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Manual de Operacion RX LISTEM

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gildardo ruiz
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711 views74 pages

Manual de Operacion RX LISTEM

Uploaded by

gildardo ruiz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Operator Manual [41-3341 REX Series Radiographic / Fluoroscopic X-ray System BB«.. LisTEM Revision History (Revision Date cours ° el 24, 2008 Fist lease 7 December 29,2008 ‘Second release A "2008 Thi eease LISTEM Corporation Table of contents 1. Introduction 1.4 Purpose of use 41.2 General features: 41.3 Product identification 1.4 Certifications 2. Safety .. 2.1 General safety information 2.2 Environmental consitions for safety 2.3 Responsibilities 2.4 Maximum permissible dose 2.5 Radiation protection 2.6 Monitoring of personnel 2.7 Protection against electric shock hazards 3, Operating method 3:1 System configurations 13.2 Operating controls 3.3 Console operating function and exposure parameter 34 Exposure controls and incicators 23.8 Self diagnosis inaicators 3.6 Error codes 4, Fluoroscopy & radiography operations “4:4 Start-up 4.2 Warm-up of xray tube 43 radiography and fluoroscopy 4.4 APR operation 45 AEC operation 46 ABC operation 477 Beam limiting device operation 4.8 Tube stand operation 4 table operation LISTEM Corporation 5. Maintenance 6. Technical specification: 6.1 System block diagram 6.2 Highvoltage Gnerator 6.3 X-ray tube {644 Beam limiting device 6.5 Patient table 6.6 Tube stand 6.7 Bucky stand 6.8 Physical characteristics 6.9 Classiftcation of MOD 93/42/EEC ‘Appendix 1 : Radiographic parameter ‘Appendix 2: Electre component parts list LISTEM Corporation 1. INTRODUCTION Dear customer Welcome you as a user of the REX-RIF system manufactured by LISTEM Corporation. ‘This manual will guide you safe and easy use of this equipment For safe and correct use ofthis equipment read carefully the instructions in this manual before using ‘the equipment, And keep it at hand for quick reference. High frequency x-ay system has high quaty image by outstanding reproducibilty and linearity of x-ray output. ‘A.compact, lightweight generator built wth advanced digital circuit comes with the advanced features ‘such as digital console, anatomical programming, sef-diagonostc funtions and power strorage unit “The specifications of This equipment are subject to change for safety and improvement in accordance with relevant regulations without notice. 41.1 Purpose of use ‘This medical equipment ie designed to diagnose human body by providing fluoroscopic or radiographic ray Image with anatomical structure | 1.2 General features ‘The main features ofthis equipment are 1) High frequency inverter type generator 2) Optimal exposure factors selection as anatomically programmed radiography. 3) Multiple microprocessor control-high reproducibility and linearity. 4) Sel-disagonesti circuitry with error code reporting (Filament erro, Rotor error, overioad ete.) 5) Digital console with anatomical programmed rediography(APR). 6) Wide range of configuration avaliale in all power rating allows selections of most ‘economical system 17) Reliable x-ray image quality by Automatic Exposure Control(AEC) '8) Automatic Brightness Control (ABC) LISTEM Corporation 4 4.3 Product identification “The major components (the generator, tube stand, x-ray tube, ets) have some identification labels attached to them which provide the folowing manufacturer and product information. Voltages, Line Phases, Frequency(Hz) , and Power (kVA) Date of manufacture System serial number Manufacturer ‘Address of manufacturer “The model name is shown in the upper coner of consloe. System serial number is shown on the label “SYSTEM (refer to 7.Label inthis manual) 1.4 Certifications “The fuoroscopiciradiographie x-ray system covered by this operation Manual is authorized to be marked with certificate below granted by the Notified Body DNVees. Itmeans that manufacturer / products certified against KS-ENSO 9001, Iso 13485. LISTEM Corporation 2. SAFETY 2.1 General safety information 2.1.1 Advisory symbols ‘The folowing edveory symbols willbe used throughout tis manual ‘The definition and applicaton are described below. WARNING (WARING) A\ CAUTION NOTE + Dangerous voltage 1 Earth Protection ‘Type B APPLIED PART. t DANGERS ADVISE OF CONDITIONS OR SITUATIONS THAT IF NOT HEEDED OR AVOIDED WILL CAUSE SERIOUS PERSONAL INJURY OR DEATH. [ADVISE OF CONDITIONS OR SITUATIONS THAT IF NOT HEEDED OR AVOIDED COULD CAUSE SERIOUS PERSONAL INJURY, OR CATASTROPHIC DAMAGE OF EQUIPMENT OR DATA. [ADVISE OF CONDITIONS OR SITUATIONS THAT IF NOT HEEDED OR AVOIDED COULD CAUSE PERSONAL INJURY OR DAMAGE TO EQUIPMENT OR DATA ‘Alert readers to pertinent facts and consitions. Notes represent Information that is important to know but which do net necessarily relate to possible injury or damage to equipment. It is possible to occur any serious damages from the electric shock ‘of abnormal high voltage. Operator shall not manipulate the ‘equipment at discretion, and shall inquire the manufacturer without ‘exception and solve the problems, Keep in contact with the conductive parts for the electric security purpose, In the case of inoreasing the leakage current from the medical equipments, tun on the leakage current through the protective ground earth ‘Applied part Complaying with the specified reuirement of IEC60601-1.2.1.24 to provide protection against electric shock, particulary regarding allowable LEAKAEG CURRENT. LISTEM Corporation 6 2.1.2 X-ray protection IMPORTANT! X-ray Protection ! Protective materials and devices are ‘and devices be used, fe. Its strongly recommended that such materials 2.1.3 X-ray protection Use proper protective device for sly to a patient and a LISTEM Corporation 7 2.1.4 General safety Keep thie manual with the equipment at all times and periodically review the operatin and safety Instructions, FOR CONTINUED SAFE USE OF THIS EQUIPMENT FOLLOW THE AX CAUTION. INSTGUCTIONS IN THIS OPERATING, MANUAL STUDY THIS MANUAL CAREFULLY BEFORE USING THE EQUIPMENT AND KEEP ITATHAND FOR QUICK REFERENCE. ‘Altheugh X-radiation can be hazardous, Xray equipment does not pose any danger when itis properly used. Please ensure that all service and operating personnel shall be property 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 al the safety and operational requirements, 2.2 Environmental conditions for safety 2.2.4 Transport and storage conditions 2) An ambient temperature range of 5 to 40 b)A relative humidity range of 30% to 75% 6) An atmospheric pressure range of S0kpa to 106kpa(875~785mmbHa) 2.2.2 Operating Condition ‘Operator shall kep the folowing conditions ranges, while operating, 2a) An ambient temperature range of 10 to +40°° )A relative humidity range of 30% to 75%6 ©) An atmosphere pressure range of 7Okpa to 108kpa(625~7a5mmHg) LISTEM Corporation 8 2.3 Responsibilities WARNING! WARNING (WARNING) ENSURE THAT ALL PERSONNEL AUTHORIZED TO USE, ‘THE EQUIPMENT ARE AWARE OF THE DANGER OF EXCESSIVE EXPOSURE TO X-RAY RADIATION. ‘THE EQUIPMENT HEREIN DESCRIBED IS SOLD WITH THE UNDERSTANDING THAT LISTEM, ITS AGENTS, AND. REPRESENTATIVES ARE NOT LIABLE FOR INJURY OR. DAMAGE WHICH MAY RESULT FROM OVEREXPOSURE OF PATIENTS OR PERSONNEL TO X-RAY RADIATION, LISTEM DOES NOT ACCEPT ANY RESPONSIBILITY FOR ‘OVEREXPOSURE OF PATIENTS OR PERSONNEL TO X-RAY RADIATION GENERATED BY THIS EQUIPMENT WHICH 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 ITIS THE RESPONSIBILITY OF THE OPERATOR TO ENSURE THE SAFETY OF THE PATIENT WHILE THE X-RAY EQUIPMENT IS IN OPERATION BY VISUAL OBSERVATION, PROPER PATIENT POSITIONING, AND USE OF THE DEVICES, THAT ARE INTENDED TO PREVENT PATIENT INJURY. LISTEM Corporation 9 2.4Maximum Permissible Dose (MPD) For occupational exposures, the ICRP recommends thatthe MPD accumulated shall nt exceed ofthe fllowing limits D Annual effective dose somsv Annual dose forthe lens ofthe eye 150 msv Annual dose for al other areas: +500 mSv (Le. red bone marrow, breast, lung , gonads, skin, and extremities) 2.5 Radiation protection Because exposure to X-ay radiation may be damaging to health, use great care to provide protection against exposure tothe primary beam. Some ofthe effects of X-ay radiation ‘are cumulative and may extend over a period of months or years, “The beat safety rule for X-ray operator is" AvoId exposure tothe primary beam at all times". ‘Secondary radiation may be of greater intensity than that of the radiation reaching the fim. Take protective measures to safeguard against it. ‘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, ete. The lead soreen shall contain @ minimum ot 2.0 mm of lead or equivalent and personal protective devices (aprons, gloves, etc) must contain a minimum of 0.25mm_ of lead fr equivalent. For confirmation ofthe local requirements at your site, please refer to your local radiation protection rules. WHILE OPERATING OR SERVICING X-RAY EQUIPMENT, DO WARNING NOT EXPOSE HANDS, WRISTS, ARMS OR OTHER PARTS OF ‘THE BODY TO THE PRIMARY BEAM, LISTEM Corporation 10 2.6 Monitoring of personnel ‘The most effective method to determine whether or not the existing protective measures are adequate is the use of equipment to measure the exposure. These measurements shall be taken at all locations where the operator or any portion of this body may be exposed. Exposure must never ‘exceed the accepted tolerable dose of ICRP. We recommand the use of personal radiation dosimeters to determine whether personnel have been exposed to excessive radiation. Please moritoring of personnel continuously for safety of AX CAUTION —Pertorand sate use 2.7 Protection against electric shock hazard “This high frequency X-ray system has been classiied as equipment of type-B (7 ) in accordance with 1EC-601.1 and |EC-801.2.7 Standards. “This classifiation has been established according to the degree and quality of protection against electric shocks which is dascribed in terms ofthe maximum allowable leakage Current. “Type-B equipment is suitable for applications involving external or internal contact withthe patient, ‘excluding the heart LISTEM Corporation " 3. OPERATING METHOD 3.1 System configurations 3.4.1 REX“"R(F) REX-R(F) System covers following model and can be configured folowing components. fone BER | REX | ADK] ABC | AEX | REX | ABC | REX | REC | REC bone | ceone | scone | sme | toson | seor | econ | sae | S2on | "20k erovoce | wa] o | o|o[malo|o|o|o|o common | SE [ROE PEP | Per [eee [ee (ee [cee [Se | ee Tighvotags | Reat | Ree | Ree [Reo | moet [Rew | apo | Ret | Rem) Rowe arrose [eat [Pzet [Pazet [ Seas | Sez | ene | Soc | Sse | “Sat | ee vo etm [wm [mm fo [we [wm [mm [oe | 0 | zt | 0 |e |e |e @ [wa | wa [Beam FBLD-180 | o ° ° ° ° ° ° ° ° pacer o fo | oo | o |wa| wa | wa | wa | wa pwr fo fe | | |o [wa | wa | na | wa | wa ockem{efelele|elelelelele oi fofele,{e|elele,e|e]|e oom fo pefe[elele|e|elel|e ssnjofe}fele|e|e|e|e|o|e a ne ° ° ° ° ° ° ° ° ° 3ii| OM| KON OW [MON OR Wom [atoms com | om ero bes | ofefe|el|ele|e|e|el|e les fo fe }o|e | o [wm [w | wa | wa | wa ie pF-09 oO ° ° ° oO wa | NA ‘NIA NA ‘NA Lou Puce | @ | @ [| @ | 0 | © [wa] ma | wa | wa | wa PR fem ° ° ° ° ° wa | NA ‘NIA NIA NIA © sna, © : Opin! LISTEM Corporation 2 3.2 Operating controls 3.2.1 REX""R +, Power Off Button 2. Power On Button Smal Focel Spot indicator 4. Large Focal Spot Indicaton 5, Over Load Indicator 6. Eror Indicator 7. KV Increase Button 8, KV Decrease Buton 8. mAInerease Button 10, mA Decrease Button 11, SecimAs Increase Button 12, SecimAs Decrease Button 12. “4 45. 16. 1. 8 19. 20 21 2, 2, 24, ‘AEC On/ Density Incvease 25, [AEC Off Density Decrease Button Be Tubet Select Button 2 [No Bucky Select Button 28 Bucky! Select Buton 22. ‘Bucky? Select Button 20 ‘Tuber Select Button ay Timeimas Selec Buton 2, Function! Button(Sparet Buton) 33, Function2 Buiton(Spare2 Buton) 34 AEG Let Feld Select Button 35 [AEC Center Fiolé Select Button LISTEM Corporation AEC Right Field Select Buton Reset Button ‘Anatomical View Select Button Body Region Select Button Escape Select Button Body Size Select Button Data/Anatomical Condition Save Button Ready Finish indicator Xray Indicator Preparation Button Exposure Button B 40. 2, 18, CERh Eww ele Jo ©@ e@ Ge Radiographic console Power Off Buton 16 NoBucky Select Buton a Power On Button 17. Bucky Select Button 32 ‘Small Focal Spotindicaor 18, ‘Bucky2 Select Button 38 Large Focal Spotinsicaton 19, Tubet Select Bution es Over Load Insictor 20, TimeimAs Select Button 6 ror indicator al KV Increase Button 2 Kv Decrease Button 2 ‘mA Increase Buton es mA Decrease Buton 28. ‘SecimAs Increase Buon 26, SeclmAs Decrease Butlon 27 ‘AEC On | Densiy Increase Burton = AECOM/ Densiy Decrease, Button Tube! Select Buton 20 Function’ Bution(Sparet Buton) 26. Function? Buton(Spare2 Button) 37. AEC Lef Field Select Butlon 38, ‘AEC Center Fle Select Buton °° ‘AEC Right Feld Select Butlon 40. Reset Button a Anatomical View Select Button 42. Body Region Select Button 43, Escape Select Buon Body Size Select Button LISTEM Corporation DatarAnatomical Condition ‘Save Button Ready Finish Indicator Xray Indicator Preparation Button Exposure Button Magnication Select Button | ABC Select Button Flulotime Reset Button Function’ uton( Spare’ Button) Ful KV Increase Button Fiulo KV Decrease Button Flo mA Increase Button Flulo mA Decrease Button 14 3.2.3 System power ON/OFF oe eee Ta " Tanne seen mein hi bn Soe ee ea ® ees 1 2) Power OFF ‘Tum OFF the Generator by pressing this button, 3.3 Console operating function and exposure parameter 3.3.1 Power ON/OFF ‘ON. : Tuming on the power by pressing the button and starting the ® ‘generator. The power forthe x-ray sysytem will come on standby. (OFF : Turing off the power of generator by pressing the button. © ‘The power for the x-ray sysytem will come off 3.3.2 Workstation selection TuBE4 Selecting tube' by pressing this button when you wish general radiography. TuBe2 ‘Selecting tube? by pressing this button when you wish fluoroscopy and ‘spot radiography during fuaroscopic. No BUCKY. ‘Selecting No Bucky by pressing this button when you dont wish to use the ord ‘Selecting radiography on the top of pationt table. LISTEM Corporation 15 (oe) (oe [a BUCKY 4 ~ Selecting Bucky 1 by pressing this button. + If the thickness of a subject become thick, it causes loss of the image due to the effect of the scattering line from the subject Therefore, when you take X-ray, you should select BUCKY 1 to prevent image quality from contrast loss by scattering lin. You should use this button when you take X-ray a subject on the table and should take X-ray after inserting a cassette into the cassette tray, This goes out of sight the grid line which makes the observance of a region diffcult by the grid moving When you take X-ray. Also this enhances the contrast of a Image quality by limiting scattering line effectively. BUCKY 2 ~ Selecting Bucky 2 by pressing this button. When you take a X-ray standing, you should use this with using Wall Bucky. ~ This is used for mainly hest photographing, abdomen Photographing, PNS photographing, etc, and enhances the Contrast of image quality by limiting effectively the scattering line from a subject. TimelmAs select button You can indicate the time or the amount of tube current by pressing this button, ~ Ifyou press this bution at fst, you can get the irradiation time, and press itone more time you can get the amount of tube current. ~ You can check the iradiated amount of tube current and the time, AEC(Auto Exposure Control) ; optional You can make a regular film strength under any condition by Using AEC and this consists of three parttions(lef central, right). ~ You ean select the each parition separately and can collate with the patitions in any way. ~ You can take a photograph the part where you want to observe in detail, after selecting the par. LISTEM Corporation 16 ‘Spare button ‘You can set up the other function additionally. Pease contact the factory if you need to use this function, | ) Magnification select button Funct) Func? NORM. Itmakes fe-size image MAGI NA MAG2 NA MAG3. NA = $6 ate a Sess on ieeterats ye isa esate MAGNA NORM. Itmakes ie-sze image 412° MAG1 Iteniages the iputsie by 0. MAG2_ Itenlarges the input side by 6. MAGS Iteniarges the inputsie by 4.5 2) ABC(Auto Brightness Control) In the process of the uoroscopy, you can cary out the ABC by Pressing this button. ‘There is the merit that reaction speed is very fast due to the change of KV and mA complexly at the same time. Itforms the collation from 40KV, O-4mA to 120KV, nA (Higher mA — Option) LISTEM Corporation 7 3.3.3 Radiographic Parameters No Boon kVp DISPLAY : ‘Shows the radiographic kVp value selected for the general “The-eer messages dung the sym faut, preceded by the eter" IV: Increase or decrease by 1kV step through 4OKV to150kV(or 125KV), mA DISPLAY : ‘Shows the radiographic mA value selected for the general ‘mA : Increase or decrease ranging from 10mA to S00mA ‘Time / mAs DISPLAY ‘Shows the mAs or time value selected for the general. Sec : Increase or decrease ranging from ms to 10s. ‘mAs ; Increase or decrease ranging from 0,02 to 600mAs, LISTEM Corporation 8 3.3.4 Fluoroscopic Parameters 2 2 = ie Fluoro kVp DISPLAY Shows kVp vate selected forthe fuoroscony. an = ) [kV range : 40KV to 120kV. (Option : 125kV) - AdjuStaBISISESED. yt Fluoro mA DISPLAY ‘Shows fuoroscopic mA va selected for fuorscony. ® ‘mA range : 0.2mA to 4,0mA. (Option : 6A) ~ AUfUStaBISTSESED DR oer during exposure. Nowe after set period, Operator to be adjusted Fluoro kV and mA at Spot film device. LISTEM Corporation 419 3.3.5 Anatomical Programmer (APR) A) FOE ‘Anatomical View selection switch : © QT ean earee 3 [9 [59] Patient size selection switch : These are four positions according to =) (4) bs (ot a SI) # [s] ‘Body region selection button : When a Body Region is selected the APR display shows all ts respective Anatomical Views. ( HEAD, FACIAL, CHEST, ABDOMEN, UPPER TRUNK, LOWER ‘TRUNK, UPPER EXTREMITY, LOWER EXTREMITY, UPPER Gl, COLON STUDY) SET switch Press the push-buttons to store the new technique, LISTEM Corporation 20 3.4 Exposure controls and indicators ‘Tho Xray handewitch is @three-positons, “OFF”, “Ready” and ‘according to the pushing steps in its early status. a> me ray exposure’, OFF EXPOSURE. Ready Press. this pushbutton to prepare the selected X-ray tube for an exposure. The “Ready indicator on the console wil ight when the xray tube is prepared, and there are no interlock failure or system faults. Anode rotation, Filament curent switches from stand-by tothe selected mA. High voltage is applied to generator inverter. Exposure ‘After the “Ready” indicator is illuminated, press this push-button to start an 2cray exposure, The "X-ray On" indicator remains iluminated and an audible ‘signal sounds during the length of exposure. LISTEM Corporation a ‘Small focal spot Indicates that the X-ray tube isin small focal ‘spot (10;~100mA) Large focal spot Indicates that the X-ray tube i in large focal spot (150-200mA) NOTE & ‘The sign of a focal spots changed automatically according to the selection of a tube current. ‘The collation of the tube current and SmallLarge focal spot can be changed by the capacity of the Collated tube, and this process is caried out inthe factory. you want to change the collation ofthe SmalLarge focal spot by selecting the tube current, you can set repeatedly as you want value within the capacty ofthe tube, 3.5 Self-diagonosis indicators Indicates that a technique has been selected beyond the X-ray tube ratings Indicates thatthe error of crcut connection or it has not been selected exposure parameter. In this case an error code will be displayed on the console. LISTEM Corporation 2 3.6 Error codes Goae a 00 fpuraut Ent Flamer preheating ow enor oa Flamer afer ead low ore 03, Fiunent peat hah oro olen tered Hane 6 tor enor oe, ange ere Eo? be ova ere 08 [Console and HT control board communication error E09) [Less measured KV value than setting value by ~20% E10 IMore measured KV valve than setting value by +20% E12 [Poor open error E13. [Ready rsh overtime enor E14 [Evwposure not end error E46 [Checksum error 17 [Generator eommunication eror E18 [SFO communication enor : E19 [Not center erro{Onopedia type) £20 [5FD enor LISTEM Corporation 23, 4. Fluorscopy & Radiography operations 4.1 Start-up ‘System power is applied by pressing the power "On button on the Control Console. The generator will {90 through a start-up routine conducting an automatic sel-test that will how on the RAD KVP Display information usable only to service personnel ‘After the power-up has been completed the console shall display normal radiographic factors. If there | malfunction, error messages willbe displayed on the RAD kVp Display specifying the faut. NOTE w ‘Some indicators on the Console are used to provide service information during the start-up process. These indicators shall be ignored by the operator until the Unit has completed its power-up sequence. 4.2 Warm-up of x-ray tube ere eleede) ey legeenes) ore eres etre ZX CAUTION. propery warmedup. Make sure that no persons will be Trader expoue to umecennry Xray cig tis proce Routine exposures shal not be effected unless the tbe is previously warmed-up, this prolongs eray tube lie, Itis recommended that the folowing procedure will be performed for X-ray tube warm-up, at the fart of each day and when the tube selected has not been in use for approximately one hour. Excessive filament evaporation shortens X-ray tube ie. Minimize evaporation by keeping Exposure "Preparation" ime to an absolute minimum. 1B Refer to the manual by TOSHIBA (Attached the tube manual) LISTEM Corporation 24 Operator manual REXS“R(F) 4.3 Radiography and fluoroscopy 4.3.1 Radiographic operation ‘A typical RAD examination sequence is as indicated below. +1, Make sure that the X-ray tube to be used is properly warmed-up, 2. Position the patient forthe examination 3, Select the ‘workstation’ and technique parameters using the RAD controls on the console, 4, Instruct patient to maintain the required position. Prepare the X-ray tube by pressing the thandswitch button to the "Prep position and maintain it untl the *Ready" indicators iluminated. 65, Instruct patient to remain stil and to hold his breath as required, then make the x~ay exposure by pressing the handewitch push-button fuly tothe "Exp" position and maintain i throughout the exposure, The "X-ray On” indicator will ight and an audible signal will sound during the exposure, 8. When the exposure is fished, release the handswich button, 7. Repeat the procedure if adaitional exposures are desired 4.3.2. Fluoroscopic operation +1. Make sure that the X-ray tube to be used is properly warmed-up. 2. Position the patient forthe examination 3, Select the “workstation” and technique parameters using the Flu controls on the console. ‘4. Explain the inspection process to a patient, and insert the dye needed to inspection 6. Order the needed roling to a patient, and begin to scan to find the region by pressing the button ofthe fluoroscopy. 6, Begin to spot radiography for the suspect part about a region, after fishing the fluoroscopy. Operator manual 4 APR operation | ‘An examination using an APR technique could consist ofthe folowing! (A 2 at a at) BS) 2) 9) Lae) (7 =F 41. Make sure that the X-ray tube to be used is properly warmed-up. 2. Position the patient forthe examination 3, Select the "Patient Size” corresponcing tothe patients anatomy. This operation starts the APR mode. Select the "Pediatric" button ifthe patients not an adult. 4, Select a general "Body Region” and an "Anatomical View" ofthe indicated on the APR Display. 6, Technique parameters, Workstation information, Focal Spot, etc. corresponding to the APR, selection are displayed and indicated on the control console. f needed, the parameters and selections can be directly modified by the operator. 66. Continue with the normal procedure for atypical RAD examination, Operator manual REX“R(F) 4.5 AEC operation 4.5.1 Introduction ‘AEC makes regular strength ofthe fim by controling the exposed time, Ituses the lonchamber as the sensor to measure the amount of Xray. And ifthe amount of incident X-ray come to the set radiation amount, the exposure is stopped 4.5.2 Minimum response time & maximum exposure time MRT is the minimum time to operate the system and MET is long exposure time as possible to finish 2 irradiation, Even though you set the exposure time very shorty, the AEC function of the REX-RF Series doesn't make the excessive strength pictures regardless of MRT. And you can protect a patient from the excessive exposure, even though there is any problem in AEC equipment, as the MET is designed ‘not to excess 600mAs per irradiation, 4.5.3 Intensifying screen & Film selection Its necessary to control AEC system according to the collation of FilrvScreen, REX-RF Series is controlled on the strength with the standard of the rare earth type intensifying sscreeniortho type, and it should be set the strength compensation value of AEC dlferently according, to the intensifying screen and used fim. This process should be cartied out inthe factory, andit can ‘be controlled sutably by the customer's ask. 4.5.4 Suggestions for using AEC ~ Adjust perfectly pose ofa patient o central beam, - Use the AEC only when you use the grid Its basic to select the suitable sensor in taking a X-ray wth AEC. ~ Adjust the terminal of strength control to "0" fr the normal patients, and control the terminal only for the extremely different figures or pathological situation. ~ Therefore, don't often control the terminal of strength contro ~ Select the central sensor for taking all ofthe skulls. NOTE s —_ Youmay get faint or dark picture when you use AEC, as follows; = When you take a lumbar you may get such picture, ifthe inner gas covers the part ofthe field selection accidentally + Ifthe part which has abnormality in the absorption by region covers the | position ofthe sensor, you may get such picture. - Iftve dye covers the positon ofthe sensor, you may get such picture. To adjust the proper strength by using AEC, you should adequately select the Positioning and Field Selection Operator manual REX"*R(F) 4.5.5 Operating Sequences ° Fe eee reeve ce eres ©O® Laan sa (cp. iota hn 2 rage = (ra [ea] (a (2 os, ‘Selecting BUCKY? or BUCKY 2 by pressing the button you want radiography. 4 Selecting the interesting region you want radiography. ‘5.Selecting one among "2, -1, 0, +1, #2" by pressing AEC Density UP/DOWN Button. (Secting nsity 0 generally) [ed (ae) 199) [S)] (oe A= 6. After selecting the proper size ofa patient according tothe patient size, select the Anatomic Body Region as you want to take a X-ay. Operator manual REX““RIF) 7. Select the body region on the Anatomical View LCD Screen. qo ® ® aoe ©®@ ®D ®@ 4.5.6 Selection of AEC field Toate [ced rewire o oo rn on 3 / wo oo ee hrumauevrauan a : co Do es tice . . _ oo wer AP emutPPALan) - : "2 oo] | tip lower AP poss | | tba ae | A, =O] hers oo] | | brat a o = "= Fano Pies te . 3 fe .Precisely set the KV, mA, and secémAs by controing EXPOSURE, PARAMETER, 9.After operating Ready, fnish the taking X-ray by operating Operator manual Postion AEC Fiala Postion 71 Fiala [Serum FAO BOT hredomen tor -. 7 lve ; om ae lsemum Léo Jaedomen Lett LAT Oo . [serum ULaT ae Ls sie ao a PO) qi oo aaa aoe Ls Stine tar Li . EI 2 b-Spine LAT lesen o ne . oe of , lodomen Stand Ls Spine AP _ PLaT.DEcuB . lip ao oo AP &Fro9 Le lc-Spine aPaLAT 9 Les) . . oo To lei I-Soine AP = . Operator manual fal AEC Field at spot radiography during fluoroscopy ILP0,RAO,APO,LAO.L| lAT DECUB a8 ISomach APPA a [Small Bowel oo IRAO/LPO [Esophagus AP or RAO . mo [Right LAT [Esophagus LAT 7 on [Colon aP/PA [Rectum LAT o of Operator manual REX““*R(F) 4.6 ABC operation 4.6.1 Introduction ‘Automatic Brightness Control(ABC) always makes a regular image on the monitor by controling the ftuoroscopie tube-voltage or fluofoscopic tube-current according to the X-ray absorption of a subject REX-RIF quickly copes with reaction speed of the monitor brightness according tothe change of a ‘subject by controling simultaneously the fluoroscopic tube-voltage and fluoroscopic tube-current, 4.6.2 Operating Sequences ° © © 4 Tuming on fw power by pens te buon for th way 2) bx) () (2) Es 2 Slecting tube 2(Muoroscpic mode). .Donit select the BUCKY because it Is fixed to the Tower part 4.Slecting ABC at workstation, BIL) s.r muoroscopy by pressing the FLU button at ower part. @.Fucrosconic tube-otage and fuoroscopic_tube-curent ‘radiated o a patient during the fuoroscopy are displayed on the LCD sereen to make controler krow i ‘ABC is geared with the range of 40~ 120KV for fluoroscopic ‘T.tube-voltage and of 0.4~4mA(Higher mA : Option) for ‘luoroscopie tube-current according to the X-ray absorption of a subject during the fluoroscopy. 8.To provent the radiation from exposing excessively, the time for fluoroscopy isnt over § minutes and you can hear the \waming signal when the set period passes. Operator manual 4.7 Beam limiting device operation 41) Locate the position which is wanted to expose to. 2) Settle the SID withthe side measuring tape 4. 3) Light on the collimator lamp switch 3) and establish the X-ray exposure range. 4) Adjust the X-ray field o suit the exposure region with the variable switch 1) of colimator. The distance is divided into 00cm, 150m and 200cm according to the exposure purpose. When the X-ray field is adjusted to the scale on the collimator window, the X-ray field values are ‘shown on the table top according tothe distance. 5) To restrain the radiation dose for chest at the minimum, obtain the real size image and prevent the image from blurring, lengthen the distance between the focus and the ‘exposure region 6) Perform the exposure and develop the fms, Positioning between the standard axis and the image reception area When the scale of handle bar's protractor indicates 0" the X-ray projects vertcaly on the image reception area Operator manual REX“**R(F) 4.8 Tube stand operation 4.8.1 Floor to ceiling mounted stand; SFC-31(R) (1) Handle bar Operating © Lock On/Off Switch for right-andeft movement of Tube © Lock On/Off Switch for back-and-forth movement of Tube @® Lock On/Off Switch for Tube rotation © Tube Protractor © LED to mark thatthe interval is 100cm between the Tube Center and Table Board © LED to mark thatthe interval is 180cm between the Tube Center and Chest Holder © LED to mark thatthe interval is 100em between the Tube Center and Table BUCKY @ LED to mark that the interval is 180cm between the Tube Center and BUCKY Stand @ Lock On/Off Switch for simultaneous movement; up-and-down, back-and-forth, right-andt-let. ® Switch for Postioning of Table Center © Lock On/Off Switch for up-and-down movement of Tube 1) Right-and-Left Movement Aer pressing the button (©, move the Handle from side to side, 2) Back-and-Forth Movement ‘After pressing the button ©, move the Handle from back to forth 3) Tube Rotation Aer pressing the button ©, rotate the Handle. When you use this function, you can find the exact angle of Tube from the Protracor. ‘Operator manual REX**R(F) 44) Up-and-Down Movement ‘After pressing button (9, move the Handle from upward to downward, '5) Positioning of Table Center ‘After pressing button @®, move the Tube back-and-forth, then it willbe fed to the same position of X-ray Cenler and Table Center. And then press the button ®, i can move again. (2) Appearance Structure and Title Fig. 4 SFC-31(R) © Coling Rail Handle Bar Assembly @ X-ray Tube & Beam Limiting Device (Optional) © Vertical Carriage Assembly © Vertical Column Assembly © Base Assembly © Floor Rail Operator manual REX-"“R(F) 4.8.2 Floor mounted stand ; SFM-31 (1) Handle bar Operating © Lock On/OM Switch for rght-anct-eft movement of Tube © Lock On/Off Switch for Tube rotation @ Tube Protractor @ LED to mark thatthe interval is 100cm between the Tube Center and Table Board ® LED to mark thatthe interval is 180cm between the Tube Center and Chest Holder © LED to mark that the interval is 100cm between the Tube Center and Table BUCKY © LED to mark that the interval is 180cm between the Tube Center and BUCKY Stand © Switeh for Positioning of Table Center © Lock On/Off Switch for up-and-down movement of Tube 4) Right-and-Left Movement After pressing the button @, move the Handle from side to side, 2) Back-ang-Forth Movement ‘After pressing the button ©, move the Handle from back to forth. 3) Tube Rotation ‘After pressing the button @, rotate the Handle. \When you use this function, you can find the exact angle of Tube from the Protractor. Operator manual REX-“R(F) 4) Up-and-Down Movement ‘Afr pressing button 9, move the Handle from upward to downward. 5) Pesitoning of Table Center | After pressing the button @, move the Tube back-and-forth, then the LAMP is turned on when the ‘X-ray Center is placed on the same position with Table Center. (2) Appearance Structure and Title Fig. 2 SFM-31 © Floor rail © Base assembly © Vertical column assembly © X-ray Tube & Beam limiting device © Vertical carriage assembly © Handle bar assembly Operator manual REX-~"R(F) 4.8.3 Ceiling mounted stand ; CSTS-28 (1) Handle bar Operating © Lock On/Off Switch for rightand-left movement of Tube @ Lock On/Off Switch for back-and-forth movement of Tube @ Lock On/Off Switch for Tube rotation © Tube Protractor © LED to mark that the interval i 100cm between the Tube Center and Table Board ® LED to mark thatthe interval is 180cm between the Tube Center and Chest Holder © LED to mark that the interval is 100cm between the Tube Center and Table BUCKY @ LED to mark that the interval i 180cm between the Tube Center and BUCKY Stand @® Lock On/Of Switch for simultaneous movement; up-and-down, back-and-forth, ight-andtet ® Switch for Positioning of Table Center ® Look OWOHf Switch for up-and-down movement of Tube 41) Right-and-Left Movement ‘After pressing the button (©, move the Handle from side to side 2) Back-and-Forth Movement ‘Alter pressing the button ©, move the Handle from back to forth 3) Tube Rotation ‘After pressing the button @, rotate the Handle. \When you use this function, you can find the exact angle of Tube from the Protracor. Operator manual REX““R(F) 14) Up-and-Down Movement ‘ter pressing button @®, move the Handle from upward to downward '5) Positioning of Table Center ‘Mier pressing button 6, move the Tube back-and-forth, then itwill be fixed to the same position of Xray Center and Table Center. And then press the button @, itcan move again. (2) Appearance Structure and Title Fig. CSTS-28 © X-ray Tube & Beam Limiting Device (Optional) ® Contr handle bar assembly) @ Telescopic column assembly @ Transverse carriage assembly (Lateral rails) with terminal panel box. © Calling Rails (Longitudinal Travel) Operator manual 4.8.4 Bucky stand(BS-20) operating © Pull the Cassette Tray @ Considering the Cassette Tray size, install the grip oft inthe groove which centered on itn a tine, if you need, © Put the X-ray film cassete into the Cassette Tray © Push into the Cassette Tray. © Pressing the switch under the Bucky Device, move the Bucky Device up-and-down then adjust the ‘proper height according toa patient or fluoroscopy. © Take a Xray. oe al Es Tot Picture 4 BS-20 © Cassette tray © Bucky uptdown button © Bucky Device Assembly @ Vertical Cariage Assembly Vertical Column Assembly Operator manual REX-*RIF) 4.9. Table operation 4.9.1 Fluoroscopic/radiographic Patient Table; DMT-80 1) Appearance Structure and Title 1. Protractor: Mark for an angle of inclination, when it is supported. 2. Keeping Horizon Button: For keeping the Table in horizontal state to prevent it from inclining inversely 3. Button for Incination and Inverse Inclination: For inclining the Table. 4. Sliding Button: For moving the Table Board, 5. Cassette Tray: For puting a Cassette 6. Shoulder Support: For preventing a patient from sling, when the Table is stands inversely 7. Foot Support: For supporting a patients foot, when the Table stands vertically Operator manual REX-“R(F) 1 Tower part © Keeping Horizon Button : For fixing to0, to prevent the Table from inclining inversely Button for incination and Inverse Inclination: For incining the Table. @ Sliding Button : For moving the Board toward head and leg @ Lock Device of Tower Part: For locking all directions or partially locking only back-and-forth |® Mark for Division Picture-Taking : For taking X-ray, with dividing into 1,2, and 4. © Control Serew of Coliimator lis : For controling right-and-eft, back-and-forth direction © Fluoro Button ® Exposure Button ® Prossure Com(?) ® Caccotte Tray ® Led for Division Mark @ FILMLOADING © 14*14'(95cm"35em)size for full exposure {Itis possible to insert this, after removing the spot fm device.) @ 11"14'@8cm*3Sem)size for full exposure (itis possible to insert this, after removing the spot film device.) @ 10°12 (25cm*30em)size {or full and two subdivisional exposure @ 8"10(200m"25em)size for four exposure © 8°10(200m"25em)size for full and two subsivisional exposure (cassette transvers insert) © 8"10(20em"25em)size for full and two subdivisional exposure (cassette longitucial insert) Operator manual REX-"REF) 2) System power ON Press the Console Power Switch “on” of the REX-RF System off on 3) Tower part operating (Choose for 1 spot radiography (Choose for2 spot radiography (Choose for 4 spot radography (7 Shoei forte Table incnaton0. and or the inverse incnaion6. ) eee ees — —+ choose for siding Movement Choose for keeping al directions of Tower Pats tobe under lock (pldown, aghvien ackerth) (7 lepine upidown movement of Tower Part nde ck ON eee peer e es Foret tl aon 4.9.2 Radiographic operating 1) General radiography method 4. Fit the wide X-ray Field into the Table Center 2. Move a patient to the Table] 3. Insert the Cassette into the part that you wil take X-ray (When you take X-ray directly on the affected part.) 4, Ifyou take X-ray with using Bucky, insert the Cassette ater pulling the Cassette Tray out. ‘Aer putting ‘The Cassette, make under lock 5. After putting the Cassette, fit with lock device, not to make movement. (Push the Cassette Tray into the Table inside, then itis fied by the lock device.) 6. Move directly toward the part which you want to take X-ray, using Table Sliding Button or tube. 7. Check the postion and check again the Cassette position. (When you need to adjust again, repeat above 5.) ‘8, Explain the suggestions about breathing and movement to a patient. 8. X-ray exposure control © Forthe Hand-operated Mode Collate the tube voltage, tube current and time for taking X-ray © Forthe AEC Mode Aerie ees (cea ence aes ee eens Selection, In the AEC Mode, ifthe X-ray quantity is accumulated adequately, time is controled automatically to generate the regular picture strength regardless ofthe subject's thickness, ‘After tuming off the LED by pressing the READY button, finish taking 3) ray by pressing the Exposure button. faq__ Check the foo pint, when you Trish READY. FH Check whether Table Bucky operates wel or nt when you select BUCKY 4(Check the sound) LISTEM Corporation 44 40. Finish Taking X-ray “After taking X-ray, relocate the Table postion originally 2) Fluoroscopy operating 41. Move a patient tothe Table, 2. Explain the inspection process to the patient before taking X-ray, and check it slow '3, Move the Tower Part forward and then prepare for fluoroscopy by coming it down. 4. Insert the Cassette, (Select 1,2,4SPOT for division, when you insert Cassette) (When you take X-ray separately with using SPOT, insert the pressure com into the part which need to pressure, and it should be separated manually.) 2spot, 4spot) for taking X-ray separately. (When you seiect the SPOT, the LED is turned on.) 6. Begin to fluoroscopy, using the fluoroscopy button. When you press the button, the LED is tuned on, inspecting” 7. Through the monitor, look at the part which you want to take X-ray. LISTEM Corporation 45 8. Control the fluoroscopic tube voltage and tube current. © Inthe manual mode ‘According tothe patient's physical condtion, control the fluoroscopic tube voltage and tube Current through the monitor. REX-RF fluoroscopy console @ Inthe ABC mode Set the ABC mode by pressing the ABC function key atthe console. Inthe ABC mode, fluoroscopic tube voltage and tube current are changed adequately according to the X-ray absorption of a subject, and they control the monitor brightness regularly. 8, Begin to scan for catching the adequate part which youl take X-ray, moving the Table and Tower part & BABAR eetogos ane eluersing Incnation & Siding Release alllock Fixation for upldown Inverse inition Movement of Tower_»—=_movementof Tower 410. If the scan image is catched adequately, you can control the fluoroscopic iis to describe the detail region and clearer anatomical image. Control the range of the X-ray Field, then you can ‘get clearer image due tothe reduction of scattering line. {you move the iris screw to left, it becomes narrower with righteft same width. | you move the iis screw to right, it becomes wider with righteft same width I you move the iis screw to up, I becomes wider with up/down same width. Ifyou move the iis screw to down, it becomes narower with up/down same width. 11. I you complete the preparation for taking X-ray with SPOT, lock the Tower to preventit from moving. w Ersiallock eR eriny Alliock Fixation for upidown the Tower movement of Tower LISTEM Corporation 48 42. Explain the suggestions about the breathing or movement toa patient, before taking X-ray. 13, Set the Exposure Factor(fluorascopc tube voltage, fluoroscopic tube current, time) in advance for taking X-ray with SPOT according to poston. 14, After selecting the part which you want to take X-ray, press EXPOSURE S/W. “Taking X-ray is completed after 3 seconds, i you press the EXPOSURE switch. (The LED on the button is tumed off by irradiation completion while you operate the EXPOSURE) You can hear the audible sounds which indicate "iradiating” during taking X-ray, and the ‘sounds stop when the irradiation Is completed. The part which is taken X-ray i displayed on the monitor andi is disappeared when the radiation is completed. 15. Ifyou need to take X-ray additionally, repeat the process from 4 to 14 after inserting a film 46. Completion to take Xray — After taking X-ray, relocate the Table orginally. = Explain the details for folowing treatment tothe patient LISTEM Corporation a 4.9.3 6-Way Table : KOB-60 (1) Appearance Structure and Tite © Table Board : Its possible to move in 6-way (backlforth,righief) @ Cassete Tray: Aer moving ova he par hich you take Xray, ee thi © Foto Sth for able UP: you press he UP Focthld Sth, kimoves upward @ Feothld Swith fr Table DOWN: f you press the DOWN Foathel wich, moves —— © Footois Switch or abl ay I you press the Foothold Sih nbolh ends, te board moves © Power Sut To power forthe Taba © Contel Sensor for aciFerh Way; When he Table moves in Bacon Way, he conte the bth end tobe are wih © Conteh Sensor fr Maximum Height = This conols the Table not 9 G0 Up more sr ea © Conte Devs ori Pressure This contol the pressure of the Table by Ol © Deviofor Power Supply: This uppes Por ote Table (2) Table Power ON 1) Operate the GENERATOR by powering forthe system, 2) Prepare for Table operation by pressing its own Power Switch on the right-centered of the Table, (@) Normal Taking X-ray 1) Fitthe wide X-ray Field into the Table Center. 2) Agjust the Table Center, pressing the Foothold Switch, (Press the Table 4:Way Foothold Suits No. 5 inthe both ends) LISTEM Corporation 48 ‘4) Move the patient to the Table. 5) Move the Table upward tothe distant for taking X-ray, using the Foothold Switch. (Press the Table UP Foothold Switch No. 4 inthe center) 6) Insert the Cassette into the part which youl take X-ray. (when you take X-ray directly onthe affected part) 7) Ifyou take X-ray with using BUCKY, insert the Cassette, ater drawing the Cassette Tray out ie coat ster puting 8). After putting the Cassette, fix it with lock device, not to make movement. (Push the Cassette Tray into the Table inside, then itis fixed by he lock device.) 9) Move the Table Board tothe part which you want to take X-ray, ais a a (Press the Table 4-Way Foothold Switch, No5.) LISTEM Corporation 10) Check the positon and check again the Cassette postion. (When you need to adjust again, repeat above 5) 11) Explain the suggestions about breathing and movement to a patient. 12) X-ray Iradtation Control © Forthe Hand-operated Mode Collate adequately the tube voltage, tube current and time for taking X-ray @ For the AEC Mode(Oniy for the REX) a) [oi] [oa] 1) Select the position forthe Field Selection 2) You can select the singular or plural postion forthe Feld Selection, In the AEC Mode, ifthe X-ray quantity is accumulated adequately, ime is controled automaticall to generate the regular picture strength regardless ofthe subject's thickness. (GB GB“ tra of tne LED by pressing the READY buon, fish taking oy (bay. cmv by pressing ine EXPOSURE baton. When you complete READY, check TB setters in chamber andthe Tale BUCKY operator not. 13) Finish Taking X-ray LISTEM Corporation 50 4.9.4, 4-way Table; KOB-1(sensor type) 1) Appearance Structure and Title © Table Board : itis possible to move in 4-way.(oack/fort, rightlef) @ Cassette Tray : After moving toward the part which youll take X-ray, insert tis @ Electronic Lock Device : This senses through the sensor in the both ends. If you insert your foot, the Table moves. 2) System power ON Press the Console Power Switch ON of the REX-225R System, olf on 3) General radiograhpy 1. Fit the wide X-ray Feld into the Table Center. 2. Move a patient to the Table, 3. Insert the Cassette into the part which youll take X-ray (when you take X-ray directly on the affected part) 4. you take X-ray with using BUCKY, insert the Cassette, after draning the Cassette Tray out LISTEM Corporation 51 Before puting ‘The cassette. “| Aer puting The Cassette, ‘make under Tock 5. After puting the Cassette, fc it wth lock device, not to make movement. (Push the Cassette Tray into the Table inside, then it is fed by the lock device.) 6. Move the Table Board tothe part which you want to take X-ray, using Table Sensor. 7. Check the position and check again the Cassette positon, (When you need to adjust again, repeat above 5) £8. Explain the suggestions about breathing end movement to a patient. 98. X-ray Iradiation Control © Forthe Hand-operated Mode Collate adequately the tube voltage, tube current and time for taking X-ray © Forthe AEC Mode (a (oe (oe 4) Select the position forthe Field Selection 2) You can select the singular or plural position for the Field Selection. In the AEC Mode, if the X-ay quantity is accumulated adequately, time is controled ‘automatically to generate the regular picture strength regardless of the subject’ thickness. GB 2a 10, Finish Taking X-ray ‘After tumirig off the LED by pressing the READY button, finish taking X-ray by pressing the EXPOSURE button. Check the folow point, when you finish READY. ‘Check whether Table Bucky operates well or not, when you select BUCKY 1 (Check the sounc) + After taking X-ray, relocate the Table postion originally. LISTEM Corporation 52. 4.9.5. 4-way Table ; KOB-II (foot switch type) (1)Appearance Structure and Title © Table Board: I is possible to move in 4-way.(backiforth, rightlef) © Cassette Tray : After moving toward the part which youl take X-ray, insert this @ Foot Switch Lock Device: Ifyou press the Foot Switch itis under lock, and if you take off your foot the lock i released. (2) System power ON Proce the Concole Power Switch ON of the REX 325R eystom, off on (3) Radiograhpy method 1. Fit the wide X-ray Field into the Table Center. 2. Move a patient othe Table 3. Insert the Cassette into the part which youl take X-ray (when you take Xray directly on the affected pat) 4. Ifyou take X-ray with using BUCKY, insert the Cassette, after drawing the Cassette Tray out LISTEM Corporation 53, Before putin Fin catectet! ‘ier putting ‘The Cassette, make under Tock 5, After puting the Cassette, fixit with lock device, not to make movement. (Push the Cassette Tray nto the Table insie, then itis fed by the lock device.) 6. Move the Table Board tothe part which you want to take X-ray, using Foot Switch Sensor. 7. Check the position and check again the Cassette postion. (When you need to adjust again, repeat above 5.) £8, Explain the suggestions about breathing and movement toa patient. 9. X-ray Iradiation Control © Forthe Hand-operated Mode Collate adequately the tube voltage tube current and time for taking X-ray @ For the AEC Mode(Oniy forthe REX-R) 41) Select the positon forthe Field Selection 2) You can select the singular or plural position forthe Field Selection, In the AEC Mode, # the X-ay quantity is accumulated adequately, time is controled automaticaly to generate the regular picture strength regartles of the subject's thickness. ‘Alter turing off the LED by pressing the READY button, finish taking X-ray by pressing the EXPOSURE button. Check the follow point, when you finish READY. Check whether Table Bucky operates well or not, when you select BUCKY 1 (Check the sound) 40. Finish Taking X-ray Alter taking Xray, relocate the Table postion orginally. LISTEM Corporation 54 5. MAINTENANCE ‘To keep the system avaiable all the time, the periodic maintenance must be established and ‘executed in order to find defects which may be before itis damaged or destroyed. “The timetable as below is the maximized intervals and shall not exceeded the intervals. It should be executed the maintenance and configuration property, and if need, it should be changed. Tightness ofthe high voltage temain ‘Connection of wings. ‘Tightness ot the nuts. Cleaness of equipments. Oil ieakage check ‘Quality of radiographic image. Fixation ofthe safety stopper. ‘Gap and operating ofthe lock devices. Weekly Monthly Exposure conditions, Mosification ofthe parts. i Difference betwoen the X-ray irradiation field of collimator and actual fied Wings. Quarterly © General Cleamess Management WARNING] 22" sean er sweep any parts, when his eystem is operated, Tum off the Main Power before cleaning or checking, ‘The operator should keep clean the table on which patients lle down, not to cause any damage or disorder to patients or fms. | ttshould be frequently wiped down on the table top with the soft cloth soaked by alcohol or water and | eliminated the moisture with dry cloth oni. LISTEM Corporation 55 6. TECHNICAL SPECIFICATIONS 6.1 System block diagram 6.1.1 Model group : REX-""*R_ Tobe Sane) Tab Fighenson + |reciter Syston aa aceon) Ray Tube Calinator Son 6.1. 2 REX-**RF Tube Sean eas Tver wT Fieaman Syston Contraine Seem Hiaiiesion Pacufor Sfp overtime Lol el wonton LISTEM Corporation 6.2 Highvoltage generator 1) REXRE ‘MODEL REXG0RF | REXSGORF | REXSSORF | REX-S2SRF Phase w Ed 3a 30) jelage a vatoge, | woovac. | wowace | aoovac 400VAC Reg cpoay | nr [rs [me ewer net | sooKa e0KvA. 2 5KvA SsokvA a Sey TRH RT SRW a Ling Meme" | _ewonco | aoorso | seoneo | azarae ca ed Westra ev? at] soso ‘0040 ‘001800 01800 Fraing esmum east | smwvraoevp | amavizogvp | amwizowvp | 4mastzonve fmm mA oo co eW 300 Fore Maximan mA {mA ner mpi mA: Onn) axa iv ma seas oma SIO 35 Fuoco naximam RON Fra Renge 70-80, 710-800, z "£204 prison) cetsers) | (18Steps) eee Cee Flos ma Range 20% precision) 0 4~4ma (19Steps) (Higher mA upto 6m Optional) jas Range 57-800 P Range = “40-1258VP, Ee een) 40-16OKVP, (1KVp Stop) (ive ee) wore KVP Range eee) 40~120KVp, (1KVp Step) Time Range “10% +Ims precision) eee uoro Time Range ‘0-TOMinvtos (avalate by user’ selection) Exposure Indication ‘Auaible and Vieble FA, KVp selector Push Button elf Diagnostic Sysiom Yes Paha TOOmA Smal | ToomASmal_[_{0OnASmal_| 700mA Small B0OmALarge | 640MA Large | _S00mA Large | _500mA Large LISTEM Corporation 87 2) REX-"R GENERATOR wove _ [ELIOO]REKOSD] REXEO] REX REX SBS] RE 15 Pras x | 30 | 3 [iene | tone | ie olage mov) | za _| zo system (£10%) AOQVAG | 400VAC | 400VAC | ogvac | soovac | 400VAC. Pe ine ccrenent Frewoney | S080Rz | Soeove | eosons | soso | sowone | sooo ee cowva | sowva | ezsiva somva | aoxva | r2s0va Poe creciy aan |exew | soa | sonw | saxw | ow muna oa wramnast | aoaso | aanriso | szonso | szoras | aso | toons etna eee ovec0 | r006%0 | r00800 | 1500 | 1007220 | t0ort00 Wax coo | eo | soo | e000 00 aman KVP ‘ao [ 90 [too] as | as | es -A Range 70-00, | 10-640, fomeco, fo-soo, fo-a20, 0-100, 20% precision) (21Steps) | (19Steps) | (18Steps) | (18Steps) | (16Steps | (11Steps JAS Range 0.025~600 kev Range “ao=180K0, rer “10% prection) Cin tel tin ste [Time Range ‘tma~TOsec ( £10% +1ms precision ) rm Eaposure naeation ‘be nd Ve [nA Kvp setecor Push Button Kei Diagnostic System Yes vere Freaeney ome T0OmA | 100mA | 100mA | 100mA | 100mA | 100mA pene ‘Sear | ‘Sear | Sear | Sect | ‘Sean | ‘Sran Soom | Bata | S00ma | S00mA | @z0mA | 00a tage _| ‘tage | ‘tage’ | ‘Cae’ | “tage! | ‘Sra LISTEM Corporation 38 6.3 X-ray tube ‘Tube Model LTN-60(E7252X) LTN-25(E7238X) Inherent tration O.emm Ales (9mm Alea. Fixed added firation Intermittent | Continuous Intermittent [ Continuous ‘1.0mm Aleq. | 2.0mm A’ ea. ‘Lomm Alea. | 2.0mm Alea, ‘Operating Tube votage | 40 to 150 KV Max 400 125 KV Max. Focal spot 08 /42mm 7.0/20mm Target angle 12 18° Rhenium-Tungsten-Faced | Rhenium-Tungsten Faced Copemuctich Molybdeun Molybdeurn ‘Anode Heat Storage Capacity | 300 kHU 140 KHU ‘Maximum Anode (a A7SW667HUI) ATSWOSTHUIs) Housing Heat ieee 900K:(1250KHU) ‘900K:(1260KHU) (Cooling Method Natural or Forced air (Natural or Foroed aie Maximum Filament Curent {Large Focus 58a ‘Small Foous 5.20 ‘Lage Focus: 62 ‘Smal Focus 5.24 ‘Lage Focus: 12.7=17.1V Large Focus 7-8-1086 ees Sina Focus 7. 0-84. ‘Small Focus | 5.9-8.1V ‘Average Input Power *a2wi200HU8) ‘aaw2o0His) 6.4 Beam limiting device Mode! BLD-150RK BLD-ASOFK Power Supply 2AVAC, 6.258 1206, 0.428 Power Capacity 160VA 5vA, Maximum KVP 150kvp 150Kp InherantFitration 1.5mmAl eq, O-tmmaAl ea, Max Field Size 35% 350m at SID 650m | 35%38em at SID 65cm Min-Field Size SxSemat SID 100m | _SxSem at SID 100m Halogen Lamp 24VAC, 150 NA ght Intensity S460LUX NA LISTEM Corporation 59 6.5 Patient table {8 Mode! Group KOBA KOR KOR Dur-20 4) KOB4, KOB-3, KOB.80 a Speciation KOBA KOBS KOE Favay Festng — favay Floating Top Bway Fling Top pace [Top Bucky Table [Bucky Table [Bucky Table LOCK Operating System [Operated by [Operated by Foot lope ated by Foot Switch Table base 260mm Soom |2e0mm> | LISTEM Corporation 60 2) DMT-80 Specification Item DMT-80 Fi Format Exponre 8+10" (20cm %25en), 10°12" (2800 %30en), IN1*44" (28enX36en), 14°14" (95en X35c0) ‘Traditional spot film device [era Ratio 8:1, Density 40inesiem (Option 10:1 47lineslem) Longitudinal Travel: Approx. 55cm [Travel range of spt fim doves} = is Lateral travel Approx. £12 are Automat operation with etomatis seaverce advance by mot [Locking of spot iim device Imovement Electromagnetic lock system ‘Type : motor driven [Table titing Range : Approx. +0015 ‘Speed : Approx. 90 2486 “Type : motor eriven [Table sicing Range : Approx. 50cm over the head end and 50cm over the| footend ‘Speed : Approx. dom/24se0 [Table top height in the hporizontal postion ‘Approx. 88cm from floor [Total weight ‘Approx.. 850kg (without |. system) Power requirements ‘AC220V,0.75KW ( Supplied from X-ray control) LISTEM Corporation 61 6.6 Tube stand 1 Model Group SFO-sIR | SFC-31 srmst__|_C8T3828 BS-20 4) SFC-31(R) Dimension-approx. San & peciication SFOIR SFC-31 Counter Balance System Weight Balance ‘Weight Balance BoommZTEORM 250omm/2880mm Minimum/Maximam celing height | 99 5700.09 Geert Rails aay SOOO 350018000 mm zs 1197.9118.1)7 197.8(118.1)7 2iing Ra 3000mm(118.17 3000mm{118.17 Longitucinal Travel 2500mm 2500mm Verical Travel 500mm 605mm Transverse Travel 24mm 00mm matic Poston Selection Wary Ivory s Transverse £80" 00" Color 2160" #160" Column rotation S5Kgft24 Ss) S5ig/21.3bs]) Tube Rotation 2AVDG, 28VA 24VDG, 24VA Vertical Carriage maximum Load MV3500(3000)xH2300___ \W3500(3000) x H2500 137_8(118.1")* xH90. 137.8(118.1')" xH98.4") Sag }w00(3000) 2700 3500(3000) xH2990, 97.8116)"

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