage Statement,
Electromagnetic Compatibility Compliance, Electrical Warnings, Power
Requirements & Environmental Requirements, Flat Panel Monitor Specifications,
When Calling for Help / Service / Parts..., Cleaning Instructions, System
Shipment Information, Applicable Standards, Installation Report Form and
Acceptance Tests Form
Preventive Maintenance
APPENDICES:
Appendix A – Abbreviations / Terms / Definitions
Appendix B – Symbols
Appendix C – Compatibility List
Appendix D – Troubleshooting Guides (Operators & Service Technicians)
Appendix E – HIPAA Manual
TM 726-722-G1 Intro - 5
Introduction
TM 726-722-G1 Intro - 6
Introduction
All of the introductory pages of this manual MUST BE READ, before the system is
unpacked!
The system must be installed systematically. This manual details each step of the procedure in
the order in which it must be performed. Each step of the instructions must be followed in order
(Step 1, Step 2, Step 3, etc.). DO NOT JUMP AHEAD.
Preventive Maintenance Procedures should be performed every six (6) months.
Pay special attention to all Safety Warnings given at the front of this manual, and throughout the
instructions.
Manual Scope
This manual is intended for use by Service Engineers who have received training from GE to aid
in the Installation, Acceptance Testing, Preventive Maintenance and component replacement for
the Precision System. The system is designed to be used with many makes/models of x-ray
generators and hardcopy devices.
This manual includes data for the direct connection to the X-ray Generator and DICOM Network
Server. Refer also to the x-ray generator manufacturer’s manuals during the installation
procedure.
For testing the functionality of the features as part of the Acceptance Testing, and Preventive
Maintenance, refer to the User Manual.
Modem transmission Field Service Support is available.
Trademarks
DICOM by Merge.
TM 726-722-G1 Intro - 7
Introduction
Manual Conventions
NOTE: Notations are made for information which requires specific consideration,
but for which there is no risk of damaging the system.
Warranty Summary
Reminders:
• USE ONLY authorized service personnel!
• USE ONLY authorized parts provided by Manufacturer!
• DO NOT CONNECT to any unauthorized systems or devices!
• DO NOT ADD any unauthorized software to your imaging system!
TM 726-722-G1 Intro - 8
Introduction
Safety Summary
• This manual is for the express use of QUALIFIED SERVICE PERSONNEL ONLY!
• The Precision System has been designed and tested to meet FDA, Radiological Health
regulations. To ensure personnel and patient safety, all procedures, warnings and
precautions must be strictly observed during all phases of operation and service of this
instrument.
• Failure to comply with these safety statements could result in injury and/or death to
service personnel, operator, or patient. GE assumes no liability for failure to comply.
TM 726-722-G1 Intro - 9
Introduction
Do not bypass the safeties provided by the X-ray generator during the
WARNING: installation or servicing of the system hardware or software. Doing so
could expose personnel to unnecessary radiation.
NOTE: “In accordance with IEC 60601-1-1, the isolation transformer should not be placed on
the floor. The isolation transformer is considered a Multiple Portable Socket
Outlet (MPSO) by the international standards. MPSOs should be mounted in such a
way as to prevent ingress of liquids and avoid mechanical damage during normal use
and transportation. The transformer should be placed in accordance with the
prevailing electrical and fire codes.”
Plugging GE-supplied equipment directly into the wall outlet will not
WARNING: provide adequate isolation. This may result in improper operation of the
system, thus voiding all factory warranties.
DO NOT connect additional multiple portable socket-outlet or extension
WARNING: cords to the system.
Plugging equipment not supplied by GE specifically for the system into the
WARNING: GE-supplied isolation transformer may result in an overdraw of current.
This may result in improper operation of the system, thus voiding all
factory warranties.
The power source used for the system must meet the Power Supply
WARNING: requirements. Use of the system outside of these limitations will void the
Product Warranty.
The cable connections for each of the items in the system must conform to
WARNING: GE Policy regarding component placement, use of approved extension
cables, and component power connections to the Isolation Transformer.
Use of the system outside of these limitations will void the Product
Warranty.
The PC cabinet should not be positioned within the patient vicinity (must
WARNING: be outside 6 foot radius of x-ray table).
The Precision Imaging System should not be operated such that a patient
WARNING: could come into contact with any part of the system.
TM 726-722-G1 Intro - 10
Introduction
High voltages capable of causing death are present within this instrument.
WARNING:
The system is interfaced to x-ray generating equipment. Be certain to
CAUTION: follow the x-ray manufacturer’s instructions and specifications for wearing
proper shielding when in the presence of x-ray generating equipment.
All personnel must wear Dosimeters during every phase of installation,
CAUTION: operation and maintenance of the system.
CAUTION
The imaging system and isolation transformer
(735-045) must be used together.
Do not plug any components of the system
directly into this wall outlet.
TM 726-722-G1 Intro - 11
Introduction
Power Requirements
NOTES: Power must be from a dedicated A.C. line and be free of noise, spikes, surges,
and brownouts, which exceed the nominal voltage by +10%. If these conditions
cannot be met, the optional Power Conditioner is required.
TM 726-722-G1 Intro - 12
Introduction
TM 726-722-G1 Intro - 13
Introduction
Harmonics This System with LARGE Format Camera is suitable for use in all
Class A
IEC 6100-3-2 establishments, other than domestic, and those directly connected
to the public low-voltage power supply network that supplies
Flicker buildings used for domestic purposes.
Complies
IEC 61000-3-3
TM 726-722-G1 Intro - 14
Introduction
This System with LARGE Format Camera is intended for use in the electromagnetic environment
specified below. The customer or user of this System with a LARGE Format Camera should ensure
that it is used in such an environment.
TM 726-722-G1 Intro - 15
Introduction
This System with LARGE Format Camera is intended for use in the electromagnetic environment
specified below. The customer or user of this System with a LARGE Format Camera should ensure
that it is used in such an environment.
D = (3.5/V1)(Sqrt P)
D = (3.5/E1)(Sqrt P)
3 Vrms 80 to 800 MHz
Conducted RF
IEC 61000-4-6 150 kHz to 80 MHz 3 Vrms D = (7/E1)(Sqrt P)
800 to 2.5 GHz
TM 726-722-G1 Intro - 16
Introduction
This System with LARGE Format Camera is intended for use in the electromagnetic environment in
which radiated disturbances are controlled.
The customer or user of this System with a LARGE Format Camera can help prevent electromagnetic
interference by maintaining a minimum distance between portable and mobile RF Communications
Equipment and the <<model>> as recommended below, according to the maximum output power of the
communications equipment.
TM 726-722-G1 Intro - 17
Introduction
Environmental Requirements
For proper operation, and to keep the System Warranty valid, be sure that all components of the
Precision System are always within these environmental limits.
A flat panel monitor must meet the following specifications in order to be used with the
Precision System:
TM 726-722-G1 Intro - 18
Introduction
• 60 Hz Progressive
• Aspect Ratio = 5:4
• Resolution – 1280 x 1024
• Non-composite SVGA **
An optional 525 line, 60 Hz or 625-50 Hz interlaced composite video is available for use with
VCRs in systems equipped with the scan converter option. The composite signal is 1 V p-p;
ratio is 4:3 (see figure below). The composite sync is carried by the green-channel and this
3-wire system is referred to as RGsB or SOG for sync-on-green, also known as RS-170.
Monitors are designed to work specifically with RGsB and the sync must be removed from
green.
TM 726-722-G1 Intro - 19
Introduction
Call the GE On Line Center to obtain the correct Service Engineer for your
location and to log your service call.
Diagnostic Imaging
Division Phone # More Info.
TM 726-722-G1 Intro - 20
Introduction
TM 726-722-G1 Intro - 21
Introduction
Sample
Information
TM 726-722-G1 Intro - 22
Introduction
TM 726-722-G1 Intro - 23
Introduction
TM 726-722-G1 Intro - 24
Introduction
Cleaning Instructions
No routine cleaning of the Precision System is required. However, should the components
become dusty or dirty use the following procedures for cleaning the items.
CAUTION: Do not expose any system component surface to water or any corrosive
cleaners.
PC Use a clean, soft cloth to wipe off any dirt or dust on the outside of the cabinet.
Cabinet
Monitor The monitor screen can be cleaned with ordinary household glass cleaner.
Screen Anti-static wipes are also available commercially to clean monitor screen.
Be sure to remove power from the monitor and spray the cleaner onto a lint free
cloth so the fluid doesn't leak into the electrical components inside the monitor.
Vacuum off any dust that has settled on top of the monitor, and make sure no
books or papers have been placed on the air vents. Obstructed monitor vents can
cause the monitor to overheat or even catch on fire.
Refer also to the manual provided with the monitor by the manufacturer.
Keyboard Clean the keyboard by using compressed air contained in a can with a very long
nozzle. Aim the air between the keys and blow away all the dust and debris that
has gathered there. A vacuum cleaner can be used, but make sure the keyboard
doesn't have "pop off" keys that could possibly be sucked up by the vacuum.
TM 726-722-G1 Intro - 25
Introduction
The Precision System shipment consists of several cardboard boxes (approximately two to six,
depending on system configuration), which are banded to a standard wooden pallet.
A Packing List is attached to the outside of one of the boxes. Refer to this Packing List when
first receiving the shipment, or if the items have been removed from the pallet when they are
delivered to the x-ray room.
It is recommended that the pallet/boxes be kept in the upright position at all times.
Applicable Standards
TM 726-722-G1 Intro - 26
Introduction
Street Street:
Phone: Phone:
Signed: Date:
Room Configuration:
Mounting Port Used: Radial (Side)____ Axial (Top)____
X-Ray Generator
Manufacturer:
Model Number:
Image Intensifier Sizes:
Dose Measurement Normal MAG1 MAG2 MAG3
Fluoro rate mR/minute
Photospot rate uR/exposure
TM 726-722-G1 Intro - 27
Introduction
Installation Notes:
TM 726-722-G1 Intro - 28
Introduction
Acceptance Tests
After completion of each test or procedure, note date that test was completed as well as the
results of test or any other pertinent information. Some items listed are optional and may not be
installed. Please enter N/A for these lines.
Failure of any test or inability to perform system function constitutes failure of the system. Refer
to Steps 8 of the Technical Manual for instructions.
TM 726-722-G1 Intro - 29
Introduction
Comments:
TM 726-722-G1 Intro - 30
Service Interface Overview
TM 726-722-G1 SA - 1
Service Interface Overview
TM 726-722-G1 SA - 2
Service Interface Overview
Introduction
This section describes the Precision RXi Service Application GUI (graphic user interface), or
Service Interface, and offers a brief explanation of each of the available functions.
Configuration, Calibration and Diagnostic functions are discussed in detail within applicable
steps in this manual.
In order to perform many of the Service Application (Interface) functions, including adding or
removing software and hardware, and making network connections, you must be logged in as
“serviceapp”. Normally, the system automatically boots up as “operator,” defaulting to the
Clinical Application. Use the following procedure to circumvent this Auto Login function, and log
in as “serviceapp”.
serviceapp
orion
3. Log on as:
User Name: serviceapp
Password: orion
4. The system will automatically open in the Service Application, and you will have
rights to all system functions.
If you wait too long to hold down the ×Shift Key, you will be logged on as operator and will
have to restart the system and repeat the preceding procedure!
TM 726-722-G1 SA - 3
Service Interface Overview
1. Right click within the Main Image Area to access the Service Application Menu.
NOTE: Unless you are logged in to Windows® as an “administrator,” you will not have
full rights to all System functions.
NOTE: The Precision RXi offers different user groups. Each group has a distinct
User Name and Password for sign in. The designations are as follows:
Administrative
Access to Clinical Application
Personnel User Name: administrator and all functions of Service
(can include Password: PlatinumOne Application.
Service Personnel)
TM 726-722-G1 SA - 4
Service Interface Overview
The Service Application GUI (Graphic User Interface) is arranged in three sections. The top
section contains buttons that activate specific service functions. The middle section displays
a series of Interface Signals. The bottom section contains buttons that activate specific Image
Enhancement features.
Interface
Signal
Interface Signal Display.
Select from:
• Input
• Analog
• Relay
TM 726-722-G1 SA - 6
Service Interface Overview
3. Service Functions
Activation of this feature allows the user to select the Display LUT Editor
Program. The displayed contrast response can be modified from the
Default Linear LUT on the Create LUTs screen.
TM 726-722-G1 SA - 7
Service Interface Overview
TM 726-722-G1 SA - 8
Service Interface Overview
Click on Test
Patterns to
open Function
Screens.
TM 726-722-G1 SA - 9
Service Interface Overview
Complete instructions for each procedure are written in the box under the
tabs near the top of the screen. See Step 6 – Auto Calibration for
complete Calibration instructions.
TM 726-722-G1 SA - 10
Service Interface Overview
Instructions for
each tab are
shown in box.
Uniform Density
Wave Form
TM 726-722-G1 SA - 11
Service Interface Overview
TM 726-722-G1 SA - 12
Service Interface Overview
TM 726-722-G1 SA - 13
Service Interface Overview
TM 726-722-G1 SA - 14
Service Interface Overview
TM 726-722-G1 SA - 15
Service Interface Overview
TM 726-722-G1 SA - 16
Service Interface Overview
TM 726-722-G1 SA - 17
Service Interface Overview
Utilities – Manuals
The Manuals Tab allows
the user to view the digital
files for the User Manual.
This function is optional
and may not be available
for your system. Typically
both User and Technical
Manuals are installed if
this option is purchased.
TM 726-722-G1 SA - 18
Service Interface Overview
TM 726-722-G1 SA - 19
Service Interface Overview
Setting IP Address
NOTE: This information should be used only by the Network Administrator for the
purpose of setting IP address as required.
1. Click on Network Connections button. You can also use the button, clicking Settings and
then Network and Dial-up Connections to get to the screen.
TM 726-722-G1 SA - 20
Service Interface Overview
4. Click on
Internet Protocol.
TM 726-722-G1 SA - 21
Service Interface Overview
TM 726-722-G1 SA - 22
Service Interface Overview
TM 726-722-G1 SA - 23
Service Interface Overview
TM 726-722-G1 SA - 24
Service Interface Overview
System Properties –
Network Identification
These screens allow setting
the different properties of the
PC system.
It is not recommended to
change these unless you
have had Windows® training.
TM 726-722-G1 SA - 25
Service Interface Overview
System Properties –
Device Manager
• Specifics of each device
category can be viewed
by clicking on the + sign
next
to each listing.
• Only devices that use
software drivers appear
in the Windows® Device
Manager.
TM 726-722-G1 SA - 26
Service Interface Overview
4. Interface Signals
Select Input,
Analog or Relay
Modes by clicking
on appropriate
button. Selected Current settings
button appears displayed on
lighter than the screen. Current
other two. In this Input Settings are
example, Input has displayed on the
been selected. screen.
TM 726-722-G1 SA - 27
Service Interface Overview
Current settings are displayed in the Interface Signals block in the middle of the
Service Application screen. There are three separate screens – Input, Analog and
Relay. (NOTE: The Analog Tab is not used for the Precision RXi). For instructions as
to how to change System Parameters, refer to Step 5 – Set System Parameters
(Generator Lines).
TM 726-722-G1 SA - 28
Service Interface Overview
TM 726-722-G1 SA - 29
Service Interface Overview
The third block of the Service Application screen contains several buttons that activate
and/or control important image Enhancement Features including Brightness/Contrast,
Zoom, Edge Enhancement, Integration, Horizontal and Vertical Invert and Default.
TM 726-722-G1 SA - 30
Service Interface Overview
Button Description
Pointer
Click to restore/revert to standard Cursor.
Brightness/Contrast
Adjusting the amount of Brightness and/or Contrast shown for the image.
Move this Cursor to the image display area and “drag” the Cursor
vertically (up to increase brightness; down to decrease Brightness) or
horizontally (left to increase Contrast; right to decrease Contrast).
-Integration is OFF
5
- Motion Correction is set at level 5
TM 726-722-G1 SA - 31
Service Interface Overview
Edge Enhancement
Click to set Level of Edge Enhancement. Each level will be indicated by
the number (replaces OFF) displayed on the altered button. Continue to
click until required level is achieved.
Buttons will appear as follows:
H Invert
Invert / Polarity
V Invert
Default
TM 726-722-G1 SA - 32
Service Interface Overview
Version Information
Click to display software versions and other pertinent information.
Exit
Click to Exit Service Application function. The Main Image screen will
replace the Service Application screen.
TM 726-722-G1 SA - 33
Service Interface Overview
Purpose:
When your Precision RXi leaves the factory, a complete set of System Backup CDs are
created so that the operating system and application software, along with all factory default
settings, can be restored in the event of a disastrous hard disk drive failure. When user specific
changes are required or when the application software is updated, the digital imaging system
should be backed up to CD again. These new Backup CDs should replace the Factory
Supplied CDs in this kit.
CAUTION: All Patient Files should be archived, then deleted before creating
System Backup CDs. This process is not intended to archive
patient data.
Step 1:
1. Locate the imaging system’s boot CD that is stored in this manual, and
place it in the media drive of the system computer.
2. Then, restart the computer.
Step 2: The computer will boot in DOS mode. When the “About Symantec
Ghost” screen appears, click the OK box.
1. Now place a blank CD in the media drive of the digital imaging computer.
2. At the “Select local source drive by clicking on the drive number” screen, click
the OK box.
3. At the “File name to copy image to” screen, go to the “Look in:” drop box and
select: D:\CD-R1… and then click the Save box.
4. At the Compress Image screen, click the Fast box.
5. At the “Make the CD disk bootable?” screen, click the No.
6. At the Question: screen, click the Yes box.
7. The process of copying the entire hard drive will now begin. After several
minutes, the disc will be ejected. Label it “Disc 1 of 2”, and record the system’s
serial number and today’s date on the face of the disc. You will be prompted to
place a second blank disc in the media drive.
TM 726-722-G1 SA - 34
Service Interface Overview
8. At the New CD-R disk needed screen, place a second blank disc in the
media drive, close the drive, wait approximately 15 seconds and then
press OK.
9. The process of copying the entire hard drive will now complete. After
several minutes the CD will be ejected. Label this disc “Disc 2 of 2” and
also record the serial number and today’s date on the face of this disc.
10. At the Dump Complete screen, click the Continue box.
11. At the Local, Peer to peer, Ghostcast, Options, and Quit screens, click Quit.
12. At the Quit Symantec Ghost screen, click the Yes box.
13. When the DOS Prompt appears (A:\GHOST) turn the digital imaging
computer power off and remove the disc from the media drive.
Step 3: Replace the factory supplied System Backup CDs with the system
backup CDs that were just created. Make sure that both the backup and
restore discs remain with this manual.
TM 726-722-G1 SA - 35
Service Interface Overview
Purpose: In the event of a disastrous hard disk drive failure a blank, unformatted
replacement drive can be installed in the digital imaging computer and the operating
system, application software and all service and user definable options can be restored
to the last saved configuration.
CAUTION: Only a factory approved hard disk drive should be installed in the
digital imaging computer prior to running this procedure.
Step 1:
1. Turn OFF the entire system. Turn OFF the UPS and Power Conditioner, if installed.
Unplug the system Main Power cord (from the isolation transformer to the wall
outlet).
2. Remove the two screws from the rear of the chassis and remove the side panel.
Refer to the Cabinet Access/Exit Procedures in the Preventive Maintenance
Section for panel removal and replacement.
`
TM 726-722-G1 SA - 36
Service Interface Overview
Hard Drive
Bay Screw
Hard Drive
Mounting
Screws (2)
SATA Cable
Chassis Front
and Power
Chassis Rear
Connector
3. Remove the power connector and SATA cable from the defective drive.
4. Remove the screw that holds the hard drive bay in place and remove the hard
drive bay.
5. Remove a total of four (4) screws; two (2) screws from each side that hold the
hard drive in the bay.
6. Remove the defective hard drive from the metal bay.
7. Install the new hard drive into the metal bay and secure it with the screws.
8. Install the metal bay back into the chassis.
9. Connect the power and SATA cable onto the new drive.
Step 2:
1. Locate the system’s Boot CD that is stored in the disc pocket at the back of this
manual, and place it in the floppy disc drive of the system PC.
2. Locate the system backup CDs that are stored in this manual. There should be
two (2). Confirm that the serial number on the CDs matches the digital imaging
computer serial number. The CDs should be labeled Disk 1 of 2 and Disk 2 of 2.
If there are more than two (2) CDs, use the pair with the newest date.
3. With the Boot CD in place, apply power to the computer.
TM 726-722-G1 SA - 37
Service Interface Overview
Step 3:
The computer will boot in DOS mode. When the About Symantec Ghost screen appears,
click the OK box.
1. Remove the Boot CD and place the CD labeled Disk 1 of 2 in the media drive of the
digital imaging computer and Click Local, click Disk, and Click From Image.
2. At the “File name to load image from” screen go to the “Look in:” drop box and
select D: [GHOST_00.1] then click the file CDR00001.GHO.
3. At the “Select local destination drive by clicking on the drive number” screen,
click the OK box.
4. At the Destination Drive Details screen, change the Default Value in the New Size
Field to “131061” and click the OK box.
IMPORTANT:
The disk size MUST be set to: “131061.”
Windows 2000® cannot handle a disk greater than this size.
If this is NOT set, the system will be at risk of a hard drive failure.
Step 4:
1. Turn on the digital imaging computer. The Clinical Application will start
automatically.
2. Test the system for functionality (fluoro, spot, DICOM, etc.).
3. Perform normal Shutdown.
4. Reinstall the side panel and secure with the two screws.
TM 726-722-G1 SA - 38
Step 1 – Components and Cables
1. COMPONENTS ................................................................................................................ 3
1.1 ARE ALL THE PIECES ON HAND?..........................................................................................3
1.2 IDENTIFYING COMPONENTS .................................................................................................3
2. SUPPLIED CABLES CHART ........................................................................................... 5
3. COMPONENT PLACEMENT ........................................................................................... 7
3.1 PC CABINET .......................................................................................................................7
3.2 ISOLATION TRANSFORMER AND UPS / POWER CONDITIONER ...............................................8
3.3 CONNECTION DIAGRAM .......................................................................................................9
3.3.1 INTERCONNECTION DIAGRAM – IN-ROOM/CONTROL ROOM, SINGLE-PLANE CONFIG. ..........10
3.4 IMAGE MONITOR ...............................................................................................................11
3.5 GENERATOR INTERFACE MODULE .....................................................................................11
4. CONNECTING THE CABLES ........................................................................................ 12
4.1 SAFETY ISSUES.................................................................................................................12
4.2 PC CABINET – REAR VIEW ................................................................................................13
4.3 PC CABINET – INTERNAL VIEW ..........................................................................................18
4.4 MONITOR CONNECTIONS ...................................................................................................19
TM 726-722-G1 Step 1 - 1
Step 1 – Components and Cables
TM 726-722-G1 Step 1 - 2
Step 1 – Components and Cables
1. Components
1. As soon as the system is received, open each box and identify all parts against the
packing list.
2. DO NOT REMOVE the components from all packaging at this time. The sensitive
electronics devices are best left in the original packaging (in static bags, in foam
cushioning, etc.) until needed for system installation.
3. Examine each piece including containers for damage.
Image Monitor • Used for viewing the menu screens and images.
Used for Control Room and In-Room (Primary and
Reference)
• Flat Panel Monitor (Shipped as standard equipment)
PC Cabinet • Includes
• Image Acquisition Processing Display Board (IAPDB)
• Hard Drive
• 3.5” Floppy Drive
• Internal PCI Modem
• DVD Drive
• Option: Additional Serial I/O Card
TM 726-722-G1 Step 1 - 3
Step 1 – Components and Cables
Generator Interface Module (GIM) The GIM is a self-contained module that provides
electrical isolation between the patient contact area
equipment and the control room equipment.
The GIM monitors X-ray generator activity and provides
X-ray parameter information to the application via
messages passed to and/or through the IAPDB
SMALL
Format
TM 726-722-G1 Step 1 - 4
Step 1 – Components and Cables
Refer to Interconnection diagram. For cables involved in the generator connection, refer to Step 4.
726-619-Gx
Generator Interface -9 or 12 meter length
Cable GIM X-ray generator
5 cables
726-618-G1
Relay Cable X-ray generator 9 or 12 meter length
GIM
3 cables
726-931-G1 or
726-934-G1 GIM X-ray generator
9 or 12 meter length
ABS / Sync Drive
735-371-G1
Ethernet Crossover
Cable PC GIM -100 foot length
726-088-G1 Keyboard
Extension Cable PC Or Pointing
-100 foot length
Device
TM 726-722-G1 Step 1 - 5
Step 1 – Components and Cables
726-521-G1
DVI Cable 12 inch - Allows graphics overlay to
Display Board be generated through the display
IAPDB
board onto IAPDB
TM 726-722-G1 Step 1 - 6
Step 1 – Components and Cables
3. Component Placement
WARNING! At this time, place each component in the intended location. Consider
cable lengths, but do not make any cable connections at this time.
WARNING! Do not position or use this system in a location where it may be subject to
splashed or spilled liquids!
3.1 PC Cabinet
TM 726-722-G1 Step 1 - 7
Step 1 – Components and Cables
“In accordance with IEC 60601-1-1, the isolation transformer should not be placed on the floor.
The isolation transformer is considered a Multiple Portable Socket Outlet (MPSO) by the
international standards. MPSOs should be mounted in such a way as to prevent ingress of
liquids and avoid mechanical damage during normal use and transportation. The transformer
should be placed in accordance with the prevailing electrical and fire codes.”
Component Arrangement:
• The Isolation Transformer MUST be positioned within six (6) feet of the wall
power source. If the Optional Power Conditioner / UPS is being installed, there
will be an additional six feet of cable with which to work.
PC Enclosure
& Other Main Isolation UPS / Power
Components Transformer Co Conditioner Dedicated
ISO Combo Power
XFMR 8A, 120 VAC or
4A, 230 VAC
Connection Diagram for USA, 8A / 120 VAC or CHINA, 4A / 230 VAC Power Service
TM 726-722-G1 Step 1 - 8
Step 1 – Components and Cables
3.3 Connection Diagram USA 8V / 120 VAC or CHINA 4V / 230 VAC - INTERCONNECTIONS
Typical Configuration
UPS / Power Conditioner
AC CONTROL ROOM
INPUT
IN-ROOM
Isolation Power
VGA Power
Image Cord Extension
Transformer Splitter
Monitor VGA Cable
Supplied Monitor Kit
Power Cord Extension
W/ Cable & Cable
Power Cord Optional
In-room
Image
Supplied PC Video
Monitor
Pointing PC Power Intrfc Bd
Cabinet Mouse
Device Cord
Computer PS/2 Extension
/ Mouse
System Mouse Cable
Port Pointing Device
USB Port Graphics Bd Supplied
/ Mouse
PS/2 PC Power
Keyboard DVI Cords
PC Port IAPDB Brd
LOOPBACK
Keyboard LVDS CABLE Optional
Intrfc Bd
Reference
Image
VGA
Monitor
Extension
Ethernet Crossover (Network) Cable Cable
100 Foot
Extension P15
Cord Opto Cable /S
P1
(GIM) Relay Cable /S CCD
Generator P2 / P3 CAMERA
ABS Cable /S
Interface P20 LVDS
Module X-Ray
Drive Output Cable /S Cable
P18 Generator
FLEXIBLE Analog Input Cable /S
P21
ROOM Analog Output Cable
P19
PLACEMENT
TM 726-722-G1 Step 1 - 9
Step 1 – Components and Cables
Power INPUT
ISO Conditioner
Power Extension Cable (726-084-G1)
100’ Extension XFMR
Cord
Image VGA
Power cord Supplied
Monitor Monitor Splitter Kit
supplied w/PC (Cable & Pwr. Cord)
Power Cord VGA Extension Cable
USB Mouse (735-042-G1)
w/ 100’
Booster Image
Box USB Port Monitor
Optional
Computer Video Intfc. Brd
(726-444-G) Keyboard Ext Cable
Primary System Optional Power
(726-088-G1) Cords
Mouse PS\2 Keyboard Y splitter Keyboard
(726-500) supplied
Port Mouse Extension Cable with
Primary (726-084-G1) Optional Reference monitor
Keyboard PS\2 Mouse Port Y splitter Mouse Image
IAPDB Graphics Card VGA Extension Cable (735-042-G1) Monitor
DVI (726-396-G1) (098-649) (Optional)
Loopback
Cable Graphics Card LVDS Intfc Brd LVDS Cable (726-453-G1)
(726-521-G1) (098-649) (726-454-G1) Camera
IN-ROOM
TM 726-722-G1 Step 1 - 10
Step 1 – Components and Cables
• The image monitor must be within 100 cable feet of the PC.
• The image monitor must be positioned within six cable feet of the isolation
transformer (or 106 ft with extension cable).
• The image monitor and its cables should be as far as possible from other high
frequency generating equipment to prevent noise from affecting the image video
signal.
The generator interface module (GIM) box may or may not be placed into position at this
time depending entirely on where it is to be located. In some cases it is easier to wire
the GIM before it is secured in it’s permanent location; in other cases it should be
secured prior to being connected.
Refer to the Site Planning information and room layout diagrams.
NOTE: The GIM box has an opening through which cables are routed. If the GIM box
is installed on the wall or the side of the generator cabinet, make sure that this
opening is facing down. Such positioning will prevent any contact with live
parts and which parts might become live in single fault conditions.
Cable Access:
Mount Facing
DOWN
TM 726-722-G1 Step 1 - 11
Step 1 – Components and Cables
Connect the interface and power cables for all components as outlined in Cable
Connection Chart. The number of cables required for installation will be unique for each
configuration. Please review safety considerations listed below prior to connecting any
cables to the system.
WARNINGS: Connect ONLY the cables indicated in the Cable Connection Chart.
TM 726-722-G1 Step 1 - 12
Step 1 – Components and Cables
All external cable connections necessary for installation are made through the rear panel
of the cabinet. It is not necessary to remove the rear panel to make these connections.
However, it is necessary to remove either the front or side panel for some Hardware
Replacement procedures. Instructions for the removal of these panels are provided in
Preventive Maintenance Section. Refer to the following illustrations to identify the
location of specific boards and their coordinating cable connections.
Position
#1
----
Graphics Card (red)
#2
----
#3 Serial I/O Card - A (gold)
----
#4
Modem (green)
----
#5
---- LVDS Board (green) DVI Cable
IAPDB to
#6
Option: Additional Serial I/O Card - B
Graphics Card
----
#7
---- Video Interface (VIB) (green)
PRECISION PC – PRECISION
Left Side Internal View PC Cabinet Rear View –
External Cable Connections
Ethernet
Crossover Cable
TM 726-722-G1 Step 1 - 13
Step 1 – Components and Cables
9-pin D-sub
Parallel Port Serial Port
“LPT1” (COM3)
(Not used)
TM 726-722-G1 Step 1 - 14
Step 1 – Components and Cables
• Connect one end of the Ethernet (Network) Crossover Cable (IPN 735-371-G1) to
the Ethernet Connection on the GIM and the other end to the Ethernet Connection
on the IAPDB.
• Connect the exposed end of the LVDS Camera Cable to the 80-pin LVDS
connection on the camera; the housed end to the 80-pin LVDS connection on the
rear of the tower.
RXI’s CPI TOUCH SCREEN
GIM
COM Port 0
P17 At P16
Ethernet (Network) Connection Cable RJ-45 is
2 0 used for communication with the IAPDB via the
Ethernet Crossover Cable (IPN 735-371-G1).
3 1 Cable
RJ-45
Ethernet At P15
Crossover Cable P1 OPTO INPUTS
CAMERA
Iris Connections – The LVDS Power Jumper
Depending on the (IPN 726-081-G1) must be
configuration of the camera installed before power up.
included with the system,
the attached iris will be
connected to one of these Multi-pin (80-pin) LVDS
two terminations. Connection for Image
data and communication.
TM 726-722-G1 Step 1 - 15
Step 1 – Components and Cables
Serial Connections
The CPI Touch Screen is directly connected to the GIM Unit in the Precision RXi System and
serial cable connection running to COM Ports 0 on the GIM. The following diagram shows the
system view connectivity between the CPI, the GIM and the System PC.
CPI
Touch Screen
RS232 Cable
to COM Port 0
at P16 on GIM
ETHERNET
(See close up of
Crossover
connection below)
Cable
SYSTEM PC
CPI Cable
CPI
GENERATOR
TM 726-722-G1 Step 1 - 16
Step 1 – Components and Cables
The GIM Unit has multiple RS232 connections, but only one (COM Port0) is active for sending
serial messages. COM Port0 on the GIM is dedicated for performing serial messaging with the
CPI. The following picture below identifies the port location on the GIM hardware.
COM Port0
P15
CPI
Cable
Ethernet
C ros so ve r
Ca b le R J45
GIM RS232 Multiple Connections – Showing CPI Cable connected at Port0 (gray/putty cable);
Ethernet/Network Crossover Cable (black cable)
TM 726-722-G1 Step 1 - 17
Step 1 – Components and Cables
Floppy Drive
CPU
Graphics Card
Modem
LVDS Board
VIB
IAPDB
TM 726-722-G1 Step 1 - 18
Step 1 – Components and Cables
TM 726-722-G1 Step 1 - 19
Step 1 – Components and Cables
TM 726-722-G1 Step 1 - 20
Step 2 – Camera Installation
1. INTRODUCTION............................................................................................................... 3
1.1 BASIC COMPONENTS OF THE HELIFLEX LENS................................................................... 3
2. ASSEMBLE AND MOUNT CAMERA............................................................................. 10
2.1 ROUTING THE CAMERA CABLE ........................................................................................... 10
2.2 RESTARTING THE SYSTEM ................................................................................................. 10
3. CENTER AND FOCUS CAMERA ASSEMBLY.............................................................. 11
3.1 IMAGE CENTERING FOR THE HELIFLEX LENS SYSTEM ......................................................... 11
3.2 OPTICAL FOCUS................................................................................................................ 12
4. HELIFLEX LENS - PHOTO-TIMING (AEC).................................................................... 15
4.1 AEC FIELD SIZE SELECTION ............................................................................................. 15
4.1.1 ADDING OR CHANGING AEC RESTRICTOR DIAPHRAGM ...................................................... 16
4.2 CENTERING MEASURING FIELD .......................................................................................... 17
4.3 CONNECT AEC CIRCUIT.................................................................................................... 18
4.4 AEC CALIBRATION ............................................................................................................ 20
4.5 AEC TESTING ................................................................................................................... 20
TM 726-722-G1 Step 2 - 1
Step 2 – Camera Installation
TM 726-722-G1 Step 2 - 2
Step 2 – Camera Installation
1. Introduction
Each CCD Camera assembly is configured specifically for the site. The camera is shipped as
separate components and requires some assembly prior to mounting the complete assembly to
the optical distributor port. The Precision Systems are configured with a LARGE Format CCD
Camera integrated with a HELIFLEX LENS.
The following tools are required to install the camera:
• 2 mm Allen wrench
• 2.5 mm Allen wrench
• 3 mm Allen wrench
CAUTION! The camera assembly parts are extremely sensitive; follow the
instructions exactly as they are written.
HELIFLEX
Lens Assembly
LARGE Format
Digital CCD
Camera
Mounting Plate
to Image
Intensifier
Figure 2.1 – HELIFLEX Lens Assembly shown with a LARGE Format, Digital CCD Camera
Neutral Density
Filter Cable
(Multi-colored) Cable Clamp
TM 726-722-G1 Step 2 - 3
Step 2 – Camera Installation
Digital Camera
Electronics
Cable Clamp
Figure 2.3 – Heliflex Lens Assembly with Cover and Camera Housing Off
Figure 2.4 – Iris Drive Interface PCB (green board) Figure 2.5 – Neutral Density Filter Motor Assembly
TM 726-722-G1 Step 2 - 4
Step 2 – Camera Installation
CAMERA SENSOR
(Rectangular for LARGE Format)
Intensifier Spacer
Intensifier Mount Adapter (at bottom, as needed)
TM 726-722-G1 Step 2 - 5
Step 2 – Camera Installation
TM 726-722-G1 Step 2 - 6
Step 2 – Camera Installation
InfiMed Innovision
Camera Head Neutral Density
Filter Drive Plug
Iris Motor
Connector
TM 726-722-G1 Step 2 - 7
Step 2 – Camera Installation
Optical
Focus
Collar
Image Intensifier
(white; at base)
Figure 2.12 – Heliflex Camera Mounted to Image Intensifier; Side View Showing Cable Connections
TM 726-722-G1 Step 2 - 8
Step 2 – Camera Installation
Image Intensifier
(white; at base)
Figure 2.13 – Heliflex Camera Mounted to Image Intensifier; Back View Showing Cable Connections
TM 726-722-G1 Step 2 - 9
Step 2 – Camera Installation
NOTE: Proper ESD Procedures should be used when handling the connections to the
camera. The cable should be wrapped around the standoffs in the iris
assembly and exit through the other cable access hole.
NOTE: Be sure that the Power is turned OFF on the digital system before connecting the
camera head.
1. Remove the cable cover and cable clamp on the replacement camera.
2. Connect the LVDS camera cable to the camera head.
NOTE: Be sure that the Power is turned OFF on the digital system before connecting the
cable.
3. Route the camera cable through the clamp, along with the iris cable that was
already routed through the clamp.
4. Attached the top of the clamp being careful to not pinch the cables in the clamp.
5. Attach the cable cover to the camera head.
NOTE: It is very important that the space between the lens and the image intensifier be
clean of dust and debris.
Cleaning Recommendation for Image Intensifier: Use a lint free lens paper or
cloth to clean both the glass of the lens and the image intensifier window.
6. Mount the camera to the image intensifier using 4 M5 screws. Tighten the screws
only finger tight, as the alignment of the camera to the image intensifier needs to
be checked.
TM 726-722-G1 Step 2 - 10
Step 2 – Camera Installation
NOTE: Ensure that the camera lens cover has been removed.
1. Open the Service Application after the Clinical Application starts up. (See Step 3).
2. Select the Calib button.
3. Follow the instructions in Step #6 of this manual to re-calibrate the new camera.
NOTE: To perform the following steps, you must generate X-ray radiation.
Follow proper safety precautions with the X-ray system.
Output
Phosphor
Circle
Mask
6. Tighten the screws that secure the lens/camera assembly to the image intensifier
housing.
7. Place steel straight edge should along the table centerline. Activate fluoro
radiation and move the straight edge to the center of the displayed image.
8. Examine the straight edge line on the fluoro image for correct orientation.
A method to do this would be to open the calibration or configuration menu in the
Service Application and drag the window, so that the edge is next to the straight
edge line.
TM 726-722-G1 Step 2 - 11
Step 2 – Camera Installation
9. If the straight edge line is not parallel to the reference line (edge of window), use a
3mm Allen wrench to loosen the four recess screws that secure the camera to the
lens, rotate the camera/lens assembly to the correct position and then retighten the
screws.
Camera / Lens
Mounting Screws
(Total of 4)
NOTE: To perform the following steps, you must generate X-ray radiation.
Follow proper safety precautions with the X-ray system.
TM 726-722-G1 Step 2 - 12
Step 2 – Camera Installation
NOTE: If a screen mesh is not available, a converging Line Pair Phantom can be used.
Position the Line Pair Phantom in the center of the image perpendicular to the
display. In this case, the ROI box should positioned near the highest discernible
line pair, but not touching the solid area on either side of the line pairs.
Converging
Line Pair
ROI Box
9. To adjust the focus, loosen the focus lock set screw. Rotate the focus ring so as to
obtain the highest obtainable RMS Value.
10. Tighten the focus lock set screw (Note the RMS Value before and after tightening
the focus lock to insure that the focus did not change).
11. Using a Line Pair Phantom, verify the focus of the camera lens using a Line Pair
Phantom line pair phantom. Acceptance values are listed according to II field of
view in the table below.
TM 726-722-G1 Step 2 - 13
Step 2 – Camera Installation
TM 726-722-G1 Step 2 - 14
Step 2 – Camera Installation
The Heliflex Lens is equipped with an integral Photo-sensor Port for AEC Control of
radiographic images. The AEC Photo Sensor Board and Cable are options available from GE,
but not included with all orders.
Heliflex AEC Port with Cover Heliflex AEC Port without Cover
All Heliflex lenses include four Measuring Field Restrictor Masks with the lens.
The available fields of view that can be selected are:
When the AEC option (726-752-G1) is delivered with the Heliflex lens, the 32% round option is
installed in the Heliflex lens. The three additional restrictor choices are included with the
systems accessories.
Heliflex lens ordered from GE with the optional AEC board and cable (726-752-G1) are
delivered with the 32% round field restrictor diaphragm installed and optically centered on
the image. Self-adhesive ring labels and included with the AEC Kit to secure the restrictor
diaphragms in place should be the field size selection be changed.
TM 726-722-G1 Step 2 - 15
Step 2 – Camera Installation
1. Remove the AEC board or Port Dust Cap (depending on lens configuration) from
the Heliflex Lens AEC port.
Restrictor Diaphragm
Heliflex AEC Port (Circular Shape)
2. Select the desired shape and size restrictor diaphragm from the accessories
included with the Heliflex lens for the desired measuring field.
3. Place the restrictor diaphragm over the Heliflex lens AEC port with the alignment
tab of the diaphragm oriented to the alignment notch in the port. Gently press the
diaphragm down onto the port until it snaps into place.
4. Peel off a single self-adhesive ring label (064-002- Included with the AEC
Installation Kit 726-752-G1) adhesive side down and center it over the restrictor
diaphragm and port. Press the adhesive ring down onto the restrictor ring and port
to secure the restrictor in place.
TM 726-722-G1 Step 2 - 16
Step 2 – Camera Installation
5. Place a homogenous mass in the field of view (i.e.: 2mm Cu or a single lead
apron).
6. Select MANUAL ABS on the x-ray generator console, and set minimum KV and
mA technique.
7. Illuminate the restrictor diaphragm on the Heliflex lens with a small flashlight
perpendicular to the center opening and activate the fluoro radiation. The active
sensing area of the AEC Port will be projected onto the output phosphor and
displayed on the screen.
8. The size and center of the projected area should approximately match the overlaid
graphic circle of the AGC/ABS Measuring Field. The restrictor diaphragm inserted
in the AEC Port determines the size of the projected area. The center area can be
adjusted if necessary by moving the position of the restrictor mount on the Heliflex
AEC Port.
TM 726-722-G1 Step 2 - 17
Step 2 – Camera Installation
9. If the center of the projected area does not approximately match that of the
AGC/ABS overlay graphic, loosen the three securing screws on the Heliflex AEC
Port securing collar by a half turn each with a small straight blade screwdriver.
Then, reposition the securing collar / diaphragm to bring the projected area to the
center of the ABS/AGC overlay graphic. When the area is centered, tighten the
securing screws into place. If the clear plastic self-adhesive retaining label is in
place over the screw heads (Not shown), press the small screwdriver head through
the plastic to access the screws.
Securing Screws
NOTE: The connections instructions listed in this procedure apply only to the Heliflex
AEC Option 726-752-G1. The option consists of the Heliflex AEC circuit
board 726-794-G1 and the Heliflex AEC cable 726-795-G1.
For connection of AEC circuits other than those available from GE, please
consult the specific manufacturer’s documentation for the proper installation and
test procedures.
1. Attach the Heliflex AEC board to the AEC port of the Heliflex lens by placing the
circular connecting collar of the AEC board over the Heliflex AEC port and
restrictor diaphragm, and then pressing the board and collar firmly down over the
port until it snaps into place. The connector of the AEC board can be oriented
toward either side of the Heliflex lens to accommodate cable routing
requirements.
2. Tighten the setscrew in the mounting collar with a .9 mm Allen tool to secure the
AEC board.
TM 726-722-G1 Step 2 - 18
Step 2 – Camera Installation
HELIFLEX
AEC Port
3. Route the Heliflex AEC cable (725-795-G1) between the Heliflex lens host x-ray
systems AEC board. The connector end of the cable will connect to the Heliflex
AEC circuit board that will be attached to the Heliflex lens AEC board.
AEC Board
726-794-G1
2
4 J1
AEC Board
1
+V Red
Generator AEC
U1
2 0V Black Control
5 3 Signal White
4 Shield
+ 5
AEC Cable
6
8 3 1 726-795-G1
Connect the AEC cable to the generator AEC Control. The allowed V range voltage
range for +V is +5 to +15 VDC. The typical output signal amplitude of the circuit is 0 to
+1V DC. Connect the cable shield at the generator end only to prevent noise on the
signal.
+V = Red Wire
0V = Black wire
Signal = White Wire
Shield = non-insulated wire
NOTE: The proper connections points for the AEC board will vary depending upon the
make, model, and configuration of the x-ray system AEC Control circuit.
Consult the x-ray system manufacturer’s system documentation for specific
connection and configuration of the AEC circuit.
TM 726-722-G1 Step 2 - 19
Step 2 – Camera Installation
The AEC function controls the radiographic exposure density by terminating the
exposure when a pre-determined amount of light has been detected. The density should
remain consistent and accurate regardless of the length of the exposure time (within
limits), the techniques (KV and mA) utilized or the materials being imaged.
The minimum and maximum exposure time accuracy will vary depending upon make
and model of the host x-ray. In general, typical radiographic exposure ranges are a
>5 mS and <200 mS. In general, the exposure accuracy should be no more than
+/- 10% through the entire operating range.
Test the accuracy of the AEC function within the “Typical” operating as follows:
1. Start the Service Application.
2. Click on the CALIB button to start the Calibration program, and then click on the
SYSTEM AUTO button to select Auto System Calibration Control.
3. Click on the IRIS button to display the Iris Calibration Menu, the click on the
SPOT Tab to select the Spot Iris Calibration screen.
TM 726-722-G1 Step 2 - 20
Step 2 – Camera Installation
NOTE:
The Fluoro Tab
does not have a
Measuring Field
Level Indicator; it
has a Cal Level
Indicator.
TM 726-722-G1 Step 2 - 21
Step 2 – Camera Installation
4. Note the Measuring Field Level indictor readout box located in the lower right
corner of the Spot Tab Menu. The Value displayed by this indictor is the average
pixel value of the ABS/AGC Measuring Field.
This indicator value should repeat within +/- 10% after each radiographic exposure
taken on a system with properly functioning AEC Control. A properly calibrated
system will display a Measuring Field Level value of 1000 after each
radiographic exposure.
5. Place homogenous mass approximately 20 cm water equivalent in the field of view.
6. Select the digital function station on the x-ray generator console and select AEC at
normal density for the radiographic exposure control.
7. Adjust the KV and mA radiographic exposure technique to obtain an exposure
duration of 50 mS (+/- 5mS).
8. Note the value displayed in the Measuring Field Level indicator box.
The value should be 1000 (+/- 10%) on a properly calibrated Precision RXi system.
If the value is not between 900 and 1100, calibrate the InnoVision Camera per
Step 6 (Auto-Calibration) before continuing this test. If the value indicated is
1000 (+/- 10%), proceed to Step 7.
9. With the radiographic technique adjusted to produce exposure times of 50 mS,
make five radiographic exposures and note the Value displayed in the Measuring
Field Level indictor box after each exposure. The Value should indicate no less
than 900 and no more than 1100 for all of the exposures.
10. Adjust the KV and mA radiographic exposure technique to obtain an exposure
duration of 180 mS (+/- 10mS).
11. With the radiographic technique adjusted to produce exposure times of 180mS,
make five radiographic exposures and note the value displayed in the Measuring
Field Level indictor box after each exposure. The Value should indicate no less
than 900 and no more than 1100 for all of the exposures.
12. Adjust the KV and mA radiographic exposure technique to obtain an exposure
duration of 6 mS (+/- 1mS).
13. With the radiographic technique adjusted to produce exposure times of 6 mS,
make five radiographic exposures and note the Value displayed in the Measuring
Field Level indictor box after each exposure. The Value should indicate no less
than 900 and no more than 1100 for all of the exposures.
14. If all Values noted were greater than 900 and less than 1100, the repeatability and
linearity of the system is within +/- 10%.
TM 726-722-G1 Step 2 - 22
Step 3 – Power Up/Power Down Testing
TM 726-722-G1 Step 3 - 1
Step 3 – Power Up/Power Down Testing
TM 726-722-G1 Step 3 - 2
Step 3 – Power Up/Power Down Testing
1. Power Up Testing
In order to ensure that connections have been made correctly, it is necessary at this point in the
installation to power up the system and check to see that the application screens are accessible
and the components are connected correctly.
NOTE: If any failures are detected, an Error Message window will display. The Power
Down Procedure should be followed in order to Shut Down the software. The cable
connections should then be rechecked -- especially the hard drive interconnecting
cables inside the PC cabinet. After these steps are taken, repeat the Power Up
Sequence. If system continues to report Errors do not continue with this
procedure.
TM 726-722-G1 Step 3 - 3
Step 3 – Power Up/Power Down Testing
1. Right click within the Main Image Area to access the Service Application Interface menu.
serviceapp
TM 726-722-G1 Step 3 - 4
Step 3 – Power Up/Power Down Testing
4. The Service Application Interface will replace the Standard Control Box on the right
side of the Main Image screen.
TM 726-722-G1 Step 3 - 5
Step 3 – Power Up/Power Down Testing
TM 726-722-G1 Step 3 - 6
Step 3 – Power Up/Power Down Testing
9. As the tests are running, updated data is displayed in the lower portion of the
screen.
TM 726-722-G1 Step 3 - 7
Step 3 – Power Up/Power Down Testing
Diagnostic Information
NOTE: ERRORS: If the system showed any Errors at system Power Up, note where in
the system the Error occurred and consult the Component Installation Procedure
Section of this manual for instructions.
TM 726-722-G1 Step 3 - 8
Step 3 – Power Up/Power Down Testing
NOTE: The system should be powered down daily. The PC should not be left running
indefinitely.
CAUTION! DO NOT simply turn off the system power switch on the PC while
the system is operational! As with any PC, loss of data may result
if the proper power-down procedure is not performed.
Prior to Powering Down the system, use the following steps to Exit Diagnostics, the Service
Application and the imaging system.
Exit Diagnostics
TM 726-722-G1 Step 3 - 9
Step 3 – Power Up/Power Down Testing
3. Exit application by right clicking within the Main Image screen to display the
right click menu.
TM 726-722-G1 Step 3 - 10
Step 3 – Power Up/Power Down Testing
3. Select the Shut Down option from the “What do you want the computer to do?”
menu, then select OK. This will turn OFF the PC.
CAUTION: If the Shut Down function does not result in the PC being powered OFF,
contact the Network Administrator for assistance. System Errors may
occur if PC is simply turned off at the Power button without proper Shut
Down Procedures having been followed
The system will safely and automatically save any new image data to the hard drive and
close the system’s software program.
TM 726-722-G1 Step 3 - 11
Step 3 – Power Up/Power Down Testing
TM 726-722-G1 Step 3 - 12
Step 4 – Connect and Test the Generator Interface Module (GIM)
1. INTRODUCTION.................................................................................................................. 3
1.1 TWO STATE INPUT CIRCUIT ....................................................................................................3
1.2 RELAY OUTPUT CIRCUIT .........................................................................................................4
1.3 PULSE FLUORO CLOCK DRIVES ..............................................................................................5
1.4 ABS DRIVE ............................................................................................................................5
2. MAKING THE CONNECTION ............................................................................................. 6
2.1 IDENTIFYING THE CABLE .........................................................................................................6
2.2 GIM INPUT SIGNAL DEFINITIONS .............................................................................................9
2.3 SIGNAL FUNCTION CHART ....................................................................................................12
2.4 GIM SIGNAL CONNECTION POINTS .......................................................................................13
2.5 PULSED FLUORO NOTES ......................................................................................................16
2.6 GIM TO THE GENERATOR CONNECTION DIAGRAM .................................................................17
2.7 CONNECT THE GIM TO THE GENERATOR ..............................................................................18
3. TESTING THE CONNECTION .......................................................................................... 21
3.1 GIM BOARD INPUT INDICATORS ............................................................................................21
3.2 STATUS INDICATORS ............................................................................................................21
3.3 SIGNAL VERIFICATION ..........................................................................................................23
4. SECURE THE GIM ............................................................................................................ 26
TM 726-722-G1 Step 4 - 1
Step 4 – Connect and Test the Generator Interface Module (GIM)
TM 726-722-G1 Step 4 - 2
Step 4 – Connect and Test the Generator Interface Module (GIM)
1. Introduction
The circuit below depicts an opto-isolator that senses inputs from the X-ray Generator
The Input Circuits are located on the GIM board. Signals such as Fluoro On, Prep, and
Request are input signals. Since the Opto-isolator contains bi-directional (AC) diodes,
current may flow either way through the input circuit. Voltages from 5 to 32 VDC may be
applied across the Input + and Input -. The + and - designators are for identification
purposes only.
TM 726-722-G1 Step 4 - 3
Step 4 – Connect and Test the Generator Interface Module (GIM)
The circuit below depicts an Output Signal from the system. The relays that are used to
generate outputs from the system to the X-ray Generator are located on the I/O Board of
the Image Processor. Signals such as Photospot In / Photospot Out are an example
of the Output Signals.
WARNING! Relay contact switching capacity must not exceed 1A, 30VDC.
TM 726-722-G1 Step 4 - 4
Step 4 – Connect and Test the Generator Interface Module (GIM)
The circuit below depicts the circuit used to drive the clock signal generated on the GIM
board to the host X-ray system. The Polarity and Pulse Width of the generated is
configurable in the system CONFIG screens. The output is an open collector with an
operating range between 5 and 32 VDC.
An ABS Drive Signal is available from the GIM module. The Drive Signal Outputs can
be configured for a variety of output ranges to meet different x-ray system manufacturers input
requirements.
Standard Input Selections are:
ABS Circuit
ABS+
ABS Signal
ABS Comm
ABS -
Use only the 0V – 6V Single Ended selection for the Precision System.
TM 726-722-G1 Step 4 - 5
Step 4 – Connect and Test the Generator Interface Module (GIM)
Once all components are in place and cable connections between components have been
made, the Generator Interface Module and the X-ray Generator can be connected. Make sure
all components are powered down prior to beginning this step.
WARNING! Unplug the main power cords from the wall plug, PC,
Isolation Transformer, and UPS / Power Conditioner (if present).
NOTE: This document is valid only for configurations of the Precision System that utilizes
a CPI Indico Generator equipped with a TDI II Interface board.
• Double check room layout for position of components for correct routing of cabling.
• If necessary, refer to cable drawings to identify cables provided
NOTE: Interconnection diagrams and GIM Input Definition Tables follow the cable section.
1.5
A custom cable set is provided with the Precision System for connection to CPI
Generator TDI II interface board. There are three types of cables in the set:
Input signals to the GIM, Output Relays from the GIM), and the drive signals from
the GIM.
TM 726-722-G1 Step 4 - 6
Step 4 – Connect and Test the Generator Interface Module (GIM)
Each conductor is labeled with its signal name and connection point.
The Two-State Input Signals are divided among 5 RJ-45 input connectors. These
cables are labeled G1 through G4, and G6. Each cable contains connection pairs for 4
input signals per cable. The cable used is standard Category 4.
The end of each cable has a marker listing its proper connection point at the GIM and
the TDI II board.
NOTE: If the digital imaging system is being interfaced with a CPI Touch Screen, a 9-pin
RS-232 NULL-modem serial cable, female on both ends, will be provided.
This connects between GIM serial port 0 and CPI Touch Screen serial port 3.
TM 726-722-G1 Step 4 - 7
Step 4 – Connect and Test the Generator Interface Module (GIM)
The Output Relay Signals are divided between three RJ-11 input connectors.
The cables are labeledG1 through G3. Each cable contains connection pairs for 3 relay
signals per cable. The cable used is standard Category 4.
The end of each cable has a marker listing its proper connection point at the GIM and
the TDI II board.
TM 726-722-G1 Step 4 - 8
Step 4 – Connect and Test the Generator Interface Module (GIM)
FLUORO SIGNALS
Signal Name Definition Description
Fluoro On Fluoro Radiation On This signal is active when fluoro radiation is ON.
It causes the imaging system to display the live fluoro
image on the image monitor in "Fluoro" and "Map" modes
when fluoro radiation is ON. When inactive, the Precision
RXi will maintain the last full frame of fluoro on
the image monitor. This signal is overridden when the
Required
Prepare for Photospot signal is active.
FOV Mag 1 Image Intensifier When this signal is active, the generator is in image
Mode 1 intensifier magnification mode 1. This signal is inactive
during normal image intensifier magnification.
Required
FOV Mag 2 Image Intensifier When this signal is active, the generator is in image
Mode 2 intensifier magnification mode 2. This signal is inactive
during normal image intensifier magnification.
Required
FOV Mag 3 Image Intensifier When this signal is active, the generator is in image
Mode 3 intensifier magnification mode 3. This signal is inactive
during normal image intensifier magnification.
(Optional)
Pulsed Fluoro V Pulsed Fluoro Clock This signal line is used as a clock signal for firing the
Drive (Output) x-ray generator during pulsed fluoro mode. This signal
is an output from the Precision RXi generator interface
module (GIM). The frequency of the signal is a constant
Required 30 Hz at all pulse rates.
Store Image Fluoro Store This signal causes the system to store the currently
displayed fluoro image to the system hard disk.
Not used in
Precision RXi
PFluoro Select Pulsed Fluoro Select When this signal is active, the system will acquire a
pulsed fluoro sequence of images at the selected rate
Not used in
Precision RXi
TM 726-722-G1 Step 4 - 9
Step 4 – Connect and Test the Generator Interface Module (GIM)
Prep Rad Exp Prepare for This signal is active when the operator is preparing for
Radiographic Radiographic Exposure. It signals when the generator is
Exposure (PREP) switching from “Fluoro” to “Radiographic” mode.
Required
This signal is used for spot acquisition.
Req Rad Exp Request for This signal is active when the operator has requested a
Photospot Radiographic exposure and is ready to expose. This signal is
Exposure used for Spot acquisition.
Required
(REQ)
Rad Ready Radiographic This signal indicates that the generator is ready to respond
Exposure Ready to the operator's request for a Radiographic exposure.
Required (RAD RDY) When enabled, the signal AND Req for Exp must be true
to initiate a digital spot exposure. This signal is used for
spot acquisition. When the signal is disabled, only Req for
Exp is required.
Rad Exp On RAD Expose ON This signal indicates to the Precision System that the
generator is producing radiographic radiation for
photospot imaging only.
Required
NOTE: Failure to Enable the RAD EXP ON line
will limit the usable radiographic exposure time to 200
milliseconds.
Dose Low Radiographic This signal indicates that the generator has been
Exposure Low configured for a lower than normal spot exposure dose.
Dose Select When both the Low Dose and High Dose signal are
Required
Off, then a Normal dose level is assumed by default
Dose High Radiographic This signal indicates that the generator has been
Exposure Ready configured for a lower than normal spot exposure dose.
High Dose Select When both the Low Dose and High Dose signal are
Required
Off, then a Normal dose level is assumed by default
TM 726-722-G1 Step 4 - 10
Step 4 – Connect and Test the Generator Interface Module (GIM)
Relay Outputs
Photospot In/Out This signal line is created from two lines, one on each side of the relay contact in
the Precision System. A relay closure allows the generator to make an exposure.
The (PREP), (REQ), and (RAD RDY) signals must be
Required present in order for the relay to close. Also referred to as EXPOSURE
CONTROL/EXPOSURE COMMAND. Photo-spot Expose In & Out prevent photo-
spot exposure until the Precision System closes the relay.
Subtraction This relay closure is used to signal the generator that a subtracted run has been
In & Out enabled. When this relay closes, the generator switches from Digital film screen 1
to Digital film screen 2 to increase the radiographic dose for DSA acquisition.
REQUIRED
Fluoro Enable This relay closure is used to enable fluoro. When the Precision System is not in a
mode which supports live fluoroscopic image display, the relay is open and
Required fluoroscopic exposure is inhibited.
Drive Outputs
Pulsed Fluoro V This signal line is used as a clock signal for firing the x-ray generator during
Drive pulsed fluoro mode. This signal is an output from the Precision System
generator interface module (GIM) to the Indico TDI II board. The frequency of
the signal is a constant 30 Hz at all pulse rates. The polarity and phase of the
Required signal must be configured to be low active and 2mS phase delayed on the
Configuration screens of the Precision System.
Automatic This signal line is used to control the fluoroscopic KV and mA techniques during
Brightness fluoroscopy. This signal is an output from the Precision System generator
Stabilization (ABS) interface module (GIM) to the Indico TDI II. The range of the ABS signal must
be configured to be 0 – 6V DC single ended drive on the Configuration screens
Required of the Precision System.
TM 726-722-G1 Step 4 - 11
Step 4 – Connect and Test the Generator Interface Module (GIM)
To Install A Function
Connect All Continuous Pulsed Radiographic DSA
Required Signals Fluoroscopy Fluoroscopy Photospot Photospot
(X = Required)
Fluoro On X X
Fluoro Pulse On X X
ABS X X
PFluoro Drive X X
II Mode 1, 2, or 3 X X X X
Prepare for Photospot X X
Request for Photospot X X
Spot Select X X
Radiation Ready X X
Rad Expose On X X
Dose Low X X
Dose High X X
Photospot relay X X
Subtract Relay X
Fluoro Enable Relay X X
Gray shading Indicates the signal is not used on the Precision System.
Signals – Required and Optional
TM 726-722-G1 Step 4 - 12
Step 4 – Connect and Test the Generator Interface Module (GIM)
TM 726-722-G1 Step 4 - 13
Step 4 – Connect and Test the Generator Interface Module (GIM)
TM 726-722-G1 Step 4 - 14
Step 4 – Connect and Test the Generator Interface Module (GIM)
TM 726-722-G1 Step 4 - 15
Step 4 – Connect and Test the Generator Interface Module (GIM)
• The Precision System uses the Single Line Pulsed Fluoro Method.
• The Pulse Fluoro Select input signal must be configured to Disabled in the
Precision System Configuration menus; the Fluoro Pulse On input signal
must be configured to Enabled.
• Refer to Step 5 – Set System Parameters of this manual for software
configuration information.
TM 726-722-G1 Step 4 - 16
Step 4 – Connect and Test the Generator Interface Module (GIM)
Indico
Generator
GIM Table Digital
Interface II
P1 Inputs
Port 1 726-619-G1 J4A
Port 2 726-619-G2 J4B
Port 3 726-619-G3
J4C
Port 4 726-619-G4
J4D
Port 5 J4E
Port 6 J4F
726-619-G6
Port 7 J4G
Port 8 J4H
ABS
1
P20 2
3 1
2
3
PFluoro 4
J7
Clock 726-654-G1
5
1
P18 2
6
3
4
5
6
P2 Outputs
Port 1
726-618-G1
J3
Port 2
726-618-G2
J2
P3 Outputs 726-618-G3
J1
Port 1
Port 2
TM 726-722-G1 Step 4 - 17
Step 4 – Connect and Test the Generator Interface Module (GIM)
Once cable is routed, match up individual leads to proper input signal definitions.
Leads are individually labeled to match line numbers on chart
Make appropriate connections to generator. The signals between the x-ray generator through
the generator interface module (GIM) to the Precision System are defined as follows.
INTERCONNECTION CABLES
TM 726-722-G1 Step 4 - 18
Step 4 – Connect and Test Generator Interface Module (GIM)
GIM LABEL
(Under Lid)
Top of Board
(P4)
P1
Camera Power P3 P2 J2 J1
(Top)
Port 2 Port 1 Port 2 Port 1 CAN1 CAN2 Port Port Port Port
7 5 3 1
RELAYS
Remote Power Port Port Port Port
8 6 4 2
OPTO INPUTS
Top
(DC Power)
P9
TM 726-722-G1 Step 4 - 19
Step 4 – Connect and Test Generator Interface Module (GIM)
IAPDB
Board
100’ Ethernet
Crossover Cable
Insert
Connector
RJ045 at P15
TM 726-722-G1 Step 4 - 20
Step 4 – Connect and Test Generator Interface Module (GIM)
Each of the Two State Input signals (Fluoro On, Prep, etc.) has a companion LED status
indicator on the GIM board showing the current status (ON or OFF) of each input signal
from the generator.
The Service Screen also has real time status displays that show the current state of
each generator input signal being reported to it by the GIM. This Screen is also useful
for identifying which cables and input signals are associated with each function.
TM 726-722-G1 Step 4 - 21
Step 4 – Connect and Test Generator Interface Module (GIM)
TM 726-722-G1 Step 4 - 22
Step 4 – Connect and Test Generator Interface Module (GIM)
It is critical that each generator signal pulse matches the active high or active low of the
line as it is installed. Signal Pulse Verification will indicate if the active pulse of any
signal line is incorrect. This process is accessed through Service Interface
Application.
TM 726-722-G1 Step 4 - 23
Step 4 – Connect and Test Generator Interface Module (GIM)
If the line status changes as indicated in the tables that follow, the lines are working
properly. If this is not the case, re-check the lines for correct connection and placement.
Then check any optional functions installed to see if they function correctly.
TM 726-722-G1 Step 4 - 24
Step 4 – Connect and Test Generator Interface Module (GIM)
Select the Minimize button to close the enlarged view of the signal lines.
TM 726-722-G1 Step 4 - 25
Step 4 – Connect and Test Generator Interface Module (GIM)
NOTE: Before proceeding with this step, power off the entire system including the GIM.
Once the tests have been run and all settings verified, complete the installation by securing the
GIM to the rear bulkhead of the X-ray generator cabinet.
NOTE: The GIM box has an opening through which cables are routed. If the GIM box is
installed on the wall or the side of the generator cabinet, make sure that this
opening is facing down. Such positioning will prevent any contact with live
parts and which parts might become live in single fault conditions.
TM 726-722-G1 Step 4 - 26
Step 4 – Connect and Test Generator Interface Module (GIM)
1. Secure the GIM using the internal mounting holes as indicated in the figure
that follows.
Mounting
Mounting Hole
Hole
Opening in GIM
Housing for
Cable Access
2. Use tie wraps to secure cables with strain relief inside the box.
3. Lastly, replace the GIM Cover.
TM 726-722-G1 Step 4 - 27
Step 4 – Connect and Test Generator Interface Module (GIM)
TM 726-722-G1 Step 4 - 28
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 1
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 2
Step 5 – Set System Parameters
1. Introduction
Individual parameters should not need to be set during this step. Verify that they are
correct or make any necessary corrections. System Parameters are accessed
through the CONFIG function on Service Application Menu.
The Precision System Configuration consists of a series of screens, each screen offering
tabs for access to menus specific to the parameters of the individual screen. Refer to the
chart below as a guideline. Screen specific instructions will follow.
Doctor • Set Doctor Preference for Acquisition modes (General, Fluoro, Spot and
Preferences Sub-Fluoro)
• Set Initial Settings, Landmarking and Loop Lock in Review Mode
• Set Display Format and Auto LIH to reference in Reference Display
Mode
• Set Printer Configuration, Layout format, Batch Print Processing settings,
Batch print Edge Level and Batch Print Polarity in Printing Mode
• Set device Configuration, Auto Send, Batch Device Edge Level and
Batch Device Polarity in Archive/transfer Mode.
Generator Lines • Enable or Disable Two-State and Analog Inputs; Set Analog, Pulsed and
Relay outputs.
TM 726-722-G1 Step 5 - 3
Step 5 – Set System Parameters
Patient Data • Set Required field for Patient, Study and Series data
Configuration
TM 726-722-G1 Step 5 - 4
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 5
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 6
Step 5 – Set System Parameters
2.1.2 Interfaces
Use Interfaces to set System Parameters necessary for running System Calibration and
other functions.
TM 726-722-G1 Step 5 - 7
Step 5 – Set System Parameters
Base System Frequency Click within circle to Select either 30/60 or 25/50 Hz.
Injector Control (DSA Only) Click on down arrow to Enable or Disable Injector Control.
Clinical App Icon
(Disabled State):
Continuous Fluoro Left click box to activate Continuous Fluoro. To turn off this feature,
click in box over the arrow.
TM 726-722-G1 Step 5 - 8
Step 5 – Set System Parameters
Once selected;
rate displays as:
TM 726-722-G1 Step 5 - 9
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 10
Step 5 – Set System Parameters
Print ShotSaveTM Manually enter the maximum number of images to be saved to the Print
Options ShotSaveTM Folder. There is no limit to the number of images that can be
configured to be saved in this folder.
NOTE: Before the new number can take precedence, the system must
be Shut Down and Restarted.
TM 726-722-G1 Step 5 - 11
Step 5 – Set System Parameters
Thumbnail Frame Use Slider to set which frame within a Sequence will be
displayed as the Thumbnail.
The Patient List Print Status option will display an icon next to Patient Files
that have been sent to a printer indicating that the data has or has not been
printed.
This selection Controls when the user is allowed to delete a Patient File.
TM 726-722-G1 Step 5 - 12
Step 5 – Set System Parameters
The “F” keys at the top of the keyboard can be used to shortcut to certain system functions.
“F” Keys
To customize Keyboard Function Keys, click on down arrow to select from available options
for each key.
Available Options:
TM 726-722-G1 Step 5 - 13
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 14
Step 5 – Set System Parameters
This setting is used to correct the image left side right side
display direction for the Normal direction.
TM 726-722-G1 Step 5 - 15
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 16
Step 5 – Set System Parameters
2.1.7 DICOM
Use DICOM Tab to set specifications for DICOM functions. All fields can be altered
manually by positioning the Cursor over them and typing in the information.
TM 726-722-G1 Step 5 - 17
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 18
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 19
Step 5 – Set System Parameters
2.2.2 Fluoro
Use Fluoro to set Default System Settings or to change settings as required.
Integration Level Select the desired Level of Integration before applying radiation.
TM 726-722-G1 Step 5 - 20
Step 5 – Set System Parameters
Gamma Select Click to select the desired LUT from the drop-down list:
LUT 1, LUT 2, LUT 3, LUT 4 or LUT 5.
TM 726-722-G1 Step 5 - 21
Step 5 – Set System Parameters
Max Pulsed Fluoro Click on down arrow to select available Max Integration Levels from
Integration drop-down menu:
TM 726-722-G1 Step 5 - 22
Step 5 – Set System Parameters
2.2.3 Spot
Use Spot to set Default System Settings or to change settings as required.
TM 726-722-G1 Step 5 - 23
Step 5 – Set System Parameters
AIO AIO: The Auto Image Optimization feature optimizes the Contrast Range
and selects appropriate Window and Level Values for an image as it is
acquired.
If the feature is enabled, the system will optimize the images automatically.
If the feature is installed but not enabled, the system will use the Default
Window, Level, and Display Lookup Tables (Display Lookup Tables are
used to select the amount of Contrast for an image).
Click on down arrow ( ) for drop-down menu to turn this feature OFF or set
levels.
Edge Level Select the desired Level of Edge Enhancement by selecting the Edge
feature button multiple times. The icon cycles through five possible initial
Clinical App Icon: settings: None, 1, 2, 3, and 4.
The Active Edge Setting (by image type) will remain active for Subsequent
Image Acquisition or Image Review until changed.
Contrast Use Slider Control to select the default Spot Contrast Value.
This will only be used if AIO for the Spot image type is OFF.
TM 726-722-G1 Step 5 - 24
Step 5 – Set System Parameters
Gamma Select Click to select the desired LUT from the drop-down list:
LUT 1, LUT 2, LUT 3, LUT 4 or LUT 5.
This setting will only be used for Spot images acquired with AIO off.
DSA Features
Subt Gamma Click to select the desired LUT from the drop-down list:
LUT 1, LUT 2, LUT 3, LUT 4 or LUT 5.
TM 726-722-G1 Step 5 - 25
Step 5 – Set System Parameters
DSA Landmarking Click on down arrow ( ) for drop-down menu to turn this feature ON or OFF.
Clinical App Icon: Landmarking allows the selection of the Percentage of the
Mask image to be added back into the Subtracted
Composite image. This enables the visualization of some
background image data particularly for orientation purposes.
Landmarking is usually performed to assist the doctor in
preparation of invasive procedures. Click to select the
desired Percentage (%) setting from Drop-down menu.
Subtracted Edge Click on down arrow ( ) for drop-down menu to turn this feature ON or OFF.
Level
Subtracted Contrast
TM 726-722-G1 Step 5 - 26
Step 5 – Set System Parameters
Landmarking Click on down arrow to select setting from drop down menu.
Clinical App Icon:
Landmarking allows the selection of the Percentage of the Mask
image to be added back into the Subtracted Composite image.
This enables the visualization of some background image data
particularly for orientation purposes.
Landmarking is usually performed to assist the doctor in preparation of invasive
procedures. Click to select the desired Percentage (%) setting from Drop-down
menu.
TM 726-722-G1 Step 5 - 27
Step 5 – Set System Parameters
Gamma Select Click to select the desired LUT from the drop-down list:
LUT 1, LUT 2, LUT 3, LUT 4 or LUT 5.
Brightness The default Brightness setting can be configured for each image type.
Use Slider Control to select the default Brightness value.
Mask LIH
Subtr Contrast The Subtracted Contrast Display Polarity button changes the Polarity of an
Display Polarity image from a Black Contrast (Black background / Negative) image into a
White Contrast (White background / Positive) image or vice versa.
Contrast Use Slider Control to select the default Sub-fluoro Contrast Value.
TM 726-722-G1 Step 5 - 28
Step 5 – Set System Parameters
2.2.5 Review
Use Review to set Default System Settings or to change settings as required.
TM 726-722-G1 Step 5 - 29
Step 5 – Set System Parameters
Display Format This preference is only available when the Multi-format Reference Image
Display option is installed and only applies to the Reference Monitor.
If available, use down arrow to select desired format for Default. This will
now become the new Display Format Default.
The available Display Formats are: 1-on-1, 2-on-1V, 2-on-1H, and 4-on-1.
TM 726-722-G1 Step 5 - 30
Step 5 – Set System Parameters
2.2.7 Printing
Use Printing to make Default System Settings or to change settings as required.
TM 726-722-G1 Step 5 - 31
Step 5 – Set System Parameters
9 on 1
12 on 1
TM 726-722-G1 Step 5 - 32
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 33
Step 5 – Set System Parameters
Process/Annotations Select processing features by clicking on down arrow for drop down
menu:
TM 726-722-G1 Step 5 - 34
Step 5 – Set System Parameters
Two-State Inputs Click on down arrow to enable or disable individual input settings
TM 726-722-G1 Step 5 - 35
Step 5 – Set System Parameters
Fluoro On This signal is active when fluoro radiation is ON. It causes the system to display the
live fluoro image on the image monitor in Fluoro mode.
When inactive, the system will maintain the last full frame of fluoro on the image
monitor. This signal is overridden when the Prepare for Photospot Signal is active.
Always Enabled on Precision System.
PFluoro ON (Pulsed Fluoro ON) This signal indicates to the system that the generator is currently
generating an x-ray pulse. It is used to synchronize the acquisition of images with the
x-ray exposure. Always Enabled on Precision System.
PFluoro (Pulsed Fluoro Select) When this signal is active, the system will acquire a pulsed
Select fluoro sequence of images at the selected rate.
Always Disabled on Precision System.
Prep Rad Exp This signal is active when the operator is preparing for Radiographic Exposure. It
signals when the generator is switching from Fluoro to Radiographic mode. This
signal is used for both cine and spot acquisition.
Always Enabled on Precision System.
Req Rad Exp This signal is active when the operator has requested a Radiographic exposure and is
used for both cine and spot acquisition.
Always Enabled on Precision System
Rad Ready (Radiographic Exposure Ready) – This optional signal indicates that the generator is
ready to respond to the operator’s request for a Radiographic exposure. This signal is
used for both cine and sport acquisition.
Always Enabled on Precision System.
Rad Exp On This signal indicates to the system that the generator is producing radiographic
radiation for photospot imaging. It is considered an optional signal. However, the
signal line must be installed when the Spot in/Out relay open condition does not
terminate an exposure.
Always Enabled on Precision System.
Rad Type When this signal is enabled, the system is selected for digital spot image acquisition.
Spot When the signal is inactive, the system will not acquire digital spot images.
Always Enabled on Precision System.
Single/Rapid This signal selects the radiographic spot acquisition for single image or a rapid series.
Always Disabled on Precision System.
Store Image This signal causes the system to store the currently displayed fluoro image to the
system hard drive. Always Disabled on Precision System
FOV Mag 1 When this signal is active, the generator is in magnification mode 1.
Always Enabled on Precision System.
FOV Mag 2 When this signal is active, the generator is in magnification mode 2.
Always Enabled on Precision System.
TM 726-722-G1 Step 5 - 36
Step 5 – Set System Parameters
FOV Mag 3 When this signal is active, the generator is in magnification mode 3.
Always Enabled on Precision System.
Reverse-H This signal causes the acquired image to flip horizontally during acquisition and is only
require if an external Reverse-H button/switch is to be installed.
Always Disabled on Precision System.
Reverse-V This signal causes the acquired image to flip vertically during acquisition and is only
require if an external Reverse-V switch is to be installed.
Always Disabled on Precision System.
Dose Low This signal selects the Low Dose Spot Iris position calibration to be selected for both
RF and DSA spot images.
Always Enabled on Precision System.
Dose High This signal selects the High Dose Spot Iris position calibration to be selected for both
RF and DSA spot images.
Always Enabled on Precision System.
TM 726-722-G1 Step 5 - 37
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 38
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 39
Step 5 – Set System Parameters
Apply Button Click on the Apply button to accept all settings made to this
screen.
Save Button Click on the Save button after Applying settings that will
display in the Timing Diagram display. Save will save these
settings for the next time this window is activated.
Exit Button Click on the Exit button to cancel any changes made to this
screen.
TM 726-722-G1 Step 5 - 40
Step 5 – Set System Parameters
Show Timing
Diagram
Click to display graph representing Fluoro Pulse statistics:
This timing diagram illustrates the relationship between the Pulse Fluoro
Reference Pulse and the actual radiation. Ideally, the pulse should occur shortly
after the first gray area and not pass into the second gray area.
Pulse Width
Polarity
Phase Delay
TM 726-722-G1 Step 5 - 41
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 42
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 43
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 44
Step 5 – Set System Parameters
1. Position Cursor over Device Name in left column and left click.
2. The Archive Device Configuration screen will display.
TM 726-722-G1 Step 5 - 45
Step 5 – Set System Parameters
1. Left click the Add Device button in the lower left of the screen.
2. The Select Device to Add dialog box will display.
TM 726-722-G1 Step 5 - 46
Step 5 – Set System Parameters
1. Position Cursor over Device Name in left column and left click.
2. The Archive Device Configuration screen will display.
TM 726-722-G1 Step 5 - 47
Step 5 – Set System Parameters
1. Left click the Add device button in the lower left of the screen.
2. The Select Device to Add dialog box will display.
TM 726-722-G1 Step 5 - 48
Step 5 – Set System Parameters
1. Position Cursor over Device Name in left column and left click.
2. The Printer Device Configuration screen will display.
3. View selections or make changes using the available options.
TM 726-722-G1 Step 5 - 49
Step 5 – Set System Parameters
Use arrow to access drop down box to select to high, low or medium Priority.
TM 726-722-G1 Step 5 - 50
Step 5 – Set System Parameters
Use arrow to access drop down box to select Film Size from those available.
Use arrow to access drop down box to select to either to apply trim or not
(Yes/No).
TM 726-722-G1 Step 5 - 51
Step 5 – Set System Parameters
When Selections are complete, click either Save to retain information or exit to leave the
Configuration screen without saving information.
TM 726-722-G1 Step 5 - 52
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 53
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 54
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 55
Step 5 – Set System Parameters
TM 726-722-G1 Step 5 - 56
Step 5 – Set System Parameters
The Query / Retrieve Menus will allow configuration of DICOM Query and Retrieve
Service Class Providers.
TM 726-722-G1 Step 5 - 57
Step 5 – Set System Parameters
The Worklist Devices Menus will allow configuration of DICOM Worklist information
Service Class Providers.
TM 726-722-G1 Step 5 - 58
Step 5 – Set System Parameters
MPPS Devices supports the tracking and billing of procedures that have been
completed. A Service Class User (SCU) sends a notification to the Service Class
Provider (SCP) to indicate that a Study is in progress, completed, or discontinued.
Server Notifications:
An enabled MPPS Server will notify the user if a connection cannot be made
when the user Opens a Study.
If an Error Message displays, try to open another Study to attempt to make a
server connection. If connection is still not made, the conclusion is that the
MPPS Server is in a state of failure. Contact your Network Administrator for
assistance.
TM 726-722-G1 Step 5 - 59
Step 5 – Set System Parameters
Other than the patient name and ID, which are preset to be Required, all fields can be
changed by using the drop-down menu.
TM 726-722-G1 Step 5 - 60
Step 5 – Set System Parameters
Other than the date and time, which are preset to be Required, all fields can be
changed by using the drop-down menu.
TM 726-722-G1 Step 5 - 61
Step 5 – Set System Parameters
The Series Number is always “Used” and the date and time are preset to be Required.
All other fields can be changed by using the drop-down menu.
TM 726-722-G1 Step 5 - 62
Step 5 – Set System Parameters
3. Backup
This function allows a configuration to be saved to another location on the hard drive for
future reference.
Select file name and type and then click Save. The files will be saved in the Backup folder (or other
location as specified).
TM 726-722-G1 Step 5 - 63
Step 5 – Set System Parameters
4. Restore
This function allows the restoration of a previous configuration that was saved using
Backup function.
TM 726-722-G1 Step 5 - 64
Step 6 – Auto Calibration
1. OVERVIEW ....................................................................................................................... 3
2. VERIFYING THE IMAGE SIZE (OPTICS) ........................................................................ 4
2.2 CENTERING AND ORIENTING CAMERA ON IMAGE INTENSIFIER ............................................... 8
2.3 FOCUSING THE CAMERA ...................................................................................................... 9
3. CALIBRATION................................................................................................................ 12
CALIBRATION CHOICES: ................................................................................................................................. 12
AUTO CALIBRATION PROCESS ........................................................................................................................ 13
3.1 MEASURING FIELDS CALIBRATION ..................................................................................... 14
3.1.1 IMAGE TAB ....................................................................................................................................... 14
3.1.2 AGC/ABS TAB ................................................................................................................................ 15
3.2 VIDEO GAIN – VIDEO LEVEL CALIBRATION ......................................................................... 16
3.2.1 ACQUIRE LUTS TAB ......................................................................................................................... 16
3.2.2 (VIDEO) GAIN TAB ............................................................................................................................ 17
3.2.3 AUTO-BLACK TAB ............................................................................................................................. 18
3.3 OVERLAY CALIBRATION ..................................................................................................... 19
3.3.1 CIRCLE MASK TAB ............................................................................................................................ 19
3.4 IRIS CALIBRATION – CONTINUOUS FLUORO (FLUORO TAB) ................................................. 20
3.5 IRIS CALIBRATION – PULSED FLUORO TAB ......................................................................... 21
3.6 ABS CALIBRATION ............................................................................................................ 22
3.6.1 ABS LEVEL TAB ............................................................................................................................... 22
3.6.2 ABS RESPONSE TAB ........................................................................................................................ 23
3.7 IRIS CALIBRATION – SPOT TAB .......................................................................................... 24
3.7.1 AEC DOSE CONTROL (TOUCH SCREEN) SETTINGS ........................................................................... 25
TM 726-722-G1 Step 6 - 1
Step 6 – Auto Calibration
TM 726-722-G1 Step 6 - 2
Step 6 – Auto Calibration
1. Overview
The Precision Imaging System has been designed to calibrate either automatically or
manually. Each step of the Auto Calibration procedure is discussed in this section.
We recommend that only factory trained Service Personnel use the Manual Calibration
Functions. Auto Calibration was designed to take the process through the correct
progression. When calibrating manually, each function is selected specifically.
For the purpose of this Technical Manual, the actual functionality of these screens will be
discussed and can be applied to either operation.
NOTE: If any failures are detected, an Error Message window will display.
The Power Down procedure should be followed in order to Shut Down the
software.
The cable connections should then be rechecked – especially the hard drive
interconnecting cables inside the PC cabinet. After these steps are taken, repeat
the Power Up Sequence. If system continues to report errors do not continue with
this procedure, instead contact Technical Support.
There is no adjustment size of the displayed images. Proper image size is dependent on the
combination of camera optics, image intensifier type, and the optics of the image intensifier
output. The image size can only be varied by selection of the proper a-focal adapter lens on the
CCD camera system.
TM 726-722-G1 Step 6 - 3
Step 6 – Auto Calibration
The size of the image displayed depends on the relationship in sizes of the output phosphor
window, collimating lens focal length, camera lens focal length and CCD sensor size.
Prior to calibrating a newly installed system, the image size (optics selection) should be verified.
During normal system operation, the outer area of the displayed image is “Masked” by a graphic
overlay generated by the system. The actual displayed image that displays behind the overlay
mask can only be viewed in the Service Application.
Monitor
Phosphor
To view the image without the without the graphic overlay applied:
1. Start the Service Application (Refer to the Service Application Overview chapter of this
Technical Manual for information on accessing Service Applications).
2. Using the Pointing Device, click on the Service Application Tool Bar to open the
Calibration Menus.
TM 726-722-G1 Step 6 - 4
Step 6 – Auto Calibration
1. Click on to
open Calibration
Service menu.
4. The black graphic overlay on the image display will then be replaced by a real time image
of the entire CCD Sensor Area with a dotted outline indicating where the overlay would be
positioned.
TM 726-722-G1 Step 6 - 5
Step 6 – Auto Calibration
Circle
Outline
Monitor
Phosphor
CCD Sensor
5. When fluoro radiation is activated, the output phosphor of the Image intensifier should
appear as an illuminated circular area just slightly larger or smaller than the area indicated
by the dotted outline that represents the graphics overly.
6. If the optics match is incorrect, the illuminated circular area will either appear as a very
small circular area within the outline mask or as an oversized circular or square illuminated
area.
CCD Sensor
Circle
Outline
Monitor
Phosphor
TM 726-722-G1 Step 6 - 6
Step 6 – Auto Calibration
Phosphor
Monitor Edge
Phosphor
Circle
Outline
7. If the image size is incorrect, the a-focal adapter selection is incorrect and must be changed.
TM 726-722-G1 Step 6 - 7
Step 6 – Auto Calibration
NOTE: To perform the following steps, you must generate X-ray radiation.
Follow proper Safety Precautions with the X-ray system.
2. When the Service Application starts, select the Calib function on the Main Menu.
3. Select System Manual Tab.
4. Select Overlay Tab.
5. You should now see a white circle in the image display (you may want to minimize
the Calibration window). Activate fluoro radiation; center the II output phosphor
within the outline circle by moving the camera/lens assembly position on the II.
Output
Phosphor
Circle Mask
6. Tighten the screws that secure the lens/camera assembly to the image intensifier
housing.
7. Place steel straight edge should along the table centerline. Activate fluoro
radiation and move the straight edge to the center of the displayed image.
8. Examine the straight edge line on the fluoro image for correct orientation.
A method to do this would be to open the Calibration or Configuration Menu in the
Service Application and drag the window, so that the edge is next to the straight
edge line.
TM 726-722-G1 Step 6 - 8
Step 6 – Auto Calibration
9. If the straight edge line is not parallel to the reference line (edge of window), use a
3mm Allen wrench to loosen the four recess screws that secure the camera to the
lens, rotate the camera/lens assembly to the correct position and then retighten the
screws.
Camera / Lens
Mounting Screws (4)
NOTE: To perform the following steps, you must generate X-ray radiation.
Follow proper Safety Precautions with the X-ray system.
TM 726-722-G1 Step 6 - 9
Step 6 – Auto Calibration
NOTE: If a screen mesh is not available, a converging Line Pair Phantom can be used.
Position the Line Pair Phantom in the center of the image perpendicular to the
display. In this case, the ROI box should positioned near the highest discernible
line pair, but not touching the solid area on either side of the line pairs.
Converging
Line Pair
ROI Box
RMS
Screen Mesh Value
9. To adjust the focus, loosen the focus lock set screw. Rotate the focus ring as to
obtain the highest obtainable RMS Value.
10. Tighten the focus lock set screw (Note the RMS Value before and after tightening
the focus lock to insure that the focus did not change).
11. Using a Line Pair Phantom, verify the focus of the camera lens using a Line Pair
Phantom. Acceptance values are listed according to II field of view in the table
below.
TM 726-722-G1 Step 6 - 10
Step 6 – Auto Calibration
TM 726-722-G1 Step 6 - 11
Step 6 – Auto Calibration
3. Calibration
1. Click to open
Calibration Service
menu.
Calibration Choices:
• Once the Calibration Menu opens,
select either System Auto or System Manual.
• When System Manual is selected, the buttons in the column under
Measuring Fields are activated allowing selection of function.
• When System Auto is selected, the Auto-Calibration Sequence will
begin.
NOTE: Prior to running a System Auto-calibration, the camera image
should be centered and focused using the methods described in this section.
TM 726-722-G1 Step 6 - 12
Step 6 – Auto Calibration
Detailed
Procedural
instructions
1. Auto Calibration will take you through each step of a full Camera Calibration Sequence in
the correct order. Online instructions explaining how to perform each of the steps are
displayed in the instruction window during each step.
2. Use up and down Arrow Keys and Slider Bar to scan complete set of instructions within
this window. Within each step are written instructions describing the procedure.
System defaults to Measuring Fields: Image Screen.
TM 726-722-G1 Step 6 - 13
Step 6 – Auto Calibration
NOTE:
In Manual
Calibration, use
the Override
Default button
to make a
Manual Setting.
Level indicated
here – should
be 95%.
TM 726-722-G1 Step 6 - 14
Step 6 – Auto Calibration
This function sets the sample window in the video frame to the appropriate size for
Fluoro AGC/ABS and for Spot Mode Iris Calibration. The process cycles through all
active camera modes, starting with fluoro/pulsed fluoro.
The resulting size is indicated under the Slider Control (only active during Manual
Calibration). As each level is calibrated, a window will display with Calibration Status for
the step. Select Yes, and then click Next to proceed to the next step of the procedure.
Repeat until each active camera mode has been calibrated. When the process is
complete, click Next to proceed to the next step (Video Level).
What follows is the correct size for each Camera Mode:
Fluoro (AGC/ABS) 50 %
Spot 50 %
NOTE: The Image Measuring Field Control Level is set to 50 percent
whether using RF, DSA, 32cm (12”) or 40cm (16”) inch Image Intensifier (II).
NOTE:
In Manual
Calibration, use
the Override
Default button
to make a
Manual Setting.
Indicates which
Camera Mode is
being calibrated.
TM 726-722-G1 Step 6 - 15
Step 6 – Auto Calibration
Fluoro Gamma 4
Spot Normal Contrast
TM 726-722-G1 Step 6 - 16
Step 6 – Auto Calibration
For each type of image supported on the system, the Default Video Gain Value is
selected and loaded.
Fluoro AGC ON
Spot Fixed Black
TM 726-722-G1 Step 6 - 17
Step 6 – Auto Calibration
For each type of image supported on the system, the default Video Auto-black Goal
Value is loaded and the pedestal calibrated.
Fluoro Auto-Black ON
Spot Fixed Black
TM 726-722-G1 Step 6 - 18
Step 6 – Auto Calibration
This function sets the black software mask so that it surrounds the phosphor output
window image displayed on the monitor. This routine uses an edge detection algorithm
to find the edge of the projected image. The Circle Mask has a range in size from
900 to 1070 pixels in diameter.
Follow the instructions in the dialog and then click Run. When the step is finished, a
window will display with Calibration Status for the step. Select Yes, and then click Next
to proceed to the next step of the procedure.
TM 726-722-G1 Step 6 - 19
Step 6 – Auto Calibration
NOTE: Calibration Level is set to 300, and is the same setting when using a 32cm (12”) or 40cm
(16”) Image Intensifier (II). The Calibration Level display is a LIVE data feed from the iris. When the iris
tries to calibrate to this designated number, it may not necessarily obtain 300, but will be within a close
varying percentage.
300
TM 726-722-G1 Step 6 - 20
Step 6 – Auto Calibration
Follow on-screen instructions. After you calibrate one rate a dialog box will display
asking “Same for all Rates?” Select Yes.
NOTE: The Calibration Level is set to 300, and is the same setting when using a 32cm (12”) or 40cm
(16”) Image Intensifier (II). The Calibration Level display is a LIVE data feed from the iris. When the iris
tries to calibrate to this designated number, it may not necessarily obtain 300, but will be within a close
varying percentage.
300
TM 726-722-G1 Step 6 - 21
Step 6 – Auto Calibration
NOTE: The Image Measuring Field Control Level is set to 50 percent whether using RF,
DSA, 32cm (12”) or 40cm (16”) inch Image Intensifier (II).
300
TM 726-722-G1 Step 6 - 22
Step 6 – Auto Calibration
TM 726-722-G1 Step 6 - 23
Step 6 – Auto Calibration
Mode:
RF Spot Images
Mode:
DSA Spot
Images
AEC Dose
Control
Settings
NOTE: This step is automatically repeated for Subtracted Spot only if the system is
configured for DSA.
TM 726-722-G1 Step 6 - 24
Step 6 – Auto Calibration
The following are different iris settings per dose level where dose level has originally
been setup on the CPI screen:
When Auto Calibration is complete you will be prompted to save the changes.
Calibration values are saved to the Flash RAM on the IAPDB, not the hard disk. Exit the
function and proceed to System Testing.
TM 726-722-G1 Step 6 - 25
Step 6 – Auto Calibration
TM 726-722-G1 Step 6 - 26
Step 7 – System Testing
TM 726-722-G1 Step 7 - 1
Step 7 – System Testing
TM 726-722-G1 Step 7 - 2
Step 7 – System Testing
1. System Diagnostics
The final step in the installation is system testing. This function is complete through the
Diagnostics tool within Service Application. Refer to Step 3 for complete instructions for
accessing Service Application screen.
TM 726-722-G1 Step 7 - 3
Step 7 – System Testing
The Diagnostic Screen offers graphical representation of the circuit boards. All tests are
executed from this screen. Test results are also displayed from this screen with both text and
graphical representation.
TM 726-722-G1 Step 7 - 4
Step 7 – System Testing
The IAPDB and GIM components have System Self-diagnostics that can be run to test
their functions. Click on the GIM or IAPDB icon to run the tests.
TM 726-722-G1 Step 7 - 5
Step 7 – System Testing
2. Acceptance Testing
Acceptance testing is part of the installation procedure and must be followed precisely as outline
here in order to protect the product warranty. An acceptance test form is included within the
Installation Report and must be completed along with the Installation report and returned
to Customer Care within thirty- (30) days of the installation.
NOTE: To ensure proper function of the system, ambient room temperature must
be hospitable to operational temperatures recommended by manufacturer.
Refer to the chart below to verify temperature and humidity factors prior to
powering up the system.
TM 726-722-G1 Step 7 - 6
Step 7 – System Testing
Review of test images with image processing, including W/L/I, edge, mask P F N/A
with reregistration, zoom
Acquisition of fluoro images – integration, edge, W/L/I, fluoro store, LIH P F N/A
Acquisition of fluoro loops – loop acquire, loop replay, store loop – P F N/A
TM 726-722-G1 Step 7 - 7
Step 7 – System Testing
2. Repeated failure of any one of the components during the Acceptance Test listed
above.
TM 726-722-G1 Step 7 - 8
Step 7 – System Testing
TM 726-722-G1 Step 7 - 9
Step 7 – System Testing
TM 726-722-G1 Step 7 - 10
Step 7 – System Testing
TM 726-722-G1 Step 7 - 11
Step 7 – System Testing
TM 726-722-G1 Step 7 - 12
Step 7 – System Testing
TM 726-722-G1 Step 7 - 13
Step 7 – System Testing
8. Select either Send Patient File or Send Study File button to process the transfer.
TM 726-722-G1 Step 7 - 14
Step 7 – System Testing
To access Worklist:
TM 726-722-G1 Step 7 - 15
Step 7 – System Testing
TM 726-722-G1 Step 7 - 16
Step 7 – System Testing
Worklist offers several means by which to search for specific patients. The Patient File
can then either be opened for acquisition from the Worklist or imported to the Patient List
to be opened later. Searches can be performed either manually or automatically using
the Auto Query function.
Manual Search
TM 726-722-G1 Step 7 - 17
Step 7 – System Testing
TM 726-722-G1 Step 7 - 18
Step 7 – System Testing
To access Query/Retrieve:
1. From the Main Menu, click on the Patient List button to
display the Patient List screen.
TM 726-722-G1 Step 7 - 19
Step 7 – System Testing
TM 726-722-G1 Step 7 - 20
Step 7 – System Testing
The system sends a “move” request to the remote Application Entity (AE) that “owns” the
patient. As the system processes the query, Current Status is displayed in the Status
Mini-window. This window will indicate when the process is complete, as well as if there
are any problems running the Query. Status can also be monitored from the Main
Image screen.
TM 726-722-G1 Step 7 - 21
Step 7 – System Testing
Modality Performed Procedure Step (MPPS) Devices supports the tracking and billing of
procedures that have been completed. A Service Class User (SCU) sends a notification to the
Service Class Provider (SCP) to indicate that a Study is in progress, completed, or
discontinued. After set-up, the user will receive an Error Message if there is a communication
failure; otherwise this communication should be transparent to the system user.
Server Notifications:
An Enabled MPPS Server will notify the user if a connection cannot be made when the user
Opens a Study. If an Error Message is displayed, try opening another Study to attempt to
make a server connection. If connection is still not made, the conclusion is that the MPPS
Server is in a state of failure. Contact your Network Administrator for assistance.
TM 726-722-G1 Step 7 - 22
Step 7 – System Testing
TM 726-722-G1 Step 7 - 23
Step 7 – System Testing
TM 726-722-G1 Step 7 - 24
Step 8 – Recommended Doses and Exposure Factors
STEP 8 –
RECOMMENDED DOSES and EXPOSURE FACTORS
Table of Contents
1. KVP................................................................................................................................... 3
2. RECOMMENDED RANGES ............................................................................................. 3
TM 726-722-G1 Step 8 - 1
Step 8 – Recommended Doses and Exposure Factors
TM 726-722-G1 Step 8 - 2
Step 8 – Recommended Doses and Exposure Factors
1. KVP
Excellent-quality digital images are best achieved with settings of 100KVP or less due to the
inherent characteristics of the image intensifier and digital camera combination. 120 KVP should
not be used for most digital imaging systems.
In addition, lower dose exposures are a significant advantage of digital systems, but when
combined with high KVP cause inadequate exposure technique with many generators, due to
insufficient exposure times.
2. Recommended Ranges
NOTE: Failure to install the x-ray generator signal line for RAD EXPOSE ON will result
in exposure termination at 180 milliseconds.
TM 726-722-G1 Step 8 - 3
Step 8 – Recommended Doses and Exposure Factors
Recommended Doses
Continuous (μR/S)
Pulsed-15pps (μR/Fr) 2.1 2.9 3.8 5.1
Pulsed- 7.5pps (μR/Fr) 2.7 3.7 5.0 6.7
Pulsed 3.75pps (μR/Fr) 3.2 4.4 5.9 7.9
Pulsed-1pps (μR/Fr) 5.0 6.9 9.2 12.3
TM 726-722-G1 Step 8 - 4
Preventive Maintenance
PREVENTIVE MAINTENANCE
Table of Contents
1. OVERVIEW ....................................................................................................................... 3
1.1 INSTRUCTIONS FOR OPERATORS ......................................................................................... 3
2. PC CABINET ACCESS AND EXIT PROCEDURES ........................................................ 4
2.1 CABINET ACCESS PROCEDURE ............................................................................................ 5
2.2 CABINET EXIT PROCEDURE ................................................................................................. 8
2.3 BOARD LOCATIONS WITH ASSOCIATED REAR CABINET CABLE CONNECTIONS ..................... 10
2.3.1 PRECISION PC Chassis – All Cable Connection Locations – Rear View ......................... 11
2.3.2 PC Cabinet – Internal View Drawing ........................................................................................ 12
3. ACCESSING THE SERVICE APPLICATION MENU ..................................................... 13
4. SYSTEM CALIBRATION................................................................................................ 14
5. BACK-UP SOFTWARE SETTINGS ............................................................................... 15
5.1 SAVE SYSTEM PARAMETERS TO HARD DRIVE .................................................................... 15
6. MECHANICAL MAINTENANCE..................................................................................... 19
7. CLEANING ..................................................................................................................... 19
TM 726-722-G1 PM - 1
Preventive Maintenance
TM 726-722-G1 PM - 2
Preventive Maintenance
1. Overview
NOTE: Only qualified service personnel, who have received training directly
from the manufacturer, should perform these preventive maintenance
procedures. Contact the manufacturer’s field service department for
more information on training.
The following section provides the schedule and instructions for performing Field Service as
part of the Preventive Maintenance Program for the imaging system. These preventive
maintenance procedures should be performed semiannually.
Even after the product warranty runs out, the manufacturer recommends that the same
Preventive Maintenance Procedures as outlined below be performed semiannually.
The first step of the Preventive Maintenance procedure is to instruct the key operators of
the imaging system regarding the following items:
1. Allow the monitors to warm up for five minutes after power up. This allows for
optimum image quality on the monitors.
2. DO NOT load any software or hardware not supplied by the manufacturer onto the
imaging system.
3. Review the Safety Summary at the front of this manual.
4. Use only approved media for archiving or copying files.
Also, ask the key operators if there are any changes to the hospital equipment such as:
New laser printer added or planned? If so, check that the printer is on the list of
approved devices. Refer to the Compatibility List
(Appendix C) at the end of this Manual.
TM 726-722-G1 PM - 3
Preventive Maintenance
To access some of the system’s components, it is necessary to remove only a couple of the
outside covers of the electronics cabinet. Follow the instructions located in Paragraph 2.1 and
2.2 for panel removal and replacement.
After you access the interior of the PC chassis, refer to your equipment replacement
instructions that accompanied your replacement part. If you incur any difficulties, call
Customer Service for assistance. Remember to utilize all ESD precautions while accessing the
internal equipment on your PC.
All external cable connections are made through the rear panel of the cabinet. It is not
necessary to remove the rear panel for any hardware replacement procedure. For some
replacement procedures, it is necessary to disconnect cables from the rear panel of the cabinet.
WARNING:
DVD
Always be sure to power down the system, Drive
the UPS, and disconnect the Main Power
cord from the wall outlet before performing
any service on the imaging system.
Floppy
Drive Power
Switch
Power
LED
Hard
Drives
TM 726-722-G1 PM - 4
Preventive Maintenance
Cover
Stays On
2 Panel
Screws
TM 726-722-G1 PM - 5
Preventive Maintenance
Line Up
Slots and
Screw Holes
TM 726-722-G1 PM - 6
Preventive Maintenance
---- ----
Position
GRAPHICS BOARD
#1
---- ----
SERIAL I/O BOARD - A #2
---- ----
MODEM #3
---- ----
LVDS BOARD
#4
---- ----
SERIAL I/O BOARD - B
---- #5
----
VIDEO INTERFACE
BOARD (VIB) #6
---- ----
IAPDB BOARD #7
---- ----
TM 726-722-G1 PM - 7
Preventive Maintenance
When replacing the side panel on the cabinet frame, first engage the bottom
channel, tip the panel into place and then fit into integrated clips. Slide the panel
back into place.
1. Locate left chassis side panel.
2. Lean metal side panel up to chassis and align notches and clips.
D Left 3. Position the panel into the notches and clips, and slide the panel right to fully
engage it to the chassis.
4. Ensure the two plastic flaps engage into its securing hole and notches on the
chassis frame.
5. Locate the two panel screws and secure the panel to the chassis.
SPECIAL NOTE:
Front panel does not There are a couple of exceptions to this that involve the installation
A Front normally need to be
removed.
of the DVD drive and floppy drive. Mate the cover to chassis and
seat the two side clips (at both sides of chassis). Push the cover
inward to the chassis until all four (4) clips engage.
GROUP D:
REPLACING LEFT SIDE METAL PANEL
Interlocking
Panel Rails
3. Align the interlocking
notches and grooves;
seat the panel in an
upright position.
TM 726-722-G1 PM - 8
Preventive Maintenance
5
4
Engaged
Engaged Panel Clip
Panel Clip
TM 726-722-G1 PM - 9
Preventive Maintenance
All external cable connections necessary for installation are made through the rear panel of the
cabinet. It is not necessary to remove the rear panel to make these connections. However, it is
necessary to remove either the front or side panel for some Hardware Replacement procedures.
Instructions for the removal of these panels are provided in Paragraph 2.1. Refer to the
following illustrations to identify the location of specific boards and their coordinating cable
connections.
Position
#1
----
Graphics Card (red)
#2
----
#3 Serial I/O Card - A (gold)
----
#4
Modem (green)
----
#5
---- LVDS Board (green) DVI Cable
IAPDB to
#6
Option: Additional Serial I/O Card - B
Graphics Card
----
#7
---- Video Interface (VIB)
PRECISION PC – PRECISION
Left Side Internal View PC Cabinet Rear View –
External Cable Connections
Ethernet
Crossover Cable
TM 726-722-G1 PM - 10
Preventive Maintenance
9-pin D-sub
Parallel Port Serial Port
“LPT1” (COM3)
(Not used)
9-pin D-sub
USB Ports
Serial Port
(Not used)
(COM5)
TM 726-722-G1 PM - 11
Preventive Maintenance
CD / DVD Drive
Floppy
Drive
CPU
Graphics Card
Modem
LVDS Board
VIB
IAPDB
TM 726-722-G1 PM - 12
Preventive Maintenance
2. Click to start
Service Application.
TM 726-722-G1 PM - 13
Preventive Maintenance
4. System Calibration
The first step of the Preventive Maintenance Procedure is to perform the System Calibration if
the image quality on the monitors or on printed images looks unacceptable. Use the procedure
described in Step #7 of this Manual – System Calibration.
This test allows Real-time System Calibration Display on the image monitor. System Calibration
is an automated procedure.
NOTE: If the camera is re-calibrated, the new settings should be saved to the system
and to a floppy disk. See the instructions in BACK-UP/RESTORE SOFTWARE
SETTINGS.
TM 726-722-G1 PM - 14
Preventive Maintenance
The second step of the Preventive Maintenance Procedure is to save the Software Feature
Parameters and System Calibration Settings to the hard drive and to floppy disks or CD/DVD.
This provides a quick and easy means of restoring the System Parameters if one of the main
components in the PC needs to be replaced.
NOTE: There are separate procedures for saving the system and camera settings.
Click on the
Backup button.
TM 726-722-G1 PM - 15
Preventive Maintenance
3. Select File Name (SysConfig-Backup) and FileType (*.xml) and then click save. The
files will be saved in the Backup Folder (or other location as specified). If
prompted to Overwrite existing files, click YES. Repeat for the UserConfig-Backup
and the LUTs-Backup files.
TM 726-722-G1 PM - 16
Preventive Maintenance
Click on
the Backup
button.
TM 726-722-G1 PM - 17
Preventive Maintenance
6. Select Yes. A new window will appear. Enter a new File Name in the File Name
box. The manufacturer suggests using the current date as the file name.
NOTE: It is recommended to copy these four (4) backup files to either a floppy disk,
CD, or DVD.
TM 726-722-G1 PM - 18
The Appendices
APPENDICES
Table of Contents
TM 726-722-G1 Appendix - 1
The Appendices
TM 726-722-G1 Appendix - 2
The Appendices
What follows is a list of commonly used abbreviations and terms used in the manual.
A Amps
ABS Automatic Brightness Stabilization
AC Alternating Current
American College of Radiology – National Electronics Manufacturers
ACR-NEMA
Association
Application Entity / Association Establishment between DICOM devices;
AE
used in Modality Performed Procedures (MPPS devices)
AGC Automatic Gain Control
Auto Image Optimization – A technique used to automatically select the
AIO
optimum W/L and Display Lookup Table before the image is displayed.
Air Kerma Rate – Shows rate of radiation exposure used to obtain good
AKR
quality imaging for a specific procedure.
ATA66 66 Mbyte/Sec IDE Interface
BGHC Background Hardcopy
Bit Smallest quantity of computer data represented by either 0 or 1
Byte 8-bit Quantity
C Celsius
Cumulative Air Kerma – Reflects total Air Kerma (radiation) the patient is
CAK exposed to during entire exam ; includes all contributions from fluoroscopic
and radiographic irradiation.
CD-RW Compact Disk-Rewritable
cm Centimeters
Room separate from the In-Room where the patient can be monitored
Control Room
during the procedure.
CPU Central Processing Unit
DAC Digital to Analog Converter
DAP Dose Area Product
DICOM Digital Imaging Communications in Medicine.
DHC Digital Host Control Interface Board
DRAM Dynamic RAM
DSA Digital Subtraction Angiography (also known as Vascular Procedure)
DSP Digital Signal Processor
TM 726-722-G1 Appendix - 3
The Appendices
(Digital Video Disc or Digital Versatile Disc) An optical digital disc for storing
movies and data. Introduced in the U.S. in 1997, and developed by both the
computer and movie industries, the disc uses the same diameter platter as a
CD (120mm/4.75" diameter), but holds 4.7GB rather than 700MB. Whereas
CDs use only one side, DVDs can be recorded on both sides as well as in
DVD dual layers. DVD drives/players read most CD media as well.
DVD-R and DVD+R are competing write-once formats for movies or data.
DVD-RW and DVD+RW are competing rewritable (re-recordable) formats that
unlike DVD-RAM's 100,000 cycles, can only be rewritten 1,000 times. Aimed
at the consumer, 1,000 rewrites is considered more than sufficient.
(DVD-Recordable) A write-once (read only) DVD disk for both movies and
data endorsed by the DVD Forum. DVD-Rs are often called "DVD Dash Rs" or
"DVD Minus Rs" to distinguish them from the competing "Plus R" format (see
DVD+R).
DVD-Rs are the DVD counterpart to CD-Rs and use the same dye-layer
recording technology to "burn" the disc. Pioneer was the first to introduce
DVD-R DVD-R drives, which recorded 3.95GB. By 2000, the capacity was increased
to the industry standard 4.7GB.
DVD-R for Authoring, DVD-R for General Use: In 2000, DVD-R was split
into two types to deal with copy protection. The original DVD-R, which uses a
650 nm recording wavelength, was dubbed "DVD-R for Authoring." A different
format with copy protection that records at 635 nm is called "DVD-R for
General." Although DVD-R(a) and DVD-R(g) can read each other's
format, they cannot write each other's format.
TM 726-722-G1 Appendix - 4
The Appendices
The Frame Integration feature is provided to reduce Signal Noise (SN or S/N) in
Fluoroscopy image frames. It operates on the acquisition frame by
Frame combining/averaging previous frames in the selected manner to achieve Noise
Integration Reduction. Integration Settings are not adjustable for images after they
are acquired.
L Level (Brightness)
LCD Liquid Crystal Display
LED Light Emitting Diode
LIH Last Image Hold
LUT Lookup Table
LVO Live Video Override (also referred to as Fluoro Override)
Mbytes 10242 or 1,048,576 bytes
MC Motion Correction
TM 726-722-G1 Appendix - 5
The Appendices
TM 726-722-G1 Appendix - 6
The Appendices
TM 726-722-G1 Appendix - 7
The Appendices
TM 726-722-G1 Appendix - 8
The Appendices
Appendix B – Symbols
TM 726-722-G1 Appendix - 9
The Appendices
TM 726-722-G1 Appendix - 10
The Appendices
Overview
The items listed below are external devices that have been tested and approved by GE.
The following lists do not reflect all devices with which the Precision System is compatible.
This list reflects the devices on which we have extensive documentation.
This compatibility list will be updated accordingly as new devices are approved by GE.
Name Status
Comview Approved
Imation/CEMAX/ICON Approved
Approved
Kodak CX/DX V2.1.7
(this is an SCP class only review station)
TM 726-722-G1 Appendix - 11
The Appendices
TM 726-722-G1 Appendix - 12
The Appendices
Appendix D
Service Technician’s Troubleshooting Guide
Overview
The following Troubleshooting Charts are intended for use in guiding Service Technicians
through an outlined process per the system problem. Included, is the System User’s
Troubleshooting Guide (from the User Manual Appendix D) for the Technician’s reference.
Call the GE On Line Center to obtain the correct Service Engineer for your
location and to log your service call.
You will need to provide information when calling:
Have the unit Serial Number, Software Version Number and Copyright date ready.
Serial Number (S/N) is shown on:
• The Status Screen
• The Identification Tag on the rear of the computer.
Software Version Number and Copyright Date is shown on:
• The Status Screen
TM 726-722-G1 Appendix - 13
The Appendices
TM 726-722-G1 Appendix - 14
The Appendices
TM 726-722-G1 Appendix - 15
The Appendices
Note:
Ref. Serv 1 means to go to the Technical Manual, Appendix D-2, Service Technician’s Troubleshooting Guide, and see Item 1.
Operation 1 MSG: “GIM Comm 1) Recycle Generator Power; Reboot PC, if still error.
Error” Acquisition
2) Click Status>hardware>GIM code = 0.00, if yes.
Disabled
3) Check connection of green cat5 cable at GIM and PC
tower.
4) If still error, refer to Serv 1 (see Technical Manual,
Appendix D-2 – Service Technician’s Troubleshooting
Guide).
4 DICOM Transfer not 1) Check connection of Network Patch Cord at wall and
Possible PC, at the PC connector, look for green and yellow link
lights; if does not work, refer to Serv 4 (see Tech Man –
Appendix D-2).
7 Fluoro Dark Contrast 1) Refer to Serv 7 (see Tech Man – Appendix D-2).
Area have Sparkles on
Edges
8 White or Black Spot 1) Is Generator technique and AEC selection correct for the
Images patient being imaged? Check for high Kvp (>100 Kv) and
mA (>400 mA) on a small patient.
If OK then Step 2.
2) Refer to Serv 8 (see Tech Man – Appendix D-2).
TM 726-722-G1 Appendix - 16
The Appendices
Operation 9 Lines or other Artifacts 1) For No Image – Is there a green light on the LCD panel?
In Image, No Image
2) Can images be acquired in fluoro? If not, refer to Serv 9
(see Tech Man – Appendix D-2).
If so, are the artifacts visible? In spots? Do review images
show artifact on old images, on all images. If yes, refer to
Serv 10 (see Tech Man – Appendix D-2).
10 Poor Contrast in Fluoro 1) Is the fluoro Kvp > 100 routinely? If so, call service for
Image calibration of dose and camera. Ref. Serv 9 (see Tech
Man – Appendix D-2)
2) Is excess noise present also? Check the collimator
shutters to see if they are near the edge of all intensifier
fields of view. If no, call Service.
3) In Dr. Pref’s, are the Contrast and Brightness sliders off
defaults of 2048/4096?
4) Is the grid installed?
12 System Won’t Boot 1) Check 120 VAC power connection and UPS or Isolation
Transformer – Are they active (pilot lights, switches turned
on)?
2) Attempt to Re-boot – Is power indicator LED lit on PC?
If no, then Step 3.
3) PC tower fans running? Can you see text onscreen? Does
it stop at MSA “Can’t Locate NTLOR = Remove Floppy
Retry.
4) If 120 VAC power connections are OK, but still won’t boot,
refer to Serv 12 (see Tech Man – Appendix D-2).
TM 726-722-G1 Appendix - 17
The Appendices
Service 1 GIM Comm Error 1) Remove GIM cover; LEDs: 1 flashing with 2 steady on either side. If
not…
2) If no lights, remove power from GIM, reconnect. Is led flashing?
If not, replace GIM. If LED is flashing,
3) Are lights on either side of flash LED lit? If no, check serial cable
connection integrity for green and amber link lights at plug.
If not…
4) Check cable by replacing with known good network crossover cable.
5) If still no, replace GIM and/or IAPDB.
TM 726-722-G1 Appendix - 18
The Appendices
TM 726-722-G1 Appendix - 19
The Appendices
Service 7 Fluoro contrast 1) Known as contouring: is due to hardware issues, camera, LVDS
edges have cable, and/or IAPDB. Has this occurred after changing one of the
sparkles preceding? If so, may need to order new revision LVDS cable
(black).
8 White or Black Spot 1) Consider Iris malfunction: Check by removing Camera from
images Intensifier and setting on stable surface pointed at low light source.
Enter ServApp>Calib>System Manual>Iris>Spot tab>check the
manual box.
Click and drag the Cal window out of field of view.
Is there an image? Click and drag the Iris Pointer from Open to
Close, while observing the Camera Iris. Does it move in a
corresponding fashion while modulating the image brightness?
- If not, Call GE to replace or repair the camera.
2) If the Iris is functioning, place the Camera back on the Intensifier.
Place a uniform Phantom in the field. Select a reasonable AEC
technique at the Generator and move the Spot Iris window so that
Measuring Field Level (MFL) is visible. Acquire a spot.
Note the MFL: is it between 500 and 3500? Drag the Pointer to a
new Iris position and take a Spot, expect to see the MFL change,
closing the Iris reduces it and opening increases it. The Cal point is
MFL = 500 (for 40cm II) or 680 (for 32cm II).
If the Dose and Phantom combination produces a Value, Close the
click RUN and allow system to Cal to approx. 500 (for 40cm II) or
680 (for 32cm II). If it does not, manually adjust the Iris to get MFL
close to 500 (for 40cm II) or 680 (for 32cm II). Take more Spots and
observe the MFL. Does each exposure remain consistent
+/- 5%? If not, AEC circuit needs attention.
TM 726-722-G1 Appendix - 20
The Appendices
Service 10 Poor Contrast 1) Verify Camera Calibration and Fluoro Dose Setting, dose too high
Fluoro will result in high Kvp, grey, noisy images.
2) Verify proper Shutter Calibration in all Intensifier FOV’s.
3) Check that Intensifier output is sufficient for range of Camera,
if too low, will need Camera Replacement.
11 Poor Contrast 1) Take Spot in Clinical App. What is the W/L? If W < 1500 = AIO
Spots Active & Underexposed.
2) Verify Spot Iris Calibration.
3) Verify Intensifier Contrast Ratio: If insufficient, replace.
4) Remove Camera from Intensifier,
Point at lit contrast object in room. In ServApp>Calib>System
Manual, adjust the Iris for reasonable MFL. Do the objects appear
with good Contrast? If not call GE for Camera Replacement.
12 System Won’t Boot 1) If 120 VAC power Supply OK – Is HDD light is flashing after several
seconds? If No, then Step 3. If Yes, then Step 2.
2) Can you see BIOS screen? If No, Step 3. If you can see BIOS
Text, where does it stop and what does it say? Then, go to Step 4.
3) Check +12V (yellow to black) and +5V (red to black) PC Power
Supply fans run +12VDC; Motherboard needs +5VDC. Are there
any LEDs lit on Motherboard. If No or bad Power Supply testing
values, replace Power Supply. Consider unloading Power Supply
by removing HDD, CD Drive LVDS and FDD.
4) Does BIOS see the HDD, press F2 at Startup > BIOS until >
Advanced > IDE Configuration: should see Primary IDE Master or
PATA Primary Master (ST….some serial number)
Secondary IDE master: TEAC or PATA Secondary master
(ST….some serial number or HL-DT-ST ACE...)
If you don’t see a listing on Primary Master Channel, check BIOS
setting to see that “DUAL” or “BOTH” IDE Channels are selected.
Check power and data cable connection to the hard drive and
motherboard.
Reboot with F2 being pressed several times. Is drive shown now?
If Yes, should boot. If No, swap data cable with CD drive. Can you
see HDD in BIOS now? If Yes, replace motherboard if you can now
boot. If BIOS can’t find, replace HDD.
TM 726-722-G1 Appendix - 21
The Appendices
TM 726-722-G1 Appendix - 1
The Appendices
Overview
The following manual is inserted for the ease of referring
to HIPAA Compliance Regulations as it applies to your imaging system.
HIPAA
Compliance
Manual
TM 726-722-G1 Appendix - 2
The Appendices
Revision History
Revision Date ECN Reason for Release
-1 01-12-06 3848 New Release proposed
A 02/06
TM 726-722-G1 Appendix - 3
The Appendices
TM 726-722-G1 Appendix - 4
The Appendices
TM 726-722-G1 Appendix - 5
The Appendices
Introduction
In 1996, the United State Congress passed the Health Insurance Portability & Accountability Act
of 1996 (August 21), Public Law 104-191 – commonly known as HIPAA. This Act amended the
Internal Revenue Service Code of 1986, adding a new section entitled Administrative
Simplification. This purpose of this section is two-fold in that it requires both improved efficiency
in the delivery of healthcare by standardizing electronic data interchange, and protects the
confidentiality and security of health data by setting and enforcing new standards.
HIPAA required the Department of Health and Human Services (HHS) to publish new rules
ensuring the following:
All electronic patient health, administrative and financial data will be standardized
Unique health identifiers will be created for individuals, employers, health plans and
health care providers
GE is committed to providing the technology necessary to ensure that our systems can be
configured to comply with HIPAA, Subpart C – Security Standards for the Protection of
Electronic Protected Health Information. We are offering procedures to create detailed logs
indicating all access to patient data, including files and images.
Additionally, all of our systems will be configurable so that they can be made password
protected. A screensaver option will be provided that will auto-log off the user after a set period
of time, thus ensuring that unauthorized personnel cannot access sensitive data.
This document offers step-by-step procedures for authorized personnel to follow to set all of the
available security features. It is the responsibility of the healthcare provider to ensure that these
measures are configured and that all necessary personnel are trained on these new features.
These instructions are only to be used by the network administrator or other authorized
person. Setting up these parameters requires changing defaults and other sensitive
settings, and if performed incorrectly could impact the operation of the digital imaging
system.
NOTE: In offering these instructions and the ability for the facility to set all parameters
necessary for HIPAA compliance, GE thus transfers liability for compliance to the
facility.
TM 726-722-G1 Appendix - 6
The Appendices
1. Levels of Protection
While HIPAA establishes standards to ensure the security, confidentiality, and integrity of
healthcare transactions involving patient identifiable information, implementation is left to the
individual facility. Although these security features can be used in a variety of combinations,
we have set up the following guidelines, indicating three levels of protection that can be utilized.
User IDs: At the very minimum, each facility should establish unique user IDs for each
person who will access the system. Enabling individual user accounts eliminates the
possibility of an unauthorized person accessing patient information, or “hacking” into the
program and destroying sensitive information. Additionally, the configuration of unique
user IDs provides the means by which to audit user activity.
See Steps 2.1 – 2.5 for details on this procedure.
Viewing Audit Logs: Every system is configured with the tools necessary to track
program-specific events. For example, every time a patient file is accessed or an image
sent to a printer, a line is written to an audit log in the system. Currently, there are five
such logs – Audit, Audit Database, Audit DICOM, Audit Hardcopy and Audit DHC Printer
- that can be accessed without the need to do any additional set-up.
Refer to Steps 4.4 and 4.5 for instructions.
NOTE: Level 1 Security should only be considered as a starting point in the process of
implementing further security measures.
Besides providing system security, user logins also allow for the tracking of individual
user activity. Every time a user attempts to and/or successfully logs into the system,
an entry will be written to the Windows® 2000 Security Event log.
Each entry will be date/time stamped so that it can be correlated with other log files if
necessary. If a breach of security is identified, this log will indicate the individual that
was logged into the system at the time the breach occurred.
Every system can be configured to display a screensaver if the system is idle for a
preset length of time. This is a standard Windows® function. Using Auto Logoff
enhances this feature, and further boosts system security. When enabled, the system
will first display the screensaver, and then, once a predetermined length of time has
elapsed, the system will automatically log off the current user. Anyone using the system
will need to log back in.
TM 726-722-G1 Appendix - 7
The Appendices
CAUTION: The system will not automatically log off a user when the Clinical
Application is in the Acquire mode. System users must be trained not to
leave the system in the Acquire mode when acquisition for a patient has
been completed.
There are additional security features listed in Section 4, which can be added to any of
the three recommended levels depending on the specific requirements of the facility.
Ultimately, the levels of protection are left to the discretion of the facility. HIPAA does
not dictate how much or how little security should be instituted.
Make sure that all user names are documented and that this information is kept in a
secure location separate from the system for access in the event of disaster
recovery.
To ensure trace ability, HIPAA requires that all individual users have a unique password.
This allows all actions performed to be traced to that unique user. Please follow sections 2.1
and 2.2 to enable individual users with password protection. Use sections 2.3, and 2.4 to
maintain your system.
DisableAutoLogin Requires all users to enter their user name and password to login
EnableAutoLogin Automatically logs in the default user
UpdateGroups Updates the rights of the users to default settings: Administrator
TM 726-722-G1 Appendix - 8
The Appendices
1. Log in as “serviceapp” by left clicking and selecting “Shut Down” > “Log Off
Operator” + hold the Shift key. At the login dialog type “serviceapp” for user name
and “orion” for password.
2. Exit the Service and Clinical Applications.
3. Double click on “My Computer.”
4. Double click on “C:” Drive.
5. Double click on the “DIAG” folder.
• To disable Auto Login, double click “DisableAutoLogin.reg”
• Answer Yes and OK to dialogs that are displayed.
NOTE: To re-enable Autologin, refer to Section 5.3. Before doing this, see the Warning
below.
NOTE: If this error appears, logging will not be available and the system will not record
any activity.
TM 726-722-G1 Appendix - 9
The Appendices
1. Use the following steps to log in using the new users name and password.
2. Right click on the taskbar and select “Properties.” The Taskbar and Start Menu
Properties screen will display.
3. Uncheck the
“Always on top” box as
displayed in this figure.
4. Click “Apply.”
5. Click “OK.”
TM 726-722-G1 Appendix - 10
The Appendices
7. Click “Apply.”
8. Click “OK.”
TM 726-722-G1 Appendix - 11
The Appendices
Use the following steps to change the menu font style, size and appearance for each
user:
1. Double click on the “Display” icon. The Display Properties screen will display.
2. Click on the “Appearances” tab at the top of the screen.
TM 726-722-G1 Appendix - 12
The Appendices
12. Left click on the button and type “\Everyone” into the Name
field in the box that pops up.
13. Click OK to close the “Select User or Group” window.
14. With the “Copy To” dialog appearing similar to as shown above, click the
“OK” button to copy the “operator” profile on top of the default user profile.
15. If a dialog named “Confirm Copy” appears (as shown below), left-click on
the ‘Yes’ button. If no such dialog appears, continue onto step 16.
TM 726-722-G1 Appendix - 13
The Appendices
16. Press OK to close the “System Properties” dialog, then click the ‘X’ in the
upper right-hand corner to close the control panel.
Any users created after this point will now have the settings that we
manually changed for “operator” set upon their creation.
At this point, the following batch files may be run by typing their name into the command
line and pressing [Enter] to automatically create a number of enabled users as follows:
Any displayed Error Messages that read “Error creating local group... (group already
exists)” after running these batch files are expected and can be safely ignored.
TM 726-722-G1 Appendix - 14
The Appendices
Note that unless changed manually later, any accounts created in this fashion will force
the user to change their password on the first logon to a given user account.
Also, if more users are required than there are batch files to accommodate, renaming
the existing user accounts will allow the appropriate batch file to be run again, thereby
creating more users.
6. When you are finished creating new users, type “EXIT” and press [Enter] to exit the
command prompt.
TM 726-722-G1 Appendix - 15
The Appendices
WARNING: Proceed with caution when removing users. The user list also includes
some application names, which, if deleted, can cause system failure.
Be certain before deleting anything.
6. Select “Delete.”
7. Confirm delete by selecting “Yes” on the dialog that comes up.
8. Repeat Steps 5 to 7 to remove another user.
9. Close Computer Management when done.
TM 726-722-G1 Appendix - 16
The Appendices
TM 726-722-G1 Appendix - 17
The Appendices
NOTE: Before starting this procedure, make sure that you are logged in as “serviceapp”
(Password: orion).
The Auto Log off feature protects an individual system from unauthorized access. The site
administrator will determine the length of inactivity required to activate the screensaver and
when to automatically log off the current user.
There are two important points to note when training system operators to utilize this feature.
• The system will not automatically log off a user when the Clinical Application is in the
Acquire mode. System users must be trained not to leave the system in the Acquire
mode when acquisition for a patient has been completed.
• The system will be unable to automatically shut down the Clinical Application and log off
the current user if there are currently active DICOM Send and/or print jobs remaining in
the queue. This applies to active jobs as well as error/aborted jobs that have not been
manually cleared from the queue.
NOTE: If a system is to be configured with Auto Log Off, the Fluoro Inhibit Relay must be enabled.
This relay is enabled via the Relay Outputs dialog within the service application. This relay
will default to “Disabled” and must be Enabled when using the Auto Logoff feature. Refer
to the Service Application Section of the Technical Manual for instructions on accessing
these settings.
Fluoro
Inhibit
Indicator
TM 726-722-G1 Appendix - 18
The Appendices
Current
screen saver
TM 726-722-G1 Appendix - 19
The Appendices
9. To allow the screen saver to log you off when the system has been idle too long,
check the “Enable Auto-logoff” box if it is not already checked.
• The first text field is the number of minutes the screen saver will run.
The valid range is 1 to 240.
• The second text field is the amount of time that the warning message telling
the user what time they will be logged off the system will display.
The valid range is 1 to 60.
To calculate the total time between the time the user leaves the system and when
the computer logs off:
Add up both text fields in Figure 7 and the text field in Figure 8.
When done:
1. Press “OK.”
2. Press “Apply.”
3. Press “OK.”
TM 726-722-G1 Appendix - 20
The Appendices
13. In this folder is a list of options for configuring your screen saver. What follows is a
table outlining what each option does and the recommended setting.
TM 726-722-G1 Appendix - 21
The Appendices
Recommended
Policy Explanation
Setting
Hide Screen Saver No one, including the administrator, will be able to
tab access the screen saver options, as was done in Disable
Section 3.1
Activate screen Enables screen savers to run.
Enabled
saver If disabled, no screen saver will run.
Screen saver Use to set the screen saver name. Once set, the Enabled
executable name user will not be able to change the screen saver
“Liebel.scr”
Password protect Do not enable password protection.
the screen saver To be HIPAA compliant disable this setting.
Screen saver time The amount of time in seconds before the screen
out saver activates. The valid range is 1 sec to 86400
sec (24 hours). Zero (0) is not a valid number.
Enabled
When done:
1. Press the lower of the two “x’s” in the upper right corner of the dialog.
2. Select “Yes.”
3. Select “Save.”
4. Select “Yes” or “Save” again if another dialog pops up.
5. Press the “x” in the upper right corner of the dialog.
TM 726-722-G1 Appendix - 22
The Appendices
Whenever a new user logs on, a splash screen will be displayed. To stop this behavior,
follow the instruction below. You must be logged in as “Serviceapp.”
1. Press the “Start” button
2. Select “Run…”
3. Type in “mmc” and press “OK.”
4. Once the new screen appears, hold down the Ctrl key and then hit the “M” key.
5. Select “Add...”
6. Scroll down and select “Group Policy.”
7. Press “Add.”
8. Press “Finish.”
9. Press “Close.”
10. Press “OK.”
11. From the left side of the window, open the folder “Local Computer Policy” by left
clicking on the “+” sign to the left of the folder title. Continue to expand down by
clicking the “+” signs next to User Configuration -> Administrative Templates.
12. Left click “System”, as in Figure 33.
TM 726-722-G1 Appendix - 23
The Appendices
One of the primary purposes of HIPAA is to ensure patient confidentiality and protect patient
files from unauthorized access. It is important to be able to track who is accessing this
information and when.
Every time a user attempts to and/or successfully logs into the system, an entry will be written to
the Windows® 2000 Security Event log. This entry will be date/time stamped so that it can be
correlated with other log files if necessary. These logs will not be available for viewing until at
least one item as been logged into each file.
This section explains how to view Windows® 2000 events and what they mean.
1. Double click on “My Computer.”
2. Double click on the “C:” drive.
3. Double click on the folder “DIAG.”
4. Double click on EventViewer.exe to run the application.
5. If this is the first time opening the log then:
a. Right click on “Security.log.”
b. Go to “Open with.”
c. Check the box “Always use this program to open these files.”
d. Select “Notepad” in the list.
e. Press “OK.” And close the file that is opened.
Otherwise, double click on “Security.txt.”
A list of all events relative to the Image_Db folder will display. All entries are in the following
format: “username action filename on date at time.” The oldest events are shown first. New
events are added to the bottom of the list. Use the Down Arrow keys or slider to scan the list.
For an example of a security log, reference Figure 19.
Figure 19 – Security Log; The highlight box area in this log entry indicates
that the user (tech1) successfully logged off on 11/12/2003 at 08:58:09.
TM 726-722-G1 Appendix - 24
The Appendices
An entry will be written to the “Audit” log each time the Application Manager, Database
Validator, Clinical Application or Service Application is started. This entry will be
date/time stamped so that it can be correlated with other log files if necessary.
Additionally, an entry will be written to the “Audit” log each time any of the patient
demographic information is accessed. This entry will also reflect the type of access
(i.e. create, read, edit, delete).
There are three other audit logs in the C:\DIAG folder:
• Audit_DICOM.log
• Audit_Hardcopy.log
• Audit_DHCPrinter.log
Double click on any of these files to view them. Note that all three logs follow a similar
format:
Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, total frames sent frames action to location.
Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, is opened for review.
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Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, is deleted with “n” frames
The DICOM log contains information about patient images that were sent to other PCs
networks or archived to a CD. This log is quite specific in that it indicates the study,
series and sequence, but also how many frames were sent and their destination.
Reference Figure 22 for a typical DICOM log.
Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, total frames sent frames action to location.
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The Hardcopy log contains information about printing images. Note that the log
indicates the Destination Printer be it DICOM or Windows®.
Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, total frames sent frames action to location.
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The DHC Printer log contains information about printing images to a DHC Printer
Destination.
Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, total frames sent frames action to location.
There are known delays in Windows® log off events when you compare the actual log
off time to what the log will say. If you are logging off rapidly, the log can look illogical.
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In addition to the method for accessing audit logs described in the preceding sections,
these logs can also be accessed through the System’s Service Application. To access
these logs:
1. Click on the “Utilities” button on the Service Application GUI. The Utilities Menu
will display.
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3. A screen will display indicating all the logs that are available to view.
4. Left click on the log that you wish to view, and it will display.
For example, click on and the Audit Log will display in Notepad format.
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5. Additional Settings
This section provides information on how to better protect your system from threats.
C:\DIAG contains almost all HIPAA related applications. If an unauthorized person were
to access this folder, they could modify or destroy the log files or how the application
runs.
a. Click
b. Click “Shut down”
c. In the “Shutdown Windows Box,”
click on “Log off as operator,”
and then enter
Administrator login
information in the screen.
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At this point, configure the access rights for this folder. Add all users first, and then
configure each user.
6. Select “ORION_TECH.”
8. Press “Apply.”
9. Press “OK.”
10. Close Windows® Explorer
by clicking on the in the
upper right corner of the window.
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Recommended
Policy Explanation setting
Enforce password New passwords cannot be the same as the
history last X passwords, where X is the value you 6
set this variable to.
Maximum password age The amount of time until a password must
30 days
be changed.
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5.3 Appendices
1. To enable auto-login, you must first follow these steps to ensure that the user
“Operator” still exists:
a. From the desktop, right click “My Computer.”
b. Left click “Manage.”
c. Left click the “+” and expand “Local Users and Groups.”
d. Left click “Users” folder, and check to see if the name “Operator” is still on the
list.
If yes, continue with these steps.
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