‘Manual No. : M514-£021 Revision :D CEILING TUBE SUPPORT CH-200 OPERATION MANUAL Read this manual carefully to ensure appropriate use, and keep it with the unit. E)SHIMADZU CORPORATION KYOTO JAPAN MEDICAL SYSTEMS DIVISIONAbout the symbols appearing in this operation manual ‘Throughout the text in this manual, warnings and other inform: this unit, such as cautionary or prohibited items, appear classif essential when using 1d as per the following: a fo ae (WN pancer States a direct danger that may cause death or serious injury if itis not avoided ( Qwarnine States an indirect or potential danger that may cause death or serious injury fit is not avoided. A CAUTION States a danger that may cause slight or medium injury or may cause damage in equipment or fire if itis not avoided. a NOTE States the information which helps to use the system correctly Provides useful information about operation of this system. Please read the description when required. eS Indicates reference sections and pages. Original version is approved in English. CH-200 OPERATION MANUAL,Preface This operation manual must be carefully read prior to using the "CEILING TUBE SUPPORT CH-200" (after referred to as “unit") and thoroughly followed for proper use, ‘This manual should be kept available for future reference. Copyright ‘Shimadzu Corporation reserves the copyright of this ‘manual and the whole or a part of the contents may not be copied or reproduced without the company's permission. The contents of this manual may be changed for improvement without notice. (© 2004-2007 Shimadzu Corporation. All rights reserved.Preface Operating Precautions “Operating Precaution (for Both the Safety and the Prevention of Danger) in the Use of Electric Medical Equipment” 1. Only an experienced technician should operate the equipment. 2. When installing the equipment, pay attention to the following items: (1) Do not install it near water faucet or similar equipment, (2) Install it away from potential sources of problems such as abnormal pressure, ‘temperature or humidity, drafts, direct sunlight, dust, chlorine or sulphur gas. (3) During transportation and operation of the equipment, avoid titing, vibration and sharp impact against it. (4) Keep the equipment away from the areas where chemicals or gases are stored (6) Use only the correct electrical power source with matching frequency, voltage and current (or wattage). (6) Check the conditions of the battery power source (power and polarity) before operating the equipment. (7) Properly ground the equipment. 3. Before operating the equipment, pay attention to the following items: (1) Check the conditions of switch contacts, polarity, dial settings, and meters, and make sure the equipment performs correctly. (2) Confirm that the ground is connected properly. (3) Check all wiring for proper and correct connections. (4) Pay attention when using more than one unit at a time, because it may lead to an incorrect diagnosis and cause danger. (8) Check the condition of the external electric circuit, which will be directly connected to a patient. (6) Check the condition of the battery power source. Introduction-2 CH-200 Operation ManualPreface 4. While operating the equipment, pay attention to the following items: (1) Do not over-exceed time or the amount of equipment use needed for diagnosis or therapy. (2) Observe the equipment and patient continuously for early detection of problems. (3) When a problem is detected with the equipment or patient, take proper action to stop the equipment without harming the patient. (4) Do not let the equipment touch the patient, 5. After operating the equipment, pay attention to the following items: (1) Tum off the switches and return the dial to their original before use in the prescribed order. Then, tum off the main power switch. (2) Do not pull the power cable forcibly from the outlet. (3) When storing the equipment, pay attention to the following items: (i) Keep it away from the water. (ii) Store it away from the potential causes of problems such as abnormal pressure, temperature and humidity, draft, direct sunlight, dust, chlorine or sulphur gas. (ii) During transportation and storage of the equipment, avoid tilting, vibration and sharp impact against it. (iv) Store the equipment away from areas where chemicals and gases are stored (4) Clean all attachments, cables and contacts, and store them in one place. (5) Keep the equipment clean to avoid problems during the next use. 6. When the equipment is found to be out of order, do not try to repair it. Display an appropriate sign to indicate that the equipment is out of order, and contact Shimadzu service representative for repair. 7. Do not modify any part of the equipment. 8. Preventive maintenance (1) The equipment and its parts should be periodically checked. (2) If the equipment has not been in operation for an extended period of time, test it prior to actual operation to make sure it works correctly and safely. 9. Concerning other items, operate properly according to the operation manual. CH.-200 Operation Manual Introduction-3Preface Precautions in Use ‘When using this equipment, please observe the following precautions for the safety of the operator and patient. @N vancer) Risk of explosion if used in the presence of flammable anesthetics. 0 q DANGER Do not use a power supply other than the single phase AC100 V, 0.2 kVA, 50/60 Hz and the single phase AC200/220/240 V, 1.0 kVA, 50/60 Hz. Using a power supply other than the one specified above may cause serious accidents such as fires, smoke emissions or explosions. v Qwarninc ‘The responsibility for management of use and maintenance of a medical ‘equipment lies in a user. This device is restricted to use by, or on the order of, a diagnostic radiology technician or a person with a certificate indicating equal proficiency. Repair and inspection of the inside of the equipment is dangerous. Make sure to contact our service agency for repair and inspection, v Ywarninc NEVER MODIFY THE EQUIPMENT! In general, almost all of the modifications are strictly prohibited by the Regulatory requirements of the low of the country where device is installed Please contact our service agency if it is needed to modify the device. Introduction-4. CH-200 Operation ManualPreface PERFORM PERIODIC INSPECTION! Preventive maintenance is required to maintain safety and performance of this system for a long time. This manual gives detailed description of occasional and periodic maintenance and inspection that a user should perform. As to the maintenance and inspection that specially trained specialists exclusively can perform, utilize the maintenance agreement offered by our company. Repair and maintenance of equipment can only be performed by ‘engineers to whom Shimadzu assigns. Maintenance must be assigned to specially trained experts. Contact Shimadzu service representative for repair and maintenance. 2 <= Z QO Never open covers. Otherwise, electrical shock may occur. ( Ywarnine Considerations against exposure to X-rays Improper use of the X-ray equipment might cause the operator or patient to be accidentally exposed to X-ray radiation. During X-ray radiation, any person other than the subject patient should not stay in the irradiation room. If circumstances compel any non-subject person to stay in the room, enough protection should be provided for that person. Only radio-therapeutic or other {qualified personnel should handle the equipment. CH.-200 Operation Manual Introduction-5Preface A) Pay close attention so that the X-ray tube support does not contact with the patient when moving the X-ray tube down. wae) ‘The X-ray tube unit of this equipment is suspended by 2 wire ropes. Hf awire rope should be ruptured, a warning message on the touch panel is displayed as " Wire alarm. Stop unit and call service representative. If this is the case, terminate the operation immediately, and contact promptly Shimadzu service representative. If the equipment is used continuously while displaying the warning message, this equipment may pose a serious health risk to patient or operator. Wire alarm, Stop unit and call service representative Introduction-6 CH-200 Operation ManualPreface When the unit is combined with the X-ray Diagnostic Table YSF-300, observe the following cautions when moving the tabletop by operating the X-ray tube support CH-200: Avoid collisions with other ‘Avoid contact with equipment, personnel ‘Avoid trapping the Patient's fingers or hands. ke Never spray or drip water onto the unit. ‘Any water on the unit will increase the danger of electric shock. CH.-200 Operation Manual Introduction-7Preface The main body of this unit is not protected against immersion of liquid. Never use this unit in a place in which immersion of liquid may occur. Never spill liquid on the surface or in the inside of this unit. Otherwise, electrical shock may occur. When liquid is split, contact our office or representative described on the back cover of the operation manual. \| CAUTION] Federal law restricts this device to sale by or on the order of physician. (This caution is the prescription language required by Federal Regulations in U.S.A.) {\) CAUTION ‘The operator should set the focal spot to skin distance as large as. practicable to ensure the absorbed dose to the patient is as low as possible, Introduction-8 CH-200 Operation ManualPreface Guarantee ‘The guarantee period of this system is one (1) year from the date of purchase. ‘Our company is not responsible for the following failures and damages. 1. Fallure/damage caused by installation, movement, maintenance and repair performed by anyone other than our company and companies specified by our company. 2. Failure/damage in a products of our company caused by a product of other company which is not delivered by our company. 3. Failure/damage based on maintenance, repair, etc. using a spare part other than the genuine parts specified by our company. 4. Failure/damage based on a result caused by disobedience to the cautions and operating procedures described in this instruction manual, 5. Failure/damage caused by the ambient condition beyond the service condition of this system such as the power supply and installation requirements described in this instruction manual. 6. Failure/damage caused by natural disaster such as fire, earthquake, flood and thunder. ‘The servicing after expiration of the guarantee period will be offered with charge, Contact Shimadzu service representative nearest to you, CH.-200 Operation Manual Introduction-9Preface For Disposing the Product or Parts Contact Shimadzu service representative when disposing the product or parts. Materials in the system may be discarded and pollute the environment upon improper disposal, To all user of Shimadzu equipment in the European Union: Equipment marked with this symbol indicates that it was sold on or after 13th August 2005, which means it should not be disposed of with general household waste. Note that our equipment is for industrialiprofessional use only. WEEE Mark Contact Shimadzu service representative when the equipment has reached the end of its life. They will advise you regarding the equipment take-back. With your co-operation we are aiming to reduce contamination from waste electronic and electrical equipment and preserve natural resource through re-use and recycling. Do not hesitate to ask Shimadzu service representative, if you require further information Introduction-10 CH-200 Operation ManualContents Contents Chapter 1 Outline 14 1.2 Applications. Feature. Chapter 2 Configuration 2.1 Configuration... 2.2 Operation Panel 9 2.3. Touch Panel. . .12 2.4 CH-200 Rear-mount type and Low-ceiling type 18 24.1 CH-200 Rear-mount type 18 242. CH-200 Low-celing ype. 20 Chapter 3 Operation 3.1. Power ON/OFF 22 3.1.1 Power ON 22 3.1.2 Power OFF 2 3.2 Moving the X-Ray Tube Support... 3.2.1 Vertical Movement 32.2 Longitudinal Movement. 32.3 Transversal Movement 32.4 3-Directional Movement 32.5. 2-drectional movement 3.3 Rotating the X-Ray Tube Support ses 3.3.1 Rotation around the Vertical Axis 32 3.3.2 Rotation around the Horizontal Axis 33 3.4 Detent Mode ... scesneeeneeenneeee 3.4.1. Moving to the Longitudinal/Transversal detent Positions 3.42. Rotating to the Preset Position around the Horizontal Axis 37 3.5 Radiography. ve - 3.5.1 General Radiography. 38 3.5.2 Vertical General Radiography. 41 3.5.3 Horizontal General Radiography 44 3.5.4 Vertical Bucky Radiography. ar 3.5.5 Horizontal Bucky Radiography 53 3.5.6 Operation of dual X-ray tube system 58 3.6 Tracking Device (Option) Operation 60 3.6.1 Vertical Tracking with X-Ray Radiography Stand BR-120 61 3.6.2. Vertical Tracking with X-Ray Radiography Table 68 3.7 Operation of Tomography.... CH-200 Operation Manual 3.7.4. Tomography. Contents-1Contents, 3.8 Operation of Bucky Tracking Radiography (Option) 3.8.1 For Oblique Projection Radiography tracking with Bucky device.....79 3.9 Function associated with the X-ray Diagnostic Table YSF-300 (Option)... 3.9.1 Features and Functions 3.9.2 Operation 3.10 Operation of Collimator R-30H..... 3.11 Lighting the Collimator Lamp 3.11.1 The Colimator Lamp Lights Up 91 3.11.2 Adjusting the Size of the Exposure Field [Reference] a 3.12. Program Data Synchronization... 3.13 Information (Message) List... 3.14 Operation during a Power Outage... Chapter 4 Maintenance 4.1 Maintenance Check. 4.2. Daily Inspection (Inspected by User) 4.2.1. Cleaning and Disinfection 4.2.2 Check Sheet for Daily Inspection 100 43 Periodical Inspection (Inspection by Shimadzu service representative)... 4.4 The Operating Life of the Device. 102 ..103 4.5 Consumable Parts List...... Chapter 5 Specifications Appendix 5.1. Specifications... 5.1.1 Distance from spot to recepfion. APEA wos. 5.1.2 Classification of equipment 5.2 Environmental Condition . se sesesseeseeeeee 10 5.2.1 Installation Requirements 110 5.2.2. Condition for Operation... renner AA 5.2.3. Transport and Storage sevnnnnees VID 5.2.4 EMC (Electro-Magnetic Compatibility) [For Europe] 112 5.3. Statement of Compliance [For Europe] 113 5.4 Product safety .... 5.5 Symbols and Labels... . 115, 5.5.1. Package for Transport 117 118 119 5.6 Disposal of Equipment. 5.7 List of Associated Equipment [For Europe]...... Contents-2 CH-200 Operation ManualContents Index Dimension CH-200 Operation Manual Contents-3Contents, No Text Contents-4 CH-200 Operation ManualOutline This chapter deals with the applications, features and usage environment of CH-200.1 Outline 1.1 Applications ‘The CEILING TUBE SUPPORT CH-200 is a device that holds an X-ray tube support and collimators combined with an X-ray high voltage generator, radiography stand, and table. Itis designed to perform the radiography of patients either in a horizontal or vertical position. (@]_ note ‘The operation procedure and the touch panel display of the X-ray tube support CH-200 may be different between when combined with Shimadzu X-ray high voltage generator UD 150B-40/L-40 and when combined with the UD150L- 40E/F. This operation manual basically describes the procedure when the CH-200 is combined with the UD150B-40/L-40. @ if the R-20J is combined as a collimator, the function and procedure will be different from the case where the R-30H is combined as listed below. + Since the R-20J does not have auto-collimation function, use the dials on the R- 20J to adjust the size of exposure field + Use the lamp button on the R-20J main body to turn ON/OFF the collimator lamp (You can turn the lamp ON/OFF from the operation panel and rear operation panel of the CH-200 as optional function). + When the CH-200 is combined with X-ray radiography table BK-200, the auto- ‘On function of collimator lamp when releasing the table top lock is provided as an option. CH-200 Operation Manual1.2. Feature 1.2 Feature Operation Panel + Operation panel carries the color liquid crystal touch panel. + The APR (Anatomical Program), radiography technique and exposure conditions ‘can be changed on the operation panel when combined Shimadzu X-ray high voltage generator UD150B-40/L-40. @ Note that, when combined with the X-ray high voltage generator UD150L-40E/F, only radiography technique of the CH-200 can be displayed or modified on the CH-200 operation panel. You cannot modify the radiography technique or condition of the UD150L-40E/F from the CH-200. In addition, you cannot modify radiography technique of the CH-200 from the UD150L-40EIF. + The button arrangement on the operation panel can be modified when installing the unit, +The X-ray tube support can be moved and lighted exposure field lamp using the rear operation panel. (3-directional moving, rotation around the vertical axis lock release functions and ‘exposure field lamps) Function + The rotation around the vertical axis of the X-ray tube support can be unlocked with the operation panel enabling even radiography at dificult angles demanded in orthopedic operations. (Radiography with general radiography technique) + The X-ray tube support can be moved vertically within a 1600 mm range. ‘Without using a footstool, it can perform radiography at a low position, such as the knees, with the patient + The vertical position of the X-ray tube support is selectable at the time of installation making it suitable even for examination rooms with high ceilings. + Aluminum rails are standard equipment enabling the quiet and smooth movement of the X-ray tube support. They also enable accurate positioning for conducting radiography. +The magnetic brakes reduce noises upon locking, ‘CH-200 Operation Manual 31 Outline Optional Function Positioning and exposure field alignment can be set automatically in horizontal tracking function (option) by combining with Shimadzu X-ray radiography stand BR-120. ‘Combining with Shimadzu X-ray radiography table BK-200 and using tomography function (option), the tomography and the Bucky tracking radiography can be performed (Note) The Bucky tracking is a function to position X-ray tube support and Bucky devices automatically Awnen combined with the X-ray high voltage generator UD150L-40EIF, the optional tomography function is not available. ‘The positioning of X-ray tube support to Bucky device and Source image distance (SID) maintaining can be performed automatically by combining with ‘Shimadzu X-ray radiography table BK-200, horizontal tracking device (Option) and Bucky tracking device (Option). When combined with the X-ray high voltage generator UD150L-40E/F, the optional Bucky tracking function is not available, Associated with Shimadzu X-ray Diagnostic Table YSF-300 using YSF-300 link option, the radiography is available. IG "3.9 Function associated with X-ray diagnostic Table YSF-300" CH-200 Operation ManualConfiguration This chapter describes the configuration and operating panel of the device.2.1 Configuration This device consists of the following components. @ Moving rail @ X-ray tube support section © Operation panel 5 © Rear operation panel Fig. 2.1 Configuration @ Fixed rail This rail is fixed onto the ceiling. The moving rail moves along this rail. @ Moving rail Rail that moves along the fixed rail. The X-ray tube support section moves along this rail @ X-ray tube support pull-up section Pull-up the X-ray tube support and moves it vertically. 6 CH-200 Operation Manual2.4 Configuration @ X-ray tube support section Holds the X-ray tube support and moves it vertically. And rotates it around the vertical axis as well as the horizontal axis. © Operation panel Used to control the movement ofthe device or to radiography setting Radiography conditions can be set with touch panel type color LCD, and the set screen ‘on X-ray high voltage generator can be displayed on color LCD by selecting screen. It is also indicated a horizontal axis rotational angle indicator for the X-ray tube support. Awnen combined with the X-ray high voltage generator UD150L-A0EIF, the set ‘screen of the X-ray high voltage generator is not available. Equipped with lock release buttons for the X-ray tube support's vertical direction, its longitudinal and transversal movement as well as its horizontal and vertical axis rotation, and a collimator lamp button. ‘The arrangement for each button controlling movement and rotation can be set at will when installing the device. © Rear operation panel Equipped with a 3-directional release button, a vertical axis rotation release button and a lamp button. i Other components + Tomography driver (Option): Drives the X-ray tube support at tomography @ When combined with the X-ray high voltage generator UD150L-40E/F, the tomography function is not available. + Servo tracking driver (Option): Moves the X-ray tube support upward/downward at horizontal/vertical tracking + Control Unit: Controls the X-ray tube support entirely. Il Explanation of Terminology : + Longitudinal: It moves along with the fixed rail + Transversal: It moves along with the moving rail + Vertical: X-ray tube support moves up and down, ‘CH-200 Operation Manual 72_ Configuration I Attachment position of X-ray tube support ‘The attachment position of X-ray tube support can be chosen from the four following places at the time of installation of X-ray tube support, RE eU Lp Lower left Lower right Fig. 2.2 Installation of X-ray tube support 8 ‘CH-200 Operation Manual2.2 Operation Panel 2.2 Operation Panel ‘The function of each button found on the operation panel is explained. The buttons on the rear operation panel located on the back surface of the unit perform the identical functions. ‘Their functions are explained as per the standard arrangement. If the arrangement is changed, read the explanation with respect to that new arrangement. ‘Touch Pane! = The LCD display on the touch panel described in the figure is the one when combined with the X-ray high voltage generator UD150B-40IL-40. The display is different when ‘combined with the UD 150L-40E/F Fig. 2.3 Operation Panel @® (D [Vertical release] button This button releases the lock when moving the X-ray tube support vertically, @ @ [3-directional release] button This button simultaneously releases the locks for the vertical, longitudinal and transversal directions. @@ [b-axis rotation release] button is button is to release the lock when rotating the X-ray tube support around the horizontal axis. ‘CH-200 Operation Manual 910 @ @ [Vaxis rotation release] button This button is to release the lock when rotating the X-ray tube support around the vertical axis. © ( [vertical release] button This button performs the same function as © © [Longitudinal release] button This button is to release the lock when moving the X-ray tube support longitudinally @@ [Transversal release] button This button is to release the lock when moving the X-ray tube suppor transversally ® @ [3-directional release] button This button performs the same function as 2) © @) [Tracking] button This button is to track the X-ray radiography table or X-ray radiography stand. @®@ [Collimator lamp] button This button is to turn on the collimator lamp. The same button is also equipped on the operation panel of collimator. @when combined with the collimator R-20J, this function is available as an option. Fig. 2.4 Collimator lamp button @ © [Detent mode] button This button is to turn ON/OFF the preset position stop mode, ‘The detent mode is used to stop the X-ray tube support at a specific longitudinal, transversal and vertical setting position. It can also stop the unit at 0° and +90° rotational angles around the horizontal axis. @Grip Hold this part to move or rotate the X-ray tube support CH-200 Operation Manual2.2 Operation Panel Il Rear Operation Panel Fig. 2.5 Rear Operation Panel @® @ [V-axis rotation release] button This button is to release the lock when rotating the X-ray tube support around the vertical axis. @@® [Collimator lamp] button This button is to tum on the collimator lamp. @ When combined with the collimator R-20J, this function is available as an option. @ @ [3-directional release] button This button simultaneously releases the locks for the vertical, longitudinal and transversal directions. CH-200 Operation Manual 12. Configur 2.3 Touch Panel n joned screen (typical screen) o— fy =) Gato t00 0.001) ere Qn siD 0 8 fer oo ateea7 Jos mid a8 ® * The screen described in the figure is the one when combined with the X-ray high voltage generator UD150B-40iL-40. Fig, 2.6 Touch Panel @ Technique Key ‘Shows the technique and No. of X-ray tube currently selected. They can be changed with this key. @ Longitudinal detent position indicator Lights up when the X-ray tube support has reached the longitudinal setting position. @ Transversal detent position indicator Lights up when the X-ray tube support has reached the transversal setting position, @ Vertical detent position indicator Lights up when the X-ray tube support has reached the vertical setting position. © Detent mode indicator Lights up when the detent mode button is tumed ON © Control cabinet basic information indicator ‘Shows the basic information of control cabinet. A when combined with the X-ray high voltage generator UD1SOL-40EIF, this basic information indicator is not available. 12 CH-200 Operation Manual2.3. Touch Panel @ SID indicator This indicator will show the Source Image Distance (SID) when the unit is facing the X- ray radiography table or stand position at a 0° or 90° rotational angle around the horizontal axis. The SID can be displayed either cm unit or inch unit and those unit system is set at installation work @® Rotation angle indicator ‘Shows the angle at which the X-ray tube support was rotated around the horizontal axis, Pressing the symbol of angle indication toggles between horizontal and vertical direction @ Cassette size indicator ‘Shows the cassette size currently inserted in the X-ray radiography table or X-ray radiography stand, @ Radiography conditions ‘Shows the radiography conditions set with X-ray high voltage generator. Selecting the tab to display the screen as required IGP °3.12 Program Data Synchronization” Fig. 2.7 Radiography conditions screen I you touch any button ( (D - @ shown in Fig 2.3) on the operation panel when radiography technique, etc. are displayed on the touch panel, the display will be automatically switched to the positioned screen, and you can operate the X-ray tube ‘support while checking its position data {> This function can be set on installation. Contact Shimadzu service representative for setting, CH-200 Operation Manual 432_ Configuration 106 eon 2.8 Panel display However, performing with each button ( ) - i) shown in Fig 2.3) operations when radiography technique, etc. is displayed will not switch the display to the positioned screen. ‘To manually switch the display to the positioned screen, press the switching tab, Sone a ier Fig, 2.9 Switching tab @ When combined with the X-ray high voltage generator UD150L-40E/F, the switching tab to switch display is not available. When combined with the X-ray high voltage generator UD1S0L-40EIF, the panel display is displayed as follows. Fig, 2.10 The panel display when combined with the UD150L-40E/F 14 ‘CH-200 Operation Manual2.3. Touch Panel Il Status indication for system Various system statuses are displayed on the upper right of a touch panel by radiography conditions, a position, etc. of X-ray tube unit. i Bee Aging) 250 15 10 SORIA | x B14 17 ach Tad et Fig. 2.11 Information screen ‘When combined with the collimator R-20J, the status indications of [PBL], [Automatic], [Manual], [PBL Override], (Oblig], and [TOMO] are not displayed PBL (Positive Beam Limitation) If all predetermined conditions are satisfied when using this equipment combining X- ray radiography table BK-200 or X-ray radiography stand BR-120, the aperture will Unite with cassette size while using exposure field automatically. The [PBL] is displayed at this time and X-ray radiography is possible as itis. Automatic Although the position of radiography equipment (Bucky device) does not suit an X-ray axis, itis displayed when provided with the cassette. At this time, an aperture unites with cassette size while using exposure field automatically For the specification of the products to the United States, [Manual], instead of [Automatic], is displayed in the setting. Manual Itis displayed that a general radiography technique is selected with X-ray high-voltage equipment. Even if it does not turn the key switch of collimator, the exposure field can be adjusted manually. PBL Override Itis displayed that the key switch of collimator is turned to (<°\). Itis used when a system breaks down CH-200 Operation Manual 4516 Obliq ‘The [Oblia] is displayed when the X-ray tube support is tilted to track with the Bucky device and, at the same time, the exposure field is coincided with the position of the Bucky device, the Bucky device. TOMO Its displayed that an initial position setup for @ tomography and charge of a cassette are completed. The tomography is started by push button operation of X-ray high- voltage generator. Not Ready Itis displayed when (a) the cassette is not in place, (b) the control of an aperture is not ‘completed for certain reasons, (c) the initial setting of the position for tomography is not ‘completed, or (d) the appropriate kind of the X-ray tube is not selected. CH-200 Operation Manual2.3. Touch Panel Hil Information screen The [1] button is displayed when X-ray tube support is not aligned or detects error. 250 15 10 4 014x17 Tad 84, Fig. 2.12 Information screen @ Information button Pressing he [] button, the pop-up window wil be open and esplays messages According to the message displayed, operate the X-ray tube support. ey Poon BS 014% 17 inen Tad 8 Fig. 2.13 Sample message on Information screen Confirming the message displayed, press button to close the pop-up window. Operating the X-ray tube support according to the message displayed, the [f ] button is distinguished and the X-ray tube support is aligned. IG For information, refer to "3.13 Information (Message) Lis CH-200 Operation Manual 172 Configuration 2 4 CH-200 Rear-mount type and Low-ceiling type ‘There are two other types of CH-200 in addition to the standard type:Rear-mount type and Low-ceiling type, which hold the X-ray tube assembly in different ways. 2.4.1 CH-200 Rear-mount type ‘CH-200 Rear-mount type is available for the operation of CH-200 installed by walls in examination rooms. CH-200 Operation Manual 182.4 _CH-200 Rear-mount type and Low-celling type Il Attachment position of X-ray tube assembly ‘The X-ray tube assembly with CH-200 Rear-mount type can be attached to one of four positions shown below when installing the assembly. Tp fe | Lig Upper left (standard) Upper right Sj] Lower left Lower right Fig. 2.15 CH-200 Operation Manual 492 Configuration 2.4.2 CH-200 Low-ceiling type CH-200 Low-ceiling type holds the X-ray tube assembly at the upper position than the CH-200 standard type. This is to keep the distance between a radiography table and the X-ray tube focus (1m as standard) in examination rooms with low ceilings. Il Difference of the specification from that of CH-200 standard type ‘The X-ray tube assembly position 15cm upper The rotation angle around the vertical axis -90" to +30" Bi Attachment position of X-ray tube assembly ‘The X-ray tube assembly with CH-200 Low-ceiling type can be attached to one of four positions shown below when installing the assembly. 20 CH-200 Operation ManualOperation This chapter describes how to move or rotate the device as well as how to operate the collimator (reference).3_Operation 3.1 Power ON/OFF CAUTION] Check the power switch of CH-200's Control Cabinet is turned to ON before applying the power. (| caution ‘When turning the power supply ON/OFF, follow the instructions appearing in the separate operation manual for the X-ray High Voltage Generator. 3.1.1 Powel r ON When turing the CH-200's power supply ON, the power supply of the X-ray High Voltage Generator, connected to the device, is also turned ON. (press to light up [] or 1) 3.1.2 Power OFF 22 When turing the CH-200's power supply OFF, the power supply of the Voltage Generator, connected to the device, is also tured OFF. (press| \| CAUTION Wait at least 10 seconds or more between turning off the power and turning it on again. Wait 10 seconds or more before turning the power on after pressing the stop button and releasing it. Otherwise, the unit may malfunction CH-200 Operation Manual3.2_ Moving the X-Ray Tube Support 3.2 Moving the X-Ray Tube Support (caution) ‘When moving the X-ray tube support, take ample precautions to prevent the device from contacting with other devices in the surrounding area. ©] tor) ‘The distance indication plates of the longitudinal, transversal, and vertical movement are attached on the fixed rail, moving rail, and column. When moving the X-ray tube support, align the X-ray tube support with reference to those plates. 3.2.1 Vertical Movement ( Qwarnine Make sure to confirm the safety of the patient when moving down the X-ray tube support. Otherwise, the patient may be caught between the tabletop and the unit. CH-200 Operation Manual 233_Operation t Ywarninc ‘The X-ray tube unit of this equipment is suspended by 2 wire rope Ifa wire rope should be ruptured, a warning message on the touch panel is displayed as "Wire alarm. Stop unit and call service representative”. If this is the case, terminate the operation immediately, and contact promptly Shimadzu service representative. If the equipment is used continuously displaying the warning message, this equipment may pose a serious health risk to patient or operator. ‘Wire alarm. Stop unit and call service representative. Moves the X-ray tube support vertically. The lock is released only while the ($) (Vertical release) button is pressed. Lifting your finger off the button will enable the lock. 11 white pressing the (1) button on the operation panel, hold the grip and move the X-ray tube support vertically. Pushing ({) button and release immediately the lock is released for 5 seconds. = The described panel display is the one when combined with the X-ray high voltage generator UD150B-40iL-40. Fig, 3.1 Vertical Movement 24 ‘CH-200 Operation Manual3.2_ Moving the X-Ray Tube Support Gor ‘The brake of an X-ray tube support is device for carrying out stillness maintenance of the X-ray tube unit. When it is used in order to move an X-ray tube unit up and down and to brake it, sound may occur. (@_note if © button is pushed once again while the lock is canceled for 5 seconds, itis locked again. 2 when reaching the intended vertical position, it your finger from the © button. This will lock the X-ray tube support. (@)_note ‘The 5 seconds lock release function can be invalidated at installation work. Contact Shimadzu service representative. CH-200 Operation Manual 253_Operation Moves the X-ray tube support longitudinally ‘The lock is released only when (>) (Longitudinal release) button is pressed. Lifting your finger off the button will enable the lock. [GB To stop the unit ata longitudinal setting positon, refer to 3.4.1 Moving tothe LongitudinaTransversal detent Positions” 11 white pressing the © button on the operation panel, hold the grip and move the X-ray tube support longitudinally. = The desoribed panel display is the one o when combined with the X-ray high f oP voltage generator UD150B-40iL-40. 2 Fig. 3.2 Longitudinal Movement 2 When teaching the intended longitudinal position, lt your finger from the © button. This will lock the X-ray tube support. 26 CH-200 Operation Manual3.2_ Moving the X-Ray Tube Support 3.2.3 Transversal Movement Moves the X-ray tube support transversally. The lock is released only while the (7) (Transversal release) button is pressed. Lifting your finger off the button will enable look [GB To stop the unit ata transversal preset postion, refer to "3.4.1 Moving to the LongituinalTransversal detent Positions” 1 While pressing the (2) button on the operation panel, hold the grip and move the X-ray tube support transversally. * The described panel display is the one ae when combined with the X-ray high EL P voltage generator UD150B-40IL 40. % Fig. 3.3 Transversal Movement 2 When reaching the intended transversal position, it your finger from the (A) button. This will lock the X-ray tube support CH-200 Operation Manual 273_Operation 3.2.4 3-Directional Movement This function simultaneously enables the vertical, longitudinal, and transversal movement of the X-ray tube support ‘The lock is released only while pressing the G9 (3-directional release) button. Lifting your finger off the button will enable lock. 11 White pressing the @ button on the operation panel, hold the grip and move the X-ray tube support vertically, longitudinally and transversally. «The described panel display is the one when combined with the X-ray high voltage generator UD150B-40iL-40. Operation Panel Rear Operation Panel Fig. 3.4 3-Directional Movement 2 when reaching the intended position, release your finger from the @ button. This will lock the X-ray tube support. 28 CH-200 Operation Manual3.2_ Moving the X-Ray Tube Support 3.2.5 2-directional movement X-ray tube support can move 2-direction simultaneously. This function can be set by installing and two or more functions are combined with one button. Please contact ‘Shimadzu service representative. Vertical/longitudinal movement ‘The lock i released only while pressing the (f) ©) (vertcattongitudina release) button Li your finger to lock the X-ray tube support 1 While pressing the (7) © button on the operation panel, hold the grip and move the X-ray tube support vertically and longitudinally Fig. 3.5 Vertical/longitudinal movement 2. when reaching the intended position, release your finger from the OO button. This will lock the X-ray tube support CH-200 Operation Manual 293_Operation Vertical/transversal movement The lock is released only while pressing the ({) (2) (veticaltransversal release) button. Lift your finger to lock the X-ray tube support. 1 While pressing the ({) (7) button on the operation panel, hold the grip and move the X-ray tube support vertically and transversally. Fig. 3.6 Vertical/transversal movement 2. when reaching the intended position, release your finger from the © @ button. This will lock the X-ray tube support, 30 CH-200 Operation Manual3.2_ Moving the X-Ray Tube Support Longitudinal/transversal movement The locks released only while pressing the ©) (2) (ongtudinaltransversal release) button. Lift your finger to lock the X-ray tube support. 1 While pressing the (3 (7) button on the operation panel, hold the grip and move the X-ray tube support longitudinally and transversally. Fig. 3.7 Longitudinal/transversal movement 2. when reaching the intended position, release your finger from the ©@ button. This will lock the X-ray tube support. CH-200 Operation Manual 313_Operation 3.3 Rotating the X-Ray Tube Support 3.3.1 Rotation around the Vertical Axis Rotates the X-ray tube support around the vertical axis. “Te lock is released only while the @)(V-axis rotation release) button is pressed. Lifting your finger wil ock the X-ray tube support 11 white pressing the @ button on the operation panel, hold the grip and rotate the X-ray tube support around the vertical axis. The unit wll temporally stop at the 0°, +90° and +180" positions. To move the unit again, it your finger from the @3) button once, press it again and rotate the uit If the unit is difficult to move while pressing the (5) button, press the (5) button button and quickly remove your finger. The lock will be released for only 5 seconds. Ger | 1t@ button is pushed once again while the lock is canceled for 5 seconds, itis locked again « The desoribed panel display is the one when combined with the X-ray high voltage generator UD150B-40iL 40. Operation Panel Rear Operation Panel Fig. 3.8 32 CH-200 Operation Manual3.3 Rotating the X-Ray Tube Support Fig, 3.9 Rotation around Vertical Axis 2 When reaching the intended position, lit your finger from the @ button This will lock the X-ray tube support 3.3.2 Rotation around the Horizontal Axis Rotates the X-ray tube support around the horizontal axis, The lock is released only while the () (H-axis rotation release) button is pressed. Lifting your finger will lock the unit The unit will stop at the 0° and +90° positions when rotating around the horizontal axis. IG For details, refer to "3.4.2 Rotating to the Preset Position around the Horizontal pais’ 11 white pressing the ©) button on the operation panel, hold the grip and rotate the X-ray tube support around the horizontal axis. The rotation angle indicator will show the angle at which the unit is positioned In case that the X-ray tube support exercises is rotated before pushing () button of an operation panel, it may be in a lock state. Be sure to push (6) button on the operation panel before performing rotation operation. CH-200 Operation Manual 333_Operation 34 standard (upper right) lower right Fig. 3.10 Rotation around Horizontal Axis ‘The (+) or (-) direction of rotation angle varies in the installation position of X-ray tube ‘support as shown figures. 2. when reaching the intended position, lit your finger from the ©) button This will lock the X-ray tube support. CH-200 Operation Manual3.3 Rotating the X-Ray Tube Support NOTE ‘The function that the standard angle of the X-ray tube is set as 0 degree to the Xray radiography stand is equipped with X-ray tube support. That function is set at installation work. Contact Shimadzu service representative, Fig. 3.11 X-ray tube set as 0 degree o NOTE ‘The X-ray tube support has the function to which it does not indicated minus (negative) angle sign on the touch panel, That function is set at installation work. Contact Shimadzu service representative. CH-200 Operation Manual 353_Operation 3.4 Detent Mode This function is to stop the X-ray tube support at the preset position in verticalongitudinal direction. The preset position should be set by installing, Also, a function to stop at 0° and 490° only in detent mode can be set by installing 3.4.1 Moving to the Longitudinal/Transversal detent Posi Press the (2) (Detent mode) button to operate. 1 Press the © button on the operation panel. “A | will appear, and the detent mode will be valid (ON), «= The described panel display is the one when combined with the X-ray high voltage generator UD150B-40IL-40. Fig. 3.12 Detent Mode Button 2 While pressing the 6) , (A) or @ button on the operation panel, hold the grip and move the X-ray tube support. *|« lights up when reaching the longitudinal detent position and the X-ray tube stops. {3% lights up when reaching the transversal detent position and the X-ray tube stops. @) NOTE + The unit may pass the preset position when it is moved too fast. In such case, repeat the movement slowly. + Tomove the unit again from the preset position, lift your finger from the (3), (A) or @) button once and press again to release the lock + Pressing the (2) button again, the detent mode is turned OFF, then the detent mode indicator lights of. 36 CH-200 Operation Manual3.4_Detent Mode 3.4.2 Rotating to the Preset Position around the Horizontal Axis ‘The position is set at 0° or +90” angle around the horizontal axis. 1 Press the (©) button on the operation panel [| will appear, and the detent mode will be valid (ON). «© The described panel display is the one when combined with the X-ray high voltage generator UD150B-40/L-40. Fig. 3.13 Detent Mode Button 2 While pressing the ©) button, hold the grip and move the X-ray tube support. The X-ray tube suppor willbe locked at the 0° and 90° angles, Gor | ‘To move the unit again from the preset position, lift your finger from the button once and press again to release the lock. 3 Press the @ button on the operation panel || will lights off, and the detent mode will be invalid (OFF). CH-200 Operation Manual 373_Operation 3.5 Radiography @ Please note thatthe procedure varies between when the CH-200 is combined with X-ray high voltage generator UD150B-40/L-40 and when combined with the UDIS0L40E/F Extra care must be taken in actual radiography. 3.5.1 General Radiography I Operation of X-ray high voltage generator 1 Press the radiography program yer iNET | key on the touch panel to select the general radiography. Confirm that the technique key indicates the general radiography technique. (Sixt ‘Pi #) ‘Liena) Wainean) Eswed] i) fae) (En) {Bia I Operation of X-ray tube support @wnen combined with X-ray high voltage generator UD150B-40/L-40, the radiography technique in the X-ray tube support CH-200 is automatically set according to the above operation. NOTE ‘When the CH-200 is combined with the X-ray high voltage generator UD150B- 40/L-40, you don't need to select the general radiography technique on the X- ray tube support. When combined with the UD150L40E/F, however, be sure to select the general radiography technique by performing the following procedures 1 and 2 on the X-ray tube support. 1 Press the technique key on the touch panel. ‘The pop up window to select radiography technique will appear. 2 select the general radiography key. The described panel display is the one when combined with the X-ray high voltage generator UD150L-40E/F. 38 CH-200 Operation Manual3.5 Radiography Il Perform the following procedure regardless of the type of combined X-ray igh voltage generator. @ Ia general radiography technique is selected, exposure field adjustment can be executed without closing the shutter in the collimator of X-ray tube support ‘The indicator [Manual] is displayed on the touch panel. ‘The STD indicates the distance between the tabletop of X-ray radiography table and the focus of X-ray tube when the X- ray tube is faced to the X-ray radiography table. CX warning) If [Manual] is displayed on a touch panel, exposure field adjustment and X-ray radiation will become possible. The operator must have responsibility in carrying out exposure field adjustment and performing X-ray radiography. Adjust the region of interest of patient (standing patient at X-ray radiography stand or vertical patient on the X-ray radiography table). Face the X-ray tube unit to the region of interest at patient. Press the collimator lamp button to light the collimator lamp up. RON = Lighting the collimator lamp, adjust the exposure field The collimator lamp lights for 30 seconds. CH-200 Operation Manual 393_Operation 40 Operation of X-ray high voltage generator (Radiography) 1 Fine adjust the x-ray radiography I aayanyewye conditions of X-ray high voltage generator. “kip “Wi BOO." a2. 37 Hold down the radiography preparation button. When the radiography button or radiography ready indicator lights, press the radiography button on Radiography Radiography p Preparation Bution the operation panel while holding Button down the radiography preparation button. + Radiography operation starts. + The radiography button and the radiography indicator on the operation panel light during radiography. ‘+ The radiography is completed when the radiography indicator on the operation panel lights off. 4 Release the radiography button CH-200 Operation Manual3.5 Radiography 3.5.2 Vertical General Radiography Il Operation of X-ray high voltage generator 1 Press the radiography program key on the touch panel to select the general radiography. Confirm that the technique key indicates the general radiography technique. [Lean ‘Fareed ‘foe Il Operation of X-ray radiography stand 1 Fix the cassette holder (Option) to the Bucky device. -\_ Cassette Holder 2 Attach the cassette to the cassette holder. > | cassette na 3 Position standing patient at X-ray when the radiography button or radiography ready indicator lights, press the radiography button on the operation panel while holding down the radiography preparation button. + Radiography operation starts Radiography Preparation Button Radiography Button +The radiography button and the radiography indicator on the operation panel light during radiography. + The radiography is completed when the radiography indicator on the operation panel lights off. 4 Release the radiography button CH-200 Operation Manual 433_Operation 3.5.3 Horizontal General Radiography Il Operation of X-ray high voltage generator 1 Press the radiography program key on the touch panel to select the general radiography. Confirm that the technique key indicates the general radiography technique. Il Operation of X-ray tube support A when combined with X-ray high voltage generator UD150B-40/L-40, the radiography technique in the X-ray tube support CH-200 is automatically set according tothe above operation. ‘When the CH-200 is combined with the X-ray high voltage generator UD150B- 40/L-40, you don’t need to select the general radiography technique on the X- ray tube support. When combined with the UD150L40E/F, however, be sure to select the general radiography technique by performing the following procedures 1 and 2 on the X-ray tube support 1 Press the technique key on the touch panel. The pop up window to select radiography technique will appear. 2 select the general radiography key. 44 ‘CH-200 Operation Manual3.5 Radiography Il Perform the following procedure regardless of the type of combined X-ray high voltage generator. 11 Face the x-ray tube support toward the X-ray radiography table. Il Operation of X-ray radiography table 1 Take the patient on the X-ray radiography table. 2. Place the cassette between the patient region and tabletop. Cassette Hi Operation of X-ray tube support Ifa general radiography technique is selected, exposure field adjustment can be executed without closing the shutter in the collimator of X-ray tube support. ‘The indicator [Manual] is displayed on the touch panel. The STD indicates the distance between the tabletop of X-ray radiography table and the focus of X-ray tube when the X- ray tube is faced to the X-ray radiography table. ( q WARNING) If [Manual] is displayed on a touch panel, exposure field adjustment and X-ray radiation will become possible. The operator must have responsibility in carrying out exposure field adjustment and performing X-ray radiography. CH-200 Operation Manual 453_Operation 46 1 Press the collimator lamp button to light the collimator lamp up. 2 Lighting the collimator lamp, adjust the exposure field ‘The collimator lamp lights for 30 seconds. Il Operation of X-ray high voltage generator (Radiography) 1 Fine adjust the X-ray radiography conditions of X-ray high voltage generator. 2 Hold down the radiography preparation button. Radiography Radiography Preparation Button Button 3> when the radiography button or radiography ready indicator lights, press the radiography button on the operation panel while holding down the radiography preparation button + Radiography operation starts. + The radiography button and the radiography indicator on the operation panel light during radiography. + The radiography is completed when the radiography indicator on the operation panel lights off 4 Release the radiography button. CH-200 Operation Manual3.5 Radiography 3.5.4 Vertical Bucky Radiography Il Operation of X-ray high voltage generator 1 Press the radiography program key on the touch panel to select the vertical Bucky radiography. Confirm that the technique key indicates the vertical Bucky radiography technique. I Operation of X-ray tube support @ When combined with X-ray high voltage generator UD150B-40/L-40, the radiography technique in the X-ray tube support CH-200 is automatically set according to the above operation. Gor | When the CH-200 is combined with the X-ray high voltage generator UD150B- 40/L-40, you don’t need to select the general radiography technique on the X- ray tube support When combined with the UD150L40EIF, however, be sure to select the ‘general radiography technique by performing the following procedures 1 and 2 ‘on the X-ray tube support. 1 Press the technique key on the touch panel. The pop up window to select radiography technique will appear. 2 select the vertical Bucky radiography key. CH-200 Operation Manual 473_Operation 48 Il Perform the following procedure regardless of the type of combined X-ray high voltage generator. 1 Move the x-ray tube support. 2 Face the x-ray tube support toward the X-ray radiography stand. 3 operate the X-ray tube support in detent mode, and align the X-ray tube unit in the center of transversal direction. Xray radiography stand Il Operation of X-ray radiography stand 1 Position the standing patient. 2 install the cassette into the Bucky Cassette tray_ For inserting the cassette, refer to the operation manual of X-ray radiography aa e stand, —€assatte Gi nore J In case that the cassette is not inserted correctly, the [Not Ready] indicates on the touch panel of X-ray tube support. Confirm that the cassette is equipped with cassette tray correctly [GS For (Not Ready] indication, reer to "3.19 Information (Message) List” CH-200 Operation Manual3.5 Radiography Il Operation of X-ray tube support 1 Press the collimator lamp button to light the colimator lamp up. 2 Lighting the colimator lamp, adjust the exposure field The collimator lamp lights for 30 seconds. @ NOTE ‘When the focal height of X-ray tube unit is aligned with the center of Bucky device, [PBL] will be displayed on touch panel, and X-ray radiography is ready. 7/9 WARNING Even when rotating the X-ray tube around vertical axis for each 90°, the [PBL] will be indicated on the touch panel and you can perform radiography. Verify that the X-ray tube is facing to the proper direction, and perform radiography. X-ray tubé TN wee0nc ‘When not aligned the focal height of X-ray tube unit with the center of Bucky device, [Automatic}* is displayed on touch panel. When [Automatic]” is displayed, the operator must have responsibility in carrying out exposure field adjust ment and performing X-ray radiography, *For the specification of the products to the United States, [Manual], instead of (Automatic), is displayed in the setting, CH-200 Operation Manual 493_ Operation Il Operation of X-ray high voltage generator (Radiography) 1 Fine adjust the x-ray radiography conditions of X-ray high voltage generator. 2 Hold down the radiography preparation button. When the radiography button or radiography ready indicator lights, press the radiography button on Race eaa ccee the operation panel while holding Button down the radiography preparation button. + Radiography operation starts. + The radiography button and the radiography indicator on the operation panel light during radiography. ‘+ The radiography is completed when the radiography indicator on the operation panel lights off. 4 Release the radiography button 50 CH-200 Operation Manual3.5 Radiography 1 insert the cassette into the Bucky device. 2 Rough align the X-ray tube unit in position and angle. => Turn on the collimator lamp. Align the X-ray tube unit with the opening indicator of collimator as a tentative guide in the width (transversal) direction. For vertical direction, pull out a cassette in half, and align the X-ray tube unit by lighting collimator lamp exposure field directly. oOo na Bw Re-attach the cassette correctly and start the X-ray radiography. CH-200 Operation Manual 513_Operation 52 Il Dual X-ray radiography stand system information When the X-ray radiography stand is being used in addition to the automatic X-ray radiography system which consists of X-ray tube support CH-200, X-ray radiography table BK-200 and X-ray radiography stand BR-120, only manual X-ray radiography is available for the 2nd set of X-ray radiography stands (without auto [PBL] function) X-ray radiography stand aa BR-120 X-ray tube support cH-200 2nd X-ray radiography stand (Changer, Manual stand, Leader radiography stand) ray raciogiaphy table BK-200, (@_note Even when it has by carrying out the automatic Bucky stand of the other ‘company or manufacturer, and automatic changer unit as the 2nd set of ‘equipment, only manual radiography corresponds. When there is 2nd set of X-ray radiography stand, operate it as follows. 11 Select the radiography technique as 2nd set of X-ray radiography stand with touch panel of X-ray high voltage generator UD150B-40/ L-40 or X-ray tube support CH-200. 2 Adjust the x-ray tube support CH-200 longitudinally and transversally. ‘Align the X-ray tube support with detent mode. 3 Adjust the height of x-ray tube support manually. 4 Align the exposure field of collimator manually. Measure with collimator measure when confirming the radiography distance. 5 set the exposure conditions and start the X-ray radiography. CH-200 Operation Manual3.5 Radiography Il Rotating X-ray tube uni CAUTION When rotating the X-ray tube unit 180 degrees around vertical axis and facing to the X-ray radiography stand to take radiography, select the general radiography technique for radiography. i ce After rotating the X-ray tube unit 180 aa degrees around vertical axis, face Itto the X-ray radiography stand, 3.5.5 Horizontal Bucky Radiography Hi Operation of X-ray high voltage generator 1 Press the radiography program key on the touch panel to select the horizontal Bucky radiography. Confirm thatthe technique key indicates the horizontal Bucky radiography technique. CH-200 Operation Manual 533_Operation 54 Il Operation of X-ray tube support @ When combined with X-ray high voltage generator UD150B-40/L-40, the radiography technique in the X-ray tube support CH-200 is automatically set according to the above operation. tor | ‘When the CH-200 is combined with the X-ray high voltage generator UD150B- 40/L-40, you don't need to select the general radiography technique on the X- ray tube support. ‘When combined with the UD150L40E/F, however, be sure to select the general radiography technique by performing the following procedures 1 and 2 on the X-ray tube support. 1 Press the technique key on the touch panel. ‘The pop up window to select radiography technique will appear. 2 select the horizontal Bucky radiography key. Il Perform the following procedure regardless of the type of combined X-ray high voltage generator. 1 Face the X-ray tube support toward the X-ray radiography table. 2 Move the x-ray tube support with detent mode, and align the X-ray tube unit with the center of the X- ray radiography table at longitudinal/transversal direction Il Operation of X-ray radiography table 11 confirm that the Bucky device of X-ray radiography table is positioned in the center. In case that the Bucky device is not positioned in the center, align it as, following steps. Bucky device CH-200 Operation Manual3.5 Radiography Hf Manual alignment for the center of co 1 Light the beam for center alignment on. 2 Align the beam for center alignment with the center marking of cassette tray handle. Expose the beam by either of following procedures because the tabletop covers to protect from the beam. + Move the tabletop backward temporally. * Draw the cassette tray so that the center notch of cassette tray is apparent, and then align the beam with the center marking of cassette tray handle, Center marking © Draw the cassette Hi Operation of X-ray ra 1 install the cassette to the Bucky device. 2 Take the patient on the X-ray radiography table. (nor | ‘When the X-ray tube unit is aligned with the center of Bucky device, [PBL] will be displayed on touch panel, and X-ray radiography is ready. ( Ywarnine Even when rotating the X-ray tube around vertical axis for each 90°, the [PBL] will be indicated on the touch panel and you can perform radiography. Verify that the X-ray tube is facing to the proper direction, and perform radiography. CH-200 Operation Manual 553_Operation 56 ‘When not aligned the focal height of X-ray tube unit with the center of Bucky device, (Automatic]* is displayed on touch panel. When [Automatic]” is displayed, the operator must have responsibility in carrying out exposure field adjustment and performing X-ray radiography. “For the specification of the products to the United States, [Manual], instead of [Automatic], is displayed in the setting. Il Operation of X-ray tube support 1 Press the collimator tamp button to light the collimator lamp up 2 Lighting the colimator lamp, adjust the exposure field. The collimator lamp lights for 30 seconds. Il Operation of X-ray high voltage generator (Radiography) 1 Fine adjust the x-ray radiography conditions of X-ray high voltage generator. aay My owe | 2 Hold down the radiography preparation button. 3° when the radiography button or radiography ready indicator lights, press the radiography button on Renee ee the operation panel while holding Button down the radiography preparation button. + Radiography operation starts. + The radiography button and the radiography indicator on the operation panel light during radiography. + The radiography is completed when the radiography indicator on the operation panel lights off 4 Release the radiography button. CH-200 Operation Manual3.5 Radiography Il When the direction of transversal center at X-ray radiography table and the center of X-ray radiography stand have shifted. (UN) caution Ifthe direction of transversal center at X-ray radiography table and the center of X-ray photography stand have shifted, the operator should perform the correct positioning and do X-ray radiography. In arrangement of the X-ray radiography table and X-ray radiography stand as shown ina figure, the system is not discriminating the direction center position of transversal (A) of X-ray radiography table, and the center position (B) of X-ray radiography stand. ‘Therefore, X-ray radiography is possible for the X-ray tube unit to the X-ray radiography stand also in the position of (A). Moreover, perform X-ray radiography after setting an X-ray tube unit by the correct position in performing X-ray radiography, since X-ray radiography can do the X-ray tube unit to the X-ray radiography table also in the position of (B). X-ray radiography table Longitudinal rai Xray tube unit facing to Xray radiography stand |—Transversal rll | [a @) X-ray radiography stand Xray tube unit facing to Xray radiography table CH-200 Operation Manual 573_Operation 3.5.6 Operation of dual X-ray tube system Operation of X-ray high voltage generator Press the radiography program key on the touch panel and to select the radiography technique for X-ray tube unit to be used. Confirm that the technique key indicates | donee) Bees) (coe the radiography technique of X-ray tube \ EBroas) unit to be selected. (Example: In case that the radiography technique for 2nd tube is selected, the numeric number "2" indicates as the 2nd tube on the radiography technique indicator.) Hi Operation of X-ray tube support 1 confirm that the numeric number "2" as 2nd tube in the radiography technique key and also in the tube selected indicator are displayed on the touch panel. When these both numbers are in agreement, the X-ray radiography can be taken by selected radiography technique with the selected X-ray tube. @| NOTE In case that the numeric number of selected X-ray tube is not coincided with the indication tube number of radiography technique, the warning information “Another Tube is selected." is displayed on touch panel. 58 CH-200 Operation Manual3.5 Radiography Indication tube number of radiography technique Number of selected X-ray tube nae cay ‘Another Tube is selected. 2 For positioning of an X-ray tube support, operate in the same procedure as the case of single X-ray tube system, NOTE In tomograph operation, the X-ray tube support moves maximum 70 em from the center position to each of the right and left Before tomography, make sure the CH-200 will not come into contact with another X-ray tube support or any other devices. CH-200 Operation Manual 593_Operation 3.6 Tracking Device (Option) Operation 60 Two kinds of tracking operation with X-ray radiography stand are as follows: + Full-automatic operation Moving upward/downward the Bucky device of X-ray radiography stand manually, the X-ray tube support tracks with X-ray radiography stand, + Semi-automatic operation Pressing both tracking switches of X-ray radiography stand and X-ray tube support, the X-ray tube support tracks with X-ray radiography stand, (2 note During tracking operation, press either tracking switch of X-ray tube support or Xray radiography stand, so that the tracking operation will be stopped. i (Q[_ note For setting of full-automatic tracking operation or semi-automatic one, make a choice between the two on installation, Consult Shimadzu service representative for setting the function. i 79 WARNING Confirm no patient is positioned where the X-ray tube support declines. Touching X-ray tube support may cause injury, (BI note In case that the collimator R-20J is used, adjust the exposure field manually. i CH-200 Operation Manual3.6 Tracking Device (Option) Operation 3.6.1 Vertical Tracking with X-Ray Radiography Stand BR-120 Il Operation of X-ray high voltage generator 1 Press the radiography program key on the touch panel to select the vertical Bucky radiography. Confirm that the technique key indicates the vertical Bucky radiography technique. || ess) Foe) Fo [Breen Faia) Fa) ‘Gis I Operation of X-ray tube support @ When combined with X-ray high voltage generator UD150B-40/L-40, the radiography technique in the X-ray tube support CH-200 is automatically set according to the above operation. Gor | When the CH-200 is combined with the X-ray high voltage generator UD150B- 40/L-40, you don’t need to select the general radiography technique on the X- ray tube support When combined with the UD150L40EIF, however, be sure to select the ‘general radiography technique by performing the following procedures 1 and 2 ‘on the X-ray tube support. 1 Press the technique key on the touch panel. The pop up window to select radiography technique will appear. 2 select the vertical Bucky radiography key. CH-200 Operation Manual 61