D750b Biopsy Service SM

Discovery NM 750b Biopsy Service Manual
GE
Discovery NM750b Biopsy

Service Manual
5721022-1EN, REVISION 3
Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 1 OF 92

GE
ESSENTIAL TO CLASSIFICATION – SAFETY
Revision History
Date Rev Change Description
December 2017 3 Updated Biopsy option installation when supplied after the system has
been in use. See section 3.2.
November 2016 2 Final update for M3 release
November 2015 1 Initial release

GE
ПРЕДУПРЕЖДЕНИЕ Това упътване за работа е налично само на английски език.

(BG)  Ако доставчикът на услугата на клиента изиска друг език, задължение на клиента е да
осигури превод.
 Не използвайте оборудването, преди да сте се консултирали и разбрали упътването
за работа.
 Неспазването на това предупреждение може да доведе до нараняване на доставчика
на услугата, оператора или пациентa в резултат на токов удар, механична или друга
опасност.
警告本维修手册仅提供英文版本。
(ZH-CN)  如果客户的维修服务人员需要非英文版本，则客户需自行提供翻译服务。
 未详细阅读和完全理解本维修手册之前，不得进行维修。
 忽略本警告可能对维修服务人员、操作人员或患者造成电击、机械伤害或其他形式的伤害。
警告本服務手冊僅提供英文版本。
(ZH-HK)
 倘若客戶的服務供應商需要英文以外之服務手冊，客戶有責任提供翻譯服務。
 除非已參閱本服務手冊及明白其內容，否則切勿嘗試維修設備。
 不遵從本警告或會令服務供應商、網絡供應商或病人受到觸電、機械性或其他的危險。
警告本維修手冊僅有英文版。
(ZH-TW)
 若客戶的維修廠商需要英文版以外的語言，應由客戶自行提供翻譯服務。
 請勿試圖維修本設備，除非您已查閱並瞭解本維修手冊。
 若未留意本警告，可能導致維修廠商、操作員或病患因觸電、機械或其他危險而受傷。
UPOZORENJE Ovaj servisni priručnik dostupan je na engleskom jeziku.
(HR)  Ako davatelj usluge klijenta treba neki drugi jezik, klijent je dužan osigurati prijevod.
 Ne pokušavajte servisirati opremu ako niste u potpunosti pročitali i razumjeli ovaj servisni
priručnik.
 Zanemarite li ovo upozorenje, može doći do ozljede davatelja usluge, operatera ili pacijenta
uslijed strujnog udara, mehaničkih ili drugih rizika.
VÝSTRAHA Tento provozní návod existuje pouze v anglickém jazyce.

(CS)  V případě, že externí služba zákazníkům potřebuje návod v jiném jazyce, je zajištění
překladu do odpovídajícího jazyka úkolem zákazníka.
 Nesnažte se o údržbu tohoto zařízení, aniž byste si přečetli tento provozní návod a
pochopili jeho obsah.
 V případě nedodržování této výstrahy může dojít k poranění pracovníka prodejního servisu,
obslužného personálu nebo pacientů vlivem elektrického proudu, respektive vlivem
mechanických či jiných rizik.
ADVARSEL Denne servicemanual findes kun på engelsk.
(DA)  Hvis en kundes tekniker har brug for et andet sprog end engelsk, er det kundens ansvar at
sørge for oversættelse.
 Forsøg ikke at servicere udstyret uden at læse og forstå denne servicemanual.
 Manglende overholdelse af denne advarsel kan medføre skade på grund af elektrisk stød,
mekanisk eller anden fare for teknikeren, operatøren eller patienten.
WAARSCHUWING Deze onderhoudshandleiding is enkel in het Engels verkrijgbaar.
(NL)  Als het onderhoudspersoneel een andere taal vereist, dan is de klant verantwoordelijk voor
de vertaling ervan.
 Probeer de apparatuur niet te onderhouden alvorens deze onderhoudshandleiding werd
geraadpleegd en begrepen is.
 Indien deze waarschuwing niet wordt opgevolgd, zou het onderhoudspersoneel, de operator
of een patiënt gewond kunnen raken als gevolg van een elektrische schok, mechanische of
andere gevaren.

GE
WARNING This service manual is available in English only.

(EN)  If a customer's service provider requires a language other than english, it is the
customer's responsibility to provide translation services.
 Do not attempt to service the equipment unless this service manual has been consulted
and is understood.
 Failure to heed this warning may result in injury to the service provider, operator or
patient from electric shock, mechanical or other hazards.
HOIATUS See teenindusjuhend on saadaval ainult inglise keeles
(ET)  Kui klienditeeninduse osutaja nõuab juhendit inglise keelest erinevas keeles, vastutab
klient tõlketeenuse osutamise eest.
 Ärge üritage seadmeid teenindada enne eelnevalt käesoleva teenindusjuhendiga
tutvumist ja sellest aru saamist.
 Käesoleva hoiatuse eiramine võib põhjustada teenuseosutaja, operaatori või patsiendi
vigastamist elektrilöögi, mehaanilise või muu ohu tagajärjel.
VAROITUS Tämä huolto-ohje on saatavilla vain englanniksi.
(FI)  Jos asiakkaan huoltohenkilöstö vaatii muuta kuin englanninkielistä materiaalia, tarvittavan
käännöksen hankkiminen on asiakkaan vastuulla.
 Älä yritä korjata laitteistoa ennen kuin olet varmasti lukenut ja ymmärtänyt tämän huolto-
ohjeen.
 Mikäli tätä varoitusta ei noudateta, seurauksena voi olla huoltohenkilöstön, laitteiston
käyttäjän tai potilaan vahingoittuminen sähköiskun, mekaanisen vian tai muun
vaaratilanteen vuoksi.
ATTENTION Ce manuel d’installation et de maintenance est disponible uniquement en anglais.
(FR)  Si le technicien d'un client a besoin de ce manuel dans une langue autre que l'anglais, il
incombe au client de le faire traduire.
 Ne pas tenter d'intervenir sur les équipements tant que ce manuel d’installation et de
maintenance n'a pas été consulté et compris.
 Le non-respect de cet avertissement peut entraîner chez le technicien, l'opérateur ou le
patient des blessures dues à des dangers électriques, mécaniques ou autres.
WARNUNG Diese Serviceanleitung existiert nur in englischer Sprache.
(DE)  Falls ein fremder Kundendienst eine andere Sprache benötigt, ist es Aufgabe des
Kunden für eine entsprechende Übersetzung zu sorgen.
 Versuchen Sie nicht diese Anlage zu warten, ohne diese Serviceanleitung gelesen und
verstanden zu haben.
 Wird diese Warnung nicht beachtet, so kann es zu Verletzungen des
Kundendiensttechnikers, des Bedieners oder des Patienten durch Stromschläge,
mechanische oder sonstige Gefahren kommen.
ΠΡΟΕΙΔΟΠΟΙΗΣΗ Το παρόν εγχειρίδιο σέρβις διατίθεται μόνο στα αγγλικά.
(EL)  Εάν ο τεχνικός σέρβις ενός πελάτη απαιτεί το παρόν εγχειρίδιο σε γλώσσα εκτός των
αγγλικών, αποτελεί ευθύνη του πελάτη να παρέχει τις υπηρεσίες μετάφρασης.
 Μην επιχειρήσετε την εκτέλεση εργασιών σέρβις στον εξοπλισμό αν δεν έχετε
συμβουλευτεί και κατανοήσει το παρόν εγχειρίδιο σέρβις.
 Αν δεν προσέξετε την προειδοποίηση αυτή, ενδέχεται να προκληθεί τραυματισμός στον
τεχνικό σέρβις, στο χειριστή ή στον ασθενή από ηλεκτροπληξία, μηχανικούς ή άλλους
κινδύνους.
FIGYELMEZTETÉS Ezen karbantartási kézikönyv kizárólag angol nyelven érhető el.
(HU)
 Ha a vevő szolgáltatója angoltól eltérő nyelvre tart igényt, akkor a vevő felelőssége a
fordítás elkészíttetése.
 Ne próbálja elkezdeni használni a berendezést, amíg a karbantartási kézikönyvben
leírtakat nem értelmezték.
 Ezen figyelmeztetés figyelmen kívül hagyása a szolgáltató, működtető vagy a beteg
áramütés, mechanikai vagy egyéb veszélyhelyzet miatti sérülését eredményezheti.

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AÐVÖRUN Þessi þjónustuhandbók er aðeins fáanleg á ensku.

(IS)  Ef að þjónustuveitandi viðskiptamanns þarfnast annas tungumáls en ensku, er það
skylda viðskiptamanns að skaffa tungumálaþjónustu.
 Reynið ekki að afgreiða tækið nema að þessi þjónustuhandbók hefur verið skoðuð og
skilin.
 Brot á sinna þessari aðvörun getur leitt til meiðsla á þjónustuveitanda, stjórnanda eða
sjúklings frá raflosti, vélrænu eða öðrum áhættum.
AVVERTENZA Il presente manuale di manutenzione è disponibile soltanto in lingua inglese.
(IT)  Se un addetto alla manutenzione richiede il manuale in una lingua diversa, il cliente è
tenuto a provvedere direttamente alla traduzione.
 Procedere alla manutenzione dell'apparecchiatura solo dopo aver consultato il presente
manuale ed averne compreso il contenuto.
 Il mancato rispetto della presente avvertenza potrebbe causare lesioni all'addetto alla
manutenzione, all'operatore o ai pazienti provocate da scosse elettriche, urti meccanici o
altri rischi.
このサービスマニュアルには英語版しかありません。
(JA)  サービスを担当される業者が英語以外の言語を要求される場合、翻訳作業はその業者の責
任で行うものとさせていただきます。
 このサービスマニュアルを熟読し理解せずに、装置のサービスを行わないでください。
    
   
경고 본 서비스 매뉴얼은 영어로만 이용하실 수 있습니다.
(KO)
고객의 서비스 제공자가 영어 이외의 언어를 요구할 경우, 번역 서비스를 제공하는 것은
고객의 책임입니다.
본 서비스 매뉴얼을 참조하여 숙지하지 않은 이상 해당 장비를 수리하려고 시도하지
마십시오.
본 경고 사항에 유의하지 않으면 전기 쇼크, 기계적 위험, 또는 기타 위험으로 인해
서비스 제공자, 사용자 또는 환자에게 부상을 입힐 수 있습니다.
BRĪDINĀJUMS Šī apkopes rokasgrāmata ir pieejama tikai angļu valodā.
(LV)  Ja klienta apkopes sniedzējam nepieciešama informācija citā valodā, klienta pienākums ir
nodrošināt tulkojumu.
 Neveiciet aprīkojuma apkopi bez apkopes rokasgrāmatas izlasīšanas un saprašanas.
 Šī brīdinājuma neievērošanas rezultātā var rasties elektriskās strāvas trieciena,
mehānisku vai citu faktoru izraisītu traumu risks apkopes sniedzējam, operatoram vai
pacientam.
ĮSPĖJIMAS Šis eksploatavimo vadovas yra tik anglų kalba.
(LT)  Jei kliento paslaugų tiekėjas reikalauja vadovo kita kalba – ne anglų, suteikti vertimo
paslaugas privalo klientas.
 Nemėginkite atlikti įrangos techninės priežiūros, jei neperskaitėte ar nesupratote šio
eksploatavimo vadovo.
 Jei nepaisysite šio įspėjimo, galimi paslaugų tiekėjo, operatoriaus ar paciento sužalojimai
dėl elektros šoko, mechaninių ar kitų pavojų.
ADVARSEL Denne servicehåndboken finnes bare på engelsk.
(NO)  Hvis kundens serviceleverandør har bruk for et annet språk, er det kundens ansvar å
sørge for oversettelse.
 Ikke forsøk å reparere utstyret uten at denne servicehåndboken er lest og forstått.
 Manglende hensyn til denne advarselen kan føre til at serviceleverandøren, operatøren
eller pasienten skades på grunn av elektrisk støt, mekaniske eller andre farer.

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OSTRZEŻENIE Niniejszy podręcznik serwisowy dostępny jest jedynie w języku angielskim.

(PL)  Jeśli serwisant klienta wymaga języka innego niż angielski, zapewnienie usługi
tłumaczenia jest obowiązkiem klienta.
 Nie próbować serwisować urządzenia bez zapoznania się z niniejszym podręcznikiem
serwisowym i zrozumienia go.
 Niezastosowanie się do tego ostrzeżenia może doprowadzić do obrażeń serwisanta,
operatora lub pacjenta w wyniku porażenia prądem elektrycznym, zagrożenia
mechanicznego bądź innego.
AVISO Este manual de assistência técnica encontra-se disponível unicamente em inglês.
(PT-BR)  Se outro serviço de assistência técnica solicitar a tradução deste manual, caberá ao
cliente fornecer os serviços de tradução.
 Não tente reparar o equipamento sem ter consultado e compreendido este manual de
assistência técnica.
 A não observância deste aviso pode ocasionar ferimentos no técnico, operador ou
paciente decorrentes de choques elétricos, mecânicos ou outros.
ATENÇÃO Este manual de assistência técnica só se encontra disponível em inglês.
(PT-PT)  Se qualquer outro serviço de assistência técnica solicitar este manual noutro idioma, é
da responsabilidade do cliente fornecer os serviços de tradução.
 Não tente reparar o equipamento sem ter consultado e compreendido este manual de
assistência técnica.
 O não cumprimento deste aviso pode colocar em perigo a segurança do técnico, do
operador ou do paciente devido a choques eléctricos, mecânicos ou outros.
ATENŢIE Acest manual de service este disponibil doar în limba engleză.
(RO)  Dacă un furnizor de servicii pentru clienţi necesită o altă limbă decât cea engleză, este
de datoria clientului să furnizeze o traducere.
 Nu încercaţi să reparaţi echipamentul decât ulterior consultării şi înţelegerii acestui
manual de service.
 Ignorarea acestui avertisment ar putea duce la rănirea depanatorului, operatorului sau
pacientului în urma pericolelor de electrocutare, mecanice sau de altă natură.
ОСТОРОЖНО! Данное руководство по техническому обслуживанию представлено только на
(RU) английском языке.
 Если сервисному персоналу клиента необходимо руководство не на английском, а
на каком-то другом языке, клиенту следует самостоятельно обеспечить перевод.
 Перед техническим обслуживанием оборудования обязательно обратитесь к
данному руководству и поймите изложенные в нем сведения.
 Несоблюдение требований данного предупреждения может привести к тому, что
специалист по техобслуживанию, оператор или пациент получит удар
электрическим током, механическую травму или другое повреждение.
UPOZORENJE Ovo servisno uputstvo je dostupno samo na engleskom jeziku.
(SR)  Ako klijentov serviser zahteva neki drugi jezik, klijent je dužan da obezbedi prevodilačke
usluge.
 Ne pokušavajte da opravite uređaj ako niste pročitali i razumeli ovo servisno uputstvo.
 Zanemarivanje ovog upozorenja može dovesti do povređivanja servisera, rukovaoca ili
pacijenta usled strujnog udara ili mehaničkih i drugih opasnosti.
UPOZORNENIE Tento návod na obsluhu je k dispozícii len v angličtine.
(SK)  Ak zákazníkov poskytovateľ služieb vyžaduje iný jazyk ako angličtinu, poskytnutie
prekladateľských služieb je zodpovednosťou zákazníka.
 Nepokúšajte sa o obsluhu zariadenia, kým si neprečítate návod na obluhu a
neporozumiete mu.
 Zanedbanie tohto upozornenia môže spôsobiť zranenie poskytovateľa služieb,
obsluhujúcej osoby alebo pacienta elektrickým prúdom, mechanické alebo iné ohrozenie.

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ATENCION Este manual de servicio sólo existe en inglés.

(ES)  Si el encargado de mantenimiento de un cliente necesita un idioma que no sea el inglés,
el cliente deberá encargarse de la traducción del manual.
 No se deberá dar servicio técnico al equipo, sin haber consultado y comprendido este
manual de servicio.
 La no observancia del presente aviso puede dar lugar a que el proveedor de servicios, el
operador o el paciente sufran lesiones provocadas por causas eléctricas, mecánicas o
de otra naturaleza.
VARNING Den här servicehandboken finns bara tillgänglig på engelska. .
(SV)  Om en kunds servicetekniker har behov av ett annat språk än engelska, ansvarar kunden
för att tillhandahålla översättningstjänster.
 Försök inte utföra service på utrustningen om du inte har läst och förstår den här
servicehandboken.
 Om du inte tar hänsyn till den här varningen kan det resultera i skador på
serviceteknikern, operatören eller patienten till följd av elektriska stötar, mekaniska faror
eller andra faror.
OPOZORILO Ta servisni priročnik je na voljo samo v angleškem jeziku.
(SL)  Če ponudnik storitve stranke potrebuje priročnik v drugem jeziku, mora stranka zagotoviti
prevod.
 Ne poskušajte servisirati opreme, če tega priročnika niste v celoti prebrali in razumeli.
 Če tega opozorila ne upoštevate, se lahko zaradi električnega udara, mehanskih ali
drugih nevarnosti poškoduje ponudnik storitev, operater ali bolnik.
DİKKAT Bu servis kılavuzunun sadece ingilizcesi mevcuttur.
(TR)  Eğer müşteri teknisyeni bu kılavuzu ingilizce dışında bir başka lisandan talep ederse,
bunu tercüme ettirmek müşteriye düşer.
 Servis kılavuzunu okuyup anlamadan ekipmanlara müdahale etmeyiniz.
 Bu uyarıya uyulmaması, elektrik, mekanik veya diğer tehlikelerden dolayı teknisyen,
operatör veya hastanın yaralanmasına yol açabilir.

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Table of Contents
Chapter 1: Biopsy Option Description ........................................................................... 9
Biopsy Option Overview ......................................................................................... 9
Sub-systems ..........................................................................................................10
Chapter 2: Service Safety ..............................................................................................15
Chapter 3: Biopsy Option Site Preparation and Installation .......................................16
Site Preparation .....................................................................................................16
Installation of the Biopsy Option ............................................................................16
Chapter 4: Planned Maintenance ..................................................................................29
Planned Maintenance Checklist .............................................................................29
Biopsy Unit Inspection ...........................................................................................29
Compression Paddle Inspection ............................................................................30
Biopsy Periodic QC ...............................................................................................30
Biopsy Unit Accuracy QC ......................................................................................30
Gas Spring ............................................................................................................30
Upper Detector Securing Mechanism ....................................................................30
Microswitch Test ....................................................................................................31
Gantry Switches Motion Safety .......................................................................32
Window Size Test ..................................................................................................33
Chapter 5: Calibrations and Service Utilities ...............................................................35
Biopsy Unit Accuracy Calibration .....................................................................35
Microswitch Calibration ..........................................................................................42
Compression Paddle Lockers Calibration ..............................................................48
Compression Paddle Window Contact Calibration .................................................49
Chapter 6: Troubleshooting...........................................................................................52
Instrument panel ....................................................................................................52
Chapter 7: Replaceable Spare Parts List ......................................................................53
Chapter 8: Replacement Procedures ............................................................................54
Biopsy Imaging Unit Covers...................................................................................55
XY Biopsy Imaging Unit Assembly .........................................................................56
Biopsy Module Boards Assembly...........................................................................57
Main Biopsy Cable .................................................................................................66
Biopsy Switch Cable ..............................................................................................72
Compression Paddle .............................................................................................74
Tilt Release Handle ...............................................................................................75
Biopsy Paddle Locker ............................................................................................76
Biopsy Tilt Mechanism Gas Spring ........................................................................78
Biopsy Imaging Unit Module ..................................................................................83

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Chapter 1: Biopsy Option Description

NOTE
This chapter describes the system from the service engineer perspective. It assumes that the service
personnel using this manual is already familiar with all relevant material provided in the following
documents:
 D750b System Overview and Safety Manual for Operators
 NM Cameras Nuclear Medicine Imaging Systems Safety and Regulatory User Guide
 D750b Biopsy Clinical Operation Guide
 D750b Pre-Installation Manual
 D750b Service Manual
 D750b Installation Manual
1.1. Biopsy Option Overview

The D750b Biopsy System is an add-on to the D750b system, and can be added only to
hardware and software systems that are defined as Biopsy-Ready.
The system enables accurate identification and localizing of lesions allocation within the
patient breast in three dimensions, and provides guidance for interventional biopsy
procedures.
This is achieved using information collected by an additional pair of images, taken with a
tilted angle with respect to a line perpendicular to the D750b bottom detector.
The Biopsy option includes:
o Biopsy Imaging Unit
o Compression Paddle
o Biopsy software application
The biopsy unit is a self-contained unit, composed of two CZT modules and collimators,
targeting to a common FOV for triangulation. The unit is mounted above the compression
paddle and provides the two dimensional imaging for lesion depth (Z) calculation.

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1.2. Sub-systems
The biopsy option includes a dedicated biopsy Imaging unit, a compression paddle, a tilt
mechanism for upper detector, a manual positioner, as well as biopsy SW application.
1.2.1. Biopsy Imaging Unit
The self-contained biopsy unit is mounted above the compression paddle to enable
calculation of the lesion depth (Z).
The unit has two main parts:
 Y-arm, containing the CZT detectors (with modules and collimators).
The detectors are aimed towards a common FOV for triangulation.
 Positioner at the rear of the biopsy unit, used to for accurate positioning of the Y-arm
above the compression paddle.
Data and power are supplied to the unit via the Main Biopsy cable.
Y-arm
Detector 3
Detector 4
Positioner
Main Biopsy cable

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1.2.2. Upper Detector Tilt Mechanism and Mounting Plate

In order to facilitate imaging using the biopsy unit, the upper detector is mounted with a tilt
mechanism, below which is mounting plate on which the compression panel and biopsy unit
are mounted.
Detector 2 can be locked in one of these positions:
 Tilted up for clearance in order to:
Mount the compression paddle
Mount the biopsy unit
Scan using detector 1, 3 and 4 of the biopsy unit
 Parallel to Detector 1, enabling:
XY scans using detectors 1 and 2
MBI diagnostic scans
D2 tilted
up
Tilt
mechanism
Mounting
plate
Compression
paddle on
mounting plate
Biopsy unit on
mounting plate

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1.2.3. Compression Paddle

The removable compression paddle is a minimally attenuating thin carbon fiber plate (<10%)
with an inner layer of sheet metal (4mm thickness above the FOV). The paddle is designed to
immobilize the breast throughout the biopsy procedure, between the paddle and the lower
detector, using the standard D750b controls.
The distance between the upper detector collimator and the compression paddle is < 12.5
mm.
A 55x55mm aperture in the paddle enables needle access without any breast protrusion.
The paddle is easy to clean.
55mm
55mm

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1.2.4. Sterilize Kit

Several sterile kits are available for the system, each compatible with one of the supported
Vacuum Assisted Devices (VAD). Each kit contains three sterile single-use components:
Open sterile plate
Enables breast preparation activities such as cleaning, anesthetic injection and incision
through the gap between the biopsy unit detectors, while maintaining a sterile environment.
Needle guiding plate
Provides a firm basis for the VAD introducer, via which the needle trocar, verification rod and
biopsy needle are inserted, to ensure accurate targeting of the lesion.
The needle plate is used during Accuracy Quality Control and Calibration.
Verification rod sleeve
Enables use of the rod under sterile conditions. Compatible with different introducer
diameters and needle lengths.
Open sterile Needle guiding

plate plate
Verification
rod sleeve
1.2.5. Verification Rod

The verification rod is fitted with a radioactive marker at its distal tip and is designed to
ensure accurate lesion targeting prior to insertion of the VAD and biopsy sampling. The rod is
inserted into the breast inside a disposable sterile sleeve.
When the rod is inserted into the breast according to the coordinates provided by the system,
it reaches the lesion position as identified during the Initial XY and the Depth scans.
The verification rod plate is used during Accuracy Quality Control and Calibration.

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1.2.5.1. Biopsy Accuracy Jig

The jig is used with the verification rod during Accuracy Quality Control and Calibration.

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Chapter 2: Service Safety

WARNING
 Service of the Discovery NM 750b Biopsy option should be performed only by a
trained field engineer who has completed the relevant General Electric training
program.
 The Discovery NM750b system with the Biopsy Option must be cleaned and
disinfected prior to any service activity on the system. For details, permitted
materials and cautions, refer to the Cleaning and Disinfection chapter in the Biopsy
Clinical Operation Guide.

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Chapter 3: Biopsy Option Site Preparation and

Installation
3.1. Site Preparation
There are no special site preparation requirements pertaining to the Biopsy Option over and
above the requirements specified in the Discovery NM750b Pre-installation Manual.
Note that the room should be large enough to accommodate the Vacuum-Assisted Device
(VAD) used by the site and in case of emergency, accommodate the laying-down position of
the chair.
3.2. Installation of the Biopsy Option

This section refers to two possible scenarios for the Biopsy Imaging Unit installation at the
customer’s site:
Biopsy Unit supplied with the nominal Discovery NM 750b system, configured as MBI
Biopsy and installed as part of the system installation process.
Biopsy Unit supplied to the customer after the Discovery NM 750b system has been
installed and operated at the customer’s site. System is configured as MBI Ready for
Biopsy.
3.2.1. Preparation
Installation of the biopsy option is performed only after the nominal Discovery NM
750b system installation is complete.
Before starting the installation, inspect the biopsy option package to make sure there
is no visible damage.
WARNING
Danger of injury from spring-loaded parts
The bracket installed for the upper detector with the biopsy option includes a gas spring to
facilitate lifting the weight of the detector to the tilted position. Until Detector 2 is installed,
the gas spring must remain locked with the Securing screw to prevent the mechanism
from springing open.
Open the service screw at the bottom of the biopsy Immobilization bracket.
Upper detector
installed
Upper detector
securing screw

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3.2.2. Shock Indicator Label Assembly in the Biopsy Unit

The Biopsy Imaging Unit includes the Shock Indicator Label. The label allows service
personnel to identify whether the Imaging Unit was dropped or mishandled by the customer.
Prior to assembling the label on the Biopsy Imaging unit, make sure the indication is
not red.
Remove the left and right Imaging Unit Biopsy Covers (see Biopsy Imaging Unit Covers
on page 55).
Remove the Aluminum bottom cover of the Biopsy Unit (8 screws).
Attach the Shock Indicator label under the cover.

Assemble the Aluminum bottom cover of the Biopsy Unit.
Assemble the left and right Imaging Unit Biopsy Covers.
3.2.3. Biopsy Option Installation as Part of D750b System Installation
Perform full System Backup.
Perform Full Shutdown of the software application.
Run the software application.
Go to System SetupSystem Configuration and open Admin tab. Verify that in the
System Information section, the System Configuration appears as MBI Biopsy.
NOTE:
If the configuration is MBI Biopsy go to section 3.2.5. Biopsy Unit Assembly and System
Tests
If the configuration is MBI Ready for Biopsy go to section 3.2.4. Biopsy Option
Installation Following D750b System Installation and Operation
3.2.4. Biopsy Option Installation Following D750b System Installation
and Operation
IMPORTANT:
These instructions are relevant for one of the cases below:
 Systems that were shipped and used by the customer with SW version
1.004.038.0 or higher and configured as MBI Ready for Biopsy.
 Systems that were upgraded in the field to support the Biopsy option.

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3.2.4.1. Acquisition Station SW Configuration for the Biopsy Option

Perform full System Backup.
Perform Full Shutdown of the software application.
Right-click anywhere on the desktop.
From the Root Menu, select Service Tools Software Config and click [Continue].
Click [Reconfigure] and click [OK].
Under Options (MBI, MBI Ready for Biopsy, MBI Biopsy), select MBI Biopsy.
Click [Configure].
The Configuration Completed message is displayed. Click [OK].

In the System HW Configuration dialog, click [Exit].
Shut down the console PC. 

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3.2.4.2. Restore System Configuration and System Setup

Turn on the console PC and log in as Service.
Restore system configuration from the backed-up media.
Perform Full Shutdown of the SW application.
Go to /opt/tacqdb/sysdata and open the equipment.xml file.
a. Change the value of the parameter detector mbiConfiguration to 2
b. Press Save and close the file.
Create default maps:

a. Open File Manager.
b. Create a folder named MapsBackup on Desktop.
c. Go to /opt/tacqdb/currSystem/default/map and select the following files:
 map.1.e.Co57
 map.1.e.Tc99m
 map.1.r.Co57_ Tc99m
 map.2.e.Co57
 map.2.e.Tc99m
 map.2.r.Co57_ Tc99m
d. Copy the files above to the MapsBackup folder on the Desktop.

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e. Inside the MapsBackup folder rename the files as follows:

 In the files that contain 1 in their name, replace 1 with 3
 In the files that contain 2 in their name, replace 2 with 4.
f. Copy all the files from the MapsBackup folder into

/opt/tacqdb/currSystem/default/map.
Go to /opt/tacqdb/currSystem/default/badpixels and locate the following files:
 badPixels.xml
 badPixels_factory.xml
 badPixels_system.xml
Create a folder named BadPixelsBackup on Desktop and copy the files above into
the folder.
For each one of the files above (in their original location:
(/opt/tacqdb/currSystem/default/badpixels) perform the following:
a. Open the file using KWrite editor and verify it contains 2 sections: head1 and
head2.

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b. Add the following lines between the lines </head2> and </default>:
<head3 creationDate=”” numOfPixels=””>
<serialNumbers serial0=””/>
</head3>
<head4 creationDate=”” numOfPixels=””>
<serialNumbers serial0=””/>
</head4>

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c. Save the file.
3.2.4.3. Map Import for Biopsy IU

Start the software application.
Click System Setup Maintenance tab Select Biopsy Module Replacement/Swap
Wizard to open the System diagnostic menu.
Connect the Biopsy Imaging Unit to the system.

Power up the detectors at the IPS.
Insert the CD that contains the 2 zip files with data for each module (included in the
module's spare part package).
To Mount the CD:
a. Open a command line window. Press Alt+Tab and then open a Command
Window: Root Menu Service Tools Command Window.

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b. Make sure you are logged in as super-user (type su – and press <Enter>. The
default password is N0t#t00r).
Note:
For a root user, the prompt displays {root@HostName}. To verify you are a root
user – type whoami and make sure the answer is root.
c. Type: mount /dev/cdrom /mnt and press <Enter>.
d. Type: cd /mnt and press <Enter>.
/mnt is added to the prompt.
Select Biopsy Module Replacement from Biopsy Modules Replacement/Swap
Wizard. Click [OK].
Module Mechanical Assembly screen opens.

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From the left menu, select the Biopsy Modules Replacement/Swap screen. The new
module serial numbers are displayed.
In Biopsy Modules Replacement/Swap screen perform the following steps for each
one of the modules:
a. Press [Browse] and select /mnt
b. Select the file with the correct module serial number from the CD and press Open.
c. Press [Upload]
Once the module data is uploaded, a V is displayed.

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Click [Import] to load the new module maps.

When the map imports are complete, click [Next] to view the report.
Click [Back].
Click [Close Biopsy Module Replacement]. 
3.2.5. Biopsy Unit Assembly and System Tests
Tilt Up the Upper Detector (See D750b Biopsy Clinical Operation Guide for more
information).
From the Biopsy Imaging Unit package, disassemble the soft lower material under
the Biopsy Imaging Unit and place it on the IPS cover.
Mount the Biopsy Unit (See D750b Biopsy Clinical Operation Guide for more
information).
Perform Biopsy Periodic QC (See D750b Biopsy Clinical Operation Guide for more
information).
Mount the Compression Paddle and perform Biopsy Accuracy QC (See D750b
Biopsy Clinical Operation Guide for more information).

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3.2.6. Default Needle Configuration

The default needle configuration is used to simplify the needle selection process during
scanning. It identifies the default needle the customer normally uses and presents it during a
Biopsy scan.
Identify from the customer which needles are used for the Biopsy process.
If a customer does not select a specific needle from the four needles supported by
the Biopsy function of Discovery NM 750b, all four needles will be presented during
Biopsy and the customer will have to choose the relevant needle for each Biopsy
scan.
Under System Setup Non- Clinical Operations Configuration Tab select Clinical
Configuration Needle Editor
The four available needles supported by the system are displayed in both fields: All
Needles and Favorite Needles.
To display only specific needles in the Biopsy scan Needle selection, mark the needles
that are not used in the Favorite Needle list and press the back arrow.
Press [Save].
The needle is now removed from the Favorite Needle list. 

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3.2.7. User Documentation CD Installation

Login as Service
Right-click and select Service Tools  File Manager
Click on Root in the left pane
Navigate to opt\tacqdb\manuals
Click [Shift] and click on the English directory
Click [Shift]+[Delete]
When prompted, click Delete to delete the English directory
Insert the Biopsy Operator CD into the DVD drive.
Right-click and select Service Tools  Command Window.
Type CD /home/ctuser/tacq/cu/scripts
Type the command: ./help_installation.sh
Wait for the installation to complete.
Perform user documentation installation verification:
a. Right-click on the blank desktop, navigate to Launch Console Software. Wait
until the application is fully started.
b. Click on [?] in the top right corner and wait for the Documentation Set Main
Menu window to open. 
3.2.8. Backup
To back up (or archive data) to a CD, a blank CD must be used. A popup appears if an
unformatted CD is used.
Click System SetupNon Clinical Operations  Utilities tab.
Click [CD Backup] and follow the instructions on the screen.
Re-insert the Backup CD, and use the Dolphin application to verify that the contents
are correct.
3.2.9. Prepare the System for Handover to Site
Dismount the biopsy unit (See D750b Biopsy Clinical Operation Guide for more
information).
Dismount the compression paddle (See D750b Biopsy Clinical Operation Guide for
more information).
Pack the biopsy unit in its delivery/storage package.

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Chapter 4: Planned Maintenance

4.1. Planned Maintenance Checklist
All procedures of the Biopsy option must be checked every 6 months.
Step Procedures Passed Recorded FE Name / Comments
# Values Signature
(optional)
4.2 Biopsy Unit Inspection
4.3 Compression Paddle
Inspection
4.4 Biopsy Periodic QC
4.5 Biopsy Unit Accuracy QC
4.6 Gas Spring
4.7 Upper Detector Securing
Mechanism
4.8 Microswitch Test
4.9 Gantry Switches Motion
Safety
4.10 Window Size Test
4.2. Biopsy Unit Inspection

Examine the following items for external damage (brake or crack).
 Biopsy unit
 Biopsy unit cable
 Accuracy phantom
Inspect the shock indicator color inside the Imaging Unit.
In case of damage, order the relevant spare part (see Replaceable Spare Parts List on
page 53). 

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4.3. Compression Paddle Inspection

Visually inspect the compression paddle carefully to verify that no cracks, rough or
abrasive edges are evident. In case of any such abnormalities, the paddle must be
replaced (see Replaceable Spare Parts List on page 53).
Mount the paddle on the system and test the strength of the compression paddle
lock handles. Make sure compression paddle is tight enough and cannot move freely.
In case of lockers released, lockers should be calibrated (see Compression Paddle
Lockers Calibration on page 48). 
4.4. Biopsy Periodic QC

Perform the Biopsy Periodic QC procedure (See D750b Biopsy Clinical Operation Guide for
more information). 
4.5. Biopsy Unit Accuracy QC

Perform the Biopsy Unit Accuracy QC procedure (See D750b Biopsy Clinical Operation Guide
for more information). In case of failure, perform the Biopsy Unit Accuracy Calibration (see
Biopsy Unit Accuracy Calibration on page 35).
4.6. Gas Spring

Tilt upper detector Up and Down (See D750b Biopsy Clinical Operation Guide for more
information).
While tilting the detector inspect the functionality of the gas spring and make sure
there is no oil leakage.
Rotate the gantry to LAT position (90 degrees) and repeat the upper detector tilt test.
If necessary, replace the gas spring (see Biopsy Tilt Mechanism Gas Spring on page
78). 
4.7. Upper Detector Securing Mechanism

Tilt upper detector Up (See D750b Biopsy Clinical Operation Guide for more
information).
Visually inspect the pin and verify that there are no cracks.
Verify that the locking pin is inserted into the locking hole.
If necessary, replace the tilt release handle (see Tilt Release Handle on page 75)
Repeat the tests at 90 degrees and -90 degrees.

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4.8. Microswitch Test

Move the gantry to CC mode.
Click on the Lock and Unlock buttons simultaneously for a few seconds.
The display shows the gantry service mode.
Check the values for .
The number displayed indicates the system state, as follows:

The number is displayed when the microswitch is pressed ON.
The switches must be calibrated so that the number for ON is displayed only when
the lock is fully engaged.
System State Immo_biopsy Upper IU - Left IU - Right
Biopsy unit not assembled, 00000 OFF OFF OFF
upper detector in tilt position
Biopsy unit assembled, 00001 OFF OFF ON
right lock engaged
Biopsy unit assembled, 00002 OFF ON OFF
left lock engaged
Biopsy unit assembled, 00003 OFF ON ON
left and right locks engaged
Biopsy unit not assembled, 00004 ON OFF OFF
upper detector in parallel
position
If the test fails, perform Biopsy Unit Lock Microswitches Calibration on page 45.

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4.9. Gantry Switches Motion Safety

While the gantry is 0°, unlock the detector using the knob at the back of the detector.
Press the Unlock button on the gantry.
Press the automatic motion button and verify that motion is disabled.
Tilt upper detector up and mount the biopsy unit on the system.
Lock the biopsy unit using only the right lock (biopsy unit right lock handle), leaving
the left lock open.

Move Immo, Lift and Rotation axes using the gantry buttons and the pedal, and
verify that no motion is possible (all disabled).
Press the automatic motion button and verify that motion is disabled.
Lock the biopsy unit using only the left lock (biopsy unit left lock handle), and open the
right lock.

Move Immo, Lift and Rotation axes using the gantry buttons and the pedal, and
verify that no motion is possible (all disabled).
Press automatic motion button and verify that motion is disabled.

Lock the biopsy unit using both lock handles.

Move Immo, Lift and Rotation axes using the gantry buttons and the pedal, and verify
that no motion is possible (all disabled).
Press automatic motion button and verify that motion is disabled.

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4.10. Window Size Test
Purpose:
This test ensures that the sterile needle does not contact the non-sterile paddle window.
This test covers for multiple tolerances between a biopsy needle and the paddle aperture,
using the nominal compression paddle that is shipped with the system.
Tools:
QC needle needle guiding plate
Procedure:
Mount the compression paddle and the biopsy unit (See D750b Biopsy Clinical
Operation Guide for more information).
Install the Mammotome needle guiding plate and insert the QC needle through the
central hole.
QC needle in
central hole
Paddle
aperture

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NOTE: If the Mammotome needle is not used by your customer, use the relevant needle
used by your customer in this procedure.
Using the X,Y knobs, move along the whole biopsy window range.
Verify that the QC needle does not contact the compression paddle aperture at any
point.
Move the QC needle to the lateral hole on the guiding plate.
QC needle in
lateral hole
Needle touching
edge of paddle
aperture (Fail)
Using the X,Y knobs, move along the whole biopsy window range.
Verify that the QC needle does not contact the compression paddle aperture at any
point.
If there is contact between the compression paddle and the needle, proceed to
Compression Paddle Window Contact Calibration on page 49

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Chapter 5: Calibrations and Service Utilities

5.1. Biopsy Unit Accuracy Calibration
Purpose:
Calibrate the biopsy system for 3D accuracy in needle targeting.
Test Equipment
 Accuracy phantom
 Gd-153 rod point source
Test Procedure
Prepare the system as follows:
 Position the lower detector horizontally.
 Upper detector tilted upwards
 Attach the compression paddle (See D750b Biopsy Clinical Operation Guide for
more information).
Prepare the phantom as follows:
a. Insert the source into the hole opposite the central opening.
b. When the rod is completely inserted, turn it to lock into place.
Under System Setup  Calibration tab, select Biopsy Calibrations 

Biopsy Accuracy Calibration.

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In the Backup screen, select HD Backup, then click [Yes], [Yes] and [OK] in the
following message boxes.
Under Accuracy Calibration, select Phantom Setup and follow the instructions on the
screen:
c. Mount the compression paddle.

d. Place the accuracy phantom on lower detector so that it is positioned exactly
under the paddle aperture.
Note:
Take care not to bump into the rod.

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e. Turn the immobilization knob manually until the phantom anchors (“feet”)
protrude through the paddle aperture. The pressure should be ± 35 N.
Phantom in aperture

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Move the upper Detector down:

a. Pull out the side knob.
b. Push the detector upwards slightly to release the lock, then move it downwards
to parallel position.
c. Turn the upper knob to lock the tilt mechanism in place.
Side knob Upper knob
In the Phantom Setup screen, click [OK].

In the Initial – XY screen set Stop on Count to 40 Kcnt.
Click [Apply], then [Start] to run the acquisition.

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When the acquisition is complete, click [Next].
Side knob
Upper knob
Select Biopsy Setup and follow the instructions onscreen.

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Position knobs X and Y on the biopsy unit as instructed onscreen.
Knob X and Y
positions
When the biopsy unit is positioned, click [OK].

In the Depth – Z screen, set to Stop on Time: 60 seconds.
Click [Apply] to run the acquisition.

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When the acquisition is complete, click [Next] to view the report.

The report provides New and Residual calibration delta values for X,Y,Z.
Verify that the X,Y,Z calibration deltas conform with the acceptance criteria.

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5.2. Microswitch Calibration

5.2.1. Tilt Knob Calibration
If the tilt knob at the back of Detector 2 (Upper) is not calibrated:
Remove the upper detector lower base plate.
Open the two small screws to disconnect the microswitch.
Microswitch
disconnected

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Close the tilt knob well, but not too tightly.
Using a caliber, measure the extent to which the knob screw extends downwards
below the compression paddle bracket.
Open or close the knob until the measurement reaches 0.5mm.
Knob screw

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Remount the microswitch (hand tighten).

To calibrate the microswitch, open the microswitch bracket screws slightly
(1.5 mm Allen key) and move the bracket up or down until immo_biopsy on the
display indicates 00004.
Mount the biopsy unit without the compression paddle. (See D750b Biopsy Clinical
Operation Guide for more information).

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5.2.2. Biopsy Unit Lock Microswitches Calibration

Calibrate the knob screw at the back of Detector 2 (Upper) as follows:
a. Remove the lower cover from Detector 2.
b. Open the two small upper screws to disconnect the microswitch bracket.
Microswitch bracket
Once the microswitch bracket is removed:

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a. Open the tilt handle slightly.

b. Place a flat large washer HW00090515M underneath the knob screw to cause
slight resistance and turn the tilt knob gently to close.
Tilt handle
knob
washer
c. Stop turning the tilt handle knob when you feel the knob screw touching the
washer.
d. Mark the tilt handle knob and turn clockwise less than half a turn.
e. Following turn, DO NOT touch handle again.

Place the washer on the knob screw. Using a filler gauge, measure that the distance
between washer HW00090515M and the knob screw is between 0.4 to 0.6mm.
Put the microswitch bracket back in place and connect the two upper screws.
Open the other 2 microswitch screws slightly and do the following:

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a. Slide the microswitch almost to the end.

b. Verify immo_biopsy on the display indicates 00004.
c. Close the screws
d. Make sure the metal piece, to which the microswitch is attached, does not extend
past the microswitch bracket.
Mount the biopsy unit without the compression paddle.

If either of the biopsy unit lock microswitches (IU-Left or IU-Right) is not calibrated,
open the microswitch bracket screws slightly and move the bracket up or down until
immo_biopsy on the display indicates the correct value
IMPORTANT! The ON state value should be displayed only when the handle is at the
end of its movement range.
 Right lock only engaged (IU-Right): 00001

 Left lock only engaged (IU-Left): 00002
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 Both right and left locks engaged: 00003
Left microswitch bracket screws Right microswitch bracket screws
5.3. Compression Paddle Lockers Calibration

Press the calibration button.
Move the lock handles towards the gantry and back a few times to set the locker
strength. This will result in easy but not loose release and assembly of the paddle.

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5.4. Compression Paddle Window Contact Calibration

Purpose:
The following procedure will calibrate the distance between the compression paddle to the
QC need so there will be no contact between a sterile part used on the system to an non-
sterile part.
Procedure:
Use a feeler gauge to estimate the gap required to avoid the collision between sterile
and non-sterile parts.
Remove the imaging unit.
Using the feeler gauge, measure the initial calibration gap (Δ1) on the right side of the
compression paddle.
Release the 2x locking wedges by opening the 4 screws on the left side of the
compression paddle.

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Add Loctite 242 to the screws and close the screws partially to enable calibrating the
compression paddle position.
Unlock the front and rear clamping wedges on the right side of the compression
paddle.
Move the compression paddle laterally until the gaps on the left side between the
base plate assembly and the compression paddle are as follows:
 Left side collision: Initial calibration gap (Δ1) - required gap (Δ2) using feeler
gauge.
 Right side collision: Initial calibration gap (Δ1) + required gap (Δ2) using feeler
gauge.

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To keep the compression paddle straight during the calibration, insert 2 feeler gauges
of the same thickness between the base plate assembly and the compression paddle.
Firmly hand-tighten the 4 screws on the 2 x static wedges (with the 2 feeler gauges
still in place).
Repeat steps 1 through 5 to verify that there is no contact between the QC needle
and the paddle aperture (needle-to-paddle window boundaries).
Tighten the 4 screws on the 2 x static wedges to a torque of 8Nm.
Run Window Size Test on page 33 to verify that there is no contact between the QC
needle and the compression paddle window.

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Chapter 6: Troubleshooting
6.1. Instrument panel
The instrument panel depicts the status of the system at any given time. It displays
information such as motion, power supply, and temperature of the different system
components.
For Instrument Panel usage refer to the Service Manual.
IMPORTANT:
It is recommended not to operate the Instrument Panel while running a scan.
If operating the Instrument Panel is necessary, note that detector temperature data will not
be available.
Do not disconnect the Imaging Unit while the Instrument Panel is running.
In Instrument Panel  Biopsy tab:

Temperature:
 Module temperature is presented per detector.
Switches:
 Biopsy Imaging Unit status of switches
 Top Detector switch status.

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Chapter 7: Replaceable Spare Parts List

Part Replacement Instructions
Description
Number
5694310 IU Bio Cover Left - SP Biopsy Imaging Unit Covers on page 55
5694322 IU Bio Cover Right - SP
5694314 XY IMAGING UNIT ASSEMBLY - SP

XY Biopsy Imaging Unit Assembly on page 56
BRMB - Biopsy Right Module Board - Biopsy Module Boards Assembly on page 57
5694307
Assembly Board - SP
BLMB - Biopsy Left Module Board -
5694308
Assembly Board - SP
5694311 MAIN BIOPSY CABLE - SP Main Biopsy Cable on page 66
5694315 MBI BIOPSY SWITCH CABLE - SP Biopsy Switch Cable on page 72
5694327 BIOPSY HV INTERNAL CABLE - SP
5694312 COMPRESSION PADDLE - SP Compression Paddle on page 74
5694318 TILT Release HANDLE - SP
Tilt Release Handle on page 75
5694323 BIOPSY Paddle locker - SP Biopsy Paddle Locker on page 76
BIOPSY Tungsten SCREWS FOR MODULE To be used when Tungsten screws are lost or broken
5694329
CAGE - SP
5718396 MBI Biopsy Phantom To be used when Phantom is lost or broken
5694319 BIOPSY GAS SPRING FOR TILT - SP Biopsy Tilt Mechanism Gas Spring on page 78
5694320 BIOPSY NEW MODULE -PL4 - SP Biopsy Imaging Unit Module on page 83

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Chapter 8: Replacement Procedures

WARNING!
At the end of the following procedures, Biopsy Accuracy QC must be performed to verify that
the system accuracy is calibrated:
Procedure Page number

Biopsy Imaging Unit Covers 55
XY Biopsy Imaging Unit Assembly 56
Biopsy Module Boards Assembly 57
Main Biopsy Cable 66
Biopsy Switch Cable 72
Compression Paddle 74
Tilt Release Handle 75
Biopsy Paddle Locker 76
Biopsy Tilt Mechanism Gas Spring 78
Biopsy Imaging Unit Module 83
WARNING!
Any part replacement that may impact the position of the biopsy window in relation to the
biopsy unit must be followed by a QC process to verify that the needle does not contact the
biopsy window.

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8.1. Biopsy Imaging Unit Covers
Participants
Time

 1 Field engineer

5 minutes
Location Covers are located in the lower Tools

Small cross screwdriver
part of the Imaging Unit. 
Procedure:
Dismount the Biopsy Imaging Unit from the system.
Turn the biopsy unit upside down.
Gently remove the Biopsy Imaging Unit cover (3 screws each).
Make sure covers have no scratches or damage. In case of any minor damage,
replace the cover.

GE
8.2. XY Biopsy Imaging Unit Assembly

Disassemble Module housing and boards from the Biopsy Imaging Unit. (See Biopsy
Module Boards Assembly replacement procedure steps 1 to 12 on page 57)
Disassemble the Main Biopsy Cable. (See Main Biopsy Cable replacement procedure
on page 66)
Assemble the Modules Housing on the new XY Biopsy Unit.
Assemble the Main Biopsy cable in the XY Biopsy Unit:
a. Preparation steps – (See Main Biopsy Cable replacement procedure on page 66
steps 13 – 15).
b. Disassemble the hood from both new signal connectors.
c. Thread the cables one by one in the following order:
 HV cable
 Detector 3 signal cable (female connector)
 Detector 4 signal cable (male connector)
Note:
Push the cables into the Y-shaped housing. Avoid pulling the cable. Turn Y-shaped
housing as needed.
d. Close the main cable plastic white bracket (4 screws). Check the cable for free
motion between 1 and 6 o’clock.
e. Assemble both cable connector hoods on the connectors. Pay attention to hood
orientation.
Connect the HV and signal connectors to the boards.
Connect the boards (2 screws each).
Connect the clamps to the cable and to the Y-shape.
Insert tie-wraps to hold the cable in its place.
Assemble the Aluminum bottom cover of the Biopsy Unit (8 screws).
Assemble both the left and right Biopsy Imaging Unit Covers (See Biopsy Imaging Unit
Covers on page 55).
To finalize:
a. Connect the Biopsy Imaging Unit to the gantry.
b. Biopsy Daily QC (See D750b Biopsy Clinical Operation Guide for more information)
c. Accuracy QC test (See D750b Biopsy Clinical Operation Guide for more information)
d. Needle to paddle contact test (see Window Size Test on page 33).
e. Disconnect Biopsy Unit and compression paddle and place in Biopsy Unit
packaging. 

GE
8.3. Biopsy Module Boards Assembly
Participants
Time

 1 Field engineer

30 minutes
Screwdriver
Phillips screwdriver
Allen (Hex) key set
Top of the Imaging Unit
detectors ESD (Electrical Static
2 boards per Imaging Unit: Tools Discharge) mat
Location
 BRMB for detector 4  ESD strap
 BLMB for detector 3 ESD gloves
Torque Screwdriver
Loctite 222/224
Narrow pliers/tweezers
Disassemble Procedure:
NOTE: During the below procedure use ESD gloves and strap to protect the CZT
modules.
Turn the Biopsy Imaging Unit upside down and place it on the pre-prepared working
surface.
Remove the left and right Imaging Unit Biopsy Covers (see Biopsy Imaging Unit Covers
on page 55)
Open the 14 screws to remove the aluminum bottom cover of the Biopsy Unit.

GE
Unscrew the relevant (left or right) board (2 screws). Detector 3 connects to BRMB.
Detector 4 connects to BLMB.
Board
screws
BRMB BLMB
Detector 3 Detector 4
Unscrew the Signal cable connector from the relevant board.
Disconnect the HV cable connector from the underside of each board.

GE
Turn over the Biopsy Imaging Unit gently.

Remove the detector numbering label from the relevant detector.
Detector 3
Detector 4
IMPORTANT:
In the steps below 3 types of tungsten screws will be C B A
disassembled (See A, B, C). Tungsten is a soft material and
screws are very fragile.
Release 4 x M2.5x10 tungsten screws (A) for each module from the upper part of the
Imaging Unit.
Secure the two screws (HS00410251) with three turns into the tungsten housing pin
location in the Biopsy unit.
Fit the Biopsy Collimator Extraction Tool to the Detector.

GE
Verify that the two pins on each side of the Collimator Extraction Tool are placed
inside the Imaging Unit holes
Lock the handle of Biopsy Collimator Extraction Tool.
When securing the screws, make sure both the left and right screws are closed at the
same time, (meaning some turns on the left and some on the right. Continue until the
collimator housing is extracted from the unit. 

GE
Place the housing with the board on an ESD surface.

Release 2 tungsten screws (B) at the top of the housing.
Service
hole
B
a. Screw one of the tungsten screws (B) removed into

the service hole (blue circle).
b. Remove the top of the housing (including module and
board) gently.
c. Remove the screw from the hole.
Release the middle tungsten screw (C) from the housing

top to release the CZT module.

GE
Replacement Procedures – Biopsy Module Boards Assembly
a. Remove the CZT module and place it on an ESD surface.

b. Disassemble the board from the localization pins connected to the housing top
and remove the module thermal pad in the middle of the board.
Reassemble Procedure:
Place the board on the position spacers of the two registration pins, on the tungsten
housing cover.
NOTE: Due to necessary accuracy, placing the board on the pin may require force. Be
careful not to damage the board.
Registration pin
with position
spacers

GE
Remove the glue protection sheet from the module thermal pad and place the
thermal pad in the rectangular opening with the glue facing upwards, so that when
the CZT module is inserted, the pad will adhere to the protrusion on the module.
Thermal pad, glue side up
Connect the CZT module to the module board.

Take care not to move the thermal pad.
CZT module

GE
Connect the tungsten housing cover to the CZT module, using a single M3 tungsten
screw with plastic washer in the central hole. Take care not to dislodge the thermal
pad.
Tungsten
housing
cover
Place the black plastic cover over the CZT module.
CZT module plastic cover

GE
Complete the assembly as follows:

c. Place the CZT module inside the housing.
d. Make sure the orientation of the module board is correct, depending on whether
you are assembling the Left or Right module.
e. Insert and tighten the two B tungsten screws.
CZT module
housing
Tungsten
screws (B)
f. Insert the module housing and board into the XY Imaging Unit
g. Connect the HV and signal connectors to the board.
h. Connect the board in its place (2 screws).
i. Connect the housing to the XY Imaging Unit using 4 screws.
j. Place a new detector label on top of the 4 Tungsten screws. Make sure the label
covers all 4 screws completely.
k. Assemble the Aluminum bottom cover of the Biopsy Unit (8 screws).
l. Assemble the Biopsy Imaging Unit Cover (see Biopsy Imaging Unit Covers on page
55)
To finalize:
packaging. 

GE
Replacement Procedures – Main Biopsy Cable
8.4. Main Biopsy Cable
Participants
Time

 1 Field engineer
 30 minutes
Allan key set

Cable connects between gantry Small cross screwdriver
Location to both Imaging Unit boards). Tools
Small Flat screwdriver

Tweezers
Procedure:
Position the Imaging Unit so the Y axis will be on zero.
Turn the Biopsy Imaging Unit upside down.

Remove the left and right Imaging Unit Biopsy Covers (see 8.1 Biopsy Imaging Unit
Covers on page 55).
Remove the Aluminum bottom cover of the Biopsy Unit (8 screws).

GE
Unscrew both the left and right boards (2 screws each).
Board
screws
Unscrew the Signal cable connectors from both boards.
Disconnect the HV cable connector from the underside of each board.

GE
Dismount 2 cross screws holding the cable and remove both clamps from the cable.
Clamp with screw
Release the cable tie-wraps.

Disassemble both cable connector hoods by opening 2 external and 2 internal
screws.
Turn over the Biopsy Imaging Unit gently.

Disassemble the white plastic main cable bracket (4 Allen screws) that connects the
cable to the Imaging unit
white
plastic
main
cable
bracket

GE
Turn the Imaging Unit upside down and carefully pull the cable out of the imaging
unit.
The new spare cable doesn’t include the white plastic main cable bracket.
Disassemble and reassemble the white plastic main cable bracket as follows:
a. Release the 2 metal nuts.
b. Open the metal nuts on the new cable.

c. Release the white plastic main cable bracket from the old cable and insert it, in
the right orientation, on the new cable between the black plastic ring and metal
nuts.

GE
d. Place the black ring on the white plastic main cable bracket so the white tooth
(see red arrow) is positioned as is depicted in the correct picture below:
e. Attach the black ring with the white bracket to the connector so the white tooth is
face down (in the direction of the cable connector). Close both metal nuts to
secure it.
Reassemble:
Disassemble hood from both new signal connectors.
Thread the cables one by one in the following order:
a. HV cable
b. Detector 3 signal cable (female connector)
c. Detector 4 signal cable (male connector)
Note: push the cables into the Y-shape housing, avoid pulling the cable. When ever
need turn Y-shape.
Close main cable plastic white bracket (4 screws). Check the cable move freely
between hours 1 to 6 like a clock.
Assemble both hoods to connectors. Pay attention to hood orientation.
Connect HV and signal connectors to each of the boards.
Connect boards to their place (2 screws each).
Connect clamps to cable and to the Y-shape.
Insert tie raps to hold cable to it place.
Assemble Aluminum bottom cover of the Biopsy Unit (8 screws).
Assemble both left and right Imaging Unit Bio Cover per procedure (see Biopsy
Imaging Unit Covers on page 55).

GE
To Finalize:
packaging. 

GE
Replacement Procedures – Biopsy Switch Cable
8.5. Biopsy Switch Cable
Participants
Time


30 minutes
Allen key set

Location Connect Immobilization board to Tools Small cross screwdriver
Upper detector plate 
Procedure:
Move the detector to 90 degrees position.
Disassemble the tilt covers set. (See D750b Service Manual replacement procedures
for more information).
Use an Allen key to remove the upper aluminum bar (4 screws, 2 on each side)
Upper
aluminum
bar
Screws
Use an Allen key to remove the tilt lower aluminum cover by opening 5 screws on the
bottom.

GE
Replacement Procedures – Biopsy Switch Cable
Use an Allen key to remove the upper detector’s lower base plate cover by removing
11 screws.
Three biopsy switches are now available:
Right switch
Parallel (middle) switch
Left switch
To disconnect the switches, remove 2 screws from each switch (for middle switch,
remove upper screws).
For each cable end, remove the three small switch brackets by opening the screws.
Bracket screw
Bracket

GE
Replacement Procedures – Compression Paddle
Disconnect cable from the Immobilization board.
Reassemble:
Assemble the 3 small switch brackets to the new cable.
Note the bracket shapes and cable lengths:
a. Short cable – Parallel (middle) switch
b. Medium cable - Left switch
c. Long cable – Right switch
Connect the cable to the Immobilization board.
Thread the three cables, per cable length, in correct location.
Attach each switch using 2 screws.
Perform the Microswitch test (See Microswitch Test on page 31).
Assemble:
a. Upper detector’s lower base plate cover.
b. Tilt lower aluminum cover.
c. Upper aluminum bar.
d. Tilt covers set.
8.6. Compression Paddle

Mount the new Compression Paddle on the system.
Calibrate the Compression Paddle lockers (See Compression Paddle Lockers
Calibration on page 48).
Perform Window Size Test (see Window Size Test on page 33).

GE
Replacement Procedures – Tilt Release Handle
8.7. Tilt Release Handle
Participants
Time


2 minutes
Location Tools
Top of upper detector cover Allen key set

Procedure:
For systems without the Biopsy unit: Remove the service screw (Preparation on page
16)
Open the detector knob so the detector can be tilted.
Hold the handle and using the Allen key open the locking screw on the top of the
handle.
Reassemble: Insert the handle in place and screw the top.

Finalization:
a. Lock the upper detector in parallel position.
b. For systems without the biopsy unit, lock the service screw
c. Test the Upper detector securing mechanism (see Upper Detector Securing
Mechanism on page 30).

GE
Replacement Procedures – Biopsy Paddle Locker
8.8. Biopsy Paddle Locker
Participants
Time


30 minutes
Location Tools
Right Base plate of Upper Detector None Needed

Procedure
Tilt the Upper detector to tilt position.
Release the lever handle by pushing it out (see green arrow) and turn it
counterclockwise (see red arrow).

GE
Replacement Procedures – Biopsy Paddle Locker
If necessary, replace the spring from the released locker.
Spring
place
Reassemble:
Hold the locker with the springs in place, and screw the lever clockwise.
Assemble the Paddle.
Calibrate the lever handle strength. (See Compression Paddle Lockers Calibration on
page 48).

GE
Replacement Procedures – Biopsy Tilt Mechanism Gas Spring
8.9. Biopsy Tilt Mechanism Gas Spring
Participants
Time


30 minutes

Location Under Tilt covers (one in each side Tools
Flat screwdriver
of the upper detector).  Small cross screwdriver
Procedure:
Position detectors at 0 degrees and power up the system.
Disassemble the Tilt covers set. (See D750b Service manual replacement procedures
for more information).
Remove upper detector cover (See D750b Service manual, replacement procedures).
Use an Allen key to remove the upper aluminum bar (4 screws, 2 on each side)
Upper
aluminum
bar
Screws
Use an Allen key to remove the tilt lower aluminum cover by opening 5 screws on the
bottom.

GE
Use an Allen key to release the timing belt by releasing the safety release handle
assembly screw (see picture)
Use the Allen key to remove the screw and small bracket from the right side of the tilt
mechanism.

GE
Use the Allen key to remove the manual release knob bar by opening 6 screws (3 on
each side).
For left gas spring only: Disconnect the upper detector connectors for HV, ground and
data cable.

GE
Move the upper detector to tilt position.

Use a flat screwdriver to release the upper and lower springs from the gas spring.
Springs to open
Open spring
Remove gas spring.

Warning
Never remove both gas springs from both detector sides.
If both gas springs need to be replaced, remove one at a time.
Always have one gas spring connected to the system. 

GE
Reassemble
Bring the detector to parallel position (no need to lock the upper release handle).
Use the Allen key to disassemble the release pin bracket (remove 2 screws).
Hold the detector in tilt position and assemble the gas spring in its place.
Warning
Since the release pin is disassembled the detector should be held in tilt position the entire time
by the field engineer!
Gently move the upper detector to parallel position.
To assemble the release pin bracket, place Loctite 222 on the 2 release pin bracket
screws and tighten to 13 Nm.
Warning
Before final tightening of the screws, move the detector to tilt position (check that the
automatic pin locking occurred).
Move the detector back to parallel position.
Assemble the small bracket and screw (see step 6 in the disassemble procedure).
To assemble the knob bar bracket, put Loctite 222 on the 6 knob bar bracket screws
and tighten to 13 Nm.
Put the timing belt in place and stretch it by closing the bracket screw (see step 5 in
the disassemble procedure).
For left gas spring only, connect upper detector connectors.
Assemble the tilt lower aluminum cover, upper aluminum bar, upper detector cover
and Tilt cover set. 

GE
8.10. Biopsy Imaging Unit Module
Participants
Time


30 minutes
Screwdriver
Phillips screwdriver
ESD (Electrical Static
Location In Biopsy Imaging Unit detector 3 Tools Discharge) mat
or detector 4  ESD strap
ESD gloves
Torque Screwdriver
Loctite 222 or Loctite 224
Narrow pliers/tweezers
Procedure Workflow:
 Module Identification on page 84
 System Backup on page 84
 Modules Replacement on page 85
 Update the Module Map on page 86
 System Diagnostics on page 90
 Initial QC, Periodic QC, Accuracy QC and System Backup 2 on page 91
Prerequisite:
Prepare a clean working space next to the system for the replacement procedure.
NOTE:
SWAP modules in the Imaging Unit are available only between Imaging Unit modules.
No SWAP should be performed between MBI detectors and Biopsy Unit modules.

GE
Replacement Procedures – Biopsy Imaging Unit Module
8.10.1. Module Identification

Mount the Biopsy Imaging Unit on the system.
Log onto the acquisition station as Service user.
To identify the module to be replaced, perform the following:
a. Click System Setup  Utilities tab.
b. Select System Viewers  Bad Pixels Viewer.
c. Press [Load] to open the Bad Pixels List.
d. Identify relevant detector (3 or 4) module serial number.
8.10.2. System Backup

Click System Setup Maintenance tab  Select Biopsy Module Replacement/Swap
Wizard to open the System diagnostic menu.

GE
Double-click System Backup.

Select [HD Backup] or [CD Backup].
When backup is complete, click [Close System Backup].
8.10.3. Modules Replacement

For CZT module replacement:
Perform steps 1-14 in Disassemble Procedure in Biopsy Module Boards Assembly on
page 57
Perform steps 1-5 in Reassemble Procedure in Biopsy Module Boards Assembly on
page 57
Note:
For assembly use new CZT module!

GE
8.10.4. Update the Module Map

Connect the Biopsy Imaging Unit to the system
Power up the detectors at the IPS.
Select Biopsy Module Replacement from Biopsy Modules Replacement/Swap
Wizard. Click [OK].
Module Mechanical Assembly screen opens.

GE
From the left menu, select the Biopsy Modules Replacement/Swap screen. The new
or replaced SWAP module serial number is displayed.
Insert the Biopsy modules map CD.

In Biopsy Modules Replacement/Swap screen, identify the new module according to
the new serial number and click [Upload]. Once the module data is uploaded, a 'V' is
displayed.

GE
In Linux system, in order to read a CD:

a. Open a command line window by right-clicking anywhere on the desktop and
then open Root Menu  Service Tools  Command Window.
b. Verify that you are a root user.

NOTE
For a root user, the prompt displays In order to verify you
are a root user, type and make sure the answer is
c. Type and press <Enter>.
d. Type and press <Enter>. is added to the prompt.

GE
Click [Import] to load the new or swapped modules map.

When the map import is complete, click [Next] to view the report.
Click [Back].
Click [Close Biopsy Module Replacement].

GE
8.10.5. System Diagnostics

In the Modules Replacement/Swap Wizard, double-click System Diagnostics.
Do the following (For a detailed procedure, see D750b Service manual, Detector
Components Diagnostics section):
a. Select Detector (single click)  Select component: Power Supply  Click [Start]
 Click [OK] in pop-up window  Click [Report] to get Power supply diagnostic
report.  Click [Back] to return to diagnostic window.
b. Select MCC/MDB  [Start]  Click [OK] in pop up window  Click [Report] 
Click [Back].
c. Select Modules   [Start]  Click [OK] in pop up window  Click [Report] 
Click [Back].
Select System Stabilization in the left pane. You are prompted to wait until the
temperature is stabilized. Click [Next] to view the module’s temperature.
Wait until all modules reach a stable temperature based on one of the following
options:
The Cold Plate is 0.1 or 0.2°C from its target temperature.
or
No change is observed when [Update] is clicked over a time span of more than 15
minutes.

GE
Click [Report] to view System Temperature Viewer Report.

Click [Close System Diagnostics].
8.10.6. Initial QC, Periodic QC, Accuracy QC and System Backup 2
In the Biopsy Modules Replacement/Swap Wizard, double-click Initial QC.
This procedure is very similar to the Daily QC procedure. For more information, see
Quality Control and Maintenance chapter in the Clinical Operation Guide.
Place the Co57 flood source between the detectors.
Click [Apply], then click [Start].
When the acquisition is complete, click [Next]  [Close Initial QC] in left-hand menu.
In the Biopsy Modules Replacement/Swap Wizard, double-click Biopsy Periodic QC.

GE
Click [Apply], then click [Start].

When the acquisition is complete, click [Next]  [Close Biopsy Periodic QC] in left-
hand menu.
Wait until the system completes the Periodic QC procedure.
In the Biopsy Modules Replacement/Swap Wizard, double-click Biopsy Accuracy
QC. Complete the process per instructions on the screen.
Click [Close Biopsy Accuracy].

Double-click System Backup and backup the system as described in System Backup
on page 84. This backup includes the new module data.

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Discovery NM 750b Biopsy Service Manual

Discovery NM750b Biopsy

Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 1 OF 92

ESSENTIAL TO CLASSIFICATION – SAFETY

Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 2 OF 92

ПРЕДУПРЕЖДЕНИЕ Това упътване за работа е налично само на английски език.

VÝSTRAHA Tento provozní návod existuje pouze v anglickém jazyce.

Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 3 OF 92

WARNING This service manual is available in English only.

Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 4 OF 92

AÐVÖRUN Þessi þjónustuhandbók er aðeins fáanleg á ensku.

Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 5 OF 92

OSTRZEŻENIE Niniejszy podręcznik serwisowy dostępny jest jedynie w języku angielskim.

Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 6 OF 92

ATENCION Este manual de servicio sólo existe en inglés.

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Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 8 OF 92

Chapter 1: Biopsy Option Description

1.1. Biopsy Option Overview

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1.2.2. Upper Detector Tilt Mechanism and Mounting Plate

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1.2.3. Compression Paddle

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1.2.4. Sterilize Kit

Open sterile Needle guiding

1.2.5. Verification Rod

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1.2.5.1. Biopsy Accuracy Jig

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Chapter 2: Service Safety

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Chapter 3: Biopsy Option Site Preparation and

3.2. Installation of the Biopsy Option

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3.2.2. Shock Indicator Label Assembly in the Biopsy Unit

Attach the Shock Indicator label under the cover.

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3.2.4.1. Acquisition Station SW Configuration for the Biopsy Option

The Configuration Completed message is displayed. Click [OK].

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3.2.4.2. Restore System Configuration and System Setup

Create default maps:

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e. Inside the MapsBackup folder rename the files as follows:

f. Copy all the files from the MapsBackup folder into

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Discovery NM 750b Biopsy Service Manual 5721022-1EN, REV 3 21 OF 92

c. Save the file.

3.2.4.3. Map Import for Biopsy IU

Connect the Biopsy Imaging Unit to the system.

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Module Mechanical Assembly screen opens.

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Click [Import] to load the new module maps.

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3.2.6. Default Needle Configuration

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3.2.7. User Documentation CD Installation

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Chapter 4: Planned Maintenance