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GE Healthcare

GE OEC® 9800
Operator Manual Update
and Supplement

5431291-1EN
Rev 1
© 2011
© GE OEC Medical
Systems, Inc.
All Rights Reserved
GE OEC 9800 Operator Manual Update and Supplement

Revision history

Rev # Date Description of Change


1 October 2011 Initial release

CAUTION: U.S. federal law restricts this device to sale by or on the order of a physician, veterinarian,
or other designated licensed practitioner as appropriate for its clinical use.
IMPORTANT: SAVE THESE INSTRUCTIONS. THIS SUPPLEMENT PROVIDES ALL CAUTIONS AND
WARNINGS RELATED TO THE OPERATION OF THE SYSTEM. PLEASE READ THIS MANUAL BEFORE
USING EQUIPMENT.
NOTE: The information provided in this supplement does not include all information regarding the
operation of the system. Please refer to the system operator manual(s) for complete
information regarding the safe and effective use of the system. For additional copies of the
operator manual(s), please contact GE customer service.
This manual may not be reproduced, in whole or in part, without the written permission of GE
Healthcare.
Other product and company names mentioned herein are the property of their respective owners.
The contents of this document are accurate at the time of publication. However, changes in design
and additional features can, at any time, be incorporated in the hardware and software and may
not be reflected in this version of the document. Contact GE Healthcare Technical Support for
clarification, if discrepancies arise.
This document was originally written and verified in English, part number 5431291-1ENDEV.
GE OEC Medical Systems, a General Electric company, going to market as GE Healthcare.

GE OEC Medical Systems, Inc. GE Medical Systems SCS


384 Wright Brothers Drive 283 rue de la Minière
Salt Lake City, Utah 84116 U.S.A. 78530 Buc, France
801-328-9300 Telephone: (+33) 1 30 70 40 40
Fax: (+33) 1 30 70 44 40

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GE OEC 9800 Operator Manual Update and Supplement

Medical device directive


This product conforms with the Medical Device Directive, Council Directive 93/42/EEC: June 14,
1993, as amended by 2007/47/07 (as applicable) following the provisions of Annex II, when it bears
the following CE Mark of Conformity.

This symbol indicates that the waste of electrical and electronic equipment must not be disposed as
unsorted municipal waste and must be collected separately. Contact an authorized representative
of the manufacturer for information concerning the decommissioning of your equipment.

The separate collection symbol is affixed to a battery, or its packaging, to advise you that the
battery must be recycled or disposed of in accordance with local or country laws. The letters below
the separate collection symbol indicate whether certain elements (Pb=Lead, Cd=Cadmium,
Hg=Mercury) are contained in the battery. To minimize potential effects on the environment and
human health, it is important that all marked batteries that you remove from the product are
properly recycled or disposed.

For information on how the battery may be safely removed from the device, please consult the
service manual or equipment instructions. Information on the potential effects on the environment
and human health of the substances used in batteries is available at this url:
http://www.gehealthcare.com/euen/weee-recycling/index.html.

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GE OEC 9800 Operator Manual Update and Supplement

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GE OEC 9800 Operator Manual Update and Supplement

Table of contents
Revision history.......................................................................................................................................................................ii
Medical device directive....................................................................................................................................................iii

Section 1: Compliance, labels, and symbols


Overview...............................................................................................................................................................................1-1
Accompanying documentation.........................................................................................................................1-1
Intended use...............................................................................................................................................................1-1
X-ray equipment certification update ............................................................................................................1-1
Updated safety information ........................................................................................................................................1-2
Electromagnetic compatibility statement....................................................................................................1-2
Essential performance criteria...........................................................................................................................1-2
Updated Safety Warnings ............................................................................................................................................1-3
Compliance information – China .............................................................................................................................1-4
Labels .....................................................................................................................................................................................1-6
Symbols..............................................................................................................................................................................1-13

Section 2: Workstation updates


Power requirements........................................................................................................................................................2-1
Transport and storage checklist................................................................................................................................2-2
Starting the system ........................................................................................................................................................2-3
Startup sequence ....................................................................................................................................................2-3
Shutting down the system ..........................................................................................................................................2-8
Shutdown sequence ..............................................................................................................................................2-8
Restarting the system ...................................................................................................................................................2-9
Error prevention and recovery ...............................................................................................................................2-10
Error prevention.....................................................................................................................................................2-10
Error recovery .........................................................................................................................................................2-10
Keyboard ..........................................................................................................................................................................2-12
Save key.....................................................................................................................................................................2-12
Swap key ...................................................................................................................................................................2-12
Diacritic keys ..........................................................................................................................................................2-12
Workstation notes, cautions, and warnings ....................................................................................................2-13
Mag mode keys......................................................................................................................................................2-13
Customization.........................................................................................................................................................2-13
External connections ..........................................................................................................................................2-13
Connecting a device to a Workstation connector ................................................................................ 2-14
Footswitches....................................................................................................................................................................2-15
Handswitch ......................................................................................................................................................................2-15
Multiple switch presses .............................................................................................................................................2-16
Extended exposure feature .....................................................................................................................................2-16

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GE OEC 9800 Operator Manual Update and Supplement

Ambient room light compensation ...................................................................................................................... 2-17


Cleaning ............................................................................................................................................................................ 2-17
Approved cleaning agents .............................................................................................................................. 2-18

Section 3: Updated Workstation screens and functions


Overview .............................................................................................................................................................................3-1
Screens..................................................................................................................................................................................3-1
Log on – log off ........................................................................................................................................................3-1
Patient information screen .................................................................................................................................3-2
Move images to new study .................................................................................................................................3-4
Scheduled exams ...................................................................................................................................................3-5
Update schedule – Schedule Filter .................................................................................................................3-6
Change current patient .......................................................................................................................................3-9
Saved exams .............................................................................................................................................................3-9
Time and date ....................................................................................................................................................... 3-11
Modes of operation ..................................................................................................................................................... 3-12
Automatic and manual exposure control ................................................................................................. 3-12
Activating and deactivating imaging modes........................................................................................... 3-12
Mode display .......................................................................................................................................................... 3-13
Footswitches and modes ................................................................................................................................. 3-14
Imaging modes summary ............................................................................................................................... 3-15
Dosimetry display ........................................................................................................................................................ 3-16
Air Kerma and Air Kerma rate........................................................................................................................ 3-16
Dose-area product (DAP) .................................................................................................................................. 3-17
Exposure timer ....................................................................................................................................................... 3-17
Dosimetry on the X-ray image screen ....................................................................................................... 3-18
Dose summary ..................................................................................................................................................... 3-19
Visual and audible X-ray indication ..................................................................................................................... 3-20

Section 4: Diagnostics
Workstation messages..................................................................................................................................................4-1
Overview ......................................................................................................................................................................4-1
Error recovery steps ...............................................................................................................................................4-1
Right monitor messages.......................................................................................................................................4-2
Left monitor messages ...................................................................................................................................... 4-10
C-Arm messages ........................................................................................................................................................... 4-12

Section 5: Fluoro imaging


Overview .............................................................................................................................................................................5-1
Workstation setup ..................................................................................................................................................5-1
Mode screen ..............................................................................................................................................................5-2
Producing a fluoro image ...................................................................................................................................5-3
High level fluoro imaging (HLF) ..................................................................................................................................5-4

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GE OEC 9800 Operator Manual Update and Supplement

Producing a standard HLF image ...................................................................................................................5-4


Digital spot imaging .......................................................................................................................................................5-5
Producing a digital spot image .........................................................................................................................5-5
Enable pulsed X-ray .......................................................................................................................................................5-6
Change pulse rate ..................................................................................................................................................5-7
Cardiac fluoro pulse rates ...........................................................................................................................................5-8
Change pulse rate ..................................................................................................................................................5-8

Section 6: Vascular imaging


Overview ..............................................................................................................................................................................6-1
X-ray pedal setup ............................................................................................................................................................6-1
Vascular systems ............................................................................................................................................................6-2
Mode screen ..............................................................................................................................................................6-3
Mode pairs ..................................................................................................................................................................6-4
Cine acquisition ................................................................................................................................................................6-6
Cardiac systems ...............................................................................................................................................................6-7
Cardiac icon ...............................................................................................................................................................6-7
Subtraction imaging ......................................................................................................................................................6-8
Sequence of events during subtraction .......................................................................................................6-8
Subtraction procedure .........................................................................................................................................6-9
Adjust mask ............................................................................................................................................................6-10
Roadmap imaging .......................................................................................................................................................6-11
Sequence of events during Roadmapping ..............................................................................................6-12
Roadmap procedure ..........................................................................................................................................6-12
Selecting and clearing a Roadmap mask .................................................................................................6-13
Producing a Roadmap mask from a subtraction cine run ...............................................................6-15
Digital Cine Pulse ..........................................................................................................................................................6-15
Creating a Digital Cine Pulse image ............................................................................................................6-16
Auto inject synchronization ....................................................................................................................................6-19

Section 7: Image directory


Damaged thumbnail.......................................................................................................................................................7-1
Reviewing subtracted cine runs from archive devices...................................................................................7-2
Copying (archiving) patient information ...............................................................................................................7-2
Printing a patient summary ................................................................................................................................7-4

Section 8: C-Arm notes, cautions, warnings


Overview .............................................................................................................................................................................8-1
C-Arm control panel display........................................................................................................................................8-1
Contrast/Brightness .......................................................................................................................................................8-2
Live/current image ..................................................................................................................................................8-2
Non-live image ..........................................................................................................................................................8-2

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Film cassette holder........................................................................................................................................................8-2


C-Arm battery charging guidelines ........................................................................................................................8-3
C-Arm sleep mode ..........................................................................................................................................................8-4
Positioning the C-Arm ....................................................................................................................................................8-4
Vertical column operation ..........................................................................................................................................8-5
Motorized Drive C-Arm fast stop and motion stop buttons ........................................................................8-5
Fast stop buttons ....................................................................................................................................................8-6
Motion stop button ................................................................................................................................................8-7
Maximum C-Arm motorized rotational speed ..........................................................................................8-7
C-Arm unexpected power loss .........................................................................................................................8-7
C-Arm lockups ..........................................................................................................................................................8-7
X-ray switch security error .........................................................................................................................................8-8
Alarm reset .........................................................................................................................................................................8-8
Dose rate information ...................................................................................................................................................8-8
Source to skin distance ........................................................................................................................................8-8

Section 9: Planned maintenance


Planned maintenance instructions..........................................................................................................................9-1

Section 10: Updated technical specifications


Classification type ........................................................................................................................................................ 10-1
Power requirements .................................................................................................................................................... 10-1
Facility current leakage tests .......................................................................................................................... 10-2
Environmental requirements................................................................................................................................... 10-3
System input power ..................................................................................................................................................... 10-4
X-ray source assembly .............................................................................................................................................. 10-5
Scatter radiation............................................................................................................................................................ 10-6
9 Inch (22.8 cm) II .................................................................................................................................................. 10-6
12 Inch (30.5 cm) II................................................................................................................................................ 10-8
Dimensions ...................................................................................................................................................................10-10
9-inch standard C-Arm ...................................................................................................................................10-10
12-inch standard C-Arm .................................................................................................................................10-11
9-inch Super C-Arm ..........................................................................................................................................10-12
Workstation ..........................................................................................................................................................10-13
Communication Center contact information ...............................................................................................10-14
Ordering disposable items ............................................................................................................................10-14
Training....................................................................................................................................................................10-14
Phone .......................................................................................................................................................................10-14
Fax ............................................................................................................................................................................10-14
On-line .....................................................................................................................................................................10-14

Section 11: Index .......................................................................................................................... I-1

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Compliance, labels, and symbols

Section 1
Compliance, labels, and symbols

1.1 Overview
This document provides all cautions and warnings related to the operation of the system as well as
additional information about your mobile imaging system. The information in this document is
provided in addition to the information found in your Operator Manuals and is provided to help you
better understand the operation of the system. This document covers a variety of items related to
upgrades made to the hardware and/or software of the Workstation and C-Arm.

1.1.1 Accompanying documentation


The accompanying laminated Quick Start card overviews basic system operation and functions. The
card should be kept with the system at all times. The shelf behind the monitor provides a convenient
location for the card.

1.1.2 Intended use


The GE OEC 9800 is designed to provide fluoroscopic and spot-film imaging of the patient during
diagnostic, surgical, and interventional procedures. Clinical applications may include
cholangiography, endoscopic, urologic, orthopedic, neurologic, vascular, cardiac, critical care, and
emergency room procedures.

1.1.3 X-ray equipment certification update


The U.S. configuration for this device complies with 21 CFR Subchapter J for Radiation Health. The
unit may be configured to meet destination country regulations when shipped outside the US. If
returned to the U.S., the unit must be reconfigured to comply with 21 CFR Subchapter J before
putting into use. To do so, please contact your local GE OEC Service representative.

1-1
Compliance, labels, and symbols

1.2 Updated safety information

1.2.1 Electromagnetic compatibility statement


This equipment may use and emit radio frequency energy and electromagnetic radiation, which
may interfere with the safe operation of other medical equipment. Electromagnetic radiation
emitted by other medical equipment, including RF communications equipment, may also interfere
with this system. The equipment must be installed and used according to the manufacturer’s
instructions in order to avoid radio frequency interference. If this equipment generates or receives
interference, do the following to correct the problem:
• Verify that the equipment is the cause by turning the system on and off.
• In the event of unintended motor actuation, shut down the system.
• In the event of unintended X-ray actuation, shut down the system.
• Reorient the equipment until the interference stops.
• Relocate the equipment with respect to the patient and other equipment in the room.
• Plug the equipment into a different outlet so that the equipment and the receiver are
on different branch circuits.
• Use only input/output (I/O) cables supplied by GE OEC Medical Systems, Inc.

1.2.2 Essential performance criteria


The system is designed to perform its intended function during normal operation. In the presence of
electromagnetic interference some degradation of displayed live video may occur but the system
will return to normal operation when the interference is eliminated. Any loss of function will be
readily apparent to the operator and will not cause a safety hazard. Electromagnetic interference
will not cause permanent damage to the system.

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Compliance, labels, and symbols

1.3 Updated Safety Warnings

WARNING: Electrical circuits inside the equipment may use voltages which are capable of causing
serious injury or death from electric shock. To avoid this hazard, never remove any of the
cabinet covers.

WARNING: The use of the wrong type of fire extinguisher presents electrical shock and burn hazards.
To avoid these hazards, a fire extinguisher which meets applicable regulations and
standards must be available in the room where the equipment is being used. Remember
that equipment that is equipped with batteries is a source of electrical current, even when
AC power is disconnected.

WARNING: This equipment either produces or is used in the vicinity of ionizing radiation. Observe
proper safety practices during operation.

CAUTION: The GE OEC 9800 C-Arm should only be used in conjunction with a compatible and
appropriately configured GE OEC 9800 Workstation. 9800 C-Arms and Workstations are
not compatible with components of 2600, 9600, 9900, or any other systems. Damage may
result to the system if incompatible components are connected.

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Compliance, labels, and symbols

1.4 Compliance information – China


The following information is included for systems used in China.
Pollution Control Information
根据 SJ/T11364-2006 《电子信息产品污染控制标识要求》
特提供如下有关污染控制方面的信息。
The following product pollution control information is provided according to SJ/T11364-2006
Marking for Control of Pollution caused by Electronic Information Products.
电子信息产品污染控制标志说明 Explanation of pollution control label

该标志表明本产品含有超过中国标准 SJ/T11363-2006 《
电子信息产品中有毒有害物质的限量要求》 中限量的有毒有害物质。
标志中的数字为本产品的环保使用期,表明本产品在正常使用的条件下,有毒有
害物质不会发生外泄或突变,用户使用本产品不会对环境造成严重污染或对其人
身、财产造成严重损害的期限。单位为年。
为保证所申明的环保使用期限,应按产品手册中所规定的环境条件和方法进行正常使用,
并严格遵守产品维修手册中规定的定期维修和保养要求。
产品中的消耗件和某些零部件可能有其单独的环保使用期限标志,并且其环保使用期限有
可能比整个产品本身的环保使用期限短。
应到期按产品维修程序更换那些消耗件和零部件,以保证所申明的整个产品的环保使用期
限。
本产品在使用寿命结束时不可作为普通生活垃圾处理,应被单独收集妥善处理。
This symbol indicates the product contains hazardous materials in excess of the limits established
by the Chinese standard SJ/T11363-2006 Requirements for Concentration Limits for Certain
Hazardous Substances in Electronic Information Products. The number in the symbol is the
Environment-friendly Use Period (EFUP), which indicates the period during which the toxic or
hazardous substances or elements contained in electronic information products will not leak or
mutate under normal operating conditions so that the use of such electronic information products
will not result in any severe environmental pollution, any bodily injury or damage to any assets. The
unit of the period is “Year.”
In order to maintain the declared EFUP, the product shall be operated normally according to the
instructions and environmental conditions as defined in the product manual, and periodic
maintenance schedules specified in Product Maintenance Procedures shall be followed strictly.
Consumables or certain parts may have their own label with an EFUP value less than the product.
Periodic replacement of those consumables or parts to maintain the declared EFUP shall be done in
accordance with the Product Maintenance Procedures.
This product must not be disposed of as unsorted municipal waste, and must be collected
separately and handled properly after decommissioning.

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Compliance, labels, and symbols

GE OEC 9800 Workstation


GE OEC 9800 C-Arm

产品中有毒有害物质或元素的名称及含量
Table of hazardous substances’ name and concentration.

部件名称 有毒有害物质或元素
(Component Name) (Hazardous substances’ name)

铅 汞 镉 六价铬 多溴联苯 多溴二苯醚


(Pb) (Hg) (Cd) (Cr6+) (PBB) (PBDE)
C 形臂 X X X X X X
(Mainframe)
工作站 X X X X X X
(Workstation)
电池 X X X X X X
(Battery)
O: 表示该有毒有害物质在该部件所有均质材料中的含量均在 SJ/T11363-2006
标准规定的限量要求以下

X: 表示该有毒有害物质至少在该部件的某一均质材料中的含量超出 SJ/T11363-2006
标准规定的限量要求

( 企业可在此处,根据实实情况对上表中打 “×” 的技术原因进行进一步说明。)


• 此表所列数据为发布时所能获得的最佳信息
• 为保证所申明的环保使用期限,应按产品手册中所规定的环境条件进行使用
• 产品的消耗件和零件可能有其单独的环保使用期限标签,并且其环保使用期限有可能比产品本
身的环保使用期限短。应定期按产品维修手册更换那些消耗件和零件,以保证所申明的整个产
品的环保使用期限
O: Indicates that this toxic or hazardous substance contained in all of the homogeneous materials
for this part is below the limit requirement in SJ/T11363-2006.
X: Indicates that this toxic or hazardous substance contained in at least one of the homogeneous
materials used for this part is above the limit requirement in SJ/T11363-2006.
• Data listed in the table represents best information available at the time of publication
• Product to be operated under Environmental Conditions as defined in the Product
Manual to maintain the declared EFUP

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Compliance, labels, and symbols

1.5 Labels
Depending on your system configuration, the following labels and symbols may have been added
to your system.

Located as near as possible to pinch points, these labels identify the pinch points. Keep hands and
feet away from pinch points when the C-Arm is in motion. These labels are located as shown in
Figure 1-1.

9800 Standard C-Arm with 9800 9” Super C


9” or 12“ II

9800 Motorized Drive 9800 Motorized Drive


9” Super C 12” System

Figure 1-1 Location of pinch point labels.

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Compliance, labels, and symbols

Tables 1-1 through 1-15 identify the locations and descriptions of other labels that may appear on
your system.
Table 1-1

Label

Location Top right corner of the Workstation.


Description Explains how to turn the system off and how to restart the system.

Table 1-2

Label

Location C-Arm, rear cover label panel.


Description Indicates location of certification labels. Open panel to view labels inside.

Table 1-3

Label

Location Back of the Workstation, next to the external connector panel.

• Warns about not touching the connectors on the back of the Workstation.
• Identifies the need to keep connectors covered when not in use.
Description • Identifies the standard that medical devices connected to the Workstation must meet.
This label applies to the connectors on the rear of the Workstation as well as to any
connectors not in use on other medical devices such as printers, etc. that are connected to
the Workstation.

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Compliance, labels, and symbols

Table 1-4

Label

Location Workstation rear cover.


Contains manufacturer information and input power requirements. US Federal law
Description restricts this device to sale by, or on order of, a physician.

Table 1-5

Label

Location Front of C-Arm, below interface panel.


Description Contains manufacturer information.

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Compliance, labels, and symbols

Table 1-6

Label

Location On C-Arm rear cover label panel.


This is a USA FDA certification label. This certifies that the Beam Limiting Device meets
Description applicable federal standards and regulations as of the date of manufacture. Contains
manufacturer information.

Table 1-7

Label

Location On C-Arm rear cover label panel.


This is a USA FDA certification label. This certifies that the Image Intensifier meets
Description applicable federal standards and regulations as of the date of manufacture. Contains
manufacturer information.

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Compliance, labels, and symbols

Table 1-8

Label

Location On C-Arm rear cover label panel.


This is a USA FDA certification label. This certifies that the High Voltage Generator/X-ray
Description Control meets applicable federal standards and regulations as of the date of
manufacture. Contains manufacturer information.

Table 1-9

Label

Location On C-Arm rear cover label panel.


This is a USA FDA certification label. This certifies that the X-ray tube assembly meets
applicable federal standards and regulations as of the date of manufacture. Contains
Description manufacturer information. "Tube Type" may be shown as RAD-99 and "Housing Model
Type" may be shown as OR-III depending on the X-ray tube model on your system.

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Compliance, labels, and symbols

Table 1-10

Label

Location On C-Arm film cassette holder.


This is a USA FDA certification label. This certifies that the film cassette holder meets
Description applicable federal standards and regulations as of the date of manufacture. Contains
manufacturer information.

Table 1-11

Label

Location Bottom of three-pedal footswitch.


Indicates that the electrical switching mechanism within the footswitch is protected from
Description exposure to dust and the effects of continuous immersion in water. Placement inside a
protective cover is recommended.

Table 1-12

Label

Location On the C-Arm control panel housing.


Alerts the operator to be familiar with safe operating practices associated with this
Description equipment before using the system.

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Compliance, labels, and symbols

Table 1-13

Label

Location On the control panel housing.


Alerts the operator to be familiar with safe operating practices associated with this
Description equipment before using the system.

Table 1-14

Label

Location Back of Workstation, next to external connector panel.


Description Indicates Workstation connector ports.

Table 1-15

Label

Location C-Arm rear cover label panel and on the back of the Workstation.
Indicates that the waste of electrical and electronic equipment must not be disposed as
unsorted municipal waste and must be collected separately. Contact an authorized
Description representative of the manufacturer for information concerning the decommissioning of
your equipment.

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Compliance, labels, and symbols

1.6 Symbols
Table 1-16 through Table 1-60 identify the locations and descriptions of symbols that may appear
on your system.
Table 1-16

Symbol

Location Side of X-ray tube housing.


Marks the approximate location of the X-ray tube focal spot projected on a straight line at
Description right angles to the central axis of the beam. This symbol can be used to determine the SID
by measuring from the symbol to the surface of the image intensifier.

Table 1-17

Symbol

Location Back of the Workstation, near CB1.


Description Circuit Breaker: push to reset circuit breaker for power to the system.

Table 1-18

Symbol

Location Back of the Workstation, near CB2.


Description Circuit Breaker: push to reset circuit breaker for power to the system.

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Compliance, labels, and symbols

Table 1-19

Symbol

Location Back of the Workstation, near CB3.


Description Circuit Breaker: push to reset circuit breaker for power to the system.

Table 1-20

Symbol

Location Back of the Workstation, near CB4.


Description Circuit Breaker: push to reset circuit breaker for power to the system.

Table 1-21

Symbol

Location As near as possible to all pinch points.


Description Identifies pinch points (explained in Figure 1-1).

Table 1-22

Symbol

Location As near as possible to all pinch points.


Description Identifies pinch points (explained in Figure 1-1).

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Compliance, labels, and symbols

Table 1-23

Symbol

1. Front of C-Arm mainframe cover.


2. Back of Workstation, near I/O connectors.
Location
3. On C-Arm flip-flop mechanism.
4. On the skin spacer.

1. Indicates the receptacle for the interconnect cable.


2. Indicates that all peripheral equipment must be approved by GE OEC Medical
Systems, Inc.
3. Indicates that there is Anesthetic Proof information contained in the Operator
Manual. See the Anesthetic Proof symbol explanation.
4. Indicates that International regulations specify that a minimum source-skin
distance be maintained, except for specific surgical applications. Some
medical imaging equipment may have a skin spacer attached in order to meet
Description this requirement.

WARNING: Removing the skin spacer may result in increased radiation exposure to
the patient. The rate of exposure increases exponentially as the anatomy
is positioned closer to the X-ray tube.

The skin spacer should only be removed on the instructions of a


physician. The skin spacer should be reattached to the collimator
assembly immediately following the procedure.

Table 1-24

Symbol

Location Adjacent to the Equipotential terminals (one on Workstation, one on C-Arm).


Indicates the Equipotential terminal. These terminals allow connection between the
Description system and the equipotential bus bar of the facility.

1 - 15
Compliance, labels, and symbols

Table 1-25

Symbol

Location As near as possible to foot crush points.


Description Explained in Figure 1-1, pinch point locations.

Table 1-26

Symbol

Location Above the C-Arm interconnect cable receptacle.


Indicates that the 9800 C-Arm mechanical subassemblies should be placed in their most
Description compact position before transporting or moving the system. Refer to the chapter on
positioning in the GE OEC 9800 Operator Manual for directions on moving the 9800 C-Arm.

Table 1-27

Symbol

Location On the C-Arm flip-flop mechanism housing.


The 9800 X-ray tube assembly, Image Intensifier, and mechanical C-Arm assembly comply
Description with the IEC 60601-1 Anesthetic Proof (AP) requirements.

Table 1-28

Symbol

Location C-Arm rear cover label panel and back of Workstation.


The system has been tested and certified by the Canadian Standards Association to
Description comply with applicable U.S. and Canadian Standards.

1 - 16
Compliance, labels, and symbols

Table 1-29

Symbol

Location C-Arm rear cover label panel and back of Workstation.


The system has been tested and certified by the German testing and certification institute
Description Verband Deutscher Elektrotechniker (VDE).

Table 1-30

Symbol

Location C-Arm rear cover label panel and back of Workstation.


Description See Compliance information, China section at the beginning of this section.

Table 1-31

Symbol

Location On footswitch, handswitch, and C-Arm control panel.


Indicates mode key used to toggle between standard fluoroscopy mode and the vascular
imaging mode when the C-Arm is connected to a Vascular or Cardiac Workstation.
Description
On nonvascular systems an audible beep sounds to signify that this function is not
available.

Table 1-32

Symbol

Location Connector warning label.


Description Indicates hazards arising from dangerous voltages.

Table 1-33

Symbol

Location X-ray warning label and C-Arm X-ray ON switch.


Description Indicates the emission of X-radiation.

1 - 17
Compliance, labels, and symbols

Table 1-34

Symbol

Spot Film Label, HV Gen X-ray Control label, Image Intensifier label, Beam Limiting Device
Location Label, system nameplate/rating label (C-Arm and Workstation).
Description Indicates model/type of the system.

Table 1-35

Symbol

Spot Film Label, HV Gen X-ray Control label, Image Intensifier label, Beam Limiting Device
Location Label, system nameplate/rating label (C-Arm and Workstation).
Description Indicates date of manufacture of the system.

Table 1-36

Symbol

Spot Film Label, HV Gen X-ray Control label, Image Intensifier label, Beam Limiting Device
Location Label.
Description Indicates part number of the component.

Table 1-37

Symbol

Spot Film Label, HV Gen X-ray Control label, Image Intensifier label, Beam Limiting Device
Location Label, system nameplate/rating label (C-Arm and Workstation).
Description Indicates serial number of the component/system.

Table 1-38

Symbol

Location System nameplate/rating label (C-Arm).


Indicates the system is protected against electric shock by a protective earth-ground
Description connection.

1 - 18
Compliance, labels, and symbols

Table 1-39

Symbol

Location C-Arm rear cover label panel and on the back of the Workstation.
Description See Medical Device Directive section. 

Table 1-40

Symbol

Location On handswitch and footswitch.


Description Indicates the exposure control used to initiate Fluoro imaging or enable Roadmap.

Table 1-41

Symbol

Location On handswitch and footswitch.


Description Indicates the exposure control that initiates HLF, DIG.SPOT, or Subtract.

Table 1-42

Symbol

Location Right side of the Image Intensifier tube.


Description Indicates the patient orientation relative to the image shown on screen.

Table 1-43

Symbol

Location On Fast Stop buttons on back of C-Arm control panels.


Description Indicates buttons that disable X-rays and motion.

1 - 19
Compliance, labels, and symbols

Table 1-44

Symbol

Location On back of Workstation near power cord port.


Description Indicates the OFF position of the circuit breaker toggle switch (220 VAC systems only).

Table 1-45

Symbol

Location On back of Workstation near power cord port.


Description Indicates the ON position of the circuit breaker toggle switch (220 VAC systems only).

Table 1-46

Symbol

Location On power switch.


Description Indicates the power switch for the system.

Table 1-47

Symbol

Location Rear interface panel overlay.


Description Indicates the low resolution video output port for left monitor.

Table 1-48

Symbol

Location Rear interface panel overlay.


Description Indicates the high resolution video output port for left monitor.

1 - 20
Compliance, labels, and symbols

Table 1-49

Symbol

Location Rear interface panel overlay.


Description Indicates the high resolution video output port for right monitor.

Table 1-50

Symbol

Location Rear interface panel overlay.


Description Indicates direct digital printer interface (DDPI).

Table 1-51

Symbol

Location Rear interface panel overlay.


Description Indicates parallel printer port.

Table 1-52

Symbol

Location Rear interface panel overlay.


Indicates relay closure outputs for such things as X-ray ON and Room in Use lights, and
Description Power Injector operation. Relays on the External Interface PCB.

Table 1-53

Symbol

Location Power/cable connections area on C-Arm.


Description Indicates AC power is available to charge generator batteries.

1 - 21
Compliance, labels, and symbols

Table 1-54

Symbol

Location Power/cable connections area on C-Arm.


Description Indicates port for handswitch cable.

Table 1-55

Symbol

Location Power/cable connections area on C-Arm.


Description Indicates port for footswitch cable.

Table 1-56

Symbol

Location Power/cable connections area on C-Arm.


Description Indicates port for remote user interface device.

Table 1-57

Symbol

Location Power/cable connections area on C-Arm.


Description Indicates ON position of X-ray key lock.

Table 1-58

Symbol

Location Power/cable connections area on C-Arm.


Description Indicates OFF position of X-ray key lock.

1 - 22
Compliance, labels, and symbols

Table 1-59

Symbol

Location C-Arm rear cover label panel and on the back of the Workstation.
Description See Medical Device Directive in this document.

Table 1-60

Symbol

Location On three pedal footswitch.


Description Identifies the footswitch pedal that initiates Digital Cine pulsed sequence.

1 - 23
Compliance, labels, and symbols

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1 - 24
Workstation updates

Section 2
Workstation updates

2.1 Power requirements


Before power is connected to the system, the operator must be certain that the power outlet has
been approved, as indicated below, for the current, voltage, and line regulation requirements of the
system.

CAUTION: A dedicated AC power line is recommended to avoid conflicts with the power requirements
of other equipment.
The GE OEC Medical Systems, Inc. authorized field representative shall provide the owner of the
system with information as to which rooms, in the area designated to him by the owner, meet the
requirements of line voltage, line current, and line regulation for the system. It is the owner's
responsibility to operate the system only in those rooms which meet these requirements.
This information must be obtained at the time of system installation on the site. If this information is
not available for the room in question, it can be obtained by a qualified technician or service
representative.
Failure to meet proper power requirements results in a violation of the U.S. Federal Performance
Standards 21CFR 1020.30-32.

CAUTION: Power to the system is not removed until the Workstation is unplugged from the electrical
outlet or the main breaker is turned off. To make sure power is disconnected, verify that
the green light on the lower left back panel of the Workstation is off.

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Workstation updates

2.2 Transport and storage checklist


The procedures for following proper startup, shutdown, and restart sequences ensure that the
system operates correctly.

CAUTION: At initial setup or when removing from storage, stabilize for 24 hours at ambient
temperature and humidity before applying power. Failure to observe this warning will
result in damage to equipment.

CAUTION: Data loss and system failure can occur if the system startup sequence is interrupted.
Use this checklist to prepare the GE OEC 9800 System for transport to another area for use or for
storage.
NOTE: Refer to “Setup and Positioning” in the GE OEC 9800 Workstation Operator Manual and
“Mechanical Positioning” in the GE OEC 9800 C-Arm Operator Manual for detailed information
on moving the Workstation and C-Arm.

CAUTION: Familiarize yourself with the location and mechanical operation of all controls prior to
moving the system.

WARNING: Cords and cables connected to the Workstation and C-Arm can become trip and/or snag
hazards in the work area. Make sure that all cords and cables are routed to eliminate trip
and/or snag hazards. Personnel working around the Workstation and C-Arm should be
aware of all cords and cables whenever they move around the system or the system is
moved.

WARNING: Two people should maintain control of the Workstation or C-Arm when moving the it up
or down an incline. Do not move the Workstation or C-Arm over inclines greater than 10
degrees. Do not move the Workstation or C-Arm up or down stairs or steps. Do not lock
the Workstation or C-Arm in place on an incline greater than 5 degrees.

CAUTION: To avoid losing control of the C-Arm, always reduce transport speed before moving the
steering handle out of the 0 degree position.

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Workstation updates

1. Make sure all cables and connectors are properly stored on the Workstation and C-Arm.
2. Ensure that the system is properly shut down by implementing the procedures detailed in
the Shutdown sequence in this section.
3. Disconnect and store the Workstation power cord and C-Arm interconnect cable by
implementing the procedures detailed in the Shutdown sequence in this section.
4. On the C-Arm, lock all movable mechanical assembly brakes including:
• the C-Arm orbital rotation brake
• the flip flop brake
• the wig wag brake
• the L-arm and horizontal cross arm brakes
5. Make sure all handles on the Workstation and C-Arm are secure.
6. Make sure the brakes on the C-Arm and Workstation are working correctly and set for
transport prior to moving the system.
7. Make sure the steering handles on the C-Arm are operating correctly.
8. Move the C-Arm by unlocking the wheel brakes and pushing on the steering handles.
Make sure that the wheels roll smoothly.
9. Move the Workstation by placing the Workstation wheel brakes in transport position and
pushing on the Workstation handles. Make sure that the wheels roll smoothly.
10. Once you have reached your destination, set the wheel brakes on the Workstation and
on the C-Arm.

2.3 Starting the system


The procedures for following proper startup, shutdown, and restart sequences ensure that the
system operates correctly.

CAUTION: Data loss and system failure can occur if the system startup sequence is interrupted.

2.3.1 Startup sequence

CAUTION: Do not shut the system down or unplug the power cord during startup. Interrupting the
system startup sequence may result in corrupted data. Wait for the system to finish startup
before shutting down or unplugging the system.

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Workstation updates

CAUTION: Data loss can occur if the system startup sequence is interrupted. Do not press the power
switch or unplug the Workstation until system startup is complete. System startup is
complete when the log on screen or the Patient Information screen is displayed on the
right monitor. Wait for the system startup sequence to complete before pressing the power
switch to shut down the system.
Use the following checklist when preparing the GE OEC 9800 System for use.
1. Place the C-Arm and Workstation in a position that leaves the various cables and
connectors easily accessible and from which the system can easily be moved into
position for use.
2. Check the cables and connectors for breaks, wear, bent pins, or bent prongs, or any other
damage. Do not use worn or damaged cables.
3. Plug the interconnect cable from the Workstation into the interconnect socket on the
C-Arm.

CAUTION: If the connector does not lock in place, unreliable system operation may result.

CAUTION: Plugging the interconnect cable into the Workstation after the Workstation power cord is
plugged into an outlet, or after the Workstation has been powered up can cause loss of
functionality or system damage. Always follow the startup checklist sequence.
4. Plug the handswitch and/or footswitch into the appropriate socket(s) on the C-Arm
interface panel.
5. If you are using a 9800 C-Arm with motorized drive, plug the Remote User Interface (RUI)
into the RUI connector on the C-Arm interface panel. Refer to “Connecting the Remote
User Interface” and “Orientation” in the GE OEC 9800 Motorized Drive C-Arm Operator
Manual Supplement for detailed instructions on connecting the C-Arm and RUI.
6. Plug the Workstation power cord into an appropriate wall socket.

WARNING: Cords and cables connected to the Workstation and C-Arm can become trip or snag
hazards in the work area. Make sure that all cords and cables are routed to eliminate trip
or snag hazards. Personnel working around the Workstation and C-Arm should be aware
of all cords and cables whenever they move around the system or the system is moved.

2-4
Workstation updates

7. Press the power switch on the Workstation to start the system (see Figure 2-1). Depending
on the system software version, the system may display the initialization message
(Figure 2-2). The C-Arm initializes simultaneously.

Figure 2-1 Workstation On/Off switch

Figure 2-2 System initialization screen

2-5
Workstation updates

Should system initialization fail, an initialization failure message is displayed (Figure 2-3).
In this event, the system is unusable. Call for service.

Figure 2-3 Initialization failure screen

CAUTION: To avoid potential data loss or hard disk failure, do not shut down the system while the
initialization message is displayed.
8. Following system initialization, either a log in screen is displayed if the system is password
protected, or the Patient Information screen appears.
NOTE: If the Workstation fails to start normally, turn the Workstation off and check all the cable
connections and the circuit breakers on the rear bottom of the Workstation. Restart the
Workstation. If the Workstation still fails to start, call for service.
9. Position the C-Arm
10. Check C-Arm operation.
A) Move the C-Arm through its complete orbital and rotational range of motion. Make
sure that binding or rough motion does not impede smooth operation.
B) If you are using a 9800 Motorized Drive C-Arm, squeeze the collision detector and
verify that a collision message is displayed and that all motion is stopped.
11. If you are using an RUI with a 9800 Motorized Drive C-Arm, move the system into
position for use and orient the RUI to the C-Arm and the patient. Refer to “Orientation” in
the GE OEC 9800 Motorized Drive C-Arm Operator Manual Supplement for detailed
instructions on orienting the C-Arm and RUI.

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Workstation updates

12. Check the imaging system.


A) Put on appropriate personal protective equipment, lead apron, etc.
B) Make sure that no unprotected people are in the immediate vicinity and place a radio
opaque object in the X-ray field. Take a 1-second fluoro image.
C) During the shot, make sure that the values for shot time, dose rate, and cumulative
dose are displayed in the bottom right corner of the left monitor.
13. Check the image quality.
14. Check image manipulation: rotation, flip vertical, flip horizontal.
15. Open and close iris and leaf collimators, and rotate leaf collimators to verify motion.
16. Check any other modes of operation, such as Subtraction, etc., that will be used during
the clinical procedure.
If the system fails any of the checks, do not proceed with clinical use of the system. Call for service.
If the system passes all of the checks, it is ready for clinical use.

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Workstation updates

2.4 Shutting down the system

2.4.1 Shutdown sequence


Use this checklist when shutting down the GE OEC 9800 System after use.

CAUTION: If a Cine run is playing back, this step is highly recommended to prevent the potential hard
drive failure while the system shuts down.
1. Prior to powering off the system, exit all screens until the Main Screen (Figure 2-4) is
displayed. Wait one minute.

Figure 2-4 Main screen

2. Return all moving assemblies to their most compact positions. Lower the C-Arm vertical
column and retract the cross-arm.
3. Systems with L-Arm only: Orient the L-arm vertically and down.
4. Systems with a motorized C-Arm only: Move the Image Intensifier (II) to the 0,0 position
(vertical with no orbital or rotational deflection).
5. Press the power switch on the front of the system. The switch's green LED may flash one
or more times, for up to 10 seconds, during the shutdown sequence.
6. Disconnect the Workstation power cord from the AC outlet, coil it, and store it on the
Workstation.
7. RUI with a 9800 Motorized Drive C-Arm only: Disconnect the RUI from the system before
you move the C-Arm to another location. Failure to disconnect the RUI can result in
damage to the RUI and the RUI connector.
8. Store the cables and switches on the C-Arm.
9. Disconnect the interconnect cable, coil it, and store it on the Workstation.
Shutdown sequence is complete.

2-8
Workstation updates

CAUTION: If the system fails to shut down normally, call for service.

CAUTION: Unplugging the interconnect cable from the Workstation before the Workstation has been
powered down and unplugged from the outlet can cause loss of functionality or system
damage. Always follow the shutdown sequence.
NOTE: The shutdown sequence cannot be aborted. You must wait for it to finish before you can restart
the system.

2.5 Restarting the system

CAUTION: When you turn the system off, always wait at least 10 seconds before powering the system
back on. This will help prevent operational problems. Startup failures can result when
restarting the Workstation if you do not wait 10 seconds after shut down is complete before
restarting the Workstation.

If the 10 second interval is not allowed before restart, the system may fail to restart
properly. Several error messages or other symptoms may occur during the restart
including an inoperable right monitor touch screen, or disabling of X-rays.

If these symptoms occur, allow the system to startup completely, displaying either the log
on or the Patient Information screen, and then press the power switch to allow the system
to shut down properly. Wait the required 10 seconds after shut down and restart the
system using the power switch.

After any anomalous power event, such as a power surge, momentary power outage, etc.,
the system should be completely shut down and rebooted to ensure that it is in normal
operating condition.

Should the system reboot automatically due to an anomalous power event, allow the
system to initialize fully, shut the system down, wait 10 seconds and reboot.
1. Close all Workstation screens until the Main Screen is displayed. Wait one minute to
ensure that all Workstation processes have been completed.
2. Press the power switch on the front of the system.
3. Wait 10 seconds.
4. To restart the Workstation, press the power switch on the front of the system.

CAUTION: To ensure proper reboot and function of the system, wait 10 seconds before turning power
back on. If problem persists, call service.

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Workstation updates

2.6 Error prevention and recovery

2.6.1 Error prevention

DICOM image store


When transferring images to a PACS or other system using DICOM, wait for the “Copy in Progress”
message to clear from the screen before shutting down the system. Failure to wait for the message
to clear may result in data corruption and loss of patient data and images.

DICOM Work List Query


When using the DICOM Work List Query, wait for the “Please Wait” message to clear from the
screen, and then exit the Scheduled Exams screen and follow the shutdown procedure.

Viewing or editing patient data


To shut down the system after viewing or editing Patient Data, follow the shutdown procedure.

When using Cine Playback (if available)


To shut down the system after viewing a Cine run, exit the Cine Playback screen, exit the Image
Directory screen (if displayed), and then follow the shutdown procedure.

When saving images


To shut down the system after pressing the Save key, follow the shutdown procedure.

2.6.2 Error recovery


Power loss and system restart
When the system loses AC power unexpectedly, by being accidentally unplugged or from some
other unexpected power loss, the system will shut down immediately. If the Workstation was in
operation at the time of the AC power loss, the power switch remains in the on position. Turn the
power switch to the off position before restoring AC power to the system. Press the power switch
when AC power is restored to restart the Workstation.

WARNING: Site specific procedures should be in place for handling the patient in case of imaging loss
or the loss or other Workstation or C-Arm functions during an exam.

2 - 10
Workstation updates

System lockups
Should the system unexpectedly become unresponsive or if it locks up, restart the Workstation to
return it to its normal operating condition. Refer to “Restarting the system” in this supplement for
detailed instructions. If the system fails to respond or continues to lock up, call for service.

Communication failure
If a COMM FAILURE message displays on the C-Arm control panel, press the Fast Stop button on the
back of the Control Panel Housing to disable X-rays. Press the power switch to shut down the
system. Wait 10 seconds before pressing the power switch again to restart the system. Should this
condition persist, shut down the system and call GE OEC service.

Image freeze
If the image on the left monitor “freezes,” press the power switch to shut down the system, wait 10
seconds and press the power switch again. Should this condition persist, shut down the system and
call GE OEC service.

Images not saved


When saving images, the system makes the audible tone and displays a Save icon on the left
monitor to indicate that the image has been saved. (Note: Systems with software version 29 and
earlier do not display this icon, but the tone still sounds. Press the Help key to display the software
versions screen.) If the system fails to save images, shut down the system and call GE OEC service.

Initialization failure
For systems equipped with software version 30 and above (press the Help key to display the
software versions screen), the Workstation displays a system initialization screen showing the
initialization progress. Once the initialization message closes, either the Patient Information screen
or the Login screen displays, and the system is ready for use. Should initialization fail, an
Initialization Failure message displays, indicating that patient data and image loss may have
occurred. If this Initialization Failure message displays, shut down the system and call GE OEC
service.

No boot
Do not interrupt system power until the system has fully completed the boot cycle. If the system
fails to boot within 3 minutes, shut down the system, wait 10 seconds, and then press the power
switch again. Should this condition persist, shut down the system and call GE OEC service.

No X-ray
If the system fails to take X-rays, turn off the system following the shutdown procedure. Wait 10
seconds, and then turn on the system. Should this condition persist, shut down the system and call
GE OEC service.

2 - 11
Workstation updates

2.7 Keyboard
The following information is in addition to the descriptions of the keyboard keys found in the GE OEC
9800 Workstation Operator Manual. For complete descriptions of the keys and their functions refer
to the Operator Manual.

2.7.1 Save key ( )


Press the Save key on the Workstation keyboard to save the left monitor image. While an image is
being saved, a Save Icon is displayed in the lower left corner of the X-ray image on the left monitor.

2.7.2 Swap key ( )


Press the Swap key to exchange images between the left and right monitor. When an image is
displayed on the left monitor and no image or a temporary image is displayed on the right monitor,
pressing the Swap key displays the left monitor image on the right monitor.
NOTE: The Swap key causes the image on the left monitor to be displayed on the right monitor after
system startup, at the beginning of a new exam, and at the end of a subtraction or Roadmap
image acquisition.
NOTE: Pressing the Swap key replaces the temporary image on the right monitor with the image on
the left monitor.

2.7.3 Diacritic keys

Figure 2-5 Diacritic keys on the Workstation keyboard

Diacritic keys (Figure 2-5) can be used in any language.


To use the diacritic keys:
1. Press the desired diacritic key.
2. Press the letter key on the keyboard that will receive the diacritic mark.
NOTE: Press and hold the Shift key to access marks in the upper case or upper left positions on the
keys and press and hold the Alt key for marks on the upper right corner of the key.

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Workstation updates

2.8 Workstation notes, cautions, and warnings


This section contains information about Workstation functions and hardware in addition to that
contained in the GE OEC 9800 Workstation Operator Manual.

2.8.1 Mag mode keys


The Mag mode key on the C-Arm control panel selects an image intensifier size. If Mag1 ( )or
Mag2 ( ) mode has been selected from the C-Arm control panel, a Mag 1 or Mag 2 icon is
displayed in the lower left corner of the X-ray image for live, static (last image hold), recalled, and
swapped images. The icons are also shown when displaying live cine and cine playback frames. No
Mag mode icon is displayed if the system is in normal Mag mode.

2.8.2 Customization
Customizations or changes to the Workstation can take up to one minute to save. If the system is
rebooted before the changes have been saved, the changes must be re-applied.

2.8.3 External connections


The following warnings apply to the connectors on the rear of the Workstation (Figure 2-6) as well as
any connectors not in use on other medical devices, such as printers, etc., that are connected to the
Workstation.

1. ARCNET connection
2. Parallel printer port (standard 25-pin D type)
connector
3. RS-232 serial communication (standard 9-pin D
type) connector
4. Left monitor standard video EIA 170 or CCIR
output (standard resolution)
5. Left monitor fast scan video (high
resolution)
6. Right monitor fast scan video (high
resolution)
7. Direct digital printer interface (DDPI 37-pin D
type) connector
8. Room control connector (Input/Output switch/
relay control for injector, room, door)
9. Ethernet connection
Figure 2-6 Workstation external connections

WARNING: Do not touch connectors and patient simultaneously. Electric shock could occur.

2 - 13
Workstation updates

WARNING: Connector covers must be in place when connectors are not in use to avoid inadvertent
connector contact.

WARNING: Connect only medical devices that comply with UL/IEC 60601 Standards. Contact GE
Healthcare for a list of compliant devices. Connecting a non-compliant device could cause
injury to the operator, the patient, or damage to the equipment. Connect only shielded
cables or cables supplied by GE OEC Medical Systems. When connecting accessories verify
normal operation in the configuration the accessory will be used. Clean the external
connector area with dry cloths only. Do not use liquid cleaners on this area.

2.8.4 Connecting a device to a Workstation connector


The following warnings apply to the connectors on the rear of the Workstation as well as any
connectors not in use on other medical devices, such as printers, etc., that are connected to the
Workstation.
1. Use a screwdriver to remove the cover from the desired connector. Keep the connector
cover for replacement when the device is disconnected from the system.
2. Connect the device to the connector.
3. When the device is disconnected from the system, replace the cover over the connector
and use a screwdriver to tighten it into place. If a cover is missing, call service to obtain a
replacement.
NOTE: The GE OEC Workstation can provide a signal to an approved injector through the Room Control
connector. This signal is sent when the injection icon displays during a subtraction acquisition.
Additional signals are sent during each of the conditions described in Table 6-1. A custom cable
must be constructed or obtained from an approved injector manufacturer or GE OEC Medical
Systems.

2 - 14
Workstation updates

2.9 Footswitches

CAUTION: The basic two- and three-pedal footswitches used with the 9800 Workstation may not
operate as expected when paired with a Workstation model for which they were not
intended.
The three-pedal footswitch is intended for use with cardiac systems.
When a three-pedal footswitch is attached to a non-cardiac system, it
functions as a two-pedal footswitch using the first two switches and the
mode switch. In this case, the third switch will cause a beep to sound
when pressed but will have no functionality.
The two-pedal footswitch is intended for use with non-cardiac systems.
When a two-pedal footswitch is connected to a cardiac system,
functions usually assigned to the third pedal of a three-pedal footswitch
(e.g., Digital Cine Pulse) are unavailable. However, the second footswitch
can be manually configured for Digital Cine Pulse using the mode
screen. For information on setting switch modes refer to “Imaging” in the
GE OEC 9800 Workstation Operator Manual.

2.10 Handswitch

CAUTION: Do not stretch the hand control cord further than 3.048 m (10 feet). This may result in
damage to the cord. If the cord is damaged and touches the floor, it is a safety hazard. Call
the Communications Center for assistance.

2 - 15
Workstation updates

2.11 Multiple switch presses

CAUTION: Simultaneously pressing the Fluoro ( ), HLF ( ), and Mode ( ) switches on a three-
pedal footswitch causes a digital cine shot to begin. Take precautions to avoid
simultaneous pressing of these switches by keeping the footswitch area clear of objects
that could cause one or more of these switches to be pressed accidentally.
Occasionally, multiple switches are pressed during a single shot. Pressing of multiple switches
during a single shot is not recommended. However, the system accommodates multiple switch
presses as shown in the following table. Multiple switch presses can happen using the foot or hand
switches or X-ray switch on the C-Arm control panel housing, or by pressing a combination of those
switches. The switches are marked as follows:
Fluoro Switch on both foot and hand switches.

HLF Switch on both foot and hand switches.

Digital Cine Switch on a three pedal footswitch.

Fluoro Switch on C-Arm control panel housing.

• If a fluoro switch is pressed (on the footswitch, handswitch or C-Arm) while another fluoro
switch is being pressed, the fluoro shot will continue until both fluoro switches have been
released.
• If an HLF switch is pressed (on the footswitch or handswitch) while another HLF switch is
being pressed, the HLF shot will continue until both HLF switches have been released.
• If an HLF switch is pressed while a fluoro switch (or digital cine pedal on a 3-pedal
footswitch) is being pressed, an HLF shot will not begin until the fluoro switch has been
released.
• If a fluoro switch is pressed while an HLF switch (or digital cine pedal on a 3-pedal
footswitch) is being pressed, a fluoro shot will not begin until the HLF switch has been
released.
• If the digital cine pedal is pressed (on a 3-pedal footswitch) while a fluoro or HLF switch is
being pressed, a digital cine shot will begin.

2.12 Extended exposure feature


The Extended Exposure feature is designed to provide a usable Last Image Hold (LIH) capture on
very short X-ray control switch activations. These are activations of insufficient duration to produce
a suitable LIH capture, typically less than 1 second. This feature extends only these very short
exposures, but only to the extent necessary to provide a suitable image capture.
The actual limit of exposure extension on very short exposures is dependent on two factors:

2 - 16
Workstation updates

1. The time required to obtain the proper X-ray technique. This time is up to 1 second on the
first exposure of a particular view only. For subsequent exposures of the same view, this
portion of the delay is typically less than .25 second.
2. The Fluoro Noise Reduction (FNR) filter setting. Higher FNR settings will result in longer
extensions of the exposure. Default FNR setting results in approximately 0.7 seconds of
extension for processing.
The total exposure extension is limited unconditionally to 1.25 seconds.

WARNING: This feature can be disabled by a Field Engineer but could result in poor image quality and
increased exposure to patient.

Attempting to take very short exposures in quick succession may not operate as expected.
This could result in degraded image quality of the initial or subsequent exposures.

With Extended Exposure disabled, X-rays may continue to be produced following the
release of a momentary X-ray switch press until the desired technique has stabilized.

With Extended Exposure enabled, X-rays may continue to be produced until the system
finishes processing the image to produce a stabilized image.

2.13 Ambient room light compensation


The GE OEC 9800 system monitors automatically compensate for ambient room light, adjusting for
maximum visibility automatically.

2.14 Cleaning

WARNING: Always turn the system off and disconnect power before cleaning. Use a slightly damp
cloth or sponge for cleaning.
Follow these guidelines when cleaning the system:
1. Clean the covers and panels periodically using a lightly dampened cloth or sponge.
2. Do not use solvents which may damage or discolor paint finishes or plastic components.
3. Take care not to drip liquids where they can enter electronic assemblies through panel or
cover seams.
4. Clean the external connector area with dry cloths only. Do not use liquid cleaners on this
area.

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Workstation updates

WARNING: The X-ray system is not rated for water-tight operation. Water, soap, or other liquids, if
allowed to drip into the equipment, can cause electrical short circuits leading to electric
shock and fire hazards.

If liquids spill into the Workstation or C-Arm electronics, properly shut down the system
and then disconnect the power cord. Do not operate the system until it can be cleaned and
inspected by a qualified service engineer.

2.14.1 Approved cleaning agents

Workstation
The following cleaning agents are approved for cleaning the Workstation and C-Arm:
• Virex II 256
• Precise® Hospital Foam Cleaner Disinfectant
• MadaCide-FD
• Bleach and Water in a 1:25 mixture
• Isopropyl alcohol
NOTE: Misty Clear Lemon 10 Disinfectant, Misty Multi-Purpose Disinfectant, and Misty Multi-Purpose
Disinfectant II are no longer approved cleaning agents.

Monitors
The following cleaning agents are approved for cleaning the Workstation monitors:
• MadaCide-FD
• Precise® Hospital Foam Cleaner Disinfectant
• 5.25% sodium hypochlorite diluted between 1:10 and 1:100 with water
• Isopropyl alcohol

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Updated Workstation screens and functions

Section 3
Updated Workstation
screens and functions

3.1 Overview
Since publication of the GE OEC 9800 Workstation Operator Manual, several screens have been
changed or updated. This section describes screens that may appear on the Workstation monitors,
depending on the system software version.

3.2 Screens

3.2.1 Log on – log off


The Workstation can be configured to require users to log on with a password before they can
operate it. Refer to “System Setup” in the GE OEC 9800 Workstation Operator Manual for
information on configuring the Workstation for password protection.
1. If the Workstation is configured for password protection, a log on screen similar to the
screen in Figure 3-1 is displayed when the system starts up or when the screen saver has
been activated.

Figure 3-1 Login screen

3-1
Updated Workstation screens and functions

2. Enter the password assigned to the Workstation and select OK. The Workstation finishes
starting up or closes the screen saver and is ready for use.
NOTE: Until the correct password is entered and accepted by the Workstation, X-rays and all switches
and remotes are disabled.
When you have finished using the Workstation you can log off by pressing the log off key ( ) or
simply by shutting down the Workstation. When the log off key is pressed, a confirmation dialog box
appears. Select OK to log off or Cancel to return to work on the Workstation.
NOTE: If the log off key is pressed multiple times while the log off in Progress screen is displayed,
system functionality is disabled.
NOTE: If the Workstation is not configured to use a password, the log off key is disabled.

3.2.2 Patient information screen


1. To view the Patient Information screen, select the Patient Information key ( ) from the
keyboard A screen similar to the screen in Figure 3-2 is displayed.

Figure 3-2 Patient information screen

NOTE: “Resume Exam...” button may be labeled as “Saved Exam...”

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Updated Workstation screens and functions

2. Use the keyboard to enter patient information as follows:


–Last Name: Enter the patient's last name.
–First Name: Enter the patient's first name.
–M.I.: Enter the patient's middle initial.
–Birthdate: Enter the patient's birth date as MM DD YYYY.
–Sex: Enter the patient’s sex as M or F.
–Patient ID: Enter the patient ID.
–Physician: Enter the physician's name according to DICOM format:
Last^First^MI. Use a ^ between the names, not a comma. (i.e.:
jones^jason^h^jr.)
–Procedure: Enter a brief description of the procedure.
–Comments: Enter comments.
–Accession #: Enter the accession number.
3. When you have finished entering patient information, you can either begin taking X-rays,
select the Exit button, or select the New Exam button to continue entering patients in the
scheduled exams list.

If you begin taking X-rays: The Patient Information screen closes automatically and the
Main screen is displayed. The patient you have just entered becomes the current patient.

If you select Exit: The patient you have just entered becomes the current patient, the
Patient Information screen closes, and the Main screen is displayed. The system is ready
for you to begin taking X-rays.

If you select New Exam: The patient information you have just entered is saved in the
Scheduled Exams list and the Patient Information screen is cleared.
NOTE: Each time you choose New Exam or Scheduled Exams, the C-Arm settings are reset to the
system default parameters. This includes the cine overwrite warning, fluoro timer, Contrast/
Brightness, noise filtering, and mode settings. The collimator leaves and iris adjust to the
position selected on the Customize C-Arm screen.

C-Arm settings are not retained with the exam information. When the current patient is
changed, any imaging parameters that are set will be reset to the system default values. When
returning to re-image the patient, any parameters you were using for that patient must be re-
specified. See “System Setup” in the GE OEC 9800 Workstation Operator Manual for any
settings that can be pre-determined for default.

Current patient
Before images are taken you must select a current patient record to receive the images. The system
creates an unnamed file. The current patient is selected in one of the following ways.
• Press the Scheduled Exams button to select a patient record from the Scheduled
Exams screen.
• Resume an exam by selecting the Resume Exam (or Saved Exams) button and
selecting a patient record from the Select Current Patient screen.

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Updated Workstation screens and functions

3.2.3 Move images to new study


You can move images to a new study by using the following sequence.
1. Press the Patient Information key. The Patient Information screen displays.
2. Touch Resume Exam… on the Patient Information screen. The Select Current Patient
screen displays.
3. Select the desired patient study from the Select Current Patient list and touch OK to return
to the Patient Information screen. The selected patient is now the current patient.
4. Press the Image Directory key. The Image Directory screen displays.
5. Touch Copy To… on the Image Directory screen. The Copy To screen displays.
6. Touch New Study on the Copy To… list and then touch OK to return to the Image
Directory screen. The left side of the Image Directory screen appears similar to the screen
in Figure 3-3.

Figure 3-3 Image directory screen


1. Copy To... button
2. Queue box
3. Copy button
7. Select the preview image you want to move to the new study, and then touch the queue
box to send the image to the queue. As you add each image to the queue, the image
number is added to the queue box. Repeat for each image until you have selected all the
images you want to move or the queue is full and the queue button becomes inactive.
8. Once you have added all desired images to the queue, touch the Copy button. The New
Study screen displays.
9. Enter the patient information for the new study and touch OK. Images are moved from
the original study's image directory into the new study's image directory. The new study,
containing the selected images, is created and displays on the screen. The new study is
also accessible from the Select Current Patient screen.

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Updated Workstation screens and functions

If some images are moved from an original study to a new study, all dose summary information
remains with the original study. If all images are moved from an original study to a new study, all
dose summary information moves to the new study and then the original study is deleted.

3.2.4 Scheduled exams


NOTE: All names appearing in example screens are fictitious. Any resemblance to real people, living
or dead is purely coincidental.
1. To select the current patient from the scheduled exams list, select the Patient Information
key ( ) from the keyboard.
2. When the Patient Information screen is displayed, select the Scheduled Exams button
from the screen. A screen similar to the screen in Figure 3-4 is displayed.

Figure 3-4 Scheduled exams screen

The Scheduled Exams screen displays an alphabetical list of patient records that have
been entered in the Patient Information screen and saved with the New Exam button and
for whom no images have been stored on the system. To sort the list by physician, select
the By Physician button on the screen. If the list is longer than can be displayed on a
single screen, use the arrow keys on the screen to scroll through the list.
3. Select the desired patient from the list.
4. Select the OK button to return to the Patient Information screen and to make the selected
patient the current patient. The system is now ready for you to begin taking X-rays.

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Updated Workstation screens and functions

NOTE: Each time you choose New Exam or Scheduled Exams, the C-Arm settings are reset to default
parameters. This includes the cine overwrite warning, fluoro timer, Contrast/Brightness, noise
filtering, and mode settings. The collimator leaves and iris adjust to the position selected on
the Customize C-Arm screen.

C-Arm settings are not retained with the exam information. When the current patient is
changed, any imaging parameters that are set will be reset to the system default values. When
returning to re-image the patient, any parameters you were using for that patient must be re-
specified. See “System Setup” in the GE OEC 9800 Workstation Operator Manual for any
settings that can be pre-determined for default.

3.2.5 Update schedule – Schedule Filter


The Update Schedule and Schedule Filter buttons in the Scheduled Exams screen are used to
retrieve patient records from a DICOM Work List Query server. If the Workstation is not connected to
a DICOM network or if the DICOM servers are not defined on the Workstation, the Update Schedule
and Schedule Filter buttons are not active on the Scheduled Exams screen.
1. To retrieve patient records using the Update Schedule button, make sure that a DICOM
Work List Query Server is defined for the Workstation. Refer to “DICOM Configuration” in
the “Additional Applications” section of the GE OEC 9800 Workstation Operator Manual.
2. Select the Update Schedule button to retrieve patient records from the DICOM server
defined for the Workstation. This operation may take some time depending on the
number of records available on the DICOM server and the speed of the network.

CAUTION: Do not shut down the system while DICOM query is in process. Interrupting the DICOM
query may result in corrupted data.
NOTE: Taking an X-ray while transferring data to a DICOM server will cause the transfer to fail, and
the DICOM feature may be disabled. The image will be taken correctly, but it may be necessary
to reboot the system to re-enable DICOM functionality.
3. The Update Schedule operation can retrieve up to 500 records. You can use the Schedule
Filter button to limit the number of records that are displayed. To display the Schedule

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Updated Workstation screens and functions

Filter screen, select the Schedule Filter button from the Patient Information screen. A
screen similar to the screen in Figure 3-5 is displayed.

Figure 3-5 Schedule Filter screen

4. Enter information into the Schedule Filter screen to search for patient records that meet
the filter criteria. Choose one of the following Modalities as designated by your IT
requirements:
–RF: X-ray Radio Fluoroscopic Image Storage
–XA: X-ray Angiographic Image Storage
–SC: Secondary Capture Image Storage
–ALL: Select ALL unless querying for a specific modality
NOTE: No error checking is done for date or time values, so results from the server may vary.
5. Check the Get Today's Exams box, or enter patient and/or physician information for a
refined query.

The lower half of the Schedule Filter screen provides a way to refine or filter your search
of the DICOM work list. Multiple information entries may be used to refine your filter.
6. Enter the specific filtering criteria needed.
–Patient Name: Enter patient's name according to DICOM Format: Last^First^MI.
Use a ^ between the names, not a comma. (i.e.: jones^jason^h^jr.).
If supported by the server being queried, use * for a general
search of a name. (i.e.: Jones*) Check the server's DICOM
Conformance Sheet for more information.
–Patient ID: Enter the patient ID.
–Accession #: Enter the accession number.

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Updated Workstation screens and functions

NOTE: The Accession field is always enabled on the DICOM query directory screen. The accession field
may be enabled or disabled on the Patient Information screen. This is set up in the Customize
Patient Information screen.
–Study Date: YYYYMMDD. You must use this format. No spaces or other
characters other than numbers are allowed. You can enter a date
range using the following formats:
–YYYYMMDDT retrieves all studies before and including this date.
–YYYYMMDD-T retrieves all studies after and including this date.
–YYYYMMDD-YYYMMDDT retrieves all studies between and
including these dates.
–Study Time: HHMMSS. Use this format to enter the time. Use the same syntax
as that used for Study Date. Time is entered based on 24 hours.
(i.e.: 2:00 pm is entered 140000.)
–Physician: Enter the physician's name according to DICOM format:
Last^First^MI. Refer to Patient Name above for more details.
–Patient DOB: Enter all or part of the patient’s date of birth using the same
formatting as the Study Date entry.
Select the modality used with the scheduled patient(s) you wish to see.
7. Select the OK button and the Schedule Filter screen is closed. The Scheduled Exams
screen is displayed.
8. Select the Update Schedule button and the patient names, filtered according to the
criteria entered in the filter screen, are displayed.
9. Select a patient from the list.
10. Select the OK button to return to the Patient Information screen and to make the
selected patient the current patient. The system is now ready for you to begin taking
X-rays.

CAUTION: Always ensure the correct patient name is displayed on the patient information screen
before producing X-rays; otherwise, images may be stored under an incorrect patient’s
name.
NOTE: Each time you choose New Exam or Scheduled Exams, the C-Arm settings are reset to default
parameters. This includes the cine overwrite warning, fluoro timer, Contrast/Brightness, noise
filtering and mode settings. The collimator leaves and iris adjust to the position selected on the
Customize C-Arm screen.

C-Arm settings are not retained with the exam information. When the current patient is
changed, any imaging parameters that are set will be reset to the system default values. When
returning to re-image the patient, any parameters you were using for that patient must be re-
specified. See “System Setup” in the GE OEC 9800 Workstation Operator Manual for any
settings that can be pre-determined for default.

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Updated Workstation screens and functions

3.2.6 Change current patient


1. To select the current patient from the Select Current Patient screen, select the Patient
Information key, from the keyboard.
2. When the Patient Information screen is displayed, select the Resume Exam button from
the screen. A screen similar the screen in Figure 3-6 is displayed.

Figure 3-6 Select Current Patient screen

The Select Current Patient screen displays an alphabetical list of patient records for
whom images have been stored on the system. To sort the list by date or by physician,
select the By Date or the By Physician button on the screen. If the list is longer than can
be displayed on a single screen, use the arrow keys on the screen to scroll through the
list.
3. Select the desired patient from the list.
4. Select the OK button to return to the Patient Information screen and to make the selected
patient the current patient. The system is now ready for you to begin taking X-rays.

3.2.7 Saved exams

CAUTION: In the Image Directory screen, when a patient is selected from the Saved Exams screen,
that patient does not become the current patient. Any new images taken will be added to
the current patient selected from the Patient Information screen.
The Saved Exams screen, accessible from the Image Directory screen, is used to view images from a
saved patient exam.

3-9
Updated Workstation screens and functions

1. To view images from a saved patient exam, select the Image Directory button ( ) from
the keyboard. A screen similar to the screen in Figure 3-7 is displayed.

Figure 3-7 Image directory screen

2. Select the Saved Exams button on the Image Directory screen to display the Saved Exams
screen similar to the screen in Figure 3-8.

Figure 3-8 Saved Exams screen

This screen lists patient exams that have been saved on the system. Use the arrow keys
on the touchscreen to scroll through the list.
3. Select the patient whose images you wish to review, select OK, and the system returns to
the Image Directory screen.
4. The patient information for the selected patient is displayed along with the images
associated with the selected patient.

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Updated Workstation screens and functions

3.2.8 Time and date


Select the Time / Date button to enter the current date and time, and to specify the format of the
date display.

Set time and date


1. Select Time/Date on the Setup screen. A screen similar to the screen in Figure 3-9 is
displayed.

Figure 3-9 Customize time/date screen

2. To set the time manually:


• Enter the current time in hours, minutes and seconds using the keyboard, and then
select the Set button on the screen.
• Enter the current date in numeric characters for month, day, and year and then select
the Set button.
• Select either the MM/DD/YYYY button or the DD:MM:YYYY button to choose a format
for the date display.
• Select the OK button to close the Setup Time/Date screen and return to the
Customize screen.
NOTE: System default is MM/DD/YYYY.

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Updated Workstation screens and functions

3.3 Modes of operation


The 9800 Workstation employs a variety of modes of operation for maximum flexibility in a number
of imaging procedures. This sub-section contains information on the various modes of operation,
their suggested uses, and technical information as well as specifics on using the various modes.

3.3.1 Automatic and manual exposure control


Press the AUTO technique button in the Generator control section of the C-Arm control panel, near
the kVp and mA/mAs control buttons, to toggle between automatic and manual exposure control.
• When automatic exposure control is selected, the LED next to the AUTO button
illuminates. If an X-ray control switch is pressed, the system automatically adjusts the
kV and mA to acquire an X-ray image.
• When manual exposure control is selected, the LED next to the AUTO button is dark. If
an X-ray control switch is pressed, kVp and mA can be independently adjusted before
or during the generation of X-rays.
The system defaults to automatic exposure control of X-ray technique (kVp and mA).
NOTE: Automatic exposure control is recommended for most imaging situations. It will automatically
acquire the desired X-ray image with technique factors that minimize the amount of radiation
exposure.

3.3.2 Activating and deactivating imaging modes


All fluoro modes used on the 9800 can be activated in a variety of ways including mode keys on the
C-Arm control panel, C-Arm remote user interface, handswitch, and the two- and three-pedal
footswitches. Additionally, all modes can be activated, deactivated, and modified using the Mode
screen displayed on the right monitor of the Workstation. The Mode screen, in turn, sets up the
functions assigned to the 2 or 3 pedal switch that is used to activate X-rays using parameters set up
for the selected mode. The Mode screen is accessed by selecting the Mode button on the Main
screen.

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Updated Workstation screens and functions

3.3.3 Mode display


The current active mode and related settings are displayed in the status bar at the bottom of the
Mode screen. The Mode screen and status bar are similar to the screen shown in Figure 3-10.

Figure 3-10 Mode screens

NOTE: The Mode Status Bar shows the setting of the footswitch buttons. See “Footswitches and
Modes” in this section for more information.

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Updated Workstation screens and functions

3.3.4 Footswitches and modes


The modes displayed in the status bar and in the Mode screen relate to the two- or three-pedal
footswitch as shown in Table 3-1. Pressing a footswitch begins X-rays in the indicated mode.
Releasing the footswitch stops X-rays. Pressing the small switch, in the center of the two-pedal
footswitch and in between the left and center pedals of the three-pedal footswitch, toggles through
the available modes and is reflected in the Mode Screen.
Table 3-1 Footswitches and modes

Two pedal footswitch Three pedal footswitch

Mode Left Right Left Middle Right


group footswitch footswitch footswitch footswitch footswitch

Standard Fluoro HLF or Digital Fluoro HLF or Digital Digital Cine


fluoro Spot Spot Pulsed

Fluoro or Subtract Fluoro or Subtraction Digital Cine


Vascular Roadmap Roadmap Pulsed (non-
subtracted)
Mode Small center switch Small switch between left and center
toggle footswitch pedals

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Updated Workstation screens and functions

3.3.5 Imaging modes summary


Table 3-2 summarizes the modes available on the system. Additionally, it shows the X-ray
techniques available with each mode and the status bar display for each mode. The user must be
aware of the techniques associated with the various modes and monitor dose rates and doses for
each patient.
Table 3-2 Imaging table
Mode X-ray Techniques Display Examples
Fluoro kVp: 40 to 120
mA: 0.2 to 10 General fluoro imaging
and Roadmapping

Pulsed Fluoro kVp: 40 to 120


mA: 0.2 to 10 Low-dose imaging

High Level kVp: 40 to 120


Dense anatomy (low
Fluoro (HLF) mA: 0.2 to 20
noise) and Subtraction
Digital Spot kVp: 40 to 120 Short duration high mA
mA: 1.0 to 75 imaging (a film-like
shot)
Digital Cine kVp: 40 to 120 Cardiac and vascular
(Pulsed) mA: 0.2 to 150 imaging
Pulsed HLF kVp: 40 to 120
mA: 0.2 to 40 Fluoro video
Radiography kVp: 50 to 120
mA: up to 75 X-ray films
mAs: 1 to 300 mAs

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Updated Workstation screens and functions

3.4 Dosimetry display


The 9800 Workstation can be configured to show three indications for dosimetry: Dose Area
Product, Cumulative Air Kerma, and Air Kerma Rate, which are set according to the regulations of
the country where the system is installed. This information is continuously displayed and updated
throughout an exposure on the bottom right corner of the X-ray Image screen, and is also available
on the Dose Summary screen. Contact service to have these settings adjusted to site preference.
These dosimetric indications are calculated in the system based on kVp, mA, exposure time, and
collimation. The dosimetry displayed by the 9800 System can be independently measured by a
dosimeter. A current calibration on the 9800 system is needed for accurate dosimetry information.
Annual calibration checks are recommended.
NOTE: Dosimetry can be displayed in units based on Grays (Gy) or rads. This setting can be changed
on the Customize Workstation screen, accessible through the Customize screen.

3.4.1 Air Kerma and Air Kerma rate


Air Kerma (Kinetic Energy Released per unit Mass) is an indication of the radiation delivered to the
Interventional Reference Point (IRP), a point in space, and is measured in the units of Grays (Gy).
The 9800 System determines the IRP as a point along the central X-ray beam axis 70cm from the
focal spot (30cm from the image intensifier entrance).
NOTE: Selection of the IRP is based on international convention and typical usage of a multi-use mobile
fluoroscopy system. This point should represent a typical intersection of patient surface and
the X-ray beam axis.

WARNING: When the patient is positioned more than 30cm from the Image Intensifier, the dose
received by the patient is higher than the indications displayed on the Workstation.
The Air Kerma display option on the 9800 Workstation provides two indications of Air Kerma, the
Cumulative Air Kerma and the Air Kerma Rate.
• The Cumulative Air Kerma (CAK) is an indication of the accumulated Air Kerma at the
IRP for the duration of the exam. The number is at 0 at the beginning of the exam, and
increases for each X-ray exposure. The CAK value is automatically reset to 0 at the
beginning of each new exam. CAK is displayed in terms of mGy or Gy.
• The Air Kerma Rate (AKR) is an indication of the instantaneous rate of radiation.
During an X-ray exposure, the AKR displays in units of mGy/min. Otherwise, the 9800
Workstation displays the AKR as 0 mGy/min.
• The displayed AKR and CAK have an accuracy error of less than 35% for exposure
times greater than 3 seconds.
NOTE: Air Kerma is useful in predicting short-term deterministic effects from radiation. Examples of
deterministic effects include skin injury and hair loss. The United States Food and Drug
Administration, in “Recording Information In The Patient's Medical Record That Identifies The
Potential For Serious X-ray-Induced Skin Injuries,” (1995), suggests a threshold of 1 Gy, beyond
which deterministic effects might appear.

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Updated Workstation screens and functions

NOTE: The 9800 system does NOT disable X-ray production at any radiation dose threshold.
The 9800 Workstation can display CAK and AKR using different units:
Measurement Units Conversion
CAK or Entrance Dose Gy or rads 1Gy corresponds to 100 rads.
AKR or Entrance Exposure Rate mGy/min or R/min 1Gy corresponds to 114 Roentgens (R).

3.4.2 Dose-area product (DAP)


Dose Area Product (DAP) is an indication of the radiation energy used during a procedure or
individual exposure. It is measured in the units of mGym2 or radcm2. DAP is the product of the
exposed area and the Air Kerma. The Dose Area Product is not dependent on the patient position
relative to the X-ray tube.
The DAP display option on the 9800 Workstation provides the DAP for each X-ray exposure on the X-
ray Image screen. Between exposures, the 9800 Workstation retains the DAP value for the previous
exposure on the X-ray Image screen. The Dose Summary screen displays the accumulated DAP for
the entire exam. The DAP value is automatically reset to 0 at the beginning of each new exam.
The displayed DAP has an accuracy error of less than 50% for exposures greater than 0.25 mGym2.
NOTE: DAP is useful to assess the risk of long-term stochastic effects from radiation. For example, an
increased risk of cancer due to lifetime radiation exposure is a stochastic effect.
NOTE: The 9800 system does NOT disable X-ray at any radiation dose threshold.

3.4.3 Exposure timer


The Exposure Timer, displayed on the lower right corner of the X-ray Image screen, accumulates the
time during which X-ray has been generated during the exam. The information is displayed in
minutes and 10ths of a minute. The timer starts at 0 at the beginning of the exam, and it increases
for each X-ray exposure during the exam.

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Updated Workstation screens and functions

3.4.4 Dosimetry on the X-ray image screen


The Dosimetry on the 9800 X-ray Image screen is similar to the following:

1. Exposure timer.
2. Air Kerma Rate (AKR)
3. Cumulative Air Kerma (CAK)
4. Dose Area Product (DAP)
5. X-ray technique factors

Figure 3-11 Sample screen – live shot

NOTE: The system can be configured to display AKR plus CAK, DAP, or all three dose values on the
X-ray image screen depending on local regulatory requirements and customer preferences
where allowed. If you wish to change your current settings, please contact your service
representative.

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Updated Workstation screens and functions

3.4.5 Dose summary


The Dose Summary screen displays dosimetry for each patient exam.
To display the Dose Summary screen on the left monitor, select the Dose Summary button from the
Image Directory screen. A screen similar to the following displays.
The Dose Summary screen contains the following information about the patient exam:

1. Patient information.
2. Accumulated Dose Area Product
for the exam.
3. Cumulative Air Kermas (CAK).
NOTE: If the system is configured to
display only Air Kerma, line 2
will be empty and line 3 will
display Cumulative Air Kerma
for the exam. If the system is
configured to display both Air
Kerma and DAP, line 2 will
show DAP and line 3 will
display Air Kerma.
4. Percentage of total dose area
product in each mode or field of
view.
5. Time of exposure, in seconds, for
each imaging mode.

Figure 3-12 Dose Summary screen

NOTE: In Pulsed modes, the total time that X-rays were generated displays in the Time column, rather
than the length of time that the X-ray switch was pressed.
NOTE: The Workstation can be set to display Air Kerma, Dose Area Product, or both, in this summary
screen. Contact service to change this setting.
NOTE: A printer must be connected and configured on the System in order to print patient summary
information. Refer to Select a Device in Chapter 7 of the GE OEC 9800 Workstation Manual
to select a printer, if necessary.
1. Touch Dose Summary on the Image Directory screen. The dose summary displays on the
left monitor.
NOTE: Wait 2-3 seconds for the image of the Dose Summary to stabilize on the left monitor before
proceeding with step 2.
2. At the left of the Image Directory screen on the right monitor, touch the area beneath the
printer name. This sends a screen capture of the dose summary to the printer.
3. Touch the Copy button. The image prints on your printer.

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Updated Workstation screens and functions

3.5 Visual and audible X-ray indication


The following visual indications are provided as alerts that standard or High level fluoro (HLF)
X-rays are being generated.
C-Arm X-ray On Workstation X-ray On
X-ray Mode Workstation/C-Arm display
Lamp (Yellow) Lamp (Yellow)
The word “LIVE” pulses on the
Standard Fluoro On continuously On continuously bottom-left of the Workstation
left monitor.
The word “LIVE” pulses on the
High Level Fluoro On continuously On continuously bottom-left of the Workstation
(HLF)
left monitor.
The word “LIVE” pulses on the
Flashes at the pulse
Pulsed Mode Flashes at the pulse rate bottom left of the Workstation
rate left monitor.
The word “ARMED’ displays on
On during X-ray
Film Mode On during X-ray exposure the C-Arm control panel when
exposure
film mode is prearmed.
The word "LIVE" displays briefly
on the bottom-left of the
Workstation left monitor. X-rays
On during X-ray automatically terminate, and the
Digital spot On during X-ray exposure
exposure Save icon and the number of the
saved image display briefly on
the bottom-left of the
Workstation left monitor.

The following audible alarms are provided as alerts that X-rays are being generated.
• Standard fluoro generates a pulsed audible alarm.
• High level fluoro generates a pulsed audible alarm at twice the rate as the standard
alarm.
• The Reset Alarm generates a constant alarm until Alarm Reset is pressed.
• The beginning of Film Mode is signaled by a beep. The end of the exposure is signaled
by three quick beeps.
• Digital spot generates a single audible beep followed by a second beep with a
different tone to indicate when the image is automatically saved.

3 - 20
Diagnostics

Section 4
Diagnostics

4.1 Workstation messages

4.1.1 Overview
This section describes messages that may appear on the Workstation monitors and C-Arm control
panel display, depending on the system software version. Some of the messages are informational
messages displayed to advise the user that the system is operating correctly. Other messages are
displayed when the system fails during the startup sequence or fails during system operation.
Workstation and C-Arm failures may result in impaired system operation or automatic system
shutdown. The messages are listed in alphabetical order.
Table 4-1 through Table 4-3 catalog messages that may appear on the right or left monitor, or on
the C-Arm. Messages in the tables are followed by their meanings and the recommended actions to
be taken. Some messages listed here may not apply to your system.

4.1.2 Error recovery steps

WARNING: Site-specific procedures should be in place for handling the patient in case of the loss of
imaging or other Workstation or C-Arm functions during an exam. Workstation and
C-Arm functions and imaging may be recovered using the following error recovery
procedure.
Perform the following error recovery procedure if you encounter problems during start-up or
operation:
1. Read the displayed message carefully. Some messages only require the user to
acknowledge the error by selecting OK and allow the system to recover from the error
automatically.

Other messages contain instructions to shut down and restart the system. Refer to the
“Starting, Shutting Down, and Restarting the System” sections in this document for
information on properly shutting down and restarting the system.

4-1
Diagnostics

If shutting down and restarting the system fails to restore normal operation, proceed with
step 2.
2. Remove all power, quarantine the system, and call for service.

WARNING: Ignoring error and warning messages may result in equipment damage and
personal injury.

4.1.3 Right monitor messages


Table 4-1 Right monitor messages

Message Meaning Recommended action


A DIFFERENT C-Arm HAS A serial number mismatch has Turn the Workstation off, wait
BEEN CONNECTED TO THE been detected between the 10 seconds, and then restart
WORKSTATION Workstation and C-Arm during the Workstation.
Turn the Workstation off, boot up.
wait 10 seconds, and then
restart the Workstation.
ALL EXISTING ANNOTATION Displayed when user wants to Press OK to proceed or
AND MEASUREMENTS WILL zoom an image. Annotation and CANCEL to cancel.
BE REMOVED FROM THE measurements will no longer
IMAGE Proceed? match the image and must be
removed.
ALL PATIENT HEALTH Displayed when the operator Press OK to proceed or
INFORMATION AND SAVED invokes the Delete All Patient CANCEL to cancel.
IMAGES WILL BE DELETED Health Information option on the
Proceed? Customize Security Screen.

CAUTION: Deleted patient


information cannot
be restored.
BUMPER ATTACHED The Collision Detection Assembly Press OK to clear.
Bumper has been attached has been attached.
to the Image Intensifier.
BUMPER REMOVED The Collision Detection Assembly If the bumper is removed, the
Bumper has been removed has been removed. system limits motion speed to
from the Image Intensifier. 3° per second. Press OK to
clear. If this message appears
with the bumper attached, call
service.
CANNOT MAKE NETWORK Displayed when the Workstation Make sure the system is
CONNECTION is unable to initialize the external connected to an active
Verify the Workstation is network interface during Boot up. network. Look for loose
connected to the network. connectors or damaged
network cables.

4-2
Diagnostics

Message Meaning Recommended action


COMMUNICATION FAILED This message displays when a Pressing FAST STOP manually
The communication loss of communication with the terminates X-ray generation.
between the Generator generator is detected by the
and the Workstation failed. Workstation during an exposure.
Press the FAST STOP switch The user is instructed to press
to disable X-rays. Turn the FAST STOP given that
system off, wait 10 communication loss with the
seconds, and then generator may indicate a
restart the system. If this generator software hang.
message persists, call for
service.
COPY FAILED Displayed when the media Press OK to clear.
returns a Close error when
copying a single image or bitmap.
CORRUPTED IMAGES Displayed when the user Informational message only.
DELETED accesses Saved Exams screen
Corrupted images were after corrupted images were
detected at boot up and deleted at bootup.
could not be repaired.
These images have been
deleted. This may be the
result of a power loss or
improper shutdown. If this
message persists, call for
service.
DELETE ALL COMPLETE Displays after all patient health Reboot the system to re-
X-rays are disabled. Turn information has been deleted. enable X-rays.
the system off, wait 10
seconds, and then restart
the system.
DELETE ALL IN PROGRESS Displayed after the operator has Allow deletion to complete
Please wait. confirmed that all patient health before attempting another
information be deleted. activity. You cannot halt a
deletion in progress.
DICOM ERROR The DICOM device may return an Check the configuration of the
Check the configuration of error in response to a request if DICOM device and try again.
the DICOM device. the device has been configured
improperly. For example, this
error will be reported if a report is
sent to a DICOM printer that has
been configured with a format
layout that the printer cannot
support.

4-3
Diagnostics

Message Meaning Recommended action


DICOM SERVER IS OUT OF Displays when a queue is sent to Wait a few minutes and try
RESOURCES — TRY AGAIN either a DICOM printer or a again.
LATER DICOM server that is out of
This is probably a resources (i.e., busy).
temporary condition
caused by currently high
usage of the server. If this
message persists, call for
service.
DISK FULL Message displays during a copy Insert another disk.
Insert another disk and process if the destination device
copy remaining images. has inadequate space remaining
to continue.
FORMATTING ERASES ALL Message displays to warn the Press YES to continue, press
DATA ON THE DISK user about the consequences of NO to cancel.
Select YES to continue the “REFORMAT” button.
formatting, select NO to
cancel. Continue
formatting?
HIGH-CAPACITY DISK Message displays when high Connect high-capacity drive.
FAILURE capacity drive was not connected Reboot. If message persists,
Drive has failed to initialize at boot up. call your service
or is not properly installed. representative.
If this message persists,
call for service.
INVALID YEAR Message displays when the value Enter an acceptable year
Enter a value from 1976 to entered for the year in the value.
2075. Customize Time/Date Screen is
not within the specified
parameter.
JOYSTICK FAILURE Message displays when the Turn the system off, wait 10
The system could not system fails to communicate with seconds, then restart the
communicate with the the joystick. The system could not system. If problem persists,
joystick. Turn the system communicate with the joystick. call service.
off, wait 10 seconds, and
then restart the system. If
this message persists, call
for service.
JOYSTICK STUCK Message displays when the Move any objects that may be
The joystick reported an joystick position is not within the in contact with the joystick.
error while initializing. normal range during startup. Turn the system off, wait 10
Move any objects that may seconds, and then restart the
be in contact with the system. If this message
joystick. Turn the system persists, call for service.
off, wait 10 seconds, and
then restart the system. If
this message persists, call
for service.

4-4
Diagnostics

Message Meaning Recommended action


KEYBOARD FAILURE Message displays when Turn the Workstation off, wait
Turn the Workstation off, communication with the 10 seconds, then restart the
check the keyboard keyboard fails during bootup. Workstation. If this message
connection, wait 10 persists, call for service.
seconds, then restart the
Workstation. If this
message persists, call for
service.
LOGIN FAILED Message displays when user Enter the correct password.
Please enter your enters an invalid password at the
password again. LOGON screen.
LOGOUT IN PROGRESS Message displays when user Enter OK to confirm log off.
Proceed? confirms a log off. This is a
second chance to abort the log
off.
MOTION CAL REQUIRED Motion has not been calibrated. If message persists, call
Motion has not been Message also appears on C-Arm service.
calibrated. If this message control panel.
persists, call for service.
MOTION ERROR Message displays as a result of a If message persists, call
Touch OK to continue. If variety of motion problems such service.
this message persists, call as uncommanded motion and
for service. failure to communicate.
MOTION FAILURE Message displays if motion does Turn the system off, wait 10
Turn the system off, wait not occur when commanded. seconds, and then restart the
10 seconds, and then system. If this message
restart the system. If this persists, call for service.
message persists, call for
service.
NETWORK NOT Message displays when the Contact network
RESPONDING Ethernet cable is disconnected administrator.
Contact the network from the system and the network
administrator. configuration for the system is
complete and correct.
NEW PASSWORD AND Message displays when the new Type the same password
RETYPED PASSWORD DO password verification does not twice. Make sure new
NOT MATCH match the new password. password and password
Enter the new passwords verification match exactly.
again. Make sure the
retyped password matches
the new password.
NEW PASSWORD TOO Message displays if new Create a new password with
SHORT password has fewer than six at least six characters.
Enter a new password at characters.
least six characters in
length.

4-5
Diagnostics

Message Meaning Recommended action


NO DISK IN DRIVE. Message displays when an Insert a disk in the drive and
Insert disk. attempt to copy to a floppy disk is retry.
made and no media is in the
drive. Also displays when, after
user receives a “DISK FULL”
message, presses OK, and no
media is in the drive.
OLD PASSWORD Message displays when user Enter correct current
INCORRECT enters the incorrect current password.
Please enter your old password in the Change
password again. Password screen.
PLEASE WAIT.... Message displays when the Notification only; no response
Workstation is preparing to copy required.
to another device such as a
floppy or PCI card.
PRINTER ERROR Message displays when the Consult printer operating
Check the printer error printer reports a hardware error instructions for more
display and refer to the condition while printing an information.
operating instructions image.
provided for the printer for
more information.
PRINTER IS OUT OF FILM OR Message displays when printer Load paper or film into printer.
PAPER reports that it is out of paper or
Replace film or paper. film while printing an image.
PRINTER OFF LINE Displays when the local printer is Place printer on-line and
Place printer on-line and turned off or is off line. resubmit print job.
resubmit print job.
REMOTE CONTROL Message displays when the IR Replace battery in IR remote
BATTERY IS LOW remote control reports that its control.
Replace battery. remaining battery charge is too
low for accurate usability.
RUI FAILURE Message displays when the Make sure the RUI is plugged
The system could not system and remote user into the C-Arm. If that does
communicate with the interface fail to communicate. not fix the problem, turn the
remote user interface. Turn system off, wait 10 seconds,
the system off, wait 10 then restart the system. If this
seconds, and then restart problem persists call service.
the system. If this message
persists, call for service.
RUI KEY STUCK Message displays when Remove objects that may be
Remove any objects that movement of RUI buttons is in contact with the RUI
may be in contact with RUI restricted. This message also buttons.
buttons. Turn the system appears on the C-Arm control Turn the system off, wait 10
off, wait 10 seconds, and panel. seconds, then restart the
then restart the system. If system. If this problem
this message persists, call persists call service.
for service.

4-6
Diagnostics

Message Meaning Recommended action


SAVE OPERATION FAILED Message displays if an image is Retry the save operation. If the
System failed to complete not successfully saved after the message persists, call service.
the requested Save SAVE key has been pressed.
operation. Please try again.
If the message persists, call
for service.
SCHEDULED EXAM LIST IS Message displays when user Archive completed exams to
FULL touches the NEW EXAM button make room for new ones.
New patient information on the Patient Information screen
will not appear in the when the scheduled exam list is
scheduled exam list. already full.
SYSTEM ERROR DETECTED Displayed when a CPU exception Turn the system off, wait 10
Turn the system off, wait occurs or a runtime OS exception seconds, then restart the
10 seconds, and then occurs. The system must be system. If this problem
restart the system. If this rebooted to become fully persists, call for service.
message persists, call for operational again. This message
service. occurs when a processor
exception error occurs in either
the MCU, GIB, or FFB. System
operation may continue in a
degraded state until rebooted.
SYSTEM ERROR DETECTED Displayed when a CPU exception Reboot and retry. If the
X-rays are disabled. Turn occurs or a runtime OS exception problem persists, call for
the system off, wait 10 occurs. The system must be service.
seconds, and then restart rebooted to become operational
the system. If this message again.
persists, call for service.
This message occurs when the
RTOS sees a runtime
exception. It will include error
specific information in English
only at the end of the
message.
SYSTEM ERROR Excessive or missing frame sync Reboot and retry. If the
The Workstation is fully has been detected on the GIB or message persists, call service.
functional but X-rays are FFB for more than 10 seconds.
disabled. To enable X-rays
turn the system off, wait 10 Displays when FFB does not
seconds, and then restart recover within 15 seconds after
the system. If this message an FFB reboot.
persists, call for service.

4-7
Diagnostics

Message Meaning Recommended action


SYSTEM FAILED TO Message displays when system Verify the system is online.
CONNECT TO cannot connect to the DICOM Enter the correct IP address
DICOM SERVER server due to incorrect IP address and port number. Try the
Verify the target server is or port number. connection again. If the error
on line, and its IP address persists, call for service.
and port number are Message displayed when system
configured properly on the is offline.
system. If this message
persists, call for service.
THE C-Arm HAS BEEN Message displays when the user Turn the Workstation off, wait
RECONNECTED TO THE disconnects then reconnects the 10 seconds, and then restart
Workstation C-Arm without first shutting the Workstation.
The following procedure is down power to the system.
recommended: Turn the
Workstation off, wait 10
seconds, and then restart
the Workstation.
THE CINE DISK IS NOT Message displays when the Cine Turn the Workstation off, wait
AVAILABLE disk fails to initialize correctly 10 seconds, and then restart
Turn the Workstation off, during boot up. the Workstation. If this
wait 10 seconds, and then message persists, call for
restart the Workstation. If service.
this message persists, call
for service.
THE CURRENT CINE RUN Displays when a single exposure Notification only; no action
WILL FILL gets within 30 seconds of filling required.
THE CINE DISK IN the entire Cine disk allocation on
APPROXIMATELY the system.
30 SECONDS
Cine acquisition will stop
when the current run has
filled the disk.
THE CURRENT SESSION Thirty seconds or less of Cine Stop the current recording
CINE RUNS WILL BE acquisition time remains on the before the 30-second limit
OVERWRITTEN IN 30 disk before the current patient’s expires. Back up any Cine runs
SECONDS Cine runs will be overwritten. that you want to keep.
The oldest previous runs of
the current session will be
overwritten first.
THE SELECTED FUNCTION Message displays when the user Select another function.
IS NOT selects a Workstation function
AVAILABLE ON THIS MODEL that is not available on a
Press OK to continue. particular system model.

4-8
Diagnostics

Message Meaning Recommended action


THIS DICOM SERVER Message indicates that the Notification only; no action
VERIFIED system successfully connected to required.
SUCCESSFULLY the DICOM server in response to a
Press OK to continue. verify request invoked from the
DICOM PRINT DEFINITION, DICOM
STORE DEFINITION, or DICOM
QUERY DEFINITION screen.
TOUCH SCREEN FAILURE Message displays when touch Remove any object touching
Remove any object screen becomes inoperative. the touch screen. Turn the
touching the touch screen. Since touch screen has failed, Workstation off, wait 10
Turn the Workstation off, message cannot be seconds, then restart the
wait 10 seconds, then acknowledged via the screen. Workstation. If this message
restart the Workstation. If Message also appears on C-Arm. persists, call for service.
this message persists, call
for service.
UPDATING SCHEDULE DICOM Query is in progress Wait for transfer to complete.
DO NOT POWER OFF THE message displayed when the
SYSTEM system is transferring results of
Data Loss May Occur. the DICOM query. Do not turn off
Transferring Results. power or data loss may occur.
UPDATING SCHEDULE DICOM Query is in progress Wait for process to complete.
DO NOT POWER OFF THE message displayed when the
SYSTEM system is processing results of
Data Loss May Occur. the DICOM query. Do not turn off
Processing Results. power or data loss may occur.
UPDATING SCHEDULE DICOM Query is in progress Wait for process to complete.
DO NOT POWER OFF THE message displayed when the
SYSTEM system is saving results of the
Data Loss May Occur. DICOM query. Do not turn power
Saving results. off the system or data loss may
occur.
WARNING! X-ray HOUSING Message displays when the If this message persists, call
TEMPERATURE SENSOR systems senses that the service.
FAILURE temperature sensor in the
Temperature information housing has failed.
unavailable. If this
message persists, call for
service.
WORKSTATION AND Message displays when the Connect the Workstation to a
GENERATOR system determines during compatible Generator or use it
ARE NOT COMPATIBLE bootup that Workstation and as an independent
Connect the Workstation Generator software are Workstation. If message
to a compatible Generator incompatible. persists, call for service.
or use it as an independent
Workstation. If this
message persists, call for
service.

4-9
Diagnostics

4.1.4 Left monitor messages


Table 4-2 Left monitor messages.

Message Meaning Recommended action


ANODE IS HOT — HLF The anode temperature is at 80% The alarm may be disabled by
DISABLED of its rated heat capacity or pressing the ALARM RESET key
greater. An alarm sounds. on the control panel.
Continued use without cooling
may damage the X-ray tube.
Although fluoroscopy is not
prevented, you should wait for
the tube to cool before making
another exposure. HLF and
film exposures are not
allowed.
ANODE IS WARM Anode temperature is between You may continue with
70% and 80% of its rated heat fluoroscopy, but discretion is
capacity. advised.
CLUTCH IS OPEN The clutch is released and the If this message appears when
C-Arm is free to orbit. Normally no one is touching the clutch
this is possible only when handle, call service.
someone holds the clutch handle
to the rear. Message also appears
on the C-Arm control panel.
COLLISION DETECTED The system detected a loss of Remove the obstacle to C-Arm
velocity or increased motor movement to resume
current with the C-Arm in motion. motorized movement.
Orbital and rotational motorized
motion stops.
COMMUNICATION FAILED This displays when a loss of The message clears when
communication with the communication is
generator is detected by the reestablished.
Workstation.
CONTACT DETECTED Message displays when an object This message goes away and
has contacted the Contact motorized movement is re-
Detection Assembly on the Image enabled when the condition
Intensifier. Any orbital or has been cleared.
rotational motorized movement
underway stops.
HOUSING IS HOT — HLF Message displays and an alarm The alarm may be disabled by
DISABLED sounds when the housing pressing the ALARM RESET key
temperature is at 80% of its rated on the control panel. Although
heat capacity or greater. fluoroscopy is not prevented,
you should wait for the tube to
cool before making another
exposure. HLF and film
exposures are not allowed at
this temperature.

4 - 10
Diagnostics

Message Meaning Recommended action


HOUSING IS WARM Message displays when the You may continue with
housing temperature is between fluoroscopy, but discretion is
70% and 80% of its rated heat advised.
capacity.
HOUSING OVERHEATED — Message displays when the Let the housing cool before
X-rayS DISABLED housing temperature reaches attempting another exposure.
100% of its rated capacity,
activating the thermal cutoff
switch. Operation is terminated.
MOTION DISABLED Message displays when Make sure that the C-Arm is
motorized motion is disabled by not in contact with the patient
the motion stop or the RUI is or table. If this message
disconnected. appears with the RUI properly
attached and without
engaging motion, call service.
SYSTEM ERROR — X-rayS Message displays when: If the error was detected just
DISABLED • The GIB detects no frame once, the message displays for
syncs. 2 seconds and then
• The FFB detects no frame disappears.
syncs.
• The GIB detects too many
frame syncs.
• The FFB detects too many
frame syncs.
X-ray SWITCH SECURITY The system has detected an This message will be cleared
ERROR X-ray switch security error when the user clears the
following an X-ray switch press. related message on the C-Arm
control panel.
X-rayS TEMPORARILY Message displays during an FFB The message will be cleared if
DISABLED reboot. the FFB recovers from its
reboot. If the message
persists, contact service.

4 - 11
Diagnostics

4.2 C-Arm messages


See Control Panel display section on page 8-1 for information on location of C-Arm messages.
Table 4-3 C-Arm messages

Message Meaning Recommended action


24 HOUR RECHARGE If the system has been in storage Leave the Workstation power
REQUIRED — X-rayS for more than six months, the cord plugged in, make sure the
DISABLED batteries need recharging. Interconnect cable is properly
X-rays are disabled. connected, and wait 24 hours
before use. The system does
not need to be turned on.
4 HOUR WARM-UP If the system has been stored for Leave the system on with no
REQUIRED — PRESS ANY more than 60 days, a warm-up operation for 4 hours. Press
KEY period is necessary for ion any C-Arm control panel key to
removal from the Image continue.
Intensifier tube.
AD CHANNEL # FAIL - The analog-to-digital channels Perform the error recovery
POWER OFF. WAIT 10 are checked during system steps at the beginning of this
SECONDS startup. If a fault in the data- chapter.
conversion process is detected in
any of the channels, the system
will not operate.
ANODE IS HOT — XX% This message alternates with the The alarm may be disabled by
technique displayed on the pressing the ALARM RESET key
control panel display and an on the control panel.
alarm sounds. The anode Continued use without cooling
temperature is at 80% of its rated may damage the X-ray tube.
heat capacity or greater. Although fluoroscopy is not
prevented, you should wait for
the tube to cool before making
another exposure. HLF and
film exposures are not allowed.

WARNING: When the ANODE IS


HOT - XX%
message displays,
personnel should
avoid bodily
contact with the X-
ray tube. Do not
allow the X-ray tube
housing to contact
the patient.

4 - 12
Diagnostics

Message Meaning Recommended action


ANODE IS WARM — XX% This message alternates with the You may continue with
technique displayed on the fluoroscopy, but discretion is
control panel display. Anode advised.
temperature is between 70 and
80% of its rated heat capacity or
greater.
WARNING: When the ANODE IS
WARM - XX%
message displays
personnel should
prevent all bodily
contact with the
X-ray tube.
ARMED This message displays as the Notification only; no action is
system prepares the technique required.
for a film exposure. If the X-ray
switch has not been pressed
within 60 seconds, the message
will be removed from the display.
BATTERY CHARGE — XX% If the effective battery charge To charge the batteries, leave
drops to between 70% and 40% the system plugged into an AC
percent, this message will receptacle with the
alternate with the technique Interconnect cable in place
displayed on the control panel between the C-Arm and the
display. Fluoro, film and HLF Workstation. The Workstation
exposures are still allowed. should be turned off. Normally,
a full battery recharge requires
only a few hours. If the
batteries are further
discharged without adequate
recharge time, the effective
charge may drop below 70%.
CAMERA IRIS CAL The system has sensed that the Call your service
REQUIRED - PRESS ANY camera iris has not been representative as soon as
KEY calibrated. possible to perform a
calibration.
CAMERA IRIS ERROR The software has determined Press any key to silence the
that the current camera iris alarm. Call your service
position values do not match the representative as soon as
reference values stored in possible.
memory.
CHARGER FAILED If the battery charger fails during If message persists, call your
operation, this message will service representative as soon
alternate with the technique as possible.
displayed on the control panel.
Continued use will result in
system failure.

4 - 13
Diagnostics

Message Meaning Recommended action


CHARGER FAILED – If the battery charger fails at Perform error recovery steps
POWER OFF. WAIT 10 boot-up, this error is displayed described at the beginning of
SECONDS and the system will not operate. this section. Call your service
representative as soon as
possible.
CLUTCH IS OPEN Message displays on both left If this message appears when
monitor and the C-Arm control no one is touching the clutch
panel. The clutch is released and handle, call service.
the C-Arm is free to orbit.
Normally this is possible only
when someone holds the clutch
handle to the rear.
COL IRIS POTENTIOMETER The software has sensed that the Press any key to continue. Call
ERROR – PRESS ANY KEY collimator iris potentiometer is your service representative as
not working and therefore the iris soon as possible.
position cannot be determined.
COL IRIS TOO LARGE The collimator iris is larger than The alarm may be disabled by
the calibrated size. This message pressing the ALARM RESET key
alternates with the technique on the control panel. Call your
displayed on the control panel service representative as soon
display and an alarm sounds. as possible.

CAUTION: Continuing system


operation when the
COL IRIS TOO
LARGE message is
displayed may
result in over
exposing the
patient due to a
larger than
indicated field size.
Complete the
current procedure if
necessary, then call
for service.
COL IRIS UNSTABLE The iris collimator motor control You may continue to use the
cannot maintain position system, although the iris
tolerance. This message instability may degrade the
alternates with the technique image at the edges of the
displayed on the control panel X-ray field. Call your service
display. representative as soon as
possible.

4 - 14
Diagnostics

Message Meaning Recommended action


COLLIMATOR CAL The current collimator iris- or Press any key to continue. Call
REQUIRED — PRESS ANY leaf-position values do not match your service representative as
KEY the reference values stored in soon as possible.
memory.
COLLIMATOR STUCK This message alternates with the You may continue to use the
technique displayed on the system, although you will not
control panel display. The be able to adjust the collimator
collimator iris motor is unable to iris. Complete the current
open or close the collimator iris. procedure if necessary and
then call your service
representative.
COMMUNICATION FAILED System communication has Wait for approximately one
failed. The C-Arm cannot take minute for this condition to
X-rays under these conditions. clear. If it does not, perform the
error recovery steps described
at the beginning of this
section.
CONTROL PANEL ERROR Communication to the control Perform the error recovery
panel has been lost, terminating steps described at the
system operation. beginning of this section.
DATA ERROR This error will be displayed under Reboot system.
the following conditions:
• Flash is corrupted
• Duty cycle table data is
missing or corrupt
• ABS flash corrupt
• ABS download failed
• General protection fault
• WS newer than flash
• No error message file
• CMOS and flash not initialized
• Internal Error
FAST STOP ACTIVATED — This message displays after a Perform the error recovery
POWER OFF. WAIT 10 FAST STOP key has been pressed. steps described at the
SECONDS You must cycle the Workstation beginning of this section.
power switch to OFF, then ON to
restart the system. If you did not
press a FAST STOP key and this
message displays, a hardware or
software fault has occurred.

4 - 15
Diagnostics

Message Meaning Recommended action


FILAMENT CAL REQUIRED The system sensed that the Call your service
— PRESS ANY KEY filaments have not been representative as soon as
calibrated. It is possible to receive possible to perform a
multiple mA errors if this calibration.
condition exists.

WARNING: If the procedure is


continued when the
FILAMENT CAL
REQUIRED
message is
displayed, the
patient may receive
a higher dose than
that indicated.
Press any C-Arm
control panel key to
continue with the
procedure if
necessary, then call
for service.
FILAMENT REGULATOR The system sensed that the Contact your service
FAILURE — PRESS ANY KEY filament current is out of representative as soon as
tolerance. You may press any possible.
C-Arm control panel key to
continue. However, the resolution
of future images may be
degraded. WARNING: If the procedure is
continued when the
FILAMENT REG
FAILURE message is
displayed, the
patient may receive
a higher dose than
that indicated.
Press any C-Arm
control panel key to
continue with the
procedure if
necessary, then call
for service.
FILAMENT SELECT ERROR The filament size selected by Press any C-Arm Control Panel
— PRESS ANY KEY software does not match the key to continue.
current filament in the PIO
hardware. X-rays are disabled
while the message is displayed.

4 - 16
Diagnostics

Message Meaning Recommended action


HLF OVERTIME Message displays and alarm Release the X-ray button to
sounds when a Digital Cine run or clear the message, silence the
High Level Fluoro (HLF) exceeds alarm, and re-enable X-rays.
the preset time and terminates.
The time interval parameters are
dependant on the pulses per
second selected. This safety
precaution discourages
excessive continuous lengths of
time in HLF mode.
HOUSING IS HOT — XX% Message alternates with the Disable the alarm by pressing
technique displayed on the the ALARM RESET key on the
control panel display and an control panel. Although
alarm sounds. The housing fluoroscopy is not prevented,
temperature is at 80% of its rated you should wait for the tube to
heat capacity or greater. cool before making another
exposure. HLF and film
exposures are not allowed at
this temperature.

WARNING: When the HOUSING


IS HOT - XX%
message displays,
personnel should
avoid bodily
contact with the
X-ray tube housing.
Do not allow the
X-ray tube housing
to contact the
patient.

4 - 17
Diagnostics

Message Meaning Recommended action


HOUSING WARM — XX% The housing temperature is You may continue with
between 70–80% of its rated heat fluoroscopy, but discretion is
capacity. Message alternates advised.
with the technique displayed on
the control panel display.

WARNING: When the HOUSING


WARM - XX%
message displays,
personnel should
avoid bodily
contact with the
X-ray tube. Do not
allow the X-ray tube
housing to contact
the patient.
HOUSING OVERHEATED The housing temperature has Let the housing cool before
reached 100% of its rated attempting another exposure.
capacity and the thermal cutoff
switch has activated (opened).
Operation is terminated.
CAUTION: When the HOUSING
OVERHEATED
message appears,
the X-ray tube
housing is
extremely hot and
must be allowed to
cool before taking
more exposures.
Avoid bodily
contact with the
X-ray tube housing.
Do not allow the
X-ray tube housing
to contact the
patient.
HV GENERATOR ERROR Software has detected an error in Follow the error recovery steps
the high-voltage generator. The described at the beginning of
system automatically shuts this section.
down. Operation is prevented.
HV REGISTER FAIL Software has detected a failure in Follow the error recovery steps
the high-voltage register. The described at the beginning of
system automatically shuts this section.
down. Operation is prevented.

4 - 18
Diagnostics

Message Meaning Recommended action


INTERLOCK FAILURE The interlock circuit has failed Reboot the system. If the
during system start-up. message displays again, call
service.
JOYSTICK STUCK Message displays on the right Move any objects that may be
monitor and on the C-Arm control in contact with the joystick,
panel. wait 10 seconds, and reboot
the system. If the problem
persists, call service.
KEY STUCK — RELEASE, During bootup, the system Verify that no objects are
THEN PRESS ANY KEY TO sensed a key press on the control pressing against the control
CONTINUE panel possibly indicating a stuck panel. After releasing the stuck
control panel key. key, press any C-Arm control
panel key to continue.
KEY SWITCH IN STANDBY The X-ray key switch on the Turn the key switch to the On
— X-rayS AND LIFT C-Arm has been turned to the position to operate the system.
DISABLED Standby position. If the key switch is already in
the on position there may be a
fault in the key switch circuit or
software. In this case perform
the error recovery steps
described at the beginning of
this section.
KV ON IN ERROR-POWER High voltage is being generated Perform the error recovery
OFF. WAIT 10 SECONDS. without an X-ray switch being steps described at the
activated, indicating a fault with beginning of this section.
the high-voltage generator. The
system will not operate with this
error.
LIFT SWITCH STUCK — Message displays briefly if the lift If there is no object pressing
PRESS ANY KEY switch has been pressed against the switch perform the
continuously for 30 seconds. This error recovery steps described
indicates a foreign object may be at the beginning of this
pressing against the switch, or section.
there is a faulty switch or lift
circuit.
MA ON IN ERROR — The system has detected X-ray The system will not operate
POWER OFF. WAIT 10 tube current but an X-ray switch with this error. Perform the
SECONDS. has not been activated, error recovery steps described
indicating a fault with the X-ray at the beginning of this
generator. section.
MA SENSOR FAIL The system has detected a failure Call service.
in one of the mA sensors. This
message will alternate with the
technique displayed on the
control panel display.

4 - 19
Diagnostics

Message Meaning Recommended action


MOTION CAL REQUIRED This message appears on the Call service.
right monitor and on the C-Arm
control panel.
OVERLOAD FAULT The system has detected a No action required.
possible fault in the high voltage
regulator circuit or an HV arc
"spit" has occurred. The first time
"Max # Spits" less one fault is
detected the message will
appear briefly after an exposure.
OVERLOAD FAULT - The system has detected a Turn system off, wait 10
REBOOT REQUIRED possible fault in the high voltage seconds, then restart the
regulator circuit or an HV arc system. If message persists,
"spit" has occurred. X-rays are call service.
disabled when the "Max # Spits"
occurs a second time during an
exposure, and the message
remains on the display.
OVERVOLTAGE FAULT This may indicate a fault in the No action required.
high voltage regulator circuit or
an X-ray generator failure has
occurred. The first time the fault
is detected the message will
appear briefly after an exposure.
OVERVOLTAGE FAULT - This may indicate a fault in the Turn system off, wait 10
REBOOT REQUIRED high voltage regulator circuit or seconds, then restart the
an X-ray generator failure has system. If message persists,
occurred. X-rays are disabled the call service.
second time the fault is detected
during an exposure and the
message remains on the display.
PLEASE WAIT The system is updating Generator Wait until complete. If
data or performing internal tests. message does not clear within
The message should clear within 30 seconds, perform the error
moments. recovery steps described at
the beginning of this section.
PRECHARGE CIRCUIT The contact relay has failed to Perform the error recovery
TIMEOUT — POWER OFF. close during the start-up process. steps described at the
WAIT 10 SECONDS. This condition results in beginning of this section.
automatic system shutdown.
PRECHARGE VOLTAGE The precharge voltage has been Perform the error recovery
ERROR — POWER OFF. sensed as too high during the steps described at the
WAIT 10 SECONDS. start-up process. This condition beginning of this section.
results in automatic system
shutdown.

4 - 20
Diagnostics

Message Meaning Recommended action


RELEASED EARLY During a film exposure, the X-ray Using a new film in the
switch was released before the cassette, press the X-ray
desired mAs was reached. The switch and allow enough time
exposure time may have been for the system to terminate the
too short for a good image. This exposure.
message appears briefly at the
end of the terminated exposure.
ROOM DOOR OPEN — X-ray Door switch is open. Close the door. If the message
CLOSE DOOR persists, call service.
RUI KEY STUCK Message displays on the right Remove any objects that may
monitor and C-Arm control panel. be in contact with the RUI
buttons. Turn the system off,
wait 10 seconds, then restart
the system. If this problem
persists call service.
RUNNING CALIBRATION The system is running a Notification only; no action
calibration. required.
SATURATION FAULT — The system has detected a fault Perform the error recovery
POWER OFF. WAIT 10 in the high-voltage regulator steps described at the
SECONDS. circuit. The system will not beginning of this section.
operate with this error.
STATOR NOT ON — POWER The X-ray tube stator is not on, Perform the error recovery
OFF. WAIT 10 SECONDS. and the tube’s anode cannot steps described at the
rotate. The system will not beginning of this section.
operate with this error.
TEMP SENSOR FAIL The condition of the X-ray tube’s You may continue using the
heat sensing element is tested system, but there is a danger
during startup and during system that the X-ray tube may
operation. This message appears overheat during use without
if the test indicates that the further warning being given.
element is defective. Call service.
WAIT The system is busy. Notification only; no action
required.

4 - 21
Diagnostics

Message Meaning Recommended action


WARNING, HIGH KV — The system has detected an error Press any C-Arm control panel
PRESS ANY KEY in the kVp loop. The actual kVp is key to continue. If the message
higher than is indicated on the persists, call service.
control-panel display and is not
within specified tolerances.

WARNING: Continuing with the


procedure when
the WARNING,
HIGH KV message
has been displayed
may subject the
patient to a higher
dose than that
indicated. Press any
C-Arm control
panel key to
continue with the
procedure.
WARNING, LOW KV — The system has detected an error Press any C-Arm control panel
PRESS ANY KEY in the kVp loop. The actual kVp is key to continue. If the message
lower than is indicated on the persists, call service.
control-panel display and is not
within specified tolerances. Low
kVp may result in poor image
quality.
WARNING, HIGH MA — The system has detected a Press any C-Arm control panel
PRESS ANY KEY calibration error. The actual mA is key to continue. If the message
higher than is indicated on the persists, call service.
control-panel display and is not
within specified tolerances.

WARNING: Continuing with the


procedure when
the WARNING,
HIGH MA message
has been displayed
may subject the
patient to a higher
dose than that
indicated. Press any
C-Arm control
panel key to
continue with the
procedure.

4 - 22
Diagnostics

Message Meaning Recommended action


WARNING, LOW MA — The system has detected a Press any C-Arm control panel
PRESS ANY KEY calibration error. The actual mA is key to continue. If the message
lower than is indicated on the persists, call service.
control panel display and is not
within specified tolerances.
Lower mA may result in poor
image quality.
X-RAY OVERTIME — PRESS The film shot has continued Press any control panel key to
ANY KEY beyond the time required to continue.
achieve the correct exposure and
software has terminated the
exposure.
WARNING: When the X-RAY
OVERTIM message
is displayed the
patient may have
received a higher
dose than expected
and continued film
exposures may
result in a higher
than expected dose
and longer
exposure times.
X-RAYSWITCH STUCK The system detected that one of Verify that the X-ray switches
the X-ray exposure switches was are not being enabled by a
enabled during the boot-up foreign object, or disconnect
sequence. the handswitch, footswitch, or
both and restart the system. If
the system restarts without an
error, the disconnected device
may contain a fault. If the
message persists, there is an
internal fault that is preventing
system operation. Call service.
X-RAY SWITCH SECURITY The X-ray security line has been Verify that switches are not
ERROR detected as enabled during the being enabled by a foreign
boot sequence. object. Or disconnect the
handswitch, footswitch, or
both and attempt to restart
the system. If the system
restarts, the disconnected
device may contain a fault
requiring service. If the
message persists, there is an
internal fault that is preventing
system operation. Call your
service representative.

4 - 23
Diagnostics

Message Meaning Recommended action


X-RAY SWITCH SECURITY The system has detected a Press any C-Arm control panel
ERROR — PRESS ANY KEY mismatch between the key to continue. If the message
handswitch or footswitch and a persists, call service.
security line. System operation is
terminated.
X-RAYS DISABLED Message displays when the The message clears when the
Workstation needs to disable condition that caused it to
X-rays or when the C-Arm detects display is cleared.
a problem with receiving the
frame synchronization signal.
X-RAYS DISABLED Displays when an X-ray switch is Logging in to the Workstation
pressed and the operator has not enables X-rays.
logged into the Workstation
when password protection is
enabled.
X-RAYS DISABLED Displays when X-rays are The message clears when the
disabled by a system error. condition that caused it to
display is cleared.
X-RAYS DISABLED Displays when an X-ray switch is Message clears when the
pressed while a Setup screen is Setup screen is closed.
active on the Workstation.
X-RAYS DISABLED — Message displays when X-ray Reboot system.
REBOOT REQUIRED generation subsystem is shut
down due to the detection of an
active X-ray generation input
signal during bootup.

4 - 24
Fluoro imaging

Section 5
Fluoro imaging

5.1 Overview
This section describes the basic fluoro features of all systems. All systems provide standard
fluoroscopy modes.
Fluoroscopy mode is the only mode available on the GSP and ESP models of the Workstation.
Vascular and cardiac systems provide basic fluoro as well as vascular features. For an explanation
of vascular imaging features, refer to Section 6, “Vascular imaging” in this document.
NOTE: If the system defaults have been configured to operate at lower doses, the low dose button on
the C-Arm control panel may not provide further dose reduction. To determine if your system
defaults are configured for low dose operation, contact your field service representative to
determine if the International B ABS table is configured on your system.

5.1.1 Workstation setup


You can choose between High Level Fluoro (HLF) and Digital Spot (DIG.SPOT) modes for standard
fluoroscopy uses. Fluoro is available at all times.
NOTE: The Mode switch is inactive on standard fluoroscopy-only systems. Screens vary based on
model configuration.

5-1
Fluoro imaging

5.1.2 Mode screen


The Mode screen enables you to set up imaging pairs, and to select pulse rates. The following
examples display how to set up mode and pulse rate for standard fluoroscopy.
Select Mode from the Main screen (Figure 5-1).

Figure 5-1 Mode button on Main screen

A screen similar to the screen in Figure 5-2 is displayed on the right monitor.

Figure 5-2 Mode screen

5-2
Fluoro imaging

Status bar
The status bar is located on the bottom right monitor display. During an exam, the configured active
mode pair is displayed on the status bar.
The status bar (Figure 5-3) shows:
1. A Fluoro shot can be initiated by pressing the left X-ray switch.
2. A High Level Fluoro (HLF) shot can be initiated by pressing the X-ray switch.

Figure 5-3 Status bar

All information next to the icon describes what imaging and pulse or cine rate is applied using
the X-ray switch with that label.
All information next to the icon describes what imaging and pulse or cine rate is applied using
the X-ray switch with that label.
If film mode is selected, the film icon is displayed in the status bar (Figure 5-4).

Figure 5-4 Status bar with film icon

NOTE: For producing film shots, refer to your C-Arm operator manual.
Fluoro mode displays live fluoroscopic images on the left monitor.

X-ray switch mode setup


The status bar at the bottom of the right monitor indicates which mode you have selected. To
change the active mode, select the desired button. The highlighted bar displays next to the selected
button and the status bar reflects the change.
The left X-ray switch pedal can be set to initiate Fluoro imaging.
The right X-ray switch pedal can be set to initiate HLF or DIG.SPOT.

5.1.3 Producing a fluoro image


1. Verify that Fluoro is displayed on the status bar.
2. Select pulsed X-ray or low dose if desired. Use the Mode screen or the C-Arm Pulse key to
switch between continuous and pulsed X-rays.
3. Press the left X-ray switch pedal on the footswitch, hand switch, or the X-ray ON
button on the C-Arm.

5-3
Fluoro imaging

5.2 High level fluoro imaging (HLF)

WARNING: HLF should not be used for general purpose imaging.

During continuous HLF, the mA can increase to as much as 20 mA. During pulsed HLF the
mA can increase to as much as 40 mA. During pulsed digital cine HLF, the mA can increase
to as much as 150 mA. This can expose the patient and those working around the X-ray
field to a significantly larger dose of radiation than they would receive during fluoro or
pulsed fluoro operation. To minimize X-ray exposure hazards, use HLF with discretion.
HLF mode decreases noise level and improves image quality by increasing fluoroscopic mA.
Continuous HLF uses mA levels up to 20 mA.
Pulsed HLF ranging from 1-8 pps provides pulsed fluoro. When using HLF mode, mA can increase up
to 40 mA.
Automatic termination of HLF and pulsed HLF exposure occurs after each 30-second interval of
continuous use. Automatic exposure termination reduces unnecessary X-ray exposure and is
designed to comply with X-ray tube ratings.

5.2.1 Producing a standard HLF image


1. Verify that HLF is displayed on the status bar. If DIG.SPOT is displayed, use the Mode
screen to select HLF.
2. Select pulsed X-ray generation on the Mode screen or C-Arm control panel, if desired.
Continuous X-ray is the default. If pulsed operation is chosen, the pulse rate is displayed
on the status bar.
3. Press the X-ray switch pedal on the footswitch or handswitch to make HLF
exposures.

5-4
Fluoro imaging

5.3 Digital spot imaging


Digital spot mode creates a short-duration, high mA exposure to produce a high-quality single
image. Digital spot images are saved automatically.
Once an image has been obtained, attributes such as edge enhancement or contrast and
brightness can be modified.
Pulsed operation is not allowed in digital spot mode.

5.3.1 Producing a digital spot image


1. Select the DIG.SPOT button from the Mode screen. Verify DIG.SPOT is displayed on the
status bar.
2. Press the left X-ray switch pedal on the footswitch, handswitch or the C-Arm X-ray
ON button to confirm positioning.
3. When the desired image appears on the monitor, release the left X-ray switch pedal
and then press and hold the X-ray switch pedal to obtain the digital spot image.
4. The system automatically terminates the exposure and saves the digital spot image on
the hard disk.
NOTE: If you release the footswitch pedal early, the exposure will prematurely terminate. Continue
pressing the pedal until the system automatically terminates the exposure.

5-5
Fluoro imaging

5.4 Enable pulsed X-ray


This section describes how to select and change pulse rates, and switch between continuous and
pulsed imaging.

CAUTION: Combined use of both a pulsed fluoro mode and the low dose mode may have a
compounding effect in degrading image quality.

CAUTION: Use of the low dose mode can significantly reduce the dose received by the patient;
however, image quality may be degraded in low dose mode.”
Pulsed mode generates a preset number of X-ray pulses each second while the X-ray switch is
pressed. While pulsed HLF increases radiation, use of a pulsed fluoro mode can significantly reduce
the radiation dose received by the patient; image quality, however, may be degraded in pulsed
fluoro modes.
Please refer to “Vascular Imaging” in the GE OEC 9800 Workstation Operator Manual for a
description of digital cine pulse.
When continuous mode is active, no pulse rate (pps) is displayed on the status bar (Figure 5-5).

Figure 5-5 Status bar - continuous mode

To enable pulsed operation at the currently selected pulse rate, press the Pulse key on the C-Arm or
select the Pulse button on the Mode screen.
When pulse is enabled, the Pulse button on the Mode screen is highlighted, Pulse LED on C-Arm
control panel is illuminated, and the pulse rate (pps) is displayed on the status bar (Figure 5-6).

Figure 5-6 Status bar - pulse mode

The default pulse rate is 8 pps.


NOTE: To reselect continuous operation, press the Pulse key on the C-Arm control panel or select the
Pulse button on the Mode screen. The pulse rates will no longer display on the status bar, the
Pulse button on the Mode screen will not be highlighted, and the Pulse LED on the C-Arm control
panel will extinguish.

5-6
Fluoro imaging

5.4.1 Change pulse rate


1. Select the Rate button from the Mode screen (Figure 5-7).

Figure 5-7 Fluoroscopy pulse rate button

A screen similar to the screen in Figure 5-8 is displayed.

Figure 5-8 Pulse rate screen

2. Select a pulse rate from the pulse rate screen. The selected pulse rate displays
automatically on the status bar and the screen closes.
3. Select the Exit button on the Mode screen to return to the Main screen.

5-7
Fluoro imaging

5.5 Cardiac fluoro pulse rates


To enable pulsed operation at the currently selected pulse rate, press the Pulse key on the C-Arm or
select the Pulse button on the Mode screen.
When pulse is enabled, the Pulse button on the Mode screen (Figure 5-9) is highlighted and the pulse
rate (pps) is displayed on the status bar. Press the heart icon to invoke the cardiac mode.

Figure 5-9 Mode screen with pulse enabled


1. Pulse button
2. Heart icon
NOTE: The pulse button on the screen sets the rates invoked by the left and center pedals on the
3-pedal footswitch.
The default rate is 8 pps. The current rate applied displays in the pps box and on the
status bar.

5.5.1 Change pulse rate


1. Select the Rate button on the Mode screen. The pulse rate pop-up screen is
displayed (Figure 5-10).

Figure 5-10 Fluoro pulse rates for 50Hz and 60Hz systems

5-8
Fluoro imaging

2. Select a pulse rate from the pulse rate pop-up screen. The pulse rate will display on the
status bar and the pop-up screen will automatically close.
3. Select the EXIT button on the Mode screen to return to the Main screen.
For information on using the digital cine pulse rate box (Figure 5-11), refer to “Vascular Imaging” in
this document.

Figure 5-11 Cine pulse rate.

Save key
To save the last image held on the left monitor display, press the Save key ( ) on the Workstation
keyboard, the C-Arm control panel, or the handswitch.
An auto save feature may be enabled to automatically save the image displayed on the left monitor
when the X-ray switch is released.
See “Customize” in the GE OEC 9800 Workstation Operators Manual for information on enabling the
auto save feature.

5-9
Fluoro imaging

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5 - 10
Vascular imaging

Section 6
Vascular imaging

6.1 Overview
This section explains how to produce images using vascular imaging modes. Vascular and Cardiac
systems include all standard fluoroscopy features.
This section describes vascular imaging features including:
• Subtraction
• Roadmapping
• Digital Cine Pulse
Refer to the “Fluoro Imaging” section in this document for basic fluoro information. The Fluoro
Imaging section should be read before beginning vascular imaging procedures.

6.2 X-ray pedal setup


On vascular systems, two image modalities (standard fluoroscopy and vascular) are simultaneously
available at start-up. Press the Mode key on the X-ray pedals or C-Arm control panel to change from
one pair of imaging modes to another.
To verify which group is active, always check the status bar display on the right monitor.

6-1
Vascular imaging

6.3 Vascular systems


When the system is first turned on, the default available imaging modes are displayed on the status
bar (Figure 6-1). For a description of how to use the status bar, please refer to “Fluoro imaging” in
this document.

Figure 6-1 Vascular mode screen with fluoroscopy active

• Press the left X-ray pedal to initiate a fluoro shot.


• Press the Mode key on the X-ray pedal or on the C-Arm control panel to switch to
vascular imaging (Figure 6-2).
• Use the Mode button on the handswitch, footswitch, C-Arm control panel, or right
monitor mode button to change to vascular setting.

Figure 6-2 Vascular mode screen with vascular active

6-2
Vascular imaging

With vascular active, the status bar displays Roadmap and Subtract or Fluoro and Subtract.
• Press the left X-ray pedal to initiate a Roadmap or fluoro shot.
• Press the right X-ray pedal to initiate a subtraction run.
For more information on Roadmap or Subtraction, see “Roadmap” or “Subtraction” in this section.

6.3.1 Mode screen


The Mode screen allows you to set up your choice of available imaging pairs during a procedure.
Vascular and cardiac systems provide slightly different mode screens allowing for the different
features necessary to these systems. The following examples show how to set up the mode and
pulse rates for vascular imaging.
Use the Mode screen to:
• Change imaging mode pairs available from the X-ray pedals during a procedure.
• Select pulse rates.
Select Mode (Figure 6-3) from the Main screen.

Figure 6-3 Main screen

6-3
Vascular imaging

A screen similar to the one in Figure 6-4 is displayed.


Two mode groups are available for use in vascular imaging.

Figure 6-4 Mode groups for vascular imaging:


1. Standard fluoroscopy
2. Vascular

6.3.2 Mode pairs


A mode pair can be selected from each imaging group.
Only one mode pair is active at a time. The active mode pair is displayed on the status bar.
Continuous X-ray is the default. See “Fluoro Imaging” in the GE OEC 9800 Workstation Operator
Manual for more information on enabling and setting pulse rates. Refer to “Digital Cine Pulse” in this
section for more information on setting digital cine pulse rates.

Switching mode pairs


Use the Mode button on the handswitch, footswitch, C-Arm control panel, or right monitor mode
button to change to vascular setting.
Please refer to the GE OEC 9800 C-Arm Operator Manual for locations of the Mode switch on the
particular system being used.
To change the imaging mode pairs available during a procedure, use the Mode screen on the
Workstation. Always refer to the status bar to determine the active modes available.

6-4
Vascular imaging

Setting up imaging modes available during an exam


In this example (Figure 6-5), a basic fluoro image and a Roadmap need to be taken.
1. Select the Mode button on the Main screen.

The default setting for standard fluoroscopy is Fluoro/HLF.

If the highlighted center bar is displayed next to the HLF button, the active fluoroscopy pair is Fluoro/
HLF.

If the highlighted bar is next to DIG.SPOT, select the HLF button to activate HLF in the standard
fluoroscopy group.

Figure 6-5 Mode pairs on mode screen:


1. Standard Fluoroscopy
2. Vascular
The default setting for vascular is Fluoro/Subtract. Select the Roadmap button on the screen to switch to
Roadmap/Subtract. This will move the highlighted center bar next to Roadmap setting.
2. Select Exit to close the Mode screen. You are now ready to begin imaging.
3. Verify the available modes on the status bar (Figure 6-6). If the vascular mode pair (Roadmap/Subtract)
is displayed, press the Mode switch to display the fluoroscopy pair (Fluoro/HLF).

Figure 6-6 Mode pair status bar

4. Complete the fluoro part of the exam to view the patient anatomy.
5. Press the Mode switch to display Roadmap and Subtract on the status bar.
6. Complete the Roadmap procedure. For more information on completing a subtraction procedure,
please refer to “Subtraction imaging” in this section.

6-5
Vascular imaging

6.4 Cine acquisition

WARNING: Use caution while Workstation is in use. The cine disk is always running during operation
of the Workstation. Any sudden, intense impact can damage the cine disk and could result
in loss of previously recorded cine runs and prevent further imaging.
When acquiring a cine run, the Workstation will not save the run until 5 frames have been captured.
Runs shorter than 5 frames will be discarded. At lower cine acquisition rates, it may take up to 5
seconds to record a cine run successfully. A recording has begun when a frame counter appears on
the left monitor. See “Dynamic Recording” in the 0EC 9800 Workstation Operator Manual for more
information on cine recording and reviewing.
If the CINE DISK IS NOT AVAILABLE message appears, the cine disk has failed to initialize correctly.
Turn the Workstation off, wait ten seconds, and then restart the Workstation.
NOTE: Cine runs will not playback automatically if the Cine disk is full. To play the Cine run, select
Image Directory and then select the last Cine run recorded. The Cine run will begin to play back.

Figure 6-7 HLF Acquire selected.

If the HLF 'Acquire On/Off' checkbox is marked (Figure 6-7), the HLF acquire can be disabled by
navigating to the 'Mode' screen and 'unselecting' the 'Pulse' button on the 'Mode' screen.
NOTE: If a Cine run is reviewed and paused on the 9800 Workstation before it is transferred to DICOM,
the paused frame, rather than the first acquired frame, is the first frame displayed during
playback on the DICOM review Workstation.

6-6
Vascular imaging

6.5 Cardiac systems


Cardiac systems come equipped with a three-pedal footswitch.
When the system is first turned on, the default imaging pairs are displayed in the status bar.

6.5.1 Cardiac icon


The cardiac icon ( ) appears in the status bar when the cardiac mode icon has been selected
from the Mode screen.

Figure 6-8 Cardiac mode screen

• Press the left X-ray pedal to initiate a fluoro shot.


• Press the center X-ray pedal to initiate an HLF shot.
• Press the right X-ray pedal to initiate digital cine pulse imaging. The status bar
does not display information for this pedal.
NOTE: The right X-ray pedal automatically invokes digital cine pulse operation at the current
pulse rate. Refer to the digital cine pulse rate screen to determine or change the active pulse
rate.
For instructions on creating fluoro, HLF, and digital spot images, please refer to “Fluoro Imaging” in
the GE OEC 9800 Workstation Operator Manual.

6-7
Vascular imaging

6.6 Subtraction imaging


Real-time subtraction provides images that reflect the difference between current fluoroscopic
images and a mask image obtained at the start of the subtraction process. The result is displayed
on the left monitor. By default, subtracted images are acquired to the cine disk. Real-time
subtraction is used primarily for contrast studies, such as angiography.
Peak opacification can be applied during post-processing.

CAUTION: Do not use pulsed fluoro modes for subtraction or Roadmap imaging. Use of pulsed fluoro
modes for subtraction or Roadmapping may result in poor image quality.
NOTE: The noise filtering level may only be modified during playback of a 30 FPS (25 FPS on 50 Hz)
Cine run.

6.6.1 Sequence of events during subtraction


The software automatically performs several steps during real-time subtraction. To illustrate the
process, a timeline diagram of a typical subtraction is shown in Figure 6-9.

X-RAY TECHNIQUE

MASK SUBTRACTION

1 2 3 4 5 6 7
TIME

CONTRAST
CONCENTRATION

Figure 6-9 Event sequence during subtraction

The sequence of events shown on the timeline includes:


1. The ( ) X-ray pedal is depressed to begin the exposure. The X-ray technique stabilizes.
The mask is acquired and technique is locked.
NOTE: Any movement results in a mask and incoming image mismatch.
2. Mask image has been acquired and the subtraction process begins.

The left monitor displays a uniform gray result and the system begins subtracting images
and displaying them. As long as the subtraction continues, new images are subtracted
from the mask obtained at the beginning of the cine run. As images are acquired, a
syringe icon is displayed indicating that the system is ready for contrast to be injected,
3. Contrast is injected, and the subtracted images are displayed on the left monitor. Vessels
are outlined with contrast.
4. The contrast concentration peaks.
5. Contrast concentration decreases.

6-8
Vascular imaging

6. When the footswitch pedal is released, the last subtracted image is displayed on the left
monitor.
NOTE: Releasing the X-ray pedal at any time during this procedure terminates the subtraction process.

6.6.2 Subtraction procedure


1. Press the Mode switch ( ) to activate vascular mode, if necessary.
2. Verify that SUBTRACT is displayed on the status bar.

Cine is set automatically. To change the cine frame rate, use the Cine Setup screen. Refer
to “Dynamic Recording” in the 9800 Workstation Operator Manual for more information.
3. Press and hold the ( ) X-ray pedal to begin the subtraction process and create a
mask automatically. Acquiring and creating the mask image can take up to 2 seconds.
4. After the mask is acquired, continue pressing the ( ) X-ray pedal to subtract
subsequent images from the mask. Subtraction begins when a subtracted image and a
cine frame number are displayed on the left monitor.
5. An injection icon appears on the left monitor, signaling the operator to inject a contrast
media. If an approved injector is properly connected to the Workstation, a signal is sent to
the injector.

Subtracted images are displayed on the left monitor as the contrast concentration peaks
and decreases.
6. Release the ( ) X-ray pedal to end the subtraction.
The subtraction cine run plays back automatically on the left monitor unless auto cine playback has
been disabled.
NOTE: Pressing the Swap key ( ) replaces the temporary image on the right monitor with the image
on the left monitor.
Refer to Reviewing a Cine Run in the 9800 Workstation Operator Manual for details on auto
playback. Refer to “Dynamic Recording” in the 9800 Workstation Operator Manual for a description
of the Cine Playback screen.

6-9
Vascular imaging

6.6.3 Adjust mask


This feature is available for Subtraction and Roadmap imaging.

Registration
If the patient moves during a Subtraction run or Roadmap fluoro, misalignment of the mask and
incoming images could cause a poor image. Registration allows you to move the mask image to
produce an accurate registration by aligning the mask with the incoming images. You can realign
the mask during the procedure, or during playback if the images are recorded.

To register the Roadmap mask


1. Select the Adjust Mask button on the Main screen or the Cine Playback screen
(Figure 6-10). The Adjust Mask screen is displayed (Figure 6-11).

Figure 6-10 Main screen and Cine Playback screen

2. Use the mask Registration arrow buttons to align the mask image with the incoming
images.
3. Select reset (target button at center of Registration arrows) to restore the mask to its
original position.

Figure 6-11 Adjust Mask screen

6 - 10
Vascular imaging

Landmarking
In some subtracted images, it may be necessary to see the position of vessels in relation to certain
background anatomies. Landmarking allows you to vary the percentage of background anatomy
displayed in a subtracted image. This function is available for Subtraction and Roadmapping.
To vary the percentage of background anatomy:
1. Select Adjust Mask on the Main screen or the on the Cine Playback screen.
2. Select the Landmarking arrow buttons (see Figure 6-11).
3. Touch the Exit button to close the Adjust Mask screen.
NOTE: The mask is adjusted in 5% increments with each press of the Landmark button.

6.7 Roadmap imaging


Roadmap mode provides a subtracted image on the left monitor that shows the difference between
the current fluoroscopic image and a mask image. The result on the left monitor is a Roadmap of
the vasculature showing the catheter or contrast as it moves. During Roadmapping, the right
monitor displays the live, unsubtracted image.
Peak opacification is enabled automatically during the first phase of Roadmapping (mask
acquisition). When peak opacification is applied, each pixel is compared, as it is acquired, to its
counterpart in the previous image. If the new pixel is darker than in the previous image, the old pixel
is replaced. When this process is complete, the resulting image contains the darkest pixels acquired
for each point. Opacification is turned off during the second phase of Roadmapping.
NOTE: Continuous X-ray mode should be used for Roadmapping.
NOTE: If you are using a mechanical contrast injector, no signal from the Workstation is sent when
the injection icon displays on the left Workstation screen. The injection of contrast should be
manually initiated.

CAUTION: Do not use pulsed fluoro modes for Roadmapping. Use of pulsed fluoro modes for
Roadmapping may result in poor image quality.

6 - 11
Vascular imaging

6.7.1 Sequence of events during Roadmapping


The software automatically performs several steps during Roadmapping. The timeline in Figure 6-12
illustrates the Roadmap process.

Figure 6-12 The Roadmapping process.

Roadmap 1st phase


1. When the left ( ) footswitch pedal is pressed, the X-ray technique adjusts and
stabilizes.
2. The inject icon displays on the left monitor. The contrast injection should begin, after
which the contrast concentration in the image increases.
3. An image of the vessels and contrast is displayed on the left monitor at or near peak
concentration.
4. The footswitch pedal is released. (The footswitch pedal can be released anytime during
steps 4 or 5. Peak opacification is applied automatically.)
5. The last image is saved automatically as the mask, and the X-ray technique is frozen.
6. Peak opacification causes the areas darkened by the contrast to retain their darkest
values in the mask image.
7. Roadmap - 2 appears in the left status bar.

Roadmap 2nd phase


1. The Roadmap subtraction begins when the left ( ) X-ray pedal is pressed again.
2. The X-ray technique remains the same as it was during the mask acquisition. Pressing the
left ( ) X-ray pedal continues Roadmapping. As Roadmapping continues, new,
incoming images are subtracted from the mask image. The result is displayed on the left
monitor.
NOTE: Pressing the Swap key ( ) replaces the temporary image on the right monitor with the image
on the left monitor.

6.7.2 Roadmap procedure


1. Verify Fluoro is displayed on the status bar.
2. Press the left ( ) X-ray pedal to create a fluoro image to confirm position.

6 - 12
Vascular imaging

3. Press the Mode key to activate Roadmap mode. Verify Roadmap is displayed on the
status bar.
NOTE: Use the Cine Setup screen to enable cine acquisition. Refer to “Dynamic Recording” in the
GE OEC 9800 Workstation Operator Manual for more information.
4. Press the left ( ) X-ray pedal to initiate the first phase of Roadmapping. Roadmap – 1 is
displayed on the left side of the status bar.
5. A fluoro image is displayed on the left monitor.
6. Inject contrast media when the inject icon displays on the left monitor.
7. Release the left ( ) X-ray pedal when a satisfactory image is displayed on the left
monitor and the contrast is at, or near, peak concentration in the area of interest.
8. The Roadmap mask is created automatically and displayed on the left monitor for
phase 2.
NOTE: No further motion of patient, the C-Arm, or table should occur, or the mask will become
unusable.
9. Press the left ( ) X-ray pedal again to begin Roadmapping. Roadmap – 2 is displayed
on the left side of the status bar. The saved mask is subtracted from the new fluoro
images. The resulting Roadmap is displayed on the left monitor. The X-ray technique is
locked.
10. Continue the Roadmap subtractions as many times as necessary by pressing the left
pedal. The original contrast image is used as the mask for each subtraction.
11. To exit Roadmap mode, press the Mode key.

6.7.3 Selecting and clearing a Roadmap mask


The Roadmap Mask screen (Figure 6-13) allows you to save and use up to two Roadmap mask
images.
To eliminate additional contrast injection, use a mask saved from one of the following as long as the
patient, C-Arm, or table have not moved:
• The current Roadmap procedure
• A previous cine run
• A subtraction procedure
To create and save a mask from a previous procedure, see “Image Review, Hardcopy and Archive”
in the GE OEC 9800 Workstation Operator Manual.

6 - 13
Vascular imaging

Figure 6-13 Roadmap mask screen

Using a saved mask


The two most recent mask images from the current patient exam are saved to disk automatically
and displayed on the Roadmap Mask screen under the Save Mask buttons.
To perform a Roadmap procedure using a saved mask:
1. Select Roadmap Mask from the Main screen.
2. Select Use Mask beneath the image of the mask you wish to use. The saved mask is
recalled when the second phase of the Roadmap shot is started.
3. When Roadmap-2 is displayed on the status bar, indicating that the second phase of
Roadmapping is in process, the chosen mask is displayed on the left monitor.
4. Press the left ( ) X-ray pedal. The technique will stabilize and subtraction will begin
using the recalled image as the mask.
5. If necessary, select ADJUST MASK from the Main screen to adjust registration.

Clearing the current mask


To clear the left monitor and begin a new Roadmap procedure:
1. Select the New Mask button on the Roadmap Mask screen.
2. Repeat the Roadmap procedure.
The current mask can also be cleared using the footswitch pedal:
1. Press the Mode key on the footswitch to select fluoro mode.
2. Press the left ( ) X-ray pedal to take a brief exposure.
3. Press the Mode key again to reselect Roadmap mode.

6 - 14
Vascular imaging

6.7.4 Producing a Roadmap mask from a subtraction cine run


You can create a Roadmap mask from a stored subtraction run. Once the mask is created, save it on
the Roadmap Mask screen and retrieve it as the mask for the Roadmap procedure. This method
avoids additional contrast injection and reduces patient exposure.
Patient positioning must be the same as it was when the recalled mask was created. However, using
the Adjust Mask screen to register the image can compensate for slight movement. (See “Adjust
mask” in this section for information about mask registration.)

Preparing a Roadmap mask from a stored subtraction run


1. Touch the preview image representing the subtraction cine run on the Image Directory
screen. The cine run begins playback on the left monitor. The Cine screen displays on the
right monitor.
2. Select the View Subtracted button on the Cine screen to display the run in its
unsubtracted form. (View Subtracted will not be highlighted.)
3. Use the playback buttons to display the frame you want to use as the mask on the left
monitor.
4. Select Roadmap Mask from the Cine screen.
5. Select Save Mask.
6. Select Use Mask beneath the image of the mask you just created. The mask is recalled to
the left monitor and the system enters the second phase of Roadmapping.
NOTE: The status bar will reflect change to Roadmap-2.
7. Depress the left ( ) X-ray pedal. The technique stabilizes and subtraction begins using
the recalled image as the mask.

6.8 Digital Cine Pulse


On cardiac and vascular Workstations, 15 or 30 pps (12 or 25 pps on a 50 Hz system) in HLF mode
provides Digital Cine operation.
Digital Cine combines shorter pulsed widths with higher mA values to reduce image motion
artifacts.
To provide optimum images:
• Camera gain is reduced and the mA increases to as much as 150 mA.
• Exposure time is limited.
• Averaging is turned off.
Automatic termination of digital cine exposure occurs after each preset interval of continuous use.
Automatic exposure termination reduces unnecessary X-ray exposure and is designed to comply
with X-ray tube ratings. The message HLF OVERTIME will be displayed on the C-Arm control panel
when automatic exposure termination occurs. To change the exposure time limit, contact your field
service representative.

6 - 15
Vascular imaging

WARNING: During Digital Cine Pulse, the mA can increase to as much as 150 mA. This can expose the
patient and those working around the X-ray field to a significantly larger dose of radiation
than they would receive during normal pulsed fluoro operation. To minimize X-ray
exposure hazards, use Digital Cine Pulse with discretion.

6.8.1 Creating a Digital Cine Pulse image

Cardiac systems
The digital cine footswitch pedal is always available to invoke digital cine
operation during a procedure, regardless of other preset mode pairs. The
digital cine rate box on the Mode screen allows the user to display and
change the preset rate. This information is not displayed on the status
bar.
To verify the selected pulse rate, display the Mode screen. Check the rate information in the Digital
Cine Rate screen (Figure 6-14). Default is 15 pps (12 pps on 50 Hz systems). Change the rate, if
necessary.

Figure 6-14 Digital Cine Rate screen

Press the right ( ) footswitch pedal to create a Digital Cine Pulse image.

6 - 16
Vascular imaging

Change pulse rate


1. Select the ( ) rate box on the Mode screen to display the Digital Cine Pulse rate pop-up
screen (Figure 6-15).

Figure 6-15 Digital Cine Pulse rate pop-Up (50Hz and 60Hz systems)

2. Select a pulse rate from the pop-up screen.

The pop-up screen closes automatically once a rate is chosen.


3. Select the Exit button on the Mode screen to return to the Main screen or keep the Mode
screen displayed to reference the active pulse rate for the right footswitch pedal.

Vascular systems

1. Verify HLF is displayed on the status bar. If Subtract is displayed, press the Mode key to
activate HLF mode. If DIG.SPOT is displayed, use the Mode screen to select HLF.
2. Select the Pulse button on the Mode screen (Figure 6-16) to enable pulsed operation. The
Pulse button will be highlighted when active.

Figure 6-16 Mode screen

6 - 17
Vascular imaging

3. Select the Rate button to set a pulse rate of 15 or 30 (12 or 25) pps from the Digital Cine
box on the pulse rate screen (Figure 4). Verify the selected pulse rate is displayed on the
status bar.

The frame rate displayed is the same as the pulse rate. Acquisition occurs at that rate.

Figure 6-17 Vascular pulse rate screen (50Hz and 60Hz systems)

4. Press the right ( ) X-ray pedal. The digital cine image is acquired to the cine disk
automatically.
NOTE: Pulse rate screens may vary slightly depending on the product that the Workstation was
purchased with.

6 - 18
Vascular imaging

6.9 Auto inject synchronization


When properly set up and connected, an automated injector injects a preset amount of contrast
media upon receiving a signal from the Workstation. During digital subtraction, the inject signal is
sent when the syringe icon is displayed on the left monitor. Display of the syringe icon indicates that
a digital mask has been acquired and the injection of contrast media may begin. Make sure the
injector is set up to respond to the external signal from the Workstation. If the injector is not properly
set up, contrast media may be injected prematurely or not at all.
Table 6-1 details the Workstation modes when the signal is sent from the Workstation to the
injector.
NOTE: An automated injector must be correctly connected to the Workstation and armed before the
Workstation can automatically activate the injector and inject contrast media.
Table 6-1 Workstation auto inject synchronization
Mode Cue Contrast Injected
Inject Icon Displayed
Status bar = Inject signal is sent when icon is
Subtraction
displayed.

Inject icon is displayed while


Inject Icon Displayed Roadmap-1 is active. The
Status bar = Workstation does not send a
Roadmap-1
signal to the injector. The
injector must be triggered
manually.

6 - 19
Vascular imaging

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6 - 20
Image directory

Section 7
Image directory

7.1 Damaged thumbnail


Depending on the system software version, a new icon may have been added to the Image
Directory screen to mark images whose thumbnail cannot be displayed (Figure 7-1).

Figure 7-1 Damaged thumbnail icon in the Image Display screen

The damaged thumbnail icon is displayed when a patient image thumbnail has been damaged or
otherwise become inaccessible to the system. Even though the thumbnail is damaged, the image
itself is still available and can be displayed by selecting the damaged thumbnail icon displayed in its
place.

7-1
Image directory

7.2 Reviewing subtracted cine runs from archive devices


You can display archived exams on the Workstation, and then copy images to the system and make
hardcopies.
When selecting a cine run from an archive device, a static image is shown on the left monitor. If a
subtracted cine run is selected, the static image may not be displayed as a subtracted image. If you
wish to view the subtracted images from a subtracted cine run, copy the cine run to the
Workstation for play back.
Refer to “Copy From an Archive Device” in the GE OEC 9800 Workstation Operator Manual for
information on copying images and cine runs to the Workstation.

7.3 Copying (archiving) patient information


The Workstation provides several ways for you to backup or archive the patient and image
information contained in the system. You can archive data to a DICOM server (if DICOM is enabled
on your system), archive data to various types media, or you can print images to film.
Any information, including images and patient information, that will be accessed at a later time,
should be backed up immediately following the study. It is highly recommended that Workstation
data should be backed up to external storage devices on a daily basis.
Available storage options may include:
• High capacity removable media
• Floppy disk
• DICOM storage
NOTE: Ensure that there are no annotated images displayed on the right monitor before archiving
images. Otherwise, annotations displayed on the right monitor will be duplicated to all copied
images during archiving.

CAUTION: Do not attempt to take a shot during a DICOM transfer or when copying/printing to external
media. System function is blocked during transfer procedures and any attempt to use the
system while transfer is underway may require a system reboot.
Refer to GE OEC 9800 DICOM supplement for detailed instructions on archiving images and patient
information to a DICOM server.
For more information on available storage options, please call the Communications Center or your
local sales representative. Refer to “Introduction and Safety” in the GE OEC 9800 Workstation
Operator Manual for telephone numbers.
You can archive static images from the system disk to DICOM storage. You also can archive cine
runs to the same storage device.

7-2
Image directory

1. To copy patient information and images to a storage device, press the Image Directory
key ( ) on the Workstation keyboard. An image directory screen similar to the one
shown in Figure 7-2 is displayed.

Figure 7-2 Image Directory screen

If images have been acquired for the current patient, those images are displayed. Use the
Saved Exams… button to select a different patient.
NOTE: Selecting a patient from the Saved Exams screen does not change the Current Patient. See
“Current Patient” in this document for information about changing the Current Patient.
2. Select the Copy To button from the Image Directory screen. The Copy To screen is
displayed.
3. Select the DICOM server or the medium to which you wish to copy the patient images and
select OK to return to the Image Directory screen.
4. If you are copying to a DICOM Server, options for storing patient information and images
are set when the server is defined using the DICOM Configuration screen. Refer to “Image
Review, Hardcopy, and Archive” section in the GE OEC 9800 DICOM supplement for
detailed instructions.
5. Select the images you wish to copy.
6. Select the Copy button. A message is displayed while the information is copied.
NOTE: When the copy is complete, verify that the information was correctly written to the storage
device. You can verify the information by viewing the images copied to the storage device in
the Image Directory, see “Reviewing and Copying Images” in this section for more information.

7-3
Image directory

7.3.1 Printing a patient summary

NOTE: A printer must be connected and configured on the System in order to print patient summary
information. Refer to Select a Device in Chapter 7 of the GE OEC 9800 Workstation Manual
to select a printer, if necessary.
1. Touch the text box located at the top center of the Image Directory screen, containing
the patient 's last name. If no patient name has been specified, or patient names are
suppressed, the patient last name display s as "Unnamed. "

The patient summary displays on the left monitor.


NOTE: Wait 2-3 seconds for the image of the Patient Summary to stabilize on the left monitor before
proceeding with step 2.
2. At the left of the Image Directory screen on the right monitor, touch the area beneath the
printer name. This sends a screen capture of the patient summary to the printer.
3. Touch the Copy button. The image prints on your printer.

7-4
C-Arm notes, cautions, warnings

Section 8
C-Arm notes, cautions, warnings

8.1 Overview
This section contains information about C-Arm functions and hardware in addition to that
contained in the 9800 C-Arm Operator Manual and the 9800 Motorized Drive C-Arm Operator
Manual Supplement.

8.2 C-Arm control panel display


The LED panel on the C-Arm Control Panel displays the X-ray technique, status errors, and warning
messages related to C-Arm operation and X-ray generation.
The information displayed changes based on the current system operation.

Figure 8-1 Display during Normal Fluoroscopy showing kVp (left),


Accumulated fluoro exposure time (center), and mA (right)

Figure 8-2 Display during Film Mode showing kVp (left) and mAs (right)

Figure 8-3 Display showing a system message

See C-Arm messages section for more information on system messages and their meanings.

8-1
C-Arm notes, cautions, warnings

8.3 Contrast/Brightness
You can use the Contrast/Brightness controls on the C-Arm control panel to select Auto Contrast/
Brightness, or manually select the contrast and brightness levels.
The Contrast/Brightness controls serve a dual function. They specify the Contrast/Brightness setting
that will be applied to a live exposure, and they allow you to modify the Contrast/Brightness setting
on a swapped or recalled image (including a Cine run).
When starting a new exam, the Contrast/Brightness setting defaults to Auto mode, and the Auto
LED is illuminated.

8.3.1 Live/current image


When you adjust Contrast/Brightness settings for a live image or last image hold on the left monitor,
the Contrast/Brightness mode changes to manual mode. The Auto LED extinguishes and the next
exposure will be in manual Contrast/Brightness mode. The system retains the last Contrast/
Brightness setting applied to the live or last image hold image, and uses it for the next exposure.

8.3.2 Non-live image


When you adjust the Contrast/Brightness setting for swapped, recalled static, or Cine images (which
are not live images), the Auto LED extinguishes and the adjusted Contrast/Brightness setting is
displayed on the left monitor. Note that Auto Contrast/Brightness may still be active for live images
and the next exposure could be in Auto mode with the LED illuminated as an exposure is initiated.
The following example illustrates the behavior of the Contrast/Brightness controls:
1. Take an image with Auto Contrast/Brightness enabled.
2. Press the Swap key to swap the right monitor image to the left monitor, or recall a saved
image or Cine run.
3. Adjust contrast and brightness and notice that the Auto LED is turned OFF to indicate that
the image is displaying manual Contrast/Brightness settings.
Take an exposure and notice that the Auto LED illuminates to indicate the live image was taken in
Auto mode.

8.4 Film cassette holder

CAUTION: When using the film cassette holder, ensure that the film cassette is centered. Improper
centering may result in misalignment with the X-ray beam and an incomplete film
exposure may occur.

8-2
C-Arm notes, cautions, warnings

WARNING: Verify that the cassette holder is securely attached to the image intensifier. Unsecured
cassette holders may fall, injuring patients or personnel.

WARNING: Verify that the cassette is held securely within the cassette holder. Unsecured film cassettes
may fall, injuring patients or personnel.

8.5 C-Arm battery charging guidelines


When a compatible C-Arm is connected to the Workstation, it draws its power through the
interconnect cable from the Workstation. The C-Arm stores power in a local battery system. When
the batteries are charging the charging indicator on the C-Arm interface panel illuminates (see
Figure 8-4 ).

1. When the key switch is placed in the on


position (clockwise; horizontal) the C-
Arm is fully operational. When the key
switch is placed in the standby position
(counterclockwise; vertical) X-rays and
vertical column movement are disabled,
but the C-Arm remains powered.
2. Battery charger indicator lamp
illuminates when the batteries are
charging.
3. Handswitch connector socket.
4. Footswitch connector socket.
5. RUI connector socket.

Figure 8-4 C-Arm interface panel; non-motorized (left) and motorized (right)

The C-Arm batteries are charging whenever the C-Arm is connected to the Workstation and the
Workstation is plugged into a wall socket. The Workstation does not have to be turned on for the
C-Arm to begin charging the batteries.
Under normal use the C-Arm batteries will maintain their charge. More charging time may be
required in the following situations.
• Initial setup or return to service after an extended period of storage. Batteries may
require several hours of charging before using the C-Arm.
• Heavy use for an extended period of time. Batteries may require an overnight charge
to ensure sufficient charge for continued use.
• Whenever the C-Arm control panel displays a “low battery” message or a message
requiring additional charging time.

8-3
C-Arm notes, cautions, warnings

8.6 C-Arm sleep mode


All GE OEC 9800 C-Arms use a “sleep mode” to extend the life of the C-Arm’s X-ray tube. The C-Arm
enters sleep mode after 5 minutes of idle activity. That is, after the C-Arm is turned on, if no C-Arm
key, handswitch or footswitch pedal is pressed for a period of 5 minutes, the C-Arm enters sleep
mode and no X-rays can be taken until the C-Arm comes out of sleep mode. Pressing any key on the
C-Arm control panel wakes the C-Arm and makes it ready for normal activity in 2 seconds.
Pressing a handswitch, footswitch pedal, or the X-ray On switch on the C-Arm control panel also
wakes the C-Arm. Handswitches, footswitch pedals, and the X-ray On switch operate as follows:
• Press and hold the fluoro switch ( ) for 2 seconds to wake the C-Arm and make a
normal fluoro exposure.
• Press and release the HLF (high level fluoro) switch ( ) to wake the C-Arm. Wait 2
seconds and press the HLF footswitch to make HLF exposures.
• Press and release the Digital Cine switch ( ) to wake the C-Arm. Wait 2 seconds
and press the Digital Cine switch to make digital cine exposures.
• Press and hold the X-ray On switch ( ) on the C-Arm control panel for 2 seconds to
wake the C-Arm and make a normal fluoro exposure.

8.7 Positioning the C-Arm

WARNING: Pinch points exist between the C-Arm support assembly and the C-Arm. Do not place
fingers or allow clothing in between these assemblies when positioning the C-Arm.

CAUTION: Use the handles provided on the C-Arm to position mechanical assemblies. The handles
are provided for your safety.

CAUTION: Guide the C-Arm carefully with both hands until the C-Arm is in the position you want and
then lock the brake.

CAUTION: A possible pinch point exists between the C-Arm and the tip of the front cover. Do not place
your foot on the tip of the front cover while operating the vertical column or while
positioning the C-Arm.

CAUTION: Grasp one of the C-Arm positioning handles to prevent uncontrolled C-Arm movement
whenever you release the brake.

CAUTION: If the Wig-Wag brake is set to the extreme right, use caution not to injure your knuckles
when turning the steering handle 90° to the left.

8-4
C-Arm notes, cautions, warnings

8.8 Vertical column operation

CAUTION: When positioning the C-Arm, observe moving assemblies to prevent patient contact and
ensure the safety of anyone near the C-Arm.

CAUTION: When accessories (e.g. film cassette) are attached to the C-Arm, releasing the orbital or
lateral rotational brake could cause the C-Arm to move.
Use the vertical column to raise or lower the C-Arm to the desired height. The vertical column
switches are found on the top of the C-Arm control panel housing (see Figure 8-5 ).

Figure 8-5 Vertical column switches

After the C-Arm is switched on, one of the vertical column switches must be pressed to initialize the
lift column. This initialization takes approximately five seconds after which lift motion is enabled. If
the column does not move after the system is turned on, wait approximately 5 seconds after
releasing the key and then press the key again. This wait should give the lift motor time to initialize.
A 0.4 second delay is built into the up and down switch operations. If the vertical column switches
are pressed rapidly, the lift column may not move. If the column does not move after a switch press,
release the switch, wait a second, and then press the switch again to resume movement.

WARNING: In the event of uncommanded vertical column movement, immediately move the C-Arm
out of the patient environment until the problem has been corrected.

8.9 Motorized Drive C-Arm fast stop


and motion stop buttons
The GE OEC 9800 Motorized Drive C-Arm has two Fast Stop buttons on the C-Arm control panel
housing and one Motion Stop button on the Remote User Interface (RUI). The function of these
buttons is similar with one significant difference. Any of the buttons can be pressed to stop all
motorized motion on the C-Arm. Pressing a Fast Stop button also disables all X-rays. Pressing the
Motion Stop button does not disable X-rays.

8-5
C-Arm notes, cautions, warnings

8.9.1 Fast stop buttons


The C-Arm control panel housing has two red Fast Stop buttons as shown in Figure 8-6 below.

Figure 8-6 C-Arm fast stop buttons

WARNING: If pressing a fast stop button fails to stop motor movement or X-rays, place the Workstation
power switch in the off position, or disconnect the power plug from the AC receptacle. Call
for service if the problem persists.
NOTE: Pressing either fast stop button disables X-rays and disables all motorized C-Arm motion.
NOTE: C-Arm motorized motion can be used after releasing a Fast Stop button.

CAUTION: When either fast stop button is pressed, the system must be rebooted to regain full system
functionality including X-ray generation.

8-6
C-Arm notes, cautions, warnings

8.9.2 Motion stop button

WARNING: Pressing the Motion Stop button on the RUI immediately stops all C-Arm motion but does
not disable X-rays. Press one of the Fast Stop buttons on the C-Arm control panel housing
to immediately disable X-rays.
The RUI has a Motion Stop button located above and to the right of the joystick (Figure 8-7 ).
Pressing the Motion Stop button stops all motorized C-Arm and vertical lift but does NOT
disable X-rays.

Figure 8-7 RUI motion stop button is


above orientation buttons

To re-enable motorized C-Arm motion, reset the RUI Motion Stop button by turning it to the left and
allowing it to pop up. C-Arm motion is disabled until the RUI Motion Stop button is reset. If you
receive a “Motion Disabled” message on the Workstation, check the state of the Motion Stop button
to make sure it has been reset.
NOTE: When the C-Arm motion has been stopped using the Motion Stop button, you can move the C-
Arm manually by using the Clutch Handle to disengage the C-Arm clutch. See the “Operation”
section in the 9800 Motorized Drive C-Arm Operator Manual Supplement for more information.

8.9.3 Maximum C-Arm motorized rotational speed


The GE OEC 9800 Motorized Drive C-Arm has a maximum motorized rotational speed of 9° per
second.

8.9.4 C-Arm unexpected power loss


Should the C-Arm unexpectedly lose power, you should restart the Workstation to make sure that
the C-Arm and Workstation are in normal operating condition before continuing to operate the
C-Arm.

8.9.5 C-Arm lockups


Should the C-Arm unexpectedly become unresponsive or lockup, restart the Workstation to return
the C-Arm to normal operating condition. Refer to “Restarting the System,” in this Update for
detailed instructions for restarting the Workstation. If the C-Arm fails to respond or continues to
lockup call for service.

8-7
C-Arm notes, cautions, warnings

8.10 X-ray switch security error


A slow press of the X-ray switch on the C-Arm control panel (Figure 8-8 ) may cause an X-ray switch
security error message to be displayed on the control panel display and on the left monitor of the
Workstation. Clear the error message and re-enable X-rays by pressing any C-Arm control panel
key. If the message recurs or persists, call your service representative.

Figure 8-8 C-Arm X-ray switch

8.11 Alarm reset


For non-United States configurations, when the “continuous” fluoro time reaches a preset limit, the
default is 10 minutes maximum, X-rays will be terminated. Thirty seconds prior to termination, an
alarm will sound. To override X-ray termination and silence the alarm press the Alarm Reset key
briefly. If you are unable to reset the alarm before X-rays are terminated release the X-ray switch
and then press the X-ray switch again to enable X-rays.
NOTE: Your field service representative can adjust the time duration before X-rays are terminated.

8.12 Dose rate information


When X-rays are active the dose rate is displayed on the C-Arm’s Control Panel, in seconds.

8.12.1 Source to skin distance


The system maintains a minimum source to skin distance of 30cm when the skin spacer is attached.
The skin spacer may be removed for special procedures. When the skin spacer is removed, the
system maintains a minimum source to skin distance of 20cm.

CAUTION: The patient should be positioned as far away from the X-ray source as possible in order to
keep the absorbed dose to the patient as low as reasonably achievable.

CAUTION: Additional objects in the beam, such as tables and patient supports, may cause the
imaging system to increase the amount of radiation, in order to obtain an optimal image.
Prevent additional exposure by removing unnecessary objects from the path of the beam.

8-8
C-Arm notes, cautions, warnings

The skin spacer should only be removed on the instructions of a physician. The skin spacer should
be reattached to the collimator assembly immediately following the procedure.
Attach the skin spacer by pushing it onto the X-ray tube cover.

WARNING: Removing the skin spacer may result in increased radiation exposure to the patient. The
rate of exposure increases exponentially as the anatomy is positioned closer to the X-ray
tube.

8-9
C-Arm notes, cautions, warnings

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8 - 10
Planned maintenance

Section 9
Planned maintenance

9.1 Planned maintenance instructions


Planned maintenance should be performed annually, as described in the Planned Maintenance
Procedure. This maintenance should be performed by a GE OEC Medical Systems, Inc. certified
service engineer or other qualified service engineer. Maintenance procedures include:
• Electrical components including cabling, grounding, and batteries
• Cooling fans, ventilation, and air filters
• Workstation and C-Arm control panels
• Mechanical assemblies and brakes
• C-Arm motion components
• Safety interlock
• Imaging chain and X-ray components

WARNING: Circuits inside the equipment use voltages capable of causing serious injury or death from
electrical shock. Only GE OEC trained and qualified personnel should remove the covers
or perform any type of service task.

WARNING: The planned maintenance procedure produces X-rays. Take the appropriate precautions.

9-1
Planned maintenance

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9-2
Updated technical specifications

Section 10
Updated technical
specifications

10.1 Classif ication type


As defined by IEC 60601-1:
• Class I Equipment type protection against electric shock
• Type B degree of protection against electric shock (C-Arm)
• IPXO (ordinary) protection against ingress of liquids
• Category AP Equipment (C-Arm extension only)
• Mode of operation is continuous (standby) and intermittent (maximum)

10.2 Power requirements


Before power is connected to the system, the operator must be certain that the power outlet has
been approved, as indicated below, for the current, voltage, and line regulation requirements of the
system.

CAUTION: A dedicated AC power line is recommended to avoid conflicts with the power requirements
of other equipment.
The GE OEC Medical Systems, Inc. authorized field representative shall provide the owner of the
system with information as to which rooms, in the area designated to him by the owner, meet the
requirements of line voltage, line current, and line regulation for the system. It is the owner's
responsibility to operate the system only in those rooms which meet these requirements.
This information must be obtained at the time of system installation on the site. If this information is
not available for the room in question, it can be obtained by a qualified technician or service
representative.
Failure to meet proper power requirements results in a violation of the U.S. Federal Performance
Standards 21CFR 1020.30-32.

10 - 1
Updated technical specifications

10.2.1 Facility current leakage tests


NOTE: The medical facility may require that the facility's biomedical department perform current
leakage tests on the system. If that is the case, take notice of the following warnings.

WARNING: To avoid software corruption, ensure that you wait for a full boot up and shutdown before
performing a leakage test.

WARNING: Do not toggle the Line switch from Forward to Reverse or vice versa with the system
powered on.

WARNING: Power must be off on the system before and during any tests. Do not interrupt power to
the system at any time while the system is booting or shutting down to avoid file system
corruption.

10 - 2
Updated technical specifications

10.3 Environmental requirements


Table 10-1 System environmental requirements
+10 to +35 degrees C
Ambient For Operation:
+50 to +95 degrees F
Temperature
Range: For Storage and -10 to +55 degrees C
Transportation: +14 to +131 degrees
20% to 80% relative,
For Operation: non-condensing,
Humidity with the system turned on
Range:
For Storage and 20% to 80% relative,
Transportation: non-condensing
3048 meters
For Operation:
Altitude 10,000 feet
Range: For Storage and 4572 meters
Transportation: 15000 feet
Random, 5-200Hz, 1G, for no
Vertical
more than 120 minutes
Random, 5-200Hz, .5G for no
On Pallet: Longitudinal
more than 60 minutes
Random, 5-200Hz, .5G for no
Transverse
more than 60 minutes
3/8” Threshold, 1g-rms +0/-10%
Shock and g-rms, 1/2 sine wave, 60 ms
Vertical
Vibration Limits: +0/-17% ms impulse, for no
more than 3640 cycles.
Random, 5-200Hz, 1G, for no
Off Pallet: Vertical
more than 120 minutes
Random, 5-200Hz, .5G for no
Longitudinal
more than 60 minutes
Random, 5-200Hz, .5G for no
Transverse
more than 60 minutes

10 - 3
Updated technical specifications

10.4 System input power


The system operating voltage is changeable. If the operating voltage requires changing, this change
must be made by a GE OEC Medical Systems, Inc. field service engineer, or by qualified technical
service personnel.
The following are the power ratings of the system.
Line frequency: 60/50 Hz

Standard systems
Line voltage (VAC) Maximum current Maximum power Standby current Standby power
(+/- 10%) (Amps) (kW) (Amps) (kW)
100 18 6.06
120 15 5.05
200 10 3.03
2.4 0.61
220 10 2.75
230 10 2.63
240 10 2.52

Motorized and heat management systems


Line voltage (VAC) Maximum current Maximum power Standby current Standby power
(+/- 10%) (Amps) (kW) (Amps) (kW)
120 20 5.32
200 10 3.20
220 10 2.4 2.90 0.64
230 10 2.78
240 10 2.66

10 - 4
Updated technical specifications

10.5 X-ray source assembly


Type Varian RAD-99B (rotating anode)
Focal Spot Dual, 0.3 and 0.6 (per IEC 60336)
Target Material Tungsten -rhenium molybdenum
Target Angle 10°
Target Diameter 78.74 mm (3.1 in.)
Maximum Voltage Anode to Cathode 125 kV
Anode to Ground 62.5 kV
Cathode to Ground 62.5 kV

Maximum Filament Current Focus 0.3: 4.1 A


Focus 0.6: 5 A
Maximum Filament Voltage Focus 0.3: 7.8 V
Focus 0.6: 11 V
Nominal Anode Input Focus 0.3: 8.3 kW
Focus 0.6: 22.5 kW
Continuous Maximum Input 1000 W

Maximum Continuous Heat Dissipation 85,280 HU/min

Speed up time for Anode 1-2 seconds


Braking time for Anode N/A

Leakage Radiation Less than 100 mR/hr (0.88 mGy/hr)

Cooling Method for X-ray Tube


Convection cooled (Optional forced air cooling)
Assembly

Weight of X-ray Tube Assembly 19.5 kg (43 lbs.)

Inherent Filtration 0.7mm Al minimum (at 75 kVp)


Additional filtration is added to the beam from the collimator
Total Filtration
assembly and cover for a total of 6.3mm Al minimum (at 75 kVp).
Anode Heat Storage Capacity 300,000 HU
70,000 HU/minute. Refer to the thermal characteristic curves in
Anode Maximum Cooling Rate
the GE OEC 9800 C-Arm Operator Manual.
Housing Heat Storage Capacity 1,600,000 HU
15,000 HU/minute. Refer to the thermal characteristic curves in
Housing Cooling Rate
the GE OEC 9800 C-Arm Operator Manual.
Housing Cooling Rate (with optional
22,500 HU/minute.
cooling kit)
Leakage Technique Factors 125 kVp and 1.5 mA
X-ray Tube Rating 125 kVp maximum
9” system is 220mm (8.661 in.) at 100 cm (39.37 in.) SID
Max. Symmetrical Radiation Field
12” system is 295mm (11.614 in.) at 100 cm (39.37 in.) SID
Focal Spot to Image Intensifier Input 100cm (39.37 in.)
(SID)

10 - 5
Updated technical specifications

10.6 Scatter radiation

10.6.1 9 Inch (22.8 cm) II


Conditions:
• MDH 1015 X-ray Monitor
• 10 x 5-6 Ion Chamber (entrance exposure only)
• 10 x 5-180 Ion Chamber (scatter exposure only)
• ANSI Abdomen Phantom (30.5cm x 30.5cm x 17.78cm Lucite)

Horizontal plane
The following illustration shows measurement points in a plane perpendicular to the beam axis at a
height indicated by reference point C1. C1 is the 30-inch SSD, and is illustrated in the Vertical Plane
illustration, below. The measurement points are 25 cm apart. The table following the Figure 10-1
shows expected scatter radiation at each point.

Figure 10-1 Overhead view of C-Arm and imaging table

9 inch II air kerma scatter rates – horizontal plane


Technique: Fluoroscopic 73 kVp @ 2.4 mA entrance exposure rate: (Reference C1)
Measurement point Entrance exposure rate Dose rate
H1 598 mR/hr 5.22 mGy/hr
H2 133 mR/hr 1.16 mGy/hr
H3 56 mR/hr 0.48 mGy/hr
H4 30 mR/hr 0.26 mGy/hr
S1 523 mR/hr 4.56 mGy/hr
S2 130 mR/hr 1.13 mGy/hr
S3 56 mR/hr 0.48 mGy/hr
S4 34 mR/hr 0.29 mGy/hr

10 - 6
Updated technical specifications

Vertical plane
The following illustration shows measurement points in a plane through the beam axis at a height
indicated by reference point C1, which represents the 30-inch SSD. The measurement points are 25
cm apart. The table following Figure 10-2 shows expected scatter radiation at these points.

Figure 10-2 Side view of C-Arm and imaging table

9 inch II air kerma scatter rates – vertical plane


Technique: Fluoroscopic 73 kVp @ 2.4 mA entrance exposure rate: (Reference C1)
Measurement point Entrance exposure rate Dose rate
T1 Too close to phantom for measurement
T2 72 mR/hr 0.62 mGy/hr
T3 33 mR/hr 0.28 mGy/hr
C1 1.03 R/min 0.008 Gy/min
B1 Too close to phantom for measurement
B2 328 mR/hr 2.86 mGy/hr
B3 163 mR/hr 1.42 mGy/hr

10 - 7
Updated technical specifications

10.6.2 12 Inch (30.5 cm) II


Conditions:
• MDH 1015 X-ray Monitor
• 10 x 5-6 Ion Chamber (entrance exposure only)
• 10 x 5-180 Ion Chamber (scatter exposure only)
• ANSI Abdomen Phantom (30.5cm x 30.5cm x 17.78cm Lucite)

Horizontal plane
The following illustration shows measurement points in a plane perpendicular to the beam axis at a
height indicated by reference point C1. C1 is the 30-inch SSD, and is illustrated in the Vertical Plane
illustration, below. The measurement points are 25 cm apart. The table following Figure 10-3 shows
expected scatter radiation at each point.

Figure 10-3 Overhead view of C-Arm and imaging table

12 inch II air kerma scatter rates – horizontal plane


Technique: Fluoroscopic 73 kVp @ 2.4 mA entrance exposure rate: (Reference C1)
Measurement point Entrance exposure rate Dose rate
H1 1080 mR/hr 9.42 mGy/hr
H2 225 mR/hr 1.96 mGy/hr
H3 97 mR/hr 0.84 mGy/hr
H4 54 mR/hr 0.47 mGy/hr
S1 1030 mR/hr 8.99 mGy/hr
S2 240 mR/hr 2.09 mGy/hr
S3 101 mR/hr 0.88 mGy/hr
S4 58 mR/hr 0.50 mGy/hr

10 - 8
Updated technical specifications

Vertical plane
The following illustration shows measurement points in a plane through the beam axis at a height
indicated by reference point C1, which represents the 30-inch SSD. The measurement points are
25 cm apart. The table following Figure 10-4 shows expected scatter radiation at these points.

Figure 10-4 Side View of C-Arm and imaging table

12 inch II air kerma scatter rates – vertical plane


Technique: Fluoroscopic 73 kVp @ 2.4 mA entrance exposure rate: (Reference C1)
Measurement point Entrance exposure rate Dose rate
T1 Too close to phantom for measurement
T2 146 mR/hr 1.27 mGy/hr
T3 67 mR/hr 0.58 mGy/hr
C1 0.93 R/min 0.008 Gy/min
B1 Too close to phantom for measurement
B2 527 mR/hr 4.60 mGy/hr
B3 248 mR/hr 2.16 mGy/hr

10 - 9
Updated technical specifications

10.7 Dimensions

10.7.1 9-inch standard C-Arm

10 - 10
Updated technical specifications

10.7.2 12-inch standard C-Arm

10 - 11
Updated technical specifications

10.7.3 9-inch Super C-Arm

10 - 12
Updated technical specifications

10.7.4 Workstation

10 - 13
Updated technical specifications

10.8 Communication Center contact information

10.8.1 Ordering disposable items


GE Healthcare, GE OEC Disposables offers a wide variety of film and sterile drapes to support your
surgery equipment. All GE drapes and sterile covers for GE OEC equipment are custom designed to
provide a tight fit with minimal excess plastic for full equipment protection during urology,
cardiology, or surgical procedures.

10.8.2 Training
Training on system operation for clinicians and technical service training for biomedical engineers is
available. Use the contact information in this section to obtain more information.

10.8.3 Phone
1. Call the number that corresponds to your geographical location.

US: 800-874-7378
Canada: 800 668-0732
China: 800 810-8188
All other locations: Contact your local sales representative.
2. Establish an account with the customer service representative.
3. Place your order.

10.8.4 Fax
If you have a catalog and a GE Fax Order form, complete the form and fax it to 801-355-8114. If you
do not have a catalog, and would like one you can obtain them by dialing the number listed for your
geographical location.

10.8.5 On-line
You can order Disposables on the GE Healthcare Web site from any geographical location but prior
to ordering you must register on-line to open an account. Registration is free.
1. Go to www.gehealthcare.com/usen/index.html.
2. Register to open an account.
NOTE: Record your user name and password for future account access.
3. Log on using the user name and password that you established when you registered.
4. Browse through the on-line catalog and locate the GE OEC supplies that you want to
purchase.

10 - 14
Updated technical specifications

NOTE: If you have difficulties, dial the telephone number listed previously for your geographical
location or contact your local sales representative.
You may also call these numbers to order circuit diagrams, component part lists, calibration
instructions, arrange training or obtain other information which will assist qualified service
engineers to repair the system.

10 - 15
Updated technical specifications

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10 - 16
Index

A Current patient 3-3


Air Kerma 3-16 Customization, Workstation 2-13
Rate (AKR) 3-16 D
Alarms Damaged thumbnail image 7-1
HLF 3-20 Diacritic keys 2-12
Reset 3-20, 8-8 Digital Cine Pulse 6-15
Standard fluoro 3-20 Cardiac systems 6-16
Ambient room light compensation 2-17 Vascular systems 6-17
Auto inject synchronization 6-19 Digital spot imaging 5-5
Automatic exposure control 3-12 Dimensions
B 12-inch standard C-Arm 10-11
Battery 9-inch standard C-Arm 10-10
Charging guidelines 8-3 9-inch Super C-Arm 10-12
Disposal of iii Workstation 10-13
C Dose rate
Cardiac fluoro pulse rates 5-8 Dose summary 3-19
Cardiac icon 6-7 Dose-area product (DAP) 3-17
Cardiac systems, Vascular imaging 6-7 Dosimetry display 3-16
C-Arm Dose rate information 8-8
Battery charging guidelines 8-3 Source to skin distance 8-8
Control panel display 8-1 Dose summary 3-19
Positioning 8-4 Dose Summary screen 3-19
Sleep mode 8-4 Dosimetry
Vertical column operation 8-5 On the X-ray image screen 3-18
C-Arm messages 4-12 E
Change current patient 3-9 Electromagnetic compatibility
Cine acquisition 6-6 statement 1-2
Cleaning 2-17 Enable pulsed X-ray 5-6
Approved cleaning agents 2-18 Change pulse rate 5-7
Monitors 2-18 Environmental requirements 10-3
Workstation 2-18 Error prevention
Compliance information (China) 1-4 DICOM image store 2-10
Connecting devices, Workstation 2-14 DICOM Work List Query 2-10
Contact information 10-14 Viewing or editing patient data 2-10
Contrast/Brightness 8-2 When saving images 2-10
Live/current image 8-2 When using Cine Playback
Non-live image 8-2 (if available) 2-10
Copying (archiving) patient information 7-2 Error prevention and recovery 2-10

I-1
Error recovery I
Communication failure 2-11 Image directory
Image freeze 2-11 Copy patient information 7-2
Images not saved 2-11 Damaged thumbnail 7-1
Initialization failure 2-11 Review subtracted cine runs 7-2
No boot 2-11 Imaging modes summary 3-15
No X-ray 2-11 Intended use 1-1
Power loss and system restart 2-10 K
System lockups 2-11 Keyboard 2-12
Error recovery steps 4-1 Diacritic keys 2-12
Essential performance criteria 1-2 Save key 2-12
Exposure control Swap key 2-12
Automatic 3-12
L
Manual 3-12
Exposure timer 3-17 Labels
Extended exposure feature 2-16 Beam Limiting Device certification 1-9
External connections, Workstation 2-13 Certification labels location 1-7
Electric shock hazard 1-7
F Film cassette certification 1-11
Facility current leakage tests 10-2 HV generator/X-ray
Fast stop button 8-5 control certification 1-10
Film cassette holder 8-2 Image intensifier certification 1-9
Fluoro imaging Ionizing radiation 1-11, 1-12
Cardiac systems 5-8 IPX8 footswitch protection 1-11
Change pulse rate 5-7, 5-8 Manufacturing information 1-8
Digital spot imaging 5-5 Nameplate/rating 1-8
Enable pulsed X-ray 5-6 Pinch points 1-6
High level fluoro (HLF) 5-4 Power off/restart 1-7
Mode screen 5-2 WEEE label 1-12
Overview 5-1 Workstation connector ports 1-12
Producing digital spot image 5-5 X-ray tube assembly certification 1-10
Producing HLF image 5-4 Landmarking 6-11
Producing image 5-3 Left monitor messages 4-10
Saving images 5-9
M
Status bar 5-3
Vascular systems 6-2 Mag mode keys 2-13
Workstation setup 5-1 Maintenance
X-ray switch mode setup 5-3 Planned 9-1
Footswitches Manual exposure control 3-12
Modes and 3-14 Medical device directive iii
Three-pedal 2-15 Messages
Two-pedal 2-15 C-Arm 4-12
Left monitor 4-10
H Right monitor 4-2
Handswitch 2-15 Workstation 4-1
High Level Fluoro (HLF) 5-4 Mode display 3-13

I-2
Mode pairs 12 Inch (30.5 cm) II 10-8
Vascular imaging 6-4 9 Inch (22.8 cm) II 10-6
Modes of operation 3-12 Scheduled exams screen 3-5
Activating 3-12 Screens
Deactivating 3-12 Change current patient 3-9
Imaging modes summary 3-15 Customize time and date 3-11
Mode display 3-13 Dose Summary 3-19
Motorized C-Arm drive Login 3-1
C-Arm lockups 8-7 Mode screen 3-13
Fast stop button 8-5 Mode screen, Cardiac 6-7
Maximum rotational speed 8-7 Mode screen, Fluoro 5-2
Stop motion button 8-5 Mode screen, Vascular 6-3
Unexpected power loss 8-7 Patient information 3-2
Move images to new study 3-4 Saved exams 3-9
Multiple switch presses 2-16 Scheduled exams 3-5
O Update schedule - Schedule Filter 3-6
Ordering disposable and Shutting down the system 2-8
accessory items 10-14 Shutdown checklist 2-8
Source to skin distance 8-8
P
Specifications
Patient information 3-2 Classification type 10-1
Patient summary System input power 10-4
Printing 7-4 X-ray source assembly 10-5
Pinch points 1-6 Starting the system 2-3
Positioning the C-Arm 8-4 Restarting the system 2-9
Power requirements 2-1, 10-1 Startup checklist 2-3
Workstation 2-1 Status bar
R Modes displayed on 3-15
Registration, image Stop motion button 8-5
in Roadmap and subtraction 6-10 Subtraction imaging 6-8
Restarting the system 2-9 Adjusting mask 6-10
Review subtracted cine runs 7-2 Landmarking 6-11
Right monitor messages 4-2 Procedure 6-9
Roadmap imaging Registration 6-10
1st phase 6-12 Sequence 6-8
2nd phase 6-12 Swap key 2-12
Clearing a mask 6-14 Symbols
Mask from subtraction cine run 6-15 Anesthetic proof 1-16
Procedure 6-12 Battery 1-21
Selecting and clearing a mask 6-13 C-Arm transport position 1-16
Sequence 6-12 CE Mark 1-19
Using a saved mask 6-14 Circuit breaker 1 1-13
S Circuit breaker 2 1-13
Save key 2-12 Circuit breaker 3 1-14
Saved exams 3-9 Circuit breaker 4 1-14
Scatter radiation 10-6 Circuit breaker toggle OFF 1-20

I-3
Circuit breaker toggle ON 1-20 Digital Cine Pulse 6-16
CSA-NRTL 1-16 Cine acquisition 6-6
Dangerous voltage 1-17 Digital Cine Pulse 6-15
Date of manufacture 1-18 Mode pairs 6-4
Digital Cine Pulsed 1-23 Mode screen 6-3
EFUP 50 China 1-17 Overview 6-1
Equipotential terminals 1-15 Roadmap imaging 6-11
Fast stop 1-19 clearing a mask 6-14
Fluoro/Roadmap 1-19 mask from subtraction cine run 6-15
Focus 1-13 procedure 6-12
Foot crush points 1-16 selecting, clearing mask 6-13
Footswitch port 1-22 using a saved mask 6-14
Handswitch port 1-22 Setting up modes 6-5
High res out-left monitor 1-20 Subtraction imaging 6-8
High res out-right monitor 1-21 adjusting mask 6-10
HLF/Dig Spot/Subtract 1-19 landmarking 6-11
Ionizing radiation 1-17 procedure 6-9
Low res out-left monitor 1-20 registration 6-10
Mode toggle key 1-17 sequence 6-8
Parallel printer port 1-21 Switching mode pairs 6-4
Part number 1-18 Vascular systems
Pinch points 1-14 Digital Cine Pulse 6-17
Power switch 1-20 X-ray pedal setup 6-1
Printer port 1-21 Vascular systems
RUI port 1-22 Fluoro imaging 6-2
Serial number 1-18 W
Smiley face 1-19 Workstation
Switch/relay control 1-21 Connecting a device 2-14
System model/type 1-18 Customization 2-13
Type B equipment 1-18 External connections 2-13
VDE certification 1-17
X
Warning 1-15
X-ray equipment certification update 1-1
WEEE 1-19, 1-23
X-ray indication
X-ray key lock OFF 1-22
Audible 3-20
X-ray key lock ON 1-22
Visual 3-20
System input power 10-4
X-ray switch security error 8-8
T
Time and date, set 3-11
Transport and storage checklist 2-2
U
Update Schedule - Schedule Filter 3-6
Updated safety information 1-2
V
Vascular imaging
Cardiac systems 6-7

I-4

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