Operational Manual A11 1 b1 DR-XD 1000, 1000PX Ver.2

MOBILE DIGITAL X-RAY SYSTEM DR-XD 1000 For Safe Operation
FDR nano
(MOBILE X-RAY UNIT DR-XD 1000PX) System onfiguration
(Product Overview)
Operation Manual
2nd Edition : March 2017
Basic Operation
Troubleshooting
Daily Inspection and

Maintenance
Appendix
This Operation Manual describes details on how to operate the DR-XD 1000/
DR-XD 1000PX and cautions to be observed when operating it. Please read the
Operation Manual thoroughly before actually operating the DR-XD 1000/DR-XD
1000PX and other manuals for the related products.
After reading this manual, store it nearby the DR-XD 1000/DR-XD 1000PX so that
you can see it whenever necessary.
897N200038C
ii DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C
Introduction
The DR-XD 1000 is an X-ray equipment which provides image data of the human body for
diagnosis by utilizing the ionizing effect of X-rays permeated through the human body.
The DR-XD 1000 is the mobile digital X-ray system.
The DR-XD 1000 consists of the X-ray cart DR-XD 1000PX and the flat panel sensor.
The DR-XD 1000PX contains the components of the control cabinet DR-ID 1200MC and the image
processing unit DR-ID 300CL.
Available flat panel sensors are DR-ID 1201SE, DR-ID 1202SE, DR-ID 1211SE, DR-ID 1212SE and
DR-ID 1213SE.
This Operation Manual includes descriptions of matters necessary when using the DR-XD 1000,
such as the equipment overview, operation procedures and precautions to observe, as well as daily
inspections and maintenance.
The mobile digital X-ray system DR-XD 1000 is hereafter referred to as the “system”.
For details on the flat panel sensor, refer to “Flat Panel Sensors 1201SE/DR-ID 1202SE/DR-ID
1211SE/DR-ID 1212SE/DR-ID 1213SE Operation Manual”. Also refer to “DR-ID 1200 Operation
Manual”.
For details on the image processing unit DR-ID 300CL, refer to “Console Advance (DR-ID 300CL)
Operation Manual”.
The image processing unit DR-ID 300CL is hereafter referred to as the “image processing unit”.
This Operation Manual also includes descriptions of matters necessary when using the X-ray
cart DR-XD 1000PX, such as the equipment overview, operation procedures and precautions to
observe, as well as daily inspections and maintenance.
The X-ray cart DR-XD 1000PX is hereafter referred to as the “X-ray cart”.
This Operation Manual includes descriptions of matters necessary when using the DR-XD 1000/DR-
XD 1000PX, such as the equipment overview, operation procedures and precautions to observe, as
well as daily inspections and maintenance.
Accompanying documents were originally drafted in the English language.
Installation may only be conducted by authorized service personal.
Intended use
The DR-XD 1000 is mobile digital X-ray system intended for use in general generating radiographic
images of human anatomy, including pediatric and neonatal exams. The DR-XD 1000 is not
intended for mammography, fluoroscopy, tomography, and angiography applications.
Note : The above statements were determined by applicable medical device regulations which vary
throughout the world. These statements are subject to revision when additional clearance or
approval is obtained.
Intended use of the system component DR-XD 1000PX based on safety standards
The DR-XD 1000PX is mobile X-ray unit intended for use in general generating radiographic images
of human anatomy, including pediatric and neonatal exams. The DR-XD 1000PX is not intended for
mammography, fluoroscopy, tomography, and angiography applications.
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C iii

CAUTIONS
1. No part or all of this manual may be reproduced in any form without prior permission.
2. The information contained in this manual may be subject to change without prior notice.
3. FUJIFILM Corporation shall not be liable for malfunctions and damages resulting from
installation, relocation, remodeling, maintenance, and repair performed by other than dealers
specified by FUJIFILM Corporation.
4. FUJIFILM Corporation shall not be liable for malfunctions and damages of FUJIFILM
Corporation products due to products of other manufacturers not supplied by FUJIFILM
Corporation.
remodeling, maintenance, and repair using repair parts other than those specified by
FUJIFILM Corporation.
negligence of precautions and operating methods contained in this manual.
7. FUJIFILM Corporation shall not be liable for malfunctions and damages resulting from use
under environment conditions outside the range of using conditions for this product such as
power supply, installation environment, etc. contained in this manual.
natural disasters such as fires, earthquakes, floods, lightning, etc.
This system is classified as a medical device under EC Directive 93/42/EEC.
This system has been designed for operation by medical personnel who have undergone the proper
training and under whose direction patients will come in contact with it.
Process waste correctly, as stipulated by local law or any regulations that apply.
Open-Source Software Contained in This Product

This product contains third party’s software that is made available as open source software or free
software.
This software is provided “as is” with no warranty of any kind as to its merchantability or fitness for
any particular purpose.
For the information on open source software contained in this product, please see the attached DVD.
Source codes for certain type of open source software used in this product are available at delivery cost.
If you would like to receive such source codes, please contact FUJIFILM dealer or the service
representatives at the agency from which you purchased this product. (Please be noted that any
inquiries concerning the contents of source codes should be directed to original licensors of open
source software.)
Note : FUJIFILM has successfully performed verification and validation testing on all third party
software and has confirmed its suitability to be used in this system.
Trademarks
All company names and product names described in this manual are the trademarks or registered
trademarks of FUJIFILM Corporation or their respective holders.
Windows is the registered trademark of US Microsoft Corporation in the U.S.A. and other countries.
SDHC Logo is a trademark of SD-3C, LLC.
Other holders’ trademarks

All other company names and product names described in this manual are trademarks or registered
trademarks of their respective owners.
Copyright © 2016-2017 FUJIFILM Corporation. All rights reserved.
iv DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

DR-XD 1000/DR-XD 1000PX Operation Manuals
DR-XD 1000 Operation Manual
DR-XD 1000PX Operation Manual
Flat Panel Sensors

DR-ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE
Operation Manual
FDR D-EVO Series

Access point Operation Manual
Console Advance (DR-ID 300CL)

Operation Manual
Manage and store all the Operation Manuals of the devices constituting the system together as a
set.
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C v

vi DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C
Contents at a Glance
For Safe Operation

Chapter 1 This chapter presents Warnings and Cautions we wish you to observe for safe
operation of the DR-XD 1000/DR-XD 1000PX.
System Configuration (Product Overview)

Chapter 2 This chapter gives the various unit names and describes their functions and
features of the DR-XD 1000/DR-XD 1000PX.
Basic Operation
Chapter 3 This chapter describes start-up, shut-down and other basic operations of the DR-
XD 1000/DR-XD 1000PX.
Troubleshooting
Chapter 4 This chapter describes how to troubleshoot in the event of an error on the DR-XD
1000/DR-XD 1000PX, and provides explanations about a list of error messages
each of which appears when an error occurs.
Daily Inspection and Maintenance

Chapter 5 This chapter describes daily care and maintenance we wish you to perform so
that you can use the DR-XD 1000/DR-XD 1000PX optimally.
Appendix A Specifications
Appendix Appendix Z Precautions for Exposure
Appendix O Use of Optional Items
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C vii

How to Read This Manual
Basic page layout
Please have a good grasp of the basic page configuration of this Operation Manual, as illustrated
below, for you to use it more efficiently.
Section title Lead

Shows the title of an operation procedure Describes information we wish you to know in
described in the section. advance of your operating the system or information
that may help you to operate it.
Operation procedure 3.4 Moving X-Ray Cart to Patient's Bedside

Describes an operation This section explains how to move the X-ray cart to the patient's bedside.
procedure according to
sequential numbers. 1 Move the X-ray cart to the patient's bedside and open the arm.
Index
A caption that
facilitates you to
open a desired
[Chapter] quickly.
3
Basic Operation
Open the arm while confirming the safety of the surroundings.
For details on how to release the arm lock, see “2.2.3 Arm and Arm Joint”.
2 Move the X-ray cart to an appropriate position.

Move the X-ray cart according to the anatomical region of the patient onto which X-rays are irradiated.
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C 3-5
Page number
Displayed in conjunction with the
chapter number.
viii DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

Marks
Information items to be observed when you are operating this system and the supplementary
remarks are described in this manual with the respective marks.
For the safe system operation, be sure to observe the precautions and prohibited matters.
Indicates hazardous situations that will result in serious injuries or

DANGER even death if the precaution is not or cannot be followed.
Indicates hazardous situations that may lead to serious injuries or

WARNING even death if the precaution is not or cannot be followed.
Indicates hazardous situations that may lead to mild or moderate

CAUTIONS injury or physical damages if the caution is not or cannot be
followed.
Indicates procedures requiring special attention, instructions that

must be followed, supplementary explanations, etc.
HINT Shows an item helpful for further effective system operation.
Shows a more detailed operation method or an item that

describes additional information.
Expressions
Messages appear on the display panel and the buttons are shown as below.
● Buttons (example)
------------------------------- Select .
The button to operate is shown.
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C ix

Contents
Introduction��iii
DR-XD 1000/DR-XD 1000PX Operation Manuals�� v
Contents at a Glance��vii
How to Read This Manual�� viii
Chapter 1 F
or Safe Operation
1.1 Precautions Before Operating This Equipment�� 1-1
1.2 Precautions to be Observed When Using the Electric Medical Equipment�� 1-2
1.3 Safety�� 1-3
1.4 Electromagnetic Compatibility (EMC)�� 1-9
1.4.1 DR-XD 1000��1-9
1.5 Precautions in Using the System�� 1-14
1.5.1 Handling��1-14
1.5.2 Before Exposure��1-14
1.5.3 During Exposure��1-15
1.5.4 Non-Linking Mode for Memory Exposure��1-15
1.5.5 Continuous Operation��1-15
1.5.6 During Cleaning��1-15
1.5.7 During Traveling��1-15
1.5.8 During Charging��1-16
1.5.9 Radio Waves��1-16
1.5.10 Battery Status Indicator��1-17
1.6 Locations of Labels and Signs�� 1-18
1.6.1 Locations of Labels on the X-ray Cart��1-18
1.6.2 Radio Law Certification Label on Access Point��1-20
1.6.3 Safety and Other Symbols��1-21
Chapter 2 System Configuration (Product Overview)

2.1 DR-XD 1000/DR-XD 1000PX�� 2-1
2.1.1 System Configuration��2-1
2.1.2 Features of the System��2-2
2.2 Unit Names and the Functions�� 2-3
2.2.1 External View of X-ray Cart��2-3
2.2.2 X-ray Tube Assembly and Collimator��2-5
2.2.3 Arm and Arm Joint��2-6
2.2.4 Operation Panel��2-7
2.2.5 Hand Switch��2-10
2.2.6 Access Point��2-10
2.2.7 Dose Area Product Display�� 2-11
2.2.8 Caster Lock Pedal��2-12
2.2.9 List of Optional Items��2-13
2.3 Image Processing Unit Display Configuration�� 2-14
Chapter 3 B
asic Operation
3.1 Routine Operations�� 3-1
3.2 Travel�� 3-2
3.3 Starting Up the System�� 3-4
3.4 Moving X-Ray Cart to Patient's Bedside�� 3-5
x DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

3.5 Entering Patient Information�� 3-6
3.6 Selecting the Anatomical Region and Exposure/Study Menu�� 3-7
3.6.1 Selecting the Anatomical Region and Exposure/Study Menu��3-7
3.6.2 Correcting the Exposure Conditions��3-9
3.7 Positioning the Flat Panel Sensor�� 3-10
3.8 Positioning the X-ray Source Assembly�� 3-13
3.9 X-ray Exposure�� 3-15
3.10 Storing the Flat Panel Sensor�� 3-17
3.11 Shutting Down the System�� 3-19
3.12 Moving the X-ray Cart to the Storage Location�� 3-21
3.13 Charging the Battery�� 3-22
3.13.1 Charging the X-ray Cart Battery��3-22
3.13.2 Charging the Flat Panel Sensor (Multi-Function DR Slot)��3-23
3.13.3 Charging the Battery Pack for the Flat Panel Sensor (Battery Charger)��3-23
3.14 How to Use Memory Exposure Mode�� 3-24
3.14.1 Switching the X-ray Cart to Non-Linking Mode for Memory Exposure ��3-24
3.14.2 How to Start up and Use Memory Exposure Mode of the Flat Panel Sensor��3-25
3.14.3 How to Load Images��3-26
3.14.4 List of Error Codes in Memory Exposure Mode of the Flat Panel Sensor��3-27
3.14.5 How to Terminate Memory Exposure Mode ��3-28
Chapter 4 T
roubleshooting
4.1 When a Message Appears on the X-ray Controller�� 4-1
4.2 When a Replacement Code Appears�� 4-3
4.2.1 Clearing the Replacement Code��4-3
4.3 When a Message Appears on the Image Processing Unit�� 4-4
4.3.1 If a Warning Dialog Box Appears��4-4
4.3.2 If the Message Dialogue Box MD11001 Appears��4-4
4.3.3 If an Exposed Image Cannot be Acquired��4-5
4.3.4 If the Dialog Box Containing the Error Message Numbered 13048 Appears��4-6
4.3.5 If “Unusable due to error.” Appears on the Image Processing Unit��4-6
4.3.6 If any Other Message Dialogue Box Appears��4-7
4.4 How to Cope with an Error�� 4-8
4.4.1 When the Image Processing Unit Hangs Up��4-8
4.4.2 If a Hard Disk of the Image Processing Unit is Damaged��4-8
4.4.3 Precautions for Operation when the Device Status is “Initializing” or
“Changing FPD” in the Image Processing Unit’s “Output Device Status Window”��4-8
4.4.4 If an Error Occurs on an Output Destination Device��4-9
4.4.5 When X-rays are Not Radiated even if the Hand Switch is Pressed��4-9
4.4.6 When an Actual Value is Not Displayed even if the Image is Displayed
on the Image Processing Unit��4-10
4.4.7 Even if an Exposure Menu is Selected, the Exposure Conditions are
Not Reflected in the X-ray Operation Panel��4-10
4.4.8 When the Added Filter LED is Lit even if the Added Filter is Not Attached��4-10
Chapter 5 D
aily Inspection and Maintenance
5.1 Daily User Inspection and Maintenance�� 5-1
5.1.1 Daily Inspection��5-1
5.1.2 Inspecting the Dose Area Product��5-2
5.1.3 Term of Validity/Period for Use (Durability)��5-2
5.1.4 Aging��5-2
5.2 Maintenance and Inspection Items Assigned to Specified Dealer�� 5-4
5.2.1 Periodical Maintenance��5-4
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C xi

Appendix A S
pecifications
A.1 Specifications��A-1
A.1.1 Reduced Equivalent�� A-1
A.1.2 Power Supply Conditions�� A-1
A.1.3 Environmental Conditions�� A-2
A 1.4 Characteristics of X-ray Exposure�� A-2
A.1.5 Collimator�� A-3
A.1.6 X-ray Tube Assembly Support Section�� A-3
A.1.7 Total Filtration of Utilized X-ray�� A-4
A.1.8 Entrance Surface Dose Reference Values�� A-4
A.1.9 Software Version�� A-4
A.2 External View and Weight��A-5
A.2.1 X-ray Cart�� A-5
A.2.2 Flat panel sensor�� A-6
A.3 Reference Axis and Focal Spot of the X-ray Cart��A-9
A.4 Exposure Time��A-11
A.5 Tube Current��A-12
A.6 Exposure Condition List��A-13
A.7 Image Quality of the Flat Panel Sensor��A-14
A.8 Load Restriction of the Flat Panel Sensor��A-15
Appendix Z P
recautions for Exposure
Z.1 Information on Radiation��Z-1
Z.1.1 Radiation Protection��Z-1
Z.1.2 Deterministic Effects��Z-1
Z.2 Precautions for Use in Wireless Communication Mode��Z-2
Z.3 Other Precautions��Z-3
Z.3.1 Precautions for Exposure of a Subject in Relatively Large Contrast��Z-3
Z.3.2 Precautions for Flat Panel Sensor��Z-3
Z.3.3 Precautions for Assuring the Radiation Field��Z-3
Z.3.4 Images Output When the X-ray Shot Switch is Operated Incorrectly��Z-3
Z.3.5 Precautions for Urgent Use��Z-3
Z.3.6 Precautions Related to Continuous Operation��Z-4
Z.3.7 Precautions Related to Grid��Z-4
Z.3.8 Precautions during Calibration��Z-4
Z.3.9 Precautions for Exposing the Flat Panel Sensor to X-ray��Z-4
Appendix O U
se of Optional Items
O.1 Optional Items�� O-1
O.2 Cart Handle High Type�� O-2
O.3 Accessory Case�� O-3
O.4 Disposable Wipes Holder�� O-4
O.5 X-ray Protective Apron Hanger�� O-5
O.6 Transportation Carriage�� O-6
O.6.1 How to Use the Transportation Carriage�� O-6
xii DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

Chapter 1 For Safe Operation
1.1 Precautions Before Operating This
Equipment 1
Before using this equipment, please read “Precautions Before Operating This Equipment” carefully so
that you can operate it correctly.
For Safe Operation

Whenever you operate this equipment, be sure to observe those precautions. Failure to do so may
cause you to subject to injuries or property damage to occur.
The institution where the equipment is installed is responsible for its use and
maintenance.
In addition, this equipment should not be used by persons other than doctors or
suitably trained staff.
This system is classified as a medical device under EC Directive 93/42/EEC.

This equipment has been designed on the assumption that the patient would not
come into direct contact with it or for operation by appropriately trained operator.
Process waste correctly, as stipulated by local law or any regulations that apply.
Part of the components contains harmful substances which may pollute the ambient
environment if disposed carelessly. For details on product disposal, contact our
official dealer or FUJIFILM Representative.

1.2 Precautions to be Observed When
Using the Electric Medical Equipment
We ask that you observe these usage precautions and use the equipment correctly.
1. This equipment should be used only by people who have the proper skills.
1 2. Observe the following precautions when installing the equipment.
2-1. Install the equipment where water will not splash it.
2-2. Install the equipment where it will not be adversely affected by air pressure, temperature,
humidity, ventilation, sunlight, dust or the presence of salt, sulfur or like substances in the
For Safe Operation
atmosphere.
2-3. Make sure the equipment will remain in stable condition on a level surface and not be
subjected to vibration or shock.
2-4. Do not install the equipment in places where chemicals are stored or gases emitted.
2-5. Make sure that the power frequency, voltage and power consumption are appropriate.
2-6. Check the conditions of the battery power source (power and polarity) before operating the
system.
2-7. Connect the ground wire correctly.
3. Observe the following precautions before beginning to use the device.
3-1 Check the conditions of switch contacts, polarity, dial settings, and meters, and make sure
the system performs correctly.
3-2. Confirm that the ground wire has been completely connected.
3-3. Make sure that all cords have been connected properly and safely.
3-4. Be aware that correct diagnosis can be hindered and danger can result from using different
pieces of equipment together.
3-5. Make sure that the battery and power supply are installed properly.
4. Observe the following precautions when using the equipment.
4-1. Make sure not to exceed the time and dose required for diagnosis or therapy.
4-2. Always monitor the patient and the equipment for abnormalities.
4-3. Take an appropriate action, such as stopping the equipment after ensuring the patient’s
safety, if any abnormalities are found in his/her health or in the equipment.
5. Observe the following precautions after using the equipment.
5-1. Turn off the switches and return the dials to their original positions before use in the
prescribed order. Then, turn off the main power switch.
5-2. When unplugging cords, do not pull on the body of the cord itself or apply unnecessary
force.
5-3. Observe the following precautions when storing the equipment.
I Store the equipment where water will not splash it.
II Store the equipment where it will not be adversely affected by air pressure, temperature,
humidity, ventilation, sunlight, dust or the presence of salt, sulfur or like substances in
the atmosphere.
III Make sure the equipment will remain in stable condition on a level surface and not be
subjected to vibration or shock.
IV Do not store the equipment in places where chemicals are stored or gases emitted.
5-4. After using the optional items, cables and contacts, recollect them and put them back in
order.
5-5. Make sure to clean the equipment for the next use.
6. When the system is found to be out of order, do NOT try to repair it.
Display an appropriate sign to indicate that the system is out of order, and contact your service
representative for repair.
7. Do not remodel the equipment.
8. Maintenance and Inspection
8-1. Make inspect the equipment and parts periodically.
8-2. If the equipment has not been used for a long time, make sure that it operates normally and
safely prior to using it again.
9. Other Items
9-1. When subjecting patients (particularly infants and pregnant women) to radiation, make sure
not to exceed the necessary time and dose. Also, ensure that radiation is contained within
the exposure plane of the flat panel sensor.
9-2. Follow the Operation Manual and operate the equipment correctly.
1-2 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

1.3 Safety
Before using this system, read this section thoroughly to ensure that you use the product properly.
Electric Shock Warnings and Cautions

WARNING 1
● The power supply to the X-ray cart is AC100 to 240V.
To avoid electric shocks, users should always take the following precautions:
For Safe Operation

• Do not open any covers of the X-ray cart when it is not necessary.
• Place the X-ray cart in a location where it will not be exposed to water.
• Make sure that the ground wire of the X-ray cart is connected completely.
• Check that all of the cables are completely and securely connected.
• When making an X-ray exposure by connecting the power cable to the X-ray cart, be
sure to connect the additional protective ground wire connector on the X-ray cart and a
protective ground terminal in the hospital with an additional protective ground wire.
● Do not disassemble or remodel each device. Otherwise, fire or electric shock may result.
Keep away from the parts inside the product, which may cause electric shock. If you touch
them accidentally, death or severe injury may result.
● Do not use the equipment in a location where metal particles could come into the equipment.
This may cause an electric shock.
● Do not use a power strip or extension cable for powering the devices constituting the
system. Otherwise, fire or electric shock may occur due to the electrical load exceeding the
allowable limit.
● Observe the following precautions when using the cables.
• Do not touch the plug and connector with wet hands. Otherwise, electric shock may result,
causing death or severe injury.
• Hold the plug or connector when removing the cable. Pulling the cable or carrying by
holding it may damage the cable, causing fire or electric shock.
• Do not damage or remodel the cable. Do not place a heavy object on the cable. Do not step
on, pull, forcibly bend, or bundle the cable. Otherwise, fire or electric shock may result.
● Do not turn on the system with dew condensation on each device. Otherwise, fire or electric
shock may result.
● Do not hit or drop each device or subject it to severe shock. Otherwise, the device may be
damaged. If the damaged device is used, fire or electric shock may result.
● Do not use the flat panel sensor without the battery packs. If the battery packs are not
attached, an electric shock may result.
● Make sure to use the optional parts recommended by us. Failure to use the optional parts
recommended by us may result in damage to the equipment and/or electric shock and injury.
CAUTIONS
Keep each device away from patient’s body fluids, chemicals, water, etc. Otherwise, it may
become damaged, causing fire or electric shock. If necessary, protect the flat panel sensor by
covering it with a disposable bag.

Explosion Warnings
WARNING
● Because each device is not explosion-proof, do not use combustible and explosive gases
near each device.
● Flammable gasses may stay in the room after disinfection. If you turn the system on just
after disinfection, ensure that the room is well ventilated before powering on the system.
1
Warnings for Abnormalities
For Safe Operation
WARNING
If any of the following occurs, immediately turn off the power of each unit, unplug the power
cable from the outlet, and then contact our official dealer or FUJIFILM Representative.
● When smoke, strange odor, or abnormal sound is present.
● When a foreign object (such as a metal object) or liquid enters the product.
● When the equipment is dropped or hit and is damaged.
● When the equipment malfunctions while adjusting the movable parts or performing a study.
Radiation safety instructions

WARNING
● Only qualified technologists are allowed to make X-ray exposures.
● Exposure should be made in an environment where the technologist can visually and aurally
determine the patient’ s condition.
● Technologists must wear a film badge or pen dosimeter to monitor exposure doses they
receive.
● Wrong operations of the X-ray cart could expose a technologist or patient to unnecessary
X-ray exposure. Technologists must keep a distance of at least 2m from the focal spot and
X-ray beam when making an exposure.
● Confirm the radiation field size by using the light field lamp of the collimator. If the radiation
field size is unnecessarily large, the patient may be subject to unnecessary X-ray exposure.
● Reduce the radiation field size to the minimum necessary size for the exposure. If X-rays are
unavoidably radiated to areas outside of the subject region, take protective measures such
as wearing a protective apron with a lead equivalence of at least 0.25mm.
● When the patient needs assistance during an exposure, the assistant should take protective
measures such as wearing a protective apron with a lead equivalence of at least 0.25mm.
● Use the longest possible focal spot to skin distance to minimize the exposure dose.
● Take extreme care when making a long exposure or repeated exposures. The patient’s health
may be compromised.
CAUTIONS
When using the non-linking mode for memory exposure, handle the hand switch carefully.
Wrong operations of the hand switch could result in unintended X-ray exposure to a
technologist or patient.

Warnings on Traveling
WARNING
Be sure to observe the following precautions when moving the X-ray cart. Collision or overturn
of the X-ray cart may cause not only damage to the X-ray cart, but also serious accidents.
• Be careful of obstacles in front of the X-ray cart.
• Stop the X-ray cart on a flat place, not on a slope, and lock the casters by stepping on the
caster lock pedal. Otherwise, the X-ray cart may roll down the slope or topple over. 1
• When traveling across a slope, entrance threshold or obstacle, move the X-ray cart as slowly
as possible. Special care should be taken when moving the X-ray cart across a steep slope.
• Do not move the X-ray cart across a step having a level difference of higher than 1cm, or
For Safe Operation

across a slope with an inclination angle of higher than 10 degrees.
• Do not move the X-ray cart on a surface subject to excessive vibration (such as the roads
outside the hospital) to prevent hazards.
• Do not move the X-ray cart on a wet floor. The X-ray cart may slide on the floor and collide
with something. In addition, the X-ray cart may become unable to travel due to deterioration
of the wheels.
X-Ray Cart Battery Instructions

WARNING
Battery requires regular checkup and replacement. Battery capacity begins to wane after a
period of time.
CAUTIONS
● The X-ray cart uses the lithium-ion battery. Use the X-ray cart under the conditions of use
specified by FUJIFILM Corporation. If the battery is used in a place where it is exposed to
high temperature, the battery may emit smoke, ignite, explode or leak fluid.
● When replacing or disposing of the battery for the X-ray cart, consult our official dealer or
FUJIFILM Representative.
● Before making an X-ray exposure, be sure to check that the remaining battery capacity is
sufficient. If the remaining battery capacity is insufficient, charge the battery by connecting
the power cable. If no charging status is displayed even after connecting the power cable,
consult our official dealer or FUJIFILM Representative.
● To maximize the service life and performance of the battery, use or store the battery under the conditions
specified in “A.1.3 Environmental Conditions”. Otherwise, a decrease in battery capacity or other problems
may result.
● When the battery is not being charged (when the image processing unit is used)
e sure to turn off the image processing unit after use. If the X-ray cart is left for a long time with the image
B
processing unit turned on, the remaining battery capacity decreases.
For details on warnings and cautions regarding the battery pack for the flat panel sensor, see
“Flat Panel Sensors DR-ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE
Operation Manual”.

Disinfection and Cleaning Instructions
WARNING
● Confirm that the respiratory density of disinfectant including solvent is under legal
regulation. Certain disinfectants may damage health. When using a disinfectant, follow
instructions supplied by the manufacturers.
● Do not use the following disinfectants or sterilizers at the time of disinfection. Quality,
1 performance and safety of each device cannot be assured.
• Chloric disinfectant which is strongly corrosive to metals and rubber parts.
• Disinfectant whose uses on metals, plastics, rubber parts and coating are forbidden
according to the instructions supplied with the disinfectant.
For Safe Operation
• Formalin gas and disinfectant sprays that may get inside the equipment.
Disinfectant ethanol is recommended for disinfection. Carefully read the instructions and
cautions supplied with the disinfectant before use. For details on the disinfectant, contact
a FUJIFILM dealer or the service representatives at the agency from which you purchased
the disinfectant.
CAUTIONS
If the sensor unit of the flat panel sensor is not disinfected, it may lead to secondary infection.
Clean the sensor unit of the flat panel sensor with ethanol for disinfection, etc. for each patient
to prevent infection.
Wireless Communication
For details, see “Access point Operation Manual”.
Flat Panel Sensor

or details, see “Flat Panel Sensors DR-ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID
F
1212SE/DR-ID 1213SE Operation Manual”.
Image Processing Unit

For details, see “Console Advance (DR-ID 300CL) Operation Manual”.
Warnings and Cautions on Network Connection

WARNING
Make sure to use the optional parts and networks recommended by FUJIFILM Corporation.
Failure to do so may result in damage to the equipment and/or electric shock and injury.
CAUTIONS
● Connect to the Ethernet Network of 1000BASE-T, 100BASE-TX or 10BASE-T prescribed
in the IEEE standard 802.3. Do not connect telephone lines to LAN connector. Only UTP-
type straight LAN cables of 4-pair Category 5 cable (CAT 5E) or higher are appropriate for
connection to this connector.
● After connecting this system to the network with other systems, confirm that the other
systems are not affected. If they are affected, take countermeasures such as network
separation.

Software Precautions
CAUTIONS
Do not install additional software to the system. Do not uninstall any of the software
preinstalled in the system.
Appropriate software is preinstalled in each device. If other software is installed or if the
existing software is uninstalled, various operational errors may result.
1
Connection Instructions
For Safe Operation

WARNING
Make sure that the devices to be connected to each device are specified by FUJIFILM
Corporation.
System Isolation Instructions

WARNING
To ensure complete system isolation, never install any unauthorized items.
When it is necessary to install authorized optional items, contact our official dealer or
Other Cautions
CAUTIONS
● Do not use or store the system in a location with the following conditions.
• Where the temperature changes sharply.
• Close to heat sources such as a heater.
• Where the system may be exposed to water due to water leakage or ingress.
• Where corrosive gas may be generated.
• Where there is excessive dust.
• Where the system is subject to frequent or excessive vibration/shock.
• Where the system is exposed to direct sunlight.
• Where there is no ventilator.
● Use the X-ray cart on a flat place or on a slope with an inclination angle of 5 degrees or
lower. Otherwise, the X-ray cart may tip over, causing damage to the equipment or personal
injury.
● When moving the X-ray cart, place the flat panel sensor in the multi-function DR slot and
then lock it to prevent the flat panel sensor from falling. If the X-ray cart is moved without the
flat panel sensor locked, it may cause damage to the flat panel sensor due to vibration.
● When the devices are used outdoors in wireless communication mode, contact our official
dealer or FUJIFILM Representative.
● Be sure to inspect each device periodically. To assure optimum performance of each device,
it is necessary to systematically perform maintenance and inspection. For information on
maintenance and inspection, contact our official dealer or FUJIFILM Representative.
● Do not perform maintenance and inspection while the equipment is used for a patient.
● Although the flat panel sensor conforms to IPX6, no warranty is given as to the prevention of
water intrusion in the flat panel sensor. If the flat panel sensor is splashed with water, wipe
off moisture and ensure that the flat panel sensor is completely dry before use.
● Do not lean on or push the arm of the X-ray cart. Otherwise, the X-ray cart may tip over.
● Do not step on the cart base. Otherwise, the operator may lose his/her balance and fall
down.
● Do not raise the X-ray cart by holding the cart handle. Doing so may cause deformation or
malfunction of the cart handle.

Contraindications and Prohibitions
No contraindications present.
Classification
● According to the type of protection against electrical shock
Class 1 equipment (when operated by connecting the power cable)
1 Internally powered equipment (when operated with the battery)
● According to the degree of protection against electrical shock
Type B applied part
For Safe Operation
● According to the degree of protection against harmful ingress of water

IPX0 (The flat panel sensor conforms to IPX6)
● According to the suitability for use in an oxygen-rich environment
Equipment not suitable for use in an oxygen-rich environment
● According to the degree of safety of application in the presence of a flammable anesthetics
mixture with air or with oxygen or nitrous oxide
Equipment not suitable for use in the presence of a flammable anesthetics mixture with air or with
oxygen or nitrous oxide.
● According to the mode of operation
Continuous operation with intermittent load
Declaration of Conformity
X-RAY EQUIPMENT for RADIOGRAPHY DR-XD 1000PX ) IEC 60601-2-54:2015
DR-XD 1000PX conforms to the following standards.

IEC 60601-1:2005/A1:2012 Chapter 16

1.4 Electromagnetic Compatibility (EMC)
In order to prevent the occurrence of problems caused by electromagnetic wave in the operating
environment, read carefully this section and operate the equipment and other devices in the vicinity
properly.
1.4.1 DR-XD 1000 1

Electromagnetic Compatibility (EMC) Standards
For Safe Operation

This system has been tested and found to comply with the limits for medical devices to the IEC
60601-1-2:2007 (EN 60601-1-2:2007), Medical Device Directive 93/42/EEC.
These limits are designed to provide reasonable protection against harmful interference in a typical
medical installation.
Each device generates, uses and can radiate radio frequency energy and, if not installed and used
in accordance with the instructions, may cause harmful interference to each device or other devices
in the vicinity.
However, there is no guarantee that interference will not occur in a particular installation.
If each device does cause harmful interference to other devices, which can be determined by tuning
the equipment off and on, the user is encouraged to try to correct the interference by one or more of
the following measures:
• Reorient or relocate the receiving device.
• Increase the separation between the devices.
• Connect the equipment into an outlet on a circuit different from that to which the other device(s)
are connected.
If the problem cannot be solved with the above measures, stop using this equipment and consult
the manufacturer, our official dealer or FUJIFILM Representative for help.
WARNING
● Do not place devices generating electromagnetic wave near this equipment.
● If a device(s) other than those specified is connected, predetermined EMC performance
cannot be guaranteed.
Further Information for IEC 60601-1-2 (EN 60601-1-2)

1. Medical electrical equipment needs special precautions regarding EMC and needs to be installed
and put into service according to the EMC information provided in Tables 1 to 4.
2. Portable and mobile RF communications equipment can affect medical electrical equipment.
3. Information regarding the cable affecting EMC is as follows.
Name Connected Device Maximum Length General Specification

Network Cable Between the DR-XD 1000PX 20m (65.6 ft) Cat 5e or higher,
and the hospital LAN UTP type and straight cable
Additional Between the DR-XD 1000PX 3m (9.84 ft) Supplied with the DR-XD 1000PX
Protective and a Class D ground
Ground Wire terminal in the hospital
4. The use of optional items, transducers and cables other than those specified, with the exception
of transducers and cables sold by FUJIFILM Corporation as replacement parts for internal
components, may result in increased emissions or decreased immunity of the DR-XD 1000.

5. The equipment should not be used adjacent to or stacked with other equipment.
If adjacent or stacked use is necessary, the equipment should be observed to verify normal
operation in the configuration in which it will be used.
6. Basic performance of the equipment and the system
• The X-ray tube loading factors are accurate.
• The equipment has the reproducibility of the X-ray output
• X-rays are radiated by using the prescribed power source (battery).
• Images suitable for general exposure with the flat panel sensor are obtained.
1 • The flat panel sensor obtains image data.
• The flat panel sensor transfers image data.
• The flat panel sensor accumulates image data.
For Safe Operation
7. Test items (Tables 1 to 4)
Table 1
Guidance and manufacturer’s declaration - electromagnetic emissions
The DR-XD 1000 is intended for use in the electromagnetic environment specified below.
The customer or the user of the DR-XD 1000 should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
The DR-XD 1000 uses RF energy only for their internal function.
RF emissions
Group 1 Therefore, their RF emissions are very low and are not likely to cause any
CISPR 11
interference in nearby electronic equipment.
RF emissions
Class B
CISPR 11
Harmonic emissions The DR-XD 1000 is suitable for use in all establishments, including domestic
Complies
IEC 61000-3-2 establishments and those directly connected to the public low-voltage power
supply network that supplies buildings used for domestic purposes.
Voltage fluctuations/
flicker emissions Complies
IEC 61000-3-3
Note : Harmonic emission IEC 61000-3-2 and voltage fluctuation/flicker emission IEC 61000-3-3 are
applicable only to the devices with a rated voltage of AC220V or higher.

Table 2
Guidance and manufacturer’s declaration - electromagnetic immunity
IEC 60601-1-2 Electromagnetic environment -

Immunity test Compliance level
test level guidance
1
Floors should be wood, concrete or
Electrostatic discharge ±6kV contact ±6kV contact
ceramic tile. If floors are covered with
(ESD)
synthetic material, the relative humidity
IEC 61000-4-2 ±8kV air ±8kV air
should be at least 30%.
For Safe Operation

±2kV for power supply ±2kV for power supply
Electrical fast transient/ lines lines Mains power quality should be that
burst of a typical commercial or hospital
IEC 61000-4-4 ±1kV for input/output ±1kV for input/output environment.
lines lines
±1kV line(s) to line(s) ±1kV line(s) to line(s) Mains power quality should be that
Surge
of a typical commercial or hospital
IEC 61000-4-5
±2kV line(s) to earth ±2kV line(s) to earth environment.
<5% UT <5% UT
(>95% dip in UT) (>95% dip in UT)
for 0.5 cycle for 0.5 cycle
40% UT 40% UT
Voltage dips, short The DR-XD 1000 operates with the
(60% dip in UT) (60% dip in UT)
interruptions and built-in battery. If the DR-XD 1000
for 5 cycles for 5 cycles
voltage variations on requires operation during power mains
power supply input interruptions, the DR-XD 1000 operates
70% UT 70% UT
lines for a period of time in proportion to the
(30% dip in UT) (30% dip in UT)
IEC 61000-4-11 remaining battery capacity.
for 25 cycles for 25 cycles
<5% UT <5% UT
(>95% dip in UT) (>95% dip in UT)
for 5 s for 5 s
Power frequency Power frequency magnetic fields should

(50/60Hz) magnetic be at levels characteristic of a typical
3 A/m 3 A/m
field location in a typical commercial or
IEC 61000-4-8 hospital environment.
NOTE: UT is the a.c. mains voltage prior to application of the test level.

Table 3
Guidance and manufacturer’s declaration - electromagnetic immunity
IEC 60601-1-2
Immunity test Compliance level Electromagnetic environment - guidance
test level
1
Conducted RF 3 Vrms 3 Vrms Portable and mobile RF communications equipment
IEC 61000-4-6 150 kHz to 80 MHz should be used no closer to any part of the DR-XD
1000, including cables, than the recommended
separation distance calculated from the equation
applicable to the frequency of the transmitter.
For Safe Operation
Recommended separation distance

Radiated RF 3 V/m 3 V/m d = 1.2
IEC 61000-4-3 80 MHz to 2.5 GHz
d = 1.2 80 MHz to 800 MHz
d = 2.3 800 MHz to 2.5 GHz
where P is the maximum output power rating of the

transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation
distance in metres (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,a
should be less than the compliance level in each
frequency range.b
Interference may occur in the vicinity of equipment
marked with the following symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
a Field strength from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be considered. If the measured field strength in the location in which the DR-XD 1000 is used exceeds the
applicable RF compliance, the DR-XD 1000 should be observed to verify normal operation. If abnormal performance
is observed, additional measures may be necessary, such as reorienting or relocating the DR-XD 1000.
b Over the frequency range 150 kHz to 80 MHz, field strength should be less than 3 V/m.

Table 4
Recommended separation distances between
Portable and mobile RF communications equipment and the DR-XD 1000
The DR-XD 1000 is intended for use in the electromagnetic environment in which radiated RF disturbances are
controlled.
The customer or the user of the DR-XD 1000 can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment (transmitters) and the DR-XD 1000 as
recommended below, according to the maximum output power of the communications equipment.
Separation distance according to frequency of transmitter 1

Rated maximum output m
power of transmitter
W 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
For Safe Operation

d = 1.2 d = 1.2 d = 2.3
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres
(m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output
power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations.
Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

1.5 Precautions in Using the System
This section describes the precautions for using the system.
or details on the precautions for using the flat panel sensor, see “Flat Panel Sensors 1201SE/
F
DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE Operation Manual”.
1
1.5.1 Handling
For Safe Operation
• To ensure optimal image quality, it is recommended that you do not place the cables (power
cable, communication cable, etc.) of the X-ray cart near devices (motor, transformer, switching
supply, etc.) that generate electromagnetic noise and their cables.
• Do not use a power strip or extension cable for powering the X-ray cart constituting the system.
• When a flat panel sensor communicating with the X-ray cart is to be used in another system,
communication between the flat panel sensor and the X-ray cart may still be established. To
establish communication between the flat panel sensor and a device in another system, connect
the flat panel sensor to the device in another system with the cable or insert it into the docking
stand. The flat panel sensor is recognized and wireless communication becomes available.
CAUTIONS
● When the main circuit breaker is turned on or off, wait at least 10 seconds before turning it
off or on again. Do not turn off or on the main circuit breaker immediately after turning it on
or off. Doing so may cause equipment failure.
● At the time of traveling or positioning, ensure that the cable of the hand switch is not caught
by the X-ray cart or an obstacle in the vicinity to prevent the cable from being broken.
1.5.2 Before Exposure

• The use of an air-conditioner may dramatically changes the temperature of the room where
the system is installed. This may cause dew condensation on the system, resulting in quality
problems. When an air-conditioner is used, change the temperature gradually to avoid
temperature variation in order not to cause dew condensation.
• Do not perform unnecessary preparation operations. If no exposure is made for a long time with
the hand switch held pushed to the first level, the filament of the X-ray tube assembly may break.
CAUTIONS
● When moving the arm, avoid collision or pinching. The arms or legs of the operator or
patient may be caught between the arm and the main body of the X-ray cart, floor, wall, etc.,
causing injury to the patient or operator.
● When positioning the patient, take care of the position of the X-ray cart. In particular, take
care not to hit one’s head against the collimator or arm. Otherwise, it may cause injury to the
operator or patient.
● When inserting or removing the flat panel sensor into/from the multi-function DR slot, tilt the
multi-function DR slot toward the front, and then insert or remove the flat panel sensor while
taking care not to hit your hands against the DR lock knob, DR lock key, etc.
● When positioning a patient, be careful that the X-ray cart does not hit or get caught on
neighboring objects such as another medical device, infusion stand and infusion tube.
Otherwise, the X-ray cart may tip over, causing injury to the operator and/or patient or
damage to the neighboring objects.

1.5.3 During Exposure
Before making an exposure, make sure that exposure conditions most appropriate for the X-ray cart
are set.
For details on exposure conditions, see “A.4 Exposure Conditions”.
1.5.4 Non-Linking Mode for Memory Exposure

The non-linking mode for memory exposure is used in the memory exposure mode of the flat panel
1
sensor and for X-ray tube aging.
No warranty is given as to exposures using X-ray films, imaging plates or non-designated flat panel
For Safe Operation

sensors.
1.5.5 Continuous Operation

When making X-ray exposures one after another, allow a longer interval between exposures than
that indicated in the graph “Minimum exposure interval for energy input to X-ray system (tube)”. Do
not make exposures more than 60 times in an hour. Otherwise, X-ray exposure may be disabled for
a long time due to heat generated from the X-ray tube.
ee the graph “Minimum exposure interval for energy input to X-ray system (tube)” in “A.1.4
S
Characteristics of X-ray Exposure”.
1.5.6 During Cleaning

To clean the outer surfaces, use a cleaning cloth tightly wrung out of commercially available ethanol.
CAUTIONS
● Be sure to turn off the power before cleaning each part of the X-ray cart. If the power is left
on, inadvertent contact to X-ray cart may result in unintentional operations.
● Do not use an excessive amount of ethanol, as doing so may allow the liquid to enter from
the gap on the outer surfaces, resulting in the damage to the equipment, or cause the labels
to come off. Make sure not to let ethanol get inside the equipment.
● Do not use a solvent such as thinner or benzine, as it corrodes the outer surfaces.
● Use dehydrated ethanol or ethanol diluted with purified water.
● When cleaning the operation panel, observe the following precautions.
• Do not rub or hit the operation panel with something hard since it can easily be scratched.
• If any dust adheres to the operation panel, wipe it off with a soft cloth moistened with
water.
1.5.7 During Traveling

Before moving the X-ray cart, be sure to store the arm and confirm that the arm is locked in all
directions.
CAUTIONS
When moving the X-ray cart, take care that the casters of the X-ray cart do not run over the feet
of the operator or patient. Otherwise, it may cause injury to the operator or patient.

1.5.8 During Charging
CAUTIONS
● Be careful not to entangle the power cable or additional protective ground wire during
charging.
Also, be careful not to trip over the cables. Falls could result in injury.
● Place the X-ray cart in a location where the power cable is easily be accessible so that the
1 power cable can be unplugged immediately in an emergency.
For Safe Operation
1.5.9 Radio Waves

Wireless specifications for this system are as follows.
Item Access point Flat panel sensor
Wireless specification IEEE802.11n IEEE 802.11n
Transmit frequency 5.2, 5.3, 5.6, 5.8, 2.4 GHz 5.2, 5.3, 5.6, 5.8, 2.4 GHz
Modulation OFDM OFDM
Frequency tolerance ±20 ppm ±20 ppm
Data transfer rate 35 Mbps 35 Mbps
Transfer power 15.91 dBm or less 17 dBm or less
CAUTIONS
● Transmit frequencies available vary, depending on the country.
● Radio waves in the 5.2GHz frequency band can be used indoors only. (For Egypt)
Dual channels can be used indoors only.
● When this system and any other wireless equipment are operating on the same frequency
channel in a hospital, it may take time to show an image on the image processing unit
monitor.
● The access point supports the DFS (Dynamic Frequency Selection) function conforming to
IEEE 802.11n. When radio waves in the 5.3GHz and 5.6GHz frequency bands are selected, the
channel may be changed automatically in order to avoid interference to weather radar, etc.
● Even during start-up, the access point checks if there are any radar waves. While the check
is in progress, communication with the access point is not available.
● If a radar wave is detected, the radar wave is monitored for a specified time (about 1
minute)*. While monitoring the radar wave, wireless communication is not available. In
addition, about 30 minutes are required until the channel in which a radar wave was detected
becomes available.
* 10 minutes for the 120 to 128 channels in Europe

1.5.10 Battery Status Indicator
The operable time of the battery used for the X-ray cart is shown at the lower side of the X-ray
controller.
The operable time of the battery pack used for the flat panel sensor is shown at the lower side of
the image processing unit.
Image processing unit X-ray controller
1
For Safe Operation

Battery pack level indicator Battery level indicator for the X-ray cart
for the flat panel sensor
For details of the connected devices status, see the “Console Advance (DR-ID 300CL) Reference Guide”.

1.6 Locations of Labels and Signs
Locations of labels and signs affixed to the system, and the relevant safety signs are shown below.
or details on the locations of labels affixed to the flat panel sensor, see “Flat Panel Sensors DR-
F
ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE Operation Manual”.
1
1.6.1 Locations of Labels on the X-ray Cart
For Safe Operation
X-ray Tube
Assembly Label
Collimator Label
Do Not Push Label
X-ray
Radiation
Caution Label
Cassette Alignment Label
Rating/Standard/ Consult Accompanying

Identification Label Documents Label

1
For Safe Operation

Rating/Standard/Identification Label
X-ray Tube Assembly Label
Collimator Label
Do Not Push Label Consult Accompanying Documents Label
Storing the Flat Panel Sensor

Store the flat panel sensor in the multi-function DR slot by aligning the left-hand edge of
the flat panel sensor with the left-hand end of the multi-function DR slot.
Cassette Alignment Label
Caution Regarding X-ray Radiation

Handle the hand switch carefully to avoid X-ray radiation due to accidental pressing of the hand switch.
Otherwise, it may result in unintended exposure. Store the hand switch in the X-ray cart except during
X-ray exposure.
X-ray Radiation
Caution Label

1.6.2 Radio Law Certification Label on Access Point
1 Open the cover on the back of the operation panel.
Cover
1
For Safe Operation
2 Disconnect the USB connectors on the top and bottom of the access point.
Access Point
3 Remove the access point to check the radio law certification label on the back side.
Radio Law Certification label

1.6.3 Safety and Other Symbols
The following safety symbols are used in the X-ray cart.
Symbol Description
CE marking
1
Protective earth (ground) terminal
For Safe Operation

Alternating current
This symbol indicates that power is being supplied.
General mandatory action sign
This symbol includes RF transmitters or indicates equipment that intentionally applies RF

electromagnetic energy for diagnosis or treatment.
Consult accompanying documents (IEC60601-1 Ed3.1)
Consult instructions for use
Do not push
Partial circuit ON
Main breaker: Connection between the battery and the internal circuit is ON
Key switch: Connection between the X-ray source and the internal circuit is ON
Partial circuit OFF
Main breaker: Connection between the battery and the internal circuit is OFF
Key switch: Connection between the X-ray source and the internal circuit is OFF
Additional filter
Ready for exposure
X-ray exposure
X-ray tube temperature warning
This symbol indicates that this product is not to be disposed of with your household waste, according
to the WEEE Directive (2002/96/EC) and your national law. This product should be handed over to a
designated collection point.
Improper handling of this type of waste could have a possible negative impact on the environment
and human health due to potentially hazardous substances that are generally associated with EEE.
At the same time, your cooperation in the correct disposal of this product will contribute to the
effective usage of natural resources.
For more information about waste, please contact our official dealer or FUJIFILM Representative.
Date of manufacture
Manufacturer
Serial number
Authorized representative in the European Community

1
For Safe Operation

Chapter 2 System Configuration
(Product Overview)
2.1 DR-XD 1000/DR-XD 1000PX
2.1.1 System Configuration
Mobile Digital X-ray System DR-XD 1000 2
X-ray Cart

DR-XD 1000PX
Flat panel sensor
PC
Control cabinet Battery pack

DR-ID 1200MC
Image processing unit Adapter for the
docking stand
DR-ID 300CL
Wired LAN/
Wireless LAN
External device
The sales unit of the system components is as follows. These components are selectively used
depending on the system configuration.
Name
X-ray cart (DR-XD 1000PX)
Added filter *
Flat panel sensor (DR-ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE)
Battery pack (DR-ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE) *
Adapter for the docking stand (DR-ID1201SE/DR-ID1202SE/DR-ID1211SE/DR-ID1212SE) *
Adapter for the docking stand (DR-ID1213SE) *
* Accessories : Extra facilities which can easily be mounted by the user.
• The products in can be installed in patient environment.

• The DR-XD 1000 is the mobile digital X-ray system.
• The DR-XD 1000 consists of the X-ray cart DR-XD 1000PX and the flat panel sensor.
• The components of the DR-XD 1000PX include the control cabinet DR-ID 1200MC and the
image processing unit DR-ID 300CL.
• Available flat panel sensors are the DR-ID 1201SE, DR-ID 1202SE, DR-ID 1211SE, DR-ID
1212SE and DR-ID 1213SE.
• Up to five flat panel sensors can be connected.

2.1.2 Features of the System
This section describes the main features of the system.
1 Use of a high-sensitivity system consisting of the flat panel sensor DR-ID 1201SE/
DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE and image processing
software Virtual Grid implements a lightweight and compact system with downsized X-ray
equipment. In addition, the cart caster mechanism enables high maneuverability (rotating
on the spot and moving in all directions), which cannot be realized with the conventional
mobile X-ray unit.
2 The compact body and slim arm have significantly improved the forward and downward
visibility during traveling.
3 The system is equipped with the multi-function DR slot, which can be used for charging and
2 sharing the flat panel sensor. By utilizing the mechanism for moving the multi-function DR
slot back and forth, the flat panel sensor can easily be inserted into a disposable cover. In
addition, the flat panel sensor can be locked with a key.
4 The operation panel integrating the X-ray controller and the image processing unit can be
rotated, tilted or moved up and down depending on the operator and/or exposure condition.
5 The tube voltage, tube current time product and automatically calculated dose area product
values are stored in the DICOM tag. The Virtual Grid Software is automatically optimized
based on the actual values.
6 The high-performance lithium-ion battery enables long-time use and quick charge. In
addition, even if the remaining battery capacity is small, exposures can be made by
connecting the power cable to a commercial power supply.
7 By using the top board tray, accessory case (optional) and X-ray protective apron hanger
(optional), items required for portable imaging can be transported with the X-ray cart.
8 When the irradiation field adjustment knobs are operated, the light field lamp is
automatically lit.

2.2 Unit Names and the Functions
Unit names and the functions of the X-ray cart are described below.
2.2.1 External View of X-ray Cart

X-ray source assembly
X-ray tube assembly
2
Collimator Arm

Operation panel
Hand switch
Cart handle
DR lock key
Flat panel sensor
DR lock knob
Multi-function DR slot
Caster lock pedal
Main circuit breaker

Power cable connector Wheelie pedal
Additional protective ground
Connector for external
wire connector
connection (USB)
Access point
Key switch connection (LAN)
Arm joint
connection (USB)
Cart base
Caster lock pedal

Name Description
X-ray tube assembly The X-ray tube assembly encloses the high-voltage generation part and the
X-ray tube together with insulation oil.
It generates X-rays by applying a high voltage to the X-ray tube.
Collimator The collimator limits the X-ray radiation field.

For details, see “2.2.2 X-ray Tube Assembly and Collimator”.
Arm This arm holds the X-ray source assembly.

For details, see “2.2.3 Arm and Arm Joint”.
Operation panel The operation panel consists of the X-ray controller and the image processing
unit.
2 For details, see “2.2.4 Operation Panel”.
Hand switch This switch is used for X-ray exposure and has two steps.
For details, see “2.2.5 Hand Switch”.
Cart handle Grasp this handle when moving the X-ray cart.
Flat panel sensor Available flat panel sensors are as follows.

DR-ID 1201SE, DR-ID 1202SE, DR-ID 1211SE, DR-ID 1212SE and DR-ID
1213SE
or details, see “Flat Panel Sensors 1201SE/DR-ID 1202SE/DR-ID 1211SE/
F
DR-ID 1212SE/DR-ID 1213SE Operation Manual”.
Multi-function DR slot One flat panel sensor can be stored in this slot.
When storing the flat panel sensor, align the left-hand edge of the flat panel
sensor with the left-hand end of the slot.
This slot can accommodate all sizes of flat panel sensors.
The battery pack can be charged by storing the flat panel sensor.
DR lock key This key is used for locking the DR lock knob.
CAUTIONS
No warranty is given as to theft prevention.
DR lock knob This knob is used to fix the flat panel sensor to the multi-function DR slot.
Main circuit breaker The main circuit breaker is used to turn the connection between the battery and
the internal circuit on and off.
The battery can be charged even if this circuit breaker is turned off.
Key switch This switch is used to turn the power to the X-ray source on and off.
The key can be pulled out when this switch is turned off.
Caster lock pedal This pedal is used to fix or move the X-ray cart.
or details, see “2.2.7 Caster Lock Pedal”.
F
Wheelie pedal If it is hard to move the X-ray cart across a step having a level difference (up to
1cm), float the front wheels of the cart while stepping on this pedal.
Access point The access point is used for wireless communication with the flat panel sensor.
Power cable connector The power cable connector is used to charge the X-ray cart.
Use a properly grounded 3-pronged outlet only.
Additional protective ground When making an X-ray exposure by connecting the power cable, an additional
wire connector protective ground wire needs to be connected to a secure protective ground
terminal in the facility.
Connector for external This connector is used to connect an external device.

connection (LAN/USB)

2.2.2 X-ray Tube Assembly and Collimator
Angle meter
Light field lamp

switch
Tape measure Irradiation field
Added filter mount adjustment knobs
DAP meter mount
Collimator handle
Angle markings
<Left Side View> <Front View>
2
Name Description
Irradiation field adjustment These knobs are used to adjust the light field size. When these knobs are

knobs rotated, the light field lamp is lit.
Light field lamp switch This switch turns the collimator lamp on and off.
This switch functions in the same way as the light field lamp switch on the X-ray
controller.
Tape measure The SID (distance between the focal spot and the flat panel sensor) is measured.
Note that the scale does not start at zero since the distance between the
mounting position of the tape measure and the focal spot is taken into account.
Angle meter The rotation angle around the X-ray tube assembly holding shaft is displayed.
Angle markings The rotation angle around the arm shaft is displayed.
Collimator handle Hold this handle when adjusting the position of the X-ray source assembly.
Added filter mount The added filter is inserted.
DAP meter mount The DAP (dose area product measuring tool) is mounted. When mounting the
DAP, contact our official dealer or FUJIFILM Representative.

2.2.3 Arm and Arm Joint
Arm lock release lever
2
±15°
Arm joint
<Left Side View> <Top View>
Operation Description
Releasing the arm lock While pulling up the arm lock release lever (1), raise the arm (2) to release the
arm lock.
(1)
(2)
When releasing the arm lock, be sure to pull up the arm lock release lever
before raising the arm. If the arm is raised without pulling up the arm lock
release lever, the internal locking mechanism may not be released.
If the locking mechanism is not released, fold the arm until it stops and
then try again.
Locking the arm Fold the arm while holding it (1), and ensure that the arm does not move back
and forth (2).
(2)
(1)

Operation Description
Locking the rotation of the Rotate the arm to place it in the central position (1), and ensure that the arm
arm support beam does not move horizontally.
Arm joint
(1) (2)
2
Arm joint The arm support beam rotates by ±15 degrees around the arm joint.

2.2.4 Operation Panel
Image processing unit X-ray controller
Name Description
Image processing unit or the unit names and functions of the image processing unit, see “2.3 Image
F
Processing Unit Display Configuration”.
X-ray controller X-ray irradiation conditions are specified.

or details, see “■ X-ray Controller”.
F

■ X-ray Controller
Tube voltage Tube current time
switch product switch
kV unit mAs unit
Dose area product display switch
Dose area product unit
Tube current time product LED
Tube voltage LED
2 Light field lamp switch
Select the body thickness correction switch
DR link switch
Battery level indicator

POWER
ERROR
X-ray tube temperature warning
X-Ray irradiation indicator lamp
Radiography ready indicator lamp
Added filter
Name Description
kV unit This indicator is lit when the tube voltage is displayed.
Tube voltage LED The tube voltage is displayed. If an error occurs or if any part needs to be
replaced, “ERR” is displayed.
Tube voltage switch Press this switch to set the tube voltage.
mAs unit This indicator is lit when the tube current time product is displayed.
Tube current time product The tube current time product is displayed. If an error occurs or if any part needs
LED to be replaced, “ERR” is displayed.
Tube current time product Press this switch to set the tube current time product.
switch
Dose area product display Press this switch to display the dose area product.
switch
Dose area product unit This indicator is lit when the dose area product is displayed.
Light field lamp switch This switch turns the collimator lamp on and off.
This switch functions in the same way as the light field lamp switch on the
collimator.
DR link switch Press and hold this switch for 2 seconds to switch between “DR link mode” and
“Non-linking mode for memory exposure”.
Display Status Description
On DR link mode X-ray radiation becomes possible when both the

X-ray cart and the flat panel sensor are ready for
exposure.
Off Non-linking mode X-ray radiation with the X-ray cart is possible
for memory regardless of the status of the flat panel sensor.
exposure This mode is used in the memory exposure mode
of the flat panel sensor and for X-ray tube aging.

Name Description
Select the body thickness Select the body thickness by pressing this switch.
correction switch
ON: Normal
ON: Thick
Battery level indicator Normally, the remaining battery capacity of the X-ray cart is displayed.
When the battery is being charged, the progress of charging is displayed.
For details, see “3.13 Charging the Battery”.
Check the remaining battery capacity of the flat panel sensor with the indication
on the back of the flat panel sensor.
POWER The power supply status is displayed. 2

Display Status
Off The X-ray cart is starting up or the battery runs out.

On (white) The key switch is off.
Blinking (white) Operation information is being backed up.
On (blue) Ready for exposure
ERROR This lamp indicates that an error has occurred.
Display Status
(orange)
Off Normal operation
On Error occurred
Added filter This lamp is lit when the added filter is used.
X-Ray irradiation indicator This lamp is lit while X-rays are radiated.
lamp
Radiography ready indicator This lamp is lit when the X-ray source is ready for X-ray radiation.
lamp
X-ray tube temperature This lamp is lit when the X-ray tube temperature is high.
warning Although X-ray radiation is possible, if X-rays are radiated continuously, an X-ray
tube temperature error occurs and operation stops.
This lamp turns off when the X-ray tube has cooled down and the temperature
falls.

2.2.5 Hand Switch
First level
Second level
2
Name Description
Radiography preparation button Push this switch down to the first level to heat the filament of the X-ray tube.
(pushed to first level)
X-Ray exposure button (pushed Push this switch down to the second level to radiate X-rays.
to second level)
2.2.6 Access Point

■ Status Lamps
Name Display Status
POWER Green Blinking Start-up in progress
Green On Start-up completed
Red Blinking USB transmission error
WIRELESS Green On 5 GHz frequency band
Orange On 2.4 GHz frequency band

WIRELESS
Off Wireless LAN Off
WSTAT
POWER WSTAT Green Data transfer in progress
Red DFS in operation
Check the status lamps of the access point by opening the cover on the back of the operation panel.
Cover
r mark
When closing the cover on the back of the operation panel, press the r mark until the cover is securely fixed.

2.2.7 Dose Area Product Display
The dose area product is calculated based on the X-ray irradiation area and the exposure
conditions.
After an exposure is completed, the dose area product, which is calculated based on the actual tube
voltage and tube current time product, is displayed.
In DR link mode, the dose area product is displayed on the image processing unit.
In non-link mode for memory exposure, the dose area product is displayed on the X-ray controller
by pressing the dose area product display switch.
CAUTIONS
The calculated dose area product value displayed on the X-ray controller is reset when the
hand switch is pushed down to the first level. Do not push the hand switch down to the first 2
level until the calculated dose area product value is checked.

or details on the display position and unit of the dose area product on the image processing unit,
F
see “Console Advance (DR-ID 300CL) Reference Guide”.
DR link mode Non-link mode for memory exposure
Dose area product display Dose area Dose area product

product display display switch
To use the DAP (dose area product measuring tool), specific settings need to be configured by
FUJIFILM authorized service personnel. Consult our official dealer or FUJIFILM Representative.
The value of the DAP (dose area product measuring tool) is displayed only on the image processing
unit.

2.2.8 Caster Lock Pedal
The caster lock pedal changes the state of the rear wheels. The caster lock pedal is located on both
the front and rear side of the X-ray cart. This pedal locks or releases the rear wheels to fix or move
the X-ray cart.
2 Caster lock pedal

Top position
Middle position
Rear wheels Bottom position

Position of
Status of the
the caster Movement of the X-ray cart
rear wheels
lock pedal
Forward/backward
movement Right/left turn [Note]
Rightward/
leftward
movement,
oblique
Top
movement
and rightward/
leftward rotation
are locked
Forward/backward movement Right/left turn [Note]
All locks are

Middle Oblique Oblique
released
movement movement
Rightward/ Rightward/
leftward leftward
movement movement
Right/left rotation
All casters are
Bottom The X-ray cart is fixed.
locked
Note: Set the caster lock pedal in the top position to make a right/left turn more smoothly.

2.2.9 List of Optional Items
Optional items that can be used in combination with this system are listed below.
Name Code No.
Battery charger
(DR-ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE)
Barcode reader kit
Magnetic card reader
Magnetic card reader fixing kit
Bluetooth barcode reader kit

2
Cart handle high type (Ground height: 1,000mm) 340Y200023
Accessory case 898Y200274

Disposable wipes holder 362Y200009
X-ray protective apron hanger 898Y200218
Transportation carriage
Dose area product measuring tool fixing kit
For details, see “Appendix O Use of Optional Items”.

2.3 Image Processing Unit Display
Configuration
When the self-initialization process ends, the Patient Information Input Screen will appear on the image processing
unit display.
For details, see “Console Advance (DR-ID 300CL) Operation Manual”.
■ Patient Information Input Screen

Patient information input field
Input patient information.
Tool button
2 Operates the Patient Information

Database function to input patient
information.
Clears patient information

(except for technologist).
Screen keyboard
Used to input characters in the
patient information input field.
Reserves a study.
Terminates patient information

input, and proceeds to exposure
menu selection.
Displays the “Study List screen”. Connected devices status

Connected devices status display field. Displays the status of connected devices.
For details, see the next page.
■ Study Screen
Patient information
display field
Displays patient information.
Exposure menu list

This list shows exposure menus
selected on the “Exposure
Menu Selection screen”.
Selected exposure menu

number display field
Exposure unit display field
The Tube, Technique, and
Imaging panels can be uniquely
arranged and displayed.
Technologist display field

Displays the name of logged-
Image display field Shot Ready (exposure ready status indicator) in technologist (user).
The read image appears. Exposure (image reading) can be performed when the indicator is lit green.
Exposure (image reading) cannot be performed when the indicator is not lit.

■ Connected Devices Status
Details on each icon and its display area are described below.
Indicator
icons display
area
Indicator icons display area 2

The status of the flat panel sensor, X-ray cart, X-ray controller and image processing unit is
shown with an icon. Up to six icons can be displayed. The status of each connected device is

shown in three categories.
Device information displayed in each category is as follows.

Category Device information
Status of exposure unit (1) Exposure unit communication indicator

(2) Exposure unit battery indicator
Status of the image processing (3) Console event indicator

unit and personal computer
Other (Status of output unit, (4) XCON indicator

hospital LAN, etc.) (5) Output status indicator
(6) Hospital wireless communication indicator
The information is displayed in each category as shown below.
Device information of the category
Category
Locations of category information, category names and locations of device information belonging
to the category can be customized in the user utility. For details, see “Console Advance (DR-ID
300CL) Reference Guide”.

(1) Exposure Unit Communication Indicator
The following icons display communication status of the flat panel sensor corresponding to the
selector selected in the exposure unit display field of the “Study screen”.
If the flat panel sensor is connected with wired communication, the following icons are displayed.
: Connected
: Disconnected
If the flat panel sensor is connected wirelessly, the following icons are displayed.
: Connected. Displays the signal strength in four levels.

2 / / /
/ : Disconnected
: Unknown
CAUTIONS
While is displayed, radiography is not recommended since wireless communication is unstable.
(2) Exposure Unit Battery Indicator
When connected to the image processing unit, the battery status is indicated with the following
icons.
: Ready for exposure (battery charge: fully charged)
: Ready for exposure (exposure time available: less than one hour)
: Ready for exposure (battery charge: recharge needed)
: Ready for exposure (connected to power supply)
: Not ready for exposure
CAUTIONS
When an exposure is ready to be made (the READY status lamp on the flat panel sensor is lit in
green), the power consumption of the flat panel sensor increases. Although the indicator icon of
the remaining battery level changes to low and the value of the operable time display decreases
temporarily, these are not failures.
(3) Console Event Indicator
The following icons display the status of the image processing unit.
: Normal
: Warning-level event ongoing
: Error-level event ongoing

(4) XCON Indicator
The status of connection to the X-ray controller is shown by the icons below. To show these
icons, the settings are required at the time of installation.
: Online
: Offline
(5) Output Status Indicator
The following icons display the output status.
: Waiting for image output 2

: Processing image output

: Output error
(6) Hospital Wireless Communication Indicator
The status of wireless communication between the image processing unit and the hospital LAN is
shown by the icons below.
/ / / : Connected. Radio field strength is displayed in four levels.
: Switching connection
: Disconnected
CAUTIONS
While is displayed, image transfer to the hospital LAN becomes unstable although wireless
communication is established.

2

Chapter 3 Basic Operation
3.1 Routine Operations
This section explains routine operations (basic operations) of the system.
Preparation before performing radiography

Moving the X-ray cart to the place
Step 1 where radiography is performed For details, see "3.2 Travel".
For details, see "3.3 Starting Up the

Step 2 Starting up the system System".
3
Performing radiography
Move the X-ray cart to the patient's For details, see "3.4 Moving X-Ray Cart
Step 3 bedside to Patient's Bedside".
Basic Operation
For details, see "3.5 Entering Patient
Step 4 Entering patient information Information".
For details, see "3.6 Selecting the Anatomical

Step 5 Selecting the exposure menu Region and Exposure/Study Menu".
For details, see "3.7 Positioning the Flat

Step 6 Positioning the flat panel sensor Panel Sensor".
For details, see "3.8 Positioning the X-ray

Step 7 Positioning the X-ray source assembly Source Assembly".
Step 8 Performing radiography For details, see "3.9 X-ray Exposure".
For details, see "3.10 Storing the Flat

Step 9 Removing the flat panel sensor Panel Sensor".
Finishing radiography
For details, see "3.11 Shutting Down the
Step 10 Shutting down the system System".
For details, see "3.12 Moving the X-ray

Step 11 Moving the X-ray cart to the storage location Cart to the Storage Location".
For details, see "3.13 Charging the

Step 12 Charging the Battery Battery".

3.2 Travel
This section explains how to set the X-ray cart in the travel position, and how to stop the X-ray cart
during traveling. For the safe use of the X-ray cart, thoroughly read and understand the instructions in
this section before moving the X-ray cart.
1 Set the caster lock pedal in the “top” or “middle” position to unlock the rear wheels.
F
2 Ensure that the arm is set in the home position.

If the arm is not set in the home position, set the arm in the home position by folding it as shown in the figure below.
With the arm set in the home position, ensure that the arm does not move in all directions.
3
Basic Operation
<Home position>
3 Move the X-ray cart while grasping the cart handle.
←
Forward
direction

WARNING
Firmly grasp the cart handle with both hands while moving the X-ray cart.
Do not move the X-ray cart with one hand or grasp the cart handle with a reverse grip. Doing so
may lead to erroneous operations, causing damage to the X-ray cart and/or serious injury.
Cart handle
Basic Operation
CAUTIONS
● When moving the X-ray cart near a person, device or wall, confirm safe conditions around
the X-ray cart, and move the X-ray cart slowly so that you can stop it immediately.
● If you feel that something is wrong with the X-ray cart during traveling (for example, if the
X-ray cart becomes hard to move), stop using the X-ray cart immediately and contact our
When the X-ray cart is moved, the operator’s body may be electrically charged depending on the conditions such as
the temperature and/or clothes, leading to an electric shock due to electrostatic discharge.

3.3 Starting Up the System
1 Confirm that the main circuit breaker is turned on, and then turn on the key switch. The start-up
process begins.
• When the key switch is turned on, the color of the POWER lamp on the X-ray controller changes from white to
blue.
• Ensure that the cables are properly connected to each device.
CAUTIONS
3 When the power cable is connected, the system can be started up even if the main circuit
breaker is turned off. However, since power supply from the battery is interrupted, X-ray
radiation cannot be performed. If the hand switch is pressed under such a condition, an error
(error code 120) is displayed. If this happens, take an appropriate countermeasure referring to
Basic Operation
“4.1 When a Message Appears on the X-ray Controller”.
2 The Patient Information Input Screen below appears following the opening screen on the image
processing unit monitor.
Patient Information Input Screen
CAUTIONS
● Do not remove the flat panel sensor from the multi-function DR slot while the message
“Calibrating...” is displayed in the connected devices status after the system startup.
Otherwise, the system does not start up normally, resulting in an error.
● may be displayed in the connected devices status while information on radio wave
strength is being acquired from the flat panel sensor.

3.4 Moving X-Ray Cart to Patient's Bedside
This section explains how to move the X-ray cart to the patient's bedside.
1 Move the X-ray cart to the patient's bedside and open the arm.
Basic Operation
Open the arm while confirming the safety of the surroundings.
or details on how to release the arm lock, see “2.2.3 Arm and Arm Joint”.
F
2 Move the X-ray cart to an appropriate position.

Move the X-ray cart according to the anatomical region of the patient onto which X-rays are irradiated.

3.5 Entering Patient Information
This section explains how to enter patient information.
1 The Patient Information Input Screen below is displayed on the image processing unit display
immediately after startup. Enter patient information items appropriately, and then touch the
button.
● Not all the items of patient information need to be input. Input any one of the items in order to proceed to the
next operation.
● When the optional card reader is provided, patient information can be input by reading from a magnetic card.
● When the optional barcode reader is provided, patient information can be input by reading from a barcode card.
● Observe the following when the message “Calibrating...” is displayed in the connected devices status.
• Do not subject the flat panel sensor to shock.
3 • Do not deliver radiation.
• Do not remove the flat panel sensor from the multi-function DR slot.
Patient information input field

Basic Operation
Input patient information.
Tool button
Operates the Patient Information

Database function to input patient
information.
Clears patient information

(except for technologist).
Screen keyboard
Used to input characters in the
patient information input field.
Reserves a study.
Terminates patient information

input, and proceeds to exposure
menu selection.
Displays the “Study List screen”. Connected devices status

Displays the status of the exposure unit to which the
image processing unit is connected.
Patient information includes the following items.

Patient’s Name / Sex / Birth Date / Outpatient/Inpatient / Patient ID / Accession No. / Requesting Department / Contrast Allergies /
Patient comments / Study comments
HINT
You can change patient information input items and their display order in the User Utility settings.

3.6 Selecting the Anatomical Region and
Exposure/Study Menu
This section explains how to select the anatomical region and exposure/study menu.
3.6.1 Selecting the Anatomical Region and Exposure/Study Menu

1 Select an anatomical region from the display group list, and then select an exposure menu from
the exposure menu list registered to the display group on the lower side. (More than one menu
can be selected.)
The selected exposure menu(s) is displayed in the selected exposure menu list on the right side
of the screen.
Display group list Selected exposure menu list
Basic Operation
Exposure menu list registered
to the display group
2 Touch after selecting exposure menu(s).
(1)
(2)

3 The Study Screen is then displayed.
3
Basic Operation
When registering an exposure menu(s), move the flat panel sensor and access point close to each other, so that
they are within the range of wireless communication.
If the units are out of the range of wireless communication, the message may appear when an exposure menu(s)
is registered. In this case, move the flat panel sensor and access point close to each other, so that they are within
the range of wireless communication, and then follow the displayed message.
or details, see “4.3 When a Message Appears on the Image Processing Unit”.
F

3.6.2 Correcting the Exposure Conditions
When an anatomical region and exposure menu are selected on the image processing unit, the
corresponding tube voltage (kV value) and the tube current time product (mAs value) are displayed
on the X-ray controller.
For details, see “A.6 Radiography Condition List”.
1 When necessary, press the tube voltage switch and/or the tube current time product switch to
change the kv value and/or the mAs value to change the exposure conditions.
Tube voltage switch
Tube current time product switch
Basic Operation
2 When necessary, press the select the body thickness correction switch to correct the body
thickness of the patient.
Select the body thickness

correction switch
Normal Thick

3.7 Positioning the Flat Panel Sensor
This section explains how to position the flat panel sensor to the anatomical region of the patient.
For details on the flat panel sensor, see "Flat Panel Sensors 1201SE/DR-ID 1202SE/DR-ID
1211SE/DR-ID 1212SE/DR-ID 1213SE Operation Manual".
1 Raise the DR lock knob on the X-ray cart (1), tilt the multi-function DR slot toward the front (2)
and pull the flat panel sensor toward the front (3).
The DR lock knob can be raised only when the DR lock key is unlocked.
3
Basic Operation
(3)
(1)
(2)
CAUTIONS
When inserting or removing the flat panel sensor into/from the multi-function DR slot, tilt the
The procedure for unlocking the DR lock knob is described below.

• Turn the DR lock key counterclockwise.
DR lock key
• Raise the DR lock knob while pressing the notch of the DR lock knob.
Notch

2 Cove the flat panel sensor with a disposable bag.
Basic Operation
3 Remove the flat panel sensor from the multi-function DR slot.

4 Place the flat panel senor under the anatomical region of the patient.
3
Basic Operation

3.8 Positioning the X-ray Source Assembly
This section explains how to position the X-ray source assembly.
1 Hold the collimator handle to adjust the position of the X-ray source assembly.
Press the light field lamp switch to turn on the light field lamp. Adjust the position of the X-ray source assembly while
checking the radiation field size and anatomical region. When the position of the X-ray cart is determined, set the
caster lock pedal in the bottom position to fix the X-ray cart.
Basic Operation
HINT
The rotation range of the X-ray source assembly is as follows.
Side View Front View Bottom View
180° 165° 165° 180°
90°
40°
Adjust the rotation angle with reference to the angle markings and the angle meter.
Angle meter
Angle markings

Adjust the SID (distance between the focal spot and the flat panel sensor) by measuring it with the tape measure.
The recommended SID for the system is 1m.
■ Setting the Radiation Field

When necessary, adjust the X-ray radiation field by rotating the irradiation field adjustment knobs
located on the front and side surfaces of the collimator.
3 Irradiation field adjustment knobs
Adjust the X-ray radiation field with reference to the collimator opening display.
Basic Operation
Collimator Opening Display (for Lower Blade)
Collimator Opening Display (for Upper Blade)
Collimator Opening Display Collimator Opening Display

(for Upper Blade) (for Lower Blade)

3.9 X-ray Exposure
This section explains how to perform X-ray radiography.
1 Check the exposure conditions.

Check the exposure conditions displayed on the X-ray controller.
2 Make an exposure.
Make an exposure after confirming that Shot Ready (exposure ready status indicator) is lit in green in the connected
devices status of the image processing unit.
Basic Operation
Radiography ready X-Ray irradiation
Shot Ready (exposure ready status indicator) indicator lamp indicator lamp
Push the radiography preparation button (pushed to the first level), confirm that the radiography ready indicator lamp
is lit, and then push the X-ray exposure button (pushed to the second level).
When the X-ray exposure button (pushed to the second level) is pushed, a buzzer sounds and the X-ray irradiation
indicator lamp is lit simultaneously while radiation is delivered.
Confirm the buzzer stops and the X-ray irradiation indicator lamp turns off, and then release the hand switch.
● Be sure to confirm that X-ray exposure is completed before releasing the X-ray exposure button (pushed to
the second level). If the X-ray exposure button (pushed to the second level) is released during X-ray exposure,
X-ray exposure is interrupted.
● If X-ray radiation does not stop since the X-ray cart does not operate properly, stop X-ray radiation by turning
off the key switch.
● Before making an exposure, be sure to turn the direction of the operation panel so that the X-ray controller
display can easily be seen by the operator.

3 Check the radiograph.
A radiograph is displayed on the image processing unit.
After the exposure, do not move the image processing unit and the flat panel sensor until a processed image
appears on the image processing unit.
3
Basic Operation
4 Check the dose area product.

The dose area product is displayed on the image processing unit.
5 Exit the Study Screen.

Touch the button at the lower right to complete the study and prepare for exposures of the next patient.
(1)
The registration of the next new patient should be processed after more than 2 seconds.

3.10 Storing the Flat Panel Sensor
This section explains how to store the flat panel sensor.
1 Remove the flat panel sensor from the anatomical region of the patient.
2 Remove the disposable bag from the flat panel sensor and dispose of the disposable bag.
3 Tilt the multi-function DR slot toward the front (1), and then store the flat panel sensor in the
multi-function DR slot (2).
When storing the flat panel sensor, align the left-hand edge of the flat panel sensor with the left-hand end of the slot.
Basic Operation
(2)
(1)
CAUTIONS
When inserting or removing the flat panel sensor into/from the multi-function DR slot, tilt the
Store the flat panel sensor by aligning it with the connector portion of the multi-function DR slot as shown in the
figure below.

4 Lower the DR lock knob to fix the flat panel sensor.
3
Basic Operation

3.11 Shutting Down the System
This section explains how to shut down the system.
1 Turn off the key switch.

When the key switch is turned off, the color of the POWER lamp of the X-ray controller changes from blue to
white.
● When stepping away from the X-ray cart, be sure to turn off the key switch, pull out the key and properly manage
it.
3
● The image processing unit is not shut down even if the key switch is turned off. When stepping away from the
X-ray cart, be sure to shut down the image processing unit.
Basic Operation
● If the imaging processing unit is used without connecting the power cable of the X-ray cart to an outlet, the battery
completely discharges several hours after the battery level indicator turns off and it may result in a decrease in
battery capacity or other problems.
2 Touch the button at the upper right of the image processing unit display, and then the
button from the displayed menu. Touch the button in the displayed
confirmation window. The image processing unit will shut down in a few minutes.
(1)
(2)
(3)

3 Turn off the main circuit breaker.
CAUTIONS
Be sure to shut down the image processing unit before turning off the main circuit breaker.
If the main circuit breaker is turned off while the image processing unit is in operation, loss of
radiographic images or a failure of the image processing unit may occur.
● If the system is not to be used for a long period of time, turn off the main circuit breaker.
● If you plan to continuously run the system for over 24 hours, perform post-operation check, and then restart the
system.
If the system has been operating continuously for 24 hours, a message prompting the user to restart the system
is displayed. If this happens, select OK and then restart the system.
Restart the system by following the procedure below.
・Turn off the key switch.
・Confirm that the image processing unit has been shut down and then turn off the main circuit breaker.
3 ・Turn on the main circuit breaker.
・Turn on the key switch.
Basic Operation

3.12 Moving the X-ray Cart to the Storage
Location
1 Set the caster lock pedal in the “top” or “middle” position to unlock the rear wheels.
F
2 Move the X-ray cart away from the patient’s bedside.

Move the X-ray cart to a location where the arm can be set in the home position.
3 Set the arm in the home position.

Ensure that the arm does not move in all directions.
Basic Operation
<Home position>
4 Move the X-ray cart to the storage location.

After moving the X-ray cart to the storage location, set the caster lock pedal in the “bottom” position to lock the rear
wheels.

3.13 Charging the Battery
This section explains how to charge the battery.
3.13.1 Charging the X-ray Cart Battery
1 Connect the power cable.
● The battery can be charged when the main circuit breaker is on.
● When the power cable is connected, the amount of power consumption is the same regardless of the state (on/
off) of the main circuit breaker.
2 The battery level indicator of the X-ray controller blinks and the current battery charge level is
3 displayed.
Basic Operation
LED1
LED5 LED4 LED3 LED2
Normal operation (except during

During charging
charging)
Fully charged LED 5 to 1: Lit in lime yellow
LED 5: Blinking in lime yellow LED 5 to 1: Lit in lime yellow
80% or higher
LED 4 to 1: Lit in lime yellow
LED 5: Off
LED 5: Off
60% or higher LED 4: Blinking in lime yellow
LED 5 and 4: Off
LED 5 and 4: Off
LED 2 and 1: Lit in lime yellow
LED 5 to 3: Off
LED 5 to 3: Off
LED 2 and 1: Lit in lime yellow
LED 1: Lit in lime yellow
LED 5 to 2: Off
20% or higher
LED 1: Lit in lime yellow
LED 5 to 2: Off
LED 5 to 2: Off
LED 1: Blinking in orange
10% or lower LED 5 to 1: Off
3 Ensure that the battery is completely charged and then disconnect the power cable.
CAUTIONS
● Ensure that the main circuit breaker is turned off. Note that if the main circuit breaker is
turned on, the battery capacity decreases due to standby power.
● When the remaining battery capacity is 3% or lower, radiography cannot be performed since
the X-ray cart does not start up even if the power cable is connected. When the battery is
charged and the remaining battery capacity exceeds 3%, radiography can be performed by
starting up the X-ray cart.
● When the remaining battery capacity of the battery (except during charging) is 10% or less,
radiography cannot be performed. In that case, charge the battery by connecting the power
cable.

3.13.2 Charging the Flat Panel Sensor (Multi-Function DR Slot)
1 Ensure that the adapter for the docking stand is attached to the flat panel sensor. Insert the flat
panel sensor into the multi-function DR slot.
2 Check the battery pack level indicator on the flat panel sensor.
or details on the battery pack indicator on the flat panel sensor, see "Flat Panel Sensors DR-ID 1201SE/DR-ID
F
1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE Operation Manual".
When the power cable is not connected to the flat panel sensor, the flat panel sensor is charged by using the battery
of the X-ray cart. Pay attention to the remaining battery capacity of the X-ray cart.
3.13.3 Charging the Battery Pack for the Flat Panel Sensor 3
(Battery Charger)
For details on how to use the battery charger, see "Battery Charger Operation Manual".
Basic Operation

3.14 How to Use Memory Exposure Mode
In the memory exposure mode, a maximum of 100 exposures (DR-ID 1201SE/DR-ID 1202SE/DRID
1211SE/DR-ID 1212SE) or 200 exposures (DR-ID 1213SE) can be made only with the flat panel
sensor, without using the image processing unit.
3.14.1 Switching the X-ray Cart to Non-Linking Mode for

Memory Exposure
1 Switch the X-ray cart to the non-linking mode for memory exposure.
Press and hold the DR link switch on the X-ray controller for two seconds. The DR link switch turns off and the X-ray
cart is switch to the non-linking mode for memory exposure.
3
Basic Operation
DR link switch

3.14.2 How to Start up and Use Memory Exposure Mode of the
Flat Panel Sensor
1 Press and hold the memory exposure mode HINT
start button and the sleep release/memory When the memory exposure mode is started up,
exposure mode start button at the same the flat panel sensor enters X-ray detection mode.
time for 2 seconds. For details on X-ray detection mode, see “Flat
Panel Sensors 1201SE/DR-ID 1202SE/DR-ID
Memory Sleep 1211SE/DR-ID 1212SE/DR-ID 1213SE Operation
exposure release/memory
mode status
Manual”.
exposure mode
start button
Status lamp
2 When the READY lamp among the status
lamps is automatically lit in green, make an
exposure.
Memory exposure mode start button 3

READY
When the number of images stored on the flat panel
sensor is displayed in the memory exposure mode
Basic Operation
status, the start-up process is completed.
3 Make sure that the number of images

displayed in the memory exposure mode
status has increased.
Before the start-up process is completed, calibration

of the flat panel sensor may be performed.
During calibration, “888” blinks in the memory
exposure mode status.
When the READY lamp among the status lamps is
automatically lit in green, the next exposure can be
made.
HINT
When calibration is completed, the number of The value displayed as the number of images is
images stored on the flat panel sensor is displayed. used for managing the images.
For example, when “3” is displayed before an
CAUTIONS exposure and then “4” is displayed after the
exposure, the number of the exposed image is “4”.
● Do not subject the flat panel sensor to
shock during calibration. Otherwise, CAUTIONS
artifacts may appear in the image.
● When the memory exposure mode is ● Note that when the flat panel sensor is
started up while the flat panel sensor used in the memory exposure mode,
is in use, a message is displayed on if a strong impact is applied to the flat
the screen of the image processing panel sensor, a white image may be
unit, indicating that communication is obtained, incrementing the number of
disconnected. Since this is not an error, images.
select “OK” to continue operation. ● Manage the records of exposed images
However, if the following error codes to identify the correspondence between
are displayed, take appropriate the image number and the patient
measures according to the instructions name.
displayed on the screen: 10XXX (error
codes beginning with “10”), 11112,
11244, 11227, 11228 or 11751.

3.14.3 How to Load Images
1 Connect the flat panel sensor to the X-ray 2 To load images stored in the flat panel
cart. sensor into the image processing unit,
display the “Image Reader Status window”
Store the flat panel sensor in the multi-function DR
on the image processing unit, select the
slot.
flat panel sensor and then “Get Image
Align the left-hand edge of the flat panel sensor with
(FPDCSL)”.
the left-hand end of the slot
3
Basic Operation
Images stored in the flat panel sensor are loaded

onto the image processing unit.
When calibration of the flat panel sensor is in

progress, an error may occur.
If this happens, wait for a while and then try image
HINT loading again.
(When the external device DR-ID 1200MP is

used) 3 Display the “Study screen” of the patient
Connect the flat panel sensor to the power supply
corresponding to the loaded images, and
unit using the SE cable.
select the exposure menu to be linked with
the images.
4 Select the selector of the flat panel sensor

in which the image is stored and then select
[Image Box].
Flat panel sensor Power supply unit
5 On the “Image Library screen”, select the

(When the external device DR-ID 1200DS is
image of which the number is to be linked
used)
with the exposure menu and then select
Insert the flat panel sensor into the docking stand.
[Import].

HINT or details, see the “Console Advance (DR-ID
F
When an image that has not been linked with an 300CL) Reference Guide”.
exposure menu is left, if images are acquired from
the flat panel sensor, the acquisition date and time
is added to the image No. of the image that was
acquired previously.
3.14.4 List of Error Codes in Memory Exposure Mode of the

Flat Panel Sensor
If an error occurs while starting up or using the memory exposure mode, the corresponding error
code is displayed in the memory exposure mode status of the flat panel sensor. Terminate the
memory exposure mode and then perform the countermeasure against each error. Error codes are
listed in the table below.
Error code Occurrence condition Countermeasure 3

When the memory exposure mode Wait for a while and then start up the
is activated, calibration of the flat memory exposure mode again by pressing
Basic Operation
panel sensor is in progress. the buttons.
E01 When the memory exposure mode Terminate or suspend the study on the
is activated, an exposure menu is image processing unit and then start up the
registered on the image processing memory exposure mode again by pressing
unit. the buttons.
Insert the flat panel sensor into the multi-
function DR slot to connect the flat panel
An X-ray is irradiated when sensor to the image processing unit, or
E03
exposure is not available. remove and attach the battery pack and then
start up the memory exposure mode again
by pressing the buttons.
Insert the flat panel sensor into the multi-
The flat panel sensor detects an
E04 function DR slot to connect the flat panel
impact.
sensor to the image processing unit.
When the memory exposure mode
is activated, the remaining capacity
E05 Replace the battery pack.
of the battery pack for the flat panel
sensor is low.
Check if the operating temperature is within
is activated, the temperature of the
E06, E07, E17, E18 the temperature range specified in the
flat panel sensor or battery back is
environmental operating conditions.
abnormal.
E08, E09, E11 to Consult our official dealer or FUJIFILM
is activated, an abnormality has
E14, E16, E19 representative.
occurred on the flat panel sensor.
Start up the memory exposure mode again
E10 Calibration has failed.
by pressing the buttons.
Consult our official dealer or FUJIFILM
E15 Image storage has failed.
representative.
If the same error occurs repeatedly, contact our official dealer or FUJIFILM representative.

3.14.5 How to Terminate Memory Exposure Mode
Remove the battery pack from the flat panel sensor.
Turn on the DR link switch on the X-ray controller by pressing and holding it for two seconds.
HINT
Images exposed in the memory exposure mode are not lost even if the battery pack is removed from the flat panel
sensor.
3
Basic Operation

Chapter 4 Troubleshooting
4.1 When a Message Appears on the X-ray

Controller
The ERROR LED is lit on the X-ray controller and radiography cannot be performed.
In addition, “ERR” is displayed on the tube voltage LED and an “error code” is displayed on the tube
current time product LED.
Take an appropriate countermeasure by referring to the table below.
“ERR” display
“Error code” display
Troubleshooting
ERROR LED is lit
Error code Occurrence condition Countermeasure
An abnormality has occurred in software inside Contact our official dealer or FUJIFILM
090
the X-ray cart. Representative.
100
101
102
103 A communication error has occurred inside the
105 X-ray cart.
Shut down the system and start it up again. If the
106 problem persists, contact our official dealer or
107 FUJIFILM Representative.
110
An abnormality has occurred in the control
111
circuit inside the X-ray cart.
If the power cable is connected, the main circuit
breaker may be turned off.
120 Shut down the system, wait for about 1 hour and
The X-ray tube may be in a high temperature then start it up again to resume radiography. If
state. the problem persists, contact our official dealer or
A disconnection has occurred in the high- Contact our official dealer or FUJIFILM
121
voltage circuit unit. Representative.

Error code Occurrence condition Countermeasure
A voltage drop has occurred in the high-voltage A discharge in the X-ray tube assembly* may have
122
circuit unit. occurred. It may return to normal when X-ray tube
aging is performed. For details, see “5.1.4 Aging”.
If this error occurs frequently, contact our official
dealer or FUJIFILM Representative.
* A discharge in the X-ray tube assembly may occur in the
An overcurrent has occurred in the high-voltage following cases.
123 ● The X-ray tube is at an early stage of use and only a
circuit unit.
small number of exposures has been performed.
● The X-ray tube has not been used for a long period of
time.
● The ambient temperature is low.
An overvoltage has occurred in the high-voltage

124
circuit unit.
An overcurrent has occurred in the filament Contact our official dealer or FUJIFILM
125
circuit unit. Representative.
An overvoltage has occurred in the filament
126
circuit unit.
Since an X-ray output error may have occurred, stop
An abnormality has occurred in the X-ray
127 using this equipment and contact our official dealer
4 monitor circuit.
or FUJIFILM Representative immediately.
The X-ray tube assembly is in a high-
128
temperature state.
Troubleshooting
Shut down the system, wait for about 1 hour and

The high-voltage portion is in a high-
129 then start it up again to resume radiography.
temperature state.
12A The X-ray tube is in a high-temperature state.
Since an X-ray output error may have occurred, stop
An abnormality has occurred in tube current
12C using this equipment and contact our official dealer
time product control.
or FUJIFILM Representative immediately.
An abnormality has occurred in the flat panel
12D sensor or in communication with the flat panel Shut down the system and then start it up again. If
sensor. the problem persists, contact our official dealer or
An abnormality has occurred in software inside FUJIFILM Representative.
12E
the X-ray cart.
The cooling fan needs to be replaced. Contact our
130 The cooling fan is faulty.
An abnormality has occurred in software inside
190 Shut down the system and then start it up again. If
the X-ray cart.
the problem persists, contact our official dealer or
An abnormality has occurred in the battery for FUJIFILM Representative.
200
the X-ray cart.
If the same error occurs repeatedly, contact our official dealer or FUJIFILM representative.
If an error which cannot be handled or the same error recurs frequently, contact our official dealer or
If an error of unknown cause occurs, do not continue the operation and contact our official dealer or
or details on how to start up and shut down the system, see “3.3 Starting Up the System” and
F
“3.11 Shutting Down the System”, respectively.

4.2 When a Replacement Code Appears
On the X-ray controller, “ERR” is displayed on the tube voltage LED and a “replacement code” is
displayed on the tube current time product LED.
Inform our official dealer or FUJIFILM Representative of the displayed replacement code.
"ERR" display
"Replacement code" display
ERROR LED is lit
4
Replacement
Troubleshooting
Replacement code Part name Action to Take
interval
A01 Gas spring of the arm 2 years Contact our official dealer or
A02 X-ray tube unit 6 years FUJIFILM Representative.
4.2.1 Clearing the Replacement Code

The displayed replacement code can be cleared by pressing one of the following switches.
Each time the key switch is turned on, the replacement code is displayed until the part is replaced.
Switches

4.3 When a Message Appears on the
Image Processing Unit
This section describes the warning dialog box and error messages.
If an error which cannot be handled or the same error recurs frequently, contact our official dealer or
If an error of unknown cause occurs, do not continue the operation and contact our official dealer or
4.3.1 If a Warning Dialog Box Appears

If a communication error or an unexpected error has occurred, a warning dialog box pops up on
the screen. In such a case, after checking error details and closing the box, take appropriate action
immediately. Be sure not to continue the operation of the image processing unit without taking an
appropriate action.
If any operation is performed while a warning dialog box is displayed, another screen may be
displayed, hiding the dialog box behind. In this case, press the [Enter] key to close the hidden box.
When a warning dialog box that contains an error code beginning with “10” appears, follow the
4 steps below.
1 Read a message in the warning dialog box, and then click [OK] in the dialog box.
Troubleshooting
2 Detach the battery packs for all flat panel sensors.
3 Confirm that the flat panel sensors are turned off.
4 Reattach the battery packs to the flat panel sensors.

Then the system restarts.
4.3.2 If the Message Dialogue Box MD11001 Appears

The following message dialogue box appears not only when the image processing unit starts up but
also when a communication error occurs in the flat panel sensor or image processing unit.
Check if the flat panel sensor is within the reach of radio waves. If the unit is out of the range, move
the image processing unit and the flat panel sensor closer to each other.
In addition, confirm that there are no obstacles which are interrupting the communication.
When the problem is not solved within a short time after the message box is displayed, perform the
following procedure.

When acquiring data is interrupted, the image data is maintained in the flat panel sensor until reconnection is
successfully made or until power supply of flat panel sensor is turned off, so image data will not be lost.
In the case of the memory exposure mode, images stored in the flat panel sensor are not lost even if the flat panel
sensor is turned off.
1 Select [OK] on the message box.
2 Check if the main circuit breaker and the key switch are turned on.
If any device is turned off, turn it on and wait for a while.
3 If the problem is not solved, shut down the system.

For details, see “3.11 Shutting Down the System”.
4 Start up the system

For details, see “3.3 Starting Up the System”.
If the same error message box is displayed, contact our official dealer or FUJIFILM Representative.
4.3.3 If an Exposed Image Cannot be Acquired 4
Troubleshooting
Do not remove the battery pack from the flat panel sensor until an exposed image is acquired. If removed, the
image data and the exposure menu data used for the exposure will be lost.
If an exposed image cannot be acquired, the following error message may be displayed.
1 If wireless communication is disconnected during image reading, the following message dialog
is displayed.
<Error message of “MD10020”>
Move the flat panel sensor close to the access point, check the displayed icon ( / / ) to make sure that
proper wireless communication is established, and then select “Yes”. If the status is not improved, insert the flat
panel sensor into the multi-function DR slot to connect to the X-ray cart, and then select “Yes”. If you select “No”, the
image data and the exposure menu data used for the exposure will be lost.

2 If an exposure is made under a condition where wireless communication is unstable, the
following message dialog may be displayed. Select “OK” to acquire the image and then check
the acquired image.
<Error message of “11409”>
4.3.4 If the Dialog Box Containing the Error Message

Numbered 13048 Appears
4 The dialogue box appears when a severe shock is applied to the flat panel sensor. Make sure that
the exterior of the flat panel sensor is not damaged or deformed and that no abnormality is found in
the exposed image.
Troubleshooting
4.3.5 If “Unusable due to error.” Appears on the Image

Processing Unit
Connected devices status

If “Unusable due to error.” is displayed on the image processing unit, remove the battery pack from
the flat panel sensor and install it again.
Guide marks
Battery pack
4.3.6 If any Other Message Dialogue Box Appears

If a message dialogue box other than those in Sections 4.3.1 to 4.3.5 appears on the image
processing unit monitor, read the message carefully and take appropriate action.
Troubleshooting

4.4 How to Cope with an Error
4.4.1 When the Image Processing Unit Hangs Up
If an inappropriate processing is performed while the system is operating, the screen may freeze
and the system may hang up (processing disabled). In that case, shut down the system forcibly
according to the following procedure, and then restart it.
1 Turn off the key switch.
2 Turn off the main circuit breaker.
3 Turn on the main circuit breaker.
4 Turn on the key switch.
CAUTIONS
Note that forcible shutdown processing of the image processing unit is an emergency action.
4 Do not use this action under normal situations.
Troubleshooting
4.4.2 If a Hard Disk of the Image Processing Unit is Damaged

If one of the hard disks is damaged, a window indicating so will appear. In such a case, press the
F1 key and contact our official dealer or FUJIFILM Representative.
4.4.3 Precautions for Operation when the Device Status

is “Initializing” or “Changing FPD” in the Image
Processing Unit’s “Output Device Status Window”
When a flat panel sensor is added or replaced, or when the battery back for a flat panel sensor is
replaced, “Initializing” or “Changing FPD” is displayed for all the flat panel sensors in the device
status field of the image processing unit’s “Output Device Status window”. While either of the status
messages is displayed, you cannot make an exposure. Wait until the message disappears.
When the flat panel sensor is turned on by connecting the cable for wired communication or by
attaching the battery pack immediately after the system starts up or an X-ray exposure is made, it
may take time before the next exposure becomes available.
Even if “Initializing” or “Changing FPD” is displayed for all the flat panel sensors, only those which are added or
replaced or those whose battery is replaced will be initialized.

4.4.4 If an Error Occurs on an Output Destination Device
If an error occurs on an output destination device, is displayed in the connected devices status.
In such a case, operate as follows.
Select .
The “Output Device Status window” is displayed.
Select after checking the connection status, and then take an appropriate action.
Troubleshooting
“Output Device Status window”
4.4.5 When X-rays are Not Radiated even if the Hand Switch is
Pressed
Ensure that the key switch is turned on. When the key switch is turned off, X-rays are not radiated
even if the main circuit breaker is turned on.
Ensure that the added filter is fully inserted. If the added filter is inserted halfway, X-rays are not
radiated.
When X-rays are not radiated even if the added filter is fully inserted or not attached, the added filter
detection sensor may be faulty. Contact our official dealer or FUJIFILM Representative.

4.4.6 When an Actual Value is Not Displayed even if the Image
is Displayed on the Image Processing Unit
The connection inside the X-ray cart may be disconnected. Check the display of the XCON indicator
on the image processing unit and contact our official dealer or FUJIFILM Representative.
4.4.7 Even if an Exposure Menu is Selected, the Exposure

Conditions are Not Reflected in the X-ray Operation
Panel
The connection inside the X-ray cart may be disconnected. Check the display of the XCON indicator
on the image processing unit and contact our official dealer or FUJIFILM Representative.
4.4.8 When the Added Filter LED is Lit even if the Added Filter
is Not Attached
The added filter detection sensor may be faulty. Contact our official dealer or FUJIFILM
Representative.
4
Troubleshooting

Chapter 5 Daily Inspection and
Maintenance
5.1 Daily User Inspection and Maintenance
During maintenance and inspection, strictly observe precautions contained in “Chapter 1 For Safe
Operation” in this manual for you to use the system under best conditions.
For details on daily inspection and maintenance of the flat panel sensor, see “Flat Panel Sensors DR-ID
1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE Operation Manual”.
5.1.1 Daily Inspection

Be sure to inspect the following items before use.
Inspection Before Use

No. Item Inspection Work
• Make sure that the covers are not damaged.
• Make sure that the screws, especially those securing the collimator to the X-ray tube
1 Exterior assembly, are not loose.
• Make sure that the cords, especially those for the hand switch and DAP, are not twisted 5
and their sheaths are not damaged.
• Make sure that abnormal vibration or noise occurs during traveling.
2 Wheels • Make sure that the wheels are not warped or deformed.

• Make sure that the wheel mounting sections are not loose.
•M ake sure that the arm can be opened and folded smoothly without abnormal sound or
backlash.
•M ake sure that the arm can be set in the home position smoothly when folding the arm.
3 Arm
• Especially, make sure that the root of the arm is not loose.
• If it is hard to open or fold the arm, or if the arm cannot be stopped at the desired
position, contact our official dealer or FUJIFILM Representative.
• Make sure that the collimator lamp is lit by pressing the light field lamp switch.
4 Collimator •M ake sure that dirt or foreign matter does not adhere to the X-ray radiation window of
the collimator.
Make sure that at least one LED is lit (in lime yellow) on the battery level indicator of the
5 Battery level X-ray controller
If the battery needs to be charged, see “3.13 Charging the Battery”.
If you plan to continuously run the system for over 24 hours, perform post-operation
6 System restart
check, and then restart the system.
When the added filter is used, make sure that it is fully inserted and that the added filter
7 Added filter
display on the X-ray controller is lit.
Light field lamp switch
Arm
Root of arm
Light field lamp switch
X-ray radiation window

Wheels

Cleaning Before Use
To clean the outer surfaces, use a cleaning cloth tightly wrung out of commercially available ethanol.
CAUTIONS
● Be sure to turn off the power before cleaning or disinfecting each part of the X-ray cart. If the
power is left on, inadvertent contact to the X-ray cart may result in unintentional operations.
● Do not use an excessive amount of ethanol, as doing so may allow the liquid to enter from
the gap on the outer surfaces, resulting in the damage to the equipment, or cause the labels
to come off. Make sure not to let ethanol get inside the equipment.
● Do not use a solvent such as thinner or benzine, as it corrodes the outer surfaces.
● Use dehydrated ethanol or ethanol diluted with purified water.
● When cleaning or disinfecting the operation panel, observe the following precautions.
• Do not rub or hit the operation panel with something hard since it can easily be scratched.
• If any dust adheres to the operation panel, wipe it off with a soft cloth moistened with
water.
5.1.2 Inspecting the Dose Area Product

Since any calculated dose area product value is a reference value, use it only for reference
purpose.
The calculated value may deviate from the actual exposure dose by approximately 25%. The
accuracy of the calculated value is not guaranteed.
5 In addition, if the radiation field size is small or if a low-dose exposure condition is applied, the
calculated value may deviate from the actual exposure dose by more than approximately 25%.
When the opening degree of the upper blade, lower blade or both blades becomes narrower than
the specified level, the dose area product display is displayed as “0”.
The dose area product calculation function needs to be calibrated periodically.

To perform calibration, contact our official dealer or FUJIFILM Representative.
5.1.3 Term of Validity/Period for Use (Durability)

The term of validity (durability) is 6 years from first use of the X-ray cart and the flat panel sensor,
provided that the precautions for use are followed and that the X-ray cart and flat panel sensor
undergo regular maintenance and inspection. “Based on our company’s criteria”
5.1.4 Aging
When using the X-ray cart, perform aging to prevent the X-ray tube from deterioration.
1 Fully close the radiation field of the collimator.

Fully close the radiation field by rotating the irradiation field adjustment knobs.
2 Switch the X-ray cart to the non-linking mode for memory exposure.
Press and hold the DR link switch on the X-ray controller for two seconds to turn off the DR link switch.
3 Make an X-ray exposure.
CAUTIONS
To prevent the human body from being exposed to X-ray radiation, irradiate X-rays toward the
floor. Before performing aging, move the flat panel sensor away from the X-ray radiation field
so as not to irradiate X-rays onto the flat panel sensor.

The types and exposure conditions of aging are described below.
Warm Up Aging
At the beginning of the day, perform aging under the following conditions before using the X-ray cart.
This aging suppresses the tube current instability, keeping the X-ray tube in a stable condition.
Step Tube voltage (kV) mAs Interval (s) Number of times
1 80 25 60 5
Aging
If an unstable phenomenon is found in X-ray radiation, or if the X-ray cart has not been used for one
month or longer period, perform aging under the following conditions.
1 60 25 60 5
2 80 25 60 5
3 90 25 60 5
4 100 25 60 5
Aging (When the X-ray Cart has Not been Used for 6 Months or Longer)
Perform aging under the following conditions.
5
1 40 12.5 60 5

2 50 12.5 60 5
3 70 12.5 60 5
4 80 12.5 60 5
5 90 12.5 60 5
6 100 12.5 60 5
7 60 3.2 60 5
8 70 3.2 60 5
9 80 2.5 60 5
10 60 25 60 5
11 80 25 60 5
12 100 25 60 5
CAUTIONS
● If aging is not performed, the X-ray tube assembly may discharge.
● When aging is performed, the overcurrent protection circuit may be activated, resulting in an
error. If this happens, clear the error by turning the key switch off and on, and perform aging
again. If this error occurs frequently, contact our official dealer or FUJIFILM Representative.

5.2 Maintenance and Inspection Items
Assigned to Specified Dealer
For safety of patients, users and third parties, have periodical inspection performed. Periodical
inspection is performed by our official dealer.
5.2.1 Periodical Maintenance

Maintenance and Inspection Items Assigned to Specified Dealer
Periodical Maintenance and Periodical Maintenance and
Period Period
Inspection Items Inspection Items
Check of error logs Every year Battery performance Every year
Check of the number of exposures Every year Check of the tube voltage Every year
Gas spring (Check for oil leaks) Every year Check of the mAs value Every year
Check of the arm lock function Every year Check of the dose area product display Every year
Check of the centering function Every year Inspection of the arm joint friction Every 2 years
Inspection of the main axis (rotation)

Inspection of torque hinge (α axis) friction Every year Every 2 years
friction
Inspection of torque hinge (β axis) friction Every year Inspection of the casters Every 2 years
5 Check of collimator rotation (y axis) Every year Inspection of the caster locks Every 2 years
Inspection of the tape measure for

Check of Cu added filter detection Every year Every 2 years
measuring the SOD
Visual check of LED irradiation Every year
Main Periodical Replacement Parts

Periodical Replacement Parts Period Periodical Replacement Parts Period
Gas spring of the arm Every 2 years X-ray tube unit Every 6 years
It is recommended that the battery pack be replaced, if the battery storage capacity becomes lower
than 60%.
The battery pack should be replaced when the operable time is less than the following.
● DR-ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE: 100 minutes (1
hour and 40 minutes)
* Refer to the operable time displayed on the image processing unit when the battery pack is fully
charged and no exposure menu is registered.
* Depending on the usage environment, etc., the displayed time is slightly different from the actual
operable time.
The cycles of periodical maintenance and inspection and of parts replacement differ depending on
the usage and the daily operation time.
For details, contact our official dealer or FUJIFILM Representative.

A.1 Specifications
Specifications of the system are shown below.
A.1.1 Reduced Equivalent

Peak reduced equivalent on the front panel of the flat panel sensor: 0.5 mmAl
A.1.2 Power Supply Conditions

■ DR-XD 1000PX
Phase : Single phase
Frequency : 50-60Hz
Rated voltage : 100-240V~
Input current : 8-3.33A
Maximum allowable impedance of power source : 0.5Ω
Grounding resistance : Ground terminal : Class D, ground resistance 0.1Ω or less
: Additional protective ground wire connector : Class D, ground resistance 0.1Ω or less
■ DR-ID 1201SE/ DR-ID 1202SE/ DR-ID 1211SE/ DR-ID 1212SE/ DR-ID

1213SE
Rated voltage : 6-12V
Input current : 2.73A
CAUTIONS
● When the flat panel sensor is used in high temperature condition for long period of time, it
may cause image artifacts and/or failure of the device.
● When using the DR-ID 1201SE, DR-ID 1211SE or DR-ID 1213SE, if the temperature is 37ºC
and the humidity is 90% RH (no dew condensation), continuous use of 30 minutes or less is
possible.
● Using Manual Mode (energy saving mode) on the image processing unit when the
temperature and humidity are the same allows up to 1 hour of continuous use.
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C A-1

A.1.3 Environmental Conditions
(1) Operating Conditions
Temperature : 15°C (15%RH) - 30°C (80%RH)
Humidity : 15%RH (15°C) - 80%RH (30°C) (no dew condensation)
Atmospheric pressure : 700hPa - 1060hPa
(2) Non-operating Conditions

(Environmental conditions under which power can be supplied)
Temperature : 5°C - 35°C
Humidity : 10%RH - 80%RH (no dew condensation)
(3) Storage Conditions

Temperature : -10°C - 50°C
Humidity : 10%RH - 90%RH (no dew condensation)
A 1.4 Characteristics of X-ray Exposure

Item Specification
Maximum electric power 2.5 kW (100 kV, 25 mA)
2.5 kW (100 kV, 25 mA, 0.1 s)
Nominal electric power (The product of the tube voltage and the maximum current that can
be maintained for 0.1 second at a tube voltage of 100 kV)
The nominal tube voltage and the
highest tube current obtainable at 100 kV, 25 mA
the nominal tube voltage
The highest tube current and the
highest tube voltage at which the 71 kV, 35 mA
highest tube current is obtainable
The combination of the tube voltage

and the tube current which results in 100 kV, 25 mA
the highest electric output power
Minimum tube current time product 0.25 mAs
Tube current time product settings
40 - 100 kV: 0.25 - 25 mAs
at given voltage
Total allowable mAs per hour 400 mAs (100 kV)
Tube voltage range 40 - 100 kV, in 1 kV step
Tube voltage accuracy ±10%
Tube current time product setting 0.25, 0.32, 0.4, 0.5, 0.63, 0.8, 1.0, 1.25, 1.6, 2.0, 2.5, 3.2, 4.0, 5.0,
range 6.3, 8.0, 10.0, 12.5, 16.0, 20.0, 25.0 mAs
Tube current time product setting
± (10% + 0.2mAs)
accuracy
Nominal focus value 1.2
Target angle 16°
Maximum anode
35 kJ (50 kHU)
heat content
X-ray tube Maximum anode
heat dissipation 250 W (350 HU/s)
rate
Surface temperature on touchable
41°C or lower
surface of X-ray tube assembly
Maximum symmetrical radiation 47 cm x 47 cm (Distance from focal spot: 100 cm)
field (Compliant with IEC 60806)
A-2 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

Item Specification
Operating Mode Continuous operation with intermittent load
160 shots/hour (100 kV, 2.5 mAs, 6 consecutive hours at intervals of
22.5 sec.)
Continuous Operation
When the X-ray output is measured over a specified range of

tube current time product values, the measured values at any two
consecutive settings shall satisfy the following formula.
Linearity of air kerma over limited
intervals of X-ray tube loading K1, K2 : The averages of the
K1 K 2
factors + measured values of air kerma
K1 K 2 Q Q2
− ≤ 0.2 1 Q1, Q2 : The indicated tube current
Q1 Q2 2 time product
A.1.5 Collimator
Item Specification
Model 399Y120003
0 to 31 cm x 31 cm (SID 65 cm)
Radiation field
0 to 47 cm x 47 cm (SID 100 cm)
Illuminance 200 lx or higher (SID 100 cm)
Light field 30 sec. (This setting can be changed to 60 sec., 90 sec, 120 sec.
Illumination period
or 180 sec. in the service setting), automatic off timer
Radiation field cm 20 24 30 36 43
size display Size display
(SID 100 cm) inch 8 10 12 14 17
Specific filter 1.2 mmAl equivalent, 70 kV
Distance meter Max. 200 cm (Accuracy: ±5%)
* The alignment of the X-ray radiation field with the light field is checked by using the DR-ID 1202SE.
A.1.6 X-ray Tube Assembly Support Section

Item Specification
X-ray tube assembly support Pantograph arm
Max. 2000 mm
Support beam height (above the floor)
Min. 370 mm
Recommended SID 100 cm

A.1.7 Total Filtration of Utilized X-ray
Item Specification
Total filtration 2.5 mmAl equivalent, 70 kV (without the added filter)
A.1.8 Entrance Surface Dose Reference Values

The reference values of the entrance surface dose under typical exposure conditions are listed
below.
Csl Entrance surface
Exposure menu name Specification
kV mAs dose [mGy]
Chest - Front Normal 90 1.25 0.170
Abdomen - Front Normal 80 10 1.114
Pelvis - Front Normal 85 5 0.618
Cranium - Front Normal 75 4 0.402
The conditions and systems for measuring the entrance surface dose are as follows.
• Distance between the focal spot and the image receptor : 100 cm
• Acrylic phantom (Length x Width x Thickness) : 35 cm or more x 35 cm or more x 20 cm
• Collimator radiation field (Length x Width) : 43 cm x 43 cm
• Dosimeter : Ionization chamber type, RAMTEC
1000D (RAMTEC)
• Environmental conditions : Temperature 23ºC, Atmospheric
pressure 1018 hPa, Humidity 58%
A.1.9 Software Version

Unit Software name Version
Image processing unit DR-ID 300CL Software V10.0

Control cabinet DR-ID 1200MC Software V14.0

X-ray control board XCON Software V1.0
* For details on software for the flat panel sensor, see “Flat Panel Sensors DR-ID 1201SE/DR-ID 1202SE/DR-ID 1211SE/
DR-ID 1212SE/DR-ID 1213SE Operation Manual”.

A.2 External View and Weight
Specifications, dimensions and weight are subject to change for improvement without prior notice.
A.2.1 X-ray Cart

Width Depth Height Weight
(mm (in.)) (mm (in.)) (mm (in.)) (kg (lb))
1,460 (57.5)
X-ray cart 600 (23.6) 770 (30.3) 90 (198.4)*
(when the arm is stored)
* The weight of the flat panel sensor is excluded.
Unit: mm(in.)
1,460 (57.5)
550 (21.7)
770 (30.3)
600 (23.6)

A.2.2 Flat panel sensor
Width Height Weight
Depth (mm(in.))
(mm(in.)) (mm(in.)) (kg(lb))
Flat panel sensor (DR-ID 1201SE) 460(18.1) 384(15.1) 15(0.6) 2.5(5.5)*1,*2
*1 The weight of the battery pack is included.
*2 The weight tolerance is ±10%.
Unit: mm(in.)
460(18.1) 15(0.6)
460(18.1) 15(0.6)
460(18.1)
384(15.1)
Flat panel sensor (DR-ID 1201SE) Flat panel sensor (DR-ID 1202SE)
460(18.1) 15(0.6)
460(18.1) 15(0.6)
460(18.1)
384(15.1)
Flat panel sensor (DR-ID 1211SE) Flat panel sensor (DR-ID 1212SE)
328(13.0) 15(0.6)
268(10.6)
Flat panel sensor (DR-ID 1213SE)

The effective area of the flat panel sensor is as shown in the figure below.
(0.69)
17.55
17.25 425.4(16.7) 17.25
(0.68) (0.68)
17.25 425.4(16.7) 17.25
(0.66)
16.75
(0.68) (0.68)
Effective
424.8(16.7)
area
350.4(13.8)
Effective
area
(0.69)
17.55
(0.66)
16.75
DR-ID 1201SE/DR-ID 1211SE DR-ID 1202SE/DR-ID 1212SE
20 288(11.3) 20
17.45
(0.7)
(0.8) (0.8)
230.4(9.1)
Effective
area
20.45
(0.8)
DR-ID 1213SE

A.2.3 Added Filter
Added filter Cu 0.1mm (70 kV/HVL, 2.5 mmAl)
Code No. 603Y130021
Added Filter Label

Added Filter Material Indication Label
CAUTIONS
Set the added filter by inserting it fully into the rail for the added filter on the collimator.
When the added filer is detected, the added filter icon is lit on the X-ray controller.
If the added filter is set in an incorrect position, the added filter icon remains off and X-rays are
not radiated.
HINT
When the added filter is recognized, the dose area product is calculated taking into account the X-rays transmitted
through the added filter.
Added Filter Label Added Filter Material Indication Label


A.3 Reference Axis and Focal Spot of the
X-ray Cart
Unit: mm(in.)
Focal spot
(1.77±0.16)
45±4
Collimator
installation
reference surface
Reference axis 16°

Reference axis
(Target angle)
138.7 (5.46) 138.7 (5.46)

115.8 (4.56) 115.8 (4.56)
Focal spot

■ Positional Relationship between the Flat Panel Sensor and the
Reference Axis
Unit: mm(in.)
Reference axis
Focal spot
1,000 (39.37)
* The reference axis is positioned perpendicular to the

flat panel sensor.
Focal spot

A.4 Exposure Time
The relationship between the exposure condition and the exposure time is listed below.
(Unit: sec.)
Tube voltage
(kV)
40 to 45 46 to 55 56 to 62 63 to 71 72 to 75 76 to 83 84 to 100
Tube current
time product (mAs)
0.25 0.01 0.01 0.01 0.01 0.01 0.01 0.01
0.32 0.013 0.011 0.01 0.01 0.01 0.011 0.013
0.4 0.016 0.013 0.012 0.011 0.012 0.013 0.016
0.5 0.02 0.017 0.015 0.014 0.015 0.017 0.02
0.63 0.025 0.021 0.019 0.018 0.019 0.021 0.025
0.8 0.032 0.027 0.024 0.023 0.024 0.027 0.032
1.0 0.04 0.033 0.03 0.029 0.03 0.033 0.04
1.25 0.05 0.042 0.038 0.036 0.038 0.042 0.05
1.6 0.064 0.053 0.048 0.046 0.048 0.053 0.064
2.0 0.08 0.067 0.061 0.057 0.061 0.067 0.08
2.5 0.1 0.083 0.076 0.071 0.076 0.083 0.1
3.2 0.126 0.126 0.095 0.09 0.095 0.126 0.126
4.0 0.16 0.16 0.16 0.16 0.16 0.16 0.16
5.0 0.2 0.2 0.2 0.2 0.2 0.2 0.2
6.3 0.252 0.252 0.252 0.252 0.252 0.252 0.252
8.0 0.32 0.32 0.32 0.32 0.32 0.32 0.32
10.0 0.4 0.4 0.4 0.4 0.4 0.4 0.4
12.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5
16.0 0.64 0.64 0.64 0.64 0.64 0.64 0.64
20.0 0.8 0.8 0.8 0.8 0.8 0.8 0.8
25.0 1 1 1 1 1 1 1

A.5 Tube Current
The relationship between the exposure condition and the tube current is listed below.
(Unit: mA)
Tube voltage
(kV)
40 to 45 46 to 55 56 to 62 63 to 71 72 to 75 76 to 83 84 to 100
Tube current
time product (mAs)
0.25 25 25 25 25 25 25 25
0.32 25 30 33 33 33 30 25
0.4 25 30 33 35 33 30 25
0.5 25 30 33 35 33 30 25
0.63 25 30 33 35 33 30 25
0.8 25 30 33 35 33 30 25
1.0 25 30 33 35 33 30 25
1.25 25 30 33 35 33 30 25
1.6 25 30 33 35 33 30 25
2.0 25 30 33 35 33 30 25
2.5 25 30 33 35 33 30 25
3.2 25 25 33 35 33 25 25
4.0 25 25 25 25 25 25 25
5.0 25 25 25 25 25 25 25
6.3 25 25 25 25 25 25 25
8.0 25 25 25 25 25 25 25
10.0 25 25 25 25 25 25 25
12.5 25 25 25 25 25 25 25
16.0 25 25 25 25 25 25 25
20.0 25 25 25 25 25 25 25
25.0 25 25 25 25 25 25 25

A.6 Exposure Condition List
Exposure conditions are listed below.
Body CsI GOS

Anatomical region Reference value
thickness kV mAs SID kV mAs SID
Normal Less than 25cm 90 1.25 100 90 2 100
Chest PA
Thick 25cm or more 99 1.25 100 99 2 100
Normal Less than 15cm 70 2 100 70 3.2 100
Shoulder joint FRT
Thick 15cm or more 77 2 100 77 3.2 100
Normal Less than 25cm 85 5 100 85 8 100
Thoracic spine FRT
Thick 25cm or more 94 5 100 94 8 100
Thoracic spine LAT
Thick 30cm or more 99 5 100 99 8 100
Abdomen FRT
Thick 35 to 40cm 88 10 100 88 16 100
Pelvis FRT
Thick 35 to 40cm 94 5 100 94 8 100
Hip joint FRT
Thick 30 to 35cm 94 8 100 94 12.5 100
Lumbar spine FRT
Thick 35 to 40cm 88 10 100 88 16 100
Lumbar spine LAT
Thick 35 to 40cm 94 10 100 94 16 100
Skull FRT
Thick 18cm or more 83 4 100 83 6.3 100
Skull LAT
Thick 18cm or more 83 4 100 83 6.3 100
Cervical spine LAT
Thick 12cm or more 83 4 100 83 6.3 100
Thigh
Thick 15cm or more 77 4 100 77 6.3 100
Knee joint
Thick 15cm or more 77 2 100 77 3.2 100
Hand
Thick 5cm or more 55 1 100 55 1.6 100
Arm/Elbow
Thick 8cm or more 61 2 100 61 3.2 100
Normal Less than 5cm 55 1.25 100 55 2 100
Foot
Thick 5cm or more 61 1.25 100 61 2 100
Pediatric chest
Thick 20cm or more 77 2 100 77 3.2 100
* For a subject with a body thickness of 40cm or more, a tube voltage of 100kV is recommended.
The default kV and mAs values for each exposure menu described above can be changed in the User Utility of
the image processing unit. However, note that the mA and msec values are disabled even if those values are set.

A.7 Image Quality of the Flat Panel Sensor
(1) Sensitometoric Response Characteristics and Dynamic Range
The system has a linear response against the exposure range where it can depict the clinical
information.
The flat panel sensor covers a dynamic range of 0.088 - 88μGy at least at RQA5.
(2) Spatial Resolution Properties

A typical MTF value of DR-ID 1201SE/DR-ID 1202SE at 1cyc/mm, RQA5 is 0.75 (high sharpness
mode) and 0.60 (standard sharpness mode).
A typical MTF value of DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE at 1cyc/mm, RQA5 is 0.80.
The level of uncertainty is estimated as less than ±10%
(3) DQE (Detective Quantum Efficiency)

Typical DQE value of DR-ID 1201SE/DR-ID 1202SE at 8.8μGy in 1cyc/mm is 0.30.
Typical DQE value of DR-ID 1211SE/DR-ID 1212SE/DR-ID 1213SE at 8.8μGy in 1cyc/mm is 0.54.
The level of uncertainty is estimated as less than ±10%
(4) Display
To deliver the detector characteristics above, it is recommended to use a monitor with the following
specifications:
● Image matrix size : Minimum 2336x2836 pixels (DR-ID 1201SE/DR-ID 1211SE)
● Image matrix size : Minimum 2832x2836 pixels (DR-ID 1202SE/DR-ID 1212SE)
● Image matrix size : Minimum 1536x1920 pixels (DR-ID 1213SE)
● Gray scale: Minimum 12 bit
● DICOM calibrated
(5) Image Quality Evaluation

Fujifilm typically conducts reader studies that compare new detector models to chosen marketed
devices. These studies, involving an assessment of image quality by board-certified radiologists,
have demonstrated that the images acquired using the detectors are deemed to be of diagnostic
capability. Additionally, reader studies have concluded that, when used in conjunction with
FUJIFILM’s recommended exposure conditions as a reference, both the GOS-based and Csl-based
detectors can provide acceptable diagnostic capability and image quality at reasonably low dose
levels typically used for pediatric use.
(6) Typical Patient Dose

As with any new product/application, Fujifilm provides applications training support to each
customer to establish the dose levels that meet the image quality standards of the medical facility.
As part of this training, we provide both recommended technique charts as well as guidance for
optimizing AEC conditions for each detector type. When using any detector, typical patient dose
levels should not exceed that of screen/film or Computed Radiography.
Each flat panel sensor complies with IEC 62220-1 (MEDICAL ELECTRICAL EQUIPMENT -
CHARACTERISTICS OF DIGITAL X-RAY IMAGING DEVICES) as a general X-ray radiography
equipment.
To ensure optimal image quality, it is recommended that you do not use the flat panel sensor near
devices (motor, transformer, switching supply, etc.) that generate electromagnetic noise.

A.8 Load Restriction of the Flat Panel
Sensor
Entire surface load:
DR-ID 1201SE, DR-ID 1202SE, DR-ID 1211SE, DR-ID 1212SE, DR-ID 1213SE:
310kg (683.6 lb)
Local load:
DR-ID 1201SE, DR-ID 1202SE, DR-ID 1211SE, DR-ID 1212SE, DR-ID 1213SE:
160kg (352.8 lb) / ø40mm (1.6in.) (Based on FUJIFILM measurement specifications)
CAUTIONS
Do not apply an excessive force to the exposure plane.
The sensor inside the flat panel sensor may be damaged, and it may not be possible to make
an exposure properly.


Appendix Z
Precautions for Exposure
Z.1 Information on Radiation
Z.1.1 Radiation Protection
The operator has an obligation to follow the local laws and regulations to minimize radiation
exposure to the patients and medical professionals. For persons other than patients, a minimum
distance from the equipment is specified in each area.
Z.1.2 Deterministic Effects

In diagnostic radiology, the organ and tissue of interest are skin and crystalline lens, and the
threshold value of the exposure dose ranges from 1 Gy to 3 Gy.
When an exposure is made under the conditions which maximize the entrance surface dose (100
kV, 25 mAs, SID = 100 cm), the reference value of the entrance surface dose is 2.5 mGy.
During an examination, if 40 or more consecutive exposures are made under the conditions which
maximize the entrance surface dose, deterministic effects due to radiation may occur in patients.
When using the equipment, the operator should control the exposure dose appropriately,
considering deterministic effects.
Appendix Z Precautions for Exposure
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C Z-1

Z.2 Precautions for Use in Wireless
Communication Mode
Care should be taken when the devices are used in wireless communication mode. Thoroughly read the
following precautions in order to use the devices properly.
■ Icons Displayed on the Image Processing Unit

An icon indicating the status of wireless communication is displayed in the connected devices status
at the lower right of the image processing unit display. Before an exposure is made, check the
displayed icon to make sure that proper wireless communication is established.
Exposure unit display field
* The following display order is an example.
(1) (2)
Connected devices status
(1) Exposure unit communication indicator

The wireless communication status of the flat panel sensor assigned to the selector is displayed.
(2) Hospital wireless communication indicator
Displays the status of wireless communication between the image processing unit and the hospital
LAN.
Details on the icons regarding wireless communication displayed in the areas (1) and (2) are as follows.
Display
Icon Description
Area
Communication is established. (The radio wave strength
is displayed in four levels. While is displayed, wireless
(1) and (2)
/ / / communication or image transfer to the hospital LAN becomes
unstable.)
Exposure is not available. (Communication with the flat panel

(1)
sensor is disconnected.)
Wireless communication is not available. (Since the radio wave

strength is weak, wireless communication cannot be used. If this (1) and (2)
icon is displayed in the area (1), exposures cannot be made.)
Information on the radio wave strength is being received. (1)
The hospital LAN connection is being switched. (2)
For details on other icons, see the “Console Advance (DR-ID 300CL) Reference Guide”.
Z-2 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

Z.3 Other Precautions
Z.3.1 Precautions for Exposure of a Subject in Relatively
Large Contrast
1 Exposures using a contrast medium may cause artifacts around it.
2 When exposing a subject with any metal objects implanted, artifacts may appear around them.
3 For exposures with objects of large X-ray absorption, such as lead characters and metals for
measurement, artifacts may appear around them. Place such objects outside a subject.
Z.3.2 Precautions for Flat Panel Sensor

Generally, when performing a high sensitivity exposure shortly after an exposure that the flat
panel sensor excessively receives direct X-ray, the output image may contain image lags of the
previous exposure. This phenomenon rarely occurs and does not occur insofar as normal sensitivity
exposures are performed.
Exposures at longer intervals can reduce occurrences of this phenomenon. Also observe
precautions as follows.
• Continuous high sensitivity exposures to vertebral body part (chest/lumbar spine) should be
performed at longer intervals than normal exposures.
• A high sensitivity exposure shortly after a high-dose exposure should be performed at sufficiently
long interval.
• When performing high-dose exposures repeatedly, do not use collimation of the radiation field,
lead characters or metals for measurement at the same position.
Z.3.3 Precautions for Assuring the Radiation Field

Do not make the radiation field larger than the size of the flat panel sensor. Especially when the high
tube voltage is set, the radiation field size should not be larger than the subject unless necessary.

Z.3.4 Images Output When the X-ray Shot Switch is Operated
Incorrectly
In case that you press the X-ray shot switch only momentarily after selecting exposure menus,
sufficient X-ray dose may not be achieved. The output image contains image lags of the previous
exposure occasionally.
If this happens, select exposure menus again, and then make an exposure.
Z.3.5 Precautions for Urgent Use

When you start a study before completion of the calibration at the time of startup, the operation will
be in Urgent Use Mode. At this time, “Urgent use is possible” appears in the “Output Device Status
window” of the image processing unit.
• There is no guarantee that the image taken in Urgent Use Mode can be used for diagnostic
purposes. Vertical artifact could appear in the image, if the temperature difference is large from
the previous shutdown of the system. Check the image quality before use.
• Move from the Study Screen to the Patient Information Input Screen immediately after exiting
Urgent Use Mode, so that the calibration will start over automatically.
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C Z-3

Z.3.6 Precautions Related to Continuous Operation
If you plan to continuously run the system for over 24 hours, perform post-operation check, and
then restart the system.
Otherwise, calibration will not be performed normally, and image quality cannot be guaranteed as a
result.
Z.3.7 Precautions Related to Grid

If you plan to use your grid, contact our official dealer or FUJIFILM Representative.
Depending on the type of the grid used, its stripes may appear in the image after making an
exposure, and the stripes may not be removed even if the Grid Pattern Removal Processing
Software is used.
When using a grid, cover the exposed surface of the flat panel sensor with a plate-type or cap-type
grid suited to the size of the flat panel sensor.
Z.3.8 Precautions during Calibration

Observe the following when the READY status lamp on the flat panel sensor is blinking or when the
message “Calibrating...” is displayed on the image processing unit.
• Do not subject the flat panel sensor to shock.
• Do not deliver radiation.
• Do not remove the flat panel sensor from the multi-function DR slot.
Z.3.9 Precautions for Exposing the Flat Panel Sensor to X-ray

When you expose the flat panel sensor to X-ray at any other time except during radiography,
artifacts could appear in the image. If artifacts appeared in the image due to X-ray irradiation,
perform a test X-ray radiography after waiting for more than 2 minutes and then restart exposure
after confirming that the artifacts disappear.
Z-4 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

O.1 Optional Items
The optional items that can be used in combination with this system are described below.
Name Description
Battery charger *
(DR-ID 1201SE/DR-ID 1202SE/ A battery charger for the battery pack for the flat panel sensor.
DR-ID 1211SE/DR-ID 1212SE/ For details, “FDR D-EVO II Battery Charger Operation Manual”.
DR-ID 1213SE)
Barcode reader kit A barcode reader used to facilitate patient information entry.
Magnetic card reader A magnetic card reader used to facilitate patient information entry.
This kit is used for the installation and wiring of the magnetic card
Magnetic card reader fixing kit reader. For details on installation, consult our official dealer of FUJIFILM
Representative.
Bluetooth barcode reader kit A Bluetooth barcode reader used to facilitate patient information entry.
Cart handle high type For details on the precautions, operating method and exterior, see
“O.2 Cart Handle High Type”.
Accessory case For details on the exterior, see “O.3 Accessory Case”.
Holds a cylindrical wipes container.
Disposable wipes holder
For details on the exterior, see “O.4 Disposable Wipes Holder”.
Used to hang an X-ray protective apron.
X-ray protective apron hanger For details on the precautions, operating method and exterior, see
“O.5 X-ray Protective Apron Hanger”.
Used when transporting the X-ray cart by a vehicle, etc.
Transportation carriage * For details on the precautions, operating method and exterior, see “O.6

Transportation Carriage”.
This kit is used for the installation and wiring of the dose area product
Dose area product measuring tool
measuring tool. For details on installation, consult our official dealer or
fixing kit
* Accessories : Extra facilities to the DR-XD 1000 which can easily be mounted by the user.
DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C O-1

O.2 Cart Handle High Type
This cart handle is used to raise the height of the cart handle. The height of this cart handle from the
floor is approximately 1,000 mm. (The height of the standard type is approximately 920 mm)
Approximately 1,000 mm (Optional)
Approximately 920 mm (Standard)

For details on the installation of the cart handle high type, consult our official dealer or FUJIFILM Representative.
O-2 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

O.3 Accessory Case
Accessory Case
Maximum load
capacity label
Identification label
Maximum load Identification label

capacity label
CAUTIONS
Do not apply a load of 1.2kg or more to the accessory case.

For details on the installation of the accessory case, consult our official dealer or FUJIFILM Representative.

O.4 Disposable Wipes Holder
Disposable wipes holder
For details on the installation of the disposable wipes holder, consult our official dealer or FUJIFILM
Representative.

O.5 X-ray Protective Apron Hanger
Maximum load
X-ray protective
capacity label
apron hanger
Maximum load capacity label
CAUTIONS
Do not apply a load of 10kg or more to the X-ray protective apron hanger.
For details on the installation of the X-ray protective apron hanger, consult our official dealer or FUJIFILM
Representative.

O.6 Transportation Carriage
Handle
Identification
label
Head cushioning material

Brake lever
Display retainer Fork
Handle retainer
CAUTIONS
● If any of the following problems occurs in the transportation carriage, contact our official
dealer of FUJIFILM Representative immediately.
● If any abnormality occurs in the brake of the transportation carriage
● If the transportation carriage is damaged due to an impact.

● Setting the transportation carriage in a vertical/horizontal position or loading it onto a
vehicle must be performed by two persons.
● Before changing the position of the transportation carriage to a horizontal or vertical
position, lock the transportation carriage with the brake. If not locked, the transportation
carriage may move, causing personal injury.
● Before changing the position of the transportation carriage to a horizontal or vertical
position, pay attention to the movement of the transportation carriage. Otherwise, it
may cause personal injury by hitting the head or other parts of the body against the
transportation carriage.
● Do not leave the X-ray cart placed in the horizontal position for more than two weeks. Doing
so may cause malfunction of the X-ray cart.
O.6.1 How to Use the Transportation Carriage
● Ensure that the X-ray cart is in the following conditions before loading it onto the transportation carriage.
● The system has already been shut down.
● The power cable is not connected.
● No flat panel sensor is stored in the multi-function DR slot.
● The arm is in the home position.
● If any optional accessory case is attached to the lower side, remove it.
● Remove any articles, disposable wipes and apron from the optional accessory case, disposable wipes holder
and X-ray protective apron hanger.

1 Move the transportation carriage close to the X-ray cart.
2 Release the lock of the fork fixing pins of the transportation carriage and raise the fork so that it
is set in an upright state on the outside of the transportation carriage.
Pull the right and left fork fixing pins inward.
<Unlocking the fork>
Fork fixing pins

3 Lock the transportation carriage with the brake.
Lock the transportation carriage by pressing the brake lever stopper while pulling the brake lever.
<Locking the transportation carriage>
Brake
lever stopper

4 Place the X-ray cart on the fork of the transportation carriage and fix the X-ray cart.
Move the X-ray cart forward until it makes contact with the rear side of the fork of the transportation carriage.
Set the caster lock pedal in the “bottom” position to fix the X-ray cart.
Caster lock pedal

5 Temporarily release the brake of the transportation carriage.

Unlock the transportation carriage by pulling the brake lever.
<Unlocking the
transportation carriage>

6 Hold the handle and set the transportation carriage in a vertical position.
Lock the fork by inserting the fork fixing pins.
● When inserting the fork fixing pins, hold the transportation carriage with one’s hand to prevent overturning.
● Insert each fork fixing pin until the red line becomes invisible.
● Setting the transportation carriage in a vertical position must be performed by two persons. Assign one person
as an operations chief and the other person as an assistant. While turning the transportation carriage, two
persons must continue communicating with each other to ensure safety. The assistant must not enter the
turning radius of the transportation carriage.
Red line

<Locking the fork>
7 Lock the transportation carriage again with the brake.
<Locking the
transportation carriage>

8 Fix the X-ray cart to the transportation carriage.
Fix the handle, operation panel, X-ray source assembly and hand switch of the X-ray cart to the transportation
carriage as described below.
While pressing the handle of the X-ray cart against the handle retainer of the transportation carriage, fasten them
together with the belt.
If the hand switch of the X-ray cart makes contact with the handle retainer of the transportation carriage, shift the
position of the hand switch horizontally.
Belt through hole
While pressing the operation panel of the X-ray cart against the display retainer of the transportation carriage, fasten
them together with the two belts.
Belt through holes
(4 locations (top right, top left, bottom right and
bottom left))
Place the head cushioning material on the main unit of the X-ray cart, and then press the X-ray source assembly
against the head cushioning material.
Align the collimator handles with the dents in the head cushioning material.
In addition, fasten the arm and arm handle together with the belt.
<Placing the head <Storing the X-ray source <Fastening with the belt>
cushioning material> assembly>
WARNING
Ensure that the X-ray cart makes secure contact with the cart positioning sections of the
transportation carriage before fastening the X-ray cart with the belt.
If not, the collimator and/or the multi-function DR slot may be damaged due to vibration during
transportation.

Fasten the hand switch of the X-ray cart and the cart handle together with the belt.
9 Set the transportation carriage in a horizontal position.
When setting the transportation carriage in a horizontal position, carefully check the following points.
● The transportation carriage has already been locked.
● The belts are correctly fastened.
● Slowly set the transportation carriage in a horizontal position.
● The total weight of the X-ray cart and the transportation carriage is approximately 130kg.
● This procedure must be performed by two persons. Assign one person as an operations chief and the other
person as an assistant. While turning the transportation carriage, two persons must continue communicating
with each other to ensure safety. The assistant must not enter the turning radius of the transportation carriage.

10 Release the brake and move the transportation carriage.
Release the brake of the transportation carriage. Hold the handle of the transportation carriage with both hands.
In this state, the transportation carriage can be moved.
11 Transport the transportation carriage by a vehicle, etc.

WARNING
Do not release the arm lock with the transportation carriage set in a horizontal position. If the
arm is not fixed securely, it may rise up suddenly, causing injury to the operator or damage to
the neighboring objects.
● Prepare a slope or other devices when loading the transportation carriage onto a vehicle.
● Loading the transportation carriage onto a vehicle must be performed by at least two persons.
12 When arrived at the destination, unload the X-ray cart from the transportation carriage in the
reverse order of loading.
When setting the transportation carriage in a vertical position, carefully check the following points.
● The transportation carriage has already been locked.
● The belts are correctly fastened.
● Slowly set the transportation carriage in a vertical position.

Operational Manual A11 1 b1 DR-XD 1000, 1000PX Ver.2

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MOBILE DIGITAL X-RAY SYSTEM DR-XD 1000 For Safe Operation

Daily Inspection and

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C iii

This system is classified as a medical device under EC Directive 93/42/EEC.

Open-Source Software Contained in This Product

Other holders’ trademarks

Copyright © 2016-2017 FUJIFILM Corporation. All rights reserved.

iv DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

DR-XD 1000 Operation Manual

DR-XD 1000PX Operation Manual

Flat Panel Sensors

FDR D-EVO Series

Console Advance (DR-ID 300CL)

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C v

For Safe Operation

System Configuration (Product Overview)

Daily Inspection and Maintenance

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C vii

Section title Lead

Operation procedure 3.4 Moving X-Ray Cart to Patient's Bedside

2 Move the X-ray cart to an appropriate position.

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C 3-5

viii DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

Indicates hazardous situations that will result in serious injuries or

Indicates hazardous situations that may lead to serious injuries or

Indicates hazardous situations that may lead to mild or moderate

Indicates procedures requiring special attention, instructions that

HINT Shows an item helpful for further effective system operation.

Shows a more detailed operation method or an item that

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C ix

Chapter 2 System Configuration (Product Overview)

x DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C xi

xii DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

For Safe Operation

This system is classified as a medical device under EC Directive 93/42/EEC.

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C 1-1

1-2 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

Electric Shock Warnings and Cautions

For Safe Operation

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C 1-3

Radiation safety instructions

1-4 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

For Safe Operation

X-Ray Cart Battery Instructions

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C 1-5

Flat Panel Sensor

Image Processing Unit

Warnings and Cautions on Network Connection

1-6 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

For Safe Operation

System Isolation Instructions

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C 1-7

● According to the degree of protection against harmful ingress of water

DR-XD 1000PX conforms to the following standards.

1-8 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

1.4.1 DR-XD 1000 1

For Safe Operation

Further Information for IEC 60601-1-2 (EN 60601-1-2)

Name Connected Device Maximum Length General Speciﬁcation

DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C 1-9

7. Test items (Tables 1 to 4)

Emissions test Compliance Electromagnetic environment - guidance

1-10 DR-XD 1000 (DR-XD 1000PX) Operation Manual 897N200038C

Chapter 2 System Configuration (Product Overview)