CT9000ADV Operator's (English) Univ Console-J

TM
CT 9000 ADV
TM
Contrast Delivery System
O/I
Operator’s
Manual 820202-J
CT 9000TM ADV Contrast Delivery System
The serial numbers and date of manufacture must be supplied when requesting re-
placement parts or optional accessories. For convenience, record the requested infor-
mation below:
Base/Elect Cab S/N
Powerhead S/N
Console S/N
Model Number
Date of Installation / /
Installing Company_ ______________________________________
Address__________________________________________________
Phone No. _ ______________________________________________
ii 820202-J 2014-07-22
FOREWORD
TM
Congratulations on your purchase of the Mallinckrodt CT 9000 ADV
TM
Contrast Delivery System. The CT 9000 ADV represents our effort to
provide a quality product to support better health care throughout the
world.
Regardless of how well a piece of equipment is designed misuse or

abuse will deny its owner the expected safe, efficient, and quality ser-
vice. Often, misuse or abuse occurs unintentionally, simply because the
proper method of operating or servicing the equipment is unknown. We
TM
urge you to carefully read this manual before operating the CT 9000
ADV. Retain this manual for future reference.
MEANINGS OF SYMBOLS
Please regard any message that follows a Danger, Warning, or Caution

symbol.
DANGER!—Hazards which could result in severe personal injury or death.

WARNING!—Hazards which could result in personal injury.
CAUTION!—Hazards which could result in equipment or property damage.
WARNING!—Electrical hazards which could result in personal injury.
Non- Anesthetic proof
Remote handswitch
1 Primary console
2
Secondary console
Powerhead
820202-J 2014-07-22 iii

0/ Toggle On/Off switch
Push-push On/Off
Injecting
Enabled (Ready)
CT Scan delay
Time
1
Date
200 ml Partial
Syringe volume/size
Patient volume
Protocol
Protocol volume
Auto-Fill Key
Auto-Fill Volume Key
Start/Stop Key
A.C. (alternating current).

B Indicates OptiBolus Protocol
iv 820202-J 2014-07-22
Refer to instruction manual
mL
Auto Fill Volume Indicator

mL
mL
Volume Indicator
mL
mL
Syringe Size Indicator

mL
Injection in Progress
Syringes and Tubing classified EN 60601-1, Type CF
Liebel-Flarsheim Company LLC, 2111 E. Galbraith Road, Cincinnati, OH 45237
820202-J 2014-07-22 v
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vi 820202-J 2014-07-22
Table Of Contents
FOREWORD................................................................................................................................................................III
MEANINGS OF SYMBOLS......................................................................................................................................III
SYSTEM OVERVIEW............................................................................................................. 1-1-1

USER QUALIFICATION.....................................................................................................................................1-1-2
SYSTEM FEATURES...........................................................................................................................................1-1-2
VERSATILITY................................................................................................................................................ 1-1-2
INTERACTION............................................................................................................................................. 1-1-2
INJECTION LIBRARY................................................................................................................................. 1-1-3
SAFETY FEATURES............................................................................................................................................1-1-3
DUAL MICROPROCESSOR..................................................................................................................... 1-1-3
AIR EMBOLISM HAZARD CHECK......................................................................................................... 1-1-3
START/STOP KEY ON POWERHEAD................................................................................................... 1-1-4
POSITIVE POSITIONING OF POWERHEAD...................................................................................... 1-1-4
SPECIFICATIONS................................................................................................................................................1-2-1
DIMENSIONS....................................................................................................................................... 1-2-1
WEIGHT.................................................................................................................................................. 1-2-1
POWER REQUIREMENTS................................................................................................................. 1-2-1
VOLTAGE REQUIREMENTS................................................................................................................ 1-2-1
ELECTRICAL LEAKAGE..................................................................................................................... 1-2-1
ENVIRONMENTAL.............................................................................................................................. 1-2-1
SYRINGES.............................................................................................................................................. 1-2-2
LOW PRESSURE TUBING.................................................................................................................. 1-2-2
CATHETERS.......................................................................................................................................... 1-2-2
FILL RATE............................................................................................................................................... 1-2-3
SYRINGE HEATER............................................................................................................................... 1-2-3
FLOW RATE PARAMETERS.............................................................................................................. 1-2-3
PRESSURE LIMIT................................................................................................................................. 1-2-3
DURATION ........................................................................................................................................... 1-2-3
INJECT DELAY...................................................................................................................................... 1-2-3
SCAN DELAY........................................................................................................................................ 1-2-3
TOTAL TIME ......................................................................................................................................... 1-2-3
STORED PROTOCOLS....................................................................................................................... 1-2-3
ACCESSORIES......................................................................................................................................................1-2-4
USE OF THE ACCESSORY IN THE PATIENT VICINITY.................................................................... 1-2-4
820202-J 2014-07-22 vii
SYSTEM CONNECTIONS....................................................................................................... 2-1-1

ELECTRONICS CABINET.......................................................................................................................... 2-1-1
REMOTE HANDSWITCH CONNECTION..................................................................................... 2-1-1
PRIMARY CONSOLE.......................................................................................................................... 2-1-1
SECONDARY CONSOLE................................................................................................................... 2-1-1
POWERHEAD CONNECTION......................................................................................................... 2-1-1
POWER CORD CONNECTION........................................................................................................ 2-1-2
ELECTRONICS CABINET POWER SWITCH................................................................................ 2-1-2
POWERHEAD.............................................................................................................................................. 2-1-2
HEATER BLANKET CONNECTION................................................................................................ 2-1-2
ELECTRONICS CABINET CONNECTION..................................................................................... 2-1-2
CONSOLE...................................................................................................................................................... 2-1-2
ELECTRONICS CABINET CONNECTION..................................................................................... 2-1-2
CONSOLE POWER SWITCH............................................................................................................ 2-1-2
OPERATOR CONTROLS . ...................................................................................................... 3-1-1

CONTROL CONSOLE........................................................................................................................................3-1-1
DISPLAY........................................................................................................................................................ 3-1-1
DEFINITION OF PARAMETERS...................................................................................................... 3-1-2
DEFINITION OF SYMBOLS.............................................................................................................. 3-1-2
TOUCH SCREEN CONSOLE KEYS......................................................................................................... 3-1-3
POWER-ON/OFF BUTTON..................................................................................................................... 3-1-3
POWERHEAD......................................................................................................................................................3-2-1
INDICATORS................................................................................................................................................ 3-2-1
ENABLED (READY-TO-INJECT) INDICATOR............................................................................ 3-2-1
INJECTING/FAULT INDICATOR...................................................................................................... 3-2-1
MANUAL KNOB................................................................................................................................... 3-2-1
[FORWARD] KEY................................................................................................................................. 3-2-2
[REVERSE] KEY..................................................................................................................................... 3-2-3
[FAST] KEYS.......................................................................................................................................... 3-2-4
[START/STOP] KEY............................................................................................................................. 3-2-4
[AUTO-FILL MODE] KEY ................................................................................................................. 3-2-4
[AUTO-FILL VOLUME] KEY . ........................................................................................................... 3-2-4
VOLUME INDICATOR ....................................................................................................................... 3-2-5
SYRINGE SIZE INDICATOR.............................................................................................................. 3-2-5
AUTO-FILL INDICATOR ................................................................................................................... 3-2-5
THE AUTO-FILL INDICATOR ILLUMINATES WHEN AUTO-FILL MODE IS ACTIVE. ... 3-2-5
viii 820202-J 2014-07-22

SETUP.................................................................................................................................... 4-1-1
TURNING ON THE CT 9000 ADV..................................................................................................................4-1-1
SAFETY MENU....................................................................................................................................................4-1-2
CONTROL PANEL MENU.................................................................................................................................4-1-4
SETTING THE
PRESSURE LIMIT........................................................................................................................................ 4-1-6
SETTING THE
TIME OF DAY............................................................................................................................................... 4-1-8
SETTING THE
CURRENT DATE........................................................................................................................................4-1-10
ENTERING A REGISTRATION NAME.................................................................................................4-1-12
CHANGING THE
DISPLAY LANGUAGE..............................................................................................................................4-1-14
USING PARTIAL PREFILLED SYRINGES...........................................................................................4-1-16
OPERATING INSTRUCTIONS................................................................................................. 5-1-1

TURNING ON THE CT 9000 ADV..................................................................................................................5-1-1
LOCATION OF EQUIPMENT...........................................................................................................................5-1-2
PROTOCOLS........................................................................................................................................................5-2-1
SAVING A CONSTANT FLOW PROTOCOL......................................................................................... 5-2-2
SAVING AN OPTIBOLUS PROTOCOL.................................................................................................. 5-2-4
CHANGING VALUES OF AN EXISTING PROTOCOL....................................................................... 5-2-6
RENAMING A PROTOCOL...................................................................................................................... 5-2-8
DELETING A PROTOCOL.......................................................................................................................5-2-10
REORGANIZING THE PROTOCOL MEMORY..................................................................................5-2-12
DELIVERING A SINGLE PHASE INJECTION—SINGLE DELIVERY *..................................................5-3-1
DELIVERING A SINGLE PHASE INJECTION—MULTIPLE DELIVERIES *.........................................5-3-4
DELIVERING A MULTIPHASE INJECTION *...............................................................................................5-3-7
DELIVERING AN OPTIBOLUS INJECTION—SINGLE DELIVERY * (OPTION).............................. 5-3-10
USING PREFILLED SYRINGES..................................................................................................................... 5-3-13
DISPLAYING ACHIEVED VALUES............................................................................................................... 5-3-16
STOPPING AN INJECTION........................................................................................................................... 5-3-18
POWERHEAD............................................................................................................................................5-3-18
CONSOLE....................................................................................................................................................5-3-18
REMOTE HANDSWITCH........................................................................................................................5-3-18
820202-J 2014-07-22 ix
TERMINATING AN INJECTION................................................................................................................... 5-3-19

REMOVING THE 200 ML PRESSURE PLATE ASSEMBLY.......................................................................5-4-1
REPLACING THE 200 ML PRESSURE PLATE ASSEMBLY......................................................................5-4-1
INSTALLING THE 200 ML FRONT LOADING SYRINGE.........................................................................5-4-3
FILLING THE 200 ML FRONT LOADING SYRINGE..................................................................................5-4-5
REMOVING AIR BUBBLES FROM THE SYRINGE.....................................................................................5-4-9
REMOVING THE 200 ML FRONT LOADING SYRINGE........................................................................ 5-4-11
REMOVING THE 125 ML PRESSURE PLATE ASSEMBLY.................................................................... 5-4-12
REPLACING THE 125 ML PRESSURE PLATE ASSEMBLY................................................................... 5-4-12
INSTALLING THE 125 ML PRE-FILLED SYRINGE.................................................................................. 5-4-14
REMOVING THE 125 ML PRE-FILLED SYRINGE................................................................................... 5-4-16
REMOVING THE 125 ML PUSH-AND-TURN PRESSURE PLATE ASSEMBLY............................... 5-4-17
REPLACING THE 125 ML PUSH-AND-TURN PRESSURE PLATE ASSEMBLY.............................. 5-4-17
INSERTING THE 125 ML PRE-FILLED SYRINGE INTO THE
PUSH-AND-TURN PRESSURE PLATE....................................................................................................... 5-4-19
REMOVING THE 125 ML PRE-FILLED SYRINGE FROM THE
PUSH AND TURN PRESSURE PLATE........................................................................................................ 5-4-20
INSTALLING HEATER BLANKET WITH THE PUSH AND TURN PRESSURE PLATE.................... 5-4-21
REMOVING THE HEATER BLANKET.......................................................................................................... 5-4-21
REMOVING THE 100 ML OR 200 ML PUSHROD PRESSURE PLATE ASSEMBLY....................... 5-4-22
REPLACING THE 100 ML OR 200 ML PUSHROD PRESSURE PLATE ASSEMBLY...................... 5-4-23
INSTALLING THE 100 ML OR 200 ML PUSHROD SYRINGE............................................................. 5-4-24
REMOVING THE 100 ML OR 200 ML PUSHROD SYRINGE............................................................... 5-4-26
REMOVING THE 30-50 ML PRESSURE PLATE ASSEMBLY................................................................ 5-4-26
REPLACING THE 30-50 ML PRESSURE PLATE ASSEMBLY............................................................... 5-4-26
INSTALLING THE 30 ML OR 50 ML PREFILLED SYRINGE................................................................. 5-4-28
REMOVING THE 30 ML OR 50 ML PREFILLED SYRINGE................................................................... 5-4-30
INSTALLING THE IV POLE (OPTIONAL).................................................................................................. 5-4-31
x 820202-J 2014-07-22
SYSTEM GENERATED MESSAGES........................................................................................ 6-1-1
ERROR MESSAGES............................................................................................................................................6-2-1
HEATER THERMISTOR TRACKING ERROR.
TO CONTINUE, PRESS OVERRIDE. SEE MANUAL FOR
FURTHER INSTRUCTIONS. .................................................................................................................... 6-2-1
INJECTION WAS PRESSURE LIMITED................................................................................................. 6-2-1
INSUFFICIENT SYRINGE VOLUME!
PRESS OVERRIDE TO INJECT AVAILABLE VOLUME...................................................................... 6-2-1
INVALID INJECTION! PRESS EXIT TO CONTINUE.......................................................................... 6-2-1
INVALID INJECTION! REDUCE FLOW RATE OR USE LARGER SYRINGE................................ 6-2-2
INVALID SELECTION. SYSTEM SET FOR INSTALLED PRESSURE PLATE................................ 6-2-2
LOCK THE SYRINGE IN PLACE.............................................................................................................. 6-2-2
OVERHEATING ERROR.
TO CONTINUE, PRESS OVERRIDE. SEE MANUAL FOR FURTHER INSTRUCTIONS............ 6-2-3
PLEASE RETRACT RAM FOR SETUP.................................................................................................... 6-2-3
PRESSURE LIMIT REACHED! PAUSE THE INJECTION?................................................................. 6-2-3
SYRINGE VOLUME MUST BE AT 0 ML TO START AUTOFILL...................................................... 6-2-3
SYSTEM STALLED! CHECK CATHETER, LOWER RATE OR INCREASE PRESSURE LIMIT.... 6-2-4
THAT NAME ALREADY EXISTS!............................................................................................................ 6-2-4
WARNING! AIR MAY BE PRESENT! . .................................................................................................... 6-2-4
SYRINGE WAS NOT CHANGED AFTER LAST INJECTION.
PLEASE INSTALL NEW SYRINGE TO CONTINUE............................................................................ 6-2-4
ERROR CODES ...................................................................................................................................................6-3-1
EX0.................................................................................................................................................................. 6-3-1
EX2.................................................................................................................................................................. 6-3-1
FAULT MESSAGES..............................................................................................................................................6-4-1
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CARE OF UNIT....................................................................................................................... 7-1-1

DAILY INSPECTION...........................................................................................................................................7-1-1
PRESSURE SLEEVE.................................................................................................................................... 7-1-1
WEEKLY INSPECTION.......................................................................................................................................7-1-2
LUBRICATION.............................................................................................................................................. 7-1-2
POWERHEAD PIVOT ASSEMBLY.......................................................................................................... 7-1-3
SUSPENSION ARM.................................................................................................................................... 7-1-3
CLEANING THE UNIT........................................................................................................................................7-2-1
PRESSURE SLEEVE AND PLATE............................................................................................................ 7-2-1
CONTROL CONSOLE................................................................................................................................ 7-2-1
ELECTRONICS CABINET.......................................................................................................................... 7-2-1
REPLACING THE PRESSURE SLEEVE...........................................................................................................7-2-2
ELECTROMAGNETIC
COMPATIBILITY TABLES..........................................................................................................A-1
INDEX......................................................................................................................................... I-I
xii 820202-J 2014-07-22

1 SYSTEM OVERVIEW
O/I
Figure 1-1-1
CT 9000 ADV Contrast Delivery System
The CT 9000 ADV Contrast Delivery System is designed to inject a

radiopaque contrast medium into a patient's vascular system which
enhances diagnostic images obtained with computed tomography (CT).
Each injection is accomplished with a motor-driven syringe mechanism
with microprocessor control of the flow rate, volume, and timing.
WARNING! No modification of this equipment is allowed.
820202-J 2014-07-22 1-1-1

This manual provides operating procedures for the CT 9000 ADV Injec-
tors which includes an overview of the injector, specifications, descrip-
tions of system components, operating instructions, system generated
messages, care of equipment and troubleshooting. For further informa-
tion about service and maintenance, refer to the CT 9000 ADV Installa-
tion and Service Manual.
USER QUALIFICATION
The CT 9000 ADV Contrast Delivery System should be operated ONLY by

qualified personnel who:
• are completely familiar with the unit,
• have read and understood this Operator's Manual,
• have been trained concerning the process of how to stop an
injection in the case of an emergency (described in Chapter 5 of
this manual), and
• are otherwise properly trained in the use of equipment and
procedures of this type.
Failure to follow these guidelines could result in serious injury to the

patient or the operator.
CAUTION!
Federal law restricts this device to sale by or on the order of a physician.
SYSTEM FEATURES
VERSATILITY
The injector is microprocessor-controlled and can perform injections
within the following variable parameters:
• Flow Rate
• Volume
• Pressure Limit
• Injection Delay
INTERACTION
The operator interacts with the system by responding to prompts that
appear in the Console Display through use of eight touch screen keys.
1-1-2 820202-J 2014-07-22

INJECTION LIBRARY
A convenient, user-friendly feature of the CT 9000 ADV is its ability to
store the parameters of as many as 12 injections in a library. The names
and number of phases of all stored protocols are easily viewed in the
upper portion of the display for quick retrieval. Stored protocol infor-
mation will remain in the library even after the unit has been switched
'OFF'.
SAFETY FEATURES
The CT 9000 ADV has been designed to enhance the safety of both pa-
tient and operator. Specific safety features of the injector include:
DUAL MICROPROCESSOR
The CT 9000's dual microprocessor design provides extensive safety fea-
tures. When the unit is switched "ON," it automatically performs a series
of power-up tests to monitor the status of all injector systems. If the mi-
croprocessor detects any errors during power-up, an appropriate mes-
sage will appear in the system display. Also, during injection, all critical
injector functions are constantly checked and re-checked. If a fault is
detected, the system will automatically shut down and the appropriate
message will appear in the system display.
AIR EMBOLISM
HAZARD CHECK
DANGER! AIR EMBOLISM HAZARD!

Air entrapped in the syringe and tubing can cause patient injury or death
Always verify that both the syringe and tubing have been properly cleared
of air just prior to starting the injection! The CT 9000 ADV does not have the
capability to check for air in the syringe and tubing. The operator is respon-
sible for removing all air from the system.
The danger of air embolism is always present when dealing with viscous
contrast media. The enabling sequence for the CT 9000 ADV will prompt
the operator to check for air and the correct syringe size before an injec-
tion is delivered with the following message on the system display:
Have you evacuated all air from the XXXml syringe and tubing?
The operator should then verify that the syringe has been evacuated of
any entrapped air before proceeding.
820202-J 2014-07-22 1-1-3

START/STOP KEY ON
POWERHEAD
Because the powerhead is near the patient during an injection, the
[Start/Stop] key is integrated into the powerhead for quickly starting or
stopping an injection.
NOTE: Once an injection has been started, pressing any key on the
powerhead will stop the injection.
Remote Control Operation

An optional remote handswitch and console are available for starting or
stopping the injection.
POSITIVE POSITIONING
OF POWERHEAD
A pre-set friction device in the mounting knuckle holds the Powerhead
in the desired position during injection.
WARNING!
Collision with other equipment can cause structural failure of suspension
arm, resulting in operator or patient injury. Visually inspect the J-Bow Arm,
be sure all fasteners are secure. Observe system for cracks or defects. Check
the suspension arm for movement. If defects are observed or adjustment is
required, immediately contact your authorized service personnel.
1-1-4 820202-J 2014-07-22

SPECIFICATIONS
Dimensions
Control Console ��9.5 W x 7 D x 21.5 H inches
(24 W x 18 D x 55 H cm)
Powerhead ��3.5 W x 16 D x 6 H inches
(9 W x 41 D x 16 H cm)
Electronics Cabinet ��12 W x 14 D x 6.5 H inches
(30.5 W x 35.5 D x 16.5 H cm)
Weight
Standard System, complete ��38 lbs (17.2 kg)
Integrated Mounting Stand ��50 lbs (22.7 kg)
Control Console ��5.8 lbs (2.6 kg)
Powerhead ��18 lbs (8.1 kg)
Electronics Cabinet ��13 lbs (5.9 kg)
Power Requirements
Standby ��less than 1 A
Standard ��100-127 / 220-240 V~ 50/60 Hz
Voltage Requirements
Unit automatically adapts for input voltages from 100-240 V~
Electrical Leakage
Chassis ��less than 300 microamps
Environmental
Transport and Storage Temp. �� -40° to +158° F (-40° to +70° C)
10% to 95% relative humidity
Operation Temperature �� 50° to +104° F (10° to +40°C)
30% to 75% relative humidity
Disposal of the CT 9000 ADV Contrast Delivery System at the end of its
useful life: To minimize the risk to the environment associated with the
disposal of this equipment, its disposal should be performed in compli-
ance with local, state and federal regulations. Disposal of accessories
and consumables associated with this equipment should also be per-
formed in compliance with local, state and federal regulations.
Electromagnetic Compatibility (EMC) Tables can be found in

Appendix A.
820202-J 2014-07-22 1-2-1

CAUTION!
The console and electronics cabinet are not spill-proof. Fluid spilled in these
components can cause the unit to malfunction, resulting in patient or opera-
tor injury. If fluid is spilled on either component, remove from operation and
contact your authorized service personnel.
DANGER!
Possible explosion hazard if used in the presence of flammable anesthetics.
The unit is not designed for use in explosive environment.
WARNING!
The powerhead may only be operated in an area that is located beyond the
20 gauss limit. Operating the unit within magnetic fields that are higher
than this limit may cause the unit to malfunction, resulting in operator or
patient injury.
Syringes
• P/N 800096 200 ml Front Load Syringe w/Handifil available
from Mallinckrodt
• P/N 800099 200 ml Front Load Syringe CT Multipack with
60" Coiled Tube available from Mallinckrodt
• Ultraject Syringes, Fill Volumes 125, 100, 75, and 50
Low Pressure Tubing
• P/N 601195 60" Coiled Tube available from Mallinckrodt
• P/N 601277 48" Extension Tube available from Mallinckrodt
Catheters
Use only safety-approved catheters suitable for connection to the LLN-
K-A Luer male-threaded locking coupler (DIN 13 090) of the Mallinckrodt
spiral extension tubing, Part Number 61195.
Figure 1‑2-1
Luer Male-threaded Locking Coupler of the
LF Spiral Extension Tubing
1-2-2 820202-J 2014-07-22

Fill Rate
Full forward or reverse time: 13-100 sec. Accelerates from zero to
maximum within approximately 3 seconds after pressing the [For-
ward] or [Reverse] key in conjunction with one of the [Fast] keys.
Syringe Heater
98° ± 6° F (37° ± 3° C) nominal. Maintains the temperature of pre-
heated contrast. Overtemp condition will occur at 107.6° F (42° C).
Flow Rate Parameters

200 ml Syringes ��0.1—9.9 ml/s
125 ml Syringe ��0.1—9.9 ml/s
100 ml Syringe ��0.1—9.9 ml/s
30-50 ml Syringe ��0.1—7.0 ml/s
Pressure Limit
Pressure Units Range
pounds per square inch (psi) ��25, 50—300 (150*)
(in 50 psi increments)
bar ��2, 3, 7, 10*, 14, 17, 21
kg/cm2 ��2, 4, 7, 11*, 14, 18, 21
(*) Used to denote maximum pressure values which use a hand

held style pushrod extension between the injector ram and syringe
plunger.
Duration
Duration Parameters ��0—2080 sec
NOTE: Duration is displayed in protocol screens and is based on volume

and flow input values.
Inject Delay
Inject Delay Parameters ��0—255 sec and pause
Scan Delay
Scan Delay Parameters ��0—500 sec
Total Time
Total Time Display Parameters ��0—10:00 (mins:secs)
Stored Protocols
12 protocols can be stored and recalled.
NOTE: Mallinckrodt reserves the right to change product designs and

specifications in the continuing effort to improve their products.
820202-J 2014-07-22 1-2-3

ACCESSORIES
A list of the accessories for use with the CT 9000 ADV Contrast Delivery Sys-
tem is below.
NOTE: The use of accessories not complying with the equivalent safety re-
quirements of this equipment may lead to a reduced level of safety of the
resulting system. Consideration relating to the choice shall include:
USE OF THE ACCESSORY IN THE PATIENT VICINITY
• evidence that the safety certification of the accessory has been performed in
accordance to the appropriate EN60601-1 and/or
EN60601-1-1 harmonized national standard.
Number Description
800640 Pressure Jacket Assembly, 200 mL

800635 Pressure Jacket Assembly, 125 mL
800677 Pushrod Faceplate Assembly, 200 mL
800669 Pushrod Faceplate Assembly, 100 mL
800688 Push & Turn Faceplate Assembly, 125 mL
800636 Faceplate Assembly, 30/50 mL
820683 Kit, Console Remote Stand Mount
900608 Kit, Console Wall Mount Kit
800060 Kit, Power Supply Wall Mount
820012 Auxiliary Console Kit
800919 Remote Start Switch (40 ft.)
800112 Remote Stand Assembly
800665 I.V. Pole Assembly
800114 Heater Blanket Assembly
Heater Blanket Assembly
800146
(w/Push & Turn Faceplate)
See 1-2-2 for list of approved
Consumable Accessories
1-2-4 820202-J 2014-07-22

2 SYSTEM CONNECTIONS
The Electronics Cabinet, Powerhead and Console all contain connectors
in order to allow sharing of power and transfer of information. The main
power switch located on the Electronics Cabinet allows the complete
unit to receive power. In addition, there is also a console power switch
to allow the console, powerhead and a number of circuits in the elec-
tronics cabinet to be turned on and off.
NOTE: Power must be off before connecting or disconnecting any of

the unit's cabling. Connecting cables after the unit powered may cause
generation of false error messages.
ATTENTION!
Be sure Electronics Cabinet is mounted in a manner such that the power
cord remains accessible.
ELECTRONICS
CABINET
Remote Handswitch Connection

An 8-pin circular DIN connection allows for interfacing with an optional
remote handswitch.
Primary Console
1 A 15-pin D-shell connection sends and receives information to and from
the Console.
Secondary Console
2 A second 15-pin D-shell connection sends and receives information to
and from an optional second Console.
Powerhead Connection
A 25-pin D-shell connection sends and receives information to and from
the powerhead.
WARNING!
To avoid risk of electric shock, this equipment must only be connected to a
supply mains with protective earth.
WARNING!
Unplug power cord to disconnect the powerpack from supply mains.
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Power Cord Connection

The supplied power cord connects to the Electronics Cabinet at the
power connection. The unit can accept between 100 VAC (50/60 Hz) and
240 VAC (50/60 Hz) without modification. The unit will automatically
sense the input voltage during power-up sequences.
CAUTION!
Use only the supplied power cord to connect power to the Power Cord
Connection. Use of other power cords could result in damage to the equip-
ment. Units installed outside of the U.S. must use hospital approved power
cords.
Electronics Cabinet Power Switch

0/ The main power switch is located on the rear of the Electronics Cabinet.
To turn the unit on, the Electronics Cabinet Power switch must first be
toggled to the ON position and then the Console Power switch must be
activated.
When the Electronics Cabinet power switch is turned on, the LED locat-
ed in the upper right-hand corner of the Electronics Cabinet will glow. If
the unit will not be used for an extended period of time, the unit should
be turned off with the Electronics Cabinet Power Switch.
POWERHEAD
Heater Blanket Connection
A 4-pin connection, located on the bottom of the Powerhead, sends and
receives information to and from the Heater Blanket.
Electronics Cabinet Connection

A 25-pin connection, located on the bottom of the Powerhead, sends
and receives information to and from the Electronics Cabinet.
CONSOLE
Electronics Cabinet Connection
A 15-pin connection, located on the rear of the console, sends and re-
ceives information to and from the Electronics Cabinet.
Console Power Switch

The console, system ON/OFF button turns off the system. During fre-
quent daily use, power should be turned off at the console. If the unit
will not be used for an extended period of time, the unit should be
turned off with the Electronics Cabinet Power Switch.
2-1-2 820202-J 2014-07-22

TOUCH POWER ON LED
SCREEN
DISPLAY
ON/OFF
CONTROL
Figure 2-1-1
Location of Console Power Switch
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2-1-4 820202-J 2014-07-22

3 OPERATOR CONTROLS
Operating the CT 9000 ADV requires knowledge of the operator inter-
faces located on both the Control Console and the Powerhead. For more
information about entering protocol parameters into the unit, refer to
Chapter 5.
CONTROL CONSOLE
The Control Console contains a touch-sensitive display screen which
provides the ability to change injection parameter values, store and
retrieve protocols, and system ON/OFF button.
POWER ON LED
Protocol Memory Enable
Exit/
Save
Next
Phase
Phase Flow Volume Duration Inject Delay
(ml/s) (ml) (sec) (sec)
Flow
DISPLAY 1 3.0 0 0 0
2 0.0 0 0
Inject
0 Delay
3 0.0 0 0 0 Scan
Delay ON/OFF
4 0.0 0 0 CONTROL
Volume
2 0 0m lS y r i n g e Protocol Maximum
CT
## Pressure
Volume
0 ml 0 ml 200 psi 0 sec
TOUCH
SCREEN
KEYS
Figure 3-1-1
Control Console
DISPLAY
All protocol information needed by the injector is contained within the
menu driven display. The display conveys information to the operator
through use of both text and symbols.
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Definition of Parameters
The following parameters are used to define protocols.
Protocol Memory — The unit can store up to 12 four-phase protocols.

Each protocol can have a name consisting of up to 17 alpha-numeric
characters.
Phase — Within a protocol, up to four phases can be input.
Flow — The values entered in this column indicate rate of delivery of

the contrast medium during each respective phase. Flow is expressed in
milliliters/second.
Volume — The values entered in this column indicate the volume of

contrast medium to be delivered during each respective phase. Volume
is expressed in milliliters.
Inject Delay — The values entered in this column indicate the selected
delay after delivery of any phase. Inject Delay is expressed in seconds.
Duration — The value in this column indicates the duration of an injec-

tion (i.e., time to complete injection in seconds) based on the previously
entered volume and flow rate values. Duration is displayed in the near-
est whole second.
Maximum Pressure — The Maximum Pressure is set by accessing the

Control Panel menu. Maximum Pressure is expressed in psi, bar, kg/cm2
and is automatically used for all injections. Refer to Chapter 4 for infor-
mation on setting the Pressure Limit.
Scan Delay — The number associated with this symbol indicates the
CT
time delay (in seconds) from the time the injector start key is depressed
until the scan start audible signal at the console is initiated. This value is
input by the operator when setting up the protocol parameters.
Definition of Symbols
Symbols that appear on the display are used to convey information to
the operator. These symbols include the following:
Time — The time of day is set by the operator through accessing the
Set-up menu. Refer to Chapter 4.
1
Date — The current date is set by the operator through accessing the
Set-up Menu. Refer to Chapter 4.
200 ml Partial Syringe Volume/Size — Indicates the size and type of the syringe cur-
rently being used.
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Patient Volume — The number associated with this symbol indicates the
amount of contrast medium (in milliliters) delivered to the patient. This
number will be reset to 0 whenever the power is turned off or a syringe
is replaced.
Protocol Protocol Volume — The number associated with this symbol indicates
the amount of contrast (in milliliters) that a particular protocol will de-
liver.
TOUCH SCREEN
CONSOLE KEYS
Eight Touch Screen keys are used by the operator to input protocol
information and to answer prompts. The function of each key is shown
on the display. As the operator cycles through the menus, the function
of each key changes. For more information about protocol information
and prompts, refer to Chapter 5-2.
POWER-ON/OFF
BUTTON
The power ON/OFF Button located on the upper-right corner of the con-
sole indicates power is being delivered to the console.
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3-1-4 820202-J 2014-07-22

POWERHEAD
The CT 9000 ADV Powerhead is contained in a sturdy metal case. Op-
erator interfaces include the keyboard, manual knob, "Injecting/Fault"
Indicator and "Enabled" Indicator.
Manual Knob
Injecting/Fault Indicator
Enabled Indicator
Keyboard
Figure 3-2-1
Operator Interfaces on the Powerhead
INDICATORS
Enabled (Ready-to-Inject) Indicator

This lamp glows when the injector has been enabled and is ready to
perform an injection. Also, this lamp blinks when an injection is pres-
sure limited.
Injecting/Fault Indicator
This lamp glows while an injection is in progress. The lamp will flash if
the system detects a processor error. Information about the error will
appear on the display.
Manual Knob
By turning this knob, the operator can move the plunger. This is useful in
the instance of evacuating air and when drawing back blood to ensure
proper venous placement of catheter.
Turn the knob clockwise to advance the plunger. Turn the knob coun-
terclockwise to retract the plunger.
820202-J 2014-07-22 3-2-1

POWERHEAD KEYS
[START/STOP] KEY
VOLUME INDICATOR
AUTO FILL INDICATOR

[AUTO FILL-MODE] KEY mL
VOLUME INDICATOR
[AUTO FILL-VOLUME] KEY SYRINGE SIZE

mL INDICATOR
[FORWARD] KEY
[FAST] KEYS
[REVERSE] KEY
Figure 3-2-2
Powerhead Keyboard
[Forward] Key
This key is used to advance the plunger into the Syringe. Hold down the
[Forward] key while momentarily tapping one of the [Fast] keys. Holding
the [Forward] key down after the plunger has been activated will cause
the Syringe Ram to advance into the Syringe at a rate of 2 to 3 ml per
second. Tapping one of the [Fast] keys again will increase the speed of
the plunger.
NOTE: When you are using either the 100 ml or 200 ml pushrod face-
plate, continually pressing the [Fast] key in conjunction with pressing
the [Forward] key will latch plunger movement at an approximate speed
of 15 ml per second. When the scrolling dash marks on the syringe size
indicator are replaced by the syringe size value, the plunger movement
will latch "ON". You will no longer need to press the [Forward] key to
move the plunger. Latched plunger movement will automatically stop
when the plunger reaches 0 ml. To stop “latched” plunger movement,
press any key on the Powerhead.
NOTE: When using faceplates other than the 100 ml or 200 ml pushrod
faceplate, releasing the [Forward] key when the position of the ram is
greater than 5 ml will stop plunger movement. If the [Forward] key is
released when the ram position is 5 ml or less, the ram will continue to
travel until it reaches its fully extended position.
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The [Forward] key is not functional when an injection is being delivered.
However, prior to the enabling of an injection, the [Forward] key is
functional and must not be used when the patient is attached to the
catheter. Also, prior to an injection, the [Forward] key is functional
when the faceplate is in the closed position. While the faceplate is in the
closed position, you may also turn and hold the Manual knob clockwise
to advance the plunger.
[Reverse] Key
This key is used to withdraw the ram back into the Powerhead. Hold
down the [Reverse] key while momentarily tapping one of the [Fast]
keys. Holding the [Reverse] key down after the plunger has been acti-
vated will cause the plunger to withdraw back into the Powerhead at
a rate of 2 to 3 ml per second. Tapping one of the [Fast] keys again will
increase the speed of the plunger.
NOTE: Continually pressing the [Fast] key in conjunction with press-

ing the [Reverse] key will latch plunger movement at an approximate
speed of 15 ml per second for all faceplate types used. When the scroll-
ing dash marks on the syringe size indicator are replaced by the syringe
size value, the plunger movement will latch "ON". You will no longer
need to press the [Reverse] key to move the plunger. Latched plunger
movement will automatically stop when the plunger reaches maximum
syringe volume. To stop “latched” plunger movement, press any key on
the Powerhead.
The [Reverse] key is not functional when an injection is being delivered.
NOTE: Prior to enabling an injection, the [Reverse] key is functional and

must not be used when the patient is attached to the catheter. For the
100 ml and 200 ml pushrod faceplates, the [Reverse] key is functional
only when the faceplate is in the closed position. For all other faceplates
the [Reverse] key is functional when the faceplate is in either the open
or closed position.
While the faceplate is in the closed position, you may turn and hold the
Manual knob counterclockwise to retract the plunger if needed.
820202-J 2014-07-22 3-2-3

[Fast] Keys
These three keys are used to increase the speed of operation of the Sy-
ringe Ram when using either the [Forward] or [Reverse] key.
While momentarily tapping any of the [Fast] keys in conjunction with

pressing either the [Forward] or [Reverse] key, the plunger will move at
a rate of approximately 2 to 3 ml per second. Continual pressure on the
[Fast] key in conjunction with pressing either the [Forward] or [Reverse]
key will cause the plunger to move at a faster rate until it reaches an ap-
proximate speed of 15 ml per second.
The [Fast] key is not functional when an injection is being delivered.

However, prior to the enabling of an injection, the [Fast] key is func-
tional and must not be used when the patient is attached to the cath-
eter. Use the Manual knob to advance or retract the plunger if needed.
[Start/Stop] Key
This key is functionally interchangeable with both the [Stop] keys and
the [Start] key on the Control Console and the optional Handswitch.
Pressing this key will start an enabled injection or stop and restart an
injection.
[Auto-Fill Mode] Key

This key is used to place the Powerhead in the Auto-Fill Mode. When the
Auto-Fill Mode is active, the Auto-Fill Indicator illuminates.
NOTE: Once in the Auto-Fill Mode, pressing any key other than the [Re-
verse] or [Fast] key will bring the Powerhead out of the Auto-Fill Mode.
[Auto-Fill Volume] Key

mL
When the Auto-Fill Mode is active, this key can be used to set a specific
fill volume for the syringe. The pre-selected volume value will be dis-
mL played on the Volume Indicator. Momentarily tap the [Auto-Fill Volume]
key to decrement the pre-selected syringe volume by 5 ml. Press and
continue to hold the [Auto-Fill Volume] key to quickly scroll through the
possible pre-selected volumes.
NOTE: The [Auto-Fill Volume] key may be used to set a fill volume with
either an empty or partially filled syringe installed. However, it is not
possible to set the fill volume to a value greater than the actual remain-
ing syringe volume.
3-2-4 820202-J 2014-07-22

NOTE: While decrementing the pre-selected syringe volume, the Vol-
ume Indicator wraps from a minimum value of 0 ml back to the maxi-
mum volume of the syringe currently in use.
Once a syringe volume has been selected, begin an AutoFill by simulta-

neously pressing and releasing the [Reverse] key and one of the reverse
[Fast] keys. The ram will withdraw into the Powerhead at a rate of ap-
proximately 8 ml per second and automatically stop when it reaches the
pre-selected volume. Tapping any key while the ram is retracting will
stop the ram and take the Powerhead out of the AutoFill Mode.
Volume Indicator
The Volume Indicator displays the volume remaining in the syringe in
real-time. Additionally, when the Powerhead is in the AutoFill Mode, the
Volume Indicator displays pre-selected volumes.
Syringe Size Indicator

mL
When the faceplate is in the closed position, the Syringe Size Indicator
displays the current syringe size being used. When the faceplate is either
in the open position or completely removed, the Syringe Size Indicator
mL displays dash marks that are continuously lit.
The Syringe Size Indicator will display scrolling dash marks when the
ram speed is less than maximum. When maximum speed is achieved,
mL
the indicator will display the current syringe size being used.
Auto-Fill Indicator
The Auto-Fill Indicator illuminates when Auto-Fill mode is ac-
mL
tive.
mL
mL
820202-J 2014-07-22 3-2-5

3-2-6 820202-J 2014-07-22

4 SETUP
The CT 9000 ADV can store pressure limit, time of day, current
date, language, registration name and the ability to use partial
prefilled syringes. This chapter includes instructions on how to
input the desired parameters for each of these functions.
TURNING ON THE CT 9000 ADV

As covered in Chapter 2, the unit contains two power switch-
es—the Main power switch and the Console system ON/OFF
power switch. With the Main power switch on, press the Con-
sole system ON/OFF button and allow the unit to display its
Start-up menu (see Figure 4-1-1). From the Start-up menu, the
operator has the option of viewing one of two menus—the
Control Panel menu or the Safety menu. If neither the Control
Panel key or Safety key is touched, the injector will automati-
cally display the Protocol Memory menu after approximately 8
seconds.
NOTE: Do not press the Control Console keys or the Powerhead
function keys during the power up sequence. Pressing these
function keys during power up will render all keys inactive and
cause a Fault Message to appear on the Control Console. See
Chapter 6 for a description of Fault Messages. If you should
happen to press a function key during the power up sequence,
repress the Control Console power ON/OFF button.
NOTE: Information which appears on the start up menu is de-
fined by your system software options.
Control
Press to set pressure limit, time, date, language and registration name.
Panel
Press to display important safety information. Safety
Figure 4-1-1 Start-up Menu
820202-J 2014-07-22 4-1-1

SAFETY MENU
The Safety menu contains general safety information, the
meaning of symbols used within the menus and the software
version of each component. This menu can only be accessed
from the Start-up menu.
Refer to Figure 4-1-2.
1 To access the Safety menu, press the [Safety] key when the
Start-up menu is displayed.
2 To display the software version of each component, press the

[Version] key. A dialog box will appear. Starting from the upper
left-hand corner of the dialog box and rotating clockwise, the
symbols are: the electronics cabinet version, the primary console
program version (PV) and font version (FV), the secondary con-
sole version and the powerhead version. If the secondary con-
sole is not present, the version will be left blank.
To exit this menu and display the Protocol Memory menu, press
3
the [Exit] key.
Control
Console
Press to display important safety information . Safety
4-1-2 820202-J 2014-07-22

2
AIR
Always remove the air from the syringe
immediately after filling.
After attaching extension tube, purge air
completely.
EXTRAVASATION
The following guidelines will minimize
extravasation:
A. Use largest vein possible.
B. Use lowest flow rate practical to achieve
enhancement. Vx.xx PVx.xx
C. Use largest gauge teflon type catheter F V x . x x
possible.
V x . xfrom
D. Insure good backflow x catheter.
E. Monitor sight at least for initial portion of
injection from patients side.
F. Continue to monitor from remote location.
G. Instruct patient to notify operator of any
abnormal pain, pressure or swelling.
SYMBOLS
Version
= Time = Syringe CT = Scan
Volume Delay
Protocol = Protocol Exit
1 = Date = Patient
Volume Volume
AIR
Always remove the air from the syringe
immediately after filling.
After attaching extension tube, purge air
completely.
EXTRAVASATION
The following guidelines will minimize
extravasation:
A. Use largest vein possible.
B. Use lowest flow rate practical to achieve
enhancement.
C. Use largest gauge teflon type catheter
possible.
D. Insure good backflow from catheter.
E. Monitor sight at least for initial portion of
injection from patients side.
F. Continue to monitor from remote location.
G. Instruct patient to notify operator of any
abnormal pain, pressure or swelling.
SYMBOLS
Version
= Time = Syringe CT = Scan
Volume Delay
Protocol = Protocol Exit
1 = Date = Patient
Volume Volume
Figure 4-1-2
Safety Menu
820202-J 2014-07-22 4-1-3

CONTROL PANEL MENU

The CT 9000 ADV can store pressure limit, time of day, current
date, language and registration name. Also, the feature called
"Using Partial Prefilleds?" allows the user to select information
related to partial prefilled syringe volumes.
These variables have to be entered by the operator by accessing

the Control Panel menu. Instructions covering how to set these
parameters follow.
1 To access the Control Panel menu, press the [Control Panel] key
when either the Start-up menu or the Protocol Memory menu is
displayed.
To exit this menu and display the Protocol Memory menu, press
2 the [Exit] key.
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1
Control
Panel
Press to display important safety information. Safety
Control Panel Pressure

Limit
Pressure Limit Language
100 psi English Time
Time Using partial prefilleds?

Date
12:00 YES
Name
Date 1
2 AUG 03 Language
Registration Name Partial

Prefilled
Exit
Figure 4-1-3
Control Panel Menu
820202-J 2014-07-22 4-1-5

SETTING THE
PRESSURE LIMIT
Access the Control Panel menu and press the [Pressure Limit]
1 key. The function of the keys will change and the Pressure Limit
value will be highlighted.
2 1 Press the [Scale] key to highlight the Scale value
2 Press the [ ] or [ ] key in order to select between the Pressure

Limit units of psi, bar, and kg/cm2.
3
1 Press the [Pressure Limit] key to highlight the Pressure Limit
value
2 Press the [ ] and [ ] key in order to display the desired value
for maximum Pressure Limit
3 Press the [Exit] key to return to the Control Panel menu.

Limit

Date
12:00 YES
Name
Date 1
2 AUG 03 Language

Prefilled
Exit
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2

Limit
100 psi English Scale

1
12:00 YES
Date 1
2 AUG 03
Registration Name
2
Exit

Limit
100 psi English Scale

1
12:00 YES
Date 1
2 AUG 03
Registration Name
Exit
Figure 4-1-4
Setting the Pressure Limit
820202-J 2014-07-22 4-1-7

SETTING THE
TIME OF DAY
NOTE: Time is kept on a 24 hour clock: 1:00 p.m. is indicated by

13:00
1 Access the Control Panel menu and press the [Time] key. The
function of the keys will change and the Time of Day value will
be highlighted.
2 1 Use the [ ] and [ ] key in order to set the hour

2 Press the [Minute] key
3 Use the [ ] and [ ] key in order to set minute.

4-1-8 820202-J 2014-07-22

1

Limit
Time Using partial prefilleds? Date
12:00 YES
Name
Date 1
2 AUG 03 Language

Prefilled
Exit
Control Panel Hour

100 psi English Minute
Time Using partial prefilleds? 2
12:00 YES
Date 1
2 AUG 03
Registration Name
1
3
Exit
Figure 4-1-5
Setting the Time of Day
820202-J 2014-07-22 4-1-9

SETTING THE
CURRENT DATE
1 Access the Control Panel and press the [Date] key. The function
of the keys will change and the Current Date value will be high-
lighted.
2 1 Use the [ ] and [ ] key in order to set the month.

2 Press the [Day] key.
3 Use the [ ] and [ ] key in order to set the day.
4 Press the [Year] key.
5 Use the [ ] and [ ] key in order to set the year.
4-1-10 820202-J 2014-07-22

1

Limit

Date
12:00 YES
Name
Date 1
1 JUL 02 Language

Prefilled
Exit
Control Panel Month

100 psi English Day
Time
2
Using partial prefilleds?
Year
12:00 YES
4
Date 1
2 AUG 03
Registration Name
1
3
5
Exit
Figure 4-1-6
Setting the Current Date
820202-J 2014-07-22 4-1-11

ENTERING A
REGISTRATION NAME
1 Access the Control Panel and press the [Name] key. The function
of the keys will change and the first letter of the Registration
Name will be highlighted.
2 1 Use the [ ] and [ ] keys to obtain the first letter of the desired
name.
2 Press the [ ] key to advance to the next position. Continue
using the [ ], [ ], and [ ] keys to display the desired name.
Up to 20 characters can be entered. To erase the last letter en-
tered, use the [ ] key.
3 When finished, press the [Exit] key to return to the Control
Panel menu.
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1

Limit
12:00 YES
Name
Date 1
2 AUG 03 Language

Prefilled
Exit
Control Panel
100 psi English
12:00 YES
Date 1
2
2 AUG 03
Registration Name 1
Exit
Figure 4-1-7
Entering a Registration Name
820202-J 2014-07-22 4-1-13

CHANGING THE
DISPLAY LANGUAGE
1 Access the Control Panel menu and press the [Language] key.
The function of the keys will change to display the words Eng-
lish, German, French, Spanish and Japanese.
2 1 Press the desired language key.
4-1-14 820202-J 2014-07-22

1

Limit
12:00 YES
Name
Date 1
2 AUG 03 Language

Prefilled
Exit
Control Panel English

100 psi English Deutsch 1
Time Using partial prefilleds? Francais
12:00 YES
Español
Date 1
2 AUG 03 Japanese
Registration Name
Exit
Figure 4-1-8
Changing the Display Language
820202-J 2014-07-22 4-1-15

USING PARTIAL
PREFILLED SYRINGES
1 Access the Control Panel menu and press the [Partial Prefilled]
key. The function of the keys will change and either the word
"YES" or "NO" will be highlighted.
NOTE: The Control Panel menu is used to select the prefilled

syringe size that matches the pressure plate currently installed
on the Powerhead. Also, this menu is used to select syringe
sizes that are available both as a prefill and a disposable type
syringe.
2 1a If using partial prefilled syringes, press the [Yes] key to activate

this feature.
1b If not using partial prefilled syringes, press the [No] key to deac-
tivate this feature.

NOTE: When the 30-50 ml pressure plate is attached, the word
"YES" will be displayed as the default and may not be set to
"NO". Conversely, when either 200 ml pressure plate is at-
tached, the word "NO" will be displayed as the default and may
not be set to "YES". When any other pressure plate is attached,
the Control Panel menu screen will initially display the word
"YES", however the operator will be able to select either the
"YES" or "NO" setting.
CAUTION!
When using prefill syringes, prior to enabling the injection, ensure that the
injector's volume parameter does not exceed the syringe volume. Otherwise,
damage to the syringe may occur.
4-1-16 820202-J 2014-07-22

1

Limit
12:00 NO
Name
Date 1
2 AUG 03 Language

Prefilled
Exit
Control Panel
Yes
100 psi English 1a
Time Using partial prefilleds? No
12:00 YES
1b
Date 1
2 AUG 03
Registration Name
Exit
Figure 4-1-9
Using Partial Prefilled Syringes
820202-J 2014-07-22 4-1-17

4-1-18 820202-J 2014-07-22

5 OPERATING
INSTRUCTIONS
With the advanced design of the console and powerhead, operator
interaction with the CT 9000 ADV is greatly simplified. This chapter will
include instructions on turning on the unit, storing, deleting and alter-
ing injection parameters, syringe installation and removal procedures,
proper syringe filling procedures and injection delivery.
TURNING ON THE CT 9000 ADV
NOTE: The Injector should not be powered up with a syringe installed.

An installed syringe during power up will trigger a Used Syringe Warn-
ing message when an Injection is enabled.
With the Main power switch on, press the Console ON/OFF button
and allow the unit to display its Start-up menu (see Figure 5-1-1). From
the Start-up menu, the operator has the option of viewing one of two
menus—the Control Panel menu or the Safety menu. If neither the Con-
trol Panel key or Safety key is touched, the injector will automatically
display the Protocol Memory menu.
CT 9000 ADV
Control
Panel
Press to display impor tant safety infor mation. Safety
Figure 5-1-1 Start -up Menu
820202-J 2014-07-22 5-1-1

LOCATION OF EQUIPMENT
WARNING!
Position of the Powerhead.
When positioning the powerhead, do not place the powerhead over the
patient or directly in front of the patient's face to reduce the possibility of
injury to the patient.
5-1-2 820202-J 2014-07-22

PROTOCOLS
The CT 9000 ADV has the capability to save up to 12 protocols. These
protocols can be configured as Constant Flow Protocols, or (Optional)
OptiBolus protocols.
Constant Flow Protocols can be configured for Single Phase or Multi-

phase injections. A typical configuration is illustrated below:

CHEST ABDOMEN 2
ABDOMEN P1 3
LIVER 2
SERIO VASCUL 1
ABDOMEN P1 Previous
Protocol
Next
1 3.0 50 17 0 Protocol
2 1.0 60 60 120
3 3.0 50 17 Change
Values
Control
Panel
200 ml Syringe Protocol Maximum
CT
## Pressure
Protocol
200 ml 160 ml 200 psi 0 sec Manager
OptiBolus Protocols are Single Phase injections. This option is identified

by the name OptiBolus in the Phase column as illustrated below:

CHEST ABDOMEN 2
ABDOMEN P1 3
LIVER 2
BOLUS A B
BOLUS A Previous
Final
Protocol
Phase Flow Volume Duration Flow
(ml/s) (ml) (sec) (ml/s) Next
Opti
Bolus 3.5 120 0042 2.3 Protocol
Change
Values
Control
Panel
CT
## Pressure
Protocol
After the unit has been powered, and is displaying the Protocol Memory
menu, follow the simple steps in this section to save your frequently
used protocols.
820202-J 2014-07-22 5-2-1

SAVING A CONSTANT
FLOW PROTOCOL

1 1 Press the [Previous Protocol] or [Next Protocol] key to highlight
an empty memory slot.
2 Press the [Change Values] key to allow access to the Protocol Memory
Edit menu.
2 Notice how the Flow and Duration values in Phase 1 are highlighted
1 Use the Flow [ ] key to increase the value. If needed, the Flow [ ] key
may be used to decrease the value
2 Press the [Volume] key in order to highlight the Volume value in

Phase 1.
3
Notice how the Volume value in Phase 1 is highlighted
1 Use the Volume [ ] key to increase the value of Volume for Phase 1. If
needed, the Volume [ ] key may be used to decrease the value. The
duration value will be displayed in seconds and change automatically
with changes in volume. As a reminder, Inject Delay is the time delay
after the delivery of a Phase. The delay shown in Step 4 of Figure 5-2-1
is the delay between Phase 2 and Phase 3. A 'pause' can also be entered
in this parameter by scrolling above 255 sec. Entering 'pause' will cause
the injection to stop and remain between phases until re-started. If the
injection is 'paused' between phases, the protocol values for the next
phase can be changed by pressing the 'Change Value' key
2 Press the [Next Phase] key in order to enter values for Phase 2 in the
same manner as described in the previous steps. Enter all values for
required Phases.
4
After entering values for all required phases, press the [Exit/Save] key.
5
1 Use the [ ] and [ ] keys to obtain the first letter of the
protocol's name
2 Press the [ ] key to advance to the next position. Continue using

the [ ], [ ] and [ ] keys to display the desired name. To erase the
last letter entered, use the [ ] key.
3 When finished, press the [Save Name] key.
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6
Notice how the new protocol name is now stored in the Protocol Memo-
ry. A numbered box located to the right of the name shows the number
of phases the protocol contains. When the protocol is highlighted, its
Flow, Volume, Duration, Inject Delay and Scan Delay values are dis-
played in the menu.
1 2

Exit/
Save
Previous Next
Protocol Phase
Phase Flow Volume Duration Inject Delay Phase Flow Volume Duration Inject Delay
(ml/s) (ml) (sec) (sec) (ml/s) (ml) (sec) (sec)
Next Volume
1 0.0 0 0 0 Protocol
1 1 0.0 0 0 0
2 0.0 0 0 2 0.0 0 0
Inject
0 0 Delay 2
3 0.0 0 0 0 Change
Values 3 0.0 0 0 0 Scan
Delay
4 0.0 0 0 Control 4 0.0 0 0

Panel 2 Flow
1 2 5m lS y r i n g e Protocol Maximum 1 2 5m lS y r i n g e Protocol Maximum
CT CT
## Pressure ## Pressure
Flow
Protocol
125 ml 0 ml 200 psi 0 sec Manager 0 ml 0 ml 200 psi 0 sec 1
3 4

Exit/ Exit/
Save Save
Next Next
Phase Phase 1
Flow Flow
1 3.0 0 0 0 2
1 3.0 30 17 0
2 0.0 0 0 2 1.0 60 60 120
Inject
0 Delay
Volume
3 0.0 0 0 0 Scan
Delay
3 3.0 30 17 0 Scan
Delay
4 0.0 0 0 4 0.0 0 0
Volume Delay
CT CT
## Pressure
Volume ## Pressure
Delay
Enter
125 ml 0 ml 200 psi 0 sec OptiBolus 1 125 ml 120 ml 200 psi 0 sec
5 6
Protocol Memory Save Protocol Memory Enable

Name ABDOMEN P1 3
New Protocol Name ABDOMEN P1 Previous

Protocol
A B D O M E NP 1
ABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789._# Next
2
1 3.0 30 17 0 Protocol
2 1.0 60 60 120
3 3.0 30 17 Change
Values
1
Control
Panel
CT
## Pressure
Exit Protocol
Indicator (##) which appears next to the power head graphic on "Protocol Memory" screens,
means the Used Syringe Warning system applies to the currently installed faceplate.
Figure 5-2-1 Saving Constant Flow Protocol
820202-J 2014-07-22 5-2-3

SAVING AN OPTIBOLUS
PROTOCOL

1 1 Press the [Previous Protocol] or [Next Protocol] key to highlight an
empty memory slot.
Edit menu
3 Press the [Enter OptiBolus] key to access Optibolus mode. Note that an
OptiBolus Protocol contains single phased parameters of Initial Flow,
Volume, Duration, and Final Flow. Initial Flow and Volume are the only
parameters that can be changed by the operator. Duration and Final
Flow are automatically calculated by the injector.
2 Notice how the Initial Flow (ml/s), Duration (sec), and Final Flow (ml/s)
values are highlighted.
1 Use the Flow [ ] key to increase the value. If needed, the Flow [ ] key
may be used to decrease the value. The Duration (sec), and Final Flow
(ml/s) values will be automatically calculated by the injector.
2 Press the [Volume] key in order to highlight the Volume value.

3
Notice how the Volume (ml), Duration (sec), and Final Flow (ml/s) values
are highlighted.
1 Use the Volume [ ] key to increase the value of Volume for Phase 1. If
needed, the Volume [ ] key may be used to decrease the value. The
Duration (sec), and Final Flow (ml/s) values will be automatically calcu-
lated by the injector.
4
After entering values, press the [Exit/Save] key.
5
1 Use the [ ] and [ ] keys to obtain the first letter of the
protocol's name.

the [ ] [ ] and [ ] keys to display the desired name. To erase the
5-2-4 820202-J 2014-07-22

6
Notice how the new protocol name is now stored in the Protocol Memo-
ry. A numbered box located to the right of the name shows the number
of phase the protocol contains. Since OptiBolus Protocols are single
phase, the symbol B will always be in this field. When the protocol is
highlighted, its Initial Flow (ml/s), Volume, Duration (sec), and Final Flow
(ml/s) values are displayed in the menu.
1 2

Exit/
Save
Previous Next
Protocol Initial Final Phase
Phase Flow Volume Duration Inject Delay Phase Flow Volume Duration Flow
(ml/s) (ml) (sec) (sec) (ml/s) (ml) (sec) (ml/s)
Next Volume
1 0.0 0 0 0 Protocol
1
Opti
Bolus 3.5 0 0042 2.3
2 0.0 0 0
Inject
0 Delay 2
3 0.0 0 0 0 Change
Values
Scan
Delay
4 0.0 0 0 Control
Panel 2 Flow
CT CT
## Pressure
Enter ## Pressure
Flow
Protocol Exit
0 ml 0 ml 200 psi 0 sec OptiBolus Manager 125 ml 0 ml 200 psi 000 sec OptiBolus 1
3
3 4

Exit/ Exit/
Save Save
Next Next
Initial Final
Phase Initial Final Phase 1
Phase Flow Volume Duration Flow Phase Flow Volume Duration Flow
(ml) (sec) (ml/s) (ml/s) (ml) (sec) (ml/s)
(ml/s)
Flow Flow
Opti
Bolus 3.5 120 0042 2.3 Opti
Bolus 3.5 120 0042 2.3
Inject
Volume
Delay
Scan Scan
Delay Delay
Volume Delay
CT CT
## Pressure
Volume ## Pressure
Delay
Exit Exit
125 ml 120 ml 200 psi 000 sec OptiBolus 1 125 ml 120 ml 200 psi 000 sec OptiBolus
5 6
Protocol Memory Save Protocol Memory Enable

Name BOLUS A B
New Protocol Name ABDOMEN P1 Previous

Protocol
BOLUS A B Initial Final
Phase Flow Volume Duration Flow
(ml/s) (ml) (sec) (ml/s)
ABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789._# Next
3.5 120 0042 2.3

Opti Protocol
Bolus
2
Change
Values
1
Control
Panel
CT
## Pressure
Exit Exit Protocol
125 ml 120 ml 200 psi 000 sec OptiBolus Manager
Indicator (##) which appears next to the power head graphic on "Protocol Memory" screens,
means the Used Syringe Warning system applies to the currently installed faceplate.
Figure 5-2-2 Saving an OptiBolus Protocol
820202-J 2014-07-22 5-2-5

CHANGING VALUES OF
AN EXISTING PROTOCOL

the Protocol to be changed.
Edit menu.
3 If desired, to change a Constant Flow Protocol to an OptiBolus Protocol,

press the [Enter OptiBolus] key to change the mode.
or
If desired, to change an OptiBolus Protocol to a Constant Flow Protocol,

press the [Exit OptiBolus] key to change the mode.
2 Press the appropriate parameter key in order to change its value. In our
example (Constant Flow Protocol), the Volume value for Phase 1 will be
increased.
3
1 Use the [ ] and [ ] key to increase or decrease the selected
value.
2 Press the [Next Phase] key in order to change values for all phases in the
same manner as described.
4
After entering values for all required phases, press the [Exit/Save] key.
5
The CT 9000 ADV will display the prompt "Use same name?" Press the
[Yes] key to save the changes under the same name. In order to save the
changes under a new name, press the [No] key and follow the instruc-
tions under step 5 of Saving a Protocol. To exit without saving any of the
changes, press the [Exit] key.
6
The changed protocol will be displayed. A numbered box located to the
right of the name shows the number of phases the protocol contains.
When the protocol is highlighted, its Flow, Volume, Duration, Inject
Delay and Scan Delay values are displayed in the menu.
5-2-6 820202-J 2014-07-22

1 2

CHEST ABDOMEN 2 CHEST ABDOMEN 2
ABDOMEN P1 3 ABDOMEN P1 3
LIVER 2 LIVER 2 Exit/
Save
CHEST ABDOMEN Previous CHEST ABDOMEN Next

Protocol Phase
Next Volume
1 2.0 20 25 0 Protocol
1 1 2.0 20 25 0
2 1.0 90 90 0
Inject
2 1.0 90 90 Delay
3 Change
Values 3 0.0 0 0 Scan
Delay
4 Control 4 0.0 0
Panel 2 Flow
125 ml Syringe Protocol Maximum 125 ml Syringe Protocol Maximum
CT CT
## Pressure
Protocol ## Pressure Flow
125 ml 110 ml 200 psi 0 sec Manager 125 ml 110 ml 200 psi 0 sec
3 4

LIVER 2 Exit/ LIVER 2 Exit/
Save Save
Next CHEST ABDOMEN Next

Phase Phase
Flow 2 Flow
1 2.0 30 30 0 1 2.0 30 30 0
2 1.0 90 0 2 1.0 90 90
Inject
0
Inject
90 Delay Delay
3 0.0 0 0 Scan
Delay
3 0.0 0 0 Scan
Delay
4 0.0 0 4 0.0 0
Volume Volume
CT CT
Volume
Volume
125 ml 120 ml 200 psi 0 sec 1 125 ml 120 ml 200 psi 0 sec
5 6
Protocol Memory Yes

LIVER 2 LIVER 2
CHEST ABDOMEN No ABDOMEN P1 Previous

Protocol
(ml/s) U s e s (ml)
a m e n a m e ?(sec) (sec) (ml/s) (ml) (sec) (sec)
Next
1 2.0 60 50 0 1 2.0 30 30 0 Protocol
2 1.0 90 90 0 2 1.0 90 90
3 0.0 0 0 Change
Values
4 0.0 0 Control
Panel
CT CT
Exit Protocol
125 ml 160 ml 200 psi 0 sec 125 ml 120 ml 200 psi 0 sec Manager
Figure 5-2-3 Changing the Value of an Existing Protocol
820202-J 2014-07-22 5-2-7

RENAMING A PROTOCOL

1 Press the [Protocol Manager] key to access the Protocol Manager menu.
2 Press the [Previous Protocol] or [Next Protocol] key to highlight the
Protocol to be renamed.
3
Press the [Rename] key.
4 1 Use [ the [ ] and keys to obtain the first letter of the protocol's
name.

the [ ] [ ], and [ ] keys to display the desired name. To erase the

5
The protocol now exists in memory under the new name.
5-2-8 820202-J 2014-07-22

1 2

Protocol Manager Rename
LIVER 2 LIVER 2
Delete
ABDOMEN P1 Previous Achieved

Protocol
Next
1 3.0 50 17 0 Protocol Move
Move
2 1.0 60 60 120
3 3.0 50 17 Change
Values
Previous
Protocol
Control Next
Panel Protocol
CT
## Pressure
Protocol
200 ml 160 ml 200 psi 0 sec Exit
Manager
3 4

Protocol Manager Save
2 CHEST ABDOMEN 2
Name
CHEST ABDOMEN
LIVER 2
Delete
LIVER 2 3
Achieved New Protocol Name
ABCDEFGHIJKLMNOPQRSTUVWXYZ0123456789._#
Move
Move 1
Previous
Protocol 2
Next
Protocol
Exit Exit

CHEST ABDOMEN 2
ABDOMEN P1 TEST 3
LIVER 2
Delete
Achieved
Move
Move
Previous
Protocol
Next
Protocol
Exit
Figure 5-2-4 Renaming A Protocol
820202-J 2014-07-22 5-2-9

DELETING A PROTOCOL

Protocol to be deleted.
3
Press the [Delete] key.
4 The CT 9000 ADV will display the prompt "Delete Protocol?" Press the
[Yes] key.
5
The protocol no longer exists in memory.
5-2-10 820202-J 2014-07-22

1 2

LIVER 2 LIVER 2
Delete

Protocol
Next
Move
2 1.0 60 60 120
3 3.0 50 17 Change
Values
Previous
Protocol
Control Next
Panel Protocol
CT
## Pressure
Protocol
Manager
3 4

Protocol Manager Yes
LIVER 2 LIVER 2
Delete
Achieved No
Delete protocol?
Move
Move
Previous
Protocol
Next
Protocol
Exit

CHEST ABDOMEN 2
LIVER 2
Delete
Achieved
Move
Move
Previous
Protocol
Next
Protocol
Exit
Figure 5-2-5 Deleting A Protocol
820202-J 2014-07-22 5-2-11

REORGANIZING THE
PROTOCOL MEMORY

Protocol to be moved.
3
Press the [ Move] or the [ Move ] key to move the highlighted
Protocol.
4
Once the protocol is moved into the desired position, press the [Exit]
key.
5
The protocol now exists in the desired memory slot.
5-2-12 820202-J 2014-07-22

1 2

LIVER 2 LIVER 2
Delete

Protocol
Next
Move
2 1.0 60 60 120
3 3.0 50 17 Change
Values
Previous
Protocol
Control Next
Panel Protocol
CT
## Pressure
Protocol
Manager
3 4

CHEST ABDOMEN 2 ABDOMEN P1 3
ABDOMEN P1 3 CHEST ABDOMEN 2
LIVER 2 LIVER 2
Delete Delete
Achieved Achieved
Move Move
Move Move
Previous Previous
Protocol Protocol
Next Next
Protocol Protocol
Exit Exit

ABDOMEN P1 3
CHEST ABDOMEN 2
LIVER 2
ABDOMEN P1 Previous
Protocol
Next
1 3.0 50 17 0 Protocol
2 1.0 60 60 120
3 3.0 50 17 Change
Values
Control
Panel
CT
## Pressure
Protocol
Figure 5-2-6
Reorganizing the Protocol Memory
820202-J 2014-07-22 5-2-13

5-2-14 820202-J 2014-07-22

DELIVERING A SINGLE PHASE INJECTION—SINGLE DELIVERY *
WARNING! MINIMIZE THE POSSIBILITY OF EXTRAVASATION
Extravasation can be minimized through the following precautions:
• Use the largest vein possible.
• Use lowest flow rate practical to achieve enhancement.
• Use largest gauge teflon type catheter possible.
• Insure good backflow from catheter.
• Monitor site at least for initial portion of injection form patients side.
• Continue to monitor from remote location.
• Instruct patient to notify operator of any abnormal pain, pressure or swelling.

1 Properly load and fill the syringe according to the instructions in this
Chapter.
the single phase Protocol to be delivered.
2a In order to change any value of the selected protocol, press the

[Change Values] key. For information about changing values, follow
Steps 1—3 of Changing Values of an Existing Protocol. After changing the
values, press the [Enable] key. (The changed values will not be stored in
memory.) Or…
2b If the protocol values are not to be changed, press the [Enable] key.
If a syringe is currently loaded, the following message will appear on the

console.
WARNING!
Air may be present
Syringe was not changed after
last injection. Please install new
syringe to continue
Replace the syringe to continue with an injection.
NOTE: This message will not appear if the used Syringe Warning system
has been deactivated. Contact a qualified service technician to re-en-
able this feature in order to reduce the risk of injecting patients with air,
which could result in patient injury or death.
820202-J 2014-07-22 5-3-1

3 The CT 9000 ADV will display the prompt "Have you evacuated all air
from the XXXml syringe and tubing?" If the installed syringe size match-
es the displayed syringe size and the syringe and tubing are free from
air, press the [Yes] key. Rotate the powerhead to the inverted position.
If the syringe sizes do not match or if air appears, press the [No] key.
Take proper action in order to eliminate all air bubbles or match the
syringe size, then repeat the above steps.
The CT 9000 ADV will access the Ready to Inject menu. Check the dis-
4 played values to ensure correct delivery, then press the [Start] key on
the console, the [Start/Stop] key on the powerhead or the Remote
Handswitch.
During delivery of an injection, any [Stop] key on the console, the [Start/
5 Stop] key on the powerhead or the Remote Handswitch will allow the
operator to immediately stop an injection. The Total Time will display
the total seconds of a protocol delivery, inject delay, and pause time.
6 If the injection has been stopped, pressing the [Start] key, the [Start/
Stop] key, or the Remote Handswitch will allow the injection to contin-
ue. The
[Disable] key will stop the injection and display the Achieved Values
menu.
After delivery, the CT 9000 ADV will display the Achieved Values menu.
7 Whenever power to the unit is turned off or a syringe is replaced, Patient
Volume will be reset to 0.
NOTE: After an injection, the Powerhead brake is applied for approxi-

mately 10 minutes. To remove Powerhead brake before timeout: use the
forward/reverse Powerhead buttons to move the ram in either direction,
or press the Console Exit key on the Achieved Value Screen.
5-3-2 820202-J 2014-07-22

2 3

Protocol Memory
LIVER
LIVER 2
2b SERIO VASCUL
2 Yes
SERIO VASCUL 1 1
SERIO VASCUL Previous SERIO VASCUL

Protocol
(ml/s) (ml) (sec) (sec) H a v e y o u e(ml)
(ml/s) v a c u a t e d (sec)
all air from (sec)
Next the XXX ml syringe and tubing? No
1 2.0 30 15 Protocol
1 1 2.0 30 15
Change
Values
Control
Panel 2a
CT CT
Enter Protocol Enter
125 ml 030 ml 200 psi 0 sec OptiBolus Manager 125 ml 030 ml 200 psi 0 sec OptiBolus
4 5
Ready to Inject Start Procedure Initiated Stop

Total Time Delivered Volume
Expected Duration: 0:15
0:06 12 Stop
SERIO VASCUL SERIO VASCUL Stop

Auto
Stop
1 2.0 30 15 1 2.0 30
Enable
15
Stop
Stop
Stop
CT CT
125 ml 030 ml 200 psi 0 sec Exit 125 ml 030 ml 200 psi 0 sec Stop
6 7
Procedure Initiated Achieved Values Print

Total Time Delivered Volume Total Time Injection Time
0:06 12 Start 0:15 0:15
SERIO VASCUL SERIO VASCUL
Phase Flow Volume Duration Inject Delay Phase Flow Volume Duration Pressure
(ml/s) (ml) (sec) (sec) (ml/s) (ml) (sec) (psi)
1 2.0 30 15 1 2.0 30 15 12
125 ml Syringe Protocol Maximum 125 ml Syringe 1

CT
## Pressure ##
125 ml 030 ml 200 psi 0 sec Disable 95 ml 030 ml 3:48 2 AUG 03 Exit
* These instructions are assuming that a 125 ml Prefilled syringe is installed. If using a
Prefilled syringe and have answered YES to the "Using Partial Prefilleds?"
feature of the Control Panel menu, an additional step(s) exists between Step 2 and
Step 3. Refer to the section Using Partial Prefilled Syringes both in this chapter
and in Chapter 4. Also, refer to Figure 5-3-5.
Figure 5-3-1
Delivering a Single Phase Injection-Single Delivery
820202-J 2014-07-22 5-3-3

DELIVERING A SINGLE PHASE INJECTION—MULTIPLE DELIVERIES *


Chapter.
the single phase Protocol to be delivered.

Steps 1—3 of Changing Values of an Existing Protocol. After chang-
ing the values, press the [Enable] key. (The changed values will not be
stored in memory.) Or…
3
The CT 9000 ADV will display the prompt "Have you evacuated all air
5-3-4 820202-J 2014-07-22

4
The CT 9000 ADV will access the Ready to Inject menu.
1 Press the [Auto Enable] key to allow multiple deliveries of the injection
without repeating Steps 1-3. The words 'Auto Enable' will appear in the
upper right corner of the parameter menu and the [Auto Enable] key
will toggle to [Manual Enable].
2 Check the displayed values to ensure correct delivery, then press the
[Start] key on the console, the [Start/Stop] key on the powerhead or the
Remote Handswitch.
5
During delivery of an injection, any [Stop] key on the console, the [Start/
Stop] key on the powerhead or the Remote Handswitch will allow the
operator to immediately stop an injection. The Total Time will display
the total seconds of a protocol delivery, inject delay, and pause time.
6
If the injection has been stopped, pressing the [Start] key, the [Start/
Stop] key, or the Remote Handswitch will allow the injection to contin-
ue. The [Disable] key will stop the injection and display the Achieved
Values menu.
7
After delivery, the CT 9000 ADV will display the Ready to Inject menu
and be enabled to deliver the injection again. Whenever power to the
unit is turned off or a syringe is replaced, Patient Volume will be reset to
0.

or press the Console Exit key on the Achieved Value Screen.
820202-J 2014-07-22 5-3-5

2 3

Protocol Memory
LIVER 2 2b LIVER 2
Yes
SERIO VASCUL 1 SERIO VASCUL 1

Protocol
(ml/s) (ml) (sec) (sec) Have you e
(ml) a l l a i r f r o m (sec)
Next the XXX ml syringe and tubing? No
1 2.0 30 15
Protocol
1
1 2.0 30 15
Change
Values
Control
Panel
2a
CT CT
125 ml 030 ml 200 psi 0 sec OptiBolus Manager 125 ml 030 ml 200 psi 0 sec OptiBolus
4 5

2 0:06 12 Stop
SERIO VASCUL Auto Enable SERIO VASCUL Auto Enable

Stop
Auto
Stop
1 2.0 30 15
Enable
15 1 2.0 30
1 Stop
Stop
Stop
CT CT
6 7
Procedure Initiated Ready to Inject Start

Total Time Delivered Volume Total Time: Injection Time:
0:06 12 Start 15 Expected Duration :015
SERIO VASCUL Auto Enable SERIO VASCUL Auto Enable
Manual
1 2.0 30 15 1 2.0 30 15
Enable

CT CT
125 ml 030 ml 200 psi 0 sec Disable 125 ml 030 ml 200 psi 0 sec Exit
Figure 5-3-2
Delivering a Single Phase Injection-Multiple Deliveries
5-3-6 820202-J 2014-07-22

DELIVERING A MULTIPHASE INJECTION *

Chapter.
2 1 Press the [Previous Protocol] or [Next Protocol] key to highlight the
multiphase Protocol to be delivered

memory.) Or
3
The CT 9000 ADV will display the prompt "Have you evacuated all air
4 The CT 9000 ADV will access the Ready to Inject menu. Check the dis-
played values to ensure correct delivery, then press the [Start] key on
Handswitch.
820202-J 2014-07-22 5-3-7

5 During delivery of an injection, any [Stop] key on the console, the

[Start/Stop] key on the powerhead or the Remote Handswitch will allow
the operator to immediately stop an injection. The Total Time will dis-
play the total seconds of a protocol delivery, inject delay, and pause
time.
6 If the injection has been stopped, pressing the [Start] key, the [Start/
Stop] key or the Remote Handswitch will allow the injection to continue.
Pressing the [Skip] key causes the injector to skip to the next phase. The
volume remaining to be delivered from the skipped phase will be added
to the next phase. The [Disable] key will stop the injection and display
the Achieved Values menu.
7 After delivery, the CT 9000 ADV will display the Achieved Values menu.
The Total Time will continue to count up, in 1 second increments, until
10:00 minutes is reached. Whenever power to the unit is turned off or a
syringe is replaced, Patient Volume will be reset to 0.

or press the Console Exit key on the Achieved Value Screen
5-3-8 820202-J 2014-07-22

2 3

Protocol Memory
LIVER 2 LIVER 2 Yes
SERIO VASCUL 1 2b SERIO VASCUL 1
ABDOMEN P1 Previous ABDOMEN P1

Protocol
(ml/s) (ml) (sec) (sec) H a v e y o u e(ml)
all air from (sec)
Next the XXXml syringe and tubing? No
1 3.0 50 17 0 Protocol
1 1 3.0 50 17 0
2 1.0 60 60 120 2 1.0 60 60 120
3 3.0 50 17 Change
Values
3 3.0 50 17
Control 2a
Panel
CT CT
Protocol
200 ml 160 ml 200 psi 0 sec Manager 200 ml 160 ml 200 psi 0 sec
4 5

0:06 18 Stop
ABDOMEN P1 ABDOMEN P1 Stop

Stop
1 3.0 50 17 0 1 3.0 50 17 0
2 1.0 60 60 120 2 1.0 60 60 120 Stop
3 3.0 50 17 3 3.0 50 17 Stop
Stop
CT CT
6 7

0:06 18 Start 1:47 1:35
ABDOMEN P1 ABDOMEN P1
Phase Flow Volume Duration Inject Delay Phase Flow Volume Duration Pressure
(ml/s) (ml) (sec) (sec) (ml/s) (ml) (sec) (psi)
Skip
1 3.0 50 17 0 1 3.0 50 17 0
2 1.0 60 60 120 2 1.0 60 60 120
3 3.0 50 17 3 3.0 50 17 120
CT
## Pressure ##
* These instructions are assuming that a 200 ml syringe is installed. If using a

Figure 5-3-3
Delivering a Single Multiphase Injection
820202-J 2014-07-22 5-3-9

DELIVERING AN OPTIBOLUS INJECTION—SINGLE DELIVERY * (OPTION)
NOTE: OptiBolus feature may only appear if a 125 ml faceplate is in-

stalled.


Chapter.
the single phase OptiBolus Protocol to be delivered.
2a To change Flow and Volume value for the selected OptiBolus protocol,
press the [Change Values] key. For information about changing values,
follow Steps 1—3 of Changing Values of an Existing Protocol. After
either Flow or Volume values are changed, press the [Enable] key. (The
changed values will not be stored in memory.) Or…
Note: Changing either Flow or Volume values will automatically update
the Duration and Final Flow values
2b If Flow or Volume values are not to be changed, press the [Enable] key.
If a syringe is currently loaded, the following message will appear on the

console.
WARNING!
Air may be present
syringe to continue
5-3-10 820202-J 2014-07-22

3 The CT 9000 ADV will display the prompt "Have you evacuated all air
The OptiBolus Flow/Time graph will be displayed.

4 The CT 9000 ADV will access the Ready to Inject menu. Check the dis-
played values to ensure correct delivery, then press the [Start] key on
Handswitch.
The OptiBolus Flow/Time graph will decrement during the injection.
The Total Time and Delivered Volume will increment during the delivery
procedure.
NOTE: The graph presented during an OptiBolus injection is only a pre-
diction of the flow rate based on the programmed protocol. When the
pressure limit is reached, the graph does not indicate any reduction in
flow rate due to the pressure limit control.
5 During delivery of an injection, any [Stop] key on the console, the [Start/
Stop] key on the powerhead or the Remote Handswitch will allow the
operator to immediately stop an injection.
Note: If the pressure limit is reached during injection, and audible

"beep" will be sounded, and the message "Pressure Limit Has Been
Reached" will be displayed. Also, the injection mode will change to Con-
stant Flow.
If the injection is completed, the Console screen will briefly display the
Total Time and Delivered Volume.
6 If the injection was stopped, touching the Start key will continue the
OptiBolus injection.
If the Disable key is touched, the Achieved Values screen will be

displayed with the delivered injection information presented. The
OptiBolus injection will be terminated.
7 After delivery, the CT 9000 ADV will update display fields Injection Time,
Duration, and Pressure. The Total Time displayed will continue to incre-
ment.

or press the Console Exit key on the Achieved Value Screen
820202-J 2014-07-22 5-3-11

2 3

Protocol Memory
LIVER 2
2b LIVER 2 Yes
BOLUS A B BOLUS A B
BOLUS A Previous BOLUS A

Final
Protocol
Phase Flow Volume Duration Flow Phase Flow Volume Duration Final
(ml/s) (ml) (sec) H a v e y o u e(ml)

all air from Flow
(ml/sec
(ml/s) Next the XXX ml syringe and tubing? No
Opti
Bolus 3.5 120 0042 2.3 Protocol
1 Opti
Bolus 2.0 30 15
Change
Values
Control
Panel 2a
CT CT
## Pressure ## Pressure Exit
Exit Protocol
125 ml 120 ml 200 psi 0 sec OptiBolus 125 ml 120 ml 200 psi 0 sec Optibolus
Manager
4 5

0:10 35 Stop
BOLUS A BOLUS A Stop

Initial Final Initial Final
Phase Flow Volume Duration Flow Phase Flow Volume Duration Flow
(ml/s) (ml) (sec) (ml/s) Auto (ml/s) (ml) (sec) (ml/s)
Stop
3.5 120 0042 2.3 3.5 120 0042 2.3

Opti Enable Opti
Bolus Bolus
3.5 3.5 Stop
F F
L L
O O
W W
Stop
2.2 2.2
0 15 30 45 (SEC) 0 15 30 45 (SEC)
Stop
CT CT
6 7

0:10 35 Start 1:00 0:43
BOLUS A BOLUS A
Initial Final End
Volume Duration Pressure
Phase Flow Volume Duration Flow Phase Flow
(ml) (sec) (ml/s) (ml/s) (ml) (sec) (psi)
(ml/s)
Opti
Bolus 3.5 120 0042 2.3 Opti
Bolus 2.7 120 0044 005
3.5 3.5
F F
L L
O O
W W
2.2 2.2
15 30 45 (SEC) 0 15 30 45 (SEC)
0

CT ##
## Pressure
Figure 5-3-4
Delivering a Single Phase Bolus Injection-Single Delivery
5-3-12 820202-J 2014-07-22

USING PREFILLED SYRINGES
If using a Prefilled syringe and have answered YES to the "Using Partial Pre-
filleds?" feature of the Control Panel (refer to Chapter 4, Figure 4-1-9), an ad-
ditional step exists between Step 2 and Step 3 as shown in Figure 5-3-5. Steps
1 and 3—7 of the previous instructions will remain the same.
NOTE: The term "prefilled syringe" refers to a syringe that has been filled
by a contrast medium manufacturer.
the multiphase Protocol to be delivered

memory.)
2a If a used Prefilled syringe is currently loaded, the following message will
appear on the console
WARNING!
Air may be present
syringe to continue
AND...
820202-J 2014-07-22 5-3-13

2b Press the key corresponding to the prefilled syringe size currently being
used with a 125 syringe.
OR...
2c Press the key corresponding to the prefilled syringe size currently being
used with a 100 ml pushrod syringe.
OR...
2d Press the key corresponding to the prefilled syringe size currently being
used with a 200 ml pushrod syringe.
OR...
2e Press the key corresponding to the prefilled syringe size currently being
used with a 30 ml or 50 ml hand-held syringe.
WARNING!
If, when using either the 100 ml or 200 ml pushrod syringe, you press a pre-
filled syringe size key of a volume that is less than the actual syringe volume,
the ram will automatically extend and prematurely expel approximately 3 ml
of contrast from the syringe
5-3-14 820202-J 2014-07-22

2 2a Used Prefill Syringe Present
Protocol Memory Enable Protocol Memory

LIVER 2 LIVER 2
SERIO VASCUL 1 2b SERIO VASCUL 1

Protocol
Next W ARNING
1 2.0 30 15 1 2.0 30a y b e p r e s15

Protocol
1
Air m ent!
syringe to continue.
Change
Values
Control
Panel 2a
CT
## Pressure ## Pressure CT
125 ml 30 ml 200 psi 0 sec OptiBolus 125 ml 30 ml 200 psi 0 sec OptiBolus Exit
Manager
2b For 125 ml Syringe 2c For 100 ml Pushrod Syringe
Protocol Memory Protocol Memory 75 ml

50 ml
LIVER LIVER 2
2 65 ml 100 ml
SERIO VASCUL 75 ml
SERIO VASCUL
Press
(ml/s) t h e(ml)
k e y c o r r e(sec)
sponding (sec) Press
(ml/s) the k e y c o r r e(sec)
(ml) sponding (sec)
to the prefilled syringe size. 100 ml to the prefilled syringe size.
1 2.0 30 15 1 2.0 30 15
125 ml
Remaining Volume Display for 125

prefill. See *Note below.

CT CT
Enter Enter Exit
125 ml 30 ml 200 psi 0 sec OptiBolus Exit 100 ml 30 ml 200 psi 0 sec OptiBolus
2d For 200 ml Pushrod Syringe 2e For 30 ml or 50 ml Hand Held Syringe
Protocol Memory Protocol Memory 30 ml

125 ml
LIVER LIVER 2
2 150 ml 50 ml
SERIO VASCUL 200 ml SERIO VASCUL

Flow Flow Volume Duration Inject Delay
Phase P r e s s Volume
(ml/s)
k e y c o rDuration
t h e(ml) r e(sec) Inject Delay
sponding (sec)
Phase Press
(ml/s) the k e y c o r r e(sec)
(ml) sponding (sec)
to the prefilled syringe size. to the prefilled syringe size.
1 2.0 30 15 1 2.0 30 15

CT CT
Enter Enter
150 ml 30 ml 200 psi 0 sec Exit 50 ml 30 ml 200 psi 0 sec OptiBolus Exit
OptiBolus
* When using the 125 prefill syringe the volume remaining display on the console automatically updates
for the prefilled syringe chosen. The power head display will agree with this display as long as the prefill
selection was made while the ram was within 13 ml of full capacity. If the prefill selection is made
with the ram in a position more than 13 ml from maximum the Powerhead will display the remaining
volume from 125 ml regardless of the prefill selection. The console will always display the remaining volume
updated for the prefill selected and will not allow an attempted injection with insufficient volume remaining.
Figure 5-3-5
Using Prefilled Syringes-Additional Step 2a for a Used Prefilled Syringe Present, and either step 2b for 125
ml, Step 2c for 100 ml Pushrod, Step 2d for 200 ml Pushrod, or
Step 2e for 30 ml or 50 ml Hand Held
820202-J 2014-07-22 5-3-15

DISPLAYING ACHIEVED VALUES
The Achieved Values menu is displayed after completion of an injection.

Upon exiting from this menu, the Achieved Values from the last injec-
tion can be displayed at any time by the following instructions.
2 Press the [Achieved] key.
3 The Achieved Values from the last injection are displayed. Press the [Exit]
key to return to the Protocol Memory menu.
4 The Protocol Memory menu is displayed. Press the [Exit] key to return to
the Protocol Memory
5-3-16 820202-J 2014-07-22

1 2
Protocol Memory Protocol Manager Rename

Enable
LIVER 2 LIVER 2
Delete

Protocol
Next
Move
2 1.0 060 0060 120
3 3.0 050 0017 Change
Values
Previous
Protocol
Control Next
Panel Protocol
CT
## Pressure
Protocol Exit
3 4
Achieved Values Protocol Manager Rename

Print
CHEST ABDOMEN 2
Total Time: Injection Time: ABDOMEN P1 3
1:04 0:15 LIVER 2

Delete
SERIO VASCUL Achieved
Phase Flow Volume Duration Pressure

(ml/s) (ml) (sec) (psi)
1 3.0 050 0017 0

Move
Move
2 1.0 060 0060 120

3 3.0 050 0017 Previous
Protocol
Next
Protocol
200 ml Syringe 1
##
147 ml 206 ml 3:48 Exit Exit
2 AUG 03

CHEST ABDOMEN 2
ABDOMEN P1 3
LIVER 2
Delete
SERIO VASCUL Achieved

Phase Flow Volume Duration Pressure
(ml/s) (ml) (sec) (psi)
1 3.0 050 0017 0 Move
Move
2 1.0 060 0060 120
3 3.0 050 0017 Previous
Protocol
Next
Protocol
CT
## Pressure
Figure 5-3-6
Displaying Achieved Values
820202-J 2014-07-22 5-3-17

STOPPING AN INJECTION
An injection may be immediately halted by pressing any of the follow-

ing keys. While in the pause mode, the console will beep every minute
and will also display the elapsed time of the pause.
POWERHEAD
Press the [Start/Stop] keys on the Powerhead once to immediately stop
an injection. Refer to Figure 5-3-7.
NOTE: Once an injection has been started, pressing any key on the
powerhead will stop the injection.
To restart the injection, press either the [Start/Stop] key on the

Powerhead, the [Start] key on the Console or the Remote Handswitch.
CONSOLE
Refer to Figure 5-3-8. Pressing any key on the console will "Stop" the
injector. All eight keys provide a signal to software to Stop (Pause) an
injection. The bottom key additionally is hardwired to the main micro-
processor to stop an injection. Due to its redundant nature, the bottom
key should be considered the "Primary" Stop key.
To restart the injection, press either the [Start/Stop] key on the
Powerhead, the [Start] key on the Console or the Remote Handswitch.
NOTE: During a stopped (paused) injection, time will continue to accu-

mulate under the Total Time display. Also, an audible "beep" will occur
every minute.
REMOTE HANDSWITCH
If using a Remote Handswitch, fully press down once to immediately
stop an injection. To restart the injection, press either the [Start/Stop]
key on the Powerhead, the [Start] key on the Console or the Remote
Handswitch.
5-3-18 820202-J 2014-07-22

TERMINATING AN INJECTION
As shown in the previous section, any key on the Powerhead and the
[Stop] keys on the Console and the Remote Handswitch can all be used
to pause or stop an injection. These keys are recommended to be used
to stop an injection in the case of an emergency.
The least recommended method to stop an injection is to press the

Console's On/Off button. Using the Console On/Off button to stop an
injection will terminate the injection and turn off the unit. If an injec-
tion is stopped by the use of this button, the injection must be re-en-
abled. The achieved values will also be lost.
mL
mL
Figure 5-3-7
Stopping an Injection from the Powerhead.
Ready to Inject Stop

6 12 Stop
ABDOMEN P1 Stop

Stop
1 2.0 50 25 0
2 1.0 60 60 0 Stop
3 3.0 50 17 Stop
Stop
CT
## Pressure
200 ml 160 ml 200 psi 0 sec Stop
PRIMARY STOP KEY
Figure 5-3-7
Stopping an Injection from the Console
820202-J 2014-07-22 5-3-19
5-3-20 820202-J 2014-07-22

REMOVING THE 200 ML PRESSURE PLATE ASSEMBLY

1 Press and hold the [Reverse Arrow] key until the ram is fully retracted.
Unload the syringe.
2 Rotate the Pressure Plate lever to the Open position.
3
Rotate the entire Pressure Plate assembly as shown and lift up to re-
move.
REPLACING THE 200 ML PRESSURE PLATE ASSEMBLY
Replacement of the 200 ml Pressure Plate Assembly is the reverse of the

above process.
820202-J 2014-07-22 5-4-1

1 2
LEVER IN LOAD POSITION LEVER IN OPEN POSITION
Figure 5-4-1 Removing the 200 ml Pressure Plate Assembly
5-4-2 820202-J 2014-07-22

INSTALLING THE 200 ML FRONT LOADING SYRINGE
A 200 ml Front Loading syringe is designed to fit into the mating pres-
sure sleeve. This syringe contains an umbrella cap that secures onto the
pressure sleeve and allows for aseptic insertion of the syringe into the
pressure sleeve. Both sleeve and syringe are translucent to permit easy
visual inspection of the remaining volume.
NOTE: If you install a syringe when the ram is positioned at 10 ml or

less, the injector will automatically move the ram to the 0 ml position.
WARNING! INFECTION HAZARD!

Contamination of sterile-packed syringes is possible if proper precautions are
not taken. Due to the risk of serious patient infection, do not touch the
interior of the syringe or expose the interior of the syringe to conditions
which can cause contamination (coughing, sneezing, etc.) Immediately place
opened syringe into injector sleeve to prevent contaminating the interior of
the syringe.

1 Run the ram to the fully extended position.
2 1 Rotate the Pressure Plate lever to the Load position.

2 Using aseptic technique, remove the syringe from its sterile packaging
by grasping the umbrella cap. Insert the syringe into the sleeve by
matching the Load Arrow on the syringe to the Load Arrow on the
pressure sleeve. The syringe can now slip down into the sleeve.
NOTE: If you lock the syringe in place while the ram is positioned at 10
ml or less, the injector will automatically move the ram to its fully ex-
tended position.
3
Lock the syringe into place by either turning the Pressure Plate lever to
the Lock position or by rotating the umbrella cap clockwise until the
load arrows align as shown. If the lever cannot be moved to the Lock po-
sition, make sure the Load Arrows are aligned properly, then gently
push down on the umbrella cap. The lever should now lock easily
820202-J 2014-07-22 5-4-3

2 3
2
UMBRELLA CAP
LOAD
ARROWS
1 LEVER IN LOAD POSITION

LEVER IN LOCK POSITION
Figure 5-4-2 Installing the 200 ml Front Loading Syringe
5-4-4 820202-J 2014-07-22

FILLING THE 200 ML FRONT LOADING SYRINGE
not taken. Due to the risk of serious patient infection, do not touch the
Linden-Luer adapter, the section of a fill tube that will be inserted into the
contrast, or the inside of the syringe unless sterile gloves are worn.

When filling syringe, check connecting line and syringe to ensure that air is
not being sucked into the system due to a leaking fitting. Air entrapped in
the line can cause patient injury or death.
NOTE: Preheating the contrast medium will help in the removal of air
bubble.
1 Tilt the Powerhead so that the syringe is pointing straight up
2 Remove the protective cap from the syringe tip.
3 Using aseptic technique, slide the end of the shorter section of the fill
tube over the syringe tip. DO NOT TOUCH THE TIP. Place the end of the
longer section of the fill tube into the container of contrast media. To
keep aeration to a minimum, verify that this end of the tube is in the
medium and is NOT drawing air.
Manual Fill Technique

4 Press and hold the Reverse key and tap the Fast key once to slowly draw
the desired volume of contrast medium into the syringe. Refer to Figure
5-4-3 and 5-4-4. Press the Forward key and tap the Fast key to expel air
from the syringe or use the instructions contained in the Section—Re-
moving Air Bubbles from the Syringe. Filling the syringe too fast will
cause undesired aeration of the contrast.
AutoFill Technique
Activate the AutoFill mode and establish a pre-selected syringe volume
(See definitions for [Auto-Fill Mode] and [Auto-Fill Volume] keys in Chap-
ter 3).
NOTE: When using the AutoFill Technique, add an extra 5 ml to 10 ml to
the desired syringe volume (i.e., pre-selected syringe volume) to com-
pensate for volume losses due to tubing volume and mechanical toler-
ances inherent to the injector.
820202-J 2014-07-22 5-4-5

Once an AutoFill syringe volume has been established, press and release
the Reverse key and the Fast key simultaneously. The syringe plunger
will automatically draw the pre-selected volume of contrast medium
into the syringe. Press the Forward key and tap the Fast key to expel air
from the syringe or use the instructions contained in the Section—Re-
moving Air Bubbles from the Syringe. Filling the syringe too fast will cause
undesired aeration of the contrast.
5 To minimize spillage of contrast on the injector, leave the level of con-

trast just at the tip of the syringe or slightly below or leave the level in
the fill tube slightly below the tip of the syringe.
6 Attach extension tube, remove air by either pressing the Forward key or
by using manual knob on the Powerhead
7 Secure extension tube in the slot of the pressure plate lever until ready
for use. Refer to Figure 5-4-5. Just prior to injection, the Powerhead must
be rotated so that the syringe is below horizontal with the syringe tip
pointing downward throughout the actual injection.
NOTE: Using the fill keys may temporarily prevent the Total Time from
being displayed. However, Total Time will continue to accumulate in the
background.
Figure 5-4-3 Front Filling Technique for Filling Syringe.
5-4-6 820202-J 2014-07-22

Figure 5-4-4 Side Filling Technique for Filling Syringes.
820202-J 2014-07-22 5-4-7

Figure 5-4-5 Extension Tubing Held Upright by Slot of Pressure Plate Lever
5-4-8 820202-J 2014-07-22

REMOVING AIR BUBBLES FROM THE SYRINGE
Air entrapped in the syringe can cause patient injury or death. Always verify
that the syringe and tubing has been properly cleared of air!
Air bubbles entrapped in contrast media that has been drawn into a
syringe MUST be removed to prevent injection of an air embolism into
the patient. Such bubbles may be most readily removed by performing
the following.
1 Remove the heater blanket in order to allow an unobstructed view of

the contents of the syringe and to prevent damage to the heater blan-
ket while trying to dislodge the air bubble.
2 Draw an extra 20 cc of air into the syringe to form an air pocket; this will
provide a "washing action" for removing air bubbles. Wait for any air
bubbles entrapped in the contrast to rise to the top (outlet end of the
syringe).
3 Slowly rotate the powerhead through an 150° arc once or twice to allow
the air pocket to pick up the air bubbles on the sides of the syringe. Re-
fer to Figure 5-4-6. To dislodge any stubborn air bubbles, tap the syringe
with the heel of the hand.
CAUTION! DO NOT STRIKE THE HEATER BLANKET!
Do not strike the heater blanket when dislodging air bubbles. Irreparable
damage to the heater blanket can occur. Remove the heater blanket prior to
dislodging air bubbles.
4
Advance the plunger to remove the air pocket from the syringe by ei-
ther pressing and holding the Forward key while tapping the Fast key or
by slowly rotating the manual control knob clockwise
5
With the air bubbles removed, the Powerhead should remain in the
vertical position until ready for injection.
820202-J 2014-07-22 5-4-9

OUTLET END
CONTRAST MEDIUM
0
AIR BUBBLES
15
TE
ROTA
Figure 5-4-6 Rotating the Powerhead 150°
5-4-10 820202-J 2014-07-22

REMOVING THE 200 ML FRONT LOADING SYRINGE
The syringe may be removed by either turning the Pressure Plate lever
to the Load position or by rotating the umbrella cap counterclockwise
until the load arrows align as shown. The syringe can be easily lifted out.
NOTE: The syringe may be removed without disconnecting the exten-

sion tube to minimize spillage of contrast and to save time.
DANGER! REMOVE SYRINGE PROMPTLY

Failure to remove syringe after completion of a procedure can lead to an
inadvertent injection of air. Used syringes should be promptly removed from
the injector immediately after a procedure is completed to avoid accidental
re-use of the empty syringe. Injecting air can cause patient injury or death.
LOAD
ARROWS
LEVER IN LOAD POSITION
Figure 5-4-7 Removing the 200 ml Front Loading Syringe
820202-J 2014-07-22 5-4-11

REMOVING THE 125 ML PRESSURE PLATE ASSEMBLY
Refer to Figure 5-4-8
Unload the syringe. Leave the pressure sleeve in the open position as
shown
2 Rotate the Pressure Plate lever to the Open position. The pressure sleeve
must be in the open position as shown
3 Rotate the entire Pressure Plate assembly as shown and remove
REPLACING THE 125 ML PRESSURE PLATE ASSEMBLY
Replacement of the 125 ml Pressure Plate Assembly is the reverse of the

above process.
5-4-12 820202-J 2014-07-22

3
PRESSURE SLEEVE
IN OPEN POSITION
LEVER IN OPEN POSITION
2

1
Figure 5-4-8 Removing the 125 ml Pressure Plate Assembly
820202-J 2014-07-22 5-4-13

INSTALLING THE 125 ML PRE-FILLED SYRINGE
A 125 ml pre-filled syringe is designed to fit into the mating pressure

jacket. Both jacket and syringe are translucent to permit easy visual
inspection of the remaining volume.

not taken. Due to the risk of serious patient infection, do not touch the tip
of the syringe unless sterile gloves are worn.

1 Run the ram to the fully retracted position. Rotate the powerhead to the
horizontal position. This will prevent the syringe from sliding out when
closing the syringe jacket.
2 . 1 With a 125 ml pressure plate installed on the powerhead,rotate
the lever to the Load position to allow the syringe jacket to swing open.
2 Using aseptic technique, remove the syringe from its sterile packaging.
Insert the syringe into the jacket
3
. 1 Swing the loaded syringe jacket to the closed position.
2 Turn the lever to the Lock position. Rotate the powerhead to the vertical
position.
3 Follow instructions on syringe package for proper use, including remov-

al of air.
NOTE: When removing the syringe tip cap, ensure the powerhead is in
the vertical position. Slowly twist off the blue tip cap and discard.
5-4-14 820202-J 2014-07-22

2
1
2
Figure 5-4-9 Installing the 125 ml Pre-filled Syringe
820202-J 2014-07-22 5-4-15

REMOVING THE 125 ML PRE-FILLED SYRINGE
Run the plunger to the fully retracted position. Rotate the pressure plate
lever to the Load position to allow the syringe jacket to swing open. The
syringe can be easily lifted out.

Figure 5-4-10 Removing the 125 ml Pre-filled Syringe
5-4-16 820202-J 2014-07-22

REMOVING THE 125 ML PUSH-AND-TURN PRESSURE PLATE ASSEMBLY

2 Unload the syringe, or rotate the Pressure Plate lever to the Load posi-
tion.
3 Hold down the locking button and rotate the entire Pressure Plate
assembly as shown
4 Remove the Pressure Plate assembly.
REPLACING THE 125 ML PUSH-AND-TURN PRESSURE PLATE ASSEMBLY
Replacement of the 125 ml Pressure Plate assembly is the reverse of the

above process.
820202-J 2014-07-22 5-4-17

REMOVE FACEPLATE
4
ROTATE FACEPLATE
3
ROTATE LEVER TO
LOAD POSITION
S
ES
PR
LOCKING BUTTON
2
Figure 5-4-11 Removing the Push and Turn Pressure Plate Assembly
5-4-18 820202-J 2014-07-22

INSERTING THE 125 ML PRE-FILLED SYRINGE INTO THE
PUSH-AND-TURN PRESSURE PLATE
A 125 ml pre-filled syringe is designed to fit into the opening of the

Push- and-Turn pressure plate.

1 Run the ram to the fully retracted position.

With a Push-and-Turn pressure plate installed on the powerhead, rotate
2 the lever to the Load position to allow the 125 ml syringe to be inserted
into the opening. Using aseptic technique, remove the syringe from its
sterile packaging. Fully insert the syringe into the opening and press
syringe flange firmly against the powerhead
3 To close the lever and secure the syringe, either twist the syringe in the
clockwise direction or move the lever to the Locked position while hold-
ing the syringe in place
4 Rotate the powerhead to the vertical position if you have not already
done so. Follow instructions on the syringe package for proper use,
including removal of air.
NOTE: When rotating the powerhead, grasp the powerhead itself, not
the syringe. Grasping the syringe when rotating the powerhead may
cause contrast spillage.
the vertical position. Slowly twist off the blue tip cap and discard
2 3 INSERT SYRINGE FULLY

BEFORE TURNING CLOCKWISE
LEVER IN LOCKED POSITION
E
ING IST TO L
YR
TS
TW
ER
OC
INS
K
INSERTING SYRINGE
Figure 5-4-12 Inserting the 125 ml Pre-filled Syringe into the Push
and Turn Pressure Plate
820202-J 2014-07-22 5-4-19

REMOVING THE 125 ML PRE-FILLED SYRINGE FROM THE

PUSH AND TURN PRESSURE PLATE

1 Depending on the type of syringe used, run the ram to either the fully
retracted or fully extended position.
NOTE: When using a partially prefilled syringe (i.e., less than 125 ml),
you must fully retract the ram before you can remove the syringe. When
using a full prefilled 125 ml syringe, you must either fully extend or fully
retract the ram before removing the syringe.
2 Rotate the syringe in the counterclockwise direction or move the pres-
sure plate lever to the Load position.
3
The syringe can be easily lifted out.
2 3
E
ING
YR
V ES
MO
RE
REMOVING SYRINGE
Figure 5-4-13 Removing the 125 ml Pre-filled Syringe from the Push-and-Turn
Presure Plate
5-4-20 820202-J 2014-07-22

INSTALLING HEATER BLANKET WITH
THE PUSH AND TURN PRESSURE PLATE
1 Slide the heater blanket over the syringe.
2 Notice the orientation of the heater blanket plug.
REMOVING THE HEATER BLANKET
3 To remove the heater blanket, grasp bottom of heater blanket and pull
down as shown below.
1 2
HEATER
Figure 5-4-14 Installing/Removing the Heater Blanket
820202-J 2014-07-22 5-4-21

REMOVING THE 100 ML OR 200 ML PUSHROD

PRESSURE PLATE ASSEMBLY
Unload the syringe. (Note: Follow the procedures for installing and
1 removing the pushrod syringes in this chapter.) Next, press and hold
the [Forward Arrow] key until the ram is fully extended. Open the cover.
Remove the syringe gripper by pressing the small metal tab and sliding
the gripper up and off the ram as shown in Figure 5-4-15. Press and
hold the [Reverse Arrow] key and run the ram until it is fully retracted.
Close the cover.
1
PRESS TAB AND

PULL GRIPPER
UP TO REMOVE
Figure 5-4-15 Removing the Gripper
2 Refer to Figure 5-4-16 for Steps 2 through 4.

Rotate the Pressure Plate lever to the Open position as shown.
3 Rotate the entire Pressure Plate assembly.
4 Remove the Pressure Plate assembly.
5-4-22 820202-J 2014-07-22

REPLACING THE 100 ML OR 200 ML PUSHROD
PRESSURE PLATE ASSEMBLY
Replacement of the 100 ml (or 200 ml) Pressure Plate assembly is the
reverse of the above process.
Move Lever to
2 Open Position
3 ROTAT
E
Figure 5-4-16 Removing the 100 ml or 200 ml Pushrod Pressure Plate Assembly
820202-J 2014-07-22 5-4-23

INSTALLING THE 100 ML OR 200 ML PUSHROD SYRINGE
Both the 100 ml and 200 ml pushrod syringes (i.e., either pre-filled or
disposable) are designed to fit into the mating syringe holder.

1 Run the ram to the fully retracted position. Rotate the powerhead to the
horizontal position. This provides the best angle for syringe installation.
2 With a 100 ml (or 200 ml) pressure plate and syringe holder installed on
the powerhead, pull the knob that locks the syringe cover in place and
swing the cover open.
3 Using aseptic technique, remove the 100 ml (or 200 ml) syringe from its
sterile packaging. With the flat sides of the syringe oriented as shown in
Figure 5-4-16, insert the syringe into the holder.
4 Rotate the syringe a quarter turn (90°) to lock the syringe in place.
5 Swing the syringe cover to the closed position. Ensure that the cover
locking knob is engaged. Rotate the powerhead to the vertical position.
Follow instructions on syringe package for proper use, including remov-
al of air.
5-4-24 820202-J 2014-07-22

820202-J 2014-07-22
RO
TA
2 3 T
E
Inser
Flat St Syringe
ides V with
ertica
l 90
80
70
60
50
40
30
20
10
Pull To Open
Open Face Plate Insert Syringe
4 5
0
10
0
90
10
90
80
Figure 5-4-17 Installing the 100 ml or 200 ml Syringe

70
80
60
70
50
60
40
50
30
40
20
Ro
30
20
To tate F
Ho lat
rizo Sid
nta es
l
5-4-25
Secure Syringe Close and Lock Face Plate
REMOVING THE 100 ML OR 200 ML PUSHROD SYRINGE
In general, the procedure for removing a pushrod syringe is the reverse

of the installation process described above.
1 Rotate the powerhead to the horizontal position. This provides the best
angle for syringe removal
2 Open the cover.
3 Rotate the syringe a quarter turn (90°) to unlock the syringe.
4 Remove the syringe from the syringe holder.
REMOVING THE 30-50 ML PRESSURE PLATE ASSEMBLY
Unload the syringe. (Note: Review the procedures for installing and
removing the 30 ml and 50 ml pre-filled syringes in this chapter.) Leave
the syringe collar in the open position as shown.
2 Rotate the Pressure Plate lever to the Open position. The syringe collar
must be in the open position as shown
3 Rotate the entire Pressure Plate assembly as shown and remove.
REPLACING THE 30-50 ML PRESSURE PLATE ASSEMBLY
Replacement of the 30-50 ml Pressure Plate assembly is the reverse of

the above process.
5-4-26 820202-J 2014-07-22

3
LEVER IN OPEN POSITION

2

1
Figure 5-4-18 Removing the 30-50 ml Pressure Plate Assembly
820202-J 2014-07-22 5-4-27

INSTALLING THE 30 ML OR 50 ML PREFILLED SYRINGE
A 30 ml or 50 ml pre-filled syringe is designed to fit into the mating

syringe collar. The syringe is translucent to permit easy visual inspection
of the remaining volume.


1 Run the ram to the fully retracted position. Rotate the powerhead to
the horizontal position. This will prevent the syringe from sliding out when
closing the syringe collar.
2 1 With a 30-50 ml pressure plate installed on the powerhead, rotate the
lever to the Load position to allow the syringe collar to swing open.
2 Using aseptic technique, remove the syringe from its sterile packaging.
Insert the syringe into the collar
3 1 Swing the loaded syringe collar to the closed position.

2 Turn the lever to the Lock position. Rotate the powerhead to the vertical
position.
3 Follow instructions on syringe package for proper use, including remov-

al of air.
5-4-28 820202-J 2014-07-22

2
1
2
Figure 5-4-19 Installing the 30 ml or 50 ml Prefilled Syringe
820202-J 2014-07-22 5-4-29

REMOVING THE 30 ML OR 50 ML PREFILLED SYRINGE
Run the plunger to the fully retracted position. Rotate the pressure plate
lever to the Load position to allow the syringe collar to swing open. The
syringe can be easily lifted out. While removing the syringe, slide the
tubing between the slot of the pressure collar as shown in Figure 5-4-19.

TUBE ACCESS SLOT

Figure 5-4-20 Removing the 30 ml or 50 ml Prefilled Syringe
5-4-30 820202-J 2014-07-22

INSTALLING THE IV POLE (OPTIONAL)
1 Mount the IV pole base, with console bracket (if used), to the stand
assembly as illustrated in Figure 5-4-20. Verify that the restraining pin at
the top of the stand assembly passes through the smaller holes in the
washer, console bracket (if used), and IV pole base.
NOTE: The label on the IV pole base should face upward.
CAUTION!
The bracket and base are not yet secure to the remote stand assembly and
could fall, possibly causing damage to the equipment. Continue to support
the bracket and base until the Powerhead is in place.
2 Lower the Powerhead onto the stand assembly by passing its stem
through the larger hole in the IV pole base, console bracket (if used),
washer and finally into the larger central clearance hole in the remote
stand assembly. Tighten the securing screw to keep the Powerhead in
place.
NOTE: As the Powerhead is lowered into place, the restraining pin on

the remote stand assembly will pass upward into a mating socket drilled
into the shoulder of the pivot.
3 Tighten the securing screw to keep the Powerhead locked to the stand
assembly
4 Insert the IV pole through the hole in the IV pole base. Lock the IV pole
into place by tightening the locking knob.
DANGER!
Ensure that the locking knob is secure before loading the IV pole. Failure to
completely tighten the locking knob can result in IV pole tipping, catheter
site trauma, and patient injury.
NOTE: When not in use, the locking knob can be removed and the IV
pole reattached upside-down for storage.
DANGER!
Do not place more than 10 lbs. (4.5 kg) on the IV pole. Exceeding this
weight limit can result in IV pole tipping, catheter site trauma, and patient
injury.
820202-J 2014-07-22 5-4-31

IV
Pole
Powerhead
Install
Securing
Screw
IV
Bracket Pole
Label
IV Pole
Bracket
Locking
Knob
Restraining
Pin
Remote Locking
Stand Knob
Assembly
Console
Bracket
Figure 5-4-21 Mounting the IV Pole with Powerhead and

Console Bracket
5-4-32 820202-J 2014-07-22

6 SYSTEM GENERATED
MESSAGES
The CT 9000 ADV generates messages in response to operator input
and the monitoring of equipment status. These messages fall into two
general categories:
Error Messages—Those messages that appear in response to incorrect

operator input.
Error Codes—Those codes that appear in response to incorrect operator

input.
Fault Messages—Those messages that appear when the CT 9000 ADV's

self-diagnostics detect a problem in the control circuitry.
820202-J 2014-07-22 6-1-1

6-1-2 820202-J 2014-07-22

ERROR MESSAGES
HEATER THERMISTOR TRACKING ERROR.

TO CONTINUE, PRESS OVERRIDE. SEE MANUAL FOR
FURTHER INSTRUCTIONS.
Occurs when: A problem with the heater blanket has been detected.
Operator action: Press [Override], power down the unit and disconnect
the heater blanket. Discontinue use of the heater blanket until serviced
by a qualified service technician. The CT 9000 ADV is completely func-
tional, however, the temperature of heated contrast cannot be main-
tained.
INJECTION WAS PRESSURE LIMITED
Occurs when: The required pressure to deliver protocol exceeds the

Pressure Limit value or when an obstruction is present in the line or
catheter.
Operator Action: Reduce the flow rate or increase the Pressure Limit.
Check for obstruction in line or catheter.
INSUFFICIENT SYRINGE VOLUME!

PRESS OVERRIDE TO INJECT AVAILABLE VOLUME.
Occurs when: The protocol volume is greater than the volume available
in the syringe.
Operator action: Reset protocol volume to a level lower than the syringe
volume or press [OVERRIDE] to use existing volume.
INVALID INJECTION!
PRESS EXIT TO CONTINUE.
Occurs when: The [Enable] key is pressed when in Protocol Memory or

Change Values Screen while a protocol parameter is invalid or the avail-
able syringe volume is 0.
Operator action: Press [EXIT] to return to the Protocol Memory screen or

the Change Values screen and enter a valid parameter or fill the syringe.
820202-J 2014-07-22 6-2-1

INVALID INJECTION!
REDUCE FLOW RATE OR USE LARGER SYRINGE.
Occurs when: The programmed flow rate exceeds the maximum flow
rate for the selected syringe type.
Operator action: To continue, either reduce the flow rate to a value

that is within the specifications of the syringe type being used. Refer to
Chapter 1 to obtain flow rate specifications for each syringe type.
INVALID SELECTION.
SYSTEM SET FOR INSTALLED PRESSURE PLATE.
Occurs when: While using a 100 ml or 20 ml pushrod syringe and face-

plate, if after the [Enable] key has been pressed and prefilled size se-
lection keys appear on the screen, the operator selects a prefilled size
volume that is less than the volume of the installed prefilled syringe.
This creates a condition where approximately 3 ml of contrast will be
prematurely expelled from the syringe.
Operator action: Press the [Exit] key to return to the Control Panel menu.
Ensure that the appropriate syringe size has been installed. Re-enter
the Partial Prefilled menu option to select the correct prefilled syringe
volume.
LOCK THE SYRINGE IN PLACE.
Occurs when: The operator attempts to enable a protocol when the

syringe pressure plate is not in the locked position or when the pressure
plate is opened while the injector is running.
Operator action: Ensure the syringe pressure plate is in the Locked posi-
tion. Refer to Chapter 5 for more information.
NOTE: If you open the faceplate during an injection, the Total Time will
be reset to 0:00 once you clear the "Lock the syringe in place" message.
NOTE: If you open the faceplate after the injector is armed, and then
press the [Start] key, 1 to 5 ml of contrast will be injected.
6-2-2 820202-J 2014-07-22

OVERHEATING ERROR.
TO CONTINUE, PRESS OVERRIDE. SEE MANUAL FOR FURTHER INSTRUCTIONS.
Occurs when: A problem with the heater blanket has been detected.
Operator action: Press [Override], power down the unit and disconnect
the heater blanket. Discontinue use of the heater blanket until serviced
by a qualified service technician. The CT 9000 ADV is completely func-
tional, however, the temperature of heated contrast cannot be main-
tained.
PLEASE RETRACT RAM FOR SETUP.
Occurs when: While the ram is extended, the operator attempts to enter
the Partial Prefilled option under the Control Panel menu.
Operator action: Press the [Exit] key to return to the control panel. Use
the [Reverse] key to move the ram to its fully retracted position. Install
the pressure plate that matches the desired prefilled selection. Con-
tinue with Partial Prefilled sequence.
PRESSURE LIMIT REACHED!

PAUSE THE INJECTION?
Occurs when: The injector detects that the maximum pressure

limit, set in the Control Panel menu, has been reached.
Operator action: Press the [Yes] or [Exit] key to pause the injection. Press
the [No] key to continue the injection.
SYRINGE VOLUME MUST BE AT 0 ML TO START AUTOFILL.
Occurs when: The operator presses the [AutoFill] key when the ram is
not fully extended (i.e., ram is not at 0 ml position)
Operator action: Release the [AutoFill] key and press the [Exit] key to
return to the protocol memory screen. Press the [Forward] key on the
Powerhead keyboard to move the ram to its fully extended (or 0 ml)
position. Press the [AutoFill] key to proceed with the AutoFill function.
820202-J 2014-07-22 6-2-3

SYSTEM STALLED!
CHECK CATHETER, LOWER RATE OR INCREASE PRESSURE LIMIT.
Occurs when: The injector detects a stalled motor. The injector will
pause the injection.
Operator action: Remove cause of stall condition and press the [Start]
key to continue injection. Call service if problem persists.
THAT NAME ALREADY EXISTS!
Occurs when: The operator tries to enter a blank name or the name of a
protocol that already exists in memory.
Operator action: Choose a new name for the protocol.
WARNING! AIR MAY BE PRESENT!

SYRINGE WAS NOT CHANGED AFTER LAST INJECTION.
PLEASE INSTALL NEW SYRINGE TO CONTINUE.
Occurs when: For 125 ml and Prefilled faceplates: If a syringe has been
expelled greater than 20 ml and retracted to within 5 ml of the full posi-
tion without a faceplate latch opening, the warning system will activate
when an attempt is made to enable a new injection.
For the 200 ml disposable faceplate: If an injection has been performed,

and the syringe expelled greater than 20 ml, and retracted to within 5
ml of the full position without a faceplate latch opening, the warning
system shall activate when an attempt is made to enable a new injec-
tion.
If a syringe is present when the system is powered on, the syringe will
be seen as a used syringe. The system will display the used syringe
warning if the operator attempts to enable an injection before cycling
the faceplate latch. 
Operator action: Change syringe.
6-2-4 820202-J 2014-07-22

ERROR CODES
EX0
Occurs when: A pressure plate has not been installed and the operator
presses the [AutoFill] key.
Operator action: Install the appropriate pressure plate prior to activating

the AutoFill function.
EX2
Occurs when: With a pressure plate installed, the operator presses the
[AutoFill] key , however the ram has not been moved far enough for the
AutoFill function to be activated.
Operator action: Continue to move the ram to until it is fully extended.
NOTE: The letter x in the error codes above will appear as a number,
from 0 to 5, that corresponds to the currently installed (or most recently
installed) pressure plate. Pressure plate types are numerically represent-
ed according to the following: 200 ml = 0, 125 ml = 1, 100 ml Pushrod =
2, 30-50 ml Hand Held = 3, 200 ml Pushrod = 4, and Future Pressure
Plate = 5.
820202-J 2014-07-22 6-3-1

6-3-2 820202-J 2014-07-22

FAULT MESSAGES
The dual microprocessor control circuits in the CT 9000 ADV continu-

ously monitor all important functions from the moment that the unit is
turned on. These checks, transparent to the operator, occur many times
each second, monitoring the safe performance of the injector. If a fault is
detected, the unit will lock into the Fault Mode and then display a Fault
Message. Refer to Figures 6-4-1 and 6-4-2 for example Fault Messages.
In all cases, the appearance of a Fault Message requires that the opera-
tor contact a qualified service technician to correct the problem.
Powerup Faults
Fault # Description
32 No Powerhead detected
Figure 6-4-1 Fault Message Appearing at Power-up

CHEST ABDOMEN 2
ABDOMEN P1 3
LIVER 2
ABDOMEN P1 Previous
Protocol
Phase Flow F a u l t # Duration
Volume 28 Inject Delay
Next
Unknown power head fault
1 3.0 50 17 0 Protocol
2 1.0 60 60 0
3 3.0 50 17 120 Change
Values
Achieved
CT
## Pressure
0 ml 0 ml 200 psi 0 sec Delete
Figure 6-4-2 Fault Message Appearing on Protocol Memory Menu
820202-J 2014-07-22 6-4-1

6-4-2 820202-J 2014-07-22

7 CARE OF UNIT
DAILY INSPECTION
PRESSURE SLEEVE
Check the pressure sleeve daily for signs of stress, crazing lines, or cracks
and replace immediately when any of these symptoms are found.
WARNING! CHECK PRESSURE SLEEVE FREQUENTLY!

Syringe pressure jackets must withstand pressures generated during injec-
tion delivery. Defective sleeves may shatter or explode under these condi-
tions. Always inspect pressure sleeve closely before using injector. Rotate the
pressure sleeve while viewing all areas; look for stress cracks (around the
front or at the shoulder area), discard any pressure sleeve exhibiting signs of
stress, crazing lines or cracks. The use of such parts may cause injury and/or
an aborted injection.
820202-J 2014-07-22 7-1-1

WEEKLY INSPECTION
LUBRICATION
On a weekly basis, petroleum jelly must be applied to the tabs of the
pressure sleeve. Using a dry cloth, apply a thin film to the areas indicat-
ed in Figure 7-1-1
LUBRICATE BOTTOM
OF EACH TAB
Figure 7-1-1
Area of Lubrication Application
7-1-2 820202-J 2014-07-22

POWERHEAD PIVOT
ASSEMBLY
Check the powerhead pivot assembly to ensure that the pivot is operat-
ing properly. Rotate the powerhead 150° to the inverted position. Refer
to Figure 7-1-2. If the pivot allows the powerhead to rotate to the non-
inverted position, remove the unit from use and contact your autho-
rized service representative. Injecting while the powerhead is in a posi-
tion other than the inverted position creates the possibility of injecting
the patient with air.
0
15
TE
ROTA
Figure 7-1-2
Inverting the Powerhead
SUSPENSION ARM
Although the CT 9000 ADV Suspension Arm is maintenance free, units

need to be inspected prior to use. Visually inspect the J-Bow Arm to
ensure all fasteners are secure. Observe for cracks or defects. Check the
Suspension Arm for movement. If defects are observed or adjustment is
required, immediately contact your authorized service personnel.
820202-J 2014-07-22 7-1-3

7-1-4 820202-J 2014-07-22

CLEANING THE UNIT
PRESSURE SLEEVE
AND PLATE
On a daily basis, move the ram to the retract position and wipe out the
inside of the pressure sleeve with a damp, lint-free towel.
WARNING! DO NOT AUTOCLAVE PRESSURE SLEEVE

This type of pressure sleeve must not be autoclaved.
The entire syringe plate and pressure sleeve may be placed or soaked in
warm water with a mild soap to remove any hardened contrast. Do not
use alcohol-based detergents. This procedure is also helpful if the locking
lever is hard to rotate. Refer to the Sections—Removing a 200 ml Pressure
Plate and Removing a 125 ml Pressure Plate.
CONTROL CONSOLE
The control console screen may be dusted by using a lint-free cloth. The
key pad of the control console may be cleaned by using an all-purpose
household cleaner. Spray the cleaner on the cloth, then gently buff the
key pads clean.
ELECTRONICS CABINET
Clean the exterior of the electronics cabinet by spraying a cloth with an

all-purpose household cleaner, then gently wipe clean.
820202-J 2014-07-22 7-2-1

REPLACING THE PRESSURE SLEEVE

1 Remove the Pressure Sleeve Assembly as described in Chapter 5.
2 Turn the assembly to reveal the screws on the underside.
1 Remove the screw as shown.
2 Rotate the Lever assembly in the direction shown to align the

detents. Lift the assembly upwards to remove.
3
Remove the two screws and lift out the pressure sleeve. Insert a new
sleeve and replace the screws and Lever assembly.
4
Replace the Pressure Sleeve Assembly as described in Chapter 5.
2
1
REMOVE
SCREW
Figure 7-2-1 Replacing the 200 ml Pressure Sleeve
7-2-2 820202-J 2014-07-22

A ELECTROMAGNETIC
COMPATIBILITY TABLES
ELECTROMAGNETIC COMPATIBILITY GUIDANCE
WARNING: The CT 9000 ADV Contrast Delivery System should not be used
adjacent to or stacked with other equipment. If adjacent or stacked use is
necessary, the CT 9000 ADV Injector should be observed to verify normal
operation in the configuration in which it will be used.
WARNING: Before removing any Power Control PC boards, ensure proper

static protection devices are used. Failure to follow this warning could result
in equipment damage.
WARNING: Only cabling listed in this document can be used with the CT
9000 ADV equipment. Failure to follow this warning could result in equip-
ment damage.
CAUTION: Portable and mobile RF communication equipment can affect

operations of the CT 9000 ADV.
ELECTROMAGNETIC COMPATIBILITY TABLES

Guidance and Manufacturer's Declaration - Electromagnetic Emissions
The "CT 9000 ADV" is intended for use in the electromagnetic environment specified below. The
customer or the user of the "CT 9000 ADV" should assure that it is used in such an environment.
Emissions Test Compliance Electromagnetic environment - guidance
RF emissions Group 1 The "CT 9000 ADV" uses RF energy only for the
CISPR 11 internal function. Therefore, the RF emissions are
very low and are not likely to cause any
intererence in nearby electronic equipment.
RF emissions Class B The "CT 9000 ADV" is suitable for use in all
CISPR 11 establishments including domestic establishments
Harmonic Emissions Class A and those directly connected to the public low -
IEC 61000-3-2 voltage power supply network that supplies
Voltage fluctuations/ Complies buildings used for domestic purposes.
flicker emissions
Table 1
820202-J 2014-07-22 A-1

Guidance and Manufacturer's Declaration - Electromagnetic Immunity

The "CT 9000 ADV" is intended for use in the electromagnetic environment specified below. The customer or
the user of the "CT 9000 ADV" should assure that it is used in such an environment.
Immunity Test IEC 60601 Compliance Level Electromagnetic
Test Level Environment -
Guidance
Electrostatic discharge +/- 6 kV contact +/- 6 kV contact Floor should be wood,
(ESD) +/- 8 kV air +/- 8 kV air concrete or ceramic
IEC 61000-4-2 tile. If floors are
covered with synthetic
material, the relative
humidity should be less
than 30%.
Electrical Fast Transient +/- 2 kV for power +/- 2 kV for power Mains power quality
/ Burst supply lines supply lines should be that of a
IEC 61000-4-4 +/- 1 kV for input / +/- 1 kV for input / typical commercial or
output output hospital environment.
Surge +/- 1 kV differential +/- 1 kV differential Mains power quality
IEC 61000-4-5 mode mode should be that of a
typical commercial or
hospital environment.
Voltage dips, short <5% Ut <5% Ut Mains power quality
interrupts and voltage (>95 % dip in Ut) (>95 % dip in Ut) should be that of a
variations on power for 0.5 cycle for 0.5 cycle typical commercial or
supply input lines hospital environment.
IEC 61000-4-11 40% Ut 40% Ut If the user of the
(60% dip in Ut) (60% dip in Ut) "CT 9000 ADV" requires
for 5 cycles for 5 cycles continued operation
during power mains
70% Ut 70% Ut interrupt, it is
(30% dip in Ut) (30% dip in Ut) recommended that the
for 25 cycles for 25 cycles "CT 9000 ADV" be
powered for an
<5% Ut <5% Ut uninterruptible power
(>95% dip in Ut) (>95% dip in Ut) supply or a battery.
for 5 sec for 5 sec
Power frequency (50/60 3 A/m 3 A/m Power frequency
Hz) magnetic field magnetic fields should
IEC 61000-4-8 be at levels
characteristic of a
typical location in a
typical commercial or
hospital environment.
Note: Ut us the A.C. mains voltage prior to application of the test level.
Table 2
A-2 820202-J 2014-07-22

Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The "CT 9000 ADV" is intended for use in the electromagnetic environment specified below. The customer or
the user of the "CT 9000 ADV" should assure that it is used in such an environment.
Immunity Test IEC 60601 Compliance Level Electromagnetic
Test Level Environment - Guidance
Portable and mobile RF
communications
equipment should be
used no closer to any part
of the "CT 9000 ADV",
including cables, than the
recommended separation
distance calculated from
the equation applicable to
the frequency of the
transmitter.
Recommended separation
distances
Conducted RF 3 Vrms 3 Vrms d = 1.2 P

IEC 61000-4-6 150 kHz to 80 MHz
Radiated RF 3 V/m 3 V/m d = 1.2 P

IEC 61000-4-3 80 MHz to 2.5 GHz (80 MHz to 800 MHz)
d = 2.3 P
(800 MHz to 2.5 GHz)
Where P is the maximum

output power rating of the
transmitter in watts (W)
according to the
transmitter manufacturer
and d is the recommended
separation in meters (m).
Field strengths from fixed

RF transmitters as
determined by an
electromagnetic site
surveya should be less
than the compliance level
in each frequency rangeb.
Interference may occur in

the vicinity of equipment
marked with the following
symbol
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: Three guidelines may apply in all situations. Electromagnetic propagation is affected by aborption and
reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radios (cellular/cordless) telephones and land
mobile radios, amateur radio, AM, FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site
survey should be considered. If the measured field strength in the location in which the "CT 9000 ADV" is used
exceeds the applicable RF compliance level above, the "CT 9000 ADV" should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting
or relocating the "CT 9000 ADV".
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m
Table 3
820202-J 2014-07-22 A-3
Recommended separation distances between portable and mobile RF communications equipment and the "CT 9000 ADV"
The "CT 9000 ADV" is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
The customer or the user of the "CT 9000 ADV" can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmitters) and the "CT 9000 ADV" as recommended
below, according to the maximum output power of the communications equipment.
Rated maximum output Separation distance according to frequency of transmitter (m)
power of transmitter 150 kHz to 80 Mhz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
(W) d = 1.2 P d = 1.2 P d = 2.3 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters m can
be estimated using the equation applicable to the frequency of the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
refection from structures, objects and people.
Table 4
A-4 820202-J 2014-07-22

Index
A R
Accessories 1-2-4 Removing Air Bubbles from the Syringe 5-4-9
Removing the 30 ml or 50 ml Prefilled Syringe 5-4-30
C Removing the 125 ml Pre-filled Syringe 5-4-16
Removing the 200 ml Front Loading Syringe 5-4-11
Catheters 1-2-2
Removing the 200 ml Pressure Plate Assembly 5-4-1
Changing the Display Language 4-1-14
Renaming a Protocol 5-2-8
Changing Values of an Existing Protocol 5-2-6
Reorganizing the Protocol Memory 5-2-12
Cleaning the Unit 7-2-1
Replacing the 200 ml Pressure Plate Assembly 5-4-1
Control Console 3-1-1
Replacing the Pressure Sleeve 7-2-2
D S
Daily Inspection 7-1-1
Saving a Constant Flow Protocol 5-2-2
Definition of Parameters 3-1-2
Saving an OptiBolus Protocol 5-2-4
Deleting a Protocol 5-2-10
Scan Delay 1-2-3
Delivering a Multiphase Injection 5-3-7
Setting the Current Date 4-1-10
Delivering an OptiBolus Injection 5-3-10
Setting the Pressure Limit 4-1-6
Delivering a Single Phase Injection 5-3-1
Setting the Time of Day 4-1-8
Dimensions 1-2-1
Specifications 1-2-1
Displaying Achieved Values 5-3-16
Stopping an Injection 5-3-18
E Stored Protocols 1-2-3
Syringes 1-2-2
Entering a Registration Name 4-1-12 System Features 1-1-2
Error Codes 6-3-1
Error Messages 6-2-1 T
F Terminating an Injection 5-3-19
Total Time 1-2-3
Fault Messages 6-4-1 Turning on the CT 9000 ADV 4-1-1, 5-1-1
Filling the 200 ML front loading Syringe 5-4-5
Fill Rate 1-2-3 U
Flow Rate Parameters 1-2-3
Using Partial Prefilled Syringes 4-1-16
I Using Prefilled Syringes 5-3-13
Inject Delay 1-2-3 V

Installing the 30 ml or 50 ml Prefilled Syringe 5-4-28
Voltage Requirements 1-2-1
Installing the 125 ml Pre-filled Syringe 5-4-14
Installing the 200 ml Front Loading Syringe 5-4-3 W
Installing the IV Pole (Optional) 5-4-31
Weekly Inspection 7-1-2
L Weight 1-2-1
Low Pressure Tubing 1-2-2
P
Powerhead 3-2-1
Powerhead Keys 3-2-2
Power Requirements 1-2-1
Pressure Limit 1-2-3
Protocols 5-2-1
I-i 820202-J 2014-07-22

820202-J 2014-07-22 I-ii

NOTES
Liebel-Flarsheim Company LLC
2111 E. GALBRAITH ROAD CINCINNATI, OHIO 45237-1640

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Contrast Delivery System

Base/Elect Cab S/N

Installing Company_ ______________________________________

Phone No. _ ______________________________________________

Regardless of how well a piece of equipment is designed misuse or

Please regard any message that follows a Danger, Warning, or Caution

DANGER!—Hazards which could result in severe personal injury or death.

WARNING!—Electrical hazards which could result in personal injury.

Non- Anesthetic proof

820202-J 2014-07-22 iii

0/ Toggle On/Off switch

Auto-Fill Volume Key

A.C. (alternating current).

Auto Fill Volume Indicator

Syringe Size Indicator

Syringes and Tubing classified EN 60601-1, Type CF

Liebel-Flarsheim Company LLC, 2111 E. Galbraith Road, Cincinnati, OH 45237

This page intentionally left blank.

SYSTEM OVERVIEW............................................................................................................. 1-1-1

SYSTEM CONNECTIONS....................................................................................................... 2-1-1

OPERATOR CONTROLS . ...................................................................................................... 3-1-1

viii 820202-J 2014-07-22

OPERATING INSTRUCTIONS................................................................................................. 5-1-1

TERMINATING AN INJECTION................................................................................................................... 5-3-19

CARE OF UNIT....................................................................................................................... 7-1-1

xii 820202-J 2014-07-22

The CT 9000 ADV Contrast Delivery System is designed to inject a

WARNING! No modification of this equipment is allowed.

820202-J 2014-07-22 1-1-1

The CT 9000 ADV Contrast Delivery System should be operated ONLY by

Failure to follow these guidelines could result in serious injury to the

1-1-2 820202-J 2014-07-22

DANGER! AIR EMBOLISM HAZARD!

820202-J 2014-07-22 1-1-3

Remote Control Operation

1-1-4 820202-J 2014-07-22

Electromagnetic Compatibility (EMC) Tables can be found in

820202-J 2014-07-22 1-2-1

1-2-2 820202-J 2014-07-22

Flow Rate Parameters

(*) Used to denote maximum pressure values which use a hand

NOTE: Duration is displayed in protocol screens and is based on volume

NOTE: Mallinckrodt reserves the right to change product designs and

820202-J 2014-07-22 1-2-3

800640 Pressure Jacket Assembly, 200 mL

1-2-4 820202-J 2014-07-22

NOTE: Power must be off before connecting or disconnecting any of

Remote Handswitch Connection

820202-J 2014-07-22 2-1-1

Power Cord Connection

Electronics Cabinet Power Switch

Electronics Cabinet Connection

Console Power Switch

2-1-2 820202-J 2014-07-22

820202-J 2014-07-22 2-1-3

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2-1-4 820202-J 2014-07-22

Protocol Memory Enable

820202-J 2014-07-22 3-1-1

Protocol Memory — The unit can store up to 12 four-phase protocols.

Phase — Within a protocol, up to four phases can be input.

Flow — The values entered in this column indicate rate of delivery of