Innomed Medical TOP-X 100NR, User Manual

Page 1: ...HIGH FREQUENCY X RAY GENERATOR MODEL TOP X 100NR USER MANUAL Manufacturer Innomed Medical Inc 1146 Budapest Szabó József u 12 Hungary Tel 36 1 460 9200 Fax 36 1 460 9222 www innomed hu D 0603 EN F 28 04 2010 ...

Page 2: ...ction 18 6 3 Verifying the exact operation of the AEC 19 7 Parameter setting in manual operating mode 20 7 1 Radiation parameter setting 21 7 1 1 Setting exposure X ray tube voltage kV 21 7 1 2 Three point mode mA ms setting 21 7 1 3 mAs mode or two point mode 22 7 1 4 PATIENT Patient size 22 7 2 Examination device X ray tube and focal spot selection 23 7 2 1 TECHNIQUE examination device 23 7 2 2 ...

Page 3: ...ital image storage from fluoroscopic operating mode 34 8 5 Fluoroscopic parameter setting on the control panel 35 8 5 1 Displaying fluoroscopic parameters on the control panel 35 8 5 2 Setting fluoroscopy x ray voltage kV 36 8 5 3 Setting fluoroscopy x ray current mA 36 8 5 4 Fluoroscopy time 36 8 5 5 Zoom 36 8 5 6 Video modes 37 8 5 7 Impulse fluoroscopy operating mode 37 8 5 8 Automatic brightne...

Page 4: ...generator must be installed checked and maintained according to the following document and references R 2622 TOP X 100NR HIGH FREQUENCY X RAY GENERATORS TECHNICAL MANUAL AND INSTALLATION GUIDE Only personnel properly trained in X ray technology may perform any servicing on the generator During normal operation the generator does not emit any environmentally dangerous substances The oil in the gene...

Page 5: ... The configuration containing the anatomical programs can contain up to 1700 pre programmed automatic recording settings The settings are grouped by body parts selection of a body part menu allows the selection of sub body parts If required the settings can be modified manually 3 point kV mA time and 2 point kV mAs The TOP X 100NR X ray generator has the following main parts control panel power un...

Page 6: ...7 28 29 30 31 32 33 34 35 36 37 38 39 A B C D E F In the rest of the manual the above image is referenced by the button and display identifying number or letter For example 8 B Make sure the generator and its parts control panel are always clean For the proper cooling of the power unit the vent openings must be open at all times Do not cover it with a tablecloth or place other items on it even tem...

Page 7: ... display layout Manual parameter setting Ready for use Other settings Other fluoro settings Fluoroscopic X Ray tube voltage Heat being stored in X Ray tube Cooling time Fluorocsopic X Ray tube current Actual fluoro settings Error information display ...

Page 8: ...es when it is off but the input mains presented When turning the generator on a process starts during which the control panel the X ray controller and the generator controlled parts are placed under voltage As a first step the generator performs a self test procedure Parameters may be set after the default settings 80kV 100mA 100ms appear on the LED displays B C D Exposure can be started when the ...

Page 9: ...re time The input heat from rotation and from exposures and the cooling period considering the thermal energy in the anode and in the housing This is calculated exactly even if the generator is turned off and turned back on much later This is called the heat unit HU calculation The cooling period of the track the anode s most loaded part during exposure This is called wait time To prevent overload...

Page 10: ...0 exposures Overloaded exposures This contains the exposures that had HU value over 100 at the moment of exposure or the WAIT time did not reach zero Its capacity is approximately 300 exposures A PC based service program can be used to view the logs If any of the logs are full the oldest exposure s data is deleted overwritten with the newest ones For both of the above cases exposure is not disable...

Page 11: ...emains disabled Another exposition can only be made after turning the generator off and on again 4 3 Types of errors The errors are grouped by their fatality The READY script on the console display means that no error happened disabling the generator operation so the generator is ready for use 4 3 1 Limit control The warnings displayed when reaching the load limits of the X Ray tube or the generat...

Page 12: ...n progress is interrupted Mostly caused by a system state that is dangerous to the generator or the connected equipment or makes the further use impossible E g No current on the selected filament The READY script changes to ERROR 4 3 4 Safe mode Gross errors the high power parts of the generator must be deenergised in order to avoid damage E g Communication with the fluoro remote controller is int...

Page 13: ...ware 4 5 Service contact Please contact the nearest service in case of errors which make the use of the generator impossible or are not caused by improper use Please inform the service person about the code of the error which is located after the name of the error in round brackets E g Remote comm error 98 0 4 6 Basic errors A list of errors that can appear during normal operation Error code Descr...

Page 14: ...ion chamber has not received sufficient amount of X Ray Check the X Ray parameters set and that the sensitive areas of the ionization chamber receive X Ray properly 71 0 The other exposure button must be used in the current configuration 76 0 Preparation longer than 10 seconds 106 0 Attempt to start a tomographic exposure but the tomo mode was not selected on the device there is no tomo ready sign...

Page 15: ...rogram is displayed sub body part selection including settings all program related settings appear on the control panel displays Selecting an anatomical program APR always means the automatic setting of the next parameters in this example at the SKULL AP kV 70kV mAs 40mAs Device TECHNIQUE Vertical Bucky stand Grid use GRID Grid is used High speed starter HS Not used Tube TUBE Tube 1 Focal spot FOC...

Page 16: ... be used kV up down 34 35 mA up down 36 37 mAs up down 36 37 sec up down 38 39 Using these buttons will switch the generator into manual mode in other words an operating mode with free parameter setting see section 2 2 In this case all parameters can be changed freely within the limits of the tube and generator Use the APR SET button 8 to return to the main APR menu After exposure the console retu...

Page 17: ...he RAD parameter displays C D only indicate the maximum value the generator will allow during exposure If this exposure time value or the mAs value is reached during exposure the generator will turn off exposure These are the so called backup values These are protections in case the AEC function is not operational This can happen for example if X ray radiation does not reach the ionization chamber...

Page 18: ...etail The high sensitivity screen film combination requires less dosage but the resulting film resolution is lower The lower sensitivity requires a higher dosage but the film quality and resolution is very good The user decides what type of screen and film to use considering the examination characteristics and other conditions H M or D type is set accordingly on the console The generator automatic...

Page 19: ... radiation period longer than 50ms and shorter than 1s Place a 15cm water phantom in the radiation s path After development compare this film to the film made during calibration The optical density can only deviate by 0 15 between the two films Selecting the correct screen type on the control panel in AEC mode is extremely important because when determining the required dosage the generator takes ...

Page 20: ...ble push the MODE button 33 once To make the related current mA and time values visible in two point mode or mAs mode push the MODE button again The basic principle of exposure parameter setting is that exposure quality is generally affected by two factors X ray tube voltage kV and the current time product mAs With a given mAs value the X ray tube current mA and exposure time values are secondary ...

Page 21: ...is results in decreasing maximum mA setting 7 1 2 Three point mode mA ms setting Using the mA up 37 and mA down 36 buttons changes the mA value Changing the mA value happens in preset steps Warning When changing mAs mA does not change according to the preset steps because in those cases the time step is determining and mA is determined by the generator by dividing mAs by time For this reason it is...

Page 22: ...wing steps mAs steps mAs 0 5 0 6 0 8 1 1 2 1 6 2 2 5 3 2 4 5 6 3 8 10 12 16 20 25 32 40 50 63 80 100 125 160 200 250 320 400 500 630 800 1000 7 1 4 PATIENT Patient size Patient size is mainly used to correct parameters set in APR mode If the patient is fatter or thinner than average or the patient is a child use one of the patient buttons 21 24 In this case you can see that the exposure voltage kV...

Page 23: ...evice 7 2 2 BUCKY grid symbol Use this button 31 to select whether you would like to use the device with or without grid Exposures without a grid require lower kV and decreased mAs due to the decrease of filtering the generator automatically changes these values in APR mode 7 2 3 HS high speed If the generator has a high speed starter and the HS mode is configured for the selected device the butto...

Page 24: ...ssible if the set parameters are allowed at both focal spot settings In mAs mode when using the FOCUS button if the selected parameter combination is not allowed with the selected focal spot the generator will try to recalculate the current mA and time s values without changing the mAs value In this case the mAs and the kV values are not changed In three point mode manual focal spot selection is o...

Page 25: ... held exposure switch Pushing the PREP button prepares the generator When preparation is done the PREP symbol E turns on and the exposure can be made with the button marked EXP in 9 seconds The preparation period is usually between 1 and 2 seconds set during the installation of the generator according to the applied X ray tube and examination device You can also make an exposure by pushing and hol...

Page 26: ...MED ME DICAL REC 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 A 8 2 Power on When turning the generator on see chapter 2 the Innomed logo appears on the display A and the controller loads the character sets needed for display a status line at the bottom of the screen indicates the current status The main screen only appears after the generator has turned on completely ...

Page 27: ...ions The demo operating mode is only for demonstration purposes and cannot be accessed on controllers connected to operating generators If the controller does not operate correctly when reconnected to the generator please contact our nearest service office You can also access the above window during normal operation to set the display parameters Press and hold the time reset button 10 see section ...

Page 28: ...2 to set this value Continuously holding one of these buttons increases decreases the value in steps of 1kV within the allowed limits The kV value on the control panel s kV display will be also refreshed 8 3 2 mAs mode or two point mode Using the mAs up mAs down buttons 13 14 changes the mAs value Continuously holding one of the mAs buttons changes the value according to predefined steps Pushing t...

Page 29: ...back button 5 8 3 4 Selecting anatomical program Pushing the MENU 8 then the APR 7 buttons displays the window containing the main body parts the same as on the main operator console Similar to the control panel selecting the appropriate exposure program from the main and sub body parts returns you to the main window where you can see the ...

Page 30: ...dified by changing the mA 8 4 2 Fluoroscopic x ray anode current mA setting Use the fluoro mA up 13 fluro mA down 14 buttons to change this value Continuously holding one of these buttons increases decreases the value in steps of 0 1mA within the allowed limits Changing the mA value does not affect the kV value 8 4 3 Fluoroscopic time The timer on the display indicates the accumulated fluoroscopic...

Page 31: ...tions if it is not controlled from the examination table You can select from normal up to max four magnified image displays depending on configuration When magnifying the fluoroscopic current automatically increases The number written into the II symbol on the LCD is proportional to the selected zoom factor 8 4 5 Video modes Further image settings are available in the Video options 8 submenu of th...

Page 32: ...t is unnecessary to continuously load the patient with radiation while the camera providing the video signal on max 25 images per second If radiation is emitted only for a short time at the moment of image storage and there is a longer pause until the next storage the result is a live image similar in quality to continuous fluoroscopy but the patient s radiation dosage is decreased to a fragment Y...

Page 33: ...cy will increase or decrease release the button when the desired frequency is reached If you press and hold the impulse button 9 again the frequency will change in the other direction The adjustable impulse frequency steps are set at installation 8 4 7 Automatic brightness setting ABS Based on the brightness signal received from the TV chain and independently from the radiation absorption of the e...

Page 34: ...e change of fluoroscopic current In case of starting with default parameters the controller can adjust to the required brightness typically in 1 second 8 4 8 Digital image storage from fluoroscopic operating mode In fluoroscopic mode pushing the REC button 15 creates digital images storage Image storage settings may be changed in the Spot Parameters submenu 9 of the MENU 8 ...

Page 35: ...ossible on the remote controller are also available on the console Further possibilities are described in chapter 8 4 8 5 1 Displaying fluoroscopic parameters on the control panel With the exception of the APR screen the fluoroscopic parameters are always visible on the control panel On the left side of the display is the x ray tube fluoro voltage on the right the fluoroscopic x ray current and in...

Page 36: ...h the soft buttons next to the fluoro mA Use 19 button next to the symbol to increase the value and 20 to decrease it Continuously holding the buttons changes the value within the allowed limits in 0 1mA steps 8 5 4 Fluoroscopy time The clock on the display indicates fluoroscopy time and only operates when x ray emits from the tube The timer can be reset with the soft button 8 next to the timer re...

Page 37: ...ext to the Video options 9 label The following screen appears Next to the pictograms on the right side of the screen is the state of the appropriate functions If you push any of the soft buttons next to them 15 16 17 the function state changes So if it was on it changes to off and vice versa 8 5 7 Impulse fluoroscopy operating mode To set impulse operating mode you have to enter the menu with the ...

Page 38: ...lse operating mode Frequency begins to increase if you push the button on the right 16 and decrease with the button on the left 10 Release the button when the desired frequency is reached The available impulse frequencies are set at installation time Push the back button 12 to exit from this menu 8 5 8 Automatic brightness setting ABS This function can be activated by pushing the soft button next ...

Page 39: ...oscopy In rapid mode the recordings are also made at the set frequency but during the full time the REC button is held down In single mode one record is made Recording mode is set with the soft button next to the Spot mode label 9 Image recording frequency is increased or decreased with the soft buttons 10 16 to the right and left of the Spot frequency label The available image frequency values ar...

Page 40: ... the cleaning substance or water flows or splashes into the device and that none of the cleaning substance remains on the surfaces Take care that none of the signs and labels on the surfaces are damaged and they remain visible and legible Allow the surfaces to dry completely but wait at least 15 minutes before turning the device back on The generator requires regular maintenance performed by the p...

Page 41: ...m anode current in radiological mode X Ray tube voltage 300 mA 100kV 400 mA 80kV 500 mA 80kV 600 mA 83kV 800 mA 81kV X Ray parameters resulting the maximum output power in radiological mode 100kV 300mA 80kV 400mA 80kV 500mA 100kV 500mA 103kV 630mA X Ray parameters resulting the maximum output power in fluoroscopic mode 125kV 10mA Maximum output power parameter combinations 30 kW 100kV 300mA 100ms ...

Page 42: ...ance RF emissions CISPR 11 Group 1 TOP X generator uses RF energy only for its internal function Therefore its RF emissions are very low apart from exposures and are not likely to cause any interference in nearby electronic equipment RF emission CISPR 11 Class A TOP X generator is suitable for use in all establishments other than domestic and these directly connected to the public low voltage powe...

Page 43: ...ins power quality should be that of a typical commercial or hospital environment Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode 1 kV differential mode 2 kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT...

Page 44: ...ransmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflecti...

Page 45: ...calculated from maximum output power of transmitter the following way Separation distance as a function of transmitter frequency m Maximum output power of transmitter W 150 kHz 80 MHz d P 2 1 80 MHz 800 MHz d P 2 1 800 MHz 2 5 GHz d P 3 2 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 If the transmitter power is not in the table protective distance d in meter m ca...

Page 46: ... European Union and other European countries with separate collection systems This symbol on the product or on its packaging indicates that this product shall not be treated a household waste Instead it shall be handed over to the applicable collection point for the recycling of electrical and electronic equipment ...