Introduction ‘Structure of the user manual ‘Additional information System versions Range of application and features Options/accessories Overview of SIREMOBIL 2000 system configuration Operating controls and displays Control panel on electronics cabinet Display field on control panel of electronics cabinet Operating elements connected via cable to the electronics eabinet Operating controls for system maneuverability Keyboard on monitor trolley ‘Text displays on monitor B Preliminary steps and system transport ‘Transport positions and actual transport System start-up System maneuverability SIREMOBIL electronics cabinet Movements of the C-arm are Semitransparent slot diaphragm Iris collimator Dual mode image intensifier ‘Skin spacer Sterilizable covers for C-arm system Continuous fluoroscopy (FL) Program selection Dose rate, kV Hold Image storage Parameter selection for fluoro ‘Temporarily changing parameter values or checking them Pulsed fluoroseopy (PFL) Digital radiography (DR) Program selection Standardprograms Parameter selection for DR ‘Temporarily changing parameter values or checking them Pulsed DR, Direct radiography Cassette format Cassette holder Iris collimation for direct radiography Selecting the exposure values Releasing the exposure Ending direct radiography 2 &Selecting the organ menus Freely-selectable kV and mAs values Exposure tables Subtraction technique Programming technique Operating sequences Continuous fluoroscopy Digital radiography Direct radiography with timer Options Functions and safety tests Safety/Special system features Cleaning, disinfecting, sterilizing Safety instructions Special system features Emergency shutdown button/system ON/OFF switch Explosion protection Radiation protection Overload protection Testing the automatic dose rate control Mechanical safety, points of injury Operation in combination with other systems Disposal Cleaning, disinfecting, sterilizing ‘Technical data Line voltage connection/equipotential bonding Technical data Varying the setting for the dose rate Deviations from the dose rate values set SIREPHOS 2000 tube cooling curve SIREMOBIL 2000 fluoro curves Error codes, addenda, supplements Error codes Abridged SIREMOBIL 2000 operating instructions DHHS supplements (only where applicable) 10-0 11-0 12-0 12-1 12-2 12-2 12-2 12-3 12-4 12-4 12-5 12-6 12-6 12-7 13-0 13-1 13-2 13-6 13-6 13-7 13-8 15-0Operating controls and displays Control panel on the electronics cabinet 24 Display window on the control panel of the electronics cabinet 2-6 Operating elements connected via cable to the electronics cabinet 2-8 Operating controls for system maneuverability 2.9 Keyboard on monitor trolley 2-10 ‘Text displays on monitor B 244 2-0(s s)[e a\fe) alee alsjs) war a) a a |) R Operating controls and displays System switch ON/OFF (These keys are located on the keyboard of the monitor trolley) Control panel on the electronics cabinet Selecting the various operating modes: Note: After the system has been switched on, it defaults automatically to the fluoroscopic mode. All other operating modes have to be selected by the user. 2 3 4 5 Fluoroscopy "FL" ‘The LED in this button lights up when this mode is selected Pulsed fluorosocpy "PFL” ‘The LED in this button lights up when this mode is selected. Digital radiography "DR" ‘The LED in this button lights up when this mode is selected, Serial radiography "pulsed DR" Effective only with serial image memory, The LED in this button lights up when this mode is selected. Subtraction and roadmapping techniques (optional) The LED in this button lights up when this mode is selected 24Collimators * fs) —— * fo @ ° [oo * fe] 0 u Rotates the semitransparent slot diaphragm clockwise and counter- clockwise Opens and closes the left collimator blade of the slot diaphragm Opens and closes the right collimator blade of the slot diaphragm ‘Switches the iris collimator control from manual to automatic mode (optional) ‘The installed LED lights up in automatic mode. In case of DHHS version systems (USA) transfer of current in is disphragm set- ting for radiography. Closes the iris collimation system Opens the iris collimation system when the collimator is set to maximum aperture, the integrated LED lights up direct radiography. Image manipulation *" » Rotates the television camera (image rotation to the left). (Change is visible during radiation only) Rotates the television camera (image rotation to the right). (Change is visible during radiation only.)Rg” “uf Image reversal ON/OFF ® ‘The LED lights up when image reversal is switched on The left and right side are reversed, (Change is visible during radiation only). 15 Adjusts contrast for left monitor (monitor A) ‘Adjustment in 4 levels. Contrast may also be adjusted via the keyboard on the monitor trolley. 16 Contrast adjustment for the right monitor (monitor B) Adjustment in 4 levels. Contrast may also be adjusted via the keyboard on the monitor trolley. Image documentation camera 17 Exposure release for multiformat camera or paper printer (applies only when camera has been connected) Image from monitor B. Beam-on indicator symbol 18 2) Beam-on indicator symbol for all operating modes (symbol is visible during ra- diation only) (At the same time, the radiation lamp located between monitors A and B is ON. 2-3Program keys: 19 20 Example: *0+ > es ‘Multifunetion keys 19-23 ‘The functions of these keys, which may vary according to program or operating mode, are represented by the symbols shown in the lower section of the display field. When simultaneously pressing the two different functions assigned to a dual function key, their effects are cancelled. “Standard program PRG 1" ‘The acoustic warning signal is switched off and the fluoroscopic time display is reset. When fluoroscopic time exceeds 4,5 minutes, the dA symbol appears and an au- dible signal is sounded. - ‘The signal is silenced when pressing multifunction key 19. At the same time, symbol *0* appears. ‘The warning is sounded again at 5 minute intervals. If local regulations require that fluoroscopy be switched off at a specific time programmed into the system, the signal is soonded after 4.5 or 9.5 minutes. In Fesponse, fluoroscopy is switched off $0 seconds later. ‘The programmed time limit ean be extended by another 5 or 10 minutes by pres- sing key 19 Fluoroscopic time may be reset with key 19 when symbol *0+ appears, If the system includes the “area dose product" option, the value is reset to 0 eGyem? Switches the II. format (electronic zoom) ‘The format selected is displayed to the right of the L. symbol.a1 24 Stops automatic dose rate control and allows for manual kV setting. When selecting this key, the symbol -kV + appears in place ofthe © symbol. ‘The respective mA values may now be set manually. They are shown in the cen- ter line of the display. The @ symbol is now located in the right half of key 21. The stop function is cancelled by pressing the right half of key 21 ‘Transfers images to digital memory (to the second semi-conductor memory or to disk for serial image memory), ‘The image is displayed on monitor B. ‘Transfers images from digital memory ‘The image is displayed on monitor B. ‘The user may page through the images (+ = up/- = Selects organ programs The programs are shown in the: 25‘The display field ‘The display field is normally subdivided into three sections (lines). Example: Standard display for fluoroscopy (display field for standard program PRG1 in fluoro) B a a a oe a eXcR SU oan 1. Top section, dark background 25 Beam-on indicator symbol (glows yellow when radiation is on) and temperature display for x-ray tube. ‘The radiation release symbols is shown in inverted video display when the housing tempera- ture of the x-ray tube is >50°C. 26 Bar graph indicating x-ray tube loading capability Availability of x-ray tube is indicated by the black fill level of the bar. If the bar is a bright li- ne only, tube loading capability is 100%, 27 Operating mode and program display 28 Display of TV camera rotation Bar graph-changing to black either to the right or left of the center (normal setting). 2. Center section, highlighted Display of operating values (from left to right): . Fluoroscopic time in minutes . Area dose product in eGyem? (optional) . kV value . mA-value . Current image memory number on Winchester disk (for multi-image memory) of the image displayed on the monitor to the right (monitor B). 3. Bottom section Actual symbols of the 5 multi-function keys 19-23. Each symbol is displayed directly above the corresponding blank key on the control panel (re- fer to page 2-4) 2-6Example: Display field for determining the parameteers for the organ program “pelvis” in fluo- ro mode. -PROG 1 Note: The display field is switched to organ programs when pressubg key < PROG > (24) ‘The organ programs may now be checked, changed or, when required, new organ programs may be genera ted. 1. Top seetion 29 Field reserved for operating mode, program number, and program name 2. Center section Field reserved for displaying the selected parameters 3. Bottom section Field reserved for determining the parameter values with multifunction keys 19-23. 30 Dose rate selection 31 Dominant evaluation 32 Characteristic curve selection for dose rate control 33 Bdge enhancement selection 4 Selection of noise suppression factor or motion dete 27Example: Display field for direct radiographic mode (ae Sra lele) esta tb - Availability display ‘© The bar graph in the upper left section indicates systen time for direct radiography (up to 25 seconds). © Fullavailability is indicated by a highlighted bar, ‘© Depending on the exposure time selected, the bar is filled in with black. This means that only the frame of the bar remains visible when selecting e.g. the maximum exposure time of 25 seconds. © After the automatic tube cooling period, the black band in the bar graph disappears as confirmation to the user. '* The tube cooling period results from kV x mAs/170W (continuous output for 2 hours). = Symbol for direct radiography + The symbol is displayed in the center of the top section © The symbol goes out after completion of exposure or removal of the cassette ~ Data regarding the film-sereen combination and the type of film used. + Data is displayed to the right in the top section. © The film and film-sereen combinations may be changed as required (refer to the section “programming names and data’). ~ Exposure time display © The exposure time is displayed to the right in the center section. © Display is in up to three di its after the decimal point. * Prior to the exposure, the time determined by the generator from the kV/mAS values is displayed as preliminary information. The actual exposure time is shown after completion of the exposure. 28Operating elements connected via cable to the SIREMOBIL electronics cabinet Hand switch ‘The cable can be connected at both sides of the electronies cabinet Radiation release button @ (35) for all operating modes Freeze frame from fluoroscopy to Winchester disk (36) (The button is functional only during conventional or pulsed fluo- roscopy), ~ Instant image display on monitor B. Radiation release via dual footswitch = Applicable for all operating modes with the exception of direet radiography = & Switch for FL and pulsed FL (right side) = DR Switch for digital radiography and serial mode (left side)Operating controls for system maneuvera- bility Foot brakes (37) They are located at both sides of the electronics cabinet (mechani- cal brakes). Moving the electronics cabinet Use the steering lever (38) and the handles at the electronics cabinet. Moving the C-arm are ‘The C-arm is counterbalanced after releasing the magnetic brakes via switehes (39) and (40). Note that the two switches light up when the magnetic brakes are released Magnetic brake switeh (39) = Raises and lowers the vertical column 1 . - Moves the C-arm are in the horizontal direction —> = Rotates the C-arm are about the vertical column Magnetic brake switch (40) = Angulation : Rotates the C-arm are about the horizontal support arm in the vertical plane ~- = Orbital movement of the C-arm are =. To facilitate orbital movement of the C-arm are, insert the ste- rilizable handle into the LL (refer to page 3-8) 2-10a 42 43 Keyboard on the monitor trolley Basic design (standard for 3-image memory) 41 > “Page down" in Winchester disk ‘The selected image is displayed on the monitor selected (either A or B). 42 > “Page up" in Winchester disk ‘The selected image is displayed on monitor B. 43 =| Exposure release for multiformat camera ‘The image displayed on monitor B is photographed. 241Standard keyboard configuration including several special keys (optional for 3-image memory, standard for serial memory) 44 45 46 41 48 49 < SHIFT > < BACK SPACE > < RETURN > Selects the upper symbols in the top row (of keys plus capitalizes all letters) Key has no function Sets tabs "Inserts blanks to the left of the letter highlighted by the cursor Deletes the letter located to the left of the cursor "Deletes the letter highlighted by the cursor New line ‘The cursor jumps to the beginning of the next lineS455 56 BT °@ Bea Keypad next to the standard keyboard configuration 52 38. , Arrow keys Each time one of the arrow keys is pressed, the cursor moves in increments of 1 in the desired direction. "Home" key ‘The cursor returns to its starting position at the beginning of the patient data input line (third line from the bottom), ‘Textinput and text superimposition ON/OFF (display on monitor B "patient data) Automatic display of the text characters, Next patient ‘The text lines of the previous patient are deleted. The line containing the hospi tal’s name is retained. Images on the monitors are deleted as well. However, images stored in serial memory are retained. At the same time, fluoroscopie time display is reset to 0.0 Selects monitor A (left monitor is the "work" monitor) Monitor A is selected for setting the contrast and displaying images from serial = Selection of monitor A is displayed as A + to the left in the fourth line from the top on monitor screen B.55, Se Selects monitor B (right monitor is the "storage" monitor) Monitor B is selected for setting the contrast and displaying images from the semi-conductor or serial memory). = Selection of monitor B is displayed as B—> to the right in the fourth line from the top on monitor sereen B, Horizontal image reversal (right and left side are reversed in image) Goes into effect only with the next live image Selection of horizontal image reversal is displayed in the center of the first line on monitor B Contrast adjustment Contrast adjustment in 4 levels, Selection is displayed on either monitor A or B according to the user's choice. = Thecontrast level selected is displayed after the_/~symbol inthe third I- ne from the top on monitor B Down pagingin serial memory ‘The image is displayed on either monitor A or B according to the user's choice. = ‘The number ofthe image in memory is displayed after the symbol > in the second line from the topon monitor B and on the display. Up paging in serial memory ‘The image is displayed on either monitor A or B according to the user's choice. = The number of the image in memory is displayed after the symbol in the second line from the top on monitor B and on the display. Exposure release for multiformat camera ‘The image displayed on monitor B is photographed (Monitor B is blanked during the exposure time).Text displays on monitor B (storage monitor) ‘Text superimpositions are limited to monitor B. ‘Text superimpositions are subdivided into an upper section (4 lines) and a lower section ( 3 lines). ‘The text displayed in the upper seetion is not stored to the serial memory. However, it is included on. the hardeopy. ‘Texts displayed in the lower section are stored to the serial memory. They are also included on the har- dcopy. Upper section Operating data (no user intervention via eursor or overwrite function) Firstline: Z)_ Image orientation is displayed @ Second line: + Number of image in memory is displayed 2. to the left for monitor A, to the right for monitor B. Third line: _/- ‘The contrast level setis displayed. _/” ; ‘To the left for monitor A, to the right for monitor B. ‘The four contrast levels are displayed numerically (2,8,4) with the exception of level 1. This level is displayed as” linear." ‘The monitor selected for setting the contrast or displaying images from the semi-conductor or serial memory is shown: Monitor A. A=; Monitor B — B.Lower section Patient data and hospital name = Text superimposition is switched ON/OFF with [=] key = Textean be changed with the cursor (bright light mark = highlighted) and the standard keyboard = The two lines containing patient data are deleted when pressing the key [i] "Next patient.” The line containing the hospital name is retained (refer to page 2-12 for additional information).SIEMENS RR2-120.203.08.02.02 Siremobil 2000 Update Package for User’s Manual Document number RR2-120.208.01.05 With the upgrade package, part no.: 11 90 748 your system will show a number of functional improvements and improved stabilly against disturbances. Please add the sheets enclosed to chapter 14 of your User's Manual and replace sheet 3 In chapter 2. TDU 32 11.93 (english). . Inhalts\ “ichnis Siremobil 2000-1 /-2/-3 Unoteontents Sa 1. Allgemeines Deckbiatt uw Revistonstend 12 Inhaltaverzoichats 13 ‘Allgemeine Hinwelse 13 2. Projektierung Technigche Daten 2a Madbiid Siromobll 22 Mabbild Slchigerdtewagen 2000 -2/-3 23 Manbilé Sichigerdtewagen 2000 -1 2a 3. Montagevorbereitung 4. Installation Kabeltingen aa uw 12 13 13 2. Planning “Technical data 2a Dimeneional drawing Sirematil 22 Dimensional drawing monitor cariago 2000 -2/-9 23 Dimensional drawing tonitor carriage 2000 -1 2a 3. Preparation for installation Installation Cable lengths 4a Allgemeine Hinwsise: / General notes: ‘Auf allon Bauplinen, die von den Projektenabtellungen erste worden, mut Leterbedingungen von UB Med hinwolst, die den Planen bei Abgabe beizul Layouts plans issued by the Planning Deparments must bear a note refering tothe Installation and delivery conclions of Siemens ‘Modal Engingoring Group. These must be submited with the layouts. Jn Vermerk stehen, der aut die Montage und ind. Mehtio 1 Imeartant Bt Planung und Projktrung snd de Angaben aus der Mappe RAO zu bercalcgen, Nar dan ten vottnatge information sichergestellt. ‘When carrying out planning and project organisazion, the data found in flo RAO must be taken into consideration, Only hon this is done, can complate information be assured, ‘Sachbearbelter / Person responsible: Herr Eidenhardt, TDG 21, Tel. 09131/84 - 5428 See SIEMENS AG Twee1 RR2-120.021.01.02.05 MedizinischeTechnik Rev. 02 08.91 13Siremobil 2000 -1 /- 2/-: Technische Daten Technical data Technische Daten / Technical data T Powers 1.100-277V£10% 50/60Hz +1Hz “1 Sicherag Unery 15 A trige ab /siow-biow trom 190.V 20 A rage bis / slow-blow upto 127 V 2000-1 <0,400-127V <0,700-277V 2000-2 <0,700-127V 5 1,50Q-277V 2000-3 <0,250-127V <0,50-277V Leistungsaufnahme 2000-1 /-2 max. 3kVA Power consumption " 2000-3 max. 5 KVA. ca. / approx. 700 W Gowichte: Weights: Siremobit ea. / approx. 250 kg Sichigerdtewagen ) Monitor cariage 2000-1 max. 114 kg 2000-2 max. 291 kg 2000-3 max. 222 kg (gemae DIN IEC 601-1) Betries Lagerung (Gecorcing to DIN IEC 601-1) Operation Storage Zuldssige Umgsbungstemperatur Permissible ambient temperature 10° C-+ 40°C -40? 0-470" Relative Luftfouchtigkeit Permissibie relive humicity "1100, 110, 118, 120, 127, 190, 200, 208, 20, 240, 254, 277V + 10% Der Bereich kann BZ-abhingig singestellt werden. “The range can be adjusted depending on 82. SIEMENS AG Theat R2-120.021.01.02.085 24Dimension drawing Siremobil MaBbild Siremobit -1 /-2/-3 Siremobil 2000 -1 /-2/-3 ae a 11.6.0) en ave saype1q uw suo‘suOUNG ‘AG « 620) n8 pure wrouwory oy O9aR 008 bis 6ve1 Bs tion on qnueynsen ves Bugs eUETIOH 3 sot sqnurewoznoH ‘one ry 6h soneinBuy ves uous ID 08% 108% Hopooqquentyas F610 ue Bxjonns e020 e215 ojroruemyas soenwertoH 1 08s a dl 3 “Popo ep 2.2 05.91 UEz o86 (eran) voor ow joce) ter ( FRR2-120.021.01.01.05 Rev. 01 ‘oa-oo7 uaF TOs TDG 2t SIEMENS AG MedizinischeTechnikSiremobil 2000 -1 /- 2/-3 MaBbild Sichtgeratewagen 2000 -2 /-3 Dimension drawing monitor carriage 2000 -2/ -3 192 i Bedien- brw. Eingabetastatur ‘Operating or entry keyboard Mutiformat-Kemera (Multispot) Mutiformat camera (Malispot) Atagotch |_——~ zB. fdr Videoprintor 3 = Sacro. fordoo ptr (inter der Abdeckung) 7 Digitatspoicher Memoskop | i Digital memory Momoskop (behind cover) |__ Netzversorgung | SR Power supply = 1 G 00 600 220 M scale 4:20 L 4 SIEMENS AG 10621 RR2-120.021.01.02.05 MedizinischeTechnik Rev. 02 08.91 23Siremobil 2000 - 1/-2/-3 MaBbild Sichtgeratewagen 2000-1 Dimension drawing monitor carriage 2000-1 1450 A Netzversorgung Power supply a 5 500. My Scale 1:20 L - SIEMENS AG Toe2t RR2-120.021.01.01.05 MedizinischeTechnik Rev. 01 08.91 24Siremobil 2000 - 1 /-2/-3 Kabellangen Cable lengths - a Sichigertewsgen Skemebi 2000 Nontorcarage Handausner sranoeise ooh oder Tks montorer Co fem ee ptoalarangenenton ‘the right or left side ]] | ~] FP #1. cee netzkabetstecker cr CEE mains cable connector am Verbindungskabel pot + 8208 BLAAH Connect cae | ___ i te tw appro 18 Notkabet/ power cable am peneunire) capo. 3.6m (usa: en. appx 83m) Fbschater Erdungeabl Sm mit Schnppverechussen Feet wich benanre for E20 tr Ram der Arwendungegruppe 2 Grounding cable, Sm, with snaps Part No, 2171 767 E2018 (for rooms of group 2) M/ Scale 4:25 “1 Dazugehétige Netzeinbaudose Bestell-Nr. SN3161783 1948-13, Bolonging bull-in wall socket ordor no, SN 3161783 B1948-13 Hinweis t Die angegebenen Kabollingen sind fur alle Vorsionen zutretfend. Note! Given cable lengths ar valid for all versions. 4 ——— SIEMENS AG Toe 21 FRR2-120.021.01.02.05 Medizinische Technik Rev. 02 08.91 44SIEMENS SIREMOBIL 2000 Supplement to the User’s Manual Display of current software version ‘The software version running on your system is indicated in the display immediately following switch-on. EC Change in the image reversal key on the Memoskop 50 operating panel ‘The image reversal key on the Memoskop 50 operating panel is n0 longer functional The image reversal function takes place only from the SIREMOBIL 2000 operating unit. On the B monitor (memory monitor), the image saversion aisplay no longer aoperas, Dose rate regulation - STOP and manual kV input In accordance wih the requirements of different countries, following selection of the dose rate regulation “Stoo” function. manual setting of tne fluoro kV 1s not possible in all countriesAdditional display for camera rotation in degrees From software version VB OOC on, the camera rotation in degrees is also displayed. This display is beneath the bar display. Display of date ‘The date display gives the date of the current day. If a radiograph is not to be documented on the same day. enter the date on which the image was taken in the patient data line It, accordance with regulations. only the date on which the image was taken may appear on the film document. SIEMENS field technical support can delete the date of the current day altogether. It is then necessary to enter the image date manually in the patient data line Ur ess eucresiy gerrimea, inese records “st ne trer 9¢ "ade avaiabe 10 hws pares ror reproguces. nor alowed 10 wnlze oF ines corianis innegonents w fo" and are subject 10 tabiny name. Al nigh reserved, especially sn be Ceagre 1900 rey.sores SIEMENS AKTIENGESELLSCHAFT (roe No. RR2-120.203.08.02.02 (AG 11/93) Mecical Engineering Group - Erlangen Prise in the Federal Repunic of GermanyPreliminary steps and system transport ‘Transport positions and actual transport System start-up System maneuverability SIREMOBIL electronics cabinet Movements of the C-arm are Semitransparent slot diaphragm Iris collimator Dual mode image intensifier Skin spacer (where required by DHHS regulations) Sterilizable covers for C-arm systemSystem positions for transport and actual transport SIREMOBIL electronics cabinet ‘Transport position: Lower the vertical column. Move the longitudinal arm and the C-arm into the transport position shown. Note: While transporting SIREMOBIL 2000 and the monitor trolley, the incline of the ramp or floor should not exceed + 10 degrees. Switch off the SIREMOBIL. (ase the ON/OFF key [a] at the monitor trolley). Disconnect the plug of the line voltage cable to the power outlet Pull on the plug, not on the cable. Disconnect the central plug of the connection cable to the monitor trolley, Turn lever (1) to the left and pull the plug. If attached, disconnect grounding cable (equipotential bonding system) from the electronies cabinet, Roll up the connection cable of the foot switch at the front of the electronics cabinet and attach foot switch as shown. Actual transport procedure Release foot brake Use the steering lever and handles at the control panel. Ensure that transport route is free of obstructions which may collide with the wheels. 3-1Monitor trolley 1 ‘Transport position: Roll up the line voltage cable and the cable to the SIREMOBIL. electronies cabinet in back of the monitor trolley as shown, Actual transport procedure: Use the handles on the monitor trolley to move it sideways Set the front wheels in the direction of travel. Tilt the lock-in lever toward the inside as shown,Blocking the wheels of the monitor trolley Tilt both lock-in levers toward the outside. Wheels have been released allowing maneuverability in all directions ‘The lock-in levers are in the horizontal position.System start-up Connecting the cables and switching on the system Release the foot brakes at the SIREMOBIL electronics cabinet and monitor trolley. Connection cables Connecting the monitor trolley to the electronics cabinet: © Plug in central connector of the cable from the monitor trolley into the outlet at the electronics cabinet. Lock the connector into place with lever (1). Grounding cable for equipotential bonding system Y © When performing cardiae or cranial examinations, additional grounding cables have to be routed according to DIN 57107/VDE107 in rooms of Application Group 2E. Clamp the grounding cable to the center suspension arm of the electronics cabinet and to the protective conductor (e.g. at the patient table) gy Line voltage connection © Plug the connector of the line voltage cable into the power outlet in the wall.Switching on the system Press key [1] at the keyboard on the monitor trolley. © The system moves into the start position and runsa self-test, eee. fithewer) ‘© The initialization screen is shown for 30 seconds on the display of the control panel on the electronies cabinet. After number 3D is displayed, the system is ready for operation. The standard sereen for fluoroscopy is shown on the display. ‘© A square grey field is shown on both monitors. © If the system is equipped with a serial memory, the operating data is superimposed on monitor B (optional). Caution: Adhere to the guidelines for radiation protection. Note: When the initialization screen remains displayed on the monitor and the error message "ERR: 0020”, is displayed, switch off the system and start it up again. ET) . ERR? 0020 £ Sry otkSystem maneuverability SIREMOBIL electronics cabinet ‘The SIREMOBIL electronics cabinet is equipped with 3 wheels for easy steerability. ‘The wheels are blocked with the the foot brake (pedal) Caution: The floor in the examination room must be level within + 5 degrees. Release the foot brake (Push down both pedals) Moving the SIREMOBIL electronics cabinet with the handles at the control panel The steering lever can be locked into three different positions, that is, the eabinet may be moved in a straight line or to the right, or left side. (Steering lever is shown in the "straight line" position)Steering lever in the lock-in position for moving the cabinet sideways to the right (movement to the left is equally possible). Lift the steering lever and turn it into the desired direction. The cabinet will move parallel to the lever position. Cable deflectors ‘To ensure easy maneuverability, cables lying on the floor are pushed aside by the cable deflectors at the wheels of the electronics cabinet. Lock the SIREMOBIL electronics cabinet into position with the foot brake.Movements of the C-arm arc Magnetic brakes Toreleasebrake: depress key lamp lights up To lock brake: depress key lamp goes out ‘The C-arm are may be moved as shown by the symbols on the switch after the magnetic brakes have been released. Handle (optional) ‘The C-arm are may be manipulated with a handle attached to the image intensifier or the x-ray tube. ‘The handle must be used for all C-arm are manipulations. ‘The handle can be sterilized. Set the handle into the desired position and insert it into the holder. Push down the button to change the position of the handle or to remove it. ‘The handle can be inserted into the respective holder from either side of the image intensifier or the x-ray tube. Itis recommended to move the C-arm are with the handle inserted at the image intensifier.Raising and lowering the column stand with the C-arm (vertical travel of the C-arm is 45 em). @ Horizontal travel of the C-arm ‘The support arm can be shifted by 20 cm in the horizontal direction.C-arm wig-wag range ‘The wig-wag (swivel range) of the C-arm in the horizontal plane is, + 12.5* about the column stand. C-arm angulation ‘The angulation of the C-arm in the vertical plane is + 190° about the horizontal support arm. The scale is located on the joint of the support arm.Orbital movement of the C-arm: 115° 90° horizontal to vertical + 25° overswing Scale is located on the outside of the C-arm. 3-11S)} [O4) |@y © @ Ss Semitransparent slot diaphragm ‘The semi-transparent slot diaphragm is opened and closed with the [§ @) [@_G) Kevson the control pane! By rotating the slot diaphragm with the [8 @) keys, the collimated field is oriented into the direction of the anatomy under examination (e.g. the extremities) ‘The semitransparency generated by the low absorption of the slot diaphragm permits both visibility of the instruments as well as their precise targeting during fluoroscopic control. At the same time, image contrast is enhanced through collimation which also prevents burn-out by direct radiation passing soft tissue. Tris collimator ‘Small field collimation results in higher detail definition as well as improved contrast inthe fluoroscopie image. Concentric collimation of the iris collimator (keys|® [®]) reduces the radiation dose to the physician and patient when small, low: contrast objects are examined with fluoroscopy. ‘The lower radiation dose is further ensured when using the automatie[@]V Hold key for eallimations measuring <10 em in diameter. When switching on the system, the iris collimator automatically opens to the image intensifier format. When the cassette is inserted (for direct radiography), the iris collimator opens to maximum aperture (LED in the switch will go on), Dual mode image intensifier OPTILUX image intensifier with dual mode format I7em (7") or 23 em(9") standard survey; can be changed to 10 cm (4") or 15 em (6") for detail enlargement (e.g. when examining Joints) 3-12Skin spacer (Applicable for DHHS guidelines only) According to DHHS guidelines 21 CFR 1020.32(0), the system must be equipped with a skin spacer which inereases the source to skin distance (SSD) to 302.5mm. FWhen the SSD is too large for special surgical procedures, the skin spacer can be taken off by removing the 3 Allen screws. ‘The remaining SSD is then min. 202.5mm, To ensure that the skin dose is reduced by the larger SSD, the skin spacer has to be reattached after completion of the special surgical. procedure. 3-13Sterilizable covers for the C-arm ‘The C-arm including the image intensifier and the x-ray tube can be covered with a two-part sterilizable cover. ‘The covers are attached with sterilizable clamps. C-arm completely covered. Slip the cover over the image intensifier Attach the cover Cover for C-arm and x-ray tube It is recommended to fold the cover as shown before slipping it over, the components. Ensure that the outside lining of the cover does not come into contact with the C-arm. 3-14Slip cover over the x-ray tube and cover the C-arm. Attach the cover close to the x-ray tube with clamps. Let the C-arm cover overlap with the image intensifier cover and secure the C-arm cover with a clamp. ‘Tie down the cover of the x-ray tube.Continuous fluoroscopy Program selection Standard program Dose rate, kV Hold Image storage Parameter selection for continuous fluoroscopy ~ Dominant evalution = SIREMATIC = Spatial frequency filter for edge enhancement = Recursive filtration for noise suppression ‘Temporarily changing or checking parameter values Pulsed fluouroscopy (PFL) AO Hokee & BRE fk. RRR RR RR ReContinuous fluoroscopy Note: When the system is switched on, it automatically defaults to continuous fluoroscopy. The display field shows a "fluoroscopy screen.” ‘The following applies to continuous fluoroscopy: Preselect mode withthe [3] key. Perform fluoro examination with the foot or hand switeh, Selecting the program Depress the key. = Uptoave aire programs may betred under Mor cere ee te neopets in Penang © Me eo se Iara taney Stak eorceng ta ore = Giily existing programs will be shown, that is, if only 2 programs have been entered, they will be displayed alternately. Standard program ‘The following standard program for continuous fluoroscopy is | aa installed in the factory prior to system delivery: Ea - Dose rate: 0,22 pGy/s = Dominant evaluation: ‘MW (mean value) - Characteristic SIREMATIC —HC-4 curve: — Spatial frequency filter: 2 ~ Noise suppression: Bw.D2 (motion detector)Dose rate ‘The preferred dose rate is 0.22 WGy/s (25uR/s) measured in the input plane of the x-ray image intensifier at stabilized tube voltage (kV/mA), an additonal 3 mm Cu filter and slot diaphragm at maximum aperture. ‘The dose rate can be changed (0.13 or 0.44 UGy/s) by the user in the parameter menu shown below. For further details refer to page 13-6 "Technical description. kV Hold C® key on display) Aconstant kV is set with the @ kV. Hold key for examinations performed without automatic dose rate control. When metallic objects (e.g.intermedullary nails) are introduced into the beam path or when examining objects of varying thickness (e.g. repositioning of fracture) in fluoroscopy, it is recommended to set the kV with the @ kV Hold key. When automatic dose rate control is off, the kV can be set manually with JM) Keys on the display.Image storage Automatic mode ‘At the completion or termination of fluoroscopy, the last image is stored and displayed on monitor A. This feature is known as “last image hold." Manual selection of storage image ‘An image from the fluoro scene is stored when releasing button on the hand switch and instantly displayed on monitor B. Image transfer (automatic or manual) ‘The fluoro image (live image) is shown during fluoroscopy on monitor A, The reference monitor (monitor B) shows an image fetched from the memory. ‘The last image generated is shown on monitor A during fluoro pauses, ‘Monitor B shows a “filed” stored image. During fluoro pauses, the image on monitor A can be transferred to monitor B with keys GEG) ‘The image on monitor A is deleted when fluoro is started again. Parameter selection for fluoroscopy Simultaneously depress the “operating mode" key and the (we) - R ‘The is shown again when pressing} ‘The following parameters may be selected: Pen Dose rate (in uGy/s): 0,13 -0,22-0,44 Dominant evaluation Key in the display field. ‘The dose rate control is based on the measurement and stabilization of the video signal within one dominant located in the center of the image. The size of the dominant, whieh is automatically controlled, is a function of the image intensifier format. ‘The parameter menu lists four different dominant evaluations: 1. Mean value evaluation (TV Domin.: MW) (preferred evaluation) The mean value of the video signal is kept constant within the dominant. The mean value evaluation is a comprise between the extreme white and black level evaluations.2. Black level evaluation (TV Domin.: SS) ‘The regulator keeps the video signal constant in the darkest image sections. As a result, good detail definition is ensured in dark image sections of high-contrast objects. However, if collimation is insufficient, image quality may be degraded through direct radiation in the region of the extremities. 3. White level evaluation (TV Domin.: SW) ‘The video signal in the brightest image sections in the dominant is kept constant, While burn-out is prevented with high-contrast objects or direct radiation in the dominant range, detail definition in dark image sections may be degraded. 4. Combined black and white level evaluation (TV Domin.:S + W) SIREMATIC Curve © Processor-controlled, high speed kV and mA control (adjustment) © Programming of different kV/mA curves Key in the display field. A maximum of 5 curves may be programmed including the maximum current value (the curve is displayed as mini diagram on the display). SIREMATIC S (max. 3 mA or 5 mA) Standard curve indicative of good image quality for medium radiation exposure SIREMATIC HC (max. 4 mA or 8 mA) Highest image contrast with increased radiation exposure SIREMATIC Sub (optional for subtraction) max. 8mA_ Optimized for contrast media for excellent vessel contrast in subtraetion technique. SIREMATIC LD (max. 3 mA) Lowest radiation exposure resulting in reduced image contrast (pediatries). ‘The curves are shown on page 13-8. Information regarding the temperature of the x-ray tube: «When the temperature exceeds 50°C, the program switches to the Sirematie characteristic curve LD (max. 3mA). The radiation symbol of the tube load capability is shown in inverted video display. ‘When the temperature exceeds 60°C, the program switches toa dose rate of 0.13 UGy/s. ‘+ Ata temperature of 70°C or higher, the generator switches off. However, the image will be fully reconstructed,Spatial frequency filter for edge enhancement Key in the display field. 5 Bevo! One of the following four levels may be selected: © without edge enhancement 1 low edge enhancement 2 medium edge enhancement 3 high edge enhancement Recursive filtration for noise suppression Key in the display field ‘The 6 factors which may be selected are: 1-2-4-8- 16-32 Motion detector for noise suppression For slight motion: Use key in the display field. ‘Two different levels may be selected (1 and 2).Temporarily changing parameter values or checking them Simultaneously depress operating mode key [5] and key (@)’ until the parameter menu is displayed. = STANDARD 1 ww] cs Path ites - The LED in the operating mode key flashes indicating that the user can return to the revious mode by pressing. — Different parameter values are set by pressing the allocated key. The values are shown in ascending and descending order. - When a parameter has been changed, the operating mode image is shown with an’ after the program number when the (w) key is pressed -~PROG IEG Say el - When the system has been switched off, the parameters set previously will be used for the next fluoro ‘The [J after the program number is deletedPulsed fluoroscopy (PFL) In addition to conventional, continuous fluoroscopy, the SIREMOBIL offers the pulsed fluoroscopy mode. As compared to conventional fluorescopy, pulsed fluoroscopy considerably reduces the patient's radiation exposure. Reduction in patient's radiation exposure is 30%, 50%, or 70%. Pulsed fluoroscopy is suitable for examinations involving none or only slight movement, e.g. when setting fractures or localizing foreign bodies in traumatology. Preselect mode with key [i] , fluoroscopy with foot or hand switch. _ ‘The patient density is determined with continuous fluoroscopy. ‘The beam-on indicator symbol will glow yellow when radiation is, ON. The last TV image is stored when fluoroscopy is switched off. Standard program Similar to continuous fluoro, a standard program for pulsed fluoro is installed in the factory prior to system delivery: = Dose rate: 0,22 pGy/s Reduction in dose: 50% a econ) = Dominant evaluation: MW (mean value) Tew FEET = Characteristic SIREMATIC curve: HC-4 — Spatial frequency filter: 2 - Noise suppression: 4‘ng - When pressing the operating mode key [)(PFL), the PFL sereen is displayed. With the exception of the operating mode symbol, the screens for FL and PFL and the functions are the same (entering a new program or changing it, ) Road atotcaT STANDARD®1 With the exception of the operating mode symbol, the screens for FL and PF'L and the functions are the same such as temporarily changing parameters, entering a new program, or changing it. ey ROG 1 STANDARD 1 Edge enhanc. = The keys for entering the dose rate in the parameter menu are not the same for FI. and PPL, = The field is subdivided horizontally. The upper half shows the value for , the lower half shows ‘The display field located above is also subdivided. The dose rate is shown in the upper half, the reduction of the dose rate in percent is shown in the lower halt, = Depending on the factor, combinations of dose rate and reduction in % can be set. Dose rate: Corresponding reduction of dose rate in %: 0,13 uGyis 30%, 50%, 70% 0,22 uGy/s 30%, 50%, 706 0.44 uGy/s 30% 50%, 0%Digital Radiography (DR) Program selection Standard programs Parameter selection for DR mode ‘Temporarily changing parameters or checking them Pulsed digital radiography (Serial mode - PDR)Digital radiography (DR) In addition to conventional, continuous fluoroscopy, digital radiography (DR) generates an instant electronic image. The result is high image quality at low patient radiation exposure. ‘The length of the short radiation pulse released in DR depends on the factor selected. There are three different factors, factor 8, 16, and 32. Selecting the DR mode with [2] (single image mode) or (4) (Gerial images, when system is equipped with serial memory). Wheridepressing he [EE] key, the operating mode sereen for DRis displayed The sereen layout isthe same as that for fluoroscopy (efer to page 25), Releasing digital radiography with the foot or hand switch Radiation is automatically switched off when an image is stored to memory even though the hand or foot switch remains depressed. ‘The images may be stored automatically or manually depending on the user's choice. Program selection Depress @) key = When one of the programs is in progress, the remaining programs may be called and displayed by briefly depressing the (—.) key. = Only existing programs will be displayed, that is, if only two programs have been entered, they will be displayed alternately. Note that unnamed, existing programs will not be shown.Burt Standard programs Note: The system is delivered with two standard programs for DR and PDR installed in the factory. The parameters programmed are as follows: Standard program for digital radiography = Dominant evaluation: - Spatial frequency filter: = Noise suppression: = Image storage: ‘MW (mean value) 3 (high edge enhancement) 16 AUT (automatically) Standard program for pulsed digital radiography - serial mode - Dominant evaluation: - Spatial frequency filter: = Image storage: = Frame rate: ‘MW (mean value) 2 (medium edge enhancement) AUT (automatically) 2FisSelecting parameters for digital radiography (DR) Simultaneously depress operating mode key [if] and key (©) until the parameter menu is displayed. = ‘The program keys in the parameter menu are labelled in English ‘The program returns to the operating mode screen when pressing the (ws) key. ‘The following parameters may be selected: Image transfer to Winchester disk either automatic or manual) Depress key (4)>(B) in the display field. ‘The display field shows or Brees Dominant evaluation (refer to page 4-3). Key in the display field MW mean value evaluation SS __ black level evaluation SW white level evaluation S+W combination of black level and white level evaluation Spatial frequency filter for edge enhancement Key in the display field One of the following four levels may be selected: without edge enhancement, low edge enhancement medium edge enhancement high edge enhancement were Recursive filtration for noise suppression Key in the display field ‘Three different factors are available: Factor 8, 16,32 Motion detector for noise suppression Key in the display field 2 different levels are available (level 1 and 2).Temporarily changing parameter values or checking them Simultaneously depress operating mode key [2] and key (@) until the parameter menu is displayed. [os -PROG 2 STANDARD 2 Edge ery Pte Reduct — The LED in the operating mode key flashes indicating that the user ean return to the previous mode ~ _ Different parameter values are set by pressing the allocated key. The numbers are shown in aseending and descending order. = When a parameter has been changed, the operating mode image is shown with an {J after the program number when the (sa) key is pressed. DR -pRoG2 STANDARD 2. -180° = When the system has been switched off, the parameters set previously will be used for the next fluoro ‘The after the program number is deletedPulsed digital radiography - serial mode (PDR) When pressing the operating mode key [°% |(PDR), the operating mode screen PDR appears on the display. I DR? pro 2 STANDARD 2 -180 = The sereen differs from that for DR by the ‘The serial image number of the image shown on monitor B is displayed to the right in the center section. Operations such as entering a new program or changing one are identical to those for the DR mode. Selecting the frame rate =~ The frame rate (0,5 - 1 - 2) is selected with the < Fis > key located to the right in the parameter ‘The max. factor for noise suppression is automatically allocated to the frame rate. Hl fo) oC Ue 7a PB Ce careDirect Radiography Cassette format Cassette holder Iris collimation for direct radiography Exposure values Exposure release Ending direct radiography Organ tables Freely-selectable kV and mAs values Exposure tables 6-1 6-1 6-2 6-2 6-2 6-2Cassette format Only cassettes measuring 18 em x 43 cm (7" x 17") in format may be used. ‘The cassette may be inserted together with a radiography grid of the same size into the cassette holder. ‘The radiography grid is delivered as standard accessory with the cassette holder. Cassette holder ‘The cassette holder has to be attached to the image intensifier so that the positioning pins at the cassette holder (1) lock into the indents in the plastic ring of the image intensifier. Caution: Follow the instructions given on the warning label affixed to the cassette holder Attaching the cassette holder Open the springs at the cassette holder slightly and lift the cassettre holder over the plastic ring at the image intensifier. ‘The positioning pins (1) must lock into the indents. Caution: To prevent the cassette holder from falling off, the springs must be locked in securely. Removing the cassette holder Hold the springs. Push the cassette holder downward and remove it from the plastic ring. Inserting and removing the cassette Switch 2 is activated when inserting the cassette. The operating mode sereen "direct radiography" is displayed. Insert cassette up to the end stop into the cassette holder. After the cassette is removed, SIREMOBIL remains in direct radiography mode until another operating mode is selected.u Iris collimation for direct radiography ‘The iris collimator opens to maximum aperture when inserting the cassette. ‘The LED in key [] A tights op ‘When depressing this key, collimation is set to the aperture previously used in fluoroscopy. Notes When collimation is less than 10 cm (4") in diameter, image quality will be degraded due to increased burn-out. Selecting the exposure values ‘1. Use key MEI to select one of the pre-programmed organ programs (refer to additional information on next page) 2 Use keys MBM ond BEBE for irly selectable kV/mAs values, Exposure release with the hand switch Reselecting modes after direct radio- graphy ~ After the cassette has been removed, the system continues to in the direct radiography mode. The operating mode "exposure display" remains on the monitor. = The system switches to a different operating mode when the respective operating mode key is pressed or when fluoroscopy is released. - The cassette holder can remain attached to the image intensifier. 6-2Selecting the organ menu When pressing the Iai softkey on the exposure display, a survey image ineluding 12 organs and their allocated kV/mAs values are displayed. Note: The exposure tables selected include only exposure values obtained with a grid. kV mAs AP 73 = 16,0) AX 85 12,5 AP 70 8,0) LAT 70 8,0} AP 60 3,5) LAT 60 3,5) pe CORR. — The organs are selected with the Marrow keys. = Asecond page is displayed withthe [BEI ccy. An additional 12 organs can be shown on this page. ‘This means, thata maximum of 24 organs may be stored. a» = The exposure can be released directly from the organ survey menu. = i ‘The values allocated to the organ are transferred and displayed in the operating mode screen after exposure release. - Programmed kV/mAs values may be corrected with the key. After depressing this key, the program returns to the operating mode screen. Keys HM and EM are enabled for data correction. CLASS: 200 feta 5040) = The program returns to the organ menu when pressing key .Freely-selectable kV and mAs values (ae CS Saree) (ola TaN Keys and S@Maliow the user to set kV and mAs values as desired ~The dashed lines in the "exposure display” screen function as input prompts. = After pressing the plus symbol on either the kV or mAs key, values stored in tabular format in the generator are entered beginning with 40 kV/5 mAs. It is not possible to release an exposure without entering kV or mAs values. = The last kV/mAs value set is stored for 5 minutes after completion of the exposure to facilitate taking a second exposure with the same values.Exposure tables Siremobil 2000 Programming without with grid (film-screen combinations of class 200) 9 3 Organ kv mAs BP mAs BP Shoulder ap 70 35 18 Shoulder =x 70 a Upper arm 2 16 Upper arm 2 16 Lower arm 2p 60 7 10 25 14 Lower arm lat 60 1,25 " 35 15 Hip 3 16 26 Hip 85 12,5 28 Upper 70 8 22 Upper thigh lat 70 8 2 Cervical spine 35 15 Cervical spine 35 15 Cervical spine 10 23 Cervical spine lat 70 10 23 Thoracic spine 2p 3 78 23 Thoracic spine lat 1.45585 15.8 29 Lumbar spine 2p 10s 7 12,6 26 Lumbar spine lat 435s 90 398 34Exposure tables Siremobil 2000 Programming without grid with grid (film-sereen combinations of class 500) Organ kv mAs BP mAs BP Shoulder 2p 70 1.25 14 Shoulder ax 70 16 15 Upper arm 3 Upper arm 3 Lower arm’ Lower arm Hip Hip Upper thigh Upper thigh Lower thigh Lower thigh Cervical spine Cervical spine Thoracic spine Thoracic spine Lumbar spine Lumbar spineProgramming Technique Generating a new program for flucroseopy 8-1 Generating a new program for digital radiography 8-4 Programming names and data for direct radiography a7Generating a new program for fluoroscopy Entering a name When key ()_ is pressed for more than 5 seconds, the displayed operating mode sereen for Auoro changes into the leter/mumber selection sereen, -PROG 2 BIGICKEN Le = The operating mode program previously set is shown in the top line. ‘The cursor is located at the program number ‘The program number is changed by moving the second cursor in the letter field to the desired number with arrow keys, IIE} and "The number selected will also apprear in the cursor filed of the firstline. | — After the program number has been changed, the names allocated to existing programs will be shown, ‘The user can now change the name(s). - When entering a name for "unnamed" programs, a name may be assigned only to the first “unnamed” program in the list, It is not possible to move down the list by "jumping over" several other programs. — ‘The new program number for entering or changing a name is confirmed with key. The cursor in the top line moves to the starting position of the name, = The first letter is selected in the letter field with the applicable cursor key. Press [REMMI . The cursor in the name field moves to the next position, = Repeat above procedure for each letter ofthe program name, A maximum of 10 lettersimumbers may be used forthe program name. = Corrections: + Bach time the EMD key is pressed, the cursor inthe name field moves to the left by 1 inerement + Thenew letter can be inserted as described ahove with the cursor in the leter field End input of the name by pressing the MIE key. ‘The respective parameter sereen for entering or changing parameters will be shown on the display (refer to the next page).@ -PROG 2 BECKEN 2 Setting the parameters - The 5 parameters are set by pressing the allocated key. Only one value at a time is shown in either ascending or descending order. = Tostore the parameters to the program: press(=) key. = The ellwoing query will be shown on the display: < DELETE OLD PROGRAM > -PROG 2 BECKEN:2 DELETE OLD PROGRAM ? ie zk - Thenew parameter values are accepted by pressing key [MM The old values are overwritten, ‘The operating mode screen is shown on the displayRo See ecw) BECKEN atic = When parameters have been changed, however, key BJM has been pressed, an. in inverted video iaplay is shown after the program number ofthe operating mode screen. = When the system has been switched off, the parameter values previously set will be used for the next ‘The after the program number is deleted.Generating a new program for digital radioagraphy Entering aname Note: The program or organ names may be entered in the language of the respective country (Latin alphabet). When key ©) is pressed for more than 5 seconds, the displayed operating mode screen for DR changes into the letter/number selection screen. [oe a elvan Wm Pe ies [a Ce ee ae Leas Zee 6 Pe ae a] w. DR -PROG 2 STANDARD 2 DELETE OLD PROGRAM ? = The now parameter values are accepted by pressing key HM The old values are overwritten ‘The operating mode sereen is shown on the display.in inverted video When parameters have been changed, however, key SMM) has been pressed, an display is shown after the program number for the operating mode sereen, When the system has been switched off, the parameter values previously set will be used for the next seene. The J after the program number is deleted.Programming names and data for direct radiography When pressing the key, a survey image including 6 lines is displayed for more than 5 seconds in direct radiography. (hie SCREEN-SPEED CLASS: 200 | FILMTYPE GREEN-SENS | OB.ARM- AP 70 | OB.ARM- LAT 60 = The first two lines are reserved for entering the film or film-screen combination. The remaining lines are reserved for entering the organ designation and the allocated kV/mAS value, = When the user requires more than 6 lines, an additional line is displayed when the cursor is positioned in the sixth line while pressing the Down arrow key! Similarly, the program returns to the first, page when the cursor is positioned in the first line of the second page while pressing the UP arrow key. Use the [IIE key to enter names and data. = The letter/number selection sereen will be displayed. SCHUIMIT.-AP fc} QR = The line highlighted by the cursor in the survey image is shown in the first line. i ae a] w60° C, the program switches to a dose rate of 0.13 UGy/S, At 70°C and higher, the xray gonerator switches of, however, the exposure in progress is fully reconstructed. Warning! After completion of fluoro or direct radiography, the beam-on indicator symbol should go out. If the symbol continues to glow, set the line voltage switch immediately to OFF. Testing the functions of the automatic dose rate control Warning: Wear protective clothing while radiation is ON. Keep the necessary distance and wear either a radiation monitoring badge or a pen dosimenter. Automatic dose rate control 1. Cover the beam exit (e.g, fold a lead apron several times) Switch on fluorosocopy ‘The kV display should indicate approx. 110 kV (max. value), 2, Remove the cover and additional collimators from the beam path. Switch on fluoroscopy. ‘The kV display should indicate approx. 40 kV (min. value’. 12-4V Points of injury for personnel VJ Points of injury for patient Mechanical safety, points of injury ‘The high maneuverability of the C-arm may cause the image intensifier or single tank to collide with the patient and the patient table, when the SIREMOBIL is not operated as specified The system should be moved only by the handles provided for this purpose. Whenever exceptions have to be made, the points of injury shown above must be avoided, 12-5SIREMOBIL in combination with other devices If the technical data does not provide sufficient information for operating the SIREMOBIL with other systems, the respective manfucturer should be contacted to determine the safety risks, ifany, for patients, operating personnel or third parties. Disposal Federal regulations may contain specific guidelines regarding disposal of this product. Contact Siemens when permanently discarding this system in order to prevent possible injuries or environmental damage. 12-6Cleaning, Disinfecting, Sterilizing Disconnect the system prior to cleaning it. Cleaning the system Clean the system with a damp cloth or cotton pad. Dampen the cloth or pad with water or a lukewarm diluted com-mercially available liquid cleaning solution, Do not use a scouring powder, organie solvents (may damage materials), or solvent-based cleaning fluids (benzine, alcohol, spot remover) Do not spray the cleaning fluid directly on the system. The cleaning fluid may seep into the system. Cleaning monitors with anti-glare screens When cleaning anti-glare monitor sereens (recognizable by their non-reflective surface), only use pure alcohol or a mixture of 1/3 alcohol and 2/3 distilled water. Immediately after cleaning the screen, dry it with a soft cotton cloth, To avoid damaging the picture tube, do not use acids or alkaline solutions to clean the sereen. Desinfecting ‘To disinfect surfaces, we recommend liquid solutions of aldehyde-based or ampholytic surfactant-based disinfectant (e.g., Tego 103, Korsolin). Substituted phenol-based or chlorine-releasing disinfectants can weaken materials and are not recommended, The same restrictions apply to undiluted solutions with a high aleohol content (e.g., solution for for disinfecting hands). Disinfectant sprays should generally not be used; the spray may seep into the system which means that safety features can no longer be guaranteed (possible damage to electrical components, formation of flammable mixtures of air/solution vapor). Note: As is commonly known, the ingredients in disinfectants are hazardous to your health. Their concentration may not exceed the limits stipulated by legal regulations. We recommend that you follow manufacturer's instructions for the use of the product. Sterilizing ‘The handle for moving the C-arm, the cassette holder and the covers are made from sterilizable material. 12-7Technical data Line voltage connection/equipotential bonding Technical data Varying the dose rate Deviations from the dose rate set SIREPHOS 2000 ‘Tube cooling curve SIREMOBIL 2000 Fluoroscopy curves 13-0 13-1 13-2 13-6 13-6 13-7 13-8Power supply ‘The equipment may be used in rooms intended for medical purposes only if the installation complies with the provisions of VDE 0107"). Potential equalization *For heart (or brain) examinations, this equipment may only be used in rooms intended for medical purposes if they have an additional potential equalization as specified in DIN 57 107/VDE 0107/6.81 section 5 which has been checked for unrestricted effectiveness *). *)Inall other countries than the Federal Republic of Germany, observe the applicable local regulations. However, we strongly recommend compliance with the standards described herein-provided they do not contradict the national regulations to ensure the safety ofthe operators, patients, and thied parties. 13-1Technical data SIREMOBIL 2000 Nominal voltage/nominal frequency: Nominal connection current Internal line impedance Mean power consumption Generator output Permissible mAs/h for SIREPHOS: Radio frequency interference control (RFIC) Protection class/ electric shock Degree of protection against electric shock: Application and identification ‘The system may be operated with the following, nominal voltages (without a series transformer): 100-277 V + 10%. 20 A/I5 A at 110/250 V AC corresponding to the rated value of the slow- blow-fuse in the mains input of the product, Ri < 1,5 Q at 190-250 V~ Ri = 0,6 Q at 100-127 V~ ‘Total system 1 kVA Continuous fluoroscopy 40 KV to 110kV/0,2 to mA Digital radiography 40 kV to 110 kV/ 0,2 to 12 mA Direct radiography 40 kV to 110kV/ max. 20 mA. ‘The mAsh for SIREPHOS single tank are according to DIN 6811: For ADC 8300 - 10500 mAs/h For radiography 5000 - 12000 mAs/h According to federal or local regulations (FCC. in the US) Protection class 1 TypeB( Anasthesia-proof for Zone M, medical environment (AP-M) according to DIN 57 750, VDE 0750, and IEC 601. * CISPR = Internationaler Sonderausschul ir Funkstarungen der Internationalen Elekteotechnischen Kornmission (IEC). 13-2Dual mode image intensifier Source to LI. distance Source to LI. housing distance: Source to skin distance: X-ray tube Inherent filtration: Grid: X-ray tube assembly: Cassette holder (optional): Collimation syste ‘TV system: TV monitor Orbital movement of C-arm are Angulation of C-arm are: Horizontal movement of C-arm are: Wig-wag range of C-arm are Vertical movement of C-arm are: Brakes for C-arm movement: Multiformat camera: (optional) 13-3 OPTILUX 17 D-C, nominal diameter 177 mm, a Format switch-over 177 mm/100 mm OPTILUX 23 D-C, nominal diameter 230 mm @") Format switch-Over 230 mm/150 mm. 896 mm 675,5 mm 202,5 mm with skin spacer (302.5 mm for DHHS guidelines) Stationary anode, 0.6 nominal value for focal spot = 3mm Alequivalent Round Pb grid, =8,N=40 SIREPHOS-single-tank-high-frequency generator, - Inverter frequency: 20 kHz 18 em x 43.em/7" x17" format including parallel grid, r = 6, N = 70 Iris collimator and semitransparent slot diaphragm with asymmetric positioning and 3600 rotation VIDEOMED D, 50/60 Hz, 625/525 lines, CCD sensor with 400 000 pixels 44-cm-screen diagonal frame rate 60-Hz-frame rate (version 2000-1) 100-Hz./ 120-Hz- (Version 2000-2) us" + 190° 195 mm £125" 440 mm (manual, counterbalanced) electrical MULTISPOT 2000 8" x 10" film format Film division - survey and 4on 1Digital image storage MEMOSKOP 2 Storage capacity Matrix: Operating modes Image processing: MEMOSKOP 3 Storage capacity Matrix: Operating modes Image processing: MEMOSKOP 50 (identical with MEMOSKOP 3) Storage capacity: Operating modes: images 512x512 Continuous fluoroscopy with Last Image Hold or freeze frame during fluoro Pulsed fluoroscopy with Last Image Hold Digital radiography Recursive filtering or summation for noise suppression Spatial frequency filter for edge enhancement Constrast enhancement 3 images 512x512 Continuous fluoroscopy with Last Image Hold or freeze frame during fluoro Pulsed fluoroscopy with Last Image Hold Digital radiography Recursive filtering or summation for noise suppression Spatial frequency filter for edge enhancement Contrast enhancement 50 images Digital serial radiography in addition to the aboveMEMOSKOP SUB Storage capacity : Matrix: Operating modes : Image processing: Weight of SIREMOBIL electronics cabinet: Weight of monitor trolley: 13-5 100 images 512x512 Continuous fluoroscopy with Last Image Holdor freeze frame during fluoroPulsed fluoroscopy with Last Image Hold Digital radiography Digital serial radiography Subtraction including hemodynamic display Subtraction including display of maximum. Roadmapping technique Recursive filtering, summation or motion detector for noise suppression Spatial frequency fitler for edge enhancement ‘Windowing enhancement approx. 235 kg approx... 280 kg,Varying the dose rate setting Upon request, the dose rate of 0.22 uGi/s (25 uR/s) set in the factory ean be reprogrammed. Acceptable values are: 0,13 wGy/s (15 1R/s); 0,22 wGy/s (25 WR/s); 0,44 uGy/s (50 Ris). Due to the x-ray quantum noise, lower dose rates degrade image quality, Higher dose rates, on the other hand, improve image quality. However, radiation exposure increases if radiation ON time is not reduced. Deviations from the dose rate set ‘The fluoroscopic parameters (kV,mA) set are affected by the anatomy under examination. The dose rates present at the input of the image intensifier differ as a function of the L.I. gain which depends on the beam quality. When the density of the anatomy and the tube voltage (kV) are known, the deviation of the dose rate from the value set (factor 1) can be computed. ‘The correction factor for the dose rate at the LI. input in practical application (water phantom close to image intensifier) as compared to requirements for setting the dose rate (Cu filter close to source) is shown in the curve displayed below. The correlation kV to water thickness changes with the dose rate set and applies for 0.22 uGy/s (25 wRIs). Correction factor: 25 2.0 15 179d 1.0 50 60-70 80 90 100110120 130k te 5 10 15 20 25 30 32 (em)H,0 (Prefiltration 3 mm AD) 13-6SIREPHOS 2000 ‘Tube cooling curve for the housing HU 1200 000 1000 000 500.000 200.000 60 120 180 13-7 240 300 360SIREMOBIL 2000 - SIREMATIC (kV/mA curves for fluoro) 03 040506 08 02 mA (standard) max. 3mA max. 5mA SIREMATIC S max. 4mA max. 8mA (high contrast) SIREMATIC HC (low dose) max. 3mA SIREMATIC LD 3Error codes Addenda, supplements Error codes 14-1Error codes © Errors which occur during system switch-on or actual operation are shown in the display field on the control panel as "ERR:XXXX", Example: ERR: 0020 SIREMOBIL 2000 INIT: 30 Example: a. eam) PROG IEG Br Cae ee) © The ERR codes indicate the source of error to the service technician. © Incase of an error message, the user should depress the key. If this proves unsuccessful switch off the system and restart it © Should the error persist, call Siemens Service. 14-1Abridged operating.instructions Siremobil'2000,, Magnetic foil for'stickinig to the-unit. DHHS supplements« (only where applicable); Statements Maintenance instructionsSIEMENS SIREMOBIL 2000 Ee RAL DHHS-supplements to the Operating Instructions FRR2-120.203.01.01.02 englischSIEMENS SIREMOBIL 2000 EE Statements Techn. data for DHHS accessories { FRR2-120,207.01.01.02 englischSIREMOBIL 2000-2 - Model G5321 with single tank X-ray generator SIREPHOS, model X1988. - Model G5364 with single tank X-ray generator SIREPHOS, model X1988. In accordance with Federal Radiation Performance Standards 1 CFR Subchapter J Paragraph 1020.30 (h) X-Ray Controls and Generatores Nominal Rated line Line-voltage- Maximum line line voltage voltage regulation current 240 V + 10% 7% 15A + 10% 280 V + 10% B% 16 A + 10% 120 + 10% 10% 32A £ 10% Technique factors for maximum line current: 110 kVp tube voltage 13 mA tube current Generator ratings: Fluoroscopy: 110 kVp maximum voltage 5 mA maximum current Radiography: Duty cycle. 1:60 40 kV/20 mA 110 kV/13 mA,Maximum deviated allowances Radiography Tube voltage: Tube current: Exposure time: Fluoroscopy Tube voltage: Tube current: Fluoroscopic timer: Basic measurement used Exposure time: Peak tube potential: Tube current Tube Housing Assemblies Maximum rated peak tube potential: Leakage technique factors imum filtration permanently in the useful beam: obtained at: Cooling curves: Anode cooling curve: Tube housing cooling curve: Tube rating charts: 0.05 to 10.0 sec + 5% (+ 30 ms) 4.0.1mA Oto5min Tolerance 1 Digit (6 sec) by using universal equipment PTW-Nomex PTW-Nomex 2 filter method by using RMS-multimeter 110 kVp 110 kvpi5.0 mA 3 mm Al equivalent 80 kVp See instructions SR 110 See Operator's Manual p. 13-7 ‘The supplied tube rating chart is valid only for the single phase full wave rectified high voltage generator SIREPHOS 2000, Type No. X1988.SIEMENS SIREMOBIL 2000 ea PRL DHHS Maintenance Instruction englisch RR2-120.101.01.01.02Necessary reference documents Required test equipment Safety Notes Notes on the Maintenance Instructions Visual checks 5.1 Radiation protection 5.2 Checking the DHHS and Identification Labels Checking the blockings and displays 6.1 Checking the "deadman” function 6.2 Radiation indicator 6.3 Fluoroscopy timer 6.4 Indication of X-ray tube potential and current 6.5 Minimum source to skin distance Function tests 7.4 Checking the accuracy of the tube voltage 7.2 Reproducibility 7.3 Entrance exposure rate 7.4 Checking the central ray 7.5 Check the LI. format 7.6 Check the smallest field size 7.7 Cassette format Final visual and function checks PageDHHS Maintenance Instruction In order to ensure continued compliance with the applicable provisions of the Federal Perfor- mance Standard, the user of the equipment is responsible for carrying out the maintenance procedure described below in at least six-month intervals. If the user of the equipment fails to attend to this, the manufacturer and his agents are relieved of ail responsibility in this mat- ter. If any of the tolerances for the tests described in this document are exceeded, adjustments are necessary. Contact Siemens service Alter any adjustment, all affected tests must be repeated, ‘Customer: Customer No. Room: 8Z.No Type No. Serial No. After completion of the maintenance: I hereby certify that all procedures described in these maintenance instructions have been properly carried out and that the stated tolerances have been met. Date SignatureNecessary reference documents — DHHS Test certificate (in ragister 3 of the Logbook) Required test equipment ~ PTW-Nomex Serial-No. Date of calibration ... ~ Fluke Serial-No. Date of calibration ..... = Calculator Safety Notes Attention: All local salety regulations must be observed. Notes for the Maintenance Instructions = Compliance with the applicable sections of the Federal Performance Standards is as- ‘sured when all procedures described in these instructions have been carried out, all tolerances specified therein have been met = The unit movements required for these procedures must be carried out carefully to prevent the unit from being damaged in case of a malfunction. Warning: Checks or adjustments which must be carried out with radiation switched on are marked with the radiation warning symbol ** = When checks or adjustments marked in this manner are carried out, radiation protection clothing must be worn.5.2 Visual checks Radiation protection Make sure that there is no mechanical damage on the SIREPHOS tube housing assem- bly and image intensifier which could impair the radiation protection, ‘SIREPHOS and image intensifier have been checked for mechanical 7 damage Yes No Damage present (brief discription): Checking the DHHS and Identification Labels Confirm that the certifications labels as well as serial number and mode! number labels are not defaced or worn and are legible. The illustration shows the location of the labels. If labels are required contact the Regulatory Affairs department in Iselin, NJ Certificated component _ | Model No. Serial No. Date X-ray contro Beam Limiting device BLD Cassette holder SIREPHOS 2000 Tube housing assembly Image intensifier Warning label present and legible Yes5.2.1 Location of the DHHS and Identification Labels6 6.1 Checking the blockings and displays Checking the "deadman” function 6.1.1 Exposure An exposure value is set at the control console. Release the exposure with exposure switch and end it immediately by releasing the knob The exposure must end immediately. 6.1.2 Fluoroscopy 6.2 Carry out fluoroscopy for a short time and release the fluoroscopy switch. Fluoroscopy must stop immediately. a) with fluoroscopic switch at the control console b)with foot switch Deadman’s function exists YES NO Radiation indicator Check whether at the control console and between the monitors a visible indication is given and an audible (whistiing) signal is sounded during exposure. Radiation indication in order YES NO |6.3 6.5 Fluoroscopy timer 1. Ensure that in the following tests there is no radiation danger for the persons present. 2. Set the manual fluoroscopy voltage to the lowest possible kV value. See iced ance a, cana aseaenes ei 5. Reset the buzzer by pressing the button under the symbol 4\_ in the display. riuoroscopy ter inorder [ Cows EF] w Indication of X-ray tube potential and current Confirm that tube potential and current are continuously indicated during fluoroscopy. Indication in order YES NO Minimum source to skin distance Confirm that a spacer limiting the source to skin distance (SSD) to 30 om is present. Spacer present Yes {-] noFunction tests Checking the accuracy of the tube voltage The actual kV value must agree with the indicated value within the limits stated by Sie- mens (max. deviation 10 % for the Siremobil 2000), if the X-ray system is connected to a power supply corresponding to Siemens specifications Tools: PTW-Nomex Test procedure: Refer to the information on the Nomex in the operating instructions. Connect the Nomex, Remove the single-tank cap at the SIREPHOS after releasing the two screws. Select full image intensifier format and open the collimator fully. Place the measuring detector on the diaphragm. Set the following values in the operating field and check. Setting measured value Operating mode = indication in the dis- ~ permissible devia- * play ~ tion = 10% Exposure 90 kV Fluoroscopy 90 kv7.2 Reproducibility The coefficient of variation must not exceed 0.045 when the X-ray system is con- nected to a power supply as specified by Siemens. The technique factors shall be adjusted to alternate settings and reset to the test set- ting alter each measurement. 7.21 Measuring set-up Arrange the dosemeter at the center of the X-ray beam, Before each new dose measurement make sure that the indicator is reset to ze- ro! Method Timer operation mode SIREMOBIL 2000: Take 4 exposures each using the following radiographic data’ J xv J mas | ms Dose [ mR ] TT 7 ao | 1 | 005 tio | 1 | oto -10-7.2.3 Calculations Variation coefficient G For n individual measurements, the variation coefficient G amounts to: a 2 2 sot (xi = 8) Cae pT s = calculated standard deviation & = average value of all individual measurements Xj = measured value of the itt measurements. 1. To obtain the average < the 4 dose values are added and the sum divided by 4. 2. To obtain the difference, the average value is subtracted from each individual measu- red value and entered into the column provided for it. Measurement | Radiation Exposure (xi) Average (x) _| = Difference” 1 2 3 4 * Disregard the sign if negative numbers are obtained. 3, Square the differences ‘Measurement ‘Square of the difference (x - x) 2 1 2 3 4 <1.4. Add the four results: z 5. Devide the sum by 3: 6. Obtain the square root of the new result: Square root S: 7. Divide the square root S by the average value xdetermined in step 1 Variation coefficient C =-S— c (must be < 0.045) -12-7.3. Entrance exposure rate The legal maximum entrance exposure rate is 87 mGy/min (10 F/min) For safety reasons, the value has been fixed at 78 mGy/min (9 Rimin) inside the factory. The entrance exposure rate is to be checked by means of a dose rate meter. In the shown measuring setup, the maximum adjustable values 110 kV and 5 mA yield an in- put dose rate of approx. 78 mGy/min (9 Fmin). Measuring arrangement: Input screen: Image intersifier fonization chamber Focal spot! Fig. 2 Position the measuring detector of the dosemeter as shown in sketch. Press button @" in the operating field. Select 110 kV and 5 mA. Select full Ll. format, fully open the collimator, fiuoroscopy "ON". Measure the dose value and record. Entrance exposure rate mGy/min -13-7.4 Checking the central ray REGULATION - Means must be available whereby the center of the radiation field in re- lation to the radiation receiver can be centered within a tolerance of less than 2% of the SID, 7.4.1 Position of central ray in rela n to the Ll. input The check is made at the TV-monitor. Determine the central point at the L.|. input, on which a metal underlay disk is fixed with adhesive strips Open the slot collimator, adjust the iris diaphragm to the smallest opening. The check is to be made in the C-arm position shown. Basic position C-arm to the left C-arm to the right r —— -14-Work sequence: 1. Select full size (no zoom) 2. Adjust C-arm {(see Fig. 3). 3, Switch on the fluoroscopy. 4, Carry out evaluation at the TV-Monitor (Fig. 4). (Use stored image if there is an image store mid-point 1. input middle of the radiation field deviation of A to B A B 5, Test result (see also fig. 4) Fig. 4 ‘Average deviation a permissible" ‘Average deviation actual Basic position a = 5mm ~ mm G-arm to the left a = 21mm _ mm G-arm to the right [o = 2tmm mm “| “Note: The values given are relative to the TV monitor. At the unit, I.1.-format is selected. -15-Check the 1.1. format During fluoroscopic operation, the X-ray field in the image indicator plane must not exceed 3% of the SID in length or width of the visible image-indicator surface. The sum of the lengths and widths access may not be greater than 4% of the SID. Work sequence: 1. Select the full |. input format. 2. Set the iris diaphragm to max. opening, 3. Switch on fluoroscopy. fall eight leaves of the iris diaphragm are stil visible at the edge of the TV monitor image (Fig. 5), no further tests are necessary. TV image | Leaves, iris diaphragm | Fig. 5 4, Select zoom format (check as in Point 3). 1. ora nord [Oe Cl | Zoom ormatin order |= oO» -16-7.6 Check the smallest field size The smallest field size should amount to max. 5 cm x 5 cm at the |.|. input. The check is made at the TV monitor. 1. Fully close the iris diaphragm and select full |. format. 2, Switch on fluoroscopy. 3. Measure the image at the TV monitor, it may only be 7.6 x 7.6 cm as a maximum. 4. Convert the field size on the monitor to the field size at the ||. input! Smallest field size monitor: ... OM X veces OM = smalest field size at |.1. input Z._Monitor em Monitor x17 x em Monitor x 17 25:7 25.7 9° Monitor om Monitor x 23. cm Monitor x 23, 25.7 25.7 [ Smallest field size at the 1. iApUE ou. Om Xx 7.7 Cassette format It no cassette is inserted, continuous fluoroscopy is selected Therefore, exposure release need not be blocked if no cassette is inserted. The total deviation of the edges of the X-ray field fram the corresponding edges of the selected part of the image receptor may not exceed 3 % of the SID in the plane of the image receptor in either length or width of the X-ray field, if full coverage of the selected part of the image indicator has been set. The sum (disregarding the sign) of the deviati- nin all orthogonal dimensions may not exceed 4 % of the SID. The limitation of the cassette format is made by means of the rectangular diaphragm. -17-7.7.1 Illumination of the cassette format Work sequence: 1, Remove cassette holder. 2) Actuate cassette switch and fix with adhesive tape. 3. Lay cassette 7” x 17” with film on the L.l. input. 4. 48 Actuate exposure switch, open diaphragm, release exposure. Cassette I.I. Input X-ray field Fig. 6 5. Develop film and measure the illuminated X-ray field (Fig. 6) and enter in the table. illuminated X-ray field: length (A) .....0. om width (B) cm 7.7.2 Cassette to X-ray Id 1. Fit the cassette holder to the IL 2. Load 7" x 17” cassette with film and push into the cassette holder. 3. Actuate release switch, open diaphragm, release exposure, Develop film and measure the shading of the film edge. -18-SID’ (source film distance) 86.1 cm A= Ataa B=8-b * (see result of 7.7.1, Para 5) A + Cs 224mm (26 % SID) B + Ds 224mm (26% SID) 3.5 % SID A+B+C+Ds = 301mm Film (cassette 10” x 12”) Fig. 7 The check in accordance with points 1 - 4 is to be carried out in the C-arm positions from Fig. 3 and additionally in the C-arm positions of Fig. 8 C-arm to the left Tube assembly at stop G-arm to the right Tube assembly at stop C-arm basic position Fig. 8 Shading aA FAG = aB + aD. BA oon * 8B + ac. mm mm (must be = 22.4 mm) (must be = 22.4mm) mm (must be = 30.1 mm) -19-C-arm to the left, tube assembly at stop Shading aA + ac = mm (must be < 22.4mm) AB oe # AD = mm (must be < 22.4 mm) aA + 3B FAC cee + AD = mm (must be < 30.1 mm) C-arm to the right, tube assembly at stop Shading OA + ac = mm (must be < 22.4 mm) aB + aD = ce mm (must be s 22.4 mm) aA + 08 + ac +00 = woe Mm (must be = 30.1 mm) If the deviations are within the given tolerance, then no further checks are necessary. -20-Final visual and function checks After completion of all required operations and checks, perform a visual and function check. For example, it must be ensured that = moving parts are ireely moving there is no danger of collision tor moving parts safety distances are kept ail parts are properly fastened there is no perceptible damage, ete. RLO 1/Weimar TDU 313/Byizek -21-SIEMENS Operating Instructions SIREMOBIL 2 2000 Supplement to the Operating Instructions2000 Operating Instructions “supplement tothe SIREMOBIL ne 3 inereasing the Storage CapecttY a ve . 3 oven MEMOSKOP 50 ‘MEMOSKOP SUB Tolerance Data of the Dose Rate Reduction in Pulsed FluoroscoPY kvimA Curves for FluoroscoPY and Subtraction {or Digital Radiography (0%) kins Curves 2000 7 os ‘SRENOBI Bene 120.628.02.07.02ating Instructions inte use of your sytem Ue eottware upgrade v201D lead t some cangee |e oa ing nese deserioea on ine follwing Paes | te cuprementin piste 140 mo SHEMOEI. 2000 Operating [instructions Increasing the Storage Capacity MEMOSKOP 50 «a nerasing he storage capacity Hom 60 images 102 meeps yor ho erage cisksavaleble O78 ee TUM 405 to 140 mages instal bofore O88 = QUANTUM Les 525 e175 mages nea tere 09 9) maximum at 260 images MEMOSKOP SUB «a tneresing te serge capacty 1" He Ieee 99 images to 178 mages oe eg uaNTUM LPS 62 mage dk nssieg BOS 08.93) fom 99 images 0-250 aes ar ing QUANTUM ELS 38S nage disk UNAS 10mm 8.8) rage delverad betore 04.94 e Data of the Dose Rate Toleranc' .d Fluoroscopy Reduction in Pulse’ ‘Tolerance rangs* selected a8 -peduetion of 6 w= RRR ~ 50% {40 % - 60% 0% | go -009% eto sends caer ‘with unchanged obi ion faetor of Ever with noise ra SREMOBI 2000 AAD 120.872.02.01.02© SIREMATIC S *Standara = S3max. ama 55 max Sma SIREMATIC HC “High Contast= = NCS max amma HCS max Bra, 2 SIREMATICLD “Low Doser = LDmex dma SiREMaric “iooiNet~ ~ SUB max. 6.7m — bs Openg mao oe AR2-120 623 02 01 09Supplement to the SIREMOBIL 2000 Operating Instructions kV/mA Curves for Digital Radiography (DR) wv 110 66 20 mA 2 DR “normal power" mode DR 850W max. 12.5mA 1 OR “roducod power mode = DR SOW max. Brn ee ‘REWORL 2000 5 RXR? 120.623.02.01.02 osSIEMENS RR2-120.01 Siremobil 2000 -1/ - 2/ -3 sari RL pons AG 1900 copyright © Sam ;jektierungs-Grundlagen rh cil AR2-120.021.01.02.05 TDG 21 Ausgabe: 08.91 | \|I | tsoue |1680 160 T 180 = 1680 | 1650 C 100 | 1630. 680 4650 1 680) 4050 T 1680 | 160 see0 | 16s0 60 9 40 90 So 0 | £0 | 2 | 10 Buvisuorsiot 1%) $+ 000z NGOWaHIS‘Supploment to the SIREMOBIL 2000 Operating Instructions ee SREMOBIL 2000 SSPR-120.622.01 01.02 ue tthe new software VBOTE, the folowing change to your system resuts vit ospect 0 automatic switch ot of fucroscopy. Plesse fe this shoet in Register 14 Fluoroscopic time limit ter atuoroscopic time ot 45 min (or 8.5 min *) the ball symbol appears and {an ausibiowarning signal is sounded, ‘The auaibie warning signal canbe switched off by pressing the multtunction key, * ‘The symbol for resoting the fluoroscopic te appears, This process is roposted at 5 of 10 minute intervals If the audible warning signal i nt contirmed within 90, fioroscopy switches of automaticaly" Pressing the muittunction key again resets the tuoraseopic time display to .0mi. for the next patient, It there is an keyboard, the foroscope time display aso reset when & now ith the “ares dose produet option installed, tho total value i also OuGyene. ‘en crane tyFi, - (ey, ing Slim), 2 vena ion, “ey ig {Sh oy nN Cling supplement yo the Operating Instructions siREMOBIL 2000 i ——— RLKoP SUB storage featuring technology tor MEMOS Digital image subtraction SIREMOBIL 200scription erating modes 2 > Subtraction a > Subtraction wi pacification ro ™APAING technique 46 ent directory 7218 "otection of patient data 747 Image Postprocessing 719 Pocumentation 7-20 Operating cedures P24 Inout of patieng data Pay Subtraction Sug 722 > Subtraction with Peak opacification 7.24 ~ ROADMaPPING technique 7.25 User Setup 729 his document can 8 reorderay Stating the print umber (replaces AL Reso 2038.01.01 99_ proper use of ti knowledge ‘and farniliaity Tanual on the Pt tire operator og in this manual OF safety in- wand safety Tests” e sections ind "Functional please pay S202 formation”, "Safely measures” SIREMOBIL, 2000 TMEMOSKOP suBemositt 2000 Syston" on and off, eect panel of tne mone wolley) se or 30 pation modes selection of 5! {control panel on Unt support) Note: n currenty selected /S shown on the displ Mne mode of subtract election of subtraction ia modes) ial mags he kay stot HTS ve. Cue| (wes) gelection of the guB-MAX mode {sue} NEY Fal ©) geletion of ROADMAPPING mode Sua (es) & erection of the SUB MONE ane SUP snlectad dapeneing ” the given orga The suotract Gal (me) \sus) CE prograriContrast adjust in 4 steps o en of B, whichever selected. = oni g on mfgeted 129 08 TONES +B behind tHe op syebol cl ra ie from we TOP selection, ‘of the "Remask” function New (for ostp rocessing only) gwitches text IOPUE and text overlay OF and off (Patient-data” ipejay on monitor 8) Cromatc ois6i8Y OF text characters: Protects patient ata from deletion (overwriting) “serail” downward inthe serial store 10 Gysplays the choses im age on the rmontor currently selected (A of 8) B)-Sisplays the Uther of the stored nage 2 monitor B in the ‘ond line from the top behind the symbol and oF the unit displey- a1 "serottt upward 18 serial store on a gave patient da 8) B)-sjepiays tne curber oro jae on ONON S the tana line from tne 10 Pat panind the e > symt orp and on the Unit display Note: Note ey romains d°Pre ged, then the stored! images are aispleyed the seen 00 ns oh max 2 frames POF F second. (Im@ge frequenc te serponas 708 eS oie) Bb 12. Trigger for documentation camera 49 Cursor MoveNEN, = Each tims en nese Ke¥S 'S pressed, the cursor moves One step in t me grecton SP ene corresPonens arrow. — For select jecting patients bY sgerolling” B 4 Home Post ion Keyoo Lower range patient data and name of clinic suit text overlay on and of stor keyboard and the Cursor Text revisions using the tyPeNt = Pressing "Next patient” clears jpoth of the fines containing patient the clinic remains stored SiREMOBIL 2009 MEMOSKOP SUBSBA atttact-hee resuitg (2.9. the transition from Jott Parts t0 bones), syntraction is perforant Wit preiogarithmia. save Curing the scene, the Fluor image ig Sisplayed on the je. hand ‘Monitor, and the Corresponding subtracice "PSU On the right-hang monitor, SUB program Selection Goss Me PROG key Until the desires Subprogram appears on the display, Program keys on the display: ea REMASK tunction ~ Select @ new mask during image Postprocessing THE key is displayes ‘nverted when selector, "Scroting” possible (4 forward = reverse) 7-10 SIREMOBIL 2000 MEMOSKop SugDefault: 2 eters, please - preliminarily dt para sn Pe the SIREMOBIL- 2000 Note: if you wish reprogram 0’ Hyioeed according 1 the pertaining one ral (chapter 8 ++) 7-11Ye Program keys on the display: RESTART ROADMAPPING” Restart of roadmapping technique {in case of movement blu) a Transferring image to storage Travpu ean transfer the last image from the B monitor to storage. Transferring image from storage 2 Display of the image on the & monitor Scrolling” possible (+ = forwards | | are reverse) Parameter selection for ROADMAP 7 (an __ press SUB Mode and PROG keys simultaneously until the a} parameter menu appears. (oe __ Return to operating mode display by pressing the PROG key. w -The following parameters can be selected: Ee Local frequency filter for edge enhancement = Selectable in 3 steps: 0 Noedge enhancement 1 ‘Attenuated edge enhancement 2 Average edge ent Default: 0 Note: Nore’ ish to reprogram or pratininarily edit parameter please proceed according fo the pertaining chapter if the SIREMOBIL 2000 bperator's manual (chapter 8 ia.) SIREMOBIL 2000 7-15 MEMOSKOP SUBv Patient directory Press the

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