INTRODUCTION & TOOLS

14
PHILIPS MEDICAL SYSTEMS
DEVELOPMENT & MANUFACTURING CENTRE CHECKS & ERROR LISTS
24

MULTI DIAGNOST 4
POWER ON SEQUENCE
34
SYSTEM MANUAL
CORRECTIVE
ULTRA SOUND & VIDEO CONTROL
MANTENANCE 44

FAULT FINDING IMAGING FUNCTIONS – USER SELECTED

54

FLUOROSCOPY
64

FREE CASSETTE & WALL BUCKY

74

DIGITAL IMAGING
84

PMSN Best
94
Reproduction in whole or part of this manual is prohibited without
the written consent of the copyright owner. Use of the
information contained herein, in any form and/or by any means
whatsoever, is strictly reserved for Philips and its licensees. Use
of this manual by unauthorised persons is strictly prohibited. PERIPHERALS: INJECTOR
Printed in Best, Netherlands.
104
(02.0)
Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED.

114
1
 MD4 System

MULTI DIAGNOST 4
SYSTEM MANUAL CORRECTIVE MAINTENANCE
FAULT FINDING

Manual Code Number 4522 983 64173

List of Pages and Drawings

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(02.0) 1.1
Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Introduction & Tools Section 1

Section 1 Introduction & Tools

Contents

1. INFORMATION STRUCTURE ............................................................................................................2

1.1. Documentation Content Level..............................................................................................................2
1.2. System Information ..............................................................................................................................2
1.2.1. Planning Reference Data (PRD)..........................................................................................................2
1.2.2. SMI - System Manual Installation ........................................................................................................2
1.2.3. SMR - System Manual Reference .......................................................................................................2
1.2.4. SMSP - System Manual Service Parts ................................................................................................2
1.2.5. SMCM - System Manual Corrective Maintenance...............................................................................2
1.2.6. Planned Maintenance ..........................................................................................................................2

2. MULTI DIAGNOST SYSTEM ..............................................................................................................2

2.1. Documentation .....................................................................................................................................2
2.2. Configurations / Options.......................................................................................................................2

3. HELPDESK..........................................................................................................................................2
3.1. MD 4 Documentation Structure............................................................................................................3

4. TOOLS & CABLES .............................................................................................................................4

4.1. Service Engineers Tools ......................................................................................................................4
4.2. Tools and Parts Delivered With MD4 System......................................................................................4
4.3. Cables - System to PC.........................................................................................................................5
4.3.1. MD3 / MD4 User Interface, Stand & VLT Controllers (9/25)................................................................5
4.3.2. MD3 / MD4 User Interface, Stand & VLT Controllers (9/9)..................................................................5
4.3.3. Grid Controlled Fluoroscopy (25/25)....................................................................................................5
4.3.4. Grid Controlled Fluoroscopy (25/9)......................................................................................................5
4.3.5. SCP Generator (25/25) ........................................................................................................................6
4.3.6. SCP Generator (25/9) ..........................................................................................................................6
4.3.7. SCP Generator (9/25) ..........................................................................................................................6
4.3.8. DSI (25/25) ...........................................................................................................................................7
4.3.9. DSI (25/9) .............................................................................................................................................7
4.3.10. CPE (25/25) ......................................................................................................................................7
4.3.11. CPE (25/9) ........................................................................................................................................7

DRAWINGS
Item Identification....................................................................................................................................... 1Z – 1

Interface Block Diagram ............................................................................................................................ 1Z – 2

MD4 SMCM Fault Finding (02.0) 1-1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 1 Introduction & Tools

1. INFORMATION STRUCTURE 1.2.6. Planned Maintenance

Planned Maintenance information is delivered on
1.1. DOCUMENTATION CONTENT LEVEL the Customer Support CD-Rom. It contains all the
modules to support Planned Maintenance. A flow
The documentation structure must be clear to the
chart is supplied to correctly identify the
service engineer to enable fast fault finding. The
requirements for each individual system
present documentation has three levels:
combination. (PMSSEC software & HW key
required).
SYSTEM MANUAL(red number on the cover)
The highest documentation level describes the
relationship between Sub Systems and/or Units.
2. MULTI DIAGNOST SYSTEM
SUBSYSTEM MANUAL(blue number on cover)
This documentation describes the relationship 2.1. DOCUMENTATION
between Units of an individual Sub System.
The Multi Diagnost manuals contain information to
assist system fault diagnosis. This should always
UNIT MANUAL(green number on the cover)
start with the SMCM Fault Finding book. The
The lowest documentation level contains detailed
information in this book identifies the faulty Sub
information about the relevant unit.
System. The Sub System Manual then identifies
the correct Unit Manual to diagnose the fault.
1.2. SYSTEM INFORMATION
1.2.1. Planning Reference Data (PRD) 2.2. CONFIGURATIONS / OPTIONS
Planning Reference information contains See Operators Manual, Chapter 3, System
information to prepare the system site and is Description, for system accessory configuration
available electronically on the Philips Intranet. options.
http://technet.best.ms.philips.com/
CS XRD BEST/DOCUMENTS/PRB.
3. HELPDESK
1.2.2. SMI - System Manual Installation Tel. +31 40 2764777 for all X-ray helpdesks.
The SMI contains the complete instructions to
fully install and functionally test a URF system. See the Philips Medical Intranet site
http://technet.best.ms.philips.com/

1.2.3. SMR - System Manual Reference

The SRM is the logbook for the system. It
contains all system settings, jumper positions,
generator programs, cable diagrams etc..

1.2.4. SMSP - System Manual Service Parts

The SMSP contains the full list of spare parts and
reference numbers for the system.

1.2.5. SMCM - System Manual Corrective

Maintenance
The SMCM contains two books
● Fault Finding
A guide to locate the defective Sub System
or Unit.
● Repair
A guide to repair and adjustment at system
level.

1-2 (02.0) MD4 SMCM Fault Finding

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Introduction & Tools Section 1

3.1. MD 4 DOCUMENTATION STRUCTURE

MD4 SMCM Fault Finding (02.0) 1-3

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 1 Introduction & Tools

4. TOOLS & CABLES 4.2. TOOLS AND PARTS DELIVERED WITH

MD4 SYSTEM
4.1. SERVICE ENGINEERS TOOLS
• TCOP basic & VT100 software and manual.
Individual specialist tools are described in the
Tool Catalogue and use Tool Codes instead of • TCOP Application Multi Diagnost.
12NC numbers.
• TCOP Application software MD4 UI.
• Service PC. (3.5 inch floppy disk delivered with MD4).

• TC 129 - Standard toolbox for X-ray service. • Frequency Control software (VLT).

• TC 095 -Dual channel digital oscilloscope (e.g. • Allen Keys 7mm, 10mm & 14mm.
PM3232)
• Black Molycote paste.
• TC 142 - Dose meter.
• White Molycote paste.
• TC 091 - Multimeter.(e.g. PM2524)
• Grease gun.
• TC 008 - CAT phantom 4522 980 31521 (Tube
collimator alignment) • ½” Cardan joint.

• TC 153 - Graduated angle gauge (-90/90 • ½” extension.

degrees) (angulation/tilting adjustment)

1-4 (02.0) MD4 SMCM Fault Finding

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Introduction & Tools Section 1

4.3. CABLES - SYSTEM TO PC 4.3.3. Grid Controlled Fluoroscopy (25/25)

4.3.1. MD3 / MD4 User Interface, Stand & VLT

Controllers (9/25)
System Cable Engineers PC
System Cable Enginee rs P C

female male female male

male female male female

SYSTEM PC SYSTEM PC
9 PIN FEMALE CABLE 25 PIN FEMALE 25 PIN MALE CABLE 25 PIN FEMALE
CONNECTIONS CONNECTIONS CONNECTIONS CONNECTIONS
2 ------------------------------- 2 2 ------------------------------- 2
3 ------------------------------- 3 3 ------------------------------- 3
4 ------------------------------- 6 4 ---- 5
5 ------------------------------- 7 7 ------------------------------- 7
6 ------------------------------- 20 7 ---- 20
7 ------------------------------- 5
8 ------------------------------- 4

4.3.2. MD3 / MD4 User Interface, Stand & VLT 4.3.4. Grid Controlled Fluoroscopy (25/9)
Controllers (9/9)
System Cable Engineers PC System Cable Engineers PC

male female female male male female male female

SYSTEM PC
25 PIN MALE CABLE 9 PIN FEMALE
CONNECTIONS CONNECTIONS
2 ------------------------------- 2
3 ------------------------------- 3
4 ---- 6
7 ------------------------------- 5
7 ---- 8

MD4 SMCM Fault Finding (02.0) 1-5

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 1 Introduction & Tools

4.3.5. SCP Generator (25/25) 4.3.7. SCP Generator (9/25)

System Cable Engineers P C Engineers PC Cable System

female male female male

male female male female

SYSTEM PC PC SYSTEM
25 PIN MALE CABLE 25 PIN FEMALE 9 PIN FEMALE CABLE 25 PIN MALE
CONNECTIONS CONNECTIONS CONNECTIONS CONNECTIONS
2 ------------------------------- 3 2 ------------------------------- 2
3 ------------------------------- 2 3 ------------------------------- 3
4 ------------------------------- 5 4 ------------------------------- 8
5 ------------------------------- 4 5 ------------------------------- 7
6 ------------------------------- 20 6 ------------------------------- 6 --- 20
7 ------------------------------- 7 7 ------------------------------- 5
20 ------------------------------- 6 8 ------------------------------- 4

4.3.6. SCP Generator (25/9)

System Cable Engineers PC

female male female male

SYSTEM PC
25 PIN MALE CABLE 9 PIN FEMALE
CONNECTIONS CONNECTIONS
2 ------------------------------- 2
3 ------------------------------- 3
4 ------------------------------- 8
5 ------------------------------- 7
6 ------------------------------- 4
7 ------------------------------- 5
20 ------------------------------- 6

1-6 (02.0) MD4 SMCM Fault Finding

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Introduction & Tools Section 1

4.3.8. DSI (25/25) 4.3.10. CPE (25/25)

System Cable Engineers PC

System Cable Engineers PC

male female male female

female male female male

SYSTEM PC SYSTEM PC
25 PIN MALE CABLE 25 PIN FEMALE 25 PIN MALE CABLE 25 PIN FEMALE
CONNECTIONS CONNECTIONS CONNECTIONS CONNECTIONS
1 ------------------------------- 1 1 ------------------------------- 1
2 ------------------------------- 2 2 ------------------------------- 3
3 ------------------------------- 3 3 ------------------------------- 2
4 ------------------------------- 4 4 ------------------------------- 5
5 ------------------------------- 5 5 ------------------------------- 4
6 ------------------------------- 6 6 ------------------------------- 20
7 ------------------------------- 7 7 ------------------------------- 7
20 ------------------------------- 20 20 ------------------------------- 6
22 ------------------------------- 22

4.3.9. DSI (25/9) 4.3.11. CPE (25/9)

System Cable Engineers PC

System Cable Engineers PC

female male female male

female male female male

SYSTEM PC SYSTEM PC
25 PIN MALE CABLE 9 PIN FEMALE 25 PIN MALE CABLE 9 PIN FEMALE
CONNECTIONS CONNECTIONS CONNECTIONS CONNECTIONS
1 ------------------------------- 1 1 ------------------------------- 1
2 ------------------------------- 3 2 ------------------------------- 2
3 ------------------------------- 2 3 ------------------------------- 3
4 ------------------------------- 7 4 ------------------------------- 8
5 ------------------------------- 8 5 ------------------------------- 7
6 ------------------------------- 6 6 ------------------------------- 4
7 ------------------------------- 5 7 ------------------------------- 5
20 ------------------------------- 4 20 ------------------------------- 6
22 ------------------------------- 9

MD4 SMCM Fault Finding (02.0) 1-7

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Checks & Error Lists Section 2

Section 2 Checks & Error Lists

Contents
1. INITIAL CHECKS ................................................................................................................................2
1.1. Service Tools........................................................................................................................................2
1.2. Initial Check List ...................................................................................................................................2

2. ERROR LISTS .....................................................................................................................................2

2.1. MD4 User Interface ..............................................................................................................................2
2.1.1. User Interface Errors............................................................................................................................2
2.1.2. Generator Errors ..................................................................................................................................2
2.2. MD4 Electronic Rack............................................................................................................................3
2.3. VLT Controllers ....................................................................................................................................3
2.4. DSI .......................................................................................................................................................3
2.5. CPE ......................................................................................................................................................3
2.6. XTV11 ..................................................................................................................................................3
2.7. System Interface ..................................................................................................................................3
2.8. High Speed Acquisition Control Unit....................................................................................................3
2.9. SCP Generator.....................................................................................................................................3

3. GCF FAULT FINDING .........................................................................................................................4

3.1. Paediatric Fault Finding .......................................................................................................................4
3.1.1. Automatic Selection of D/2-Function....................................................................................................4
3.1.2. Mandatory Use of AGC-Circuit.............................................................................................................4
3.2. GCF2 / Paediatric.................................................................................................................................5
3.1.3. Paediatric APR Programming Problems..............................................................................................5
3.1.4. Paediatric Images Too Dark.................................................................................................................5
3.1.5. Poor Image Quality in DSI-Exposure ...................................................................................................5

4. HSA FAULT FINDING .........................................................................................................................5

4.1.1. HSA Mode - Radiation Without Image .................................................................................................5
4.1.2. HSA Does Not Function .......................................................................................................................5
4.1.3. DSI does not Record HSA Images Simultaneous with VCR ...............................................................5
4.1.4. HSA Images - No Play Back on Monitor ..............................................................................................5

5. BCS FAULT FINDING FLOW .............................................................................................................6

6. BOLUS CHASE SUBTRACTION TEST ...........................................................................................11

7. DECODER FUNCTIONAL TEST.......................................................................................................11

MD4 SMCM Fault Finding (02.0) 2-1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 2 Checks & Error Lists

1. INITIAL CHECKS 2. ERROR LISTS

1.1. SERVICE TOOLS Faults are only indicated on the remote User
Interface when all covers are fitted to the system.
The following tools are required for MD4 system
fault finding: The HSA control unit (SG) is designed in such a
• TCOP service software (DSI, MD4 UI). way that when power to this unit is turned off,
• VT100 service software (CPE, MD4 stand everything, except the HSA function must be
controllers). working. In the case of preparation, exposure or
• MD4 UI, DSI. fluoroscopy faults, always switch off the power to
• LEDs (all units). SG, to check if the fault is being introduced by
• Sub System interconnection measuring SG.
points at SY.
• Measuring points.
• Error log buffers. 2.1. MD4 USER INTERFACE
• Built in Self Test (MD4 UI, DSI, VLT controllers).
In the MD4 User Interface, some subsystem
controls are integrated into the one desk. On the
The following tools are required for HSA fault
MD4 UI display, two different type of errors are
finding:
displayed
• Sub System interconnection measuring
• User Interface errors.
points at SG.
• Generator errors.
• LEDs at SG.
The MD4 UI contains LEDs to indicate
• Power supply status.
1.2. INITIAL CHECK LIST • Results of the built in self tests.
― Attempt to reproduce the fault or problem as • Communication status.
described by the doctor.

― Functionally test the system to ensure there 2.1.1. User Interface Errors
are no additional (unreported) faults.
The error is reported in 5 digits starting with
91xxx.
― Inspect User Interface displays for error
codes. (Error code formats are described in
There are two types of User interface errors:
the following chapter).
• User interface electronics or software faults.
― Establish the fault using the functional system • DSI, XTV11, CPE or Generator
drawings in this manual. Most subsystem communication faults.
interconnections can be measured with a
multimeter on SY. ― Inspect the MD4 UI and the relevant
subsystem.
― Ensure all power supply LEDs (green) and
fuses. (The MD4 stand has a bank of fuses in Error numbers are described in the Fault finding
the left side of the base unit). section of the MD4 UI Unit Manual.

― Remove the covers from the electronic

cabinets, inspect for visible faults. 2.1.2. Generator Errors
The format of the error is the text "Generator
― Start up the self test’s (BIST) from the Error" followed by a 4 digit number.
different subsystems and try to find the
defective component. Generator errors are displayed on the MD4 UI.

― Connect a PC to all V24 inputs and check the Generator errors are described in the generator
(error) log buffers. documentation.

Fault finding sections are also provided in the

SubSystem and Unit Manuals. See Section 1 for
the system documentation overview.

2-2 (02.0) MD4 SMCM Fault Finding

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Checks & Error Lists Section 2

2.2. MD4 ELECTRONIC RACK 2.6. XTV11

There are three computers, each with a V24 The XTV11 does not have an error display or
output in the electronic rack (left side of the base error LEDs. Fault finding is carried out with status
unit). It is only possible to monitor movement LEDs, drawings, and multimeter/oscilloscope
positions and parameters from this output. There measurements.
are no error codes or LEDs to indicate a fault.
(See MD4 Unit Manual, Fault Finding).
2.7. SYSTEM INTERFACE
The System Interface does not have an error
2.3. VLT CONTROLLERS
display or error LEDs. Fault finding is carried out
On the right side of the base unit there are three by taking measurements or functional testing.
VLT frequency motor controls to control the C-arc (See Unit Manual System Parts for more
scan, Main arm Tilt and C-arc rotation 3-phase information).
motors. Each VLT motor controller has a V24
input to connect to a PC. It is possible to
investigate a fault in the VLT controller, or the 2.8. HIGH SPEED ACQUISITION CONTROL
motor connected to the VLT controller, using the UNIT
Philips VLT Control Software. (See the "Philips
VLT Control Software" documentation and the The HSA unit (SG) dose not have an error display
Danfos documentation, which is supplied with the or error LEDs. Fault finding is carried out by taking
MD4 Stand Unit Manual (red). Every VLT motor measurements, using the monitor and test
controller has a red LED, which indicates a fault in functions on the SG board or functional tests with
the VLT controller or motor. reference to the system drawings.
(See Unit Manual High Speed Acquisition
Control).
2.4. DSI
The DSI does not have error numbers or error 2.9. SCP GENERATOR
LEDs. Errors can only be detected by looking in
the log buffer TCOPs or by connecting a VT100 All generator error codes are displayed on the
terminal to the debug (TCOP) port. MD4 UI. A description of each error code is given
in the Fault finding section of the SCP subsystem
manual. In the generator, there are various error
2.5. CPE LEDs which are also described in the Fault finding
section of the subsystem manual.
CPE errors are displayed on a row of red LEDs on
BH29. The CPE unit manual section fault finding
describes the error codes.

Electronic rack MD4 (3 x V 24) VLT motor controllers (V24)

DSI (V24)

CPE (V24)
GCF controller (V24)
XTV11

MD4 User interface (V24)

MD4 S ystem Servicing P oints

MD4 SMCM Fault Finding (02.0) 2-3

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 2 Checks & Error Lists

3. GCF FAULT FINDING 3.1.2. Mandatory Use of AGC-Circuit

A vital element in paediatric mode is the
3.1. PAEDIATRIC FAULT FINDING mandatory use of the AGC-circuit. Paediatrics
cannot function properly without the AGC-circuitry
3.1.1. Automatic Selection of D/2-Function
of WM-25 in the XTV-Control Unit.
D/2-function can only be called upon if it is
programmed in the CPE (Rel. 6). This function ― Enable AGC circuitry paediatric functionality
can only be programmed, in the CPE if (Service XTV-11 (TAP) Control Unit / WN25
Mode) the D/2-button on the User Interface can S1 - 1: L
be pressed. Therefore, it is necessary to S1 - 2: L
(temporarily) release the D/2-function in the PFCO
configuration menu. Once the AGC circuit is enabled, there is a
restriction in the level of maximum beam current
― Program in the PFCO: ["SYSTEM_TYPE" + for GCF, Paediatrics and DSI-Exposures. The
(fda) or (lfd)], e.g. maximum signal which can be handled by this
• MD3/4 (fda) or (lfd) AGC-circuitry is 1200 mV which means that, at a
• D97 (fda) or (lfd) dynamic range of 1:8, the average beam current
• TD (fda) or (lfd), whether for North-America must never exceed 150 mV for any mode.
or not.
In Paediatric mode, the dose per pulse is halved
CPE REL. 6.2 in the generator by reducing the pulse time from
― Program the Operation Control Functions 2 20ms to 10ms (nominal value). The dose-rate
Menu: "low fluo doserate": within the pulse stays the same but the dose-
• module 0 ==> 0 0 reduction information cannot be communicated.
• module 1 ==> 1 4 Therefore, the CPE is not informed and does not
send a message to the TV-diaphragm to
― Reprogram the PFCO for R.O.W. systems compensate for the loss of light. As a result we
After the D/2-function has been programmed end up with a reduced video level.
in the CPE as follows ["SYSYTEM_TYPE"]
==> { non (fda) or non (lfd) }. This By having "D/2" in the CPE automatically selected
disables the D/2-button on the user control in Paediatric mode (see above) the "low dose"
again, which is strictly foreseen for the North- (AGC) circuitry adjustment (a soft potentiometer)
American market where continuous is selected. Adjust the Fixed_Gain such, that the
fluoroscopy dose is about 2½ x the R.O.W. - video signal is up to normal level.
dose.
The AGC-circuit is used to amplify the reduced
NOTE video-level. If the AGC-circuit or the auto-D/2 is
not selected in paediatric mode, the result will
If the D/2-function is not correctly "programmed" always be a lack of brightness of the image on the
in the CPE, you will find that the paediatric dose is monitor.
correct, but the level of the video-signal in this
mode will be half the required value, which leads On PFCO configuration menu: always program
to a low image brightness on the monitor. "PAEDIATRICS FX_TV_GN". In this situation
you have: - Automatic D/2-selection in Paediatric
mode (no manual override). Disabled manual D/2-
selection in pulsed fluoro mode. Disabled manual
D/2-selection in continuous fluoroscopy mode.

NOTE

If you program anything else, D/2 is not

automatically selected and so your paediatric
images will be too dark.

2-4 (02.0) MD4 SMCM Fault Finding

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Checks & Error Lists Section 2

3.2. GCF2 / PAEDIATRIC remote interface board. The well functioning and
radiation safety of HSA cannot be guaranteed
3.1.3. Paediatric APR Programming without it.
Problems
If the SCP does not accept the configuration of a ― Ensure VCR switched on and a tape is inside.
Paediatric APR through Fluoro-curve # 7 (CZ-
11.4) then your generator is supplied with ― Ensure the tape is not write-protected or full.
Software Release 8.1.
― Ensure switch S1-2 on the HSA-interface
― Upgrade to the later SCP software release 8.3 panel is set correctly (AUX & Baudrate).

― Ensure the "PREP_DELAY Bypass" has been

3.1.4. Paediatric Images Too Dark removed on the SYSCONPAN.

― Enable AGC-circuit in XTV11 Control Unit. The SYSCONPANs (MD4 only) delivered are
modified manually. A modification in the
― Configure D /2-functionality in the CPE. SYSCONPAN is created, which initiates PREP
while the DSI performs its self check
― Select "PAEDIATRICS FX_TV_GN" in the simultaneously. This modification deprives the
PFCO configuration menu. system of correct HAS functionality. For HSA
systems the up to now manually performed
modification (wires soldered in the panel factory)
3.1.5. Poor Image Quality in DSI-Exposure has to be reversed.
― Ensure the average beam current does not (Future modifications include a jumper on the
exceed a maximum of 150mV at a dynamic SYSCONPAN to program either situation).
Range of 1:8 because of the restrictions in the HSA systems require a small hardware
AGC. modification on the CPE which replace the one
reversed on the SYSCONPAN. If this modification
This phenomenon can easily be found during the is not carried through, the system will respond to
LEVEL 1, IQ measurements, Contrast Range. normal DSI-exposure.
Note the "whitest" pill A/B-10 is less bright than pill
A/B-9, which in is less bright than pill A/B-8. If this Requests with a 420 ms delay, because of the
phenomenon vanishes when (temporarily) ENABLE_PREP switch which is and must be on
disabling the AGC (switching WN-25 / S1-2 to R), for the injector safety.
the video level towards the AGC is too high. ― Remove BH X4: pin 3 (RQXGPR) and add
this wire to BH X9: pin 7 (RQPR). (2 wires on
pin 7).
4. HSA FAULT FINDING
(Future modifications include a jumper on CPE
BH-10 board which will have the same effect as
4.1.1. HSA Mode - Radiation Without Image
the modification described above).
If in the PFCO configuration menu the
Fluoroscopy delay is set between 450 and 550
ms, you can get a "radiation without an image" 4.1.3. DSI does not Record HSA Images
situation by pressing the fluoro pedal before Simultaneous with VCR
releasing the HSA footswitch.
― Ensure patient selected on DSI.
4.1.2. HSA Does Not Function
― Ensure DSI digital memory capacity available.
HSA_AUX not recognized (MD3, AUX 1; MD4, AUX 3).
HSA_APR not recognized (Generator program # 23). ― Ensure S1-1 in off position on HAS interface
panel.
― Ensure static selected in the PFCO
configuration menu and not HSA disabled. If ― Ensure Fluoro delay set to 400ms and not
"toggle" is selected, HSA will alternate >700 ms in the PFCO configuration menu
between function and not function.

No (Sony) VCR connected. The HSA mechanism 4.1.4. HSA Images - No Play Back on Monitor
was strictly designed around the handshakes of
― Ensure External Video programmed in the DSI
the SONY SVO 9500 MDP + 34-pole SVKB-110
Acquisition Configuration menu.
MD4 SMCM Fault Finding (02.0) 2-5
Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 2 Checks & Error Lists

5. BCS FAULT FINDING FLOW

System start

Ÿ Switch System User

Interface on.
Ÿ Select DSI
Ÿ Select BC

Ensure BC option
Are DSI & BC
No installed and auxiliaries
button lights on?
are available in generator

Yes

Message on SUI Ensure BC option

Message on ui refers
"Contrast run: No No installed (hardware &
to BC program?
exposure to start"? software licence key)

Yes Ensure BC option

Yes installed (hardware &
software licence key)
Press exposure switch

Do the Is the Wait for generator ready

No No
exposures start? Generator ready? signal

Yes

Is the
No Wait for DSI ready
DSI ready?

Yes

Patient data entered Enter patient data on DSI

Yes No
and selected? and select patient

Yes

Is the Injector coupled Check exposure circuit

No
as one-button? Check exposure switch

Uncouple injector, or use

Yes injector switch as the
exposure switch

Message on SUI Check

Exposure On signal Ÿ CE3
"Contrast run No No
received on SUI? Ÿ Cable, generator to SUI
started"? Ÿ Coding field CY

Yes

Go to next page

2-6 (02.0) MD4 SMCM Fault Finding

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Checks & Error Lists Section 2

Continued from
previous page

Press speedcontroller

Yes

Check
Does the Ÿ Speed controller
No Ÿ DAC
C-arc move?
Ÿ Cable, SUI to stand

Yes

Release exposure switch

Check
Message on SUI Ÿ Speed controller
"Release speed No Ÿ DAC
controller"? Ÿ Cable, SUI to stand
Ÿ CE3

Yes

Release speedcontroller

Check
Message on sui Ÿ Speed controller
"Speedcontroller to go No Ÿ DAC
to start pos."? Ÿ Cable, SUI to stand
Ÿ CE3

Yes

Press speed controller

Check
Message on SUI Ÿ Speed controller
C-arc moves? No No Ÿ DAC
"C-arc not moving"?
Ÿ CE3

During contrast run

C-arc moved into safety
Yes
region
Yes Train customer

Incorrect or missing
Encoder signal on SUI
C-arc stops
C-arc moves shortly Check
No automatically at start No
and stops? Ÿ Encoder / Decoder
position? Ÿ Encoder cable
Ÿ Coding field CY
Ÿ CE3
Yes
Yes

Incorrect or missing Incorrect or missing

Encoder signal on SUI Encoder signal on SUI
Message on SUI
Check Check
"Start position No
Ÿ Encoder / Decoder Ÿ Encoder / Decoder
Ÿ Encoder cable reached"? Ÿ Encoder cable
Ÿ Coding field CY Ÿ Coding field CY
Ÿ CE3 Ÿ CE3

Yes

Go to next page

MD4 SMCM Fault Finding (02.0) 2-7

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 2 Checks & Error Lists

Continued from
previous page

Yes

Message on sui Check

Ÿ Speed controller
"Release No Ÿ DAC
speedcontroller"? Ÿ CE3

Yes

Release speedcontroller

Check Message on SUI

Ÿ Speed controller
Ÿ DAC No "Mask run: exposure
Ÿ CE3 to start"?

Yes

Press hand exposure

switch

Missing Exposure On
signal on SUI
Message on sui "Mask Check
No Ÿ Hand exposure switch
run started"?
Ÿ CE3
Ÿ Cable, generator to SUI
Ÿ Coding field CY
Yes

Check
Ÿ DAC No C-arc moves?
Ÿ CE3

Yes
Incorrect or missing
Encoder signal on SUI
Check
Exposures are made? No Ÿ Encoder / Decoder
Ÿ Encoder cable
Ÿ Coding field CY
Ÿ CE3
Yes
Missing Exposure on
signal on SUI

Check Message on SUI

Ÿ Hand exposure switch No
"Mask run started"?
Ÿ CE3
Ÿ Cable, generator to SUI
Ÿ Coding field CY
Yes
Incorrect or missing
Encoder signal on SUI
Message on SUI Message on SUI Check
No No Ÿ Encoder / Decoder
"C-arc not moving"? "Mask run finished"?
Ÿ Encoder cable
Ÿ Coding field CY
Ÿ CE3

Yes

During contrast run Yes

C-arc moved into safety
region
Train customer

Go to next page

2-8 (02.0) MD4 SMCM Fault Finding

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Checks & Error Lists Section 2

Continued from
previous page

Yes

Message on SUI Check

"Release exposure No Ÿ Switches
switch"? Ÿ Cables

Yes

Release hand exposure

switch

Message on SUI Check

"Contrast run: No Ÿ Switches
exposure to start"? Ÿ Cables

Yes

Set autopush Do the images arrive

No Is the Autopush on? No
on in the DSI automatically on EV?

Yes

Ensure proper network

Does the manual
communication between No
send work?
DSI & EV
Yes

Yes

Check
Ÿ Auto reconstruction on
EV filled in (with alias
coupled to
reconstruction type Are images stored in Ensure
correct examination & No Ÿ Merge settings set
study? correctly

Yes

Install Is the Vascular Does the Run

Ÿ Vascular package No No
package installed? Subtraction work?

Yes

Ensure
Ÿ Image format set to
RAW on DSI Yes
Ÿ Send images again

End

MD4 SMCM Fault Finding (02.0) 2-9

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 2 Checks & Error Lists

A-phase signal measured at CY X6 on pen 1 - 2

12

10

B-phase signal measured at CY X6 on pen 1 - 6

0.15

0.1

0.05

-0.05

-0.1

-0.15

Z-phase signal measured at CY X6 on pen 1 - 8

2 - 10 (02.0) MD4 SMCM Fault Finding

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Checks & Error Lists Section 2

6. BOLUS CHASE SUBTRACTION ― Look for a section that starts similar to:
TEST * M 010924 13:27:31 421, a``````````

― Select DSI Vascular auxiliary. LOGFILE EXAMPLE

* M 01092413:27:31421 a ` ` ` ` ` ` ` `
― Select Bolus Chase (on Acq. Control Panel) * M 01092413:27:31 0 3276821890 21891 -1 32776 2557825580 -1
* M 01092413:27:31 1 3376721938 21940 -1 32766 2590525906 -1
* M 01092413:27:31 2 3310921988 21990 -1 33108 2598525987 -1
― Select the relevant Bolus Chase APR * M 01092413:27:32 3 3366522038 22040 -1 33664 2611726118 -1
parameter set (X-ray & DSI). * M 01092413:27:32 4 3440722088 22090 -1 34406 2629226293 -1
* M 01092413:27:32 5 3538722138 22140 -1 35386 2652326524 -1
― Enter patient data at the DSI console. * M 01092413:27:32 6 3636122188 22190 -1 36359 2675326754 0
* M 01092413:27:32 7 3734022239 22240 -1 37339 2698326984 -1
* M 01092413:27:32 8 3791022288 22290 -1 37908 2780927810 -1
― Select patient. * M 01092413:27:32 9 3837322338 22340 -1 38372 2791827920 -1
* M 01092413:27:32 10 3924422389 22390 -1 39242 2858028581 -1
― Move the C-arc to the left of table centre (not * M 01092413:27:32 11 4021922439 22440 -1 40218 2881028811 -1
too close to maximum left position). * M 01092413:27:32 12 4119822489 22490 -1 41196 2904029041 -1
* M 01092413:27:32 13 4217022539 22540 -1 42168 2927029271 -1
* M 01092413:27:32 14 4315122589 22590 -1 43150 2950029501 -1
― Ensure direction indication set to normal.
* M 01092413:27:32 15 4411422639 22640 -1 44112 2972829729 -1
* M 01092413:27:32 16 4491422689 22690 -1 44912 2991629917 -1
― Set correct exposure using Fluoroscopy. * M 01092413:27:32 17 4546922739 22740 -1 45468 3004730048 -1
* M 01092413:27:33 18 4606522789 22790 -1 46064 3018730188 -1
― Make exposures (when Generator ready * M 01092413:27:33 19 4701022839 22840 -1 47008 3040930410 -1
symbol appears) using the hand switch, foot * M 01092413:27:33 20 4765422889 22890 -1 47652 3056130563 -1
switch, angio foot switch or injector switch 1 2 3 4 5 6 7 8 9 10 11
(coupled mode). Ensure switch is held whilst COLUMNS
moving the C-arc with the speed controller.
― Ensure the first number after the time is larger
― Release speed controller and switch before than 400.
reaching maximum scan range. UI displays
‘Speed Controller to go to start position. ― Ensure the difference between columns 4 & 8
does not exceed 2.
― Press the Speed Controller to move the C-arc
to the mask start position. ― Ensure column 7 is always -1 or +1 but never
0.
― Move to the mask start position using the
speed controller until User Interface displays
‘Start position reached’. 7. DECODER FUNCTIONAL TEST
― Ensure the UI display reads ‘Mask run:
― Switch system on.
exposure start’.
― Connect Service PC to UI.
― Start mask run with exposure hand switch
(system acquires images at min. scan speed
― Start TCOP.
of 4 frames / second).
― Load TCOP Application MD4 R3.
― Release the hand switch when UI displays
‘Mask run finished’ (for five seconds) then
― Select
‘Contrast run: exposure to start’. MAIN / RUN / MONITOR / DECODER

― Connect Service PC to the UI. ― Move C-arc to maximum left (non-stop) using
scan joystick.
― Start TCOP.
― Move C-arc to maximum right (non-stop)
― Select (to download logfile) using scan joystick.
MAIN / INSPECT / LOGGING

― Ensure distance travelled is at least 25000

― Load the logfile into the Editor via the DOS
counts.
prompt.

― Scroll to the end of the logfile.

MD4 SMCM Fault Finding (02.0) 2 - 11
Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Power On Sequence Section 3

Section 3 Power On Sequence

Contents

DRAWINGS
System Power Supply ................................................................................................................................ 3Z - 1

MD4 SMCM FF (02.0) 3-1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Video Control Section 4

Section 4 Video Control

Contents

DRAWINGS
Image Routing DSI & Ultra Sound.......................................................................................................... 4Z – 1.1

Image Routing DSI, HSA & Ultra Sound ................................................................................................ 4Z – 1.2

Freeze / Unfreeze ...................................................................................................................................... 4Z – 2

Image Routing DSI Fluoroscopy / Exposure ............................................................................................. 4Z – 3

MD4 SMCM FF (02.0) 4-1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Imaging Functions - User Selected Section 5

Section 5 Imaging Functions - User Selected

Contents

DRAWINGS

II/TV Control Interface II-Format Selections & TV Controls ....................................................................... 5Z - 1

II/TV Control Interface Dose Selections ..................................................................................................... 5Z - 2

Collimator Interface .................................................................................................................................... 5Z - 3

MD4 SMCM FF (02.0) 5-1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Fluoroscopy Section 6

Section 6 Fluoroscopy

Contents

DRAWINGS
(Continuous) Fluoroscopy Control.............................................................................................................. 6Z - 1

Grid Control Fluoroscopy............................................................................................................................ 6Z - 2

MD4 SMCM FF (02.0) 6-1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Free Cassette & Wall Bucky Section 7

Section 7 Free Cassette & Wall Bucky

Contents

DRAWINGS
Exposure Free Cassette & Wall Bucky ...................................................................................................... 7Z - 1

MD4 SMCM FF (02.0) 7-1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Digital Imaging Section 8

Section 8 Digital Imaging

Contents

DRAWINGS
Exposure Control DSI............................................................................................................................. 8Z – 1.1

Exposure Control DSI with IQX .............................................................................................................. 8Z – 1.2

Exposure Control Rotational Scan ............................................................................................................ 8Z – 2

Exposure Control 1 High Speed Acquisition ............................................................................................. 8Z – 3

Exposure Control 2 High Speed Acquisition ............................................................................................. 8Z – 4

Exposure Bolus Chase Subtraction........................................................................................................... 8Z – 5

MD4 SMCM FF (02.0) 8-1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Peripherals: Injector Section 10

Section 10 Peripherals: Injector

Contents

1. INJECTION CONTROL .......................................................................................................................2

1.1. Introduction ..........................................................................................................................................2
1.1.1. Injector Off............................................................................................................................................2
1.1.2. One Button Injector Technique ............................................................................................................2
1.1.3. Two Button Injector Technique ............................................................................................................2
1.2. Injector General Operation...................................................................................................................2

DRAWINGS
Exposure Control DSI with Injector ......................................................................................................... 10Z – 1

MD4 SMCM FF (02.0) 10 - 1

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED
Section 10 Peripherals : Injector

1. INJECTION CONTROL 1.2. INJECTOR GENERAL OPERATION

Exposure and fluoroscopy are always possible
1.1. INTRODUCTION independently from the injector. The exception is
The injector is programmed using the MD4 User one knob injection technique during the
Interface. injector/exposure delay.

Three different positions may be selected It is possible to program a delay between injection
• Off (uncoupled) and exposure using the one knob technique.
• One button technique (coupled)
The MD4 UI always starts up (default) with
• Two button technique (coupled).
injector off.

NOTE
1.1.1. Injector Off
Older Medrad injectors do not have the signal
The injector is supplied with 230 Volt after the
exposure contact interface wired into the plug.
injector plug is seated onto the base unit.
Order a new injector cable from Medrad, or
connect the signal wires to the connector J40
The injection start button and the exposure switch
points 10 & 11. (See 10-Z1 5A)
must be operated by the user. There are no
interlocks between injection and exposure.

1.1.2. One Button Injector Technique

The injector is supplied with 230 Volt after the
injector plug is seated onto the base unit.

• An examination is started with the injector start

button.
• The system is prepared.
• When preparation is complete the injection
starts.
• After a programmable exposure delay time, the
exposure run is automatically started.

1.1.3. Two Button Injector Technique

The injector is supplied with 230 Volt after the
injector plug is seated onto the base unit.

• An examination is started by operating both

exposure and injector start buttons.
• The system is prepared.
• When preparation is complete the injection
starts.
• After a programmable exposure delay time the
exposure run is automatic started.
• If the exposure button is released, then both
exposure and injection is stopped.

10 - 2 (02.0) MD4 SMCM FF

Copyright © 2002 Philips Medical Systems Nederland B.V.
ALL RIGHTS RESERVED