Title Page

DelWorks DR Console
Version 3.0
1 Getting
Quick Reference Guide Started

2 General
Workflow

3 Other Tasks

P/N 8000-DR3QRG
Revision A, December 12, 2019
9 Illustrated
Parts List
 Copyright © 2019, Del Medical Inc. All rights reserved.

This document is the property of Del Medical Inc. and contains confidential and proprietary information
owned by Del Medical Inc. Any unauthorized copying, use or disclosure of this document without the prior
written permission of Del Medical Inc. is strictly prohibited.

General Safety Guidelines

This system is intended for medical diagnostic purposes only. Observe the
following general safety precautions:
• Read and fully understand this manual before using this software. Failure
to follow operating instructions can result in serious injury.
• Do not use this software for anything other than medical diagnosis.
• Observe all warnings and cautions, stated or implied, in this manual and
the manuals for associated equipment.
• Comply with all safety labels on the equipment.
• Permit only properly trained and qualified personnel to operate this
equipment. Operators must meet all state and local requirements and
regulations.
• X-rays pose a health risk for both patients and operators. Take all
measures to minimize radiation exposure to any persons.
• Do not defeat or bypass built-in equipment safety features.
• Before operating X-ray equipment, operators must know the location of all
emergency stop switches (if installed), which allow immediate shutdown
in the event of unintended motion or catastrophic equipment failure.
• Pediatric patients are especially sensitive to adverse x-ray effects. For
guidance, refer to these resources:
- The Image Gently Campaign: http://www.imagegently.org.
- FDA resource on Pediatric X-ray Imaging:
http://www.fda.gov/Radiation-EmittingProducts/RadiationEmitting
ProductsandProcedures/MedicalImaging/ucm298899.htm
• When sending patient information across a network, confirm that your IT
department takes appropriate security measures to protect patient
privacy.

Del Medical Inc. www.delmedical.com

241 Covington Drive Phone:1-847-288-7000
Bloomingdale IL 60108 Fax:1-847-288-7011
USA Toll Free:1-800-800-6006
1 Getting Started

Getting Started
1
1.1 Starting Up and Logging in to the System
Start the DelWorks DR at least 30 minutes before use.
1. Switch on the generator, detector and all other system components. Verify
that all components are functional.
2. Switch on the DelWorks DR PC. If required, log in to Windows.
3. Log in to the DelWorks DR Console application. As the application starts,
you see the Initializing... screen display task status. Then you see the
New/Edit Patient window (page 1-2).

1.2 Status Bar

The Status Bar at the bottom of all console windows provides realtime status
information for several system elements.
Free disk space Tube temperature Error messages
Hardware
Network status
status

Detector battery status WiFi status

1 Getting Started 1-1

DelWorks DR Quick Reference Guide

1.3 Study List Window

Typically your home screen; before exposures, use to select the patient.
Search New Patient Window System Menu dropdown
Study List Tube warm up
Status Emergency
Completed Studies List Patient
Icons:
In-Progress
(Suspended)

Scheduled
(New)

Study List

Selec
summary

Delete study
een

Edit patient

To next screen
Scroll up/down

1.4 New/Edit Patient Window

View and edit a patient, or create a new patient.
Patient service information Clear
information

Patient
information Search for
a patient

Touch screen
keyboard
Hide
keyboard

Back to Study List Save this entry to the study list add views to this patient/study

1-2 1 Getting Started

 DelWorks DR Quick Reference Guide

1.5 Select View Window

Choose the view or views that correspond to the body region to examine.
Protocols (groups of views) to select from
Select
views by
protocol
Click a region to
show specific
region protocols

Select
individual
views

Show often-
used protocols

Views panel Clear all views

Back to Study List Proceed to exam Remove selected view

1.6 Exam Window

Set technique parameters, make exposures, and organize images in a study.
Hardware status:
Ready to
expose
Prep
Exposing

Generator
technique
parameters

Reset generator

AEC field select

Select workstation
Duplicate
view Views (pre-exposure) and
Accept Exit Exam
images (post-exposure
image window
Add protocol

Review Stitching
Delete view / reject image
Save technique

1 Getting Started 1-3

DelWorks DR Quick Reference Guide

1.7 Image Processor Window

At the Image Processor window you can modify an image’s display settings.
Contrast/
Brightness

Insert custom
marker
Clear all
marks

Clear selected
Image
marker
panel

Variable Pre-defined
zoom markers
Pan

Marks
Zoom in/out Flip image
Accept/Reject or
Fit Window Rotate 90° Reset
Save/Cancel
Original size Invert Edit View

Contrast Brightness
Crop size Contrast Brightness
Redo crop Use Symphony
Commit crop defaults
Undo crop
Edit Symphony
Reset image parameters
Change view

Use ESA defaults

Mask
PICC
Free rotate Reset
Select curve

Predefined
curve shapes

Tools Process

1-4 1 Getting Started

 DelWorks DR Quick Reference Guide

1.8 Review Window

Reprocess Image panel layout
DICOM
info

Image
panel Measure
distance
and angle
Brightness/
contrast
Hide
Pan Overlay

Send
Selector Destinations
Stitching
Magnifier
Zoom tool Send all
Zoom in/out Flip and Invert
Fit Window Original size Reset Send selected
rotate

1.9 Print Window

Film layout Add/delete film
Portrait/
landscape
Images
to select Send to printer
Show/hide
overlay

Delete image
Film size

Pan

Selector
Printer
destinations

Magnifier
Zoom tool Fit Window True size Invert
Flip and Rotate
Same magnification

1 Getting Started 1-5

DelWorks DR Quick Reference Guide

1.10 Stitching Windows

Go to next stitching
window

Start Slit Split

Flip or rotate
selected image

Change order of
thumbnails

Back to exam
window

Images available to stitch

Go to
Adjustment
Window

Reset
Set stitch
c connection points
Define 2 rectangle
to stitch together

Set 2 stitch
connect points

Images selected to stitch

See result
Reset
Previous window
Restart stitching Set crop
Commit crop
Set arrow increment
Save stitched image
Move lower image

Show overlap Exit stitching session

Crop and save
Blend overlap window panel
Adjustment window panel

1-6 1 Getting Started

 DelWorks DR Quick Reference Guide

1.11 Shutting Down or Logging Out

Shut down DelWorks DR at the end of the workday, or restart every 24 hours.
1. From the Study List window, click the Main Menu button
( , upper right corner). You see 3 options:
• Logoff: Switch to the Login window to log back in to the DelWorks DR
Console as another user.
• Exit: Close the DelWorks DR Console application.
• Shutdown： Close the DelWorks DR Console application and shut
down the Computer.
2. Select 1 of the 3 options.

1 Getting Started 1-7

2 General Workflow

General Workflow
2
2.1 Overview
This chapter summarizes a typical workflow when making X-ray exposures
while using DelWorks DR. For more detailed information, see the DelWorks
DR User Guide.

Typical Workflow
1. Enter or designate patient information and create a study.
2. Determine the required views and settings for the exposure(s).
3. Make exposures.
4. Review and process images.
5. Complete the study and send images to PACS and/or other destinations.

2.2 Emergency Patient ID

The emergency feature lets you bypass standard patient and study
registration and immediately conduct an X-ray examination.

Emergency Examination
For an emergency “express” examination, perform the following steps:
1. Go to the Study List window and click the Emergency tab. You see the
Exam window, with a generated patient name.
2. Configure generator settings and continue with the examination.

Emergency Patient Information

To edit emergency patient information (before or after an exposure):
1. From the Study List or Completed window, select a Study.
2. Click the Edit button ( ). You see the New/Edit Patient window.
3. Make changes as needed and click Edit To Study List ( ) or Edit
To Completed ( ) to save.

2 General Workflow 2-1

DelWorks DR Quick Reference Guide

2.3 Non-Emergency Patient ID

Before capturing images, identify the patient.
1. From the Study List or Completed window, click the New Patient button.
You see the New/Edit Patient window.
2. For a new patient, fill in the Patient Name and Patient ID (required), plus
other information as available.
If the patient already exists on the DR database, enter the patient’s ID or
name and click Search. DelWorks DR then fills in the form.
3. Enter the required patient information.
4. Click Add To Study List ( ).

2.4 Loading a Study for an Exposures

1. Select an item in the Study List. The item turns red. If desired, you can
select addition studies for the same patient ID with Ctrl-click.
2. Click Next ( ). You see the Exam window.
3. Click on a view to select that view. You see information about the view at
the top of the window.
4. Verify exposure settings. To adjust settings, first click mAs or Time.
5. Verify the workstation selection, and if used, AEC settings.
Note: To capture an additional image, click Add Protocol ( ).

2.5 Making an Exposure

Use standard methods to make an exposure, typically with a 2-position
handswitch. See the generator documentation.

2.6 Optimizing the Image

After taking the exposure, the image is shown in the Image Processor
window, with exposure information in the corners of the image. You can:
• Select a post-process algorithm: ESA or Symphony (if available).
• Adjust the ESA/Symphony setting.
• Crop the image.
• Add comments or digital markers.
• Rotate or flip the image.
• Zoom in or out.
• Accept or reject the image.

2-2 2 General Workflow

 DelWorks DR Quick Reference Guide

2.6.1 Image Processing

To load an image into the Image Processor:
1. Select a study item in the Study List window.
2. Click Next ( ). You see the Exam window.
3. Click on an image. You see a white border around the selected image,.
4. Click Review ( ). You see the Review window.
5. Click the Reprocess button ( ). You see the Image Processor window,
with a 3-tabbed panel to the right.

2.6.2 Contrast and Brightness

All 3 tabs let you adjust the image’s contrast and brightness.

2.6.3 Mark Tab: Markers and Comments

From the Image Processor window click the Mark tab. You see the Marks
panel.
Markers. You can add digital markers to an image, which are sent to the
output DICOM device(s).
Comments. You can add text comments to an image at the time of
acquisition, which are sent to the destination DICOM devices.

2.6.4 Tools Tab: Cropping, Rotating, and Masking

From the Image Processor window click the Tools tab. You see the Tools panel.
Cropping. Use the Crop tools to trim out the unwanted part of the image.
Rotating. Use the bottom rotate buttons to rotate the image in 90° increments
or finer increments.
Masking. Use the Mask tool ( ) to mask off and darken an unwanted
portion of the image.

2.6.5 Process Tab: Adjusting ESA or Symphony Settings

From the Image Processor window click the Process tab. You see the Image
Optimization panel (page 1-4), where you can:
• adjust brightness or contrast
• switch between Symphony or ESA processing
• fine tune Symphony settings
• change the curve shape
• change the associated view

2 General Workflow 2-3

DelWorks DR Quick Reference Guide

2.6.6 Accepting the Image

To accept the image and return to the Exam window, click Accept. This stores
the image in the DelWorks DR Console and queues it to be sent to the default
output devices.

2.6.7 Rejecting the Image

To reject the image:
1. Click the Reject button. You see an Image Rejection Reason list.
2. Select a reason for the rejection. You see the image in the Views/Images
panel with an X in the upper left corner.

2.7 Complete or Suspend the Study

Click Close to exit the Exam window. When you do this, you either Complete
or Suspend the study.
When all images are accepted, DelWorks DR sends the images to the
configured destination(s) and Completes the study.
If not all images are accepted, you see a choice to Suspend or Complete the
study (or Cancel and return to the Exam window).
When you Suspend the study, you see it in the Study List designated as In-
Progress, and no images are sent.

2-4 2 General Workflow

3 Other Tasks

Other Tasks
3
3.1 Overview
This chapter summarizes some typical tasks performed while using DelWorks
DR.

3.2 Exporting an Image to a Flash Drive

1. From the Study List, select the study containing the image to export. You
then see image thumbnails in the Views/Images panel.

2. Highlight the study you wish to export and click Export ( ),. You see
the Export Wizard window.
3. Click Browse and navigate to your flash drive location.
4. Select an image format (DICOM, JPEG, etc.).
5. Choose whether to create a DICOM directory.
6. Choose whether to make the images Anonymous.

7. Click Next ( ).

8. After the Export Wizard has finished click Next ( ) again.

3.3 Printing an Image

1. From the Study List, select the study containing the image to print. You
then see image thumbnails in the Views/Images panel.

2. Click Next ( ). You see the Exam window.

3. Click the Print tab. You then see the Print window.

4. Click the Define Film Layout button ( ) and sweep over the desired
squares.
5. Drag images to print onto the layout.
6. Select a print node (printing destination) from the Print Node list.

3 Other Tasks 3-1

DelWorks DR Quick Reference Guide

7. Click the DefineFilm Size button ( ) to select the size of the film or
paper desired (and compatible with the output device).
8. Click the Print button.

3.4 Image Stitching

Following is only basic information regarding image stitching. Also, follow
these guidelines:
• SID is greater than 150cm, or for chest imaging, greater than 180cm.
• Do not rotate the detector between exposures.
• Allow at least 1/8” of overlap between images to be stitched.
• Avoid splitting the chest area into separate images.
• Keep the anatomy in the center of the image.
1. From the Exam window of an acquired image, click Stitching ( ). You
then see the Stitching window.
2. Select up to 5 images from the left (check the white box in the corner), and
move them to the correct order.
3. Click Start. You see the second stitching window.
4. Use the Point or Absolute button to set match points or the Rectangle button
to set overlaps.

5. Click Next ( ). You see the third stitching (Adjustment) window.

6. In the Stitching Adjustment Menu, make fine adjustments.
7. Click Next ( ). You see the fourth stitching (crop/save) window.
8. If needed, crop the image.
9. Click Save.

3-2 3 Other Tasks