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Introduction

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
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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.

List of Change Pages


Revision Page Number
A All
Intro (Revision History), Step 2 (Camera calibration section rewritten), Step 3 (Removed reference to powering up monitors), Step
B
7 (Rewritten), Appendices (Updated Generator Compatibility list.)
Deleted Step 6 and reordered remaining steps. Step 1 (Changes to 2. Supplied Cables, deleted section 4.3.3), Step 2 (Rewrote
C
entire section), Step 4 (Sections 2.2 – 2.6 rewritten), Step 8 (New “Recommended Dose” chart), Eliminated Appendix D
Service Applications (Expanded IP settings section, added section 5 & 6 to explain backup/restore, added more detail about
D
changing language settings in Utility section), Step 2 (4.2, 4.2 changed factory % round field restrictor diaphragm to 32%)
E Service Application (Section 5 & 6, corrected per M.Smith), Added Appendix D (Troubleshooting)
Update Len replacement & calibration procedure to Heliflex type (affects step 1, 2, 4, 5, 6, PM, CM and Service App. Overview);
F
add AEC (High, Med, Low) Control Settings, Appendix addition – Add HIPAA Manual
Introduction Additions: Warranty Summary, System Usage Statement, Electrical Warnings,
Electromagnetic Compatibility Compliance; Step 1 – Cables & Components all updated to match
G current HW configuration, Prev. Maint. update photos, add Y2007 HW component Replacement Procedures, Add Heliflex Lens w/
LRG format camera procedure to Camera Installation section #2; Add EMC term to Appendix A; Add optional/additional Serial I/O
board in chassis shown in Step 1, Overview, Step 4,
TM: Y2007 HW; w/dual serial I/O additional optional board at location Pos#5; LVDS at Pos#4; add DVD features visually to
CD/DVD replacement procedures Para 4.2 in CM section; Service App. Overview updated Backup & Restore procedures from
H
floppy to CD; updates throughout entire manual. Remove Corrective Maintenance section through SCR#10741; remove
CM from install file also.

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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

Service Applications Overview

System Installation Instructions:


Step 1 - Components and Cables
Step 2 - Camera Installation
Step 3 - Power Up/Power Down Testing
Step 4 - Connect and Test the Generator Interface Module (GIM)
Step 5 - Set System Parameters
Step 6 - Auto Calibration
Step 7 - System Testing
Step 8 - Recommended Doses and Exposure Factors

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

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Using This Manual

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

PACE®, SHOTSAVE™, INFIMED®, PlatinumOne™ and EXPOSET® are trademarks of


InfiMed, Inc., Liverpool, NY, USA.

® is a trademark of Microsoft Corporation.

DICOM by Merge.

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Manual Conventions

NOTE: Notations are made for information which requires specific consideration,
but for which there is no risk of damaging the system.

CAUTION: Caution statements are given before any procedures, which if


performed incorrectly could cause damage to the system, danger
to the operator or patient, or loss of patient or image data.

WARNING: Warning statements are placed wherever the information given is


critical to proper operation of the system within UL, IEC, and FDA
guidelines.

Tools and Test Equipment

Digital Volt-Ohm meter (20,000 ohm/Volt)


Phillips screwdrivers (small, medium, large)
Flat blade screwdrivers (small, medium, large)
Metric Hex key set (1.5mm to 6mm)
Socket set (to one inch with appropriate driver)
Dose Meter
Ruler
ESD wrist strap with alligator clip
X-ray phantoms:
Line Pair Resolution
15 cm Lucite (homogeneous density)

Warranty Summary

!!! ATTENTION !!!


Failure to comply with Warranty Requirements, will VOID MANUFACTURER WARRANTY.

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!

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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.

This Equipment is classified:


• Protection Against Electric Shock – Class I
• Degree of Protection Against Electric Shock – Type B
• Degree of Protection Against Ingress of Water – Ordinary
• Mode Of Operation – Continuous
.

! ATTENTION ! This System is intended for diagnostic fluoroscopic use only.

! ATTENTION ! SEE ELECTROMAGNETIC COMPATIBILITY FOR ADDITIONAL PRECAUTIONS.

This system is not intended for use in an environment with flammable


WARNING: anesthetics mixture with air or with Oxygen or Nitrous Oxide
Consult GE regarding defective spare parts. An RMA (Return Materials
WARNING: Authorization) must be issued to return parts.
At the decommissioning of the system consult GE for the proper disposal
WARNING: of parts or contact your local regulatory agency.

Use of any hardware and/or software not provided by GE is strictly


WARNING: prohibited. To do so may void the warranty.
Do not access the operating software without prior service training in the
WARNING: maintenance of the Precision RXi product line. To do so may corrupt files
and cause improper functioning of the Precision RXi.
Do not attempt to alter any system hardware unless the procedure is given
WARNING: in the Preventive section of this manual, or supplied with a part provided
by GE. Doing so could disrupt the functioning of the system and result in
loss of images.

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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.

THIS INSTRUMENT MUST BE GROUNDED! A three-conductor AC


WARNING: power cable is supplied with this instrument (at the Isolation Transformer)
to provide the proper electrical ground. To minimize the shock hazard the
power cable must be plugged into an approved, Hospital-grade, three
contact electrical outlet.

The Precision Imaging System must be powered through the Isolation


WARNING: Transformer unit supplied with the system (Part #735-272-G14 for 120V,
735-272-G15 – 230V, 735-272-G16 – 100V). The Isolation Transformer
must NOT be positioned on the floor (see note below).

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.

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There are no operator-serviceable parts within the this imaging system.


CAUTION: Operators should not attempt to remove any panels or replace any parts.
Refer all servicing to qualified personnel trained in the maintenance of the
Precision Imaging System.

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.

Do not position or use this system in a location where it may be subject to


WARNING: splashed or spilled liquids!
During installation of the system, care must be taken to prevent the
WARNING: potential risk of electromagnetic interference between this equipment and
other devices. The device has been tested for EMC Compliance, but
interference can still occur in an electomagnetically noisy environment.
Attempt to maintain a suitable distance between electrical devices to
prevent cross-interference. The PC cabinet should be as far as possible
from any such device to prevent noise from affecting the image video
signal.

WARNINGS: In addition to the


! label, the following additional Warnings
appear in English on the Isolation Transformer:

THESE OUTLETS OUTPUT 120VAC


50/60Hz AT 8AMPS MAXIMUM
POWER FACTOR 0.8 +/- 10%
THE AMBIENT OPERATING TEMPERATURE
RANGE OF THIS SYSTEM IS 18-30 C

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.

GROUNDING RELIABILITY CAN ONLY BE ACHIEVED WHEN CONNECTED


TO AN EQUIVALENT RECEPTACLE MARKED HOSPITAL GRADE.
CAUTION: TO REDUCE THE RISK OF ELECTRICAL SHOCK, DO NOT REMOVE
COVER. REFER SERVICING TO QUALIFIED SERVICE PERSONNEL.

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Power Requirements

System Power Specifications


120 VAC - 50/60 HZ
8.0 AMPS

Power Phase Voltage Hz Amps


Single 90-132 50/60 8
Single 198-242 50/60 4

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.

• A dedicated A.C. outlet is required. Dedicated is defined as no other branch circuits


exist and where the outlet is powered directly from a circuit breaker in the local A.C.
distribution panel.
• Peak impulse levels (line to neutral) are to be under 100 volts peak above nominal
(peak time interval 2 mSec. or less).
• The neutral wire should be the same gauge as the line wire.
• Frequency requirements: for 60 Hz system: 60 Hz +0.5 Hz
for 50 Hz system: 50 Hz +0.5 Hz
• Neutral to ground potential: 2 V p-p or less.
• For European applications where the system will be powered by 230 VAC, an
approved male plug must be used on the isolation transformer provided it has ratings
of 250 VAC, 5A or greater.

Electrical requirements associated with Electromagnetic Compatibility (EMC)

For the ELECTRICAL ATTENTION statements below,


see Guidance Tables 201 and 202 in the Electromagnetic Compatibility (EMC)
Paragraph in this Section for specific information.

EMC Compliance with EN60601-1-2:2001-09 Section 6

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! ATTENTION ! Special Precautions Regarding


Electromagnetic Compatibility (EMC);
Medical Electrical Equipment needs to be installed and put into service
according to the EMC information provided in the
Guidance Tables for Emissions and Separation Distances.

Portable and Mobile RF Communications Equipment


! ATTENTION ! can affect Medical Electrical Equipment.

Suggested Optimum Usage:


! ATTENTION ! To NOT place equipment or system adjacent to
or stacked with other equipment.
If absolutely necessary, take extra precaution to verify
normal operation of the configuration used at the site.

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Electromagnetic Compatibility Compliance (EMC)

This paragraph contains important information about equipment/system emissions, installation


placement, immunity, and separation distances for safe usage in regards to this System with
the LARGE Format Camera only.

• Table 201 – Emissions


• Table 202 – Immunity
• Table 204 – Emissions, Not Life-Supporting
• Table 206 – Separation Distances, Not Life-Supporting
-------------------------------------------------------------------------------

Guidance Table 201 (IEC 60601-1-2:2001-09 Sec6; 6.8.2.201)

Guidance and Manufacturer’s Declaration


EMISSIONS -- All Equipment and Systems
This System with a 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.
EMISSIONS Test Compliance Electromagnetic Environment – Guidance
This System with a LARGE Format Camera uses RF energy only
RF Emissions Class A, for its internal function. Therefore, its RF emissions are very low
CISPR 11 Group 1 and are not likely to cause any interference in nearby electronic
equipment.

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

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Guidance Table 202 (IEC 60601-1-2:2001-09 Sec6; 6.8.2.201a)

Guidance and Manufacturer’s Declaration


IMMUNITY -- All Equipment and Systems

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.

IEC 60601 Compliance


IMMUNITY Test Level Electromagnetic Environment – Guidance
Test Level
± 6kV Contact Floors should be wood, concrete or ceramic
EDS ± 6kV Contact
tile. If floors are synthetic, the r/h should be
IEC 61000-4-2 ± 8kV Air ± 8kV Air at least 30%.
Equipment Under Test (EUT) passes with a
reduced compliance level. Degradation was
± 2kV Mains ± 2kV Mains noted and communications lost between
EFT
mouse and PC, but was regained once the
IEC 61000-4-4 ± 1kV I/Os ± 0.5kV I/Os test disturbance was removed. Mains power
quality should be that of a typical commercial
or hospital environment.

± 1kV Differential ± 1kV Differential


Mains power quality should be that of a
Surge
typical commercial or hospital
IEC 61000-4-5 ± 2kV Common ± 2kV Common
environment.
>95% Dip for >95% Dip for Mains power quality should be that of a
0.5 Cycle 0.5 Cycle typical commercial or hospital environment.
If the user of this System with LARGE
Format Camera requires continued
60% Dip for 60% Dip for operation during power mains interruptions,
Voltage Dips / 5 Cycles 5 Cycles it is recommended that this System with
Dropout LARGE Format Camera be powered from
IEC 61000-4-11 30% Dip for 30% Dip for an uninterruptible power supply or battery.
25 Cycles 25 Cycles

>95% Dip for >95% Dip for


5 Seconds 5 Seconds

Power Power frequency magnetic fields should be


Frequency that of a typical commercial or hospital
50/60Hz 3 A/m 3 A/m environment.
Magnetic Field
IEC 61000-4-8

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Guidance Table 204 (IEC 60601-1-2:2001-09 Sec6; 6.8.2.201b)

Guidance and Manufacturer’s Declaration


EMISSIONS – All Equipment and Systems, NOT LIFE-SUPPORTING

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.

IEC 60601 Compliance


IMMUNITY Test Electromagnetic Environment – Guidance
Test Level Level

Portable and mobile communications


equipment should be separated from this
System with a LARGE Format Camera by no
less than the distances calculated / listed
below:

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

Radiated RF …where P is the max power in watts and D


3 Vrms
IEC 61000-4-3 is the recommended separation distance in
80 kHz to 2.5 MHz 3 Vrms
meters.
Field strengths from fixed transmitters, as
determined by an electromagnetic site
survey, should be less than the compliance
levels
(V1 and E1).
Interference may occur in the vicinity of
equipment containing a transmitter.

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Guidance Table 206 (IEC 60601-1-2:2001-09 Sec6; 6.8.2.201b)

Recommended SEPARATION DISTANCES – Between Portable and Mobile RF


Communications Equipment and this System with a LARGE Format Camera.
Equipment and Systems that are NOT LIFE-SUPPORTING

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.

Separation (m) Separation (m) Separation (m)


MAX Output Power 150kHz to 80MHz 80 to 800MHz 800MHz to 2.5GHz
(Watts)
D=(3.5/E1)(Sqrt P) D=(3.5/E1)(Sqrt P) D=(7/E1)(Sqrt P)

0.01 .1166 .1166 .2333


0.1 .3689 .3689 .7378
1 1.1666 1.1666 2.3333
10 3.6893 3.6893 7.3786
100 11.6666 11.6666 23.3333

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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.

Temperature Humidity Atmospheric Pressure


700 - 1060 hPA
Operation 64.4o to 86o F 20% - 80% Altitude to 3000 M above sea level
(Ambient) 18 o to 30 o C noncond (9842 feet)

700 - 1060 hPA


Transport and -40o to 140 o F 10% - 80% Altitude to 120000 M above sea
Storage -40o to 60o C noncond level (39,370 feet)

Flat Panel Monitor Specifications

A flat panel monitor must meet the following specifications in order to be used with the
Precision System:

Resolution 1280X 1024


Input Signal SVGA Analog Interface (75Hz progressive)
(Composite or Non-Composite)
SVGA Composite BNC
SVGA Non-Composite 15 pin DSub
Aspect Ratio 5:4
Contrast Ratio >=600:1
Brightness >=700 cd/m2 Max (White Luminance)
Response Time Tr=20 mS (black to white) Tf=5mS (black to white)
Regulatory UL/C-UL (Medical Safety), CE

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Video Output Control

The normal video output from the Precision System is as follows:

• 60 Hz Progressive
• Aspect Ratio = 5:4
• Resolution – 1280 x 1024
• Non-composite SVGA **

**Composite and non-composite outputs are available.

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.

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When Calling for Help . . .

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

For Service, see information below for your location:

Diagnostic Imaging
Division Phone # More Info.

TiP Applications Support 800-682-5327

Service: On-Site 800-437-1171


Click Here;
Service: Parts 800-558-2040
www.gemedicalsystems.com
Sales: Accessories/Supplies 800-558-5102
Sales: New Equipment 800-886-0815
Sales: New Equipment
888-526-5144
LOGIQBook Compact Systems
Click Here;
Sales: Service 262-312-7399
www.gemedicalsystems.com
Click Here;
Canada 800-668-0732
www.gemedicalsystems.com
Click Here;
Latin America 305-269-4000
www.gemedicalsystems.com
Europe Click Here; www.gehealthcare.com
Middle East / Africa Click Here; www.gehealthcare.com
Click Here;
Asia
www.gemedicalsystems.com

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Introduction

Canadian Contact Information


Products Diagnostic Imaging
General Electrics, CGR, Lunar, SMV,
Yokogawa Medical Systems (YMS),
Brand OEC
Johnson and Johnson, Technicare,
Elscint, Diasonics
Accessories &
800-668-0732 x3 800-668-0732 x3
Supplies
On-Site Service 800-668-0732 x1 800-668-0732 x1
Service Parts 800-668-0732 x2
New Equipment
800-668-0732 800-668-0732
Sales

To obtain your software information from the User/Clinical Application:


At the upper portion of the Clinical Interface:

1. Click on button at the Main Image screen.

2. A new Status screen will display.

3. Click on Tab labeled .

4. A new Version screen will display.

5. The serial number (S/N) will be in format: RXI xxx-xxxx.

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Sample
Information

Version Information Screen (from Clinical Application)

Locating your Site ID, Serial Number /Model Name Information:


From the Service Application:
Select the Config button, System Configuration Option, and then the Site Info Tab to see your
system’s information.

Version Information Screen (from Service Application)

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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.

Mouse 1. Remove the bottom cover. Arrows on the cover


indicate the direction in which the cover should be
rotated.

2. Place two fingers on the mouse cover and


push in the direction of the arrows.
3. Once the cover has rotated about an inch, rotate the mouse into its normal
position covering the bottom of the mouse with one hand.
The bottom should fall off and the mouse ball should be accessible.
4. Once the bottom cover and the ball are removed, three rollers located within
the mouse will be visible.
5. Use your finger/fingernail to move the rollers in a horizontal direction.
This action will loosen up any debris in the middle or the roller for removal.
6. Once any dirt has been removed, place the ball back inside the mouse and
replace cover.

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System Shipment Information

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.

CAUTION! The Precision System is composed of sensitive electronic devices.


Follow all CAUTION stickers regarding Careful Handling, Do Not Drop, etc.

Applicable Standards

• FDA (Food and Drug Administration)


• UL 2601 (Underwriters Laboratories) – Second Edition
• FCC (Federal Communications Commission)
• IEC 60601.1 (International Electro-technical Commission)
• CE Mark
• CAN/CSA C22.2 No. 601-1
• CFR (Code of Federal Regulations), Title 21, Chapter J, part 1020.30 – “Diagnostic X-ray
systems and their major components”

TM 726-722-G1 Intro - 26
Introduction

This form must be completed by a Service


Engineer and returned within thirty-(30) days
of first clinical use. All blanks must be
Installation Report completed. Enter N/A if not applicable.

Installation: New Reinstalled Used Date: / /

System Serial Number:

Site Information Distributor Information


Name: Name:

Street Street:

City, State, Zip City, State, Zip

Department Administrator: Service Engineer:

Phone: Phone:

E-mail address E-mail address:

Survey Completed by (print)

Signed: Date:

Room Configuration:
Mounting Port Used: Radial (Side)____ Axial (Top)____

Fluoro Imaging?____ Spot Imaging?____

Continuous Pulsed Yes No

Camera ABC in Use? Yes____ LC____

High Resolution Monitor Make: Model:

Control Station In: Exam Area_____ Control Area_____

Are all interface cables clearly labeled? Yes_____ No_____

Distance from PC to patient area:

Modem Telephone Number:

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.

Procedure Pass Fail N/A


Baseline data on previously installed digital system
System calibration completed. Document image quality parameters,
including noise, resolution, uniformity and signal range
System configuration complete
System powers up
Review of test images with image processing, including W/L/I, edge,
mask with reregistration, zoom
Acquisition of fluoro images – integration, edge, W/L/I, fluoro store, LIH
Acquisition of fluoro loops – loop acquire, loop replay, store loop –
Acquisition of spot images – single shot, rapids
LIH – store, W/L/I, edge
Review of acquired images – W/L/I, edge, mask with reregistration,
zoom with pan, AIO
Hardcopy – different formats
Digital Host Control or DICOM hardcopy
Export / Import of data via DICOM
System diagnostics

TM 726-722-G1 Intro - 29
Introduction

For QA Use Only: Log #:


System Serial Number: Installation Date:

Were any parts damaged in Yes_____ No_____


shipment?

If Yes, record all components that were removed and/or replaced:

Removed Component Replacement Component

Part Name IPN S/N Part Name IPN S/N

Comments:

TM 726-722-G1 Intro - 30
Service Interface Overview

SERVICE INTERFACE OVERVIEW


Table of Contents
INTRODUCTION ..........................................................................................................................3
1. OPENING THE SERVICE APPLICATION .......................................................................3
1.1 OPENING SERVICE APPLICATION FROM THE CLINICAL APPLICATION ...................................................... 4
2. SERVICE APPLICATION USER INTERFACE.................................................................5
Service Applications Menu................................................................................................ 6
3. SERVICE FUNCTIONS ....................................................................................................7
UTILITIES – MANUALS ....................................................................................................................... 18
UTILITIES – LOG FILES ...................................................................................................................... 19
4. INTERFACE SIGNALS...................................................................................................27
4.1 CHANGING INTERFACE SIGNALS ........................................................................................................ 28
4.1.1 Input Tab ......................................................................................................................... 28
4.1.2 Analog Tab...................................................................................................................... 29
4.1.3 Relay Tab........................................................................................................................ 29
4.2 IMAGE ENHANCEMENT BUTTONS ....................................................................................................... 30
5. SYSTEM BACKUP PROCEDURE .................................................................................34
6. SYSTEM RESTORE PROCEDURE ...............................................................................36

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.

1. Opening the Service Application

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”.

1. Turn on the computer.


2. Once the computer has run its initial Setup dialog, immediately begin holding down
the left ×shift key until the Windows® Login screen displays.

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

1.1 Opening Service Application from the Clinical Application

1. Right click within the Main Image Area to access the Service Application Menu.

2. Click to enter the Service Application.

3. A Login screen will appear. Enter User Name and Password.

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:

Designation Login Information Level of Authority

User Name: operator Access to Clinical Application


Clinical Personnel Password: orion only.

Access to Clinical Application


User Name: serviceapp
Service Personnel Password: orion
and all functions of Service
Application.

Administrative
Access to Clinical Application
Personnel User Name: administrator and all functions of Service
(can include Password: PlatinumOne Application.
Service Personnel)

• All passwords are case sensitive.


• After three failed attempts to open the Service Application using an incorrect User
Name or Password, the system will return the user to the Clinical Application
screen.
• Contact the Network Administrator if you have problems logging in.

TM 726-722-G1 SA - 4
Service Interface Overview

2. Service Application User Interface

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.

Service Use buttons in this section to activate


Application Service Functions to include:
Menu
– • User Accessible Service Information
• System Level Configuration Options
Service • Interface Signal Display
Functions
• System Calibration
• Image Quality Analysis
• Diagnostics
• Utilities

Interface
Signal
Interface Signal Display.
Select from:

• Input
• Analog
• Relay

Buttons to activate specific Image


Enhancement Functions, including:
Image
Processing • Standard Cursor Default
• Brightness/Contrast Control
• Edge Enhancement
• Integration
• H Invert
• V Invert
• Default
• Version Info
TM 726-722-G1 • Exit SA - 5
Service Interface Overview

Service Function Buttons


Click on button to activate specific Service
Function. When a button is activated, it will
appear lighter on the screen than the other
buttons. Specific functions are as follows:
(Basic descriptions follow in Paragraph 3).

Service Applications Menu – Service Function Buttons

TM 726-722-G1 SA - 6
Service Interface Overview

3. Service Functions

NOTE: To open the Service Applications Menu, follow instructions in Section 1


(Accessing Service Application Menu).

Service Function Buttons – Basic Descriptions:

Click on Fluoro to acquire Fluoro images.


Fluoro button will be white when Fluoro is activated.

Click on Spot to acquire Spot images.


Spot button will be white when Spot is activated.

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.

Select test patterns to be used when running test procedures on certain


monitors and cameras. Click on Test Patterns to open function screens.
Click Clear to reset default settings. This will also clear the Custom LUT
box. More information on Test Patterns is provided later in this section.
System Configuration consists of a series of screens, each screen
offering tabs for access to menus specific to the parameters of the
individual screen. Click Config button to run. Configuration allows for
x-ray system adaptation.
Selecting Calib (Calibration) Mode enter the start screen for Camera
Calibration. Complete instructions for each procedure are written in the
box under the tabs near the top of the screen. Click Calib button to
RUN.
Image Quality Assessment Features: Click on IQA button to access
Image Quality Assessment Feature tabs. Select options from tabs at
top of the screen.

More information on IQA is provided later in this section.


This digital imaging system offers graphical representation of the circuit
boards used for conducting system diagnostics. Click on DIAG to open
function screens. See System Testing and Preventative Maintenance
(Diagnostics) for complete instructions.

TM 726-722-G1 SA - 7
Service Interface Overview

Update is used when software or hardware upgrades are made to the


system; works in conjunction with the software CD supplied with Update.
Click on Update to open function screens. More information on Update
is provided later in this section.
Click Utilities to display Windows Utilities Screen. More information on
Utilities is provided later in this section.

Service Function Buttons – Detailed Descriptions:

The Display LUT dropdown allows


selection of each Display LUT
defined in the system for review
purposes only. This feature does
not currently allow for editing of
system defined Display LUTs.

Select Exit to Return to the


Main Service Application screen.

TM 726-722-G1 SA - 8
Service Interface Overview

Select Test Patterns to be used when running Test procedures on


cameras.

Click on Test
Patterns to
open Function
Screens.

Main Image Screen with


Service Application
User Interface

Double-click on desired Test Pattern


GUI showing Test Patterns Thumbnail to display the selected image
available on the system. in the Main Image area.

TM 726-722-G1 SA - 9
Service Interface Overview

Click Config to open Configuration Screens.


The Precision RXi configuration consists of a series of screens, each
screen offering tabs for access to menus specific to the parameters of
the individual screen.

Configuration screens are discussed in the System Parameters


Section (Step 5).

Clicking on “Calib” (Calibration) will automatically bring up the screen to


begin Camera Calibration. The procedure is worked step-by-step: ABS,
Iris, Measuring Field Size, Timing, and Video Level – with systematic
screens covering each step.

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

Click on IQA to access Image Quality Assessment features.

Select options from tabs at top of the screen.

Instructions for
each tab are
shown in box.

Line Pair Resolution

Main Transfer Frequency

Region of Interest Density

Uniform Density

Wave Form

TM 726-722-G1 SA - 11
Service Interface Overview

The Precision RXi offers a graphical representation of the circuit boards


through which system diagnostics are conducted.
Refer to Step 7 – System Testing and Preventative Maintenance
(Section 1-Diagnostics) for complete instructions.

Click Update to open Function Screens.


Update is used when software or hardware upgrades are made to the
system. Works in conjunction with software CD supplied with update.
You must be logged in with Administrator Rights, as “serviceapp” or
“administrator” to perform Service Functions.

Hardware Update Screen

TM 726-722-G1 SA - 12
Service Interface Overview

Utilities functions allow access to the Windows® 2000 functions,


Manuals, and Error Logs.

TM 726-722-G1 SA - 13
Service Interface Overview

The Utilities functions are as follows:

Activates a blank Windows® Notepad screen, which acts as a


generic text editor.

Click for Windows® Date/Time window. Change Date and Time


as well as Time Zone.

TM 726-722-G1 SA - 14
Service Interface Overview

Access Computer Management tools including system tools,


storage functions, services and applications.

Use to set languages for the system, location as well as other


regional options.

TM 726-722-G1 SA - 15
Service Interface Overview

Use to change Time format, Symbols etc.

TM 726-722-G1 SA - 16
Service Interface Overview

Use to change Date format.

Use to customize Keyboard to user’s specifications.

TM 726-722-G1 SA - 17
Service Interface Overview

• Add additional network connections, access dial-up


connections, LANs or other network components.
• Add additional networking components by clicking
Make New Connection.

NOTE: You must be logged with Administrator


Rights, as “serviceapp” or “administrator”
to access this function.

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

Utilities – Log Files


The Log File buttons
allows various Error Log
Files to be viewed. There
are numerous Error Log
Files for external transfers
to internal communications
status.
These functions have not
been implemented in this
version of the digital
imaging system.
Refer to Step 7 for
information on accessing
the System’s Log Files.

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.

To set IP Address, follow these steps:

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.

2. Click on Local Area Connections.

TM 726-722-G1 SA - 20
Service Interface Overview

3. Once the General Tab opens, click on the Properties button.

4. Click on
Internet Protocol.

TM 726-722-G1 SA - 21
Service Interface Overview

5. Click on Use the


Following IP address.

6. Enter the IP Information


as indicated.

NOTE: For more options,


click “Advanced.”
Or… Select OK to
Exit all windows.

Add additional gateways


from this window.

TM 726-722-G1 SA - 22
Service Interface Overview

Advanced TCP/IP Settings – IP Settings


Set IP addresses, Subnet Mask, and default
Gateway for DICOM network connection.

Advanced TCP/IP Settings – DNS


Set DNS Server addresses,
and configurations.

TM 726-722-G1 SA - 23
Service Interface Overview

Advanced TCP/IP Settings – WINS


Set WINS Configurations rarely
used on the digital imaging system.

System Properties – General


Allows setting of 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 - 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.

System Properties – Device Manager


Under System Properties, click the Hardware
Tab:

• Clicking the Device Manager button


accesses the 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 - 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.

The IAPDB appear in the Device Manager,


listed under the Other Devices category.

TM 726-722-G1 SA - 26
Service Interface Overview

4. Interface Signals

Interface signals can be viewed in the


center of the Service Application GUI.

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.

Exploded View – Interface Input Screen

TM 726-722-G1 SA - 27
Service Interface Overview

4.1 Changing Interface Signals

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).

4.1.1 Input Tab


The systems defaults to the Input signal.

All settings are OFF on this


system at this time. A white box
indicates setting is ON.

Single click within the Input


Signal Screen to access the
Interface Signal – Input Lines
Interactive Menu. Interface Signals - Input I/O Menu

TM 726-722-G1 SA - 28
Service Interface Overview

4.1.2 Analog Tab Analog Tab is not available for the


Precision RXi product.

4.1.3 Relay Tab

TM 726-722-G1 SA - 29
Service Interface Overview

4.2 Image Enhancement Buttons

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.

Interface Signals - Relay Menu

Image Enhancement Buttons

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).

Precision RXi Integration


Click to set Level of Integration. 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:

-Integration is OFF

- Integration is set at level 1

- Integration is set at level 2

- Integration is set at level 3

- Motion Correction is set at level 1

- Motion Correction is set at level 2

- Motion Correction is set at level 3

- Motion Correction is set at level 4

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:

- Edge Enhancement set at level 1

- Edge Enhancement set at level 2

- Edge Enhancement set at level 3

- Edge Enhancement set at level 4

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

5. System Backup Procedure

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.

At the (screen name) Select > Select


Local Disk To Disk
Peer-to-peer Partition To Image
Ghostcast Check From Image
Options
Quit

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.

CAUTION: Backup CDs MUST BE HANDLED AND STORED IN A MANNER


THAT PREVENTS DAMAGE. A scratched CD cannot be read for
restore purposes.

TM 726-722-G1 SA - 35
Service Interface Overview

6. System Restore Procedure

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.

CAUTION: Proper ESD procedures must be followed when replacing any


electrostatic sensitive component in the system. An ESD ground strap
may be connected to any point on the cabinet chassis.

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) Rear Chassis


Screws (each side)

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

Chassis Side View - Hard Drive Replacement

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.

5. At the Question: screen, click the Yes box.


6. At the Span Volume [1] Done screen, remove the CD (1 of 2) and replace with the
second CD (2 of 2). Wait approximately 15 seconds and then click the OK box.
7. At the Clone Complete screen, click the Continue box.
8. Remove the CD and place both CDs back in this manual.
9. At the Local, Peer-to-Peer, Ghostcast, Options, and Quit screens click Quit.
10. At the Quit Symantec Ghost screen, click the Yes box.
11. When the DOS prompt appears (A:\GHOST), turn the system PC’s power off.

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

STEP 1 – COMPONENTS AND CABLES


Table of Contents

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

1.1 Are All the Pieces on Hand?

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.

• Shock indicators or loose components signal harsh treatment.


• Check cable connectors for bent pins.
• If any component appears to be damaged, contact us immediately.
• DO NOT PROCEED IF ANY COMPONENTS OR CABLES ARE MISSING,
OR IF ANY PIECES ARE DAMAGED.

1.2 Identifying Components


Note that pictures may vary slightly from the actual item shipped. Newer versions of
these items may be shipped before the picture shown is updated.

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

Pointing Device: • Wheel Mouse – shown


• Track Ball – available

Keyboard • Standard 104 key w/PS2 connector.

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

Isolation Transformer The system must be powered through the isolation


transformer supplied by the manufacturer. Do not simply
plug the system into a wall outlet!
Verify correct voltage rating (shown on the side of the
isolation transformer).

Digital CCD Camera: • 1024 X 1024 X 12 bit digital acquisition


LARGE or SMALL Format • Automatic System Calibration/Set-up
• Image quality analysis/Measurement software
LARGE NOTE: LARGE and SMALL Format CCD Cameras
Format configured with either a HELIFLEX LENS
system (shown below), a TANDEM LENS, or
a HELIGARON LENS.

SMALL
Format

Heliflex Lens System

TM 726-722-G1 Step 1 - 4
Step 1 – Components and Cables

2. Supplied Cables Chart

Refer to Interconnection diagram. For cables involved in the generator connection, refer to Step 4.

Connects from… Connects


Part # / Cable Name Looks Like . . . NOTES
to…
068-113 Isolation -6 foot length
Power Cable for PC PC
Standard 3-prong plugs Transformer

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

Connects from… Connects


Part # / Cable Name Looks Like . . . NOTES
to…
726-204-G1
LVDS Cable

PC -100 foot length


Camera LVDS

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.

If issues arise regarding component placement, the restrictions described


here should be given the highest priority. The safety and image quality of
the system as a whole is directly affected by these restrictions.

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

• The PC is normally positioned in the control room in an area convenient


during normal system operation (i.e. close to the monitor/keyboard/pointing
device).
• The PC cabinet must NOT be positioned within a 6-foot radius of the x-ray
table.
• The PC cabinet must be positioned within 100 cable feet of the x-ray
generator.
• Pay careful attention to other high frequency-generating equipment in the
room. The PC cabinet should be as far as possible from any such device to
prevent noise from affecting the image video signal.
• Be sure to allow enough room for service personnel to gain access to the
inside of the cabinet if necessary when performing service on the PC.
• Ensure a minimum 4" clearance at the front and rear of the cabinet for
ventilation.
• PC cabinet must be positioned on a flat, level surface and checked for
stability. If necessary, a CPU stand can be purchased.

TM 726-722-G1 Step 1 - 7
Step 1 – Components and Cables

3.2 Isolation Transformer and UPS / Power Conditioner


The Isolation Transformer is used to power all components of the system.
It is normally positioned under the table/counter that holds the Monitor and PC.

“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.

Components are arranged as follows depending on available Power Service:

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

3.3.1 Interconnection Diagram – In-Room/Control Room, Single-Plane Configuration

Reference: 723-702-G1, RevB, #3848 – Diagram


CONTROL ROOM UPS/
AC
P1-based systems – (In-Room Config.)

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

Ethernet Crossover (Network) Cable


P15
Opto Cable /S
P1
Keyboard / Mouse Options:
Relay Cable /S
GIM P2 / P3 1. Connection at PS2
ABS Cable /S 2. Y-splitter connected at PS2 (mouse
(726-113) P20 X-Ray
Drive Output Cable /S
and/or keyboard) can connect with USB
P18 Generator adapters and USB extensions
P21
Analog Input Cable /S 3. Mouse at USB port with 100’ Booster
Box for better reception
P19 Analog Output Cable

TM 726-722-G1 Step 1 - 10
Step 1 – Components and Cables

3.4 Image Monitor

NOTE: Monitor must meet UL1950 or UL2601 or equivalent and FDA


sub-chapter J Radiological Health or equivalent.

• 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.

3.5 Generator Interface Module

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.

For more information on securing the GIM, refer to Step 4, #3


(Secure the GIM).

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

4. Connecting the Cables

4.1 Safety Issues

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.

• All components must be powered OFF when making cable connections!


• DO NOT connect any X-ray generator interface signal cables yet!
• The imaging system must be powered through the Isolation Transformer
supplied by the manufacturer (#735-272-G1 for 115V, #735-272-G2 for 230V,
#735-272-G3 for 100V). Do not plug the PC into a wall plug!
• Once all component power cables have been plugged in to the isolation
transformer(s), feed the cables through the openings in the isolation
transformer cover and attach using the four screws.
• Covers are provided on the extension cables for safety.
• Use only cables supplied by the manufacturer unless noted specifically here.
• All cable connections for the PC cabinet are made at the rear panel.

TM 726-722-G1 Step 1 - 12
Step 1 – Components and Cables

4.2 PC Cabinet – Rear View

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)

IAPDB Board (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

PRECISION PC Chassis Connection Locations – Rear View

Keyboard 9-pin D-sub


Serial I/O Port
(PS2) (COM4)
Mouse
(PS2)

15-pin D-sub Comp Port


VGA Output for (Not used)
Static Image

9-pin D-sub
Parallel Port Serial Port
“LPT1” (COM3)
(Not used)

Modem DVI Connections --


15-pin Occupied by the DVI
D-sub Loop-back Cable
Integrated
VGA Multi-/80-pin
Output LVDS Port for 15-pin D-sub
(Not used) Orion Camera VGA Output
Image Data and for Primary
Communication Video Display

USB Ports 9-pin D-sub


(Not used) Serial Port
(COM?)

Audio Ports 10/100 Ethernet Coaxial BNC Video Ethernet (Network)


(Not Used) (Network) Outputs for Primary Cable RJ-45 at
(Red, Green, Blue) Cable RJ-45 at Video Display Port P15 for GIM
Communication Coaxial BNC
Port P15
Video Output for
Scan Converter

Cable Connections Legend

TM 726-722-G1 Step 1 - 14
Step 1 – Components and Cables

4.2.1 RXI Connections for GIM, CPI, Generator, and Camera

• 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

COM Port 0 at P16


CPI TOUCH SCREEN
Connection (RXI ONLY)

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

Opto Input Opto Input 2 4 Relays


Port 2 Port 4 1 2 1 2
1 3
(Cable A) (Cable B)
Top Top

Opto Input Opto Input


GIM
P2 P3
Port 1 Port 3
(Cable A) (Cable B)
Bottom Bottom

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.

RXI’s CPI TOUCH SCREEN GIM UNIT

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

Rear of CPI Touch Screen showing


RS232 Cable Connection (connecting to GIM)

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

4.3 PC Cabinet – Internal View

DVD Media Drive

Floppy Drive

CPU

Graphics Card

Serial I/O Card - A

Modem

LVDS Board

Option: Additional Serial I/O Card - B

VIB

IAPDB

PRECISION PC Chassis – Side Internal View

TM 726-722-G1 Step 1 - 18
Step 1 – Components and Cables

4.4 Monitor Connections

1. Power Switch (Press to turn power ON/OFF).


2. Power Indicator (When green, power is ON; when orange, power management
function is ON. The light goes out when power is off)
3. BNC Analog Input Connector_Sync On Video (BNC analog video signal input).
4. Analog Input Connector_VGA (Analog video signal input)
5. Digital Input Connector_DVI (Digital video signal input)
6. DC Power Input
Connector_POWER (This is
connected to a CD power
connector from the provided AC
power adapter).
7. USB Upstream Connector_UP
8. USB Downstream
Connector_DOWN
9. 8P Connector for Sensor
Connection_SENSOR
10. 8P Serial Connector for
Communication_PC-LINK

TM 726-722-G1 Step 1 - 19
Step 1 – Components and Cables

TM 726-722-G1 Step 1 - 20
Step 2 – Camera Installation

STEP 2 – CAMERA INSTALLATION


Table of Contents

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.

1.1 Basic Components of the HELIFLEX LENS

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

Iris Cable (gray)

Neutral Density
Filter Cable
(Multi-colored) Cable Clamp

Figure 2.2 – Camera Assembly Drawing, Camera Cover Off

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

Iris Motor Assembly (at left)

Lens Assembly Cover Off; Side View

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)

CCD Camera CCD Camera


Mounting Flange (4) Mounting Screws (4)

Figure 2.6 – Camera detached from Mounting Flange

Intensifier Spacer
Intensifier Mount Adapter (at bottom, as needed)

Figure 2.7 – Heliflex Lens Assembly with Camera Cover On

TM 726-722-G1 Step 2 - 5
Step 2 – Camera Installation

AEC Sensor Close-up:


Optical Pickup port with the sampling area
restrictor diaphragm installed; part of the
lens where our AEC detector board mounts.

Figure 2.8 – Heliflex Lens Assembly showing AEC Sensor Closeup

TM 726-722-G1 Step 2 - 6
Step 2 – Camera Installation

InfiMed Innovision
Camera Head Neutral Density
Filter Drive Plug

Iris Motor
Connector

LVDS Cable Plug

Figure 2.9 – Heliflex, Side View1

Iris Motor Assembly


Iris Motor
Power Cable

Figure 2.10 – Heliflex, Side View2

TM 726-722-G1 Step 2 - 7
Step 2 – Camera Installation

Optical
Focus
Collar

Figure 2.11 – Heliflex Lens mounted to Camera

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

2. Assemble and Mount Camera

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.

2.1 Routing the Camera Cable

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.

2.2 Restarting the System


Turn on the digital system and allow the system to boot to the Main Menu.

TM 726-722-G1 Step 2 - 10
Step 2 – Camera Installation

3. Center and Focus Camera Assembly

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.

3.1 Image Centering for the Heliflex Lens System

NOTE: To perform the following steps, you must generate X-ray radiation.
Follow proper safety precautions with the X-ray system.

1. Turn on the digital system and login as service:


(user: serviceapp password: orion)
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 image
intensifier (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 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)

3.2 Optical Focus

NOTE: To perform the following steps, you must generate X-ray radiation.
Follow proper safety precautions with the X-ray system.

1. Exit the Calibration menus by selecting the Exit button.


2. Select the IQA button.
3. Select the ROI tab.
4. Select the 16x16 ROI radio button
5. Click on the Update Continuously check box.
6. Remove the anti-scatter grid from the FOV.
7. Place a screen mesh phantom as close to the input of the II as possible.
8. Select fluoro integration level, set to 3, and then activate fluoro radiation.
The IQA screen will be updated with Density and RMS information.
The best focus is the maximum achievable RMS value.

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

Screen Mesh RMS Value

9. To adjust the focus, loosen the focus lock set screw. Rotate the focus ring so as to
obtain the highest obtainable RMS Value.

Focus Ring Focus Lock


Set Screw

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

II Field of View Theoretical Acceptable


(FOV) Resolution Limit Limiting Resolution
(inches / cm) (lp/mm) (lp/mm)
5” / 12.7cm 4.1 3.8
6” / 15.24cm 3.4 3.1
7” / 17.78cm 2.9 2.8
9” / 22.86cm 2.3 2.1
10” / 25.4cm 2.0 1.9
12” / 30.48cm 1.7 1.5
14” / 35.56cm 1.5 1.3
16” / 40.64cm 1.2 1.0

12. Attach the AEC photo-diode board and cable.


13. Calibrate the AEC Control per the generator manufacturers instructions.
14. Calibrate the CCD camera per Step 6 of this Manual.

TM 726-722-G1 Step 2 - 14
Step 2 – Camera Installation

4. Heliflex Lens - Photo-Timing (AEC)

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:

• 1.5mm Round (32% active Field of view)


• 1.5mm Square (32% active Field of view)
• 2.5mm Round (64% active Field of view)
• 2.5mm Square (64% active Field of view)

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.

4.1 AEC Field Size Selection


The AEC Measuring Field Size on the Heliflex lens can be selected for size (32% or
64%) and shape (square or round) by the use of the restrictor diaphragms included with
the Heliflex lens. The position of the field can also be mechanically adjusted for proper
centering.

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

4.1.1 Adding or Changing AEC Restrictor Diaphragm

1. Remove the AEC board or Port Dust Cap (depending on lens configuration) from
the Heliflex Lens AEC port.

Port Dust Cap

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.

Heliflex AEC Port

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

4.2 Centering Measuring Field

1. Start the Service Application.


2. Click on the CALIB button to start the Calibration program, and then click on the
System Manual button to select Manual Calibration Control.
3. Click on the ABS/AGC Tab to display the ABS/AGC Measuring Field Screen.
4. Click the – box on the corner of the Calibration Menu to minimize the menu and
allow viewing of the displayed image. A circular overlay graphic outline of the
AGC/ABS Measuring Field is displayed over the real time image indicating the 70%
center area of the display. This will be used as a reference to test or adjust the
Measuring Field Area of the AEC Port.

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

Heliflex AEC Port

4.3 Connect AEC Circuit

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.

Heliflex Direct Couple Lens


AEC Board and cable to Generator

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

4.4 AEC Calibration

• There are no adjustments on the Heliflex AEC board.


• Refer to the CPI Technical Manual for specific information regarding the proper
configuration and calibration of the AEC functions.
• Recommended exposure doses for different digital imaging applications and image
intensifier fields of view.

RF DOSE = 52 UR/FR MAG 0


DSA Dose = 144 uR/Fr Mag 0

4.5 AEC Testing

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.

System Auto / Iris Calibration

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.

System Auto / Iris Calibration / Fluoro Mode Tab

AEC Dose Control Selection

System Auto / Iris Calibration / Spot Mode Tab

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

STEP 3 – POWER UP/DOWN TESTING


Table of Contents

1. POWER UP TESTING ......................................................................................................... 3


2. OPENING SERVICE APPLICATION INTERFACE............................................................. 4
3. POWER DOWN TESTING................................................................................................... 8

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.

WARNING! All system components should be positioned and interconnected,


but no connections to the x-ray generator should be made.
1. Turn ON the power for the x-ray generator.
2. Turn ON the power for all other peripherals.
3. Turn ON the power for the system PC (switch is on the front panel).
The PC will begin to run its Power-up Self-testing Routine.
4. Once the system has completed the Auto Login Sequence, the Main Image Screen
will display.

Main Image Screen Reference Monitor

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

2. Opening the Service Application Interface

1. Right click within the Main Image Area to access the Service Application Interface menu.

2. Click to enter the Service Application.

Main Image Area – Main Screen


CLINICAL Application Display Area –
Interface SERVICE Application
Interface

3. A Login screen will appear. Enter User Name and Password.

serviceapp

Designation Login Information Level of Authority


User Name: operator
Clinical Personnel Access to clinical application only.
Password: orion
User Name: serviceapp Access to clinical application and all
Service Personnel
Password: orion functions of service application.

• The password is case sensitive.


• After three failed attempts to access the Service Application using an incorrect User Name or
Password, the system will return the user to the Clinical Application screen.
• Contact the network administrator if you have problems logging in.

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.

Service Application Interface

Service Application Interface

5. Left click on in the upper right portion of the screen.


6. The Diagnostics Menu screen will display.

TM 726-722-G1 Step 3 - 5
Step 3 – Power Up/Power Down Testing

Service Application – Diagnostics Main Menu

7. Click on ; a screen indicating the available tests will display.

TM 726-722-G1 Step 3 - 6
Step 3 – Power Up/Power Down Testing

IAPDB Diagnostic Test Screen

8. Select test(s) to be run and then click . Use the button


or click in the box next to the desired tests. will reset and
necessitate re-selecting tests to be run.

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

10. When the testing is complete, click .

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

3. 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.

CAUTION! DO NOT attempt to power down the system if images are


currently being sent to a DICOM device or hardcopy.

Prior to Powering Down the system, use the following steps to Exit Diagnostics, the Service
Application and the imaging system.

1. Click to return to Service Interface’s


Main Menu Screen.

Exit Diagnostics

TM 726-722-G1 Step 3 - 9
Step 3 – Power Up/Power Down Testing

2. Click to Exit Service Application


and return to Main image screen.

3. Exit application by right clicking within the Main Image screen to display the
right click menu.

4. Click Exit Application.


5. A Warning will appear asking
for confirmation.

TM 726-722-G1 Step 3 - 10
Step 3 – Power Up/Power Down Testing

3.1 Powering Down the PC

1. Select the button (lower, left corner) and then select .

2. A Sub-menu entitled Shut Down Windows will appear.

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.

Click Ok to Click Cancel to


close application. cancel this request.

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)

STEP 4 – CONNECT AND TEST GIM


Table of Contents

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

Host X-ray System Interface

All interface signals used to connect the digital imaging


system are input or output from the remote Generator
Interface Module (GIM).

1.1 Two State Input Circuit

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.

Figure 1 – Input Circuit

TM 726-722-G1 Step 4 - 3
Step 4 – Connect and Test the Generator Interface Module (GIM)

1.2 Relay Output Circuit

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.

Figure 2 – Relay Output Circuit

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)

1.3 Pulse Fluoro Clock Drives

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.

Figure 3 –Pulsed Fluoro Drive Clock

1.4 ABS Drive

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:

0V - 12V Single Ended 0V-6V Single Ended


+/- 12V Differential +/- 6V Differential
+/- 3V Differential Custom

ABS Circuit
ABS+

ABS Signal
ABS Comm
ABS -

Figure 4 – Fluoro ABS Drive

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)

2. Making the Connection

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! At this point all digital imaging system components should be


powered off.

WARNING! Unplug the main power cords from the wall plug, PC,
Isolation Transformer, and UPS / Power Conditioner (if present).

WARNING! Power down the X-ray Generator.

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.

Before you begin….

• 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

2.1 Identifying the Cable

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.

2.1.1 GIM Drive Signals


The ABS (Automatic Brightness Stabilization) drive signal and Pulsed Fluoro Drive
Signals are connected with a single 4-conductor cable (726-654-G1) with flying leads at
each end. Connection of these cables to the GIM and the TDI II boards is on terminal
blocks at each end.

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.

Figure 5 – GIM Drive Cable 726-654-G1

Figure 6 – GIM Terminal Blocks

2.1.2 GIM Input Signals

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.

Figure 7 - Generator Interface Cable (Input Signals)

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)

2.1.3 GIM Output Relay signals

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.

Figure 8 - Relay Output Cable

TM 726-722-G1 Step 4 - 8
Step 4 – Connect and Test the Generator Interface Module (GIM)

2.2 GIM Input Signal Definitions

2.2.1 Fluoro Signals

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)

2.2.2 Digital Spot Signals

DIGITAL SPOT SIGNALS


Signal Name Definition Description
Rad Type Spot Rad Type Spot When the signal is active the Precision System is selected
(Spot Select) for digital spot image acquisition. When the signal is
inactive the Precision System is deselected and will not
Required acquire digital spot images.

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)

2.2.3 GIM Output Relay Signal Definitions

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.

2.2.4 GIM Output Relay Signal Definitions

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)

2.3 Signal Function Chart

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

Pulsed Fluoro Select


Single / Rapid
H Reverse
V Reverse
Fluoro Store

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)

2.4 GIM Signal Connection Points

2.4.1 GIM Input Signal Connections

Table 1 – Input Signals P1-Port 1


Input Signal Wire Color Port Pin # Note
Fluoro On White/Orange P1-Port1 1 Required
Fluoro On Return Orange P1-Port1 2 Required
Prep Rad Exp White/Green P1-Port1 3 Required
Prep Rad Exp Return Green P1-Port1 6 Required
Req Rad Exp Blue P1-Port1 4 Required
Req Rad Exp Return White/Blue P1-Port1 5 Required
Rad Ready White/Brown P1-Port1 7 Required
Rad Ready Return Brown P1-Port1 8 Required

Table 2 – Input Signals P1-Port2


Input Signal Wire Color Port Pin # Note
FOV Mag 1 White/Orange P1-Port2 1 Required
FOV Mag 1Return Orange P1-Port2 2 Required
FOV Mag 2 White/Green P1-Port2 3 Required
FOV Mag 2 Return Green P1-Port2 6 Required
Single Photospot Blue P1-Port2 4 Not Used
Single Photospot Return White/Blue P1-Port2 5 Not Used
Rad Type Spot Select White/Brown P1-Port2 7 Required
Rad Type Spot Return Brown P1-Port2 8 Required

Table3– Input Signals P1-Port3


Input Signal Wire Color Port Pin # Note
Reverse-H White/Orange P1-Port3 1 Not Used
Reverse-H Return Orange P1-Port3 2 Not Used
Reverse-V White/Green P1-Port3 3 Not Used
Reverse-V Reverse Green Not Used
P1-Port3 6
Return
FOV Mag 3 Blue P1-Port3 4 Optional
FOV Mag 3 Return White/Blue P1-Port3 5 Optional
PFluoro Select White/Brown P1-Port3 7 Not Used
PFluoro Select Return Brown P1-Port3 8 Not Used

Table 4– Input Signals P1-Port 4


Input Signal Wire Color Port Pin # Note
PFluoro On White/Orange P1-Port4 1 Required
PFluoro On Return Orange P1-Port4 2 Required
Rad Exp On White/Green P1-Port4 3 Required
Rad Exp On Return Green P1-Port4 6 Required
Dose Low Blue P1-Port4 4 Not Used

TM 726-722-G1 Step 4 - 13
Step 4 – Connect and Test the Generator Interface Module (GIM)

Dose Low Return White/Blue P1-Port4 5 Not Used


Store Image White/Brown P1-Port4 7 Not Used
Store Image Return Brown P1-Port4 8 Not Used

Table 5– Input Signals P1-Port 5


Input Signal Wire Color Port Pin # Note
Not Defined White/Orange P1-Port5 1 Not Used
Not Defined Orange P1-Port5 2 Not Used
Not Defined White/Green P1-Port5 3 Not Used
Not Defined Green P1-Port5 6 Not Used
Not Defined Blue P1-Port5 4 Not Used
Not Defined White/Blue P1-Port5 5 Not Used
Not Defined White/Brown P1-Port5 7 Not Used
Not Defined Brown P1-Port5 8 Not Used

Table 6– Input Signals P1-Port 6


Input Signal Wire Color Port Pin # Note
Not Defined White/Orange P1-Port6 1 Not Used
Not Defined Orange P1-Port6 2 Not Used
Not Defined White/Green P1-Port6 3 Not Used
Not Defined Green P1-Port6 6 Not Used
Not Defined Blue P1-Port6 4 Not Used
Not Defined White/Blue P1-Port6 5 Not Used
Dose High White/Brown P1-Port6 7 Required
Dose High Return Brown P1-Port6 8 Required

2.4.2 GIM Output Relay Connections

Table 8 – Dry Contact Signals P2-Port 1


GIM Output Wire Color
Port Pin # Note
(Dry Contact) Signal
PhotoSpot N.O. White/Blue P2-Port1 5 Required
PhotoSpot Common Green P2-Port1 6 Required
Not Defined White/Green P2-Port1 3 Not Used
Not Defined Blue P2-Port1 4 Not Used
White/Orang
Not Defined P2-Port1 1 Not Used
e
Not Defined Orange P2-Port1 2 Not Used

Table 9 – Dry Contact Signals P2-Port 2


GIM Output
Wire Color Port Pin # Note
(Dry Contact) Signal
Not Defined White/Blue P2-Port2 5 Not Used
Not Defined Green P2-Port2 6 Not Used
Not Defined White/Green P2-Port2 3 Not Used
Not Defined Blue P2-Port2 4 Not Used
Fluoro Enable NO White/Orange P2-Port2 1 Required

TM 726-722-G1 Step 4 - 14
Step 4 – Connect and Test the Generator Interface Module (GIM)

Fluoro Enable Common Orange P2-Port2 2 Required

Table 10– Dry Contact Signals P3-Port 1


GIM Output
Wire Color Port Pin # Note
(Dry Contact) Signal
Spot Subtract NO White/Blue P3-Port1 5 Required
Spot Subtract Common Green P3-Port1 6 Required
Not Defined White/Green P3-Port1 3 Not Used
Not Defined Blue P3-Port1 4 Not Used
Not Defined White/Orange P3-Port1 1 Not Used
Not Defined Orange P3-Port1 2 Not Used

2.4.3 GIM Drive Signal Connections

Table 11– Drive Signals


GIM Output
Wire Color Connector Pin # Note
(Dry Contact) Signal
ABS + Orange P20 1 Required
ABS Common White/Orange P20 2 Required
ABS - Not used Not Used 3 Not Used
PFluoro Drive Not Used 1 Not Used
PFluoro Power Blue P18 2 Required
PFluoro Return Blue/White P-18 3 Required

TM 726-722-G1 Step 4 - 15
Step 4 – Connect and Test the Generator Interface Module (GIM)

2.5 Pulsed Fluoro Notes

• 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.

Figure 9 - Pulse Fluoro Timing Diagram

TM 726-722-G1 Step 4 - 16
Step 4 – Connect and Test the Generator Interface Module (GIM)

2.6 GIM to the Generator Connection Diagram

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)

2.7 Connect the GIM to the Generator

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

GIM Connection Cable Designator TDI II Connection Signals

Fluoro On, Prep, Request,


P1 - Port 1 726-619-G1 J4A Rad Ready
II Mode 1, II Mode 2, Rad
P1 - Port 2 726-619-G2 J4B Type Spot
P1 – Port 3 726-619-G3 J4C FOV Mag 3
Fluoro Pulse On, Rad Expose
P1 – Port 4 726-619-G4 J4D On
P1 – Port 6 726-619-G6 J4F Dose High

P2 – Port 1 726-618-G1 J3 Photospot In/Out Relay

P2 – Port 2 726-618-G2 J2 Fluoro Enable Relay

P3 – Port 1 726-618-G3 J1 Spot Subtract Relay

P20-1 726-654-G1 (Or) J7-1 ABS +

P20-2 726-654-G1 (Or/Wh) J7-2 ABS Common

P18-2 726-654-G1 (BL) J7-4 PFL Pwr

P18-3 726-654-G1 (BL/Wh) J7-3 PFL Ref

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

P21 P19 P18 P17 P16


Top
1 2 3 4 Serial Port 2 Serial Port 0 P15
9 10 11 12 13 14 15 16
7 8 9 10 11 12 (Top) (Top)
RJ45
1 2 3 4 5 6 7 8
P20
1 2 3 4 5 6 Serial Port 3 Serial Port 1
1 2 3
Drive Outputs

Figure 11 - GIM Internal Diagram

TM 726-722-G1 Step 4 - 19
Step 4 – Connect and Test Generator Interface Module (GIM)

2.7.1 Connecting the Ethernet (Network) Crossover Cable


The Ethernet (Network) Crossover Cable (735-371-G1) connects the system PC to the
GIM. This cable has an RJ45 connector on each end and the standard length is 100’.
Connect the Ethernet Cable from the IAPDB serial port on the back of the PC to P15
on the GIM.

Figure 12 - Ethernet Crossover Cable

IAPDB
Board

100’ Ethernet
Crossover Cable

Insert
Connector
RJ045 at P15

Figure 13 - PC Cabinet Rear View and GIM

TM 726-722-G1 Step 4 - 20
Step 4 – Connect and Test Generator Interface Module (GIM)

3. Testing the Connection

3.1 GIM Board Input Indicators

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.

Figure 14 – GIM Board Indicators

3.2 Status Indicators

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)

3.3 Signal Verification

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.

Refer to Step 3 for instructions on accessing Service Interface Application:

Generator Interface Signals are depicted in the center of the GUI.

Generator Interface Signals

Figure 15 – Generator Interface Signals

TM 726-722-G1 Step 4 - 23
Step 4 – Connect and Test Generator Interface Module (GIM)

THE FOLLOWING PROCEDURE


PRODUCES RADIATION.
WEAR PROPER LEAD
SHIELDING!
WARNING:

To verify signals pulse:

1. Position the cursor over the generator


signal portion of the screen, and click
the left button.
2.
2. The screen will show an enlarged
display of the signal lines.

Figure 16 - Interface Signals

When the x-ray system is inactive, the status


of all the boxes should be BLACK –
representing OFF.
When a specific signal is ON, the box
representing that signal will be WHITE.

The status of the x-ray generator signal lines


will go ON/OFF as the generator line toggles
active/inactive.
For some rapid pulse signals (like: Rad Pulse
On, Rad Expose On, the signal is too fast to
notice the change between ON/OFF. When
active, a white box with and up/down arrow
will be displayed. If there is no arrow box,
the signal is not active.

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)

Continuous Fluoro Active Signal lines


1. Activate Continuous fluoro radiation. Fluoro On
Fluoro Pulse On

Radiographic Photospot Active Signal lines


1. Select Photospot mode on Spot Select
generator.
2. Activate the PREPARE FOR Prep Rad
PHOTOSPOT line on the Rad Ready
generator.
3. Press the Photospot exposure Req Rad
button on the tower. Rad Expose On

I I Modes (if installed) Active Signal lines


On the 12” image intensifier systems, The See Chart Below
Mag 1 and Mag 2 lines should be active.

On 16” Image intensifier system, the Mag


3 line should also be active.
Normal F.O.V II Mode 1= OFF
II Mode 2= OFF
II Mode 3= OFF
Mag 1 II Mode 1= ON
II Mode 2= OFF
II Mode 3= OFF
Mag 2 II Mode 1= OFF
II Mode 2= ON
II Mode 3= OFF
Mag 3 II Mode 1= OFF
II Mode 2= OFF
II Mode 3= ON

Pulsed Fluoro Active Signal lines


1. Select Pulsed Fluoro mode on
Generator.
2. Set the rate to 30 frames/sec.
3. Make a pulsed fluoro exposure. Fluoro On
Fluoro Pulse On

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)

4. Secure the 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.

Opening for Cable Access:


Mount Facing DOWN

Figure 18 - GIM Box Cable Access

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

Figure 19 - GIM Internal Photo Showing Mounting Holes

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

STEP 5 – SET SYSTEM PARAMETERS


Table of Contents
1. INTRODUCTION............................................................................................................... 3
2. SET SYSTEM PARAMETERS ......................................................................................... 5
2.1 SYSTEM CONFIGURATION .................................................................................................... 5
2.1.1. SITE INFO .................................................................................................................................... 6
2.1.2 INTERFACES ................................................................................................................................ 7
2.1.3 SYSTEM OPTIONS ...................................................................................................................... 10
2.1.4 KEYBOARD FUNCTION KEYS ....................................................................................................... 13
2.1.5 IMAGE PROCESSING ................................................................................................................... 15
2.1.6 MONITOR LUTS (LOOKUP TABLES) ............................................................................................. 16
2.1.7 DICOM..................................................................................................................................... 17
2.2 DOCTOR PREFERENCES .................................................................................................... 18
2.2.1 GENERAL ACQUISITION .............................................................................................................. 18
2.2.2 FLUORO .................................................................................................................................... 20
2.2.3 SPOT ........................................................................................................................................ 23
2.2.4 SUB FLUORO ............................................................................................................................. 27
2.2.5 REVIEW ..................................................................................................................................... 29
2.2.6 REFERENCE DISPLAY ................................................................................................................. 30
2.2.7 PRINTING................................................................................................................................... 31
2.2.8 ARCHIVE TRANSFER ................................................................................................................... 33
2.3 GENERATOR LINES ........................................................................................................... 35
2.3.1 TWO STATE INPUTS ................................................................................................................... 35
2.3.2 SIGNAL DEFINITIONS .................................................................................................................. 36
2.3.3 ANALOG INPUTS ......................................................................................................................... 38
2.3.4 ANALOG OUTPUTS ..................................................................................................................... 39
2.3.5 DIGITAL OUTPUTS ...................................................................................................................... 40
2.3.6 RELAY OUTPUTS ........................................................................................................................ 42
2.4 ARCHIVE DEVICE .............................................................................................................. 44
2.4.1 DICOM NETWORK .................................................................................................................... 45
2.4.2 DICOM MEDIA .......................................................................................................................... 47
2.5 PRINTER DEVICE CONFIGURATION ..................................................................................... 49
2.5.1 DICOM PRINT DEVICE SETTINGS ............................................................................................... 50
2.5.2 ADDING A DICOM PRINTER ....................................................................................................... 53
2.6 QUERY/RETRIEVE DEVICES ............................................................................................... 57
2.7 WORKLIST DEVICES .......................................................................................................... 58
2.8 MODALITY PERFORMED PROCEDURE STEP (MPPS) DEVICES ............................................ 59
2.8.1 APPLICATION ENTITIES (AE)....................................................................................................... 59
2.9 PATIENT DATA CONFIGURATION ........................................................................................ 60
2.9.1 PATIENT DATA ........................................................................................................................... 60
2.9.2 STUDY DATA ............................................................................................................................. 61
2.9.3 SERIES DATA ............................................................................................................................. 62
3. BACKUP......................................................................................................................... 63
4. RESTORE....................................................................................................................... 64

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.

Parameter Available Settings


System • Site Info – Allows user to enter site-specific information including Site
Configuration Name and address.
• Interfaces - Specify Detector and Iris type, set base system frequency,
Set Cine and Fluoro Reference signals, Enable or Disable ABS Control
and set Maximum spot Acquisition Rate
• System Options – Specify Scan Converter and Reference Image
Display, Set Thumbnail Frame, Enable or Disable Patient List print
status, Set Patient Delete Options.
• Image Processing
• Monitor LUTs
• DICOM

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.

Archive Device • Add Archive Device


• Select Archive Device
• Set Storage Commit timeout
• Set Network Information

Printer Device • Set Printer Destination and Priority level.


• Set Film Orientation and Size
• Set Image width, height and pixel size
• Set Border and Empty Image Density
• Enable or disable trim and set level of polarity

TM 726-722-G1 Step 5 - 3
Step 5 – Set System Parameters

Query/Retrieve • Configure DICOM Query and Retrieve Service Class Providers.


Device

Worklist Device • Configure DICOM Worklist information Service Class Providers.

Modality • Configure MPPS Service Class Providers for DICOM device


Performed communications.
Procedure Step • Set IP Address, Associated Establishment / Application Entities
(MPPS) Devices
MPPS

Patient Data • Set Required field for Patient, Study and Series data
Configuration

TM 726-722-G1 Step 5 - 4
Step 5 – Set System Parameters

2. Set System Parameters

2.1 System Configuration

Use instructions in Step 3 to access Service Applications screen.

Click on Config to check System Parameters.

Main Image Screen with Service Application User Interface

The Configuration button defaults to System Configuration Screen.

TM 726-722-G1 Step 5 - 5
Step 5 – Set System Parameters

2.1.1. Site Info


This screen contains important system information that is entered when the system is
programmed. This information should not be changed unless ownership of the system
changes hands. At that point, the Site Name and Address should be changed but
nothing else.

Configuration Screen – System Configuration – Site Info

Site Name This data will appear on all stored images


Site Address For record-keeping purposes
Technical Support Phone number for GE, See GE On Line Call Center to log your service
Phone Number needs, also see Introduction – Calling for Help, or the Appendix –
Troubleshooting Guide for assistance.
Manufacturer Name For customer reference
Manufacturer Address For customer reference
Model Name For customer reference
System Serial Number The System Serial is assigned by GE and carries forth through the life of
the system. It must NEVER be changed. The Serial Number must be
provided when contacting Service Personnel and is used to track parts
and service throughout the life of the system.

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.

Configuration Screen - System Configuration - Interfaces

Detector Type Click on down arrow to select detector (s) available.

Large Format CCD Camera


Small Format CCD Camera

The Precision System should always be set to the Large Format


CCD Camera. (Precision is configured with a HELIFLEX Lens.)

Iris Type Click on down arrow to select Iris Type(s) available.

The Precision System should always be set to the Direct-couple.

TM 726-722-G1 Step 5 - 7
Step 5 – Set System Parameters

ABS Control Click on down arrow to Enable or Disable ABS Control.

The Precision RXi should always be set to 0 to 6V Single-Ended.

Base System Frequency Click within circle to Select either 30/60 or 25/50 Hz.

Select Customer Preference for Spot and Pulse Fluoro Rates.

Injector Control (DSA Only) Click on down arrow to Enable or Disable Injector Control.
Clinical App Icon
(Disabled State):

The Precision System should always be set to Not Installed.

RAD Expose on Failure Click on down arrow to display pull-down menu.

ACQUIRE BLACK IMAGE

Normally set to acquire black image.

RAD Expose on Timeout Click on down arrow to


display pull-down menu.

Normally set to 5 sec.

Continuous Fluoro Left click box to activate Continuous Fluoro. To turn off this feature,
click in box over the arrow.

Normally set to selected on the Precision System.

TM 726-722-G1 Step 5 - 8
Step 5 – Set System Parameters

Pulse Rates Use check boxes to select


Pulse Rate (pulse per second).

Select 15, 7.5, 3.75, and 1 pps on


Precision System.
(Disable 30, 2 and 0.5 pps).

Maximum Spot Click on down arrow to display


Acquisition Rate pull-down menu. Rates are stated
Associated Clinical in fps (frames per second).
Dropdown Menu Current selections:

This selection can be used to limit


the Spot Acquisition Rates that
are available for selection in the
Clinical Application GUI.
This Spot Acquisition Rate is
normally set to 15 FPS.

Once selected;
rate displays as:

Spot Subtract Calibration

Only DSA systems option will have this selection available.


Allows choice of: “Independent” used for calibrating Subtracted Spot
independently from Spot or “Same as normal Spot” for calibrating
Subtracted Spot and Normal Spot using the same settings.
Normally set to Independent on Precision RXi with DSA option.

TM 726-722-G1 Step 5 - 9
Step 5 – Set System Parameters

2.1.3 System Options


Use System Options to check which options are enabled for system use or to change
settings with the addition of optional equipment.

Configuration Screen - System Configuration – System Options

Scan Converter Click on down arrow to


select from available options.
Selects the Video Frequency for
the Low Line rate Video Output Channel.
Can be selected to NTSC 525 line
60 Hz or PAL 625 line 50 Hz.

Reference Image Click on down arrow to select from


Display available options.
Selects how images are viewed on
the Reference Image Monitor.
Normally set to 1-on-1 w/Thumbnails.

TM 726-722-G1 Step 5 - 10
Step 5 – Set System Parameters

DICOM Storage Click on down arrow to


Commit select from available options.
Only available when
DICOM Option is installed.
Enables DICOM Storage Commit function. Requires that host archive
device supports the DICOM Storage Commit function to be used.

Modality Performed Click on down arrow to


Proc. Step select from available options.
Only available when
DICOM Option is installed.
Enables DICOM Modality
Performed Procedure function. Requires that host Server Device supports
the DICOM Modality Performed Procedure function to be used.

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.

Display/Print Click on down arrow to select


Physician Name from either Performing or
Referring physician.
This selection determines which of
the two physician names will be displayed in the Main Image Overlay for
an acquired image and in the film overlay for a DICOM printed image.

Digital Host Control Click on down arrow to


(or DHC) select from available options.
Requires Digital Hardcopy (DHC) option
to be Enabled and requires DHCP board
to be installed in system.

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.

Patient List Click on down arrow to select from available options.


Archive Status

Only available when DICOM Option is installed.


The Storage Confirm option will display an icon next to Patient Files that
have been sent to archive indicating that the data has or has not been
saved.
Storage Commit Enables DICOM Storage Commit function. Requires that
host server device supports DICOM Storage Commit function to be used.

Patient List Click on down arrow to Enable or Disable.


Print Status

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.

Patient Delete Provides Warning prior to deletion of patient records.


Operations

Click on down arrow to select from available options.

This selection Controls when the user is allowed to delete a Patient File.

Opacification Delay Use Slider to set appropriate Opacification Delay Setting.

This feature is currently NOT available.

TM 726-722-G1 Step 5 - 12
Step 5 – Set System Parameters

2.1.4 Keyboard Function Keys

The “F” keys at the top of the keyboard can be used to shortcut to certain system functions.

“F” Keys

The system is shipped with the following default settings:


Key Function
F1 User Manual
F2 Patient List
F3 Close Patient
F4 Toggle Acquire
F5 Acquire Subtracted
F6 Fluoro Loop
F7 Review Mask
F8 None
F9 Store Reference
F10 Status Dialog
F11 Full Screen
F12 Thumbnails

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

The system will prompt for you to save changes.


Make appropriate selection and then either click Save
or Exit. Clicking Exit will override the Yes selection.

TM 726-722-G1 Step 5 - 14
Step 5 – Set System Parameters

2.1.5 Image Processing


Use Image Processing to view Brightness, Contrast, Integration Levels, and
H-Reverse and V-Reverse Settings. All settings with the exception of H-Reverse and
V-Reverse cannot be edited. Use down arrow to turn Horizontal and Vertical Reverse
ON or OFF.

Configuration Screen - System Configuration – Image Processing

H-Reverse Click on down arrow to select from available options

This setting is used to correct the image left side right side
display direction for the Normal direction.

V-Reverse Click on down arrow to select from available options.

This setting is used to correct the image Head / Foot


display direction for the Normal direction.

TM 726-722-G1 Step 5 - 15
Step 5 – Set System Parameters

2.1.6 Monitor LUTs (Lookup Tables)


Use Monitor LUTs to set specifications for in-room Primary and Reference Monitors.

Configuration Screen - System Configuration – Monitor LUTs

Set LUT for In-room Use down arrow to make selection.


Primary Monitor

Set LUT for In-room Use down arrow to make selection.


Reference Monitor

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.

Configuration Screen - System Configuration – DICOM

TM 726-722-G1 Step 5 - 17
Step 5 – Set System Parameters

2.2 Doctor Preferences


Set default Doctor Preferences from the Service Application. Each performing physician
is able to customize the system to his or her own specifications through the Doctor
Preference function screens. (Reference User Manual: Section C - Setting Doctor
Preferences).

2.2.1 General Acquisition


Use General Acquisition to set Default System Settings or to change settings as
required.

Configuration Screen – Doctor Preferences – General Acquisition

H-Reverse Click on down arrow to select from


Clinical App Icon: drop-down menu.

(Available at the base


of the GUI Shutter.)

TM 726-722-G1 Step 5 - 18
Step 5 – Set System Parameters

V-Reverse Click on down arrow to select from


Clinical App Icon: drop-down menu.

(Available at the base


of the GUI Shutter.)

Auto Replay Click on down arrow to select from drop-down menu.


Choose to either hold the last image acquired (Last Image Hold - LIH)
or for the system to Automatically
Replay the Sequence of images
(Auto Replay).

Auto Shutters Click on down arrow to select from


Clinical App Icon: drop-down menu.
The system can be set to look for the
image boundary and extend the black
surrounding Shutter to a few pixels
beyond that point. Shutter setting relates to how far the Shutter extends
once an Edge is detected - low (few pixels), medium (more pixels), or high
(several pixels). Shutter settings are applied to the image displayed in the
screen as well as hardcopies of the images. These Shutters may be
adjusted manually for each image, or automatically.

GUI Shutter Click on down arrow to select from drop-down


Clinical App Icon: menu. Selecting “On” results in the GUI Shutter
automatically displayed when acquisition is started.
The GUI Shutter is the “dimmed version” of the
interface that can be used during acquisition.

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.

Configuration Screen – Doctor Preferences – Fluoro

Integration Level Select the desired Level of Integration before applying radiation.

Click on down arrow to select available Integration Levels from


drop-down menu:

Normally set to 2-Frame Recursive.

TM 726-722-G1 Step 5 - 20
Step 5 – Set System Parameters

Fluoro Store Contrast Click on down arrow to select one of the


following settings from drop-down menu:

As Acquired: Image will be stored with As Acquired


White: Image will be stored with White Contrast
Black: Image will be stored with Black Contrast

AIO Click on down arrow if AIO configured.

AIO is NOT available for Fluoro images.

Edge Level Click on down arrow to select available


Edge Settings from drop-down menu:
Clinical App Icon:

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 Use Slider to adjust Brightness Level.

Clinical App Icon:

Loop Acquisition Rate Click on down arrow to select available Loop


Acquisition Rates in frames per second (fps)
from drop-down menu:

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:

Auto Save LIH to Disk Click on down arrow to Enable or Disable.

Contrast Display Click on down arrow to change


Polarity Contrast to Black or White.

Contrast Use Slider to adjust Contrast Level.

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.

Configuration Screen – Doctor Preferences – Spot

Acquisition Rate Select a value from the RATE pull-down list to


control the rate at which images are acquired.
Click on down arrow ( ) to select Rate from
drop-down menu.

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.

Brightness Auto-Image Optimization (AIO) is recommended for all Un-subtracted image


types. However, in the absence of AIO, the Default Brightness Setting can
be configured for each image type.
Use Slider Control to select the Default Spot Brightness Value.
This will only be applied if AIO for the Spot image type is OFF.

Contrast Display Click on down arrow to change


Polarity Contrast to Black or White.

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

DSA Click on down arrow ( ) for drop-down


menu to turn this feature OFF or to select.

Exposet (DISABLED) This feature is currently NOT used.


Trying to Enable this function will have no affect on the system.

Subtract Contrast Click on down arrow ( ) to change contrast to black


Display Polarity or white. The Subtracted Contrast Display Polarity
button changes the Polarity of an image from a Black
Contrast (Black background) image into a White
Contrast (White background)
image or vice versa.

Subt Gamma Click to select the desired LUT from the drop-down list:
LUT 1, LUT 2, LUT 3, LUT 4 or LUT 5.

Subtract Brightness Use slider to set level of Subtracted Brightness.

TM 726-722-G1 Step 5 - 25
Step 5 – Set System Parameters

DSA Mask # Click on down arrow ( ) to select DSA Mask Number.


Clinical App Icon:

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

2.2.4 Sub Fluoro


Use Sub-Fluoro to set Default System Settings or to change settings as required.

Configuration Screen – Doctor Preferences – Sub Fluoro

Edge Level Select the desired Level of Edge Enhancement by


selecting the Edge feature button multiple times.
Clinical App Icon: The icon cycles through five possible initial settings:
None, 1, 2, 3, and 4.
A higher setting equates to more filtering. Desired setting
is site and viewer dependent.
The Active Edge Setting (by image type) will remain active for subsequent
image acquisition or image review until changed.

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.

Max Pulsed Fluoro Maximum allowed integration level.


Integration
Click on down arrow to select available Max Integration
Levels from drop-down menu:

Mask Acquisition Click on down arrow to select setting from drop


Clinical App Icons: down menu.

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.

Click on down arrow ( ) for drop-down menu to turn this feature to


Black Contrast or White Contrast.

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.

Configuration Screen – Doctor Preferences – Review

Initial Settings Click on down arrow to select from drop


down menu.

Landmarking Click on down arrow to select setting from


drop down menu.
Clinical App Icon:

Loop Lock Click on down arrow to turn Loop Lock ON


or OFF.
Clinical App Icon:

TM 726-722-G1 Step 5 - 29
Step 5 – Set System Parameters

2.2.6 Reference Display


Select Reference Display options from drop-down menus.

Configuration Screen – Doctor Preferences – Reference Display

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.

Auto LIH to Reference Auto LIH to Reference feature automatically transfers


each LIH image to the Reference Display when the next
acquisition begins.

Click on down arrow to turn feature ON or Off.

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.

Changes to Doctor Preferences / Printing Tab will


affect this screen: Configure Printer Settings.

Configuration Screen – Doctor Preferences – Printing

Printer Configuration Click on down arrow ( ) to select Default


Printer from a list on drop-down menu.
Clinical App Icon:

TM 726-722-G1 Step 5 - 31
Step 5 – Set System Parameters

Print Layout Format Click on down arrow ( ) to select


Associated Clinical App Icons: Default Print Layout from a list on
drop-down menu.

9 on 1
12 on 1

Batch Print Processing Settings Click on down arrow ( ) to


select Default Batch Print
Processing Settings from
a list on drop-down menu.

Batch Print Edge Level Settings Click on down arrow ( ) to


select default Edge Level
Setting from drop-down menu.

Batch Print Polarity Select the Default Polarity to be used


for the Print File and Print Sequence
Operations. Click on down
arrow ( ) for drop-down menu.

TM 726-722-G1 Step 5 - 32
Step 5 – Set System Parameters

2.2.8 Archive Transfer


Use Archive/Transfer to check system settings for a specific doctor or to change settings
as required

Configuration Screen – Doctor Preferences – Archive/Transfer

Archive Configuration Click on down arrow ( ) for drop-down menu.

Auto Send Click on down arrow ( ) for drop-down menu.

Batch Device Processing Click on down arrow ( ) for drop-down menu.


Settings

TM 726-722-G1 Step 5 - 33
Step 5 – Set System Parameters

Batch Device Edge Level Select the level of edge enhancement to


be used for the Print File and Print
Sequence operations. Click on down
arrow ( ) for drop-down menu.

Batch Device Polarity Select the polarity to be used.


Click on down arrow ( ) for
drop-down menu.

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

2.3 Generator Lines


Generator settings are made initially when the generator is connected to the system.
Use the Configuration function to check settings or to change them if necessary.
Reference Step 4 – Connect & Test the X-Ray Generator for more detail as to making
initial settings.

2.3.1 Two State Inputs


Use Two State Inputs to enable or disable settings as required.

Configuration Screen - Generator Lines – Two State Inputs

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

2.3.2 Signal Definitions


The signals between the x-ray generator and Imaging system are defined as follows:
Signal Description

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

2.3.3 Analog Inputs

Not used on the


Precision System

Configuration Screen - Generator Lines Screen – Analog Inputs

TM 726-722-G1 Step 5 - 38
Step 5 – Set System Parameters

2.3.4 Analog Outputs

Configuration Screen - Generator Lines Screen – Analog Outputs

ABS Control Click on down arrow to Enable or Disable function.

Automatic Brightness Stabilization –


Always Enabled on Precision System.

TM 726-722-G1 Step 5 - 39
Step 5 – Set System Parameters

2.3.5 Digital Outputs

Configuration Screen - Generator Lines Screen – Digital Outputs

Pulsed Fluoro Click on down arrow to Enable or Disable function


Ref

Always Enabled on Precision System.

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

Click on down arrow to select Pulse Width


from list on drop-down menu.

Always set to 10 mS on Precision System.

Polarity

Click on down arrow to select Polarity Level


from list of drop-down menu.
Always set to Active Low on Precision System.

Phase Delay

Enter Phase Delay in seconds manually.


Always set to 2 mSec on Precision System.

TM 726-722-G1 Step 5 - 41
Step 5 – Set System Parameters

2.3.6 Relay Outputs

Configuration Screen - Generator Lines Screen – Relay Outputs

Fluoro Inhibit Click on down arrow Enable or Disable function.

Always Enabled on Precision System.

Spot Expose Click on down arrow Enable or Disable function.

Always Enabled on Precision System.

TM 726-722-G1 Step 5 - 42
Step 5 – Set System Parameters

Subtract Enable Click on down arrow Enable or Disable function.

Always Enabled on Precision System.

Injector Sync Click on down arrow Enable or Disable function.


Clinical App Icon
(Disabled State):
Always Disabled on Precision System.

TM 726-722-G1 Step 5 - 43
Step 5 – Set System Parameters

2.4 Archive Device


Customize Archive functions for specific Archive Device.

Device Specified under Archive Device

Configuration Screen – Archive Devices

TM 726-722-G1 Step 5 - 44
Step 5 – Set System Parameters

2.4.1 DICOM Network

1. Position Cursor over Device Name in left column and left click.
2. The Archive Device Configuration screen will display.

Archive Device Configuration Screen

3. Make changes as required.

TM 726-722-G1 Step 5 - 45
Step 5 – Set System Parameters

To add additional devices:

1. Left click the Add Device button in the lower left of the screen.
2. The Select Device to Add dialog box will display.

“Select Device to Add” Dialog Box

3. Enter configuration in Configuration window.


4. Select Device Type.
5. Click Create to add or Cancel stop the process.
6. Complete information in screens provided for either DICOM Network or DICOM
Media.
7. Click SAVE to complete setup process or Exit to abort the setup and exit the
system. You will be asked to confirm changes.

8. Click YES to save changes; NO to abort the process.

TM 726-722-G1 Step 5 - 46
Step 5 – Set System Parameters

2.4.2 DICOM Media

1. Position Cursor over Device Name in left column and left click.
2. The Archive Device Configuration screen will display.

Archive Device Configuration Screen

3. Make changes as required.

TM 726-722-G1 Step 5 - 47
Step 5 – Set System Parameters

To add additional devices:

1. Left click the Add device button in the lower left of the screen.
2. The Select Device to Add dialog box will display.

“Select Device to Add” dialog box

3. Enter configuration in Configuration window.


4. Select Device Type.
5. Click Create to add or Cancel to stop the process.
6. Complete information in screens provided for either DICOM Network or DICOM
Media.
7. Click SAVE to complete Setup process or Exit to abort the Setup and Exit the
system. You will be asked to confirm changes.

8. Click YES to save changes; NO to abort the process.

TM 726-722-G1 Step 5 - 48
Step 5 – Set System Parameters

2.5 Printer Device Configuration


Customize Print Functions for specific Archive Device.

Installed print devices


display in this column.

Configuration Screen – Printer Device Configuration

To view or change settings for a specific printer:

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.

NOTE: Different types of Print Devices have specific options available.

TM 726-722-G1 Step 5 - 49
Step 5 – Set System Parameters

2.5.1 DICOM Print Device Settings

Configuration Screen – Print Device Configuration –DICOM Printer

Specific printer will be listed in this box.

Use arrow to access drop down box to select to high, low or medium Priority.

Use arrow to access drop down box to select either


Portrait or Landscape Film Orientation.

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 Magnification Type.

Use arrow to access drop down box


to select specific Border Density.

Use arrow to access drop down box


to select Empty Film Density.

Use arrow to access drop down box to select to either to apply trim or not
(Yes/No).

Use arrow to access drop-down box to select to either normal or inverted as


Polarity Setting.

TM 726-722-G1 Step 5 - 51
Step 5 – Set System Parameters

Use Sliders to set Minimum and Maximum Density.

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

2.5.2 Adding a DICOM Printer

1. Left click to access Select Printer to Add dialog box in


the lower left corner of the screen.
2. The Select Printer to Add screen will display.

“Select Printer to Add” dialog box

3. Enter configuration in Configuration window.


4. Select printer type.
5. Click Create to add or Cancel to stop the process.
6. A data entry screen will display specific to the printer type selected.
7. Enter specified information.

Screens are as follows:

TM 726-722-G1 Step 5 - 53
Step 5 – Set System Parameters

Use drop down


arrow to select from
options available

Use drop down arrow to select either Normal


or Inverted Polarity

Use drop down arrow to


select format from available
options.

TM 726-722-G1 Step 5 - 54
Step 5 – Set System Parameters

Enter the name of the Windows® Printer in


the widow provided.

Use drop down arrow to select either Portrait


or Landscape paper orientation.

Use drop down


arrow to select
from available
options.

Enter information manually in the windows


provided.

Use drop down arrow to select


from available options.

TM 726-722-G1 Step 5 - 55
Step 5 – Set System Parameters

Use drop down arrow to select


from available options.
(continued)

Use drop down arrow to select from either


Duplex or Simplex.

Enter information manually in the windows


provided.

Enter information manually in the windows


provided.

Enter information manually in the windows


provided

Enter information manually in the windows


provided.

TM 726-722-G1 Step 5 - 56
Step 5 – Set System Parameters

2.6 Query/Retrieve Devices

The Query / Retrieve Menus will allow configuration of DICOM Query and Retrieve
Service Class Providers.

Click to display Query/Retrieve Devices dialog box.

Complete information and then click Next.

TM 726-722-G1 Step 5 - 57
Step 5 – Set System Parameters

2.7 Worklist Devices

The Worklist Devices Menus will allow configuration of DICOM Worklist information
Service Class Providers.

Click to display Worklist Devices dialog box.

Complete information and then click Next.

TM 726-722-G1 Step 5 - 58
Step 5 – Set System Parameters

2.8 Modality Performed Procedure Step (MPPS) Devices

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.

2.8.1 Application Entities (AE)

Click to display MPPS Devices dialog box. Then Add MPPS AE


information.
An IP Address can be set with the Application Entity (AE) Title.
This function facilitates the communication/ transfer of information to another
location by using an Association Establishment between two DICOM
Application Entities; between the requester and the intended recipient to
negotiate how data will be encoded and the type of data to be exchanged.
The MPPS Feature is used to send out information about the Study that was
just completed.
Information can include:
• The number of acquisitions taken.
• The type and amount of radiation used on a patient during the Study.
• The number and type of films that were printed during the Study.
• And any other pertinent information.

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.

Add MPPS AE Dialog

TM 726-722-G1 Step 5 - 59
Step 5 – Set System Parameters

2.9 Patient Data Configuration

2.9.1 Patient Data


Specify required and non-required fields for entry of patient data. Patient data cannot
be processed if a field marked “required” is left blank. Information cannot be entered if
field is marked not used; the box is grayed-out. If a field is marked used, information can
be entered but is not required for processing patient data entry.

Configuration Screen – Patient Data Configuration – Patient Data

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

2.9.2 Study Data


Specify required and non-required fields for entry of study data. Study data cannot be
processed if a field marked “required” is left blank. Information cannot be entered if field
is marked not used; the box is grayed-out. If a field is marked used, information can be
entered but is not required for processing Study Data entry.

Configuration Screen – Patient Data Configuration - Study Data

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

2.9.3 Series Data


Specify required and non-required fields for entry of Series Data. Series Data cannot
be processed if a field marked “required” is left blank. Information cannot be entered if
field is marked not used; the box is grayed-out. If a field is marked used, information
can be entered but is not required for processing Series data entry.

Configuration Screen – Patient Data Configuration – Series Data

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.

Click to access Back-up function. A Confirmation screen will display.

Backup Configuration Dialog Box

Click Yes to continue Backup Procedure.


The Backup Configuration window will display.
Repeat as necessary for each Config file to be backed up (sysconfig.xml and
userconfig.xml).

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.

Click to access Restore configuration. A Confirmation screen will display,

Restore Previous Configuration Dialog Box.

Click Yes to continue Restore Procedure.


The Windows® “Open” window will display.

Select file name and type and then click Open.


The selected file will be restored. Repeat as necessary
for each Config. File to be restored (SysConfig.xml and
UserConfig.xml).

TM 726-722-G1 Step 5 - 64
Step 6 – Auto Calibration

STEP 6 – AUTO CALIBRATION


Table of Contents

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.

WARNING The System Parameters must be entered correctly especially: Image


Intensifier (II) Fields of View, Fluoro Dose Control method, Pulsed Fluoro
rates, and ABS type before running any part of the Auto Camera
Calibrate routine. This should have been done as part of Step #5.

WARNING: THE FOLLOWING PROCEDURES PRODUCES RADIATION.


WEAR PROPER LEAD SHIELDING!

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.

Proper Image Size:

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

2. Verifying the Image Size (Optics)

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.

Software Circle Blanking

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.

Service Application Screen

3. Once the Calibration Menu opens, click , then .

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

No Circle Blanking Applied: Properly sized and centered image

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

No Circle Blanking Applied: Image Too Small

TM 726-722-G1 Step 6 - 6
Step 6 – Auto Calibration

Phosphor
Monitor Edge

Phosphor
Circle
Outline

No Circle Blanking Applied: Image Too Large

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

2.2 Centering and Orienting Camera on Image Intensifier

NOTE: To perform the following steps, you must generate X-ray radiation.
Follow proper Safety Precautions with the X-ray system.

1. Turn on the digital system and Login as Service:


user: serviceapp
password: orion

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)

2.3 Focusing the camera

NOTE: To perform the following steps, you must generate X-ray radiation.
Follow proper Safety Precautions with the X-ray system.

1. Exit the Calibration Menus by selecting the Exit button.


2. Select the IQA button.
3. Select the ROI tab.
4. Select the 16x16 ROI radio button
5. Click on the Update Continuously check box.
6. Remove the anti-scatter grid from the FOV.
7. Place a screen mesh phantom as close to the input of the II as possible.
8. Select fluoro integration level set to 3, activate fluoro radiation.
The IQA screen will be updated with density and RMS information.
The best focus is the maximum achievable RMS Value.

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.

Focus Ring Focus Lock


Set Screw

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

II Field of View (FOV) Theoretical Acceptable


(inches / cm) Resolution Limiting Resolution
Circular Diameter Limit (lp/mm)
(lp/mm)
5” / 12.7cm 4.1 3.8
6” / 15.24cm 3.4 3.1
7” / 17.78cm 2.9 2.8
9” / 22.86cm 2.3 2.1
10” / 25.4cm 2.0 1.9
12” / 30.48cm 1.7 1.5
14” / 35.56cm 1.5 1.3
16” / 40.64cm 1.2 1.0

TM 726-722-G1 Step 6 - 11
Step 6 – Auto Calibration

3. Calibration

Open the Service Application (Refer to Step 3 for information on accessing


Service Application).

1. Click to open
Calibration Service
menu.

Service Application – Main Display Screen

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

Calibration / System Auto Calibration / Measuring Fields Calibration: Image Tab

Auto Calibration Process

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.

3. Click at the bottom on the screen to Run each step.


4. After the step has been completed successfully, a window will display with Calibration
Status for the step. Select Yes to continue and then click Next to proceed to the next
step of the procedure.

TM 726-722-G1 Step 6 - 13
Step 6 – Auto Calibration

3.1 Measuring Fields Calibration

3.1.1 Image Tab


This function sets the window used for Auto Black sample window in the video frame to
the appropriate size (Auto Black – 95%)
• Click Run. Fluoro/Pulsed Fluoro runs first. The setting should read 95%.
When Fluoro/Pulsed Fluoro 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.
• The process will repeat for spot. Again, the level should be at 95%.
• Click Yes, and then click Next to proceed to the next step (AGC/ABS).

NOTE:
In Manual
Calibration, use
the Override
Default button
to make a
Manual Setting.

Level indicated
here – should
be 95%.

Calibration / System Auto / Measuring Fields: Image Tab

TM 726-722-G1 Step 6 - 14
Step 6 – Auto Calibration

3.1.2 AGC/ABS Tab

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.

Control Level at 50%

Calibration / System Auto / Measuring Fields: AGC/ABS Tab

TM 726-722-G1 Step 6 - 15
Step 6 – Auto Calibration

3.2 Video Gain – Video Level Calibration


Three adjustments are available in the Video Level Mode – Acquire LUT (Lookup Table),
Video Gain and Auto Black. This is the order in which these steps run when the system
is in Auto Cal. Instructions for performing the functions are shown in the box under the
tabs. Use up and down arrows to scroll down for all numbered steps.
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 and each Video Level has been calibrated. When the
process is complete, Click Yes, and then click Next to proceed to the next step.

3.2.1 Acquire LUTs Tab


For each type of image supported on the Precision Imaging System, the Default
Lookup Table is selected and loaded.

Fluoro Gamma 4
Spot Normal Contrast

Calibration / System Auto / Video Level Calibration: Acq LUTs Tab

TM 726-722-G1 Step 6 - 16
Step 6 – Auto Calibration

3.2.2 (Video) Gain Tab

For each type of image supported on the system, the Default Video Gain Value is
selected and loaded.
Fluoro AGC ON
Spot Fixed Black

Calibration / System Auto / Video Level Calibration: Gain Tab

TM 726-722-G1 Step 6 - 17
Step 6 – Auto Calibration

3.2.3 Auto-Black Tab

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

Calibration / System Auto / Video Level Calibration: Auto-Black Tab

TM 726-722-G1 Step 6 - 18
Step 6 – Auto Calibration

3.3 Overlay Calibration

3.3.1 Circle Mask Tab

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.

Calibration / System Auto / Overlay Calibration: Circle Mask Tab

TM 726-722-G1 Step 6 - 19
Step 6 – Auto Calibration

3.4 Iris Calibration – Continuous Fluoro (Fluoro Tab)


• This Calibration must be Run with Fluoro ON.
• The step requires a Homogenous Density Phantom in field of view when it is run.
• The Fluoro Dose must be adjusted to the proper Dose Rate prior to running this step.
• When this step is run, the system will adjust the mechanical iris size to achieve a CAL
level value of 300. Follow the on-screen instructions. After you calibrate one FOV and
if there are more than one FOV active, a dialog box will display asking “Same for all
FOV?” Select Yes.

Continuous Fluoro Cal Level = 300

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

Calibration / System Auto / Iris Calibration: Fluoro Tab

TM 726-722-G1 Step 6 - 20
Step 6 – Auto Calibration

3.5 Iris Calibration – Pulsed Fluoro Tab

• This Calibration must be run with Pulsed Fluoro ON.


• This step requires a Homogenous Density Phantom in field of view when it is run.
• The fluoro dose MUST be adjusted to the proper Dose Rate prior to running this step.
• When this step is run, the system will adjust the mechanical iris size to achieve a CAL
LEVEL Value of 300.
• When Pulsed Fluoro Iris Calibrations are performed on the system, the default
algorithm will run each Iris Calibration separately for each configured Pulse Rate.

Follow on-screen instructions. After you calibrate one rate a dialog box will display
asking “Same for all Rates?” Select Yes.

Pulsed Fluoro Iris Cal Level = 300

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

Calibration / System Auto / Iris Calibration: Fluoro Tab

TM 726-722-G1 Step 6 - 21
Step 6 – Auto Calibration

3.6 ABS Calibration


Instructions for performing the functions are shown in the box under the Tabs.
Use up and down Arrows to scroll down for all numbered steps.
3.6.1 ABS Level Tab
This step will calibrate the correct level of Automatic Brightness Stabilization. Click OK
to enable ABS Control on the generator and then press Run then activate and hold the
Fluoro Exposure Control until the step is completed. When the step is finished, a
window will display with the Calibration Status for the step. Select Yes, and then click
Next to proceed to the next step of the procedure.

CAL LEVEL ABS


RF Cal Level = 300
DSA Cal Level = 300

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

Calibration / System Manual / ABS Calibration /ABS Level Tab

TM 726-722-G1 Step 6 - 22
Step 6 – Auto Calibration

3.6.2 ABS Response Tab

Calibration / System Manual / ABS Calibration / ABS Response Tab

1. Do NOT activate radiation during this Calibration step.


2. Press Run to calibrate ABS Gain Response for the selected camera mode.
3. When this step is finished, a window will display with the Calibration Status for the
step; select Yes.
4. Press Next and the system will advance to the Iris/Spot Calibration.

TM 726-722-G1 Step 6 - 23
Step 6 – Auto Calibration

3.7 Iris Calibration – Spot Tab


• This Calibration must be run while making Spot Exposures.
• This step requires a Homogenous Density Phantom in field of view when it is run.
• The Spot Dose MUST be adjusted to the proper Dose Rate prior to running this step.
• When this step is run, the system will acquire Spot Images at a Rate of 1 FPS and
adjust the mechanical iris size to achieve a Measuring Field Level Value of 680.
Image For 40cm (16”) II For 32cm (12”) II Small Format Camera
Intensifier Large Format Camera Large Format Camera Not used for Precision
RF Spot Measuring Field = 500 Measuring Field = 680 Measuring Field = 1000
DSA Spot Measuring Field = 500 Measuring Field = 680 Measuring Field =1000

Mode:
RF Spot Images

Mode:
DSA Spot
Images

AEC Dose
Control
Settings

Calibration / System Auto / Iris Calibration: Spot Tab

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

3.7.1 AEC Dose Control (Touch Screen) Settings

An Automatic Exposure Control, or AEC, is often referred to as a phototimer.


Phototimers are designed to automatically determine and provide the exposure needed
to produce an adequate optical density image by sampling the ex-ray intensity after
passage through the patient and image receptor.

The following are different iris settings per dose level where dose level has originally
been setup on the CPI screen:

CPI Touch Screen Setting Dose Control


A High
B Normal
C Low

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

STEP 7 – SYSTEM TESTING


Table of Contents
1. SYSTEM DIAGNOSTICS ................................................................................................. 3
1.1 RUNNING DIAGNOSTIC TESTING .......................................................................................... 5
2. ACCEPTANCE TESTING................................................................................................. 6
2.1 NON-ACCEPTANCE TERMS .................................................................................................. 8
3. TESTING OPTIONAL EQUIPMENT................................................................................. 9
3.1 DICOM IMAGE TRANSFER................................................................................................... 9
3.2 MEDIA EXPORT ................................................................................................................. 12
3.3 DICOM WORKLIST ........................................................................................................... 15
3.3.1 SEARCHING FOR PATIENT INFORMATION ..................................................................................... 17
3.4 DICOM QUERY/RETRIEVE ................................................................................................ 19
4. MPPS DEVICE TESTING ............................................................................................... 22

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.

1. Click on DIAG for


Diagnostic screen.

Main Image Screen with Service Application User Interface

TM 726-722-G1 Step 7 - 3
Step 7 – System Testing

1. The Diagnostic screen will display.

Service Application: Diagnostic Screen

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

1.1 Running Diagnostic 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.

Click to Run Self-diagnostics for GIM.

Click to Run Self-diagnostics for IAPDB.

After the tests are completed, click the button to


Return to the Service Functions Screen.

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.

Temperature Humidity Atmospheric Pressure


Operation 64.4o - 86o F
20% - 75% noncond 700 -1060 hPA
18o - 30o C
Transport and -13o - 131o F 700 -1060 hPA
10% - 95% noncond.
Storage -25o - 55o C

TM 726-722-G1 Step 7 - 6
Step 7 – System Testing

ACCEPTANCE TESTING RESULTS


Baseline data on previously installed digital system? P F N/A

System calibration completed. Document image quality parameters, P F N/A


including noise, resolution, uniformity and signal range

System configuration complete P F N/A

System powers up P F N/A

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 Roadmap images P F N/A

Acquisition of fluoro loops – loop acquire, loop replay, store loop – P F N/A

Acquisition of spot images P F N/A

Acquisition of subtracted spot images – single shot, rapids P F N/A

LIH – store, W/L/I, edge P F N/A

Review of acquired images – W/L/I, edge, mask with reregistration, P F N/A


zoom with pan, AIO

Hardcopy – different formats P F N/A


Digital Host Control or DICOM hardcopy

Export / Import of data via DICOM P F N/A

System diagnostics P F N/A

TM 726-722-G1 Step 7 - 7
Step 7 – System Testing

2.1 Non-Acceptance Terms

Non-acceptance of the system by the end-user is defined as:

1. Significant physical damage sustained to the system hardware, (i.e. PC console,


monitors, or disk drive) which prevent the operation of the unit.

2. Repeated failure of any one of the components during the Acceptance Test listed
above.

If either of these conditions exists, contact GE immediately.

NOTES: Non-acceptance of the system will NOT be considered if the


system is rendered inoperable by the host x-ray system or
accompanying network device.

Service Personnel will be responsible for replacement of


defective materials and reinstallation of such materials.

TM 726-722-G1 Step 7 - 8
Step 7 – System Testing

3. Testing Optional Equipment

NOTES: Follow the manufacturer’s instructions to calibrate the hardcopy device


before the system is connected, and after it has been installed and
calibrated.

3.1 DICOM Image Transfer

To verify DICOM Export is functioning:

1. Click on Patient List button to


display the Patient List dialog.

2. The Patient List screen will display.

TM 726-722-G1 Step 7 - 9
Step 7 – System Testing

3. Highlight Patient or Study DICOM


to select for Export. send

4. Click applicable DICOM Send button.


5. The Archive Destination window will display.

TM 726-722-G1 Step 7 - 10
Step 7 – System Testing

6. Highlight to select destination from list of those


available.

7. Optionally select Process Images to Apply


Processing prior to Export.

8. Optionally select Embed Annotations to Apply


Annotations to image prior to Export
This is available only when Processing button
is pressed.

9. Click OK to process - This will complete the


Export procedure.
Or
Cancel to stop the process.

10. Consult Status Box for success or failure of transaction.

TM 726-722-G1 Step 7 - 11
Step 7 – System Testing

3.2 Media Export

To verify Media Export is functioning, first insert a blank media in the


DVD drive.

1. From the Main Menu, click on the Patient List button to


display the Patient List dialog.

2. Click on the button on the Patient


List dialog to display the DICOM Selection dialog.

3. The Patient List Media Export dialog screen will display.

TM 726-722-G1 Step 7 - 12
Step 7 – System Testing

Select Patient File or Study, then highlight.

Media Export Setup Screen

4. From Device drop-down menu,


DVD select Media Destination Device.
5. Highlight Patient File or Study to be transferred.

6. Optionally select Process Images to


Apply Processing prior to Export.

7. Optionally select Embed Annotations to


Apply Annotations to image prior to Export.
This is available only when Processing button
is pressed.

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.

Click to send Patient file to selected Click to send Study to selected


media destination device. media destination device.

9. A Transfer Job is created and added to the Queue.


The current available capacity of CD will display in Media Capacity Bar.

TM 726-722-G1 Step 7 - 14
Step 7 – System Testing

3.3 DICOM Worklist

To verify DICOM Worklist is functioning:

To access Worklist:

1. From the main menu, click on the Patient List button to


display the Patient List screen.

2. Click on the button on the Patient List


dialog to display the Worklist Selection screen.

Patient List Screen (Preparing for Worklist)

TM 726-722-G1 Step 7 - 15
Step 7 – System Testing

Worklist Information Screen

3. The Patient List Worklist screen will display.

TM 726-722-G1 Step 7 - 16
Step 7 – System Testing

3.3.1 Searching for Patient Information

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

1. From drop down Worklist Provider


menu,
select Provider.

2. Select location (Local = Specific


room)
and Modality to be Queried:
RF – Radio Fluorography
(returns only files that contain the RF
modality)
XA – X-Ray Angiography
(returns only files that contain the XA
modality)
Select both RF and XA to return
matches for any file that has either RF
or XA in modality field.

3. Select maximum number of results


to be returned for the Query. Use
the keyboard to enter a specific Value.
Valid range is from 1-100.

4. Enter data against which the Query


will be run in the appropriate space.

NOTE: Format to display time is


based on the regional setting
established when DICOM
installed and control by Service
Application Utilities Menu.

TM 726-722-G1 Step 7 - 17
Step 7 – System Testing

5. Use the Auto Times button to set the


Parameters for when to run Queries
in question. Queries can be run
during non-business hours so that
information will be available at the
beginning of each shift.

6. To verify that the selected Worklist


Provider system is functioning, select
the Verify button.
The system will send a Verification
Message to the Worklist Provider.

7. The Status will be shown in the lower


right of the dialog.

8. Click on Execute Query to Run Query


for specified data.

The Worklist Tab displays


a list of all patients that
match search parameters
will display in large
window area of screen.

TM 726-722-G1 Step 7 - 18
Step 7 – System Testing

3.4 DICOM Query/Retrieve

To verify that DICOM Query/Retrieve is functioning:

To access Query/Retrieve:
1. From the Main Menu, click on the Patient List button to
display the Patient List screen.

2. Click on the button on the Patient List


screen to display the WorkList Selection dialog.

Patient List Screen

TM 726-722-G1 Step 7 - 19
Step 7 – System Testing

Query/Retrieve Information Screen

3. The Patient List Query Retrieve screen will display.

TM 726-722-G1 Step 7 - 20
Step 7 – System Testing

4. Select Provider from the drop-


down Provider Menu.

5. Click Verify to verify


destination.
The name of the Service
Provider
should appear in the Status
Window.

6. Click on Query button.


Information
will display in the Status
Window.

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.

Once the Query is complete, a Patient/Study/Series can be selected for Processing.


1. Highlight patient to select for file retrieval and click the Import button
2. The new patient will appear on the Patient List.
3. Check progress of transfer in Status Column of Patient List screen.

TM 726-722-G1 Step 7 - 21
Step 7 – System Testing

4. MPPS Device 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.

4.1 Application Entities (AE)

Click to display MPPS Devices


dialog box. Then, Add MPPS AE information.
An IP Address can be set with the
Application Entity (AE) Title.
This function facilitates the communication/
transfer of information to another location by
using an Association Establishment between
two DICOM Application Entities. The AEs use
the Association Establishment between the
requester and the intended recipient to negotiate
how data will be encoded and the type of data to
be exchanged. Add MPPS AE Dialog
The MPPS Feature is used to send out information
about the Study that was just completed.

Information can include:


• The number of acquisitions taken.
• The type and amount of radiation used on a patient during the Study.
• The number and type of films that were printed during the Study.
• And any other pertinent information.

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

4.2 MPPS Connection Checks:


Connection checks are performed during each of these operations:
• Opening a Study
• Acquiring images to the Study
• Closing a Study
During any of these events, the system sends an “N-Create” Message to the MPPS Server from your
system signifying the event. Any failure will display a notification to the user that the MPPS Server
connection is not available. See your Network Administrator for assistance. Parameters may need to
be reset for successful operation. The MPPS Feature should be transparent to the user except in the
case of a failure, where a notification is sent to the user.

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

60-70 kV Infant and Pediatric Studies


70-80 kV a) Children and small adults
b) Vascular Studies
Other contrast injections (Myelos, Hyestos, T-Tubes, etc.)
90-95 kV Adult Double Contrast Studies, Esophagus
90-100 kV Single Contrast GI and BE Studies
110-110 kV Large Patients

2.1 Spot Exposure Times

NOTE: Failure to install the x-ray generator signal line for RAD EXPOSE ON will result
in exposure termination at 180 milliseconds.

Acquisition Maximum Exposure Time


Single 5 Seconds
.5 fps 1970 milliseconds
1 fps 970 milliseconds
2 fps 470 milliseconds
3 fps 303 milliseconds
4 fps 220 milliseconds
5 fps 170 milliseconds
7.50 fps 95 milliseconds
10 fps 66 milliseconds
15 fps 15 milliseconds

TM 726-722-G1 Step 8 - 3
Step 8 – Recommended Doses and Exposure Factors

Recommended Doses

40 cm II Mag 0 Mag 1 Mag 2 Mag 3

Continuous (mR/Min) 2.7 3.1 4.4 5.9


Pulsed-15pps (mR/Min) 2.106 2.418 3.432 4.602
Pulsed- 7.5pps (mR/Min) 1.377 1.581 2.244 3.009
Pulsed 3.75pps (mR/Min) 0.81 0.93 1.32 1.77
Pulsed-1pps (mR/Min) 0.3375 0.3875 0.55 0.7375

40 cm II Mag 0 Mag 1 Mag 2 Mag 3

Continuous (μR/Sec) 45.0 51.7 73.3 98.3


Pulsed-15pps (μR/Fr) 2.3 2.7 3.8 5.1
Pulsed- 7.5pps (μR/Fr) 3.1 3.5 5.0 6.7
Pulsed 3.75pps (μR/Fr) 3.6 4.1 5.9 7.9
Pulsed-1pps (μR/Fr) 5.6 6.5 9.2 12.3

32 cm II Mag 0 Mag 1 Mag 2 Mag 3

Continuous (mR/Min) 2.4 3.3 4.4 5.9


Pulsed-15pps (mR/Min) 1.872 2.574 3.432 4.602
Pulsed- 7.5pps (mR/Min) 1.224 1.683 2.244 3.009
Pulsed 3.75pps (mR/Min) 0.72 0.99 1.32 1.77
Pulsed-1pps (mR/Min) 0.3 0.4125 0.55 0.7375

32 cm II Mag 0 Mag 1 Mag 2 Mag 3

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

RF Spot Dose = 52 μR/Fr Mag 0


DSA Spot Dose = 144 μR/Fr Mag 0

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.

These procedures must be performed at the six-month mark,


CAUTION: from the date of installation, to keep the product warranty valid!

1.1 Instructions for Operators

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

2. PC Cabinet Access and Exit Procedures

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.

WARNING! Proper ESD procedures must be followed when replacing any


electrostatic sensitive component in the system. An ESD ground
strap may be connected to any point on the cabinet chassis.

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

Cabinet Exterior Front View

TM 726-722-G1 PM - 4
Preventive Maintenance

Cabinet Access Procedure


Provide below are the basic steps for accessing the hardware components of the PC
chassis.

Photo Panel PRECISION CABINET ACCESS PROCEDURE


Group Location
Notes on Removing/Replacing Panels (See instructions with photos)
SPECIAL NOTE:
Front panel does not normally
A Front There are a couple of exceptions to this that involve the
need to be removed. installation of the DVD and floppy drive. Release the two
side clips (at both sides of chassis) to remove cover

B Top Top Panel should not need to be removed.

C Right Right panel does not need to be removed.


1. Remove two screws from back lip of panel.
2. Pull panel back slightly, using indented handle just until clips are disengaged.
3. Lean panel slightly to the right and lift up from bottom track.
D Left 4. Remove panel and set aside.
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.

GROUP D: REMOVE LEFT SIDE METAL PANEL

Cover
Stays On

2 Panel
Screws

1. Remove the two screws


located at the left rear of
the chassis.

TM 726-722-G1 PM - 5
Preventive Maintenance

2. Next, lift both plastic (flap-style)


tabs from the left side panel at the
rear corners to release the flap’s
notch out of the positioning hole
that meets with the chassis frame.
This will disengage the panel to
allow removal.

2 Side Panel Flap Tabs

Line Up
Slots and
Screw Holes

3. Now the panel is ready to slide off


its notched rail.
Precision Chassis Tower – Left Side Panel Removed
4. Slide it to the LEFT about one (1)
inch and lift off the rails; set aside.

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
---- ----

PRECISION PC Cabinet, Left Panel Removed – Close-up of Board Locations

TM 726-722-G1 PM - 7
Preventive Maintenance

2.2 Cabinet Exit Procedure

Photo Panel PRECISION CABINET EXIT PROCEDURE


Group Location
Notes on Removing/Replacing Panels (See instructions with photos)

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.

C Right Right panel does not need to be removed.

B Top Top Panel should not need to be removed.

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

1. Locate the left


side chassis panel.
2. Mate the Left side
panel to the chassis.

PRECISION Chassis Tower –


Left Side Panel Removed

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

SECURING CHASSIS SIDE PANEL


3 4

SLIDE PANEL TO FRONT


6

5
4

4. Engage vertical slot first.


The screw hole will also
Line Up become aligned.
Slots and 5. Then insert round notch
Screw Holes on the plastic flap into its
matching hole.
Aligned and Seated Metal 6. Finally fold the tab toward
Side Panel not yet fully Secured the back to engage with
the two square notches.

7. Lift both plastic (flap-style) tabs from the


left side panel at the rear corners.
8. Position the flaps notch into the
positioning hole to meet with the chassis
frame. The clips will hold the panel the
panel onto the chassis while securing its
screws.

Engaged
Engaged Panel Clip
Panel Clip

2 Side Flap Tabs at


Rear of Side Panel

9. Locate the chassis panel screws.


10. Tighten the left two (2) screws at the left rear
corner of the chassis to secure the side panel.

11. Check your power cables to ensure they are


hooked up. Now you are ready to power your
PC back ON.

TM 726-722-G1 PM - 9
Preventive Maintenance

2.3 Board Locations with Associated Rear Cabinet Cable Connections

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)

IAPDB Board (green)

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

2.3.1 PRECISION PC Chassis – All Cable Connection Locations – Rear View

Keyboard 9-pin D-sub


Serial I/O Port
(PS2) (COM4)
Mouse
(PS2)

15-pin D-sub Comp Port


VGA Output for (Not used)
Static Image

9-pin D-sub
Parallel Port Serial Port
“LPT1” (COM3)
(Not used)

Modem DVI Connections --


15-pin Occupied by the DVI
D-sub Loop-back Cable
Integrated
VGA Multi-/80-pin
Output LVDS Port for
(Not used) 15-pin D-sub
Orion Camera
VGA Output
Image Data and
for Primary
Communication
Video Display

9-pin D-sub
USB Ports
Serial Port
(Not used)
(COM5)

Audio Ports 10/100 Ethernet Coaxial BNC Video Ethernet (Network)


(Not Used) (Network) Outputs for Primary Cable RJ-45 at
(Red, Green, Blue) Cable RJ-45 at Video Display Port P15 for GIM
Communication Coaxial BNC
Port P15
Video Output for
Scan Converter

Cable Connections Legend

TM 726-722-G1 PM - 11
Preventive Maintenance

2.3.2 PC Cabinet – Internal View Drawing

CD / DVD Drive

Floppy
Drive

CPU

Graphics Card

Serial I/O Card - A

Modem

LVDS Board

Option: Additional Serial I/O Card - B

VIB

IAPDB

PRECISION PC Cabinet, Left Side – Internal View

TM 726-722-G1 PM - 12
Preventive Maintenance

3. Accessing the Service Application Menu

1. Right click mouse in Main Image screen. Sub-menu will display.

2. Click to start
Service Application.

A Login screen will appear. Enter User Name and Password.

Designation Login Information Level of Authority


User Name: operator
Clinical Personnel Access to Clinical Application only.
Password: orion
User Name: serviceapp Access to Clinical Application and most
Service Personnel functions of Service Application.
Password: orion

• Passwords are case sensitive.


• After three failed attempts to access Service Application using an incorrect
user name or password, the system will return the user to the Clinical
Application screen.
• Contact the Network Administrator if you have problems logging in.

3. The Service Application Menu screen will display.

Service Application Screen

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

5. Back-up Software Settings

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.

5.1 Save System Parameters to Hard Drive


From Service Applications – Configuration dialog:

Click on the
Backup button.

1. Click to access Back-up Function. A Confirmation screen will


display.

TM 726-722-G1 PM - 15
Preventive Maintenance

2. Click Yes to continue Backup Procedure. The Backup Configuration


window will display.

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

4. Click Exit on the Configuration dialog.

5. From Service Applications – Calibration dialog, Click to


access Back-up Function. A Confirmation screen will display.

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: The file extension .cal MUST be retained.

7. Select Save. If prompted to overwrite, click Yes.


8. Once all the Calibration Settings have been saved, the system will return to the
Calibration screen.

NOTE: It is recommended to copy these four (4) backup files to either a floppy disk,
CD, or DVD.

NOTE: Keep the disk with the System’s Technical Documentation.

TM 726-722-G1 PM - 18
The Appendices

APPENDICES

Table of Contents

Appendix A – Abbreviations / Terms / Definitions


Appendix B – Symbols
Appendix C – Compatibility List
Appendix D – Troubleshooting Guides (Operators’ and Service Technicians)
Appendix E – HIPAA Compliance Manual

TM 726-722-G1 Appendix - 1
The Appendices

TM 726-722-G1 Appendix - 2
The Appendices

Appendix A – Abbreviations / Terms / Definitions

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.

DVD-R DL A dual-layer drive (DVD-R DL) increases capacity to 8.5GB.


(DVD+Recordable) A write-once (read only) version of the DVD+RW optical disk
DVD+R from the DVD+RW Alliance. DVD+Rs hold up to 4.7GB of data per side and can
be read by DVD-Video players and computer DVD-ROM drives.
DVD+R DL A DVD+R DL disk is a "dual layer" DVD+R that holds a total of 8.5GB.
E Expose
EMC Electromagnetic Compatibility
F Fahrenheit
FDA Food and Drug Administration
FIFO First In First Out
Shows total cumulative time patient has been exposed to radiation during
Fluoro Time
their Fluoroscopic exam.
FOV Field Of View
FPGA Field Programmable Gate Array
fps Frames per second

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.

FRU Field Replaceable Unit


FWD Forward
GUI Graphical User Interface
Gx Gain – Refers to Image Intensifier gain
(Gray) – Kerma is measured in J/kg. The special name for the unit of
Gy
Kerma is Gray; also see Kerma in this list.
hPa Hecto Pascal (unit of pressure measurement)
HDD Hard Disk Drive
Hz Hertz
IAPDB Image Acquisition Processing and Display Board
II / IA Image Intensifier or Image Amplifier
The room that contains the x-ray source, detector and the table that holds
In-Room
the patient undergoing the procedure.
A measurement used in the Dose Display feature. Kerma is the sum of the
initial energies of all the charged particles liberated by uncharged ionizing
Kerma
particles in a material of given mass as defined by the international
commission on Radiation Units and Measurements (Gy).
Kilovoltage (one word) describes the penetrating ability of x-rays. Inside
the x-ray tube are three components, a cathode, anode and a glass
envelope designed to allow x-rays to penetrate. X-Rays occur when the
cathode is heated and voltage is applied to force the heated electrons to
the anode. When the electrons strike the anode, x-rays are produced.
kV
As the user increases the kilovoltage, the electrons move faster (increased
frequency) and the x-ray energy is increased. The voltage controls the
electron speed. kVp refers to peak voltage as voltage may fluctuate.
kVp determines the quality of the x-ray beam which impacts image quality
in a very important way. Image Contrast is determined by kVp.

Penetrating power of the x-ray. It determines the quality of the image in


kVp
reference to its Contrast.

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

Milliamperes – time; The higher the current, there is an increase in the


quantity of x-rays. "The mA controls the number of electrons produced per
unit time which controls the amount of radiation produced by the target.
mA The total radiation produced is proportional to the product of the
milliamperes and the exposure time in seconds and is expressed as mAs
or milliamperes-seconds." mAs determine the quantity and intensity of
the x-rays that are produced. mA refers to the Density of the image.
Determines the quantity of the number of x-rays produced in reference to
mAs
its Density.
(milliGray) – A unit of measure; Gray being the special name for the unit of Kerma;
mGy also see Kerma in this list.
MID Multi Image Display
mm Millimeter
Motion Detection Measures the change in Contrast from one frame to the next.
Motion Based on the amount of change in Contrast, the amount of Integration will
Detection decrease. A large change will decrease the amount of Integration and vice
versa.
MPPS Modality Performed Procedures (MPPS devices)
mR Milli-rad
The Non-recursive Integration option uses the last acquired frame to combine
Non-recursive
with the current frame to provide Noise Reduction. Available Noise-Reduction is
Integration minimal.
OTS Off The Shelf
Opacification *An act or the process of becoming or rendering opaque
PACE Post-acquisition Automatic Copy and Enhancement
PC Personal Computer
PCI Peripheral Component Interconnect
Embedded Processor with a PCI interface used on the IAPB board for real
PCI Processor
time acquisition and image processing control.
A button that carries out an action. The button's appearance changes when
it is pressed, and reverts back to its previous appearance when released.
Push Button
A Push Button typically has a label that describes its action (same as
Command Button).
QA Quantitative Analysis
QID Quad Image Display
Recursive The Recursive Integration option uses the last processed (integrated)
Integration frame to combine with the current frame to provide Noise Reduction. Non
RTD Real-Time Disk
R/F Radiography / Fluorography
RAID Redundant Array of Inexpensive Disks
RAM Random Access Memory
RAMDAC Random Access Memory Digital to Analog Converter
ROI Region of Interest

TM 726-722-G1 Appendix - 6
The Appendices

SCSI Small Computer Systems Interconnect


SDRAM Synchronize Dynamic Random Access Memory
SID Single Image Display
SIMM Single Inline Memory Module
S/N Serial Number
SRAM Static RAM
SVGA Super Video Graphics Adapter
SW Software
UL Underwriters Laboratory
uR Micro-Rad
V Volts
VCR Video Cassette Recorder
VGA Video Graphics Adapter
VxD Windows Virtual Device Driver
W Window or Contrast; increase of white and black intensities
XGA Extended Graphics Adapter

*Merriam Webster Medical Dictionary

TM 726-722-G1 Appendix - 7
The Appendices

(This page is left intentionally blank.)

TM 726-722-G1 Appendix - 8
The Appendices

Appendix B – Symbols

The following symbols are used on the system hardware:

This symbol indicates the system is rated as


Type B Equipment according to IEC 601
regulations. This symbol is located on the rear
panel of the PC cabinet.

Attention: Consult accompanying documents.


!

Indicates the power switch for the PC system.


This symbol is located on the front panel of the
electronics cabinet.

Power: Disconnection from the mains

ON (Power: connection to the mains)

TM 726-722-G1 Appendix - 9
The Appendices

. OFF – Only for part of the equipment

ON – Only for part of the equipment

Protective Earth Symbol

Alternating Current (AC)

TM 726-722-G1 Appendix - 10
The Appendices

Appendix C - Compatibility List

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.

DICOM PACS Network Compatibility


DICOM compatible PACS networks Compatibility (Ethernet)

Name Status

Agfa IMPAX Approved

ALI UltraPACS v4.2 Approved

Comview Approved

Imation/CEMAX/ICON Approved

Kodak MIIL V3.1 Approved (this is an archive device)

Approved
Kodak CX/DX V2.1.7
(this is an SCP class only review station)

Siemens Magic View 5.0 PC for DICOM Approved

Siemens VAO3 with release 5.0


Approved
(with patch)

DICOM Print Class Compatibility


The ability of Precision System to DICOM print to Digital Laser Imagers

TM 726-722-G1 Appendix - 11
The Appendices

(This page is left intentionally blank.)

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

For Service, see information below for your location:


Diagnostic Imaging
Division Phone # More Info.

TiP Applications Support 800-682-5327

Service: On-Site 800-437-1171


Click Here;
Service: Parts 800-558-2040
www.gemedicalsystems.com
Sales: Accessories/Supplies 800-558-5102
Sales: New Equipment 800-886-0815
Sales: New Equipment
888-526-5144
LOGIQBook Compact Systems
Click Here;
Sales: Service 262-312-7399
www.gemedicalsystems.com
Click Here;
Canada 800-668-0732
www.gemedicalsystems.com
Click Here;
Latin America 305-269-4000
www.gemedicalsystems.com
Europe Click Here; www.gehealthcare.com
Middle East / Africa Click Here; www.gehealthcare.com
Click Here;
Asia
www.gemedicalsystems.com

TM 726-722-G1 Appendix - 13
The Appendices

Canadian Contact Information


Products Diagnostic Imaging
General Electrics, CGR, Lunar, SMV,
Yokogawa Medical Systems (YMS),
Brand OEC
Johnson and Johnson, Technicare,
Elscint, Diasonics
Accessories &
800-668-0732 x3 800-668-0732 x3
Supplies
On-Site Service 800-668-0732 x1 800-668-0732 x1
Service Parts 800-668-0732 x2
New Equipment
800-668-0732 800-668-0732
Sales

To obtain your software information from the Clinical Application:

At the upper portion of the Clinical Interface:

1. Click on button at the Main Image screen.

2. A new Status screen will display.

3. Click on Tab labeled .

4. A new Version screen will display.

5. The Serial Number (S/N) will be in format: xxx-xxxx.

TM 726-722-G1 Appendix - 14
The Appendices

Current Software Version Number Here


Version #
Serial # Sample Customer Information
Copyright

Example of a Version Information Screen

To obtain your software information from the Service Application:


Locating your Site ID, Serial Number /Model Name Information:
From the Service Application:
Select the Config button, System Configuration Option, and then the Site Info Tab to see your system’s
information.

TM 726-722-G1 Appendix - 15
The Appendices

System User’s Troubleshooting Guide Appendix D-1


Precision System

Note:
Ref. Serv 1 means to go to the Technical Manual, Appendix D-2, Service Technician’s Troubleshooting Guide, and see Item 1.

Type Item Symptom Prescribed Action Steps

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).

2 MSG: “Software Device 1) Reboot PC.


Failure”
2) If error still exists, refer to Serv 2 (see Tech Man –
Appendix D-2).

3 MSG: Site Key 1) Call GE Customer Care for required code;


Requested Window refer to Serv 3 (see Tech Man – Appendix D-2).

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).

5 Sluggish Response to 1) Suspect virus or malware infection. Refer to www.ge.com


Icons, Commands for latest certified tools for addressing prevention and
removal. Have a qualified person install and run Virus
Protection. If not OK, then Step 2.
2) Refer to Serv 5 (Tech Man – Appendix D-2).

6 Slow to Boot 1) Clean database of patients older than 1 month if full;


if still slow, refer to Serv 6 (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

Type Item Symptom Prescribed Action Steps

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?

11 Poor Contrast in Spot 1) Take Spot of Contrast Phantom – Is Contrast sufficient?


Images Note Generator Kvp and mAs readout.
2) If using a particular doctor in Dr. Pref’s, is the Spot AIO
enabled and set to Normal. Try different settings.
5) In Dr. Pref’s, are the Contrast and Brightness Sliders off
defaults of 2048/4096? If still persists, refer to Serv 11
(see Tech Man – Appendix D-2).

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).

13 No Mouse or Keyboard 1) On Boot, Bios indicates keyboard error. Check


connections and/or test with known good keyboard.
2) If mouse not present or cursor does not move, check
connections (splitter, extension cables) and/or replace with
known good Mouse; connect directly to PC (bypass splitter
and extension cable).

TM 726-722-G1 Appendix - 17
The Appendices

Service Technician’s Troubleshooting Guide Appendix D-2


Precision System

Type Item Symptom Prescribed Action Steps

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.

2 Software Device 1) OK past MSG, “???” in service I/F process controls.


Error Coardb error- If yes…
service
2) Remove left PC cover, view Iapdb LED’s on tape, 1100 0000.
If no…
3) Turn Off Power; remove Iapdb, reseat memory, reinstall.
If no run…
4) Order Iapdb replacement, note P1 software version.

3 Site Key 1) Browse to C:\Diag\RestoreSiteKey.reg, double click; try to re-launch


Requested the Clinical I/F. If clinical use not possible, refer to Step 2.
2) If the file is not present, call GE Customer Care; prepare a phone or
VPN connection for remote service.

TM 726-722-G1 Appendix - 18
The Appendices

Type Item Symptom Prescribed Action Steps

Service 4 DICOM Transfer 1) At Desktop, Start>Run>”cmd”, enter. In black command window,


not Possible type, “ping 127.0.0.1”. Results should be “reply….” 3 – 4 times;
if not, refer to Step 2. If yes, refer to Step 3.
2) Suspect NIC hardware or setup: Start>Settings>Control
Panel>System>Device Manager, any “?” or “!” next to Network
adapter category? If yes, call GE to replace Motherboard.
3) If step 1 is OK: In Widows explorer, highlight C: and Right click,
click “search”. In search field, type “ MergeCom”, highlight result
with file type “app”, right click>Open With>Notepad.
Scroll to header “Remote Application…” notes configured DICOM
device AE titles in brackets, and record.
Perform another search with “hosts” in the field, highlight file in
sys32 folder, Right click Open with, Notepad, note the AE titles
with the IP addresses, attempt to ping desired device IP.
- If not OK, replace patch cable with known good cable.
Try to ping again.
THEN:
- If not OK, connect patch cord to known good network drop.
- If OK then retry DICOM transfer.
THEN:
- If OK, contact Administrator to correct local drop.
- If not OK then refer to Step 4.
4) At Desktop, right click My Network Places>Properties>double click
TCP/IP>properties, note the local IP address and ping it.
If not OK, is there a gateway IP shown? If no, may need to add.
If OK, then check accuracy of remote IP’s from Admin.

5 Sluggish system 1) Ctrl+Alt+Del>Task Manager>Processes:


response Is “System Idle” showing 98 or 99 %, if not, record other processes
that are using > 2%.
If there are, note their names, as there may be other malware
infections, call GE Customer Care.
2) May also consider checking frequency of DICOM Worklist
Autoquery settings. If too frequent, will slow performance.

6 Slow to boot 1) Consider pending hard drive problems.


Check My Computer>Manage> System Tools>Event
Viewer>System and look for any errors related to the hard drive
(hdd). If present, contact GE Customer Care.
2) If there are no errors and system still boots slow, prepare for remote
phone or VPN connected remote session with Customer Care.

TM 726-722-G1 Appendix - 19
The Appendices

Type Item Symptom Prescribed Action Steps

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.

9 Lines or Other 1) ServApp, Acquire fluoro, artifacts visible?


Artifacts or No Call GE for Camera Replacement.
Image
2) No Image? In Generator Lines section of
Serv I/F, is the Fluoro On signal active?
Check interface signals from Generator.
3) Spots, white or black image, refer to Serv 8 in this item list.
4) Spots, image with artifact at reasonable brightness?
Call GE for camera replacement.
5) Remove the camera from the Intensifier. Enter Serv I/F and
Point Camera at lit object. Alternately click Fluoro and Spot box.
Is artifact visible? If yes, then contact GE Customer Care to order
Replacement Camera.
If No Image, check IAPDB Status. If OK, then replace with New
Camera.

TM 726-722-G1 Appendix - 20
The Appendices

Type Item Symptom Prescribed Action Steps

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.

13 No Mouse or 1) See System User’s (Operator’s) Troubleshooting Guide, Item 13.


Keyboard

TM 726-722-G1 Appendix - 21
The Appendices

(This page is left intentionally blank.)

TM 726-722-G1 Appendix - 1
The Appendices

Appendix E – HIPAA Compliance Manual

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

HIPAA Compliance Manual


Table of Contents

HIPAA COMPLIANCE MANUAL ................................................................................................. 4


INTRODUCTION .......................................................................................................................... 6
1. LEVELS OF PROTECTION ............................................................................................. 7
1.1 LEVEL 1: UNIQUE USER LOGINS / VIEWING AUDIT LOGS ...................................................................... 7
1.2 LEVEL 2: ADD SECURITY LOGS .......................................................................................................... 7
1.3 LEVEL 3: ADD AUTO LOGOFF FEATURE .............................................................................................. 7
2. WINDOWS® USER ACCOUNTS .................................................................................... 8
2.1 CONFIGURE LOGIN AND USER RIGHTS .......................................................................................... 8
2.1.1 TO DISABLE AUTOLOGIN AS “OPERATOR”: .................................................................................... 9
2.1.2 TO UPDATE USER GROUPS: ......................................................................................................... 9
2.1.3 ERROR MESSAGES ...................................................................................................................... 9
2.2 WINDOWS® SETTINGS ..................................................................................................................... 10
2.2.1 WINDOWS® TASK BAR............................................................................................................... 10
2.2.2 POWER SETTINGS ...................................................................................................................... 11
2.2.3 MENU FONT............................................................................................................................... 12
2.2.4 UPDATING DEFAULT PROFILE SETTINGS ..................................................................................... 13
2.3 ADDING USERS ................................................................................................................................ 14
2.4 REMOVING USERS ............................................................................................................................ 16
2.4 CHANGING USER PASSWORDS .......................................................................................................... 17
3. AUTO LOGOFF FEATURE ........................................................................................... 18
3.1 ENABLE AUTO LOG OFF ............................................................................................................. 19
3.2 PROTECTING SCREEN SAVER ..................................................................................................... 21
3.3 DISABLE WINDOWS® TOUR........................................................................................................ 23
4. MONITORING PATIENT IMAGES ON WINDOWS® 2000 ........................................... 24
4.1 VIEWING EVENTS ............................................................................................................................. 24
4.2 VIEWING AUDIT LOGS ....................................................................................................................... 25
4.2.1 AUDIT LOG ................................................................................................................................ 25
4.2.2 AUDIT_DATABASE LOG .............................................................................................................. 26
4.2.3 AUDIT_DICOM LOG .................................................................................................................. 26
4.2.4 AUDIT_HARDCOPY LOG ............................................................................................................. 27
4.2.5 AUDIT_DHCPRINTER LOG ......................................................................................................... 28
4.2.6 EXITING AUDIT FILES.................................................................................................................. 28
4.3 ACCESSING AUDIT LOGS FROM SERVICE APPLICATION ....................................................................... 29
5. ADDITIONAL SETTINGS ............................................................................................... 32
5.1 RESTRICTING FOLDER ACCESS ......................................................................................................... 32
5.2 PASSWORD POLICY .......................................................................................................................... 34
5.3 APPENDICES .................................................................................................................................... 36
5.3.1 APPENDIX A – ENABLING AUTO-LOGIN ....................................................................................... 36

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

Security standards be implemented to protect confidentiality and integrity of "individually


identifiable health information," past, present or future.
This legislation is far-reaching and affects all health care providers, health plans, public health
authorities, healthcare clearinghouses, and self-insured employers. Additionally, life insurance
providers, information systems vendors, various service organizations, and universities are
equally affected. Severe penalties have been set for those who fail to comply calling for heavy
fines and/or imprisonment, depending on the violations.

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.

1.1 Level 1: Unique User Logins / Viewing Audit Logs

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.

1.2 Level 2: Add Security Logs

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.

1.3 Level 3: Add Auto Logoff Feature

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.

Refer to Steps 3.1 through 3.2 for details.

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.

2. Windows® User Accounts

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.

NOTE: To modify user accounts you must have Administrative privileges.

2.1 Configure Login and User Rights

There are several options available from C: DIAG, including “DisableAutoLogin.reg,”


“EnableAutoLogin.reg,” and “UpdateGroups.bat.”

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

2.1.1 To Disable AutoLogin as “Operator”:

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.

2.1.2 To Update User Groups:

1. In the “DIAG” folder, double click on “UpdateGroups.bat”


2. Close Windows® Explorer.

NOTE: To re-enable Autologin, refer to Section 5.3. Before doing this, see the Warning
below.

WARNING: In order to fully comply with HIPAA requirements, the DisableAutoLogin


feature must be enabled.

2.1.3 Error Messages


During Login, if the following error is displayed, please contact your service provider.

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

2.2 Windows® Settings


When creating new users, they must have the proper Windows® settings. To avoid
having to set each of these settings individually, they will be set for the “operator” and
then copied into the default profile. This will ensure that newly created users have the
correct Windows settings initially.
The Windows®Task Bar, Windows® Power Settings and Menu Font settings must be
correctly set before copying the user profile of “operator” as the new default profile.

2.2.1 Windows® Task Bar

1. Use the following steps to log in using the new users name and password.

a. Close any running applications such as the clinical application or the


“Welcome to Windows® 2000” page.
b. Left click , select Shutdown, and select “Restart” from the drop down
menu.
c. The Logon screen will display.
d. Login as the newly defined user using the default password.
e. Click “OK.”
f. Exit Clinical Application if applicable.

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.”

Figure 2 – Taskbar and Start Menu Properties Screen

TM 726-722-G1 Appendix - 10
The Appendices

2.2.2 Power Settings

Change specific system power settings using the following procedure:

1. Click on the “Start” button.


2. Click on “Settings.”
3. Click on “Control Panel.”
4. Double click on “Power Options.” The Power Options Properties screen will
display.

5. Under “Power Schemes,” use the down arrow to select “Home/Office


Desk” from the “Power Schemes” tab.

6. Under “Settings for


Home/Office Desk power
scheme,” use the down arrow
to select
“Never” for “Turn off monitor,”
“Turn off hard disks” and
“System standby.”

7. Click “Apply.”

8. Click “OK.”

Figure 3 – Power Options Properties Screen


NOTE: System Standby option
may or may not be available on all
hardware platforms.

TM 726-722-G1 Appendix - 11
The Appendices

2.2.3 Menu Font

Use the following steps to change the menu font style, size and appearance for each
user:

NOTE: Make sure that current user is in Control Panel to proceed.

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.

3. Click on the menu item


“Normal” on the window
titled “Active Window.”

4. Set the “Menu Size” as 25.


To do this:
a. Left click on the
in the “Item” box and
select “Menu”.
b. Then, to the right of
the “Menu” window, use
either the up or down
arrows to scroll through
the sizes available.
You can also type in
the number 25.

6. Set the “Font” as Arial and


the “Font Size” as 14.
To do this:
a. Left click on the
in the “Font” box and
select “Arial”
Figure 4 – Display Properties Screen
b. Then, to the right of the
“Font” window, use either
the up or down arrows
to scroll through the sizes available.
You can also type in the number 14.
7. Click “Apply.”
8. Click “OK.”

TM 726-722-G1 Appendix - 12
The Appendices

2.2.4 Updating Default Profile Settings


Now the “operator” profile must be copied over the Windows® default profile such that
newly created users have the proper settings. These following operations must be
carried out while logged in as the “serviceapp” user.

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. Left click the button.
4. Left click on “Settings.”
5. Left click on “Control Panel.”
6. Double-click “System.”

7. Left click on the tab of the “System Properties” dialog.


8. Left click on the profile for “operator.”

9. With the “operator” user’s profile selected, left-click .


10. Left click on the “Copy profile to” text edit box.
11. Type “C:\Documents and Settings\Default User” into this field.

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.

Figure 5 – Copying the “operator” Profile

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.

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Figure 6 – Confirm Copy Dialog

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.

2.3 Adding Users

In order to perform this function, you must be logged in as “serviceapp.”

1. Left click the button.


2. Select “Run...”
3. Type “cmd” in “Open” text box and press OK.
4. Type “c:” and press [Enter] on the keyboard.
5. Type “cd \diag\HIPAA” and press [Enter] on the keyboard.

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:

CreateServiceUsers.bat Creates user accounts “servicetech1” and “servicetech2”,


with the default passwords set to “servicetech”
CreateUsers01-20.bat Creates user accounts “Tech1” through “Tech20”, with
default passwords set to “xraytech”
CreateUsers21-40.bat Creates user accounts “Tech21” through “Tech40”, with
default passwords set to “xraytech”
CreateUsers41-60.bat Creates user accounts “Tech41” through “Tech60”, with
default passwords set to “xraytech”
CreateUsers61-80.bat Creates user accounts “Tech61” through “Tech80”, with
default passwords set to “xraytech”
CreateUsers81-100.bat Creates user accounts “Tech81” through “Tech100”, with
default passwords set to “xraytech”

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.

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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.

Example: CreateServiceUsers.bat is run and “servicetech1” and “servicetech2” are


created. They are then manually renamed to “adams” and “williams.”
CreateServiceUsers.bat is run once again, and two separate brand new
accounts are created, named “servicetech1” and “servicetech2,” which
have no relation to the older accounts “adams and “williams.”
At this point, a total of four service accounts have been created.

6. When you are finished creating new users, type “EXIT” and press [Enter] to exit the
command prompt.

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2.4 Removing Users

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.

Additionally, it is not advisable to delete the user name “operator” if Auto


Login will be re-enabled at any time.

1. Right click on “My Computer.”


2. Select “Manage.”
3. Expand the “Local Users and Groups” by clicking the “+” sign.
4. Select “Users.” Your dialog will look similar to Figure 5.
5. Right click on the user to remove.

User folder Figure 5 – User List


List of users

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.

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2.5 Changing User Passwords

To change user passwords, you must be logged in as “serviceapp.”

1. Right click on “My Computer.”


2. Select “Manage.”
3. Expand the “Local Users and Groups” by clicking the “+” sign.
4. Select “Users.”
5. Right click on the user account on the right hand side.
6. Select “Set Password.”
7. Enter the same password into both fields.
8. Press “OK.” If you receive an error about your password, check your password
policy, which is discussed in the “Additional Security Settings” Section.
9. Repeat Steps 4 to 8 to change another password.
10. Close Computer Management when done.

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3. Auto Logoff Feature

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

Figure 6 – Generator Interface Relay Signal Options

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3.1 Enable Auto Log Off

1. Ensure that the system is logged in as user “serviceapp”.


Close applications, if necessary.
2. Right click on the background of your desktop.
3. Select “Properties,” which is the last option.
4. Click on the “Screen Saver” tab at the top.

Current
screen saver

Figure 7 – Screen Saver Menu

5. Ensure that “Liebel-Flarsheim Screen Saver” is currently selected in the


pull-down box. If not, then click the down arrow and select the “Liebel-Flarsheim
Screen Saver.”
6. Ensure that the password protected is not checked, as in Figure 7.
7. Set the Screensaver “Wait” time as desired by site.
8. Press the “Settings...” button on the Screen saver window.
The Configure screen saver window will display.

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Text Field 1 - (Range 1 to 240)


Text Fields
Text Fields 2 – (Range 1 to 60)

Figure 8 – Screen Saver Configuration Menu

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.”

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3.2 Protecting Screen Saver

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 press 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 ->
Control Panel.
12. Left Click “Display” as in Figure 9.

Figure 9 - Group Policy

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.

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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.

NOTE: Disabling password protection causes Disabled


a check to appear in the “Password protected”
checkbox on the Display Properties screen (Figure
7) even though the function is, in fact, disabled.

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

NOTE: Adjustments to wait time that are made in 300


this window will overwrite any settings that are (Five mins)
made in the “Display Properties” window (Figure
7). Attempts to adjust the wait time through that
screen will not change the setting.

To configure any of these options:


1. Double click the desired line.
2. Choose the appropriate setting.
3. Press “Apply.”
4. Press “OK.”

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.

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3.3 Disable Windows® Tour

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.

Figure 33 - Disabling Window’s Tour

13. Double click “Don’t display welcome screen at logon.”


14. Check “Enabled.”
15. Press “OK.”
16. Close console by clicking the lower “X” in the upper right corner.
17. Select “Yes” to save changes.
18. Select “Save.”
19. Press “Yes” if a new dialog pop-ups.
20. To exit, click the upper “X” at the top of the window.

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4. Monitoring Patient Images on Windows® 2000

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.

4.1 Viewing Events

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.

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4.2 Viewing Audit Logs

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.

4.2.1 Audit Log


The Audit Log indicates general activity including when a patient file was opened, what
was done with the file, and any other actions. Refer to Figure 20 for a typical audit log.

Figure 20 – Audit Log

Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, is opened for review.

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4.2.2 Audit_Database Log


The Audit_Database Log indicates changes made that impact the system’s database.
For example, images that are deleted including the study, series and sequence will be
documented in this log. Refer to Figure 21 for a typical audit_database log.

Figure 21 – Audit_Database Log

Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, is deleted with “n” frames

4.2.3 Audit_DICOM Log

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.

Figure 22 – Audit_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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4.2.4 Audit_Hardcopy Log

The Hardcopy log contains information about printing images. Note that the log
indicates the Destination Printer be it DICOM or Windows®.

Figure 23 – Audit_Hardcopy 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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4.2.5 Audit_DHCPrinter Log

The DHC Printer log contains information about printing images to a DHC Printer
Destination.

Figure 24 – Audit_DHCPrinter Log

Date, time => Patient patient name, Study study number, Series series number,
Sequence sequence number, total frames sent frames action to location.

4.2.6 Exiting Audit Files

When you have completed viewing the logs:

1. Press the in the upper right corner to close “Security.log.”

2. Press the in the upper right corner to close Explorer.

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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4.3 Accessing Audit Logs from Service Application

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.

Figure 25 – Service Application Screen w/Utilities Menu

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2. Click the “Logs” tab at the top of the Utilities screen.

Figure 26 – Utilities Tabs

3. A screen will display indicating all the logs that are available to view.

Figure 27 – Utilities Menu

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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Figure 28 –Audit Log

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5. Additional Settings

This section provides information on how to better protect your system from threats.

5.1 Restricting Folder Access

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.

To restrict access to this folder:

1. Log in as the Administrator.


To do this:

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.

2. Close both the Service and


Clinical Applications.
3. Double click on “My Computer.”
4. Double click on the “C:” drive
5. Right click on the “DIAG” folder.
6. Select “Properties.”
7. Click on the “Security” tab at
the top of the DIAG Properties
window.
8. De-select the checkbox at the
bottom labeled “Allow
inheritable permissions…”
9. Click “Remove” if a new dialog
box appears.
Figure 29 – Access Rights for C:\DIAG
10. If necessary, remove every
user from the list by selecting
a user and clicking “Remove.”

11. Do this for each user in the list


until the dialog looks like that in
Figure 29.

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At this point, configure the access rights for this folder. Add all users first, and then
configure each user.

1. Press the “Add…” button.


2. Double click “Administrators,”
and “ORION_TECH.”
NOTE: If “Administrator” is
selected, your permissions
will be set incorrectly.
3. Press “OK.”
4. Select “Administrators.”
5. Select Full Control.
This will place a checkmark
in every box in the “Allow”
column.

Figure 30 – Administrator Privileges for C:\DIAG

6. Select “ORION_TECH.”

7. In the “Allow” column, add a


checkmark for these selections:
“Read & Execute”,
“List Folder Contents”,
“Read”, and “Write”.

8. Press “Apply.”
9. Press “OK.”
10. Close Windows® Explorer
by clicking on the in the
upper right corner of the window.

Figure 31 - ORION_TECH Privileges for C:\DIAG

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5.2 Password Policy

This section discusses Window’s password settings. To better understand Window’s®


password policy:

1. Login in as the serviceapp.


2. Exit out of the Service and Clinical Application.
3. Double click “My Computer.”
4. Go to C:
5. Double click on “Documents and Settings.”
6. Double click on “All Users.”

7. Double click on “Start menu” .


8. Double click on “Programs.”
9. Double click on “Administrative Tools.”
10. Double click “Local Security Policy.”
11. Double click “Account Policies” on the right hand side.
12. Double click “Password Policy.”

Figure 32 – Password Settings

In this window, there is a list of options for password policy.


Below is a brief description of each.
Making the changes described below will update the
“Local Security Settings > Local Settings” column data.

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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Minimum password age The amount of time a password must


remain. Used in conjunction with enforce
password history, preventing a user from 7 days
cycling through passwords to get back to
their original password.
Minimum password The minimum length a password can be. 8 characters
length
Passwords must meet When enabled passwords must; not contain
complexity requirements all or part of user’s account name, at least 6
of the installed password characters in length, contains three of the
filter four following categories:
• English uppercase letter Enabled
• English lower case letter
• Base 10 digits
• Non-alphanumeric, such as !$#%
Store password using This should never be disabled unless there
reversible encryption for are specific application requirements that Enabled
all users in the domain require it.

To modify any of these policies:

1. Double click the desired policy.


2. Enter the new value in the dialog that appears.
3. Press “OK.”
4. When complete, close the “Local Security Settings” windows.

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5.3 Appendices

5.3.1 Appendix A – Enabling Auto-Login

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.

2. Now, to enable Auto Login:


a. Log in as “serviceapp” by Left clicking and select “Shut Down” > “Log
Off Operator” + hold the Shift key. At the login dialog type “serviceapp” for user
name and “orion” for password.
b. Exit the Service and Clinical Applications.
c. Double click on “My Computer.”
d. Double click on “C:” Drive.
e. Double click on the “DIAG” folder.
f. Double click “EnableAutoLogin.reg”
g. Select “Yes” to the new dialog that appears
h. Select “OK” again to confirm successful change.
The cmd.exe appears briefly.

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TM 726-722-G1 Appendix - 38

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