MACHINE DETAILS

Control Console
Manufacturer/Brand PICKER
Model PICKER - ROHRE
Serial Number 230 PICKER
X-ray Tube Assembly
Manufacturer/Brand PICKER
Model 142603 V2038
Serial Number 13150/30/506RGL
Status of the Machine FUNCTIONING
Date of Installation June 29, 2021

TECHNICAL SPECIFICATIONS
Tube Current Range 300mA
kVp Range 100kVp
Exposure Time Setting 0.01-6.0sec
Max, kW rated output 30kW
Power Supply 220V, Single Phase
Filtration 1.5mm

CALIBRATION TEST DETAILS

Date of Calibration Test JUNE 29, 2021
Name of the Facility ANONAS DIAGNOSTIC CLINIC
Address of the Facility 218 ANONAS ST. STA MESA, MANILA
JUN PARAHINOG
Service Engineer

Facility Representative
TINE BILAO
Room/Location X-RAY ROOM

Page 1 of 3
 CALIBRATION REPORT
Equipment : 300MA Picker X-Ray Machine
Ambient Temperature : 36 °C
Date Calibrated : June 29, 2022 ________
Recommended Due Date : June 29, 2023 ________
Calibration Site : Anonas Diagnostic Clinic
Ermita, Manila ________

Method of Calibration:

Crice Medical Enterprises certified that this equipment has been calibrated under the
environmental condition stated using mAs meter and kVp meter.

REFERENCE STANDARD USED FOR CALIBRATION:

KV Selector Repair Knob

Mini-X kVp Meter

Model 110A, S/N 1100
Calibrated to DHHS Federal Performance Standard 21CFR.

Victoreen Digital mAs Meter Milliampere Second

Model 07-487, S/N 106126
Calibrated to DHHS Federal Performance Standard 21CFR.

The product of set point mA and exposure time in second should be equal to the mAs meter
reading during exposure.

Result of Calibration:
The results of calibration are given on the attached calibration data.

Calibrated by:

Brando S. Villegas
Biomed Technician Service

Page 2 of 3
 TEST CALIBRATION REPORT
MECHANICAL CHECKS
Collimator Assessment Perpendicularity within 1.5° | Exact line target
X-ray Tube & Table Bucky Grid Alignment Clear | No grid lines
X-ray Tube & Vertical Cassette/ Bucky Alignment Line focusing on target on the cassette and does not scatter

GENERATOR CHECKS
CONTROL CONSOLE X-RAY TUBE DATE: SEPT 21, 2021
BRAND Picker BRAND Picker SIGNATURE
MODEL PICKER/ROHRA MODEL 142603V2038
SERIAL NO. 230 PICKER SERIAL NO. 13150/30/50 6RGL
EXPOSURE TIME
mA LINEARITY kVp ACCURACY
ACCURACY
SET SET MEASURED mAs P1 MEASURED kVp sec. / MEASURED
FILAMENT COMMENT SET kV COMMENT
mA sec 1 2 3 P3v 1 2 3 msec. 1 2
90 5 5 5 50 120 49 50 51 0.01 (10)
60 150 59 60 61 0.02 (20)
50
70 170 69 70 71 0.03 (30) 30
80 190 79 80 79 0.04 (40)
95 10 10 10 90 210 89 90 91 0.05 (50) 50
100 230 98 99 108 0.06 (60)
100
0.07 (70)
0.08 (80)
100 20 20 20 0.1 (100) 100 102
0.12 (120)
200
0.14 (140)
0.16 (160) 159 160
105 15 15 15 0.18 (180)
0.2 (200) 200 20
30
0.25 (250)
0.3 (300) 300 302
0.4 (400) 400 402
0.6 (600) 600 600
0.8 (800) 800 802
1.0 (1000) 1000 1000
1.2 (1200)
1.5 (1500)
1.7 (1700)
2.0 (2000) 2000 2000
2.5 (2500)
3.0 (3000)
4.0 (4000)
5.0 (5000)
6.0 (6000)
OVERLOAD CIRCUIT PROTECTION General Electric

Status of Machine: Functioning - Ready to use

Date of Installation: June 29, 2021
Tube Current Range: _________300mA Jun Parahinog ;
kVp Range: 100Kv
Exposure Time Setting (Range): 0.01-6.0msec Biomed Technician Service
Maximum kW Rated Output: 30kW
Power Supply: Single Phase 220 Volts, 50~60Hz
Filtration: 1.5mm

Page 3 of 3