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Operation Manual: DM-525MR

Mobile X-ray System


Articulated Type

DM-525MR
Operation Manual

1293
MDD 93/42/EEC Amended by MDD
Document No ;

DONGMUN CO., LTD


717-ho, 7th fl, Unitechvil Bldg, 1141-2, Baegsuk-dong, Ilsandong-ku,
Goyang-si, Gyeonggi-do, Republic of Korea
Tel : 82-31-907-7222, Fax : 82-31-904-2231, E-mail : dongmun@dong-mun.co.kr

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Revision History

No Revision History Date


0 Firstly Prepared 2012. 03. 20

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IMPORTANT!... X-ray Protection

X-RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR


UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED

X-ray equipment if not properly used cause injury. Accordingly, the instruction herein should be
thoroughly read and understood before attempting to place this equipment in operation. We will be glad
to assist and cooperate in placing this equipment in use.

Although this apparatus is built to the highest safety standards and incorporates a high degree of protection
against X-radiation other than the useful beam, no practical of equipment can provide complete protection. Nor
can any practical design compel the operator to take adequate precautions to prevent the possibility of any
persons carelessly, or unknowingly exposing themselves or other to X-radiation.

It is important that everyone working with X-radiation be properly trained and takes adequate steps to insure
protection against injury. The manufacturer assumes that all operator and service personnel authorized to use,
install, calibrate and maintain this equipment is cognizant of the danger of excessive exposure to X-radiation, is
sufficiently trained and has the required knowledge for it. The equipment herein
Described is sold with the understanding that manufacturer, its agents, and representatives are not liable for
injury or damage which may result from exposure to X-radiation.

ENVIRONMENTAL STATEMENT
ON THE LIFE CYCLE OF THE EQUIP OR SYSTEM

This equipment or system contains environmentally dangerous components and materials (such as PCB`s
electronic components, used dielectric oil, lead batteries ETC.) which, once the life-cycle of the equipment or
system comes to an end, becomes dangerous and need to be considered as harmful waste according to the
international, domestic and local regulations.

The manufacturer recommends to contact an authorized representative of the manufacturer or an authorized


waste management company once the life-cycle of the equipment or system comes to an end remove this
equipment or system.

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ADVISORY SYMBOLS

The following advisory symbols will be used through this manual. Their application and meaning are described
below.

Dangers advise of conditions or situations that if not heeded or avoided will


Danger cause serious personal injury or death.

Advise of conditions or situations that if not heeded or avoided could cause


Warning serious personal injury, or catastrophic damage of equipment or data.

Advise of conditions or situations that if not heeded or avoided could cause


Caution personal injury or damage to equipment or data.

Alert readers do on pertinent facts and conditions.


Notes represent information that is important to know but which do not
Note necessarily relate to possible injury or damage to equipment.

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SAFETY SYMBOLS

The following safety symbols will be used in the equipment.


Their meanings are described below.

Attention:
It identifies a safety note. Ensure that you understand the function of this
control before using it. Control function is described in the valid operation
manual.

Ionizing Radiation:
The ionized radiation is dangerous for the patient and the operator if the
appropriate safety measures are not strictly observed.

Electric Protection:
Type B applied part to identify a Type B applied part complying with IEC
60601-1. Note-B = Body

Dangerous Voltage:
Dangerous voltage over 1000VAC or 1500VAC

Consult User Manual:


Before use equipment or system, must read user manual.

Disposal:
This symbol indicates that the waste of electrical and electronic equipment
not be disposed as unsorted municipal waste and must be collected
separately. Please contact an authorized representative of the manufacturer
or an authorized waste management company for information concerning
the decommissioning of your equipment.

Date of Manufacture:
Date of product manufacture.

CE Mark:
CE Mark of MDD 93/42/EEC and “0000” is NB(Notified Body) Number.
1293

Manufacture Information

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Authorised Representative in the European Community

Protective Earth:
Identify the point where the system safety ground is fastened to the chassis.
Protective earth that is connected conductive parts of class I equipment for
safety purpose.

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TABLE OF CONTENTS

PART 1. Introduction ------------------------------------------------- 8

PART 2. Safety ------------------------------------------------- 16

PART 3. Controls ------------------------------------------------- 23

PART 4. Control Console ------------------------------------------------- 37

PART 5. Operation Sequences ------------------------------------------------- 54

PART 6. Periodic Maintenance ------------------------------------------------- 65

PART 7. Technical Specifications ------------------------------------------------- 67

PART 8. Schematic ------------------------------------------------- 73

For better performance and safety, this manual may be changed without and
Notice prior notice.

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PART 1. Introduction

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1. Introduction

This manual contains all the information necessary to understand and operate the Mobile X-ray Unit. It
provides a general description, safety and regulatory information, operation instructions and specifications
concerning the equipment.

This equipment is designed for general radiography. It provides all the advantage of high frequency
waveform Generators including lower patient dose, shorter exposure times as well as greater accuracy and
consistency.

The Generator is controlled by multiple microprocessors providing increased exposure consistency, efficient
operation and extended Tube life. A high level of self-diagnostics greatly increases serviceability and reduces
down time.

All functions, displays and controls are logically arranged, easily accessible and identified to prevent
confusion. Technique factors and functions are selected on the Control Console.

Articulated Type

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The Unit consists of the following fundamental part;

• Control Console, operator controls and displays for radiographic operations and general functions.
The Console is designed for ease operation.
Touch Screen Control Console (Option)

• Generator that includes:


- Power Module, which contains the Power and Control components.
- High Voltage Transformer.

• Tube-Collimator Assembly, that comprises the X-ray Tube and the Collimator

• Column and Arm, holding the Tube-Collimator Assembly and allows its positioning.

• X-ray Cassette Basket for cassettes of 35×43 or smaller size.


Portable X-ray Detector Basket for detector of 14×17 (Option)

• Power Storage Unit ; Battery Charge Type (Option)

• Power Storage Unit ; Capacitor Bank Type (Option)

• Motor Driving ; Transaxle Type (Option)

• Portable X-ray Detector ; 14×17 Size (Option)

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2. General Features

The main features of this equipment are;

• A solid and ergonomic design. Easy operation, security and precision of all positioning movements
relative to the position of the patient.

• Constant potential high frequency

• Tube-Collimator Assembly rotation in relation to its transverse axis(±90°) and horizontal axis(205°).
Collimator rotation in relation to its vertical axis (± 90°).

• Three point control by selecting kVp, mA and Exposure Time, or two point control by selecting kVp and
mAs, or one point control by selecting.

• Direct connection for one Bucky.

• X-ray Hand-switch for making Radiographic X-ray exposures.

• Manual Collimation.

• Heat Unit storage for the X-ray Tube, even after turning On/Off the equipment.

• Tube protection circuitry prolongs Tube life and increases system performance.

• Equipped with closed loop control of X-ray Tube current, kVp and filaments, which minimize potential
errors and the need for readjustments.

• Standard electrical outlet operation with single-phase line at 230 ±10% VAC. Automatic line voltage
detection during power on sequence.

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• Power Storage Unit ; Battery Type (Option)


Under normal operating conditions, the Storage Batteries are kept at an optimum charge level by Battery
Charge which controls the level and performs charges periodically.
- When the Unit is turned ON and makes the first charge. The total charge time depends on both the
input voltage of mains where the Unit is plugged-in and the initial charge level of the Batteries.
- During periodic charges with the Generator turned ON (in stand-by), approximately every 150sec.

• Power Storage Unit ; Capacitor Bank Type (Option)


Under normal operating conditions, the Storage Capacitors are kept at an optimum charge level by
Capacitor Charge which controls the level and performs charges periodically.
- When the Unit is turned ON and makes the first charge. The total charge time depends on both the
input voltage of mains where the Unit is plugged-in and the initial charge level of the Capacitors.
- During periodic charges with the Generator turned ON (in stand-by), approximately every 150sec.

• Motor Driving ; Transaxle Type (Option)

• Portable X-ray Detector ; 14×17 Size (Option)


Portable Digital X-ray Flat Panel Detector is generator images of any part of the body.
This X-ray imaging consists of a scintillator directly coupled to an A Si-TFT sensor.
It makes high-resolution, high-sensitive digital images.

The mAs value is limited and depends on the selected kVp and mA values.
Note Higher mAs values are obtained when selecting lower kVp and mA values.

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3. Product Identification

To provide manufacturer and product information, each major item in the equipment has identification labels
attached. The labels contain the following information:

• Product

• Model

• Volts (V), Line Phases, Frequency (Hz), and Power (kVA, kW)

• Date of Manufacture

• Serial Number

• Manufacturer

• Place of Manufacture

• Certification

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4. Certifications

The Mobile X-ray System covered by this Operation Manual is authorized to be marked with CE marking in
accordance with the provisions of the Council Directive 93/42/EEC concerning Medical Devices.

5. Classification

The Mobile X-ray System covered by this Operation Manual is classified as:

• Protection against Electric Shock: Class I –Type B applied parts.

• Protection against Harmful ingress of water: Ordinary.

• Degree of Safety in the presence of flammable Anesthetics Mixture with air or with oxygen or with
nitrous oxide: Not suitable for use in the presence of Flammable anesthetics Mixture with oxygen or
with nitrous oxide.

• Mode of Operation: Continuous operation with intermittent loading.

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PART 2. Safety

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1. General

Keep this operating Manual with the equipment at all times and periodically review the Operating and Safety
instructions.

For a continuous and safe use of this equipment follow the instruction in this
Caution Operating Manual. Study this manual carefully before using the equipment
and keep it at hand for quick reference.

The equipment described in this manual must only be handled by previously


Warning trained and qualified personnel.

X-ray equipment dangerous to both patient and operator unless protective


Warning measures are strictly observed.

Everyone associated with this equipment must be familiar with the safety
and regulatory instructions contained within this manual and in particular,
Warning the statement at the beginning of this manual entitled “Important! X-ray
protection”.

These instructions should be thoroughly read and understood before


attempting to place this equipment in operation

Although X-ray radiation can be hazardous, X-ray equipment does not pose any danger when it is properly
used. Please ensure that all service and operating personnel are properly trained and informed on the hazards
of radiation. Those responsible for the system must understand the safety requirements for X-ray operation.
Please study this manual and the manuals for each system component to be fully aware of all the safety and
operational requirements.

Special attention must be given to diagnostic X-ray equipment specified to


be used in combination with accessories effect arising from these materials
Warning
located in the X-ray beam. (See the table below for the maximum equivalent
attenuation of materials possibly located in the X-ray beam).

Maximum Attenuation Equipment mm AL


Item
CFR IEC 60601-1-3
Front panel of wall support or Bucky 1.0 1.2
Patient support, movable, without articulated joins 1.5 1.7
Patient support, Cantilevered 2.1 2.3

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2. Responsibilities

Ensure that all personnel authorized to use the equipment are aware of the
dangers of excessive exposure to X-ray radiation.
Warning
The equipment herein described is sold with the understanding that the
manufacturer, its agents, and representatives are not liable for injury or
damage which may result from overexposure of patients or personnel to X-
ray radiation.

The manufacturer does not accept any responsibility for overexposure of


patients or personnel to X-ray radiation generated by this equipment which
Warning is a result of poor operating techniques or procedures.

No responsibility will be assumed for any equipment that has not been
serviced and maintained in accordance with the manufacturer instructions,
or which has been modified or tampered with in any way.

It is the responsibility of the operator to ensure the safety of the patient


while the X-ray equipment is in operation by visual observation, proper
Warning patient positioning, and use of devices that are intended to prevent patient
injury.

Always watch all parts of the system to verify that there is neither
interference nor possibility of collision with the patient or with other
equipment.

Make sure that the X-ray tube is set in working position with the reference
Warning axis (X-ray beam) pointing to the reception area.

Should any interference (EMC) be detected with other equipment, please


Warning position other equipment away from this one.

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3. Maximum Permissible Dose (MPD)

Before operation, persons qualified and authorized to operate this equipment should be familiar with the
Recommendation of the international Commission on Radiological Protection, contained in Annals Number
60 of the ICRP, with applicable National Standards; and should have been trained in use of the equipment.

The operator shall use the largest possible focal spot to skin distance in
Warning order to keep the absorbed dose as low as reasonably achievable.

4. Radiation Protection

Because exposure to X-ray radiation can be damaging to the health, use great care to ensure protection
against exposure to the primary beam. Some of the effects of X-ray radiation are cumulative and may extend
over a period of months or years. The best safety rule for an X-ray operator is “Avoid exposure to the primary
beam at all times”.

Any object in the path of the primary beam produces secondary (scattered) radiation. The intensity of
secondary radiation depends on the energy and intensity of the primary beam. Secondary radiation may be of
greater intensity than that of the radiation reaching the film. Take protective measures to safeguard against
this.

An effective protective measure is the use of lead shielding. To minimize dangerous exposure, use such items
as lead screens, lead impregnated gloves, aprons, thyroid collars, etc. Lead screens should contain a minimum
of 2.0 mm of lead or equivalent and personal protective devices (aprons, gloves, etc.) must contain a
minimum of 0.25mm of lead or equivalent. For confirmation of the local requirements at your site, please
refer to your “Local Radiation Protection Rules” as provided by your Radiation Protection Advisor.

While operating or servicing X-ray equipment, always keep a distance of


not less than 2 meters from the focal spot and X-ray beam, protect body and
Warning
do not expose hands, wrist arms or other parts of the body to the primary
beam.

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5. Monitoring of Personnel

Monitoring personnel to determine the amount of radiation to which they have been exposed provides a
valuable cross check to determine whether or not safety measures are adequate. It may reveal inadequate or
improper radiation protection practices and potentially serious radiation exposure situations.

The most effective method of determining whether or not the existing protective measures are adequate is the
use of instruments to measure the exposure. These measurements should be taken at all locations where the
operator or any portion of the body may be exposed. Exposure must never exceed the accepted tolerable dose.

A frequently used, but less accurate, method of determining the amount of exposure is the placement of film
at strategic locations. After a specified period of time, develop the film to determine the amount of radiation.

A common method of determining whether personnel have been exposed to excessive radiation is the use of
personal radiation dosimeters. These consist X-ray sensitive film or thermoluminescent material enclosed
within a holder that may be worn on the body. Even though this device only measures the radiation which
reaches the area of the body on which they are worn, they do provide a reasonable indication of the amount
of radiation received.

6. Protection against Electric Shock Hazards

This X-ray Unit has been classified as a type-B( ) device in accordance with IEC60601-1.

This equipment meets the following Safety Standards: IEC 60601-1. IEC 60601-1-1, IEC 60601-2-7.

According to MDD/93/42/CEE, this unit is equipped with EMC filters. The


Danger lack of proper grounding may produce electrical shock to the user.

7. Protection against Hazards from Unwanted or Excessive Radiation

Statement of compliance: This X-ray Unit with radiation protection is in accordance with IEC60601-1-3 for
which compliance is to be stated.

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8. Designated Significant Zone of Occupancy

X-ray Equipment specified for any Radiological examination shall have at least one Significant Zone of
Occupancy for the use of the operator and staff, designated as follow:

Radiographic Examination on the Chest Unit for Front Panel

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Radiographic Examination on Any Patient Support or Any Table

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PART 3. Controls

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1. General and Motion Controls

Operation is carried out from the different controls:

• Front Panel with controls to turn On/Off the Unit, Line connection indicator.
; Power Storage Unit (Option)
• Generator Control Console.
; Touch OP (Option)
• Hand switch.
• Generator Circuit Breaker.
• Controls for Unit Motion.
; Manual Type
; Motor Driving Type (Option)
• Panel of the Manual Collimator, with the controls for opening or closing the collimator blades and to
switch On the collimator Lamp.
• Portable X-ray Detector (Option)

Articulated Arm
Control Console
X-ray Tube
Hand Switch
Handle Bar

Handle

Key Board Drawer


Collimator
Cassette Basket
Bumper

Stand Position Pedal

Do not use the Power Switch in DM-525MR & DM-525MR.


Warning Use the Power Switch in DM-100MR & DM-200MR.

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2. Generator Connection and Circuit Break

The Unit should be plugged into a wall socket that complies with local regulation and electrical requirements
for the equipment.

For safety reasons and for proper functioning, make sure that the unit is
Warning connected to a standard outlet with GND.

The Generator Circuit Breaker must always be in the ON position. This device is located in the mobile body.
If access to the Generator Circuit Breaker is necessary, remove the 4 screws of the Side Cover, carefully
remove the cover and check its position.

Generator Circuit Breaker

3. Generator Control Console

The Generator Control Console includes the controls, indicators and displays needed to perform radiographic
exams. It is also equipped with an Anatomic Programmer.

Touch Screen Control Console (Option)


The Touch Screen Control Console includes the 17 Inch Touch Screen Panel and PC.

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4. PSU Panel (Option)

Use the PSU Panel in Power Storage Unit (Option).

Charge Lamp

AC Power DC Power

Charge Lamp No Charge Lamp

AC Power;
The PSU supplies power. When the switch turn on, starting charge battery.

DC Power;
The Generator supplies power.

Charge Voltage;
Shows the charge status of battery for PSU.
If you exposure X-ray, check the charging voltage is 360V or more.

Charge Lamp;
This lamp lights on the battery is charging.

No Charge Lamp;
This lamp lights on the battery discharges.

Power Storage Unit is discharge during shipping.


Warning The Unit when the battery is discharged, you can caused damage to the
equipment. The receiving equipment, charge the Power Storage Unit.

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5. X-ray Hand Switch

Radiographic exposures are made with the “Prep” (preparation) and “Exp” (X-ray exposure) Hand switch.
The status of the exposure is shown by the “ready” and “X-ray On” indicators for the duration of the
exposure.

PREP;
Press the Hand switch button half-way (“Prep” position) to prepare the selected X-ray Tube for exposure. The
“Ready” indicator on the Console will light when the X-ray Tube is prepared and there are interlock failures
or system faults.

After pressing this push –button, the following functions are activated:
• Anode Rotation
• Filament current switches from stand-by to the selected mA.

EXP;
After the “Ready” indicator is illuminated, fully press the Hand switch button to start an X-ray exposure. If
the button is released before the Generator completes the selected time, The exposure will be prematurely
terminated and the actual mAs and Exposure Time will be displayed.

The “X-ray On” indicator remains illuminated and a sound is emitted during the length of exposure.

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6. Motion Controls

Monitor the system movements with special care. Avoid any impact of the
Warning unit with walls, furniture or other elements in the room that may cause
damage to the equipment.

Monitor with special care the patient position or anyone present to avoid
injury caused by unit movements.
Warning
Intravenous tubing, catheters and other patient connected lines should be
routed away from moving equipment.

1) Motor Driving (Option)


The motion controls of the unit are the Driving Handle.
When Driving Handle turn to forward, this unit is move forward.
And when Driving Handle turn to backward, this unit move backward.
Equipment does not move abruptly; turn the Driving Handle slowly and carefully.

Driving Panel; Motor Driving (Option)

Speed Regulator Driving On/Off

Buzzer Battery Charger


Display

• Speed Regulator;
Adjust the speed of the Unit.

• Buzzer;

• Battery Charge;
Shows the charge status of battery for motor driving.
If you plug the power is automatically charged.

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• Driving On/Off;
This key is used to switch on the Unit for moving.

If the equipment malfunctions, Turn off the Driving On/Off Key on the
Warning Front Panel.

The equipment must only be handled by previously trained and qualified


Warning personnel.

2) Manual Driving
The only motion controls of the Unit are the Front Handle Bar and the Brake control Bar.
The Brakes are released by gripping and holding the Brake Control Bar towards the Front Handle Bar.
The Unit is manually moved pushing of pulling it from both Bars. The front steering wheels and the
back main wheels provide comfortable driving as well as easy positioning of the Unit.

Brake Handle

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3) Articulated Arm
Articulated Arm can be moved to the up-down.
After you fell completely down an Articulated Arm, adjust the lock device.

Lock Device

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7. Handle Bar

Angle Indicator

Horizontal Lock S/W

All Lock S/W All Lock S/W

Angle Indicator;
Shows the angle value of tube rotating.

Horizontal Lock Switch;


This Switch is used to lock the tube horizontal moving.

All Lock Switch;


This Switch is used to lock the all-moving.

Warning In Mobile Articulated, switch of S4, S5, S6 use only.

Stand Position Pedal

Stand Position Pedal;


Press the Stand Position Pedal to unlock and rotate the Tube Stand.
The Tube Stand can be rotated ±180º.

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8. Collimator Controls

Collimator controls consist of a push-button to switch ON the Collimator Lamp and two knobs to open or
close the internal blades.

After pressing the push-button, the Collimator Lamp remains illuminated for a few seconds before
automatically switching OFF.

Prolonged lighting without allowing sufficient time for the lamp to cool
Warning causes the collimator to overheat in the internal area near the lamp.

The exposure field is adjusted by setting the two knobs. The Table on the Collimator panel shows the number
to set with the knobs to open the blades according to the SID and cassette size to be used.

Collimator Knobs

Collimator Lamp S/W

Collimator Lamp Switch;


This Switch is used to turn on the lamp during 30 sec and more.

Collimator Knobs;
This Knob to open or close the collimator blades.

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9. Portable X-ray Detector (Option)

1) Detector; 14×17
This unit can generate images of any part of the body. This X-ray imaging system consists of a scintillator
directly coupled to an A-Si TFT sensor. It makes high-resolution, high-sensitive digital images.

Product Components

• Detector

• Power Box

• Cable; 1Gbps Ethernet Cable, Trigger Cable, Detector and Power Box Link Cable, AC Power Cord

Components Description

< Detector >

1. Detector Cable; Connect this cable to the power box


2. Grip; Hold this grip when carrying the sensor unit
3. LED Indicator; The LED indicates the state of detector
- Green On; Power is on.
- Blue Blinking; The detector getting prepared to work and sensor initialize.
- Orange; The detector is ready to exposure.
4. Detecting Area; The part of the patient’s body to which an image is to be taken should be
placed against this plate

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< Power Supply >

1. Data Cable Connector; Ethernet port for transmitting the image between detector with
workstation.
2. Sensor Cable Connector; Connect with the detector cable.
3. Trigger Connector; Connect with the X-ray trigger cable to sync. With X-ray exposure.
4. Power Plug Connector Connect with power plug.
5. Power Switch; Power On / Off switch.

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2) Detector; 12×10
This unit can generate images of any part of the body. This X-ray imaging system consists of a scintillator
directly coupled to an A-Si TFT sensor. It makes high-resolution, high-sensitive digital images.

Product Components

• Detector

• Power Box

• Cable; Ethernet Cable, Trigger Cable, Detector and Power Box Link Cable, AC Power Cord

Components Description

< Detector >

1. LED Indicator; The LED indicates the state of detector


- Green On; Power is on.
- Blue Blinking; The detector getting prepared to work and sensor initialize.
- Orange On; The detector is ready to exposure.
- Blue Om; Error has occurred.
2. Grip; Hold this grip when carrying the sensor unit
3. Detector Cable; Connect this cable to the power box
4. CFRP (Carbon Fiber The part of the patient’s body to which an image is to be taken should be
Reinforced Plastic); placed against this plate.

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< Power Supply >

1. Power Indicator; The LED indicates the state of power supply


2. Trigger Connector; Connect with the X-ray trigger cable to sync. with X-ray exposure
3. Sensor Cable; Connect with the detector cable
4. 115/230V Select Switch; 110V or 220V select (within 115V±10%, 235V±10%)
5. Power Switch; Power on/off switch
6. Power Plug Connector; Connect with power plug
7. Data Cable Connector; Ethernet port for transmitting the image between detector with
workstation

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PART 4. Control Console

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1. Control Console

All controls, indicators and displays located on the Control console are positioned depending upon their
functions.

The Radiographic module consists of; Power On / Off, Bucky / No Bucky Selection, Focal Spot Indicators,
RAD Displays, Controls to Increase or Decrease the Radiographic Parameters, Self-diagnostics and X-ray
Exposure Status Indicators.

16 9 10 22 23 11 12 1 2

3 4 5

8
13 14 15 18 19 20 17 21 24 7

1 Power on switch 14 APR exposure region selection/display


2 Power on switch 15 APR exposure direction selection
3 kV Display Segment 16 Patient size selection and memory
4 kV Setting Switch 17 AEC Reset/ mode display
5 mAs/sec Setting Switch 18 Backup release switch
6 mAs/sec Setting Switch 19 Density setting/display switch
7 X-ray Exposure Ready Switch 20 Bucky selection/display
8 X-ray Exposure Switch 21 AEC mode and field selection switch
9 “OVER” Display (Red) 22 Small focus display
10 “ERROR” Display (Red) 23 Large focus display
11 X-ray Exposure ready sign 24 AEC film/screen combination selection
12 X-ray Exposure Display (Yellow)
13 APR Menu Selection Switch

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1) Power On Switch

Turn on the power of generator

2) Power Off Switch

Turn off the power of generator

3) kV Setting/Display Segment

Up-Button increases the kV value of tube voltage whereas Down-Button decreases kV. If you keep buttons
pressed, the value of KV will be increased or decreased continuously.

4) mA Setting/Display Segment

Up-Button increases the mA value of tube voltage whereas Down-Button decreases mA. If you keep
buttons pressed, the value of mA will be increased or decreased continuously.

5) mAs/Sec Setting/Display Segment

Up-Button increases the mAs/sec value of tube voltage whereas Down-Button decreases mAs/sec. If you
keep the button pressed, the value of mAs/sec will be increased or decreased continuously.

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6) mAs/Sec Selection Switch

The mAs or sec radiography mode is selected.


The selected radiography mode is displayed with LED.

7) X-ray Exposure Ready Switch

It circulates the rotor and controls the heat of the filament that makes ready actions for the x-ray exposure.

8) X-ray Exposure Switch

Press the exposure switch after the ready sign is lighted on.

9) “Over” LED (Red)


The over LED is lighted on when the exposure conditions exceeds the normal standards.
You cannot make exposure while the over LED is lighted on.

10) “Error” Indication (Red)


The LED is lighted in case of errors.

11) X-ray Exposure Ready LED (Green)


The exposure ready sign is lighted on when it is at the ready condition.

12) X-ray Exposure LED (Yellow)


The X-ray exposure sign is lighted on during the X-ray exposure.

13) APR Mode Setting Switch


It operates the on/off of the APR mode.

14) APR Exposure Region Selection/Display switch


It operates the selection of exposure regions and the selected location will be displayed on the LED.

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15) APR Exposure Direction Setting Switch

It operates the selection of exposure directions the selected direction will be displayed on the LED.

16) Patient Size Selection and Memory Switch

It operates the selections of patient size. The selected size will be displayed on the segment.
Save the changed APR conditions by pressing the size switches.

You can set the exposure conditions (kV, mA and mAs/sec) by selecting the exposure regions, direction
and patient size. Each condition can be changed and stored by the exposure size switch.

17) AEC Reset/Mode Display Switch

If the x-ray exposure is closed early by the AEC backup timer, the AEC mode LED will blink off and the
buzzer sounds. The next exposure is forbidden until the reset switch is pushed.

18) Backup Release Switch

Release the back-up conditions.

19) Density Setting/Display Switch (AEC/APR mode)

It selects the density level of the exposure and increases or decreases the mAs/sec under the APR mode.

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20) Bucky Selection/Display

Select and display BUCKY1 (table) and BUCKY 2(stand).

21) AEC Mode and Field Selection Switch

It selects the field on the AEC mode. Each LED represents the physical location of irradiation detector
and the combination of designated field is available.

22) Small Focus Display (Green LED)


It is displayed when the small focus is selected.

23) Large Focus Display (Green LED)


It is displayed when the large focus is selected.

24) Film/Screen Combination Selection

It operates the adjustment of kVp and divided by low speed, medium speed and high speed (200, 400,
800)

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2. Touch Screen Control Console (Option)

1 2 3 4

7
5 6

9
8

10

12 11

13

14

18
15 16
17

1 Power on switch 11 mAs/Sec Setting Switch


2 Power on switch 12 mAs/Sec Selection Switch
3 Mode Display Window 13 Density Setting/Display Switch
4 Program Exit Switch 14 AEC Field Selection Switch
5 Mode Selection switch 15 Bucky Selection Switch
6 APR Exposure Region Selection 16 Rotor Speed Selection Switch
7 Patient Size Selection Switch 17 X-ray Exposure Ready Switch
8 APR Exposure Direction Selection 18 X-ray Exposure Switch
9 kV Setting Switch
10 mA Setting Switch

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1) Power On Switch

Turn on the power of generator

2) Power Off Switch

Turn off the power of generator

3) Mode Display Window

Inform selected mode. Also

4) Program EXIT Switch

Exit the touch screen control console.

5) Mode Selection Switch

It operates the selection of the RAD mode, APR mode and CAL mode.

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6) APR Exposure Region Selection

It operates the selection of exposure regions.

7) Patient Size Selection Switch

It operates the selections of patient size. The selected size will be displayed on the segment.
Save the changed APR conditions by pressing the size switches.

You can set the exposure conditions (kV, mA and mAs/sec) by selecting the exposure regions, direction
and patient size. Each condition can be changed and stored by the exposure size switch.

8) APR Exposure Direction Selection

It operates the selection of exposure directions.

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9) kV Setting Switch

Up-Button increases the kV value of tube voltage whereas Down-Button decreases kV. If you keep buttons
pressed, the value of KV will be increased or decreased continuously.

10) mA Setting Switch

Up-Button increases the mA value of tube voltage whereas Down-Button decreases mA. If you keep
buttons pressed, the value of mA will be increased or decreased continuously.

11) mAs/Sec Setting Switch

Up-Button increases the mAs/sec value of tube voltage whereas Down-Button decreases mAs/sec. If you
keep the button pressed, the value of mAs/sec will be increased or decreased continuously.

12) mAs/Sec Selection Switch

The mAs or sec radiography mode is selected.


The selected radiography mode is displayed with LED.

13) Density Setting/Display Switch

It selects the density level of the exposure and increases or decreases the mAs/sec under the APR mode.

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14) AEC Field Selection Switch

It selects the AEC Field.

15) Bucky Selection Switch

It select AUX, BUCKY1 (table) and BUCKY 2(stand).

16) Rotor Speed Selection Switch

It selects Rotor Speed (Low), Rotor Speed (High).

17) X-ray Exposure Ready Switch

It circulates the rotor and controls the heat of the filament that makes ready actions for the x-ray exposure.

18) X-ray Exposure Switch

Press the exposure switch after the ready sign is lighted on.

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3. DR Console Software

Feel-DRCS is the DR Console or DR Control Software that acquires image from the DR Detector like flat
panel or CCD, processes rapidly for clinical application, and provides DICOM services for the integration
with PACS system.

Software Configuration

1) Worklist
Through DICOM Worklist, you can input the patient information, integrated with hospital information
system (HIS) or input the patient information manually.

2) Browser
It shows the list of stored images after acquisition. You can open the images to edit, to send to the PACS
sever, and to print out.

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3) Review
You can take images according to the information selected from the Worklist and edit after retrieving
images stored in the browser. There are the generator tab for controlling the generator and the process tab
for editing images.

4) Config
You can do configuration for functions and information for Feel-DRCS.

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4. Heat Units

This X-ray Generator is equipped with a Heat Unit calculator. During exposures, the Heat Units are
calculated and totaled.

To view the remaining Heat Units, press and hold the “On” push –button. The kVp Display shows the
percentage of Heat Units that remain preceded by the letter.

5. Self Diagnosis Indicators

Error Indicator:
Light when a malfunction is detected in the system, alerting the operator that one of the following error
inhibits X-ray exposures. During normal operation of the system, these error indicators are directly shown on
the APR display or as an error code on the kVp Display.

Tube Overload:
Indicates that either technique selected is beyond the X-ray Tube ratings or the present conditions of the X-
ray Tube inhibit the exposure (heat units close to zero). Reduce exposure factors or wait for the X-ray Tube to
cool.

Generator Overload:
Indicates that the exposure was interrupted because arcing malfunctioning occurred during exposure on the
HV circuitry (X-ray Tube, HV Transformer and/or HV Cable) or a failure of IGBT Module (overheated or
defective IGBTs) was detected.

It can also appear when making when making a lengthy or high powered exposure with the X-ray Tube cool
(X-ray Tube has not been sufficiently warmed-up).

Rotor Error (ROTOR):


Indicates that the X-ray Tube anode is not rotating while “prep” is active, then exposure is inhibited.

Heat Unit (HEAT):


Indicates that the X-ray Tube thermostat /pressure stat is open due to overheating of the Tube housing
(housing is too hot; wait for the housing to cool) or to a thermostat / pressurestat malfunction (housing is
cool). Heat units may rise to any value.

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Technique Error (TECH):


If activated during exposure it means that;

Exposure has been interrupted by the “security timer” because of a failure in


Warning the system. Turn the generator off and call field service.

This error can be also shown after an APR technique selection to advise that exposure parameters displayed
on the Consol are not the values stored for this APR technique. Exposure parameters are adapted by the
Generator to enable other permitted values.

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6. Error Codes

Error codes indicate the potential cause of a system failure. They are intermittently shown on the kVp
Display at the same as alarm sounds. In general, to remove the error indication on the Console keep presses
the “AEC Reset” push- button till the alarm goes off.

All these error codes are preceded by the letter “Err” and they will enable the operator to indirectly convey
the possible source of error to service personnel. This may prevent the need for a service call or enable
service personnel to anticipate corrective actions prior to arriving on site.

Error Codes

Error Code DESCRIPTION ACTION


Err 01 Charge Monitor Error (HT-Cont)
Err 02 Over Time Error (OP Panel) at Stand-by RESUPPLY OF
Err 03 Ready Out Signal Error at Sand-by THE POWER
Err 04 X-ray Out Signal Error at Stand-by
Err 05 Ready Switch Input Error at Stand-by
Err 06 X-ray Switch Input Error at Stand-by
Err 07 Hand Switch Input Error at Stand-by
Err 08 Hand Switch X-ray Input Error at Stand-by
Err 09 Rotor Detecter Signal at Stand-by
Err 10 Filament Current Detecter Error at Stand-by
Err 11 ‘kV Feedback Error at Stand-by
Err 12 ‘mA Feedback Error at Stand-by
Err 13 Rotor Detecter Error at Exposure
Err 14 Filament Cureent Detecter Error at Exposure
Err 15 ‘kV Feedback Error Detecter Error at Exposure
Err 16 ‘mA Feedback Detective Error Exposure
Err 17 Not Defined
Err 18 X-ray Time Over in sec Mode
Err 19 X-ray Time Over in mAs Mode
Err 20 X-ray Time Over in ACE Mode
Err 21 HV Interlock Error
Err 22 IGBT Feedback Error
Err 23 ‘kV Feedback Over Detecter Error at Exposure
Err 24 ‘mA Feedback Over Detecter Error at Exposure
Err 25 No Zero-Cross or No Input
Err 26 Zero-Cross Over or Wrong Input Frequency
Err 27 Bucky 1 Ok Signal Error (HT-Cont)
Err 28 Bucky 2 Ok Signal Error (HT-Cont)
Err 29 AEC A/D Data-In Error (HT-Cont)
Err 30 AEC A/D Data-In Error (HT-Cont) at Non-Exposure
Err 31 I/F Board Condition Error
Err 32 AEC Board Condition Error
Err 33 Small-Focus Selection Error (HT-Cont)
Err 34 Large-Focus Selection Error (HT-Cont)

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Check Codes

CHECK CODE DESCRIPTION Measure


Ch 01 Tube Thermostat operation Reset
Ch 02 When another switch is pushed during exposure Release by
Ch 03 When ready switch on OP PANEL is detached during exposure “WR” switch
Ch 04 When X-RAY switch on OP PANEL is detached during exposure
Ch 05 When a hand switch (ready) is detached during exposure
Ch 06 When a hand switch (X-RAY) is detached during exposure
Ch 07 Shortage of power-supply capacity for exposure Power-supply
re-switch
Ch 08 Simultaneous exposure prohibition Reset
Ch 09 Warning to X-rays room door opening
Ch 10 AEC Level Error

۞ CH01 is will be released if the TUBE terminals switch is off, in case resupply of the power.

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PART 5. Operating Sequences

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1. Start-Up Routine

Power Storage Unit Type


1) Plug your Power Cord.
2) Turn on AC Power in Upper Panel.
3) Turn on DC Power in Upper Panel
4) Turn on Control Console.

Non-Power Storage Unit Type


1) Plug your Power Cord.
2) Turn on Control Console.

Do not use the Power Switch in DM-525MR & DM-525MR.


Warning Use the Power Switch in DM-100MR & DM-200MR.

After turning ON the Console, the Generator will go through a start-up routine conducting an automatic self-
test that will show information usable only by service personnel.

After the power-up has been completed the Console should display normal radiographic factors. If there is a
malfunction, error messages will be displayed on the RAD kVp display specifying the fault.

Some indicators on the Console are used to provide service information


during the start-up process. These indicators should be ignored by the
Note operator until the unit has completed its power-up sequence.

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2. X-ray Tube Warm-Up Procedure

Before effecting X-ray exposure ensure that the Tube is properly warmed-
Caution up. Make sure that no persons will be inadvertently exposed to unnecessary
X-rays during this procedure.

Routine exposure should not be effected unless the tube is previously warmed-up, this prolongs X-ray tube
life.

It is recommended that the following procedure will be performed for X-ray Tube warm-up, at the start of
each day and when the Tube selected has not been in use for approximately one hour.

This warm-up procedure is used for a typical X-ray Tube. Consult the X-ray
Tube manufacture instructions for the actual Tube in use, comparing its
Caution
recommendations with this procedure. If there is conflict with this
procedure, comply with the Tube manufacturer`s instructions.

Perform X-ray Tube warm-up as follows.

• Close the collimator blades fully.

• Select 70kVp, 50mAs, 200mA and 250ms exposure.

• Insure that no one will be exposed.

• Make a total of three exposures, 15 seconds apart.

Excessive filament evaporation shortens X-ray Tube life.


Caution Minimize evaporation by keeping Exposure “preparation Time to an
absolute minimum.

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3. Radiographic Operation

RAD operation can be performed in the following modes:

• Three point control by selecting kVp, mA and Exposure Time independently.

• Two point control by selecting kVp and mAs independently. mAs selecting sets the maximum mA
available for the selected Focal Spot and the respective Exposure Time. In this control mode, when kVp
value is increased, the Generator will automatically look for the adequate combination of mA and
Exposure Time factors to avoid the “Tube Over load” warning, keeping constant mAs.

• One point control by selecting kVp, AEC operations (AEC is option)

• Anatomical programs (APR).

A typical RAD examination sequence is indicated below:

1. Make sure that the X-ray Tube is properly warmed-up.

2. Position the patient for the examination.

3. Select the “Workstation” and technique parameters using the controls on the Console.

4. Instruct patient to maintain the required position. Prepare the X-ray Tube by pressing the Hand switch
button to the “Prep” position and maintain it until the “Ready” indicator is illuminated.

5. Instruct patient to remain still and to hold his breath as required, then make the X-ray exposure by
pressing the Hand switch button fully to the “EXP” position and maintain it throughout the exposure.
The “X-ray On: indicator will light and an audible signal will sound during the exposure.

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4. AEC Operation (Option)

The proper use of AEC requires accurate patient positioning. For examination using AEC, the operator will
need to select the desired AEC parameters as follows:

1. Make sure that the X-ray Tube is properly warmed-up.

2. Position the patient for examination.

3. Select the workstation and activate the AEC mode.

4. If required, choose another “Film Screen Combination” and adjust the “Film Density” (“0” is the normal
setting).
5. Select the technique parameters (back-up time /mAs) using the controls on the Console.

6. Continue with the normal procedure for a typical RAD examination.

5. APR Operation

An examination using an APR technique could consist of the following:

1. Make sure that the X-ray Tube is properly warmed-up.

2. Position the patient for the examination.

3. Select the “Patient Size” corresponding to the patient anatomy. This operation starts the APR mode.
Select the “Pediatric” button if the patient is not an adult.

4. Select a general “Body Region” and an “Anatomical View” of the indicated on the APR Display.

5. Technique parameters, focal Spot, AEC, etc… corresponding to the APR selection are display and
indicated on the Control Console. If needed, the parameters and selections can directly modified by the
operator.

6. Continue with the normal procedure for a typical RAD examination.

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6. DR Console Operation

Simple Workflow

An examination using an DR Console technique could consist of the following:

1. Login
• The program start.

2. Worklist
• Select one or multiple study list.
• Auto input at ER

3. Exposure
• Auto or manual selection study items
• Exposure after check of Condition
• Re-exposure or save after check of image
• Add study, if need adding study
• End of study

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4. Browser
• Check image or count of image
• Merge check for several study
• Delete or change needed image
• Editing Study and Patient Info.

5. Review
• Review and edit image
• Use measurement tool
• Review image at another monitor.

6-1. Login
The program starts.

From the desktop, double-click “Feel-DRCS” icon to execute the program. Put the operator name and
password from the login screen and click “OK” to start the program.
Check the connection status with detector and generator after login and put the color value connected with
each part of the screen.

You can ordinary user account or ordinary manager account at the hospital.
Note The “supervisor” account is for A/S engineers.

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6-2. Worklist
You can retrieve the study from the Worklist and .display on the screen. You can also input manually. You
can move to the study mode by double-clicking the patient information of the list or clicking the study
button.

In the case of “ER”, you need to set ER001 special code in the code
manager in advance to move to the study mode after creating ID, password
Note and so on automatically. Here you input the study body part, study
conditions and so on for the study settings.

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6-3. Exposure
You can manipulate by pushing the Generator button when the generator integrated. You can change
dosage and also AEC environment when AEC supported.

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6-4. Browser
The browser mode works as database viewer in order to review saved image data. In this mode, you can
query in various ways, X-ray again, and change the sequence of the image. You can also send to PACS or
backup and restore.

If you execute the browser mode, you can not see the image on the image
display list at the early stage. That is because it is not selected from the list
Note Patient / Study / Series. Therefore, you need to select to display from the list
of Patient / Study / Series.

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6-5. Review
Under the Review mode, you can use the Exposure screen for examining in the Worklist and also Review
mode for checking and editing images in the browser.

[From Worklist / Browser to Exposure]

[Review Mode]

The difference is whether or not it acquires additional images. In the case


that study mode is taken in the Review mode, it is to expose the acquired
Note images again.

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PART 6. Periodic Maintenance

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1. Periodic Maintenance

In order to assure continued safe performance of the equipment, a periodic maintenance program must be
established. It is the owner`s responsibility to supply or arrange for this service.

There are two levels of maintenance, the first consists of tasks which are performed by the user/operator, and
the second are those tasks to be performed by qualified X-ray service personnel.

The first periodic maintenance service should be performed six(6) months after installation, and the
subsequent services at twelve(12) month intervals.

The manufacturer undertakes to have available spare parts for this equipment at least for five (5) years the
unit manufacturing.

2. Operator Tasks

Tasks of the periodic maintenance shall include the following items:

Do not remove any cover, disassemble or manipulate internal components in


Danger the unit. These actions could cause serious personal injuries and / or
equipment damage.

Warning Never attempt to clean any part of the unit when it is switched on.

1. Switch the equipment OFF. Remove unplug it from the mains.

2. Externally, check the proper cable connections between each major component.

3. Clean the equipment frequently, particularly if corroding chemicals are present. Clean external covers
and surfaces, especially parts in contact with patients, with a cloth moistened in warm water with mild
soap. Wipe with a cloth moistened in clean water. Do not use cleaners or solvents of any kind.

3. Service Tasks

Only service personnel specifically trained on this medical X-ray equipment should work on service task or
maintenance of the equipment.

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PART 7. Technical Specifications

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1. Technical Specifications

Mobile X-ray System

Model DM-525MR
Power Rating 20kW 32kW 40kW
40-125kV 40-125kV 40-125kV
kV (Accuracy)
(±5%+1KV) (±5%+1KV) (±5%+1KV)
10,12.5,16,20,25,32, 10,12.5,16,20,25,32,
10,12.5,16,20,25,32,
40,50,63,80,100,125, 40,50,63,80,100,125,
mA Range 40,50,63,80,100,125,
160,200,250,320, 160,200,250,320,
160,200,250mA
400mA 400,500mA
Generator
mA Accuracy ±5%+1mA ±5%+1mA ±5%+1mA
Time Range 1ms-10sec 1ms-10sec 1ms-10sec
mAs Range 0.4-320mAs 0.4-500mAs 0.4-500mAs
APR 216 216 216
Buckies 2 Buckies 2 Buckies 2 Buckies
Line Power 220/240V, 50/60Hz, 1
Line Compensation ±10%
Type Rotating Anode Type
Tube Voltage Radiographic; 40 – 150kV, Fluoroscopic; 40 – 125kV
X-ray Tube Focal Spot 0.6mm × 1.2mm
Target Angle 12 Degree
Weight 18Kg
Lock Electromagnetic
Vertical Movement 600 – 2000mm
Tube Stand
Lateral Movement 1000mm
Rotating Movement ±180º at each 90º
Handle Bar Angle Indication ±180º
Collimator Manual Driven AC24V, 150W
HT Cable Federal Ends 2.5m × 2
Mobile Cart Transportation Motor Driving with Storage Box
PSU Type Capacitor Bank
Size 14” × 17”
Pixel Matrix 2400 × 2880
Detector Pixel Area 362 × 432mm (Active Area)
Resolution 3.3lp/mm
Dimensions 491 × 480 × 15mm
Acquisition Time After image process, 5sec
Console Matrix Resolution 16:9 or 16:10 ratio display
PC OP
Software Modality Type Support CR & DR
DICOM DICOM 3.0 Standard Support
Processor Intel Pentium Intel Core 2 Duo or later
RAM 2GB RAM or more
Workstation HDD 500GB or more
Video Card 1280 × 1024 pixels
Operating System Window 7 SP1
Size 17Inch Touch Screen Monitor
Monitor
Resolution 1280 × 1024 pixels
Dimensions - 1618L×615W×1595H
Net Weight - Approx. 350Kg

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Portable X-ray Detector

Model DMC-14DR DMC-12DR


Pixel Matrix 2400 × 2880 2080 × 2560
Pixel Area (Active) 360 × 432mm 264 × 325mm
Pixel Pitch 150um 127um
A/D Conversion 14-bit 14-bit
Grayscale 16384 16384
Detector Dynamic Range > 1400LSB > 73dB
Resolution 3.3lp/mm 3.9lp/mm
Energy Range 40 ~ 150kVp 40 ~ 150kVp
Data Output Ethernet 1.0Gbps Ethernet 1.0Gbps
Dimensions 491 × 480 × 15mm 422 × 403 × 22mm
Weight 3.8Kg 3.4Kg
Detector Voltage +24, +30, +5, -15VDC 24V
Model DMC-14PSU DMC-12PSU
Dimensions 154 × 247 × 64mm 310.5 × 224 × 72mm
Power Supply Power Consumption 50W (Max. 1.6A) 50W
Weight 2.23Kg 4.15Kg
Power 110 ~ 240VAC, 50 / 60Hz 110 ~ 240VAC, 50 / 60Hz

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2. Dimensions

Mobile X-ray System

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Portable X-ray Detector

Detector [DMC-14DR]

Power Supply [DMC-14PSU]

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Detector [DMC-12DR]

Detector [DMC-12PSU]

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PART 8. Schematic

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Block Diagram

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PC Interface

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Cap Bank

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