Medical Line

0051

User Manual
Version 31 January 2020 – (Rev. 2)
User Manual - Revision history
Rev. 2

Manual revision history, code 6984924103

Rev. Date Page Description of the changes

0 22.02.2019 - Document approval.

1 10.10.2019 42, 46, 53, 71, Release of SW version 1.0.1 on cabinet CPU board and SW
87, 89, 90, version 1.0.1 on Touch Screen CPU board (new icon for "No
154, 165 Grids" button).
Release of SW version 1.0.2 on cabinet CPU board and SW
version 1.0.2 on Touch Screen CPU board (added VDX
sensor ready mode "RAD"/"Fluoro" in SETUP page).
Release of SW version 1.0.3 on cabinet CPU board and SW
version 1.0.3 on Touch Screen CPU board (in VDX mode
with automatic collimator, the "Reset" button on Touch
Screen Console allows to restore the collimator size,
modified the cassette ejection procedure at system
start-up).
Added paragraph "Parts to be replaced periodically".
(RDM 8808, RDM 8957, RDM 9005, Complaint M18022)

2 31.01.2020 18, 19, 27, 32, 61 Added applied parts symbol on Apollo EZ identification label
located on the equipment (IEC60601-1 3ed+AMD1
paragraph 7.2.10).
Removed Villa logo from LCD collimator front panel.
MET approved revision.
Revised tabletop characteristic data.
(RDM 8761, RDM 8967, RDM 9031, RDM 9052)

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User’s manual – Contents
Rev. 2

Contents
1 INTRODUCTION 1
1.1 Icons appearing in the manual 1

2 USABILITY 2
2.1 Application 2
2.1.1 Medical purposes 2
2.1.2 Clinical applications 2
2.1.3 Anatomical part or tissue type 3
2.1.4 Types of patient 3
2.1.5 Operator Profile 3
2.1.6 Application environments 3
2.1.7 Applied parts 4

3 SAFETY INFORMATION 5
3.1 Warnings 6
3.1.1 Electromagnetic emissions 9
3.1.2 Electromagnetic immunity 10
3.1.3 Recommended separation distances for non-life supporting equipment 11
3.2 Radiological protection warning 12
3.3 Environmental risks and displacement 15
3.4 Symbols used 16

4 DESCRIPTION 17
4.1 Identification labels 17
4.1.1 Version identification label "380/400V" 18
4.1.2 Version identification label "415/480V" 19
4.2 Description 20
4.3 Touch screen command console 23
4.3.1 Room console (Optional) 25
4.4 Keyboard on the table 26
4.5 Collimator panel 27
4.5.1 LCD collimator panel 27
4.5.2 Touch screen collimator panel with movement controls 28
4.6 X-Ray control panel 29

5 TECHNICAL DATA 30
5.1 Technical characteristics 30
5.2 Format divisions table in CM 36
5.3 Format divisions table in INCHES 37
5.4 Standards and regulations 38

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5.5 Footprint dimensions 39

5.5.1 Version with 2 way tabletop 39
5.5.2 Version with 4 way tabletop 40

6 PRELIMINARY OPERATIONS 41
6.1 Touch Screen 41
6.2 On and Off operation 42
6.3 Key conditions 45
6.4 Mode selection 45
6.5 "SETUP" page 46
6.5.1 User settings menu 47
6.5.2 Language selection menu 49
6.5.3 "Preset position" 49
6.5.4 "Beep on Keypress" 50
6.5.5 "Units" 50
6.5.6 "Error Reset" 50
6.5.7 "Tomoscopy" 51
6.5.8 "Cassette Eject" 51
6.5.9 "Orientation" 51
6.5.10 "Collimator" 52
6.5.11 Intercom volume levels 52
6.5.12 "Division Selection" 53
6.5.13 "VDX Ready Mode" 53
6.6 Camera live display 54
6.7 Examination preparation 55
6.7.1 Spot Film Device mode 56
6.7.2 Spot Film Device mode with VDX 56
6.7.3 Digital Mode 57
6.7.4 Direct Mode 57
6.7.5 Direct mode with VDX 58
6.7.6 Tomographic Mode 58
6.7.7 Angiographic by steps mode 59
6.7.8 Stitching mode (optional - only available with VDX) 59

7 OPERATING FUNCTIONS 60
7.1 Collimator 60
7.1.1 LCD Collimator 61
7.1.2 Touch Screen Collimator 63
7.1.3 Collimator light 65
7.1.4 Collimator manual mode 66
7.1.5 Automatic collimator 69
7.1.6 Automatic collimator Hold 71
7.1.7 Motorised additional filters (optional) 72
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7.2 Direct Mode 73

7.2.1 Direct over-table exposure 74
7.2.2 Direct off-table exposure 75
7.2.3 Collimator rotation 76
7.3 Spot Film Device mode 77
7.3.1 Image receptor loading and extraction 80
7.3.2 Divisions programming (not available for the "Dual Grid" version) 82
7.3.3 Rapid sequence (not available for the "Dual Grid" version) 84
7.3.4 "TEST" function for the Spot Film Device (not available for the
"Dual Grid" version) 85
7.4 VDX mode 86
7.4.1 VDX detector parking mode 89
7.5 Grid Introduction / Removal 90
7.6 Manual adjustment of the fluoro kV and mA 91
7.7 Image intensifier and TV chain 92
7.7.1 Monitor image scan reverse 92
7.7.2 Image intensifier zoom selection 93
7.7.3 Accessory function of the I.I. system 94
7.8 Movements 95
7.8.1 Automatic centring system 96
7.8.2 Angulation movement 99
7.8.3 Transversal tabletop - tube-Spot Film Device scan movement 101
7.8.4 Longitudinal tabletop movement (for 4-way tabletop version only) 104
7.8.5 Tilting movement 107
7.8.6 Movement of the source to film distance (SID) 109
7.8.7 Compressor 111
7.8.8 Rotation of the tube-collimator unit 115
7.9 Limitations and Safeties 116
7.9.1 Collision limits 116
7.9.2 Safety barrier 120
7.9.3 Anti-entrapment system 121
7.10 Table positions memory 122
7.11 Tomography 125
7.11.1 Tomography direction 130
7.11.2 Tomography mode 131
7.11.3 Layer height adjustment 132
7.11.4 Tomography speed 134
7.11.5 Tomography angles 135
7.11.6 Tomography "Test" function 136
7.12 Step angiography (optional) 137
7.12.1 Angiography mode "Test" function 142

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7.13 Stitching (optional) 143

7.13.1 "Test" function in Stitching mode 147
7.14 X-ray-Fluoro control 148
7.15 Preparation-X-rays command 149
7.16 Intercom: voice communication between patient and operator 150
7.16.1 Automated voice messages 151

8 DIAGNOSIS 152
8.1 Alarms 154

9 CLEANING AND DISINFECTION 163

10 MAINTENANCE 164
10.1 Parts to be replaced periodically 165

Note
No part of this publication can be reproduced, transmitted, transcribed or translated
without the approval of VILLA SISTEMI MEDICALI S.p.A.
This manual is the English translation of the original Italian version.

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1 INTRODUCTION

Note
The present manual is updated for the product it is sold with, in order to guarantee
an adequate reference to use the product properly and safely.
The manual may not reflect changes to the product that do not affect operating
modes or safety.

The aim of this manual is to instruct the user on the safe and effective use of the device.

The device must be used complying with the procedures described and never be used for
purposes different from those herewith indicated.

The user is liable as concerns legal fulfilment related to the installation and the operation of the
device.

1.1 Icons appearing in the manual

This icon indicates a “NOTE”: please read the items marked by this icon thoroughly.

This icon indicates a “WARNING”: the items marked by this icon refer to safety
aspects of the patient and/or operator.

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2 USABILITY

2.1 Application
The Apollo EZ remote-controlled table is X-ray equipment that can be used to perform general
radiographic and fluoroscopic examinations. The system is a fixed position type. The
movements of the table and tube support are motorized and remote-controlled.

2.1.1 Medical purposes

The medical purpose is the diagnosis, visualization and documentation of various diseases or
injuries.

2.1.2 Clinical applications

The Apollo EZ can be used for routine radiographic examinations and special examinations of
patients who are either standing, sitting or lying down.

This includes the following standard fluoroscopic or radiographic procedures:

• Lung fluoroscopy
• Bariatric examinations of the upper and lower gastrointestinal tract
• Other examinations of the digestive tract
• Urography, IVP (intravenous pyelogram) and cysto-urethrographic studies
• Myelography
• Radiography of the limbs
• Hysterosalpingography
• Phlebography
• Examination of the gallbladder and liver (OSCE)
• Paediatric examinations
• Tomography
• Skeletal radiographs including skull, ribs, spine, pelvis, upper and lower extremities, etc.
• Pulmonary X-rays
• X-rays of the soft tissues such as the abdomen
• Stitching exams with Wi-Fi panel (optional).

Examinations are part of common medical diagnostics and are described in the medical
literature.

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2.1.3 Anatomical part or tissue type

The Apollo EZ allows X-ray exams of the whole body and of all human tissues. The patient is
exposed to ionizing radiation. No component or accessory of the Apollo EZ system is applied to
the patient's body. Direct contact is made between the patient's skin and the surface of some
system components such as the tabletop and resting handgrips.

2.1.4 Types of patient

The Apollo EZ can be used with the following types of patients:

• Age: paediatric to geriatric
• Weight: ≤200 kg
• Condition of the patient:
− self-sufficient patient (the patient is able to position themselves as requested by the
operator)
− non-self-sufficient patient (the patient is positioned on the equipment with the help
of hospital staff).
• Nationality: N.O.

2.1.5 Operator Profile

The device can be used only by personnel with the necessary expertise concerning protection
from X-rays and that has been trained in the use of radiographic equipment.
The operator must be physically able to operate the system, which includes sufficient auditory,
visual and mobility capabilities.

2.1.6 Application environments

The application environments of the Apollo EZ remote-controlled table are hospitals, private
clinics or consultants or other radiology facilities.
See Technical Data (chapter 5) for additional information.

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2.1.7 Applied parts

The applied parts of the Apollo EZ table (which come into contact with the patient under
normal conditions) or other parts that may nonetheless come into contact with the patient, are:
• Tabletop
• Patient footrest
• Compressor
• Patient handgrip
• Band-tightener with compression band
• Shoulder support
• Collimator.

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3 SAFETY INFORMATION

Warning
All the information provided in this chapter should be read carefully and implemented,
where appropriate, to avoid damage to equipment or injury to persons.

Note
Information about the correct installation and maintenance of the device is found in
the Service Manual.

VILLA SISTEMI MEDICALI designs and builds its devices in compliance with the safety
requirements; furthermore it supplies all information necessary for correct use, and the
warnings related to danger associated with X-ray generating units.

Villa Sistemi Medicali cannot be held responsible for:

• the use of Apollo EZ different from the intended use
• damage to the unit, the operator or the patient, caused both by incorrect installation and
maintenance different from the procedures described in the user's and service manual
supplied with the unit, and by incorrect operations
• mechanical and/or electrical modifications made during and after installation.

Warning
Do not modify this device without authorization from the manufacturer.

Technical intervention must only be performed by qualified engineers authorised by Villa Sistemi
Medicali.

Only authorised personnel can remove the protections to the electrical cabinet and the
equipment and gain access to live and moving parts.

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3.1 Warnings
Apollo EZ is suitable for use in hospitals and the connection to the mains grid cannot be carried
out in buildings that provide "domestic" type power supplies.

Warning
To avoid the risk of electric shock, this device must be connected only to earthed
mains power supplies.

This device has not been designed to be used in environments where vapours, anaesthetic
mixtures flammable with air, or oxygen and nitrous oxide, can be detected.

Avoid the entry of water or other liquids into the device to prevent short circuits and corrosion.

Before cleaning the device, please disconnect it from the line voltage.

All movements are controlled by a powerful and sophisticated electronic microprocessor

system. The speeds, positions, the start and stop of these movements are controlled and
managed by the logic of the unit. The safety devices play a fundamental aspect in this logic so
as to ensure maximum safety for both patient and operator. Nevertheless, the operator MUST
ALWAYS PAY THE UTMOST ATTENTION when a movement is activated. The red
EMERGENCY buttons on the control console and on the front panel of the unit can be pressed
in the event the user experiences a situation of danger. These buttons will immediately stop
any movement and operation and are a valuable tool offered to the operator in addition to the
unit's intrinsic safety devices.

Before activation of the motorised parts such as tilting, the tabletop, the angulation and
the scan, make sure the patient is properly positioned and has the legs and arms inside
the perimeter of the tabletop. Use the handgrips where possible. During motorised
movements, objects that may interfere with the movements themselves should not be close to
the table.

Pay close attention to people in the X-ray room.

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Warning
When the system receives power, motorised movements may be activated
intentionally or accidentally.

The areas highlighted in the image below therefore pose a risk of entrapment,
between the support structure for the Spot Film Device and the support arms of the
patient tabletop, in the event that motorised movement is activated.

ENTERING OR REMAINING IN THESE AREAS IS FORBIDDEN WHILE THE

DEVICE IS OPERATIONAL.

The following symbols attached to the structure of the table indicate the risk of
entrapment and the prohibition against entering the danger zones:

Symbol indicating Symbol indicating:

"Warning: danger of entrapment" "Prohibition against entering the area
(ISO 7010:2011 W019) inside the support arms for the
patient tabletop "

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In the unlikely event that a person is present within the danger zone and a movement
is activated intentionally or accidentally, an emergency button must be activated
immediately. These buttons are coloured red to be immediately visible and may be
activated by simply pressing with force. As soon as one of the buttons is pressed, the
power to the device is cut off and all movements are immediately interrupted.
The position of the emergency buttons is illustrated in the following images:

Emergency buttons on the Emergency buttons on the

control console Spot Film Device
(depending on the configuration of the (two buttons are present, one on the
facility, either one or two control right side and one on the left side)
consoles may be present)

Remember that, on the basis of local regulations, other emergency buttons may be
present in the exam room and/or in the control room.
All users must be familiar with the placement and functioning of these safety devices
before using the equipment.

In the event of loss of voltage for longer than that sustainable by the electronic control of the
table, it is possible that the examination taking place is cancelled, with the inhibition of the
tabletop, scan and angulation movements that may harm the patient. The Spot Film Device will
be initialised and if the cassette is present, the display will indicate its removal in order to
continue.
Apollo EZ cannot be installed in operating rooms.
Apollo EZ must be turned OFF while electrosurgical or similar devices are in use.
Keep clean, and if disinfection of the parts that may come into contact with the patient is
deemed necessary, follow the instructions in Chapter 9.

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3.1.1 Electromagnetic emissions

In compliance with standard IEC 60601-1-2, the Apollo EZ is suitable for use in the
electromagnetic environment described below. The customer or user of the system must
ensure that it is used in said environment.

Emissions test Conformity EMC environment of use

RF Emissions Group I The Apollo EZ uses RF energy only for internal
CISPR 11 functioning. As a result, its RF emissions are very
low and most likely will not cause any
interference in electronic devices located nearby.
Class A The Apollo EZ is suitable for use in all
environments other than domestic environments
and those directly connected to a low voltage
public mains power supply which supplies
buildings used for domestic purposes.
Harmonics emissions Not applicable
IEC 61000-3-2
Voltage fluctuations / Not applicable
flicker emissions
IEC 61000-3-3

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3.1.2 Electromagnetic immunity

In compliance with standard IEC 60601-1-2, the Apollo EZ is suitable for use in the
electromagnetic environment specified. The purchaser or user of the Apollo EZ must guarantee
that it is used in the environment described below:

Immunity IEC 60601-1-2: Compliance

Electromagnetic environment
test test level level
Electrostatic 8 kV contact Test level Floors should be wood, concrete
discharge (ESD) 2/4/8/15 kV air IEC 60601-1-2 or ceramic tile. If the flooring is
IEC 61000-4-2 covered with synthetic material,
relative humidity must be at
least 30%.
Radiated 3 V/m Test level Portable and mobile RF
electromagnetic from 80 MHz to 2.7 IEC 60601-1-2 communication devices should
field GHz not be used in the immediate
IEC 61000-4-3 vicinity of components of the
Apollo EZ, including the cables.
Minimum distance 30 cm
Electrical fast 2 kV for power Test level The quality of the mains voltage
transient/burst supply lines IEC 60601-1-2 must be the same as a typical
IEC 61000-4-4 commercial or hospital
1 kV for input/output environment.
lines > 3 m
Surge 0.5/1 kV differential Test level The quality of the mains voltage
IEC 61000-4-5 mode IEC 60601-1-2 must be the same as a typical
commercial or hospital
0.5/1/2 kV common environment.
mode
Disturbances 3V Test level Portable and mobile RF
conducted, induced from 150 kHz to IEC 60601-1-2 communication devices should
by RF fields 80 MHz not be used in the immediate
IEC 61000-4-6 vicinity of components of the
6V Apollo EZ, including the cables.
ISM Frequencies Minimum distance 30 cm
Voltage drop, short 0% Un for 0.5 cycles Test level The quality of the mains voltage
breaks and voltage 0% Un for 1 cycle IEC 60601-1-2 must be the same as a typical
variations of the 70% Un for 25 cycles commercial or hospital
power supply feed 0% Un for 5 s environment. If the user of the
line Apollo EZ requires continued
IEC 61000-4-11 operation during power mains
interruptions, it is recommended
that the Apollo EZ be powered
by an uninterruptible power
supply or battery.
Power frequency 30A/m Test level Power frequency magnetic fields
(50/60 Hz) IEC 60601-1-2 should be at levels characteristic
magnetic field of a typical commercial or
IEC 61000-4-8 hospital environment.

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3.1.3 Recommended separation distances for non-life supporting

equipment

The Apollo EZ is designed to operate in an electromagnetic environment in which radiated RF

disturbances are controlled.
The customer or person operating the system can contribute to preventing electromagnetic
interference by ensuring a minimum distance of no less than 30 cm between mobile and
portable RF communication devices (transmitters) and any component of the Apollo EZ. If this
distance is not maintained the performance of these devices may be affected.

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3.2 Radiological protection warning

VILLA SISTEMI MEDICALI designs and builds its devices in compliance with the safety
requirements; furthermore it supplies all information and warnings related to hazards
associated with equipment connected to X-ray generating units.

Personnel authorised to perform radiological examinations must observe the protection

regulations against ionising radiation as shown below:
• Where appropriate, dedicated protection must be used (lead-lined clothing) to protect the
patient from the stray radiations in areas adjacent to those from X-ray.
• Only the patient must be present in the room while the X-ray examinations is being
performed. If the examination requires, medical and paramedical personnel or specifically
authorised personnel can be present, only if provided with radiation protective clothing.
Depending on the ongoing examination, the staff in the room must stand in the areas
shown in the diagram below during ray emissions.

6
Occupation zone
5 (see Figure 2)

Figure 1: Horizontal table, front view

Note
The front view shows a 600x600x2000 mm occupation zone as required by the
applied standards. In reality, because the spot film-I.I.-tube unit has a maximum
range of 1344 mm, the total occupation zone is the one shown in Figure 2. This zone
takes into account the aforementioned range.

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Max. occupation
zone
600x2243 mm
H = 2000 mm

Figure 2: Horizontal table, plan view

Occupation zone
(see Figure 4)

1400 mm
B

Figure 3: Vertical table, front view

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450 mm

Occupation zone
600x600 mm
H = 1700 mm

Figure 4: Vertical table, plan view

The maximum values of stray radiations in the indicated zones are given in the table below.
These values were measured as described in the reference standard IEC 60601-1-3 and
particularly for radiological factors with a continuous emission value of 120 kV, 3 mA.

Figure Ref. H from the ground Dose

1 1 350 mm (13.8") 0.055 mGy/h
1 2 600 mm (23.6") 0.22 mGy/h
1 3 834 mm (32.8") 2.42 mGy/h
1 4 1200 mm (47.2") 7.6 mGy/h
1 5 1400 mm (55.1") 6.9 mGy/h
1 6 1600 mm (63.0") 7.32 mGy/h
1 7 1800 mm (70.9") 5.25 mGy/h
1 8 2000 mm (78.7") 3.37 mGy/h
3 A 350 mm (13.8") 1.1 mGy/h
3 B 600 mm (23.6") 4.68 mGy/h
3 C 1000 mm (39.4") 3.6 mGy/h
3 D 1200 mm (47.2") 3.05 mGy/h
3 E 1400 mm (55.1") 2.21 mGy/h
3 F 1600 mm (63.0") 2.6 mGy/h
3 G 1700 mm (66.9") 3.25 mGy/h
3 H 2000 mm (78.7") 3.7 mGy/h

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3.3 Environmental risks and displacement

Some parts of the Apollo EZ contain materials and liquids that must be disposed of at
reclamation centres designated by the Local Health Authorities at the end of the equipment life
cycle.
In particular, the device contains the following materials and/or components:
• Motor reduction gears: lubricating oil, steel, aluminium
• Motors: iron, copper, non-biodegradable plastic casings
• Spot Film Device: non-biodegradable plastic casings, lead primary protections against
radiation
• Electrical cabinet: iron, aluminium, copper, non-biodegradable plastic materials, supports for
printed circuits.

Note
Information for users in the European Community, in compliance with 2011/65/EU
Directive on the restriction of the use of certain hazardous substances in electrical
and electronic equipment.

The symbol of the crossed waste container on the equipment or packaging shows
that the product, at the end of its lifecycle, must be collected separately from other
types of waste.
The separate collection of this equipment at the end of its lifecycle is organised and
managed by the manufacturer. Users who need to dispose of this equipment should
therefore contact the manufacturer and follow the procedure adopted by the
manufacturer for the separate collection of the equipment at the end of its lifecycle.
Proper separate collection for subsequent recycling, treatment and compatible
environmental disposal of equipment helps avoid possible negative effects on the
environment and on health and encourages the reuse or recycling of the materials
that the equipment is made from.
Illegal disposal of the product by the owner of the equipment will result in
administrative sanctions, as provided for by applicable regulations.

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3.4 Symbols used

The following symbols are used in this Manual and on the Apollo EZ:

Symbol Description

Device with type B applied parts

Some parts of the equipment contain materials and liquids that

must be disposed of at reclamation centres designated by the Local
Health Authorities at the end of its life cycle

∼ A.C.

N Connection point to the neutral conductor

R S T Connection point to the three-phase line conductors

Protection earthing

Dangerous voltage

Follow the use instructions

Product identification code

Serial number

Date of manufacture

Spot Film Device

Inherent filtration

Conformity to the EC 93/42 Directive and subsequent amendments

and additions

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4 DESCRIPTION

4.1 Identification labels

6
7 7
6

2 1b

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4.1.1 Version identification label "380/400V"

1a 1b
Apollo EZ data label Apollo EZ identification label
(positioned on the electrical cabinet) (positioned on the equipment)

2
Spot Film Device
data label

3 4
"Connect TV chain only" Warning
label (inside the electrical cabinet) label

Collegare solo catena TV

Connect TV chain only

5
"Read the user instructions"
label

6 7
Sign Sign
"Warning: danger of entrapment" "Prohibition against entering the area inside
(ISO 7010:2011 W019) the support arms for the patient tabletop"

8a 8b
Sign "Warning: do not install the patient Sign "Warning: install the patient footrest on
footrest on this side of the tabletop". this side of the tabletop".
Only present in the event that there's a Only present in the event that there's a
shoulder rest (optional accessory) shoulder rest (optional accessory)

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4.1.2 Version identification label "415/480V"

1a 1b
Apollo EZ data label Apollo EZ identification label
(positioned on the electrical cabinet) (positioned on the equipment)

1c 1d
cMETus certification label UDI label
(positioned on the electrical cabinet) (positioned on the electrical cabinet)

3
2 "Connect TV chain only"
Spot Film Device label (inside the electrical cabinet)
data label
Collegare solo catena TV
Connect TV chain only

4
Warning label

5
"Read the user instructions"
label

6 7
Sign Sign
"Warning: danger of entrapment" "Prohibition against entering the area inside
(ISO 7010:2011 W019) the support arms for the patient tabletop"

8a 8b
Sign "Warning: do not install the patient Sign "Warning: install the patient footrest on
footrest on this side of the tabletop". this side of the tabletop".
Only present in the event that there's a Only present in the event that there's a
shoulder rest (optional accessory) shoulder rest (optional accessory)

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4.2 Description
Apollo EZ is a universal radiology diagnostic table that can satisfy all needs, used for
examinations of the digestive system, the skull and skeleton, urography, myelography, vascular
examinations, lungs, bronchography, and when supplemented by a digital acquisition system,
angiography.
The Apollo EZ table is available in the following configurations:
• SFD version with Spot Film Device, divisions in bands or crosses (optional)
• SFD "Dual Grid" version, double grid with no divisions, optimised for use with "Flat Panel
Static Wi-Fi"
• DRF version, where the Spot Film Device is not present and the table is equipped with
"Dynamic Flat Panel" with 1 or 2 crosses and large capture surface (43x43cm).
The basic functional concepts of the Apollo EZ table are:
• footprint as small as possible
• transverse movement (2 way) and transverse and longitudinal (4 way) Tabletop
• reduced skin-imaging receptor distance
• laminate (standard version) or micro-sandwich Tabletop with integrated accessory profiles
• reduced I.I.-film distance to avoid parallax correction (when applicable).
The complex movements and functions are controlled by the remote control console located in
an XR protected area.
The main movements of the table are replicated on the on-board control panel.
An automatic collimator limits the radiated field.
This accessory may consist of a square-rectangular limitation or circular limitation by means of
a collimator with iris in addition to the square limitation and is adjusted so that the X-ray beam
is aligned with the image receptor across the full range of movement (minimum and maximum
SID) and angulation (from -40° to +40°) within the limits set by standard IEC 60601-2-54.
In the event that an image receptor external to the Spot Film Device is used, the opening of
the collimator is set manually by the user.
The DRF version is equipped with a square-rectangular limitation collimator without iris.
To meet the needs related to the fluoroscopic mode and the acquisition of images using digital
systems, the table is arranged such to accept image intensifiers from a minimum of 9"
(nominal) maximum input range up to a maximum of 12" (nominal).
All the movement commands are "deadman".
Apollo EZ was designed and constructed in accordance with the European provisions laid down
for the attainment of the CE mark according to European Directive EC 93/42 on Medical
devices, ensuring the maximum safety for the operator and the patient.

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Apollo EZ is supplied with both standard accessories and optional accessories. The following
table lists all available accessories making the distinction between standard, being those
normally supplied with the equipment, and optional accessories that need to be specifically
requested when ordering.

Ref. Description Accessory type

A Patient footrest Standard

B Patient handgrip (N°2 items) Standard
C Shoulder support Optional
D Leg rest (N°2 items) Optional
E Band-tightener with compression band Optional
F Cassette side support Optional
G Patient step Optional

B
A C

D
E

Figure 5

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Warning
• Verify that the accessories are firmly fixed before positioning the patient for the
exam.
• Verify that the patient footrest is firmly hooked to the tabletop's metal frame;
the position is correct if both release buttons are completely raised and the red
line is not visible.
If this condition isn't met, use the handles to move the patient footrest without
pressing on the buttons until it locks correctly (red line no longer visible).

Warning
In the event that a shoulder support is present (optional accessory "C"), the tabletop
will include labels that indicate on which side the patient footrest should be attached.
NEVER insert the patient footrest on the side of the tabletop that has the
prohibition label.

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4.3 Touch screen command console

The remote controlled Apollo EZ table is equipped with a command console with the following
functions:

11 10

12

6 8

5 9

7
3 4
Figure 6: Control console top view
Topview description:
1 Emergency button
2 Touch screen
3 Preparation button
4 Exposure button
5 Collimator axis control joystick
6 Angulation and compressor control joystick
7 SID and tilting control joystick
8 Tabletop longitudinal movement (for 4-way tabletops only), stored positions
and function control joystick
9 Transversal tabletop and scan control joystick
10 Intercom microphone
11 Intercom speaker
12 Inactive buttons
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 User’s manual – Description
Rev. 2

11
Figure 7: Control console rear view

Rear view description:

11 Remote DIVA HDE On/Off Switch

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Rev. 2

4.3.1 Room console (Optional)

A second touch screen console can be added on request in the examination room.
This console is identical to the first and has the same functions.

On the activation of one or more commands on one of the two consoles, the other will be
disabled until the commands are released.

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4.4 Keyboard on the table

The remote controlled Apollo EZ table is equipped with a keyboard on the table presenting the
following commands:

Figure 8

Description of buttons of the table on-board keyboard:

1 Collimator light on-off
2 Head side scan command
3 Internal side tabletop command
4 External side tabletop command
5 Feet side scan command
6 SID ascend command
7 SID descend command
8 Right side tabletop command
9 Left side tabletop command
10 Tabletop centering command
11 Angulation centering command
12 Head side angulation command
13 Feet side angulation command
14 Tendelenburg tilting control
15 Vertical tilting command
16 Tilting centering command
17 Cassette introduction-eject.

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4.5 Collimator panel

4.5.1 LCD collimator panel

5 6

4 4

2 3
Figure 9

Collimator panel description:

1 Display: SID, angulation, X-ray beam size and additional filter selected (if
present)
2 Additional filter selection control
3 Collimator light on-off
4 Dials for manual X-ray beam adjustment
5 Automatic collimation enabled
6 Manual collimation enabled
7 Error present

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4.5.2 Touch screen collimator panel with movement controls

1 2

4 5

8 6 8
Figure 10

Collimator panel description:

1 SID display
2 Angulation display
3 X-ray beam size display
4 Additional filter selection control and display
5 X-rays present indicator
6 Collimator light on-off
7 Table movement controls (scan, transversal tabletop, angulation)
8 Dials for manual X-ray beam adjustment

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4.6 X-Ray control panel

1 2

Figure 11

Pedal commands:
1 Prep. and exposure pedal control button
2 Fluoro command with pedal button.

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5 TECHNICAL DATA

5.1 Technical characteristics

General features

Type Apollo EZ
Manufacturer Villa Sistemi Medicali S.p.A.
20090 Buccinasco (MI) Italy
Device type and classification according to class I with type B applied parts
IEC 60601-1

Degree of protection according to IEC 60529 IPX0

Operating mode continuous operation
Use equipment not suitable for use in the presence
of flammable anaesthetic mixtures
Electrical characteristics

Standard voltage 3N~ 380/400 Vac ±10%

3N~ 415/480 Vac ±10%
Frequency 50/60 Hz
Maximum current 5 A @ 380/400 Vac
4 A @ 415/480 Vac
Fuses on isolation transformer T1 T 7A H – 500V @ 380/400 Vac
(F1, F2, F3) T 6A H – 500V @ 415/480 Vac
Fuse on transformer T2 (F4) T 500mA L – 250V
Fuses on transformers T3, T4 (F9, F15) T 3A L – 250V
Device protection Threephase thermal-magnetic circuit breaker
6.3 – 10 A 400 Vac
Power 3 kVA
Line Impedance < 1.0 ohm @ 380/400 Vac ±10%
< 1.0 ohm @ 415/480 Vac ±10%
Voltage drop on load < 2 % @ 380/400 Vac ±10%
< 2 % @ 415/480 Vac ±10%

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Mechanical features

Weight 900 kg (1985 lbs) – 2-way tabletop

1000 kg (2205 lbs) – 4-way tabletop
Height horizontal table and min SID 209 cm (82.3") - SID 150 cm
229 cm (90.2") - SID 180 cm
Height horizontal table and max SID 259 cm (102.0") - SID 150 cm (59.0")
299 cm (117.7") - SID 180 cm (70.9")
Total depth 198 cm (78.0")
Total depth with patient step (optional) 228 cm (89.8")
Length with tabletop central and table 210 cm (82.7") – 2-way tabletop
horizontal 225 cm (88.6") – 4-way tabletop
Prepared for I.I. standard fixed connector
Maximum I.I. size 12 inch
Minimum height from the ground 83 cm (32.7")
Electrical cabinet containing all electrical and 52 x 55 x 195 cm
electronic controls, including the TV-I.I. chain (20.5" x 21.6" x 76.8")
command module and eventual digital module
Electrical cabinet weight 145kg (320 lbs)
Control console 36 x 36 x 12.5 cm (14.2" x 14.2" x 4.9")
Console weight 5.2 kg (11.5 lbs)

Runs

Tilting + 90° / - 30°

Longitudinal tabletop (with 4 way tabletop only) 120 cm (47.2") = ± 60 cm (± 23.6")
Transversal tabletop 35 cm (13.8") = ± 17.5 cm (± 6.9")
Spot Film Device scan 134 cm (52.8") – 2-way tabletop
117 cm (46.0") – 4-way tabletop
Source to film distance 100 – 150 cm (39.4" – 59")
110 – 180 cm (43.3" – 70.9")
Angulation + 40° / - 40°
Compressor (run of the cone in X-ray beam) 37 cm (14.6")
Tube rotation + 180° (clockwise) / - 90° (anticlockwise);
stopping points at 0°, ± 15°, ± 30° and every
10° up to the limit
Collimator rotation + 90° / - 90°

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Speed

Tilting slow 4.5 °/sec

fast 6 °/sec (modifiable)
Longitudinal tabletop (for 4 way tabletop 5.5 cm/sec (2.2"/sec) ± 10% (fixed)
models only)
Transversal tabletop 5 cm/sec (2"/sec) ± 10% (fixed)
Spot Film Device scan 20 cm/sec (7.9"/sec) (maximum) with
acceleration step for small or large movements
Source to film distance (SID) ascent: 2.2 cm/sec (0.9"/sec) standard;
3.0 cm/sec (1.2"/sec) maximum
descent: 3.0 cm/sec (1.2"/sec) standard;
4.5 cm/sec (1.8"/sec) maximum
tolerance: ± 10%
Angulation 11 °/sec ± 10% (modifiable)
Compressor 5 cm/sec (2.0"/sec) ± 10%

Compressor

Compressor - tabletop distance 13 cm ÷ 50 cm (5.1" ÷ 19.7")

Compression force settable from 3 kg to 15 kg with step of 0.5 kg

Tabletop

Maximum weight of patient Up to 200 kg (440 lbs), without any movement

limitations
Dimension 210 x 74 cm (82.7" x 29.1") – 2-way tabletop
225 x 74 cm (88.6" x 29.1") – 4-way tabletop
Dimension of the radio-transparent zone 201.4 x 55.6 cm (79.3" x 21.9") – 2-way tabletop
213 x 50 cm (83.9" x 19.7") – 4-way tabletop
Tabletop height from floor 83 cm (32.7”) (with standard under-floor
installation plate) in the center of the tabletop
Surfaces flat
Standard material laminated
Optional material Micro-sandwich: carbon fiber + Rohacell + HPL
Filtration for standard model ≤ 1.1 mm Al eq @ 100 kVp SEV 3.6 mm Al
Filtration for carbon fibre model ≤ 0.5 mm Al eq @ 100 kVp SEV 3.6 mm Al
X-ray centre / table extremity distance 38 cm (15") from both sides – 2-way tabletop
0 cm (0") – 4-way tabletop
Skin – film distance 7.5 cm (2.9”) minimum for 2-way tabletop
7.8 cm (3.1”) minimum for 4-way tabletop
Skin – I.I. distance 9.7 cm (3.8”) minimum for 2-way tabletop
10 cm (3.9”) minimum for 4-way tabletop
Accessory holder guide integrated

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Spot Film Device

Accepted cassette sizes from 13x18 cm (5"x7") to 43x43 cm (17"x17")

Divisions from 1 to 4 in bands (standard)
NOTE: 4 or 6 in cross (optional)
Not applicable to the "Dual Grid" model
Spot Film Device cassette movement with belt drive without tray
Operating modes standard programme
rapid sequence (not applicable to the "Dual
Grid" model)
Min. positioning time of receptor from park to cassette: 0.8 sec
exposure in standard mode VDX: 0 sec, the sensor can remain in the field
Max. positioning time of receptor from park to cassette: ≤ 1.2 sec
exposure in standard mode VDX: 1.3 sec
Average speed in rapid sequence 2 im/sec
Lead lined shutters integrated
Grid vibrating, parkable
I.I. head fastening pre-arranged
AEC pre-arranged

Collimator

Collimation with 2 axes (standard) rectangular and square

Collimation with 3 axes (optional) rectangular, square and iris
Additional filtration (optional) for both models with additional filter change (2 mm Al / 1 Al +
0.1 mm Cu / 1Al + 0.2 mm Cu) manual or
motorised
Limitation automatic
manual: via joystick on the console and keys on
the collimator
Operating modes automatic with/without Hold mode
manual
Light for centring with LED lamp (min 160 lux @ 1 m) with timer
or with requested turn-off
Min. dimension of the ray beam @ 1 m < 1 cm2 (0.39 inch2)
X-ray field coverage 43 x 43 cm (17" x 17") @ SID = 100 cm (39.4")
Stray radiation ≤ 45 mR/h @ 150 kVp 350W
Inherent filtration of collimator with 2 axes 1 mm Al eq @ 75 kVp SEV ≥ 2.4 mm Al
Inherent filtration of collimator with 3 axes 2 mm Al eq @ 75 kVp SEV ≥ 2.4 mm Al

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Tomography

Type semi arc / flat with electronic algorithms

Max. layer height 35 cm (13.8")
Layer increase with step of 0.1 cm (0.04")
Automatic layer increase selectable with automatic increase based on
the Tomo angle
Speed 11.2 – 22.4 °/sec (modifiable)
Angles 7° - 20° - 30° - 45°
Tomography exposure times (in sec) Degrees 1^ 2^ 3^ 4^
speed speed speed speed
7° 0.6 0.5 0.4 0.3
20° 1.8 1.3 1.0 0.9
30° 2.6 2.0 1.6 1.3
45° 4.0 3.0 2.4 2.0
Direction from right to left or vice versa (settable)
Sequential Tomography sequential program with emission forward and
back until divisions are finished with automatic
increase of the layer without stopping and
returning to vertical after each exposure
Scan movement range the tomography is permitted in variable scan
positions according to the angle and layer
selected

Stitching (Optional, only in VDX mode)

Type 2, 3 or 4 contiguous images acquired and joined;

scan speed, SID and tube angulation adjusted
at every step
Detector size 35 x 43 cm (13.8" x 17") or 43 x 43 cm (17" x 17")
Step length 35 cm (13.8") or 43 cm (17") (depending on the
length of the VDX detector)
Number of acquisition stations 2, 3 or 4 (selected by the user)
Direction of the scan Left to Right or Right to Left (selected by the
user)
SID Can be set at installation: from 140 cm (55.1")
to 180 cm (70.9") (150 cm (59") for models with
SID 150 cm (59"))
Overlap 7 cm (2.8") (preset - may be modified by the
Service Technician)
Average total scanning time (in sec) Station Time
2 10
3 20
4 30
Scan Permitted for the entire run
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Commands

Movement commands on consoles with a joystick

at the edge of the table with buttons
on the collimator panel (only for touch screen
version)
Function commands on the console
User interface with graphic touch screen
Command characteristics with deadman
Movements safeties single fault on the HW chain responsible for the
movement and the feed back

Accessories

Footrest (standard) supporting surface approx. 30 x 55 cm

(11.8" x 21.7")
Handgrips (standard) with ergonomic grip
Head rest and shoulder supports (optional) with shoulder retainers
Compression band (optional) with winder
Thigh supports (optional) adjustable
Side cassette holder for lateral projections with adjustable cassette holder arm
(optional)
Patient step (optional) folding

Environmental conditions

Operating conditions Temperature: from +10 to +40°

Humidity: from 30 to 75 %
Pressure: from 700 to 1060 hPa
Transport and storage conditions Temperature: from -20 to +70°
Humidity: ≤ 95% non-condensing
Pressure: >630 hPa

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5.2 Format divisions table in CM

13x18 18x13

18x24 9x24 9x12 (*) 24x18 12x18

24x24 12x24 12x12 (*)

24x30 12x30 30x24 15x24 15x12 (*) 10x24 10x12 (*)

30x30 15x30 10x30

18x43 43x18 21x18 14x18

15x40 40x15 20x15 13x15 10x15

20x40 10x40 40x20 20x20 13x20 10x20

30x35 15x35 10x35 35x30 17x30 12x30

30x40 15x40 10x40 40x30 20x30 13x30 10x30

35x35 17x35 12x35

35x43 17x43 12x43 43x35 21x35 14x35 11x35

43x43

(*) Optional

Note
The first number of the format refers to the transverse axis of the tabletop (right-
left of patient). The size indicated on the various divisions is nominal.
In the Apollo EZ "Dual Grid" version, the divisions of the formats are not available.
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5.3 Format divisions table in INCHES

5x7 7x5

8x10 4x10 4x5 (*) 10x8 5x8

10x12 5x12 12x10 6x10 6x5 (*) 4x10 4x5 (*)

9.5x9.5 4.7x9.5 3x9.5

7x17 17x7 8.5x7 5.7x7 4.3x7

11x14 5.5x14 3.7x14 14x11 7x11 4.7x11 3.5x11

14x14 7x14 4.7x14

14x17 7x17 4.7x17 17x14 8.5x14 5.7x14

17x17

(*) Optional

Note
The first number of the format refers to the transverse axis of the tabletop (right-
left of patient). The size indicated on the various divisions is nominal.
In the Apollo EZ "Dual Grid" version, the divisions of the formats are not available.

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5.4 Standards and regulations

Apollo EZ was designed and built using the regulations listed below as reference:
IEC 60601 1:2005, IEC 60601-1:2005/AMD1:2012
Medical electrical equipment - Part 1: General requirements for basic safety and essential
performance
IEC 60601-1-2:2014
Electromagnetic compatibility – requirements and test
IEC 60601-1-3:2008, IEC 60601-1-3:2008/AMD:2013
Medical electrical equipment - Part 1-3: general requirements for radiation protection in
diagnostic X-ray equipment
IEC 60601-1-6:2010, IEC 60601-1-6:2010/AMD1:2013
Medical electrical equipment - Part 1-6: General requirements for safety - collateral standard:
Usability including IEC 62366: Application of usability engineering to medical devices.
IEC 60601-2-54:2009, IEC 60601-2-54:2009/AMD1:2015
Medical Electrical Equipment – Part 2: Particular requirements for the basic safety and
essential performance of X-ray equipment for radiography and radioscopy
IEC 62366:2007, IEC 62366:2007/AMD1:2014
Medical devices – Application of usability engineering to medical devices
IEC 62304:2006, IEC 62304:2006/AMD1:2015
Medical device software - Software life-cycle processes.

0051 The CE mark certifies compliance of the Apollo EZ table to the 93/42/EEC
Directive and subsequent amendments and additions.

The manufacturer, in compliance with Directive 93/42/EEC is:

Villa Sistemi Medicali S.p.A.
Via Delle Azalee, 3
20090 Buccinasco – MILAN (Italy)

Besides the aforementioned standards, models 415/480V are also made in compliance with
those listed below:
CFR 21
Code Federal Regulation. Sub Chapter J
CAN/CSA-C22.2 No 60601-1:14
Medical electrical equipment - Part 1: General requirements for basic safety and essential
performance
ANSI/AAMI ES60601-1:2005/A2:2010/(R)2012
Medical electrical equipment, Part 1: General Requirements for Basic Safety and Essential
Performance.

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5.5 Footprint dimensions

5.5.1 Version with 2 way tabletop

Figure 12

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5.5.2 Version with 4 way tabletop

Figure 13

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User Manual – Preliminary Operations
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6 PRELIMINARY OPERATIONS

6.1 Touch Screen

The screen is divided into six working areas described in the following figure:

1 2 3

cm Grid:
Mode
MAIN SETUP
0° 0° 100 0.0 SFD

4 5

Figure 14

Touch Screen Legend:

1 Geometrical position of the table
2 Operating mode
3 Information: logo, date, time, selected user and menu
4 Operator's message area
5 WARNING message area
6 Operating area.

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6.2 On and Off operation

The Apollo EZ table is switched ON depending on the type of connection implemented for the
system.
Typically, the table is switched ON when the generator is fed through the ON key.
Similarly, switching off occurs when the system is switched OFF by pressing the OFF key on
the generator.
A welcome screen appears on the touch screen on start-up, with the message:

<< Loading. Please Wait… >>

Note
Start-up requires about one minute.

Warning
Power supply connections, and therefore on and off operations for the Apollo EZ
table different than those mentioned above do not respect the directives that Villa
Sistemi Medicali has validated and shown clearly in the Apollo EZ table service
manual.

In an emergency the system can be switched OFF and therefore all movements of the Apollo
EZ table immediately stopped and all functions of the X-ray system inhibited by pressing the
emergency switch on the side of the Spot Film Device and control console.

Note
There are cases where, if a cassette is present in the Spot Film Device when the
Apollo EZ table is switched ON, the display shows the message:
<< WARNING Cassette present. Press the
switch on SFD up to take it out >>
In this condition the eject key on the touch screen is not active. Use the eject key
"17" on the table to remove the cassette. By pressing the key the automatic ejection
of the cassette will be activated.
The cassette or detector comes out for about 10 cm from the Spot Film Device. If it
is not enough, press the eject key "17" again; the cassette/detector comes out for
other 10 cm. Repeat until the cassette/detector can be removed safely to prevent it
falling. The force required to extract the cassette/detector will be higher than normal.
The warning message disappears and the functionality of the Apollo EZ table is
activated.

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Subsequently one of the following pages will appear, depending on whether the machine is
configured in Analogue, Digital, Direct or is equipped with VDX panel. In all cases, the screens
show the position of the machine, the date and time and the keys to enter the different
options for the selected mode.

cm
Mode
0° 0° 100 0.0

Analog

Spot Film

Tomo

Figure 15: Analog mode

cm
Mode
0° 0° 100 0.0

Digital

Digital Spot

Digital Tomo

Digital Angio

Figure 16: Digital Mode

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cm
Mode
0° 0° 100 0.0

Other

Direct

Figure 17: Direct Mode

cm
Mode
0° 0° 100 0.0

Setup VDX workstation - Insert VDX detector

VDX

VDX RAD

VDX STITCHING

VDX TOMO

Figure 18: VDX mode (the VDX STITCHING function is optional, the availability
of the VDX TOMO option depends on the configuration of the
system)

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6.3 Key conditions

The keys on the touch screen can have three conditions:

Not Selected

Inactive

Selected

6.4 Mode selection

After selecting the examination to be performed, three buttons "MAIN", "SETUP" and "Camera
live" (if present), will appear in the "Information" area (Figure 14).

Camera live key

cm
Mode
MAIN SETUP
0° 0° 100 0.0

Pressing the "MAIN" key allows to return to the main page.

Pressing the "SETUP" key allows to access the parameters set-up page.

Selecting the "Camera live" key (if present) activates or deactivates the "live" viewing of
images from the camera placed over the collimator (see paragraph Errore. L'origine
riferimento non è stata trovata.).

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6.5 "SETUP" page

The EZ Apollo table settings can be configured and the name of the user and the desired
language chosen from the "SETUP" page.

cm Grid: 120
Mode
Ret.
0° 0° 100 0.0 SETUP

Beep on Keypress Orientation Division Selection

User Language
Yes No Table Monitor Auto Manual
USER-1 English
Units Collimator VDX Ready Mode
Preset position cm/kg inch/lbs Auto Manual RAD Fluoro

MODE-1 Error Reset Volume OPE

Auto Manual - + 90%

MODE-2 Tomoscopy Volume PAT

Yes No - + 100%
MODE-3
Cassette Eject Volume MSG

Auto Manual - + 100%

FW CPU ver.: X.X.XX (DD-MM-YYYY)

SW TSC ver.: X.X.XX (DD-MM-YYYY)

Figure 19: "SETUP" page

To exit the "SETUP" page use the "Ret" key, which takes the place of the "SETUP" key on the
screen.

The following paragraphs describe the custom setting options.

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6.5.1 User settings menu

User
USER-1

This function gives the possibility to store settings for five different users.

On start-up, the box will display the last user selected before the system was turned OFF or a
generic user (user field blank) if the settings were not assigned.
It is now possible to:
• Select, with the related drop-down menu, a user already stored
• Proceed with the available options or change them according to preference

Note
Any option setting changes concerning the user selected, will determine the return to
a generic user status (user field blank).

• Create a new user or overwrite an existing one.

To create a new user:

1. Set the options that you want to associate with the new user, including the language.
2. Configure the "Preset positions" table (see paragraph 7.10)
3. Open the "User" drop-down menu by clicking the arrow on the bottom-right and hold
down the button related to the user until the following window appears:

Change name ' USER-X '

Store ' USER-X '

Exit

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4. Keep the "Change Name 'USER-X' " pressed to set the user name using the alphanumeric

keypad displayed; confirm with the (Enter) key

5. Save the settings by keeping the "Store ' USER-X ' " key
6. Press the "Exit" key to exit the function.

Note
The selected user will also be shown, in the information area of the screen on the
main menu (Figure 13).

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6.5.2 Language selection menu

Language
English

This function allows to set the desired language via the drop-down menu by clicking the arrow
on the bottom-right.

6.5.3 "Preset position"

Preset position

MODE-1

MODE-2

MODE-3

This function gives the possibility to store up to three table settings that can then be retrieved
by the operator (see paragraph 7.10).

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6.5.4 "Beep on Keypress"

Beep on Keypress

Yes No

This setting allows to enable (Yes) or disable (No) an acoustic signal when keys are pressed.

6.5.5 "Units"

Units

cm/kg inch/lbs

This function allows to set the display of the units of measure from "cm / kg" to "inch / lbs".

6.5.6 "Error Reset"

Error Reset

Auto Manual

This setting allows to enable (Auto) or disable (Manual) the automatic reset of the operating
alarms, which intervene after about 10 seconds (see chapter8).

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6.5.7 "Tomoscopy"

Tomoscopy

Yes No

If disabled, the "Layer" keys are not active, except in Tomography or Tomosynthesis mode.
Angulation movement will therefore be executed with Tomo layer = 80 mm.
If enabled, the "Layer" keys are always active; angulation movement will be executed,
preserving the centring for the selected layer.

6.5.8 "Cassette Eject"

Cassette Eject

Auto Manual

This setting allows to activate (Auto) or deactivate (Manual) the automatic ejection of the
cassette at the end of the examination (see paragraph 7.3.1).

6.5.9 "Orientation"

Movements Orientation

Table Monitor

Through this setting the movement of the tabletop and scan control joystick can be
coordinated with the movement of the table or the visualisation on the monitor as a reference
(see paragraph 7.8.3 and 7.8.4).

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6.5.10 "Collimator"

Collimator

Auto Manual

This function allows to set the operating mode of the collimator (see paragraphs 7.1.4 and 7.1.5).

6.5.11 Intercom volume levels

Volume OPE

- + 90%

Volume PAT

- + 100%

Volume MSG

- + 100%

The volume level for the intercom can be set independently, from 0% to 100%, for the operator
side (OPE), patient side (PAT) and automatic messages (MSG).

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6.5.12 "Division Selection"

Division Selection

Auto Manual

This function allows to set the cassette size division selection mode (see paragraph 7.3.2).

6.5.13 "VDX Ready Mode"

VDX Ready Mode

RAD Fluoro

In VDX mode, this function allows to rotate between two different ways of managing the
position of the digital sensor while awaiting exposure (see paragraph 7.4.1).

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6.6 Camera live display

The Touch Screen collimator may integrate a video camera; a "live" image of the exam area will
be shown on the table's touch screen console.
The "Camera live" button for the video camera enables or disables the viewing of the image:
this may be helpful to more rapidly position the patient and for control during the exam.

Camera live key

cm Grid:
Mode
No Cam MAIN SETUP
0° 0° 110 0.0 DIRECT

Audio

EN[m] IT[m] FR[f]

Live image display

Filter
Hold
NO FILT

Preset position
MODE-X

Figure 20

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6.7 Examination preparation

The Apollo EZ table allows to perform examinations in different modes:
• Serial-radiography
• Spot Film Device with VDX
• Digital
• Direct
• Direct with VDX
• Tomographic
• Digital Tomographic
• Tomographic with VDX
• Step Angiography mode
• Stitching with VDX

Note
The digital mode is present depending on the system configuration.
The presence of Stitching mode and Angiographic procedure by steps depends on the
system configuration and the activation of these options.

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6.7.1 Spot Film Device mode

The selection of the Spot Film Device mode foresees the use of the Spot Film Device to
perform standard X-rays that use a radiographic film as an image receptor or a screen in the
event of CR systems. A cassette is used in both cases that must be located within the Spot
Film Device.

To access this operating mode the "Spot Film Device" workstation must be set on the
generator console and the "Spot Film Device" key on the touch screen of the Apollo EZ table
(Figure 15).
The Collimator-tube unit must be centred on the Spot Film Device.

Access and all operations relating to this mode are described in paragraph 7.3.

6.7.2 Spot Film Device mode with VDX

The SFD mode selection with VDX envisages the use of the Spot Film Device to perform
X-rays using the VDX digital sensor as an image receptor. The VDX sensor has the same
dimensions as a conventional cassette for 35x43 cm (14"x17") or 43x43 cm (17"x17") film and, as
such, must be positioned inside the Spot Film Device.

To access this operating mode the "VDX Spot Film Device" workstation must be set on the
generator console and the "VDX RAD" key on the touch screen of the Apollo EZ table (Figure
18).
The Collimator-tube unit must be centred on the Spot Film Device.

Warning
In this mode, the commands from the Apollo EZ must ALWAYS be used to control
the "PREP" and "RAD".

Access and all operations relating to this mode are described in paragraph 7.4.

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6.7.3 Digital Mode

The execution of examinations in digital mode envisages the use of the image intensifier
instead of radiographic film as an images receptor.
This mode is only possible if the system is equipped with a digital image acquisition device.

To access the digital mode the related workstation must be selected by means of the
command on the generator console.
If a cassette is present in the Spot Film Device, the digital mode cannot be accessed.
The selection of the digital workstation, with cassette in the Spot Film Device, generates the
following message on the touch screen:
<< Remove cassette >>
The cassette must be removed in order to access the digital mode.

The Collimator-tube unit must be centred on the I.I.

6.7.4 Direct Mode

By selecting the Direct Mode examinations can be performed using image receptors external of
the Apollo EZ table, such as teleradiography or cassettes for example in direct contact with the
patient.
It may therefore be necessary to rotate the tube-collimator in this mode obtaining a position
which is not centred on the Spot Film Device or the image intensifier.
To rotate the tube-collimator refer to paragraph 7.8.8.

To access the Direct mode you must select the relative work place by means of the control on
the console of the generator and select the "Direct" key on the touch screen of the Apollo EZ
table (Figure 17).

The fluoro command is inhibited in this mode.

The preparation and X-ray controls are only active on the generator.

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6.7.5 Direct mode with VDX

By selecting the Direct Mode with VDX examinations using the VDX receptor can be performed
externally to the Apollo EZ table, in a chest stand or in direct contact with the patient for
example.
It may therefore be necessary to rotate the tube-collimator in this mode obtaining a position
which is not centred on the Spot Film Device or the image intensifier.
To rotate the tube-collimator refer to paragraph 7.8.8.

To access Direct mode with VDX you must select the relative working place by means of the
control on the generator console and select the "Direct" key on the touch screen of the
Apollo EZ table (Figure 17).

The fluoro command is inhibited in this mode.

The preparation and X-ray controls are only active on the generator.

6.7.6 Tomographic Mode

Tomography is obtained thanks to the arc movement of the X-ray tube and image receptor
surface, which, depending on the mode set, is the cassette, image intensifier or VDX detector.
The Tomographic mode as well the Spot Film Device mode can also be digital and with VDX if
the system is pre-arranged.
The tomography direction can be left or right and the sequential function can be selected. This
feature allows to perform tomography in rapid sequence with automatic increase of the layer.

Note
The sequential function is not available with VDX.

Access to the Tomographic mode occurs, depending on the acquisition mode, by pressing the
"Tomo" (Figure 15), "Digital Tomo" (Figure 16) or "VDX TOMO" key on the Apollo EZ touch
screen.

All operations relating to this mode are described in paragraph 7.11.

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6.7.7 Angiographic by steps mode

Step angiography mode is an optional feature for the Apollo EZ table, and to be able to execute
exams in this mode the system must be equipped with a digital workstation for I.I.
This mode allows to perform Angiographic examinations to the peripheral area as it features
the semi-automatic tracking movement of the contrast fluid.
This mode allows to restrict the administration of contrast fluid to the patient.
Access is made via the "Digital Angio" key (Figure 16) on the touch screen.

The complete operating instructions for this mode are described in paragraph 7.12.

6.7.8 Stitching mode (optional - only available with VDX)

The Stitching exam can only be enabled on the Apollo EZ table in VDX mode, if the option is
active and the system includes a Wi-Fi digital acquisition station with Stitching functionality.
The Stitching exam may be executed with a size 35x43 or 43x43 VDX detector inserted in the
Spot Film Device. Complete operating instructions for this mode are described in paragraph
7.13.
The Stitching image is obtained through the acquisition of 2, 3 or 4 contiguous exposures with
automatic positioning.
The acquisition step will be 35 cm or 43 cm, depending on the VDX detector used.
A few centimetres of overlap (set at installation) will be present between the two contiguous
images; this overlap is necessary for the Stitching image to be processed correctly.

Stitching direction from left to right or vice versa may be selected.

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7 OPERATING FUNCTIONS

7.1 Collimator
The Apollo EZ table is designed to accept collimators with square beams or with square beam
and iris, both designed to operate in manual mode, automatic mode and hold mode.
The two types of collimator are fitted with a LED lamp that casts a light beam of the same
size as the radiogenic.

The table is also equipped with shutters inside the Spot Film Device that reducing the effects
of stray radiation, yielding a well defined separation between different images of the same film.

Note
In the "Dual Grid" version, Spot Film Device shutters are not present, divisions cannot
be set and therefore the only image receptor format available is panoramic (the full
size of the receptor).

Note
In Stitching mode (only with VDX), the longitudinal opening of the collimator is based
on the Stitching step (35 cm or 43 cm) and cannot be modified by the user.

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7.1.1 LCD Collimator

The user interface consists of:

• LCD display, which shows X-ray beam size, SID, angulation and additional filter selected (if
present)
• additional filter selection button
• light button
• status LEDs
• dials for manual X-ray beam adjustment

See Figure 21 for a complete description of the controls available and of the information
displayed.

5 6

4 4

2 3
Figure 21

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Ref. Description Details

1 LCD Display Shows:
– the size of the X-ray beam in cm/inches. The unit of
measure is set from the touch screen console
– the SID in cm/inches. The unit of measure is set from the
touch screen console
– the angulation, in the interval -40°<--->+40°. Value not
displayed if the tube is NOT at 0°.
2 Additional filter The type of filter selected is shown on the LCD display. The
selection control filter may also be selected through the touch screen console.
The selection cycle is:
no filter, 2 Al, 1 Al + 0.2 Cu, 1 Al + 0.1 Cu.
3 Collimator light This button SWITCHES ON or SWITCHES OFF the light. The
light comes on automatically when scanning, tabletop,
collimation, angulation are activated, it then switches off after
30 seconds.
4 Dials for X-ray Allow for the beam to be adjusted manually, within the limits
beam adjustment permitted by the settings.
5, 6, Status LEDs Show which collimation mode is active (manual or automatic)
7 and whether an error is present.

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7.1.2 Touch Screen Collimator

The user interface consists of:

• a touch screen display, which includes an additional filter selection button and displays
status information
• movement control buttons
• light button

See Figure 22 for a complete description of the controls available and of the information
displayed.

1 2

4 5

8 6 8
Figure 22

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Ref. Description Unit Details

1 SID display cm/inches The SID icon changes on the basis of the operating
mode. The unit of measure is set from the touch
screen console.
2 Angulation Degrees Shows the angulation, in the interval -40°<--->+40°.
Value not displayed if the tube is NOT at 0°.
3 X-ray beam size cm/inches The unit of measure is set from the touch screen
console.
4 Additional filter n.a. The type of filter selected is shown on the button icon.
selection control The filter may also be selected through the touch
and display screen console or automatically by the anatomic
programme.
The selection cycle is:
no filter, 2 Al, 1 Al + 0.2 Cu, 1 Al + 0.1 Cu.
5 X-ray ON n.a. This icon appears yellow when exposure is active
(fluoroscopy or RAD).
6 Collimator light n.a. This button SWITCHES ON or SWITCHES OFF the
light. The light comes on automatically when scanning,
tabletop, collimation, angulation are activated, it then
switches off after 30 seconds.
7 Movement n.a. These buttons repeat the scan, transversal tabletop
controls and angulation controls.
8 Dials for X-ray n.a. Allow for the beam to be adjusted manually, within the
beam adjustment limits permitted by the settings.

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7.1.3 Collimator light

 Description
The collimator is always equipped with a LED lamp that casting a light beam of the same
size as the radiogenic, allows the centring of the patient without the emission of fluoro
rays.

 Operation
The collimator light is switched ON using the key illustrated on the touch screen of the
Apollo EZ table, key "1" (Figure 8) on the table panel or the appropriate control on the
collimator.

The light comes on automatically when scanning, tabletop, collimation, angulation are
activated.
The light switch on time is timed to 30 seconds but the switch off can be anticipated by
pressing the power on button again.

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7.1.4 Collimator manual mode

 Description
The manual adjustment function of the collimator allows to freely move the axes of the
collimator from the minimum to the maximum position without any constraints related to
the SID or other constraints and is mainly used in examinations where the image receptor
is not in the Spot Film Device (Direct Mode).

Warning
To reduce the amount of radiation in manual mode, the opening of the collimator
should be reduced and the maximum source to film distance implemented based on
the type of examination in progress.

 Operation
The activation of the manual collimation function is made by pressing the "Manual" key on
the "SETUP" menu (Figure 19) of the Apollo EZ table touch screen.

Collimator

Auto Manual

The opening and closing movements of the collimator shutters are operated by the related
joystick of the console or through the controls on the collimator panel (Figure 10).

When one or both axes are in a position corresponding to the minimum, the touch screen
shows the message:
<< Collimator closed >>

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Warning

In the event that an iris collimator is present, the iris control keys on the
touch screen are not active and the iris is always confined to the width and height
limiting axes.

• Direct Mode:
The manual collimation function is automatically set by activating the Direct mode.
Thanks to the manual collimator function, projections can be performed on possible
chest stands or on image receptors in direct contact with the patient freely moving
the axes of the collimator from the minimum to the maximum position using the
joystick or the commands on the collimator panel.

• Spot Film Device mode:

Activating the standard Spot Film Device mode or with VDX, the automatic function
of the collimator is set as default. To operate in Manual mode the manual function
must therefore be selected using the dedicated key.
The operating logic of the manual collimating function in Spot Film Device mode is
described below:
– If no program is selected, when the fluoro command is not active, a format
between the minimum and maximum can be collimated using the joystick or via
the commands on the panel of the collimator.
The lead lined shutters inside the Spot Film Device perform the standard
collimation of the collimator.
When the fluoro command is activated, the maximum size available is equal to
the I.I. field selected.
– If a program is selected whose format is less than the I.I. field selected, the
collimator is placed on the division format (which is the maximum available
format). Therefore, any format between the minimum and division format can be
collimated by means of joystick or with the commands on the collimator panel.
This condition is valid regardless whether the fluoro control is activated or not.
The shutters within the Spot Film Device perform the standard collimation when
a further reduction is performed using joystick or with the commands on the
collimator panel. The shutters inside the Spot Film Device do not perform the
basic limitation of the collimator only if a cross division has been set (optional).
– If a program is selected whose format is greater than the I.I. field selected, when
the fluoro command is not active, the width and height axes can be positioned
on the formats between the minimum and the selected format, using the
joystick or the commands on the collimator panel.
In contrast, with the fluoro command active, the maximum available format is
that of the I.I. field selected.
When the fluoro command is released, the shutters go back to the position they
had before the activation of the fluoro command.

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– At any time, the automatic collimator function may be selected. Both axes will
then be formed on the minor format between the I.I. selected and eventual
cassette division.
– If the equipment is turned OFF with the collimator in manual, the automatic
function is always active when switched ON again.

• Digital Mode:
The manual collimation can never be set in the digital mode.

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7.1.5 Automatic collimator

 Description
The automatic collimation function enables the automatic positioning of the collimation
axes on the smaller format between the I.I. field selected with eventual cassette division,
according to the operating modes set.
The automatic collimation is achieved taking into account the SID.
When the automatic collimation function is activated, the size of the collimated format can
be reduced in all operating conditions, but it cannot be increased.
The automatic collimation function is applied in Spot Film Device, "Dual Grid" or Digital
mode.

 Operation
The activation of the automatic collimation function is made by pressing the "Auto" key on
the "SETUP" menu (Figure 19) of the Apollo EZ table touch screen.

Collimator

Auto Manual

The opening and closing movements of the collimator shutters are operated by the
joystick of the console or through the controls on the collimator panel (Figure 10).

When one or both axes are in a position corresponding to the minimum, the display shows
the message:

<< Collimator closed >>

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• Spot Film Device mode:

Activating the standard Spot Film Device mode or with VDX, the automatic function
of the collimator is set as default.
The operative logic of this function is described below:
– If no program is selected, the collimator is positioned on the I.I. format selected.
Using the joystick or through the square/rectangular limitation commands on the
collimator panel, the radiated beam to any format can be reduced between the
set I.I. format and the minimum format.
The shutters inside the Spot Film Device follow the standard collimation.
If the collimator is the iris type, the circular limitation of the I.I. format can be

performed using the keys on the touch screen.

– If a program is selected whose format is less than the I.I. field selected, the
collimator is placed on the division format, which is the maximum available
format. Therefore, any format between the minimum and division format can be
collimated by means of joystick or with the commands on the collimator panel.
The shutters inside the Spot Film Device perform the basic collimation if a
further reduction is performed using the joystick. The shutters inside the Spot
Film Device do not perform the basic limitation of the collimator only if a cross
division has been set (optional).
– If a program is selected whose format is greater than the I.I. field selected, the
collimator is positioned on the I.I. field selected. Using the joystick or through the
square/rectangular limitation commands on the collimator panel, the radiated
beam to any format can be reduced between the set I.I. format and the minimum
format.
The shutters inside the Spot Film Device follow the standard collimation.
If the collimator is the iris type, the circular limitation of the I.I. format can be

performed using keys on the touch screen.

– When the preparation command is activated, the collimator is always placed on
the selected division format and on the release of the preparation command the
collimator returns back to the position before the preparation command was
activated.
– The manual collimator function can be selected at any time.

• Digital Mode:
The collimator in digital mode follows the same operational logic described for Spot
Film Device mode, except that when the preparation command is activated, the
collimator is always placed on the selected I.I. field.

• Direct Mode:
The automatic collimation can never be set in the direct mode.

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7.1.6 Automatic collimator Hold

Hold

 Description
The selection of the HOLD function maintains a possible limitation performed manually in
exposure during the fluoro regime, on one or more axes (width, height, iris).
The automatic HOLD collimation function is applied in Spot Film Device or "Dual Grid"
mode along with the automatic collimation function and can be activated manually or by
default (this setting is determined by the technician during installation). The HOLD function
can never be activated with the collimator in the manual mode.

 Operation
To activate the HOLD automatic collimation function, select the function key "Hold" on the
Apollo EZ table touch screen.

The operative logic of the automatic HOLD collimation function is identical to the
automatic collimation function in the Spot Film Device mode described in the previous
section, except when a reduction in the collimated format is performed during the fluoro.
In this case by activating the preparation control the collimator is not placed on the
division format, but remains in the reduced collimation position established by joystick or

the iris controls during fluoro.

Note
In VDX mode, the collimator is always in HOLD. The "Reset" key adjusts the
collimator back to full detector size.

Filter
Reset
NO FILT

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7.1.7 Motorised additional filters (optional)

Filter
NO FILT

If the collimator with additional motorised filters option is present, the additional filtration can
be selected with this key.
The additional filter selected from the following options will be displayed in this key:
• NO FILT no additional filter
• 2 Al 2 mm of Al are positioned on the beam in addition to the filtration of the
equipment
• 1 Al 0.1 Cu 1 mm of Al + 0.1 mm of Cu are positioned on the beam in addition to the
filtration of the equipment
• 1 Al 0.2 Cu 1 mm of Al + 0.2 mm of Cu are positioned on the beam in addition to the
filtration of the equipment.

The following message is displayed if the additional filter is not in position:

<< Collim. filter out of position >>

Fluoroscopic examinations or the rays-preparation procedure cannot be performed in this

condition.

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7.2 Direct Mode

Other

Direct

Access to this operating mode is achieved by selecting the "Direct" working place on the
generator and using the dedicated "Direct" key on the table touch screen.
The touch screen is configured in direct mode.

cm Grid:
Mode
MAIN SETUP
0° 0° 110 0.0 DIRECT

Audio

EN[m] IT[m] FR[f]

Filter
Hold
NO FILT

Compression

5.0Kg
Preset position
NONE

Note
The fluoro function is not available in this mode.
The preparation and X-ray controls must be activated from the generator console.

In this mode, the collimator only functions in manual mode: the aperture of the beam is
therefore regulated by the operator.

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7.2.1 Direct over-table exposure

An external image receptor (digital wireless, screen/film cassette, CR) is used to acquire the
individual RAD image, the tube is at 0°, i.e. not rotated.
• The SID shows the distance between the focal spot and the surface of the tabletop.
• The size of the bream refers to the SID as defined above, in other words the tabletop
surface. They are not limited automatically and may be adjusted manually: establishing the
desired size within the area of the external receptor is left to the operator. Automatic
regulation occurs in concert with the change to the SID.
• The LCD collimator display will show the SID, angulation, beam size and, if present, the
additional filter selected. For a touch screen collimator, the display will be as follows:

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7.2.2 Direct off-table exposure

An external image receptor (digital wireless, screen/film cassette, CR) is used to acquire the
individual RAD image, the tube is NOT at 0°, i.e. it is rotated compared to the line perpendicular
to the tabletop surface.
• The SID (distance between the focal spot and receptor) cannot be calculated automatically:
– LCD Collimator: no value is displayed.
The beam size is only indicative, it is not limited automatically and must be adjusted
manually; the operator must establish the desired size within the area of the external
receptor used.
– Touch screen collimator: the operator must enter the SID manually using the "+" / "-"
keys and it is shown in red. The interval is from 50 cm to 250 cm (from 18" to 100").
The first value shown when this mode is accessed is the last value shown the
previous time, or "---" on start up.
The size of the bream refers to the SID as defined above. They are not limited
automatically and must be adjusted manually; the operator must establish the desired
size within the area of the external receptor used.
• The LCD collimator display will show the indicative size of the beam and, if present, the
additional filter selected. For a touch screen collimator, the display will be as follows:

The SID (red) is the one submitted manually by the operator; the beam size is calculated
on the basis of the SID.

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7.2.3 Collimator rotation

The collimator may be rotated on the vertical axis within the field ±90°. A rotation of 0° (i.e.
aligned with the receptor placed in the Spot Film Device) is established with a mechanical stop.
When the collimator is rotated, the touch screen will read "Collimator not at 0°" and Direct
mode can be used (over-table or off-table). The position of the receptor is set by the operator
on the basis of the exam to be executed.

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7.3 Spot Film Device mode

Analog

Spot Film

Tomo

The Apollo EZ has a pre-arranged Spot Film Device to accept image receptors in "cm" or
"inches", the formats and possible divisions of which are listed in the tables in paragraphs 5.2
and 5.3.
The choice of the receptor type required is made via the "SETUP" page (Figure 19) with keys:

Units

cm/kg inch/lbs

If a receptor is introduced with a format that is not present in the division tables listed in
paragraphs 5.2 and 5.3, the following message is displayed:
<< Unknown cassette size. Press the
switch on SFD up to take it out >>

Warning
If, in SFD mode, the VDX sensor is incorrectly inserted instead of the cassette, a
blank exposure will be made: the VDX system will not be selected and therefore will
not perform any image acquisition.

Access to this operating mode is possible by means of the dedicated "Spot Film Device" key on
the touch screen of the table and by selecting the "Spot Film Device" workstation on the
generator.

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The touch screen is configured in the Spot Film Device mode.

cm Grid:
Mode
MAIN SETUP
0° 0° 110 0.0 SFD

Spot Film Device Layer Fluoroscopy Audio

Zoom
X

CCD
x1 EN[m] IT[m] FR[f]
30 x 24
3/4
Filter
Test Hold
NO FILT

Compression

5.0Kg
Preset position
NONE

Note
For "Dual Grid" versions the selection of the divisions is not available.
The box for this section will show the format of the receptor inserted, the number of
exposures available (always 1 before receptor extraction), the receptor insertion /
extraction key and the grid insertion / exclusion key.

Spot Film Device

43 x 35
1

Note
If the compressor is not present when the table is turned ON, the related menu is
not displayed.

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Note
The tube must be positioned at 0° in order to be able to run examinations on the
Spot Film Device. When the tube is in a different position, the display shows the
message:
<< Tube not at 0° >>
The preparation, rays and fluoro commands are inactive.

The following paragraph describes in detail the mode controls.

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7.3.1 Image receptor loading and extraction

 Description
The loading of the image receptor into the Spot Film Device is possible at any time,
provided that there is not a receptor already in the Spot Film Device.
In this case, by pressing the receptor loading key located on the touch screen console or
on the table panel, rather than the loading procedure of a new receptor taking place, the
receptor in the Spot Film Device will be ejected.

 Operation

• Loading the receptor:

1. Insert the receptor into the loading slot, on the front of the Spot Film Device, for
a distance of about half the side parallel to the transverse axis of the table
(right-left of the patient).

2. Press the loading key on the touch screen or key "17" on the table panel
(Figure 8) to load the receptor into the Spot Film Device.

The loading system automatically straightens the receptor if it was not inserted in a
position exactly perpendicular to the axis of the Spot Film Device.
Still, it is advisable to keep the receptor perpendicular to the axis of the Spot Film Device
during insertion to ensure that the final orientation of the receptor matches the desired
orientation.
The receptor must be inserted for about half its length to ensure that it is accepted by the
automatic device on the first attempt.
If insertion fails, completely remove the receptor and then insert it into the Spot Film
Device once more, complying with the precautions described previously.
In the event that the operator removes the receptor from the loading slot within 2
seconds of having pressed the insert key, a warning will be displayed:
<< 300 – Cassette not loading >>
The equipment must be turned OFF to remove the alarm.
The following message appears on display when switched ON again:
<< WARNING Cassette present. Press
the switch on SFD up to take it out >>
To restore functionality, press "17" key on the table panel (Figure 8).

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• Receptor extraction:
The receptor extraction method varies depending on the "Cassette Eject" function
found on the "SETUP" page (Figure 19):

Cassette Eject

Auto Manual

1. If the function is set to "Auto", the receptor will be ejected automatically once
the exposure programme is completed. The operator just has to wait until the
receptor is presented at the opening and remove it.
2. If the function is set to "Manual", the receptor will remain in the Spot Film
Device at the end of the exposure programme and the following message will be
displayed
<< Film exposed: remove cassette >>

To remove the receptor, press the load-eject key on the touch screen or
key "17" on the table panel, wait until the receptor is presented at the opening
and remove it.

In both cases, if the program needs to be stopped and the receptor removed
before the end of the exposure program, press the eject key "17" on the table

control panel or key on the touch screen.

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7.3.2 Divisions programming (not available for the "Dual Grid" version)

Spot Film Device

30 x 24
3/4

 Description
Use the "Spot Film Device" panel to change the number of subdivisions for the format in
the Spot Film Device.

Note
For more information on the types of possible subdivisions, refer to the tables in
paragraphs 5.2 and 5.3.

 Operation
When the cassette is introduced, the lower left zone of the "Spot Film Device" panel shows
the cassette size, with first the size corresponding to the base format (right-left of the
patient) and the number of divisions set.

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Note
The division selection mode can be set in the "SETUP" page (Figure 19).

Division Selection

Auto Manual

• If the "Manual" value is assigned to the function, the buttons of the subdivisions
available for that format will remain active until a program is selected.
• When the Auto value is assigned to the function, if no division program has been
selected after 5 seconds from the introduction of the cassette, the Pan division
is automatically set.

The selection of a division program will cause the inactivation of all buttons, except the
one selected. The touch screen will show the number of available radiograms that will
decrease by 1 after each exposure.

Note
Fluoro remains inhibited until a division program is selected.

The selection made can be changed by pressing the key of the selection set. This action
re-enables all the divisions compatible with the format.

The selection made cannot be changed once the program has started, i.e. when the
number that indicates the available exposures on the touch screen is different from the
initial number for the program selected.

To stop a program, press the eject button "17" on the table control panel (Figure 8). The
cassette will be ejected immediately.

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7.3.3 Rapid sequence (not available for the "Dual Grid" version)

 Description
The choice of the rapid sequence program allows to perform a sequence of exposures in
rapid succession. With this mode the cassette is not parked between two successive
exposures.

 Operation

This mode is activated by pressing the key on the Apollo EZ table touch screen.
The "rapid sequence" program (Volet) can be selected only when a divisions program is set
other than the Panoramic.
The function is automatically reset at the end of a rapid sequence program.

 Limitations
The rapid sequence cannot be selected in the following cases:
• No cassette present
• In VDX mode
• Digital is selected
• Tomography is selected
• Panoramic is selected
• A division program has started.

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7.3.4 "TEST" function for the Spot Film Device (not available for the
"Dual Grid" version)

Test

 Description
The "TEST" function allows to check the movement of the table in Spot Film Device mode
without emitting X-rays.
This function is normally used by technicians to check the functionality of the Spot Film
Device during installation or in the event of failure.

 Operation

Test
An exposure can be simulated by pressing the key on the Apollo EZ table touch
screen.
Pressing this key obtains:
• The attainment of the exposure position by the cassette
• The vibration of the grid (grid in movement)
• The positioning of the collimator
• The positioning of the shutters inside the Spot Film Device.
If the key is released within two seconds, from the moment when the cassette – shutters
– collimator have finished positioning, the number of exposures still available does not
change. Whereas, by holding the button for more than two seconds, from when the
cassette – shutters – collimator have completed the positioning, the decrease in the
number of exposures still available can be seen. When this number reaches the value zero,
indicating the end of the divisions program, the cassette remains parked, even if the
automatic ejection function is active and the display shows the message:
<< End of test. Remove cassette >>

The ejection key must be pressed to remove the cassette.

The test function can also be performed in the rapid sequence mode. This can be done by
Test
pressing the key before pressing the key.

Note
The key is disabled when the grid is in movement.

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7.4 VDX mode

VDX

VDX RAD

VDX STITCHING

VDX TOMO

Apollo EZ can be integrated with the VDX digital acquisition system.

Access to this operating mode is possible by means of the dedicated "VDX RAD" key on the
table touch screen and by selecting the related working place on the generator.
The size of the VDX detector can be 35x43 cm or 43x43 cm.

Warning
Before proceeding with operations with VDX detector, make sure that the acquisition
workstation has been correctly initialized.

This configures the touch screen in VDX mode.

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cm Grid:
Mode
MAIN SETUP
0° 0° 110 0.0 VDX-R

Setup VDX workstation - Insert VDX detector

VDX Layer Fluoroscopy Audio

Zoom
43 x 35 X

CCD
x1 EN[m] IT[m] FR[f]

Filter
Test Reset
NO FILT

Compression

5.0Kg
Preset position
NONE

Note
If the compressor is not present when the table is turned ON, the related menu is
not displayed.

Switching to this mode from another of those available:

• If an X-ray cassette or VDX detector is present in the Spot Film Device, a message will
appear prompting the operator to control the ejection.
<< WARNING Cassette present. Press the
switch on SFD up to take it out >>
To reduce the risk of damaging the image receptor, the extraction of VDX can only be
controlled by pressing key "17" (Figure 8) on the tableside keyboard. The detector comes
out for about 10 cm from the Spot Film Device. If it is not enough, press the eject key "17"
again; the detector comes out for other 10 cm. Repeat until the detector can be removed
safely to prevent it falling. In this way, the operator directly presides over this operation to
avoid the accidental falling of the digital sensor. The force required to extract the cassette
will be higher than normal.
• If the Spot Film Device is empty, the following message is displayed, which requires the
introduction of the VDX sensor.
<< Setup VDX workstation -
Insert VDX detector >>
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No exposure can be controlled until the VDX sensor is introduced in the Spot Film Device. The
detector can be introduced both in the 35x43 as well as the 43x35 direction.

Warning
In this mode, the controls from the generator must ALWAYS be used to control
"PREP" and "RAD".

Note
The tube must be positioned at 0° in order to be able to run examinations on the
Spot Film Device. When the tube is in a different position, the display shows the
message:
<< Tube not at 0° >>
The preparation, rays and fluoro commands are inactive.

The following paragraph describes in detail the mode controls.

 Possible errors and warnings concerning the use of the VDX

− Receptor of different size:
If a receptor whose format doesn't match the VDX sensor is mistakenly inserted, an
error message and the request to remove the incorrect cassette appear.
<< Remove detector. Press the
switch on SFD up to take it out >>

− Cassette with the same size:

If a cassette of the same format as the VDX (43x43, 35x43 or 43x35 – 17"x17",
14"x17" or 17"x14") is mistakenly inserted, the Apollo EZ cannot detect the error: by
controlling the exposure, an X-ray will be performed that exposes the cassette in the
Spot Film Device, presumably with the exposure factors different than those
commonly used with conventional film-screen cassettes.
In addition, the VDX acquisition console will nevertheless perform a blank image
acquisition.

Note
It is believed that, in some cases, the image acquisition with conventional cassette
can still be diagnostically valid.

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7.4.1 VDX detector parking mode

 Description
The idle position of the digital sensor varies depending on the "VDX Ready Mode" function
found on the "SETUP" page (Figure 19):

VDX Ready Mode

RAD Fluoro

 Operation
Fluoro
As in conventional SFD mode, with the key, the VDX sensor normally remains
parked and moves into the field following an X-ray preparation request. It returns to the
parked position when the key is released.

RAD
With the key, the VDX sensor enters the field on the first X-ray preparation request
and remains there until fluoro command is activated. In this case the VDX sensor is
immediately ready for next exposure, thereby reducing waiting time between two
consecutive RAD exposures.

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7.5 Grid Introduction / Removal

 Description
The Apollo EZ table is designed to allow the removal of the grid from the X-rays beam.
This reduces the dose to the patient. The typical application of this method is in
paediatrics.

 Operation
The movement of the grid toward the parked position or toward the centre of the X-ray

beam is activated with the key.

The following message will be displayed:
<< Grid in movement >>
Once the movement is completed, with the grid in the field, the "Work mode" area (Figure
14) will show the focal value for the grid (Grid: 1 (120) or Grid: 2 (180) – see paragraph
7.8.6).
If the grid is in the parked position, the following message will appear:
<< Grid out of beam >>
the "Work mode" area will read "No Grid" and the key will be displayed as follows:

Note
The grid movement is deactivated when the direct mode (DIR) is selected.

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7.6 Manual adjustment of the fluoro kV and mA

 Description
The Apollo EZ system has an automatic fluoro kV and mA adjustment system called the
ABC (Automatic Brightness Control) that can optimise the fluoroscopic image based on
the density and size of the patient.
However, if necessary this can be performed in manual mode adjusting the fluoro kV and
mA value as required.

 Operation

Manual adjustment is enabled by pressing the key on the touch screen of the Apollo

EZ table. In this condition the fluoro data can be adjusted using the and keys,
respectively to decrease and increase the kV/mA values.

The function is disabled by pressing the key once more.

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7.7 Image intensifier and TV chain

7.7.1 Monitor image scan reverse

 Description
This adjustment allows to invert the image on the monitor adjusting it to the required
perspective.

 Operation

Pressing the key achieves vertical inversion (high-low) of the image on the display.

Pressing the key, the image on the monitor can be horizontally inverted (right-left).

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7.7.2 Image intensifier zoom selection

Zoom
X

 Description
One of the available I.I. field, up to a maximum of 3 fields, can be selected thanks to this
function in order to enlarge an area of particular interest or to display a larger field.

 Operation
Zoom
X
The desired I.I. field can be selected by means of the key on the command touch
screen of the Apollo EZ table. When the key is pressed, the number displayed in the key
itself will change to indicate the selected field.

The correspondence between the I.I. field and number displayed is the following:

Key display I.I. field Magnification

ZOOM 1 Minimum Maximum
ZOOM 2 Intermediate Medium
ZOOM 3 Maximum Minimum

The activation of these keys determines the variation of:

• the I.B. field
• the rays beam limited by the collimator
• the shutter position in the Spot Film Device (if present).

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7.7.3 Accessory function of the I.I. system

Fluoroscopy

Zoom
X

CCD
x1

This key can be used to make operative decisions described in the I.I. system manual.

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7.8 Movements

Note
The movement control joysticks (excluding the collimator joystick) are equipped with
a "smart-touch" safety device that recognises contact with the operator's hand and
therefore prevents unintentional activation caused by contact with objects.

This paragraph will describe the movements of certain parts of the equipment obtained
manually, thanks to the joystick on the control console or through the keys on the table control
panel.
These movements are:
• Angulation
• Tabletop and Spot Film Device-tube scan
• Tilting
• SID
• Compressor
• Tube-collimator unit.
During the movements listed above, the equipment is able to detect potential collision between
parts of the equipment and the barriers within the room and automatically limit the
movements to prevent risks or damage (as mentioned in detail in chapter "Limitations and
Safety devices").
However, the operator must always pay close attention during the execution of the table's
movements, to avoid any risk to the patient.
Apollo EZ is equipped with anti-entrapment devices to avoid that parts of the staff in the
vicinity become trapped between the tabletop side support during vertical tilting. An additional
circuit is incorporated in this system which blocks the movement in the event the patient is
trapped between the tabletop and the main beam or column.
If the intervention occurs during one or more movements, no movement will be permitted until
the release of all joysticks that are pushed at the time, except for tilting and angulation that if
pressed in automatic will move for 0.5 seconds in the opposite direction to that at the time of
the intervention.
Once the joysticks are released, if the tapping is freed through the automatic movements, all
movements will be enabled once again. Otherwise it is assumed that trapping is due to the
movement of the transversal tabletop, therefore only that movement will be enabled again in
the opposite direction to that detected when trapping occurred.
If the intervention is detected with the machine on without any movement active, only
horizontal tilting movements and angulation movements towards the centre will be permitted.
If the anti-entrapment safety device is active when the equipment is switched ON, the
movements of the tabletop, the scan and angulation will be blocked. To move them, press keys
F4 and F5 together and then the joystick of the desired movement.
The permitted movements are:
• Longitudinal tabletop outwards
• Tilting to the zero Trendelenburg position (always possible).
• Angulation to the zero position.
This condition will be maintained until the entrapment has been resolved.

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7.8.1 Automatic centring system

 Description
The Apollo EZ table allows the automatic centring of the tabletop in relation to the X-
ray beam.

 Operation

By selecting the key the tilting movement will stop during its run so that it is
perfectly horizontal. By releasing and then pressing the corresponding joystick a second
time, the tilting run resumes. Centring can be accessed by means of key "16" on the table.

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By selecting the key the angulation movement will stop during its run so that it is
perpendicular to the image receptor. By releasing and then pressing the corresponding
joystick a second time, the angulation run resumes. Centring can be accessed by means of
key "11" on the table.

By selecting the transversal tabletop key tabletop movement will stop during its run
so that it is centred in relation to the X-ray beam. By releasing and then pressing the
corresponding joystick a second time, the run of the tabletop resumes. Centring can be
accessed by means of key "10" on the table control panel (Figure 8).

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By selecting the longitudinal tabletop key (active only with 4-way tabletop) tabletop
movement will stop during its run so that it is centred in relation to the X-ray beam. By
releasing and then pressing the corresponding joystick a second time, the run of the
tabletop resumes.

 Limitations
• The movement of the tube-Spot Film Device scan will be inhibited when the
following message is displayed:
<< CEIL. TUBE IN FIELD >>
This is caused by an accessory present in the room (ceiling suspended tube) out of
the park position.

• The movement of the tube-Spot Film Device scan is limited in particular table tilt
conditions to avoid collisions.
In these cases, by acting on the scan movement command, the display shows:
<< SCANNING LIMIT >>
accompanied by an audible signal.

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7.8.2 Angulation movement

Layer

 Description
The angulation movement allows the angulation of the column within a range between
+40° and -40°, allowing oblique projections of the organs to be examined. The tilt value in
degrees is displayed.
The virtual point of rotation for the column/Spot Film Device assembly, may be altered
from the tabletop level (0.0 cm) up to 35.0 cm with 0.1 cm steps. The display will show the
height of this point in "cm" regardless of the unit of measure set in the "SETUP" page
(Figure 19).
This function that is called Tomoscopy, maintains the centring of an organ even when the
angulation movement is activated.

 Operation
The angulation towards the head of the table (negative angle) is obtained by moving the
joystick to the left or by pressing key "12" Figure 10 on the table.

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In contrast, the angulation towards the feet side of the table (positive angle) is obtained by
moving the joystick to the right or by pressing key "13" on the table.
The movement stops automatically in correspondence with the end run (+/-40°).
"11" key on the table can be used to vertically centre the column in relation to the table.

Activating the movement joystick, automatic centring can be achieved if the button
has been activated as described in paragraph 7.8.1.

The virtual point of rotation can be changed using the and keys on the table

console from the tabletop level up to 35.0 cm: key increases the point of rotation

height while key decreases it.

Warning
When the angle of angulation approaches the value of +40 or -40 collision can occur
between the collimator and the patient's footrest. Therefore, check the position of
the scan during the angulation, to prevent this risk.

Note
The movement is limited if the angulation control of the column is activated when
the compressor is not removed, (see paragraph 7.8.7, "Compressor").

 Limitations
The angulation of the column is inhibited when:
• Tilting movement is active.
• Tomography function is active
• Targeted function is active
• When the following message appears:
<< CEIL. TUBE IN FIELD >>
indicating that there is an accessory in the room that could cause conflict with the
Apollo EZ table and is not in the park position.

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7.8.3 Transversal tabletop - tube-Spot Film Device scan movement

 Description
The Apollo EZ table allows a very wide coverage of the patient both transversally through
the movement of the tabletop, and longitudinally through the run of the tube-Spot Film
Device scan, in the case of the 4-way version of the tabletop (see paragraph 7.8.4).

 Operation
The movements of the tabletop and the tube-Spot Film Device scan are controlled by the
control console of the Apollo EZ table through the related joystick.
Unlike other commands, the movements associated with the joystick change depending on
the orientation-movements mode selected by the operator on the "SETUP" (Figure 19)
page using keys:

Movements Orientation

Table Monitor

The operating logic of the two modes is as follows:

Monitor
1. The "Monitor" orientation mode is activated by selecting the key, which
co-ordinates the movement of the joystick with the movement of the image
displayed on the monitor.
In this mode the movements associated with the operation of the joystick are:
• Joystick down: movement of the tube-Spot Film Device towards the head
side
• Joystick up: movement of the tube-Spot Film Device towards the feet
side
• Joystick right: outward movement of the tabletop
• Joystick left: inward movement of the tabletop.

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Note
When installing the system, the direction of movement can be inverted compared to
the description, depending on the user's needs.

If image inversion commands are activated, the movements are automatically

reversed to maintain the movement in phase with the image.
With the Left/Right inversion the movement of the transversal tabletop is inverted,
with a the up/down inversion the scan is inverted.

Table
2. The "Table" orientation mode is activated by selecting the key, which co-
ordinates the movement of the joystick with the actual movement of the table.
In this mode the movements associated with the operation of the joystick are:
• Joystick down: outward movement of the tabletop
• Joystick up: inward movement of the tabletop
• Joystick right: movement of the tube-Spot Film Device towards the feet
side
• Joystick left: movement of the tube-Spot Film Device scan towards the
head side.

The movements of the tabletop and tube-Spot Film Device scan can also be controlled
using keys "2, 3, 4, 5" on the table control panel.

• key "3" activates the inward movement of the tabletop

• key "4" activates the outward movement of the tabletop
• key "2" activates the tube-Spot Film Device scan towards the head side
• key "5" activates the tube-Spot Film Device scan towards the feet side.
The movements controlled by these keys are independent of the orientation mode set on
the console.

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The system also allows automatic centering of the tabletop in relation to the X-ray beam.
Centering is performed with key "10" on the table control panel.

By pressing the movement joystick downwards, automatic centering can be achieved if the

button on the "Movements centering" panel has been activated as described in

paragraph 7.8.1.

Warning
In the event the movement controls of the tabletop or tube-Spot Film Device scan
are activated when the compressor is not parked, the movement will be inhibited and
the compressor is automatically commanded to the maximum raised position before
the tabletop or scan start their movement.

 Limitations
The movement of the tube-Spot Film Device scan is inhibited when the following
message is displayed:
<< CEIL. TUBE IN FIELD >>
This is caused by an accessory present in the room (ceiling suspended tube) out of the
park position.

The movement of the tube-Spot Film Device scan is limited in particular tilt conditions to
avoid collisions.
In these cases, by acting on the scan movement command, the display shows:
<< SCANNING LIMIT >>
accompanied by an audible signal.
The tilt of the table must be altered to remove this condition.

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7.8.4 Longitudinal tabletop movement (for 4-way tabletop version

only)

 Description
This movement will allow the movement of the tabletop along the longitudinal axis of the
patient.
The maximum longitudinal movement is ± 600mm in relation to the central position.

 Operation
The longitudinal movement of the tabletop is controlled by the related joystick on the
Apollo EZ table control console.
Unlike other commands, the movements associated with the joystick change depending on
the orientation-movements mode selected by the operator on the "SETUP" (Figure 19)
page using keys:

Orientation

Table Monitor

The operating logic of the two modes is as follows:

Monitor
1. The "Monitor" orientation mode is activated by selecting the key, which co-
ordinates the movement of the joystick with the movement of the image displayed on
the monitor.
In this mode the movements associated with the operation of the joystick are:
• Joystick right: tabletop movement to the left
• Joystick left: tabletop movement to the right.

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Note
When installing the system, the direction of movement can be inverted compared to
the description, depending on the user's needs.

If image inversion commands are activated, the movements are automatically

reversed to maintain the movement in phase with the image.
With the up/down inversion the movement of the longitudinal tabletop is inverted.

Table
2. The "Table" orientation mode is activated by selecting the key, which
coordinates the movement of the joystick with the actual movement of the table.
In this mode the movements associated with the operation of the joystick are:
• Joystick right: tabletop movement to the right
• Joystick left: tabletop movement to the left.

The movement of the longitudinal tabletop can also be controlled by keys "8" and "9" on
the table control panel.

• key "8" activates the movement of the tabletop to the right

• key "9" activates the movement of the tabletop to the left.
The movements controlled by these keys are independent of the orientation mode set on
the console.

Warning
In the event the movement controls of the longitudinal tabletop are activated when
the compressor is not parked, the movement will be inhibited and the compressor is
automatically commanded to the maximum raised position before the tabletop starts
its movement.

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 Limitations
To avoid collisions due to the tilt of the table or the size of the room, the longitudinal
tabletop movement is restricted in certain conditions.
In these cases, by acting on the tabletop movement command, the display shows:
<< LIMIT TABLE TOP >>
accompanied by an audible signal.

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7.8.5 Tilting movement

 Description
This movement, included in a range between +90° and -30°, allows for examinations to be
performed on patients in an upright position (+90°), horizontal position (0°), Trendelenburg
position (-30°) or in all intermediate positions.
The tilt value in degrees is displayed on the touch screen.
Angles towards the Trendelenburg position are intended as negative.

 Operation
Tilting is achieved towards the Trendelenburg position (negative angles) by moving the
joystick to the left or by using key "14" of the table panel.
The movement stops automatically in correspondence with the end run (-30°).
This also applies for the opposite side of the joystick or key "15".

The horizontal centring of the table is achieved by moving the joystick upwards or using
"16" key.
Activating the movement joystick, automatic centring can be achieved by activating the

button as described in paragraph 7.8.1.

The Apollo EZ table gives the operator the chance to choose between two tilting speeds,

slow and fast .

This setting makes the movement of the patient more comfortable.

The speed of the position transfer can be increased by selecting a higher tilting speed with

key .
When the Spot Film Device scan is in a position where the I.I. exceeds the slow zone (set
during installation), the tilting movement slows down and changes its functionality to allow
I.I. to exit this condition.
The advantage of this feature is to allow the operator to complete the positioning without
stopping the movement and without changing the position of the scan.

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 Limitations
The tilting movement is inhibited when:
• Angulation movement is active
• Compressor movement is active
• The following message is displayed:
<< CEIL. TUBE IN FIELD >>
This is caused by an accessory present in the room (ceiling suspended tube) out of
the park position.
• The scan is positioned close to the head side limits. The maximum tilt towards the
Trendelenburg position is -10° and the following message is displayed:
<< Scanning out of range modify >>
To obtain more tilt the scan must be moved toward the table centre.
This limitation is not present for table versions with SID 1100 ÷ 1800 mm.

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7.8.6 Movement of the source to film distance (SID)

 Description
The Apollo EZ table has two positions for this movement:
• SID minimum 1000 mm / SID maximum 1500 mm
• SID minimum 1100 mm / SID maximum 1800 mm.
The movement can change the distance between the source and the image receptor to
change the magnification of the object and adjust the device to different types of
examination. The image receptor means the film.

The value of the real distance, expressed in "cm" or "inches" depending on the setting
made by the operator on the "SETUP" page (Figure 19) with keys:

Units

cm/kg inch/lbs

is displayed on the touch screen.

 Operation
SID is increased by pushing the joystick upwards or by pressing key "6" on the table
control panel (Figure 8). Whereas, the SID is decreased by pushing the joystick downwards
or by pressing key "7" on the table control panel.
In the "Dual Grid" version, in order to optimise the features of the grid with varying SID,
two anti-diffusion grids are present with two different focalisation SIDs (normally 120 cm
and 180 cm): the first is paired with the SID from the minimum value to the intermediate
value (normally 140 cm ±3 cm); beyond this value, the second is automatically included.
SID movement stops automatically in correspondence with the end run.

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 Limitations
The movement is prohibited:
• When the tomography or targeted function are active
• When the following message appears:
<< CEIL. TUBE IN FIELD >>
This is caused by an accessory present in the room (ceiling suspended tube) out of
the park position.

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7.8.7 Compressor

Compression

Kg 5.0

 Description
The compression device is applied for the examinations of the digestive system.

Warning
The SID must be set at a value greater or equal to 110 cm to insert / remove the
compressor cone.

The movement of the compressor is made by the up/down movement of the compression
cone in relation to the tabletop
The compression force is not displayed with the cone absent. Moreover, if the compressor
is in the beam (i.e not in the parked position), any movement, not of the compressor, will
cause the complete raising of the compressor (compressor out of beam).

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 Operation
The compressor cone lowers towards the patient by pushing the joystick downwards.
The compressor lifts when the joystick is pushed upwards.
The device is designed to apply compression forces between 3 and 15 kg (6.6 and 33.1 lbs)

with steps of 0.5 kg (1.1 lbs). To set the compression force, press the and keys,
the value set in "kg" or "lbs" is indicated in the box based on the settings provided by the
operator in the "SETUP" page (Figure 19) using the keys:

Units

cm/kg inch/lbs

When the cone is in contact with the patient the compression movement is automatically
stopped based on the force selected.

Note
The default compression force is set at 5 kg (11.1 lbs).

Warning
Should the compression force detection device fail, a safety circuit interrupts
compression at a value slightly higher than the maximum force (15 kg / 33.1 lbs).

The following conditions can be checked with the compressor present:

• Activation of the angulation movement
– For controlled angulation movements with an angulation of the column within
±15°, the compressor automatically performs a raising motion until the full
release of the patient. When release is complete, the movement is further
activated to achieve a safe distance between cone and patient.
In the event the cone is not touching the patient, the raising movement of the
compressor will be activated for a pre-set time.
The angulation movement will be enabled within a range of ± 15° by releasing
and pressing the Joystick.
– For controlled angulation movements with an angulation of the column greater
than +15° or lower than -15°, the compressor must be removed before it can
perform the angulation movement.

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• Activation of the tabletop or Spot Film Device scan movements

The requested movement does not activated until the compressor reaches a patient
safety position as follows:
– if the compressor is not in contact with the patient and is not removed, it
performs a quick raising movement
– if the compressor is acting on the patient, it performs a movement to free the
patient and then completes the function raising briefly.
In both cases, an audible signal is emitted at the end of the movement.
At this point the movement joystick must be released and pressed again.
The compressor raising movement is "dead man", so the movement will stops if the
joystick is released during the ascent.
Repressing the joystick, the raising function is activated again disregarding the
previous partial raising movement.
Only when the raising function is completed will the 2 or 4 movements of the
tabletop and the 2 movements of the scan be free.
This allows to perform the movement of the patient in relation to the X-ray beam, or
vice versa, without risk to the patient.
The compression can be performed again once the desired movement has been
performed.
• Removal of the compression cone
If necessary the cone compression can be removed from the compressor device
through the quick release "A" (Figure 23).

 Limitations
The movement of the compressor is blocked when the stepped angiography and
Tomographic functions are active. The compressor must be removed to access these
functions.

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Warning
If the equipment stops when the compression cone is in contact with the patient, the
patient can be quickly released by removing the cone by means of the release lever
"A".

Figure 23

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7.8.8 Rotation of the tube-collimator unit

 Description
The rotation movement of the tube-collimator unit allows the projection of the X-ray
beam on a receptor different from the Spot Film Device or image intensifier.
In order to perform exposures with the tube in a different position from 0° the direct
operating mode must be selected on the generator.

 Operation
Use the release handgrip on the side of the collimator to rotate the tube-collimator unit.
By pushing the release handgrip to the inside the tube can be positioned in one of the
following positions:
• anticlockwise: 15°, 30°, 40° up to 90° with 10° steps
• clockwise: -15°, -30°, -40° up to -180° with 10° steps
in relation to the central position (0°).
The tube locks when the handgrip is released.
The following message will be displayed:
<< Tube not at 0° >>

Note
When the tube is in position 0°, the fluoro command is inhibited, while the
preparation and X-ray commands are active on the generator only if the direct mode
workstation (receptor external to the Spot Film Device) has been set on the
generator.

Note
To rotate the tube-collimator to the 180° position, the compressor cone must be
removed (see paragraph 7.8.7) or rotate with the SID greater or equal to 110 cm.

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7.9 Limitations and Safeties

7.9.1 Collision limits

All machine movements are software controlled to prevent collisions between elements of the
equipment and the surroundings (floor, walls, ceiling).
The anti-collision system is programmed by software during installation by the service
technician that sets the dimensions of room.
The parts of the table that may collide with walls, floor or ceiling are: the image intensifier, the
extremities of the main beam (corresponding to the ends of the tabletop), the tube-collimator
unit, the angulation motor and the tabletop in the case of the 4-way version.
When one of these parts reaches the set safety limit, the movement stops and the display
shows a message, accompanied by an audible signal, indicating the part of the equipment that
has reached the limit.
When the ends of the main beam, the tabletop, intensifier or the compressor reach this limit
the movements that are moving the parts towards the danger are inhibited, while those
moving away are not inhibited.
In the case of the 4-way version, if the collision limits with the floor are reached during tilting,
the SW will have to manage the return of the tabletop scan assembly maintaining the centre of
the patient unaltered.

As a representation of the various conditions, four tables are illustrated below, each
representing the "LIMIT REACHED" condition for the tube-collimator unit with the right-hand
wall, the left-hand wall, the ceiling and the floor.

The first two columns indicate the angles at which the table (TILT) or column (ANG) might be
when the limit was reached.
"0" for tilting means that the table is horizontal, "+" that the table is tilted towards the vertical
position and "-" that the table is tilted towards the Trendelenburg position.
"0" for the angulation means that the column is perpendicular to the table, "+" that the column
is tilted towards the feet and "-" that it is tilted towards the head.

Boxes marked "YES" indicate that the movement is not inhibited, boxes with "NO" indicate
that the movement is inhibited, while grey boxes indicate that a potential collision will never be
possible for that particular combination of tilting angle and angulation.

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Permitted movements table for Tube collision – Right wall

ANGLES S CAN A NGULATION T ILTING SID

TILT ANG HEAD FEET HEAD FEET TREND VERT UP DOWN

0 0
0 + YES NO YES NO YES NO NO YES
0 -
+ 0 YES NO YES NO (*1*) (*2*) NO YES
- 0
YES NO NO YES (*1*) (*2*) NO YES
+ +
YES NO YES NO (*1*) (*2*) NO YES
+ - YES NO YES NO (*1*) (*2*) NO YES
- + YES NO YES NO YES NO NO YES
- -

(*1*) YES if the point of collision is higher than the centre of tilt, otherwise NO
(*2*) YES if the point of collision is lower than the centre of tilt, otherwise NO

Permitted movements table for Tube collision – Left wall

ANGLES S CAN A NGULATION T ILTING SID

TILT ANG HEAD FEET HEAD FEET TREND VERT UP DOWN

0 0
0 +
0 - NO YES NO YES NO YES NO YES
+ 0
- 0 NO YES NO YES NO YES NO YES
+ +
+ - NO YES NO YES NO YES NO YES
- + NO YES NO YES NO YES NO YES
- - NO YES NO YES NO YES NO YES

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Table showing movements allowed for tube – ceiling collision

ANGLES S CAN A NGULATION T ILTING SID

TILT ANG HEAD FEET HEAD FEET TREND VERT UP DOWN

0 0 YES YES YES YES (*3*) (*4*) NO YES

0 + YES YES NO YES (*3*) (*4*) NO YES
0 - YES YES YES NO (*3*) (*4*) NO YES
+ 0 NO YES NO YES (*3*) (*4*) NO YES
- 0 YES NO YES NO (*3*) (*4*) NO YES
+ + NO YES NO YES (*3*) (*4*) NO YES
NO YES YES NO
+ - (*3*) (*4*) NO YES
NO YES NO YES
YES NO YES NO
- + (*3*) (*4*) NO YES
YES NO NO YES
- - YES NO YES NO (*3*) (*4*) NO YES

(*3*) NO if the point of collision is right of the centre of tilt, otherwise YES.
(*4*) YES if the point of collision is right of the centre of tilt, otherwise NO.

Permitted movements table for Tube collision – Floor

ANGLES S CAN A NGULATION T ILTING SID

TILT ANG HEAD FEET HEAD FEET TREND VERT UP DOWN

0 0
0 +
0 -
+ 0 YES NO YES NO YES NO YES YES
- 0
+ + YES NO YES NO YES NO NO YES
+ - YES NO YES NO YES NO YES YES
- +
- -

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Permitted movements table for Tabletop collision – Right wall

ANGLES L ONGITUDINAL TABLETOP T ILTING

TILT HEAD FEET TREND VERT

0 YES NO YES YES

+ YES NO NO YES

- YES NO YES NO

Permitted movements table for Longitudinal tabletop collision – Left wall

ANGLES L ONGITUDINAL TABLETOP T ILTING

TILT HEAD FEET TREND VERT

0 NO YES YES YES

+ NO YES NO YES

- NO YES YES NO

Permitted movements table for Longitudinal tabletop collision – Ceiling

ANGLES L ONGITUDINAL TABLETOP T ILTING

TILT HEAD FEET TREND VERT

+ NO YES YES NO

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7.9.2 Safety barrier

In the event the room where the appliance is installed has dimensional characteristics with
irregularities that would require the use of additional safety devices, Apollo EZ is able to protect
itself from possible collisions against these irregularities.
Depending on individual requirements, devices such as beam photocells or antenna switches,
which if activated avoid collisions between parts of the equipment and items in the room.
Once the safety device has been activated, the movement in progress stops and the display
shows the message:
<< BARRIER LIMIT >>
accompanied by an intermittent audible signal.
To exit from this condition and restore the normal functioning of the appliance, the movement
opposed to that which was present when the "limit barrier" condition occurred can be
independently activated.
All other commands (console joystick and push keys on the table) are disabled until the
message "limit barrier" is removed.
Nevertheless, the movement of the tabletop remains active always.

If the safety barrier is broken during the following conditions:

• switching on the equipment
• tomo mode access
• angiography mode access
• execution of a Tomographic examination
• execution of an angiography step examination
• reaching a memorised position by means of command "0"
the movement is stopped and any active mode reset.
In this situation no joystick or button on the table is active, therefore both the function joystick
(F) and the movement joystick that caused the alarm in the opposite direction will need to be
pressed at the same time to leave the "limit barrier".

Warning
This procedure can be dangerous for the equipment in as much that an incorrect
manoeuvre could cause the contact of a table part against a part of the room.
Therefore the manoeuvre that will move the table away from the obstacle must be
identify before starting any movement. In any case, always proceed with caution and
activate the movement with brief and intermittent commands.

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7.9.3 Anti-entrapment system

The Apollo EZ table is equipped with anti-entrapment circuit to avoid that personnel in the
vicinity become trapped between the tabletop side support during vertical tilting. An additional
circuit is incorporated in this system which blocks the movement in the event the patient is
trapped between the tabletop and the main beam or column.

If the intervention occurs during one or more movements, no movement will be permitted until
the release of all joysticks that are pushed at the time, except for tilting and angulation that if
pressed in automatic will move for 0.5 seconds in the opposite direction to that at the time of
the intervention.
Once the joysticks are released, if the tapping is freed through the automatic movements, all
movements will be enabled once again. Otherwise it is assumed that trapping is due to the
movement of the transversal tabletop, therefore only that movement will be enabled again in
the opposite direction to that detected when trapping occurred.

If the intervention of the safety device is detected with the machine on without any movement
active, only horizontal tilting movements and angulation movements towards the centre will be
permitted.

If the anti-entrapment safety device is active when the equipment is switched ON, the
movements of the tabletop, the scan and angulation will be blocked. To move them, press keys
F4 and F5 together and then the joystick of the desired movement; the permitted movements
are:
• Longitudinal tabletop outwards
• Tilting to the zero Trendelenburg position (always possible)
• Angulation to the zero position.
This condition will be maintained until the entrapment has been resolved.

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7.10 Table positions memory

 Description
This function gives the possibility to store up to three table settings for each user (see
paragraph 6.5.1) that can then be retrieved by the operator.

Warning
The storing of the table settings is assigned only to the user currently active (general
user or on of the five users that can be selected).

The purpose of the function is to quickly move the table to frequently used position and to
select the operating settings.
In the "SETUP" page (Figure 19), a key is associated to each of the storable settings:

Preset position

MODE-1

MODE-2

MODE-3

The positions of the components that will be stored are:

• SID
• Tabletop
• Angulation
• Tube-Spot Film Device scan
• Tilting.

The operating settings to be stored are:

• Tilting speed
• Scan and tabletop movements direction

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 Operation
During installation in all three available memories, a default position is also stored
corresponding to:
• Tilting at 0°
• Tube-Spot Film Device scan centred
• Angulation at 0°
• Minimum SID
• Transversal tabletop centred
• Compressor parked
• Slow tilting speed
• Movements direction in MONITOR mode.

To store a new position, manoeuvre the table to the desired position, select the desired
tilting speed and movement direction, and press for 5 seconds the "MODE-X" key where
the selection is to be stored; the following window is displayed:

Change name ' USER-X '

Store ' USER-X '

Exit

1. Keep the "Change Name 'MODE-X' " key pressed to set the name of the current table

position, using the alphanumeric keypad displayed; confirm with the (Enter) key.
2. Store the settings by pressing and holding the "Store ' MODE-X ' " key until the
following message appears:
<< Position stored >>
3. Press the "Exit" key to exit the function.

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To recall a previously stored selection, select an item from the "Preset position" drop down
menu on the main page, then move the joystick down (>0<).

Preset position
MODE-X

The stored positions are reached with contemporary movements, except for the angulation
and tilting axes.
The set tilting speed and movements orientation are also activated.
The following message is displayed when the operation is complete:
<< REACHED POSITIONS >>

Note
A "limit reached" condition may occur while the movements are being activated to
reach the desired positions. In this case the procedure with be interrupted. The
component must be manually moved from its critical position and the stored position
recalled again.

 Limitations
This function is inhibited:
• In the Tomo access, exit and function condition
• In the Angio access, exit and function condition
• When the movement joysticks are activated
• In the rays preparation and fluoro condition.

Note
The stored positions can be lost if specific operations are carried out by the service
technician.
If this happens, the desired position must once again be reset.

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7.11 Tomography

Digital

Analog Digital Spot

Spot Film
Digital Tomo
Tomo
Digital Angio

VDX

VDX RAD

VDX STITCHING

VDX TOMO

 Description
The Apollo EZ is designed to perform Tomography both in analogue mode and in digital
and VDX mode.

Note
Tomo in VDX is not available for all detectors. Check system composition for
availability.

Tomography is obtained thanks to the arc movement of the X-ray tube and image
receptor surface, which, depending on the mode set, is the Spot Film Device or the image
intensifier.
The tomography direction can be left or right and the sequential function can be selected.

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 Operation
 Tomo mode access
Select the dedicated key on the table touch screen in order to access the tomography
function.

Note
If the compressor cone is present, entering the Tomography mode will be inhibited
and the following message will be displayed:
<< Remove compressor cone >>
Remove the compressor cone to enable the mode.

The following message is displayed:

<< TOMO MODE ACCESS
Activate function joystick >>
Press and hold the function joystick upwards (F).

This action places the table under the following conditions:

– Angulation at 0°
– SID at 114 cm (44.8 inches).

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When the tomography access procedure has been completed, the touch screen is
configured in tomographic mode displaying the dedicated settings.

Tomography

Tomo Layer
L-R Test
STD MAN

Speed Angle
3 7°

The value of these settings can be changed with function keys according to the
following description:
Layer
MAN
• Layer: (function key )
– AUT: automatic increase of the layer at the end of exposure
– MAN: maintaining the position of the layer at the end of exposure

L-R
• Direction: (function key )
– R-L: Tomography direction from right to left
– L-R: Tomography direction from left to right.
Tomo
STD
• Mode: (function key )
– STD: activation of the standard tomography function
– MIR (TARG): activation of the targeted function
– SEQ: activation of the sequential tomography function.

Note
Only the standard tomography (STD) is available in tomographic mode with VDX.

Speed

• Speed: (function key 3 )

– 1: selection of the 1^ Tomography speed
– 2: selection of the 2^ Tomography speed
– 3: selection of the 3^ Tomography speed
– 4: selection of the 4^ Tomography speed.
Angle

• Angle: (function key 7°

)
– 7°: Tomography angle 7°
– 20°: Tomography angle 20°
– 30°: Tomography angle 30°
– 45°: Tomography angle 45°.
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Note
The following movements are inhibited when the Tomographic function is active:
• Angulation
• SID
• Compressor.

The execution of a Tomography or a Tomographic tests may be aborted. In this case

an intermittent audible signal is emitted and the display shows:
<< Initialize column position
Activate function joystick >>
alerting the operator that the equipment is not ready for subsequent tomography.
Move the function joystick upwards (F) to return the angulation to the 0° position.

 Exit the Tomography mode

To exit the Tomographic mode, select the Spot Film Device mode on the touch screen
of the Apollo EZ table. To access this mode, press the "MENU" key and then select
the key of the SFD function.
The following message is displayed:
<< TOMO MODE ESCAPE
Activate function joystick >>
To complete the exit operation, move the function joystick upwards (F).

The SID returns to the value set on installation.

The movement stops if the joystick is released.
Once positioning has occurred the touch screen is configured in the Spot Film Device
mode.

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 Limitations
Access to Tomography is inhibited if:
• The compressor cone is present
• The tube is not at 0°
• Access to the Angio function is active
• The Angio function is active
• The direct mode is set
• The rapid sequence is selected.

A Tomographic examination is not performed if:

• The movement causes the exit of the scan from the run limits. The Tomographic
range of the scan is variable depending on the angle and layer height set. Therefore
this condition may occur when changing the tomography angle or layer.
In this situation an intermittent audible signal is given and the display shows:
<< Scanning out of range modify
angle, layer or scan position >>
alerting the operator that the examination is possible if one or more of these
parameters is modified.
• The movement could cause collisions. In this situation an intermittent audible signal is
given and the display shows:
<< Possible collision detected
change positions >>
alerting the operator that the examination is possible if the position of the component
at the collision limit (typically tube or I.I.) is changed.

A step Tomographic examination is not completed if the movement causes a collision with
the "Limit barrier" safety (see paragraph 7.9.2).
In this case, the replacement of the cassette is suggested on the restoration of the
Tomographic mode even if, in the case of multiple divisions, there are still exposures
available.

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7.11.1 Tomography direction

L-R

 Description
The Apollo EZ table allows the operator to choose the direction of tomography, namely the
direction of the angulation movement during the examination associated to X-ray
emissions.

 Operation
• when the L-R option is selected, the direction of the column during X-ray emissions
(tomography angle) is from left to right.
• when the R-L option is selected, the direction of the column during X-ray emissions
(tomography angle) is from right to left.

 Limitations
The choice of the Tomography direction is inhibited when the targeted mode is set.

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7.11.2 Tomography mode

Tomo
STD

The following tomography modes can be selected by means of the function key:
• STD: After each tomography the column returns to its central position and awaits the
next X-ray command. This allows to perform fluoroscopic tests between Tomographic
exposures and to change settings for the subsequent tomography.
• SEQ: the selection of the "sequential" Tomographic mode allows to perform Tomographic
examinations in quick succession.
Since this mode envisages sequence emissions, the movement of the column during the
L-R
emission of the X-rays will be alternated. The direction setting ( key) determines the
direction of the first exposure.
Layer
MAN
The selection of the automatic layer increase at the end of exposure ( key) is forced
to "AUT".
Speed Angle
3 7°
Keys and remain active.
The number of tomographies in the Spot Film Device mode is tied to the cassette
divisions program. A maximum of 6 exposures can be performed in digital mode.
• MIR (TARG): the selection of the targeted function allows to perform standard X-rays
within the tomography program, alternating standard examinations and tomography
examinations while maintaining the tomography settings selected on access to the Tomo
mode.
Layer Speed Angle
L-R
MAN 3 7°
In targeted mode, all keys , , and are deactivated.

Note
Only the standard tomography (STD) is available in tomographic mode with VDX.

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7.11.3 Layer height adjustment

Layer Tomography

Tomo Layer
L-R Test
STD MAN

Speed Angle
3 7°

 Description
The adjustment of the layer height allows to change the position of the virtual section
inside the organ under examination.
The layer height value is shown on the display. The range spans from 0.0 to 35.0 cm with
adjustment in 0.1 cm steps. For tomo mode access, the value is set to 8.0 cm by default.
 Operation

The layer position can be set by means of keys and . The refresh rate of this
setting depends on the activation time of the key.
Layer
MAN
The key can be used to select the manual increase function (MAN) or the automatic
increase function (AUT).
• MAN: The "manual increase" function can only be activated in the standard
tomography mode.
When this function is set, the layer is maintained in the same position after each
tomography.
• AUT: The "automatic increase" function of the layer height can be selected in the
standard tomography mode, and is forced, thus it cannot be modified, in the
sequential tomography mode.
This function determines that the height of the layer at the end of a tomography,
automatically increase by an amount depending on the tomography angle set,
according to the following table:

Angle Increase
7° 3.0 cm
20° 2.0 cm
30° 1.0 cm
45° 0.5 cm

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 Limitations
The choice of the manual layer increase function is disabled when:
• the sequential tomography mode is set
• the targeted tomography mode is set.

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7.11.4 Tomography speed

Speed
3

 Description
The choice of speed allows to change the tomography time at the same angle, thus
changing the X-ray dose given to the patient.

 Operation
Speed
3
The choice of speeds can be made by means of key .

The Tomography exposure times based on the set Tomographic angles and speed, vary
according to the following table:

Degrees Speed 1 Speed 2 Speed 3 Speed 4

7 0.6 sec 0.5 sec 0.4 sec 0.3 sec
20 1.8 sec 1.3 sec 1.0 sec 0.9 sec
30 2.6 sec 2.0 sec 1.6 sec 1.3 sec
45 4.0 sec 3.0 sec 2.4 sec 2.0 sec

 Limitations
Speed
3
Key , which selects the tomography speed, is not active when the targeted mode is
selected (MIR).

Note
In VDX mode or with the DIVA HDE workstation selected, when setting an angle of
45°, the 1^ and 2^ speeds will not be available (in this case the maximum exposure
time permitted in Tomography is 3 sec).

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7.11.5 Tomography angles

Angle
7°

 Description
The choice of the tomography angle allows to obtain different layer thicknesses, thus
allowing to adapt the tomography to the needs of the examination to be performed.

 Operation
One of the four available tomography angles between 7°, 20°, 30° and 45° can be selected
Angle
7°
with key .

 Limitations
Angle
7°
They key, which selects the tomography angle, is not active when targeted mode is
selected (MIR).

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7.11.6 Tomography "Test" function

Test

 Description
The "TEST" function allows to simulate a tomography examination without the emission of
X-rays.

 Operation

Test
The simulation test is performed by pressing the key on the touch screen of the
Apollo EZ and moving the function joystick up at the same time (F).

If the key or joystick is released before the test procedure is completed, the equipment
blocks in the position where the release occurred, followed by an intermittent audible
signal and the message on the display:
<< Initialize column position >>
indicating that to restore the operating conditions, joystick must be moved upwards (F).

 Limitations
The test function cannot simulate the sequential tomography mode.

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7.12 Step angiography (optional)

Digital

Digital Spot

Digital Tomo

Digital Angio

 Description
Apollo EZ is pre-arranged to perform step angiography in digital mode. The digital step
Angiographic mode (ANGIO STEP) is the optimisation of the Angiographic examinations
obtained by traditional methods.
In fact, this examination, if executed properly, allows to examine the complete vascular
circulation of a limb, limiting the amount of contrast liquid administered to the patient.
This is thanks to the automatic movement of the X-ray tube – Image receptor assembly
in order to track the contrast liquid inside the vessels.
Thanks to the technology implemented, the patient, in addition to a reduction of the
injected contrast liquid, receives a limited dose of radiation.
Furthermore, stress due to the examination is reduced because the patient never moves
being that the mechanical components are solely responsible for the centring of the
anatomy.

 Operation
 Access in step angiography mode
Select the dedicated key on the table touch screen in order to access the stepping
angio function.

Note
If the compressor cone is present, entering the stepped angiography mode will be
inhibited and the following message will be displayed:
<< Remove compressor cone >>
Remove the compressor cone to enable the mode.

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The following message is displayed:

<< ANGIO-STEP MODE ACCESS
Activate function joystick >>
To complete the entry operation, move the function joystick upwards (F).

This action determines the subsequent positioning:

– Angulation at 0°
– SID on minimum
– Tabletop to the centre
– Horizontal tilting
The joystick must not be release until the conditions listed are reached, otherwise the
movements stop interrupting the mode access procedure.

Since this feature is enabled only in digital mode, if a cassette is present in the Spot
Digital Angio
Film Device when the key is pressed the following message is
displayed for a few seconds:
<< Remove cassette >>
Therefore the cassette must be removed from the Spot Film Device through the eject
key in order to access the function.
If the digital workstation has not been selected on the generator, the display shows
the message:
<< Select working place
DIGITALIZED >>
The digital mode on the generator must therefore be selected in order to complete
the access to the angiography mode.

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Upon completion of the Apollo EZ table preparation, the touch screen is configured in
angiographic mode, displaying the dedicated settings.

Stepping Angio

Run

80 Set Start L-R Test

Step Length Steps

28 3 >>

To prepare the table for an examination:

Zoom
X
1. Set the dimension of the I.I. field with the key, present in the "Fluoro"
control area of the touch screen (paragraph 7.7.2).
2. Select the direction that the steps will perform during the examination with the
L-R
function key, choosing between:
– R-L: Movement direction from right to left
– L-R: Movement direction from left to right.
3. The following message will be displayed:
<< Set scanning start position >>
At this point the anatomic part of the patient can be centred by means of the
scan movement joystick.

Set Start
Press the key to confirm the selection.

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4. When this setting is confirmed, three numbers are automatically displayed on the
touch screen in correspondence with the "Run", "Steps" and "Step Length"
settings, that respectively indicate:
– "Run": the total run length of the available scan from the start to the run
limit
– "Steps": the maximum possible number of stations based on the total run
and the length of each step
– "Step Length": the length of each step depending on the I.I. "ZOOM" set at
point 1

Note
The length proposed by default, calculated based on the "ZOOM" selected, is optimal
because a portion of the former image is present on the image thereby offering the
chance to reconstruct the passage of the contrast liquid inside the vessel.

5. The operator can modify:

Zoom
X
– the length of the step by means of the "ZOOM" selection key
>>
– The number of stations, using the key.

Warning
Once the examination settings have been completed the step movement in test
mode should ideally be performed (see paragraph 7.12.1) to verify the position of the
various stations on the patient, without the emission of X-rays.

6. If the settings implemented up until now need to be changed (length, number of

steps, starting position, etc.), the position of the scan can be modified via the
relative joystick and the examination setting procedure repeated.

Note
When the angio-step function is active, the compression, tilting and angulation
movements are inhibited.

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If the execution of the step angiography or angiography test are aborted, the display
shows:
<< Initialise scanning position
Activate the function joystick >>
The scan is moved to the start position by activating the function joystick upwards
(F).

 Exit from the step Angiographic mode

To exit Angiography mode, select Spot Film Device mode on the touch screen of the
Apollo EZ table. To access this mode, press the "MAIN" key and then select the key
of the SFD function.

 Limitations
Access to the angio-step function is inhibited if:
• The compressor cone is present
• The tube is not at 0°
• Access to the tomography function is active
• The Tomography function is active
• The direct mode is set
• A cassette is present in the Spot Film Device.

A step angiography examination is not completed if the movement causes a collision with
the "Limit barrier" safety (see paragraph 7.9.2).

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7.12.1 Angiography mode "Test" function

Test

 Description
Before performing the examination, the position of the various stations on the patient
should be verified without the emission of X-rays.

 Operation

Test
Switch on the collimator light, press the key and at the same time press the
function joystick upwards (F).

The equipment will perform the set scan.

If the key or joystick is released before the test procedure is completed, the equipment
blocks in the position where the release occurred, followed by an intermittent audible
signal and the message on the display:
<< Activate function joystick >>
To restore the operating conditions, press the joystick upwards (F).

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7.13 Stitching (optional)

Select the VDX working place on the generator to see the following menu:

VDX

VDX RAD

VDX STITCHING

VDX TOMO

 Description
The Apollo EZ is pre-arranged to perform Stitching in digital mode. This function is
optional and is only available if the system includes a Wi-Fi digital image acquisition station
provided with Stitching functionality.
The Stitching procedure will provide a single final image that covers up to about 140 cm of
the length of the patient (4 steps with a detector length of 43 cm, partially overlapping),
with a width of up to 43 cm.
The scan will be executed with a total time of about 10 seconds for each acquisition.
Since this function is only enabled in VDX mode, a wireless detector of the right size
(34x43 cm or 43x43 cm) must be inserted in the Spot Film Device; the digital workstation
must be programmed for the acquisition of a Stitching procedure consistent with the
procedure programmed on the table and with the same number of acquisition steps.

 Operation
 Entering Stitching mode
To access the Stitching function select the dedicated button on the table touch
screen console.

Note
If the compressor cone is present, entering Stitching mode will be inhibited and the
following message will be displayed:
<< Remove compressor cone >>
Remove the compressor cone to enable the mode.

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The following message is displayed:

<< STITCHING MODE ACCESS
Activate function joystick >>
To complete the entry operation, move the function joystick upwards (F).

This will result in the following positioning:

– Angulation
– SID
If the joystick is released before reaching the final positions, the movements are
interrupted and the display remains in the current view.

Upon completion of the Apollo EZ table preparation, the touch screen is configured in
Stitching mode, displaying the dedicated settings.

Stitching

Lenght
Steps
43 L-R Test
2

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To prepare the table for an examination:

1. Select the direction that the steps will perform during the examination with the
L-R
function key, choosing between:
– R-L: Movement direction from right to left
– L-R: Movement direction from left to right.

Steps
2
2. Using the function key set the number of stations (2, 3 or 4), if
different from the preset setting: the initial position may need to be changed
using the function joystick.

3. After initial positioning has been completed with the function joystick, the
position of the table may be further adjusted: movements are not permitted for
SID, angulation and compressor.

At this point the anatomic part of the patient can be centred by means of the scan
movement joystick.

Warning
Once the examination settings have been completed the step movement in test
mode should ideally be performed (see paragraph 7.12.1) to verify the position of the
various stations on the patient, without the emission of X-rays.

4. To make changes to the settings executed thus far (number of steps, direction
of the scan, initial position, etc.), the exam settings procedure will need to be
repeated.

Note
When the Stitching function is active, compression and angulation movements are
inhibited. The only the transverse direction can be adjusted for the collimator, the
longitudinal opening is fixed and determined by the length of the scan.

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 Exit Stitching mode

To exit Stitching mode, select VDX RAD mode on the touch screen of the Apollo EZ
table. To access this mode, press the "MAIN" key and then select the appropriate key.
A message will ask to keep the function joystick pressed until exit is complete.

 Limitations
Access to the Stitching function is inhibited if:
• The table is not in VDX mode
• The Stitching option is not active
• The size of the VDX detector inserted in the Spot Film Device is not correct
• The compressor cone is present
• The tube is not at 0°

A Stitching examination is not performed if:

• The programmed scanning movement exceeds the execution limit: the Stitching scan
interval is variable and depends on the starting position, the number of stations and
the step size.
In this case an intermittent audible signal is emitted and the display shows:
<< Scanning out of range >>
alerting the operator that the examination is possible if the start position of the scan
is changed in order to obtain sufficient space to complete the requested procedure.
• The movement causes collisions. In this situation an intermittent audible signal is
given and the display shows:
<< Possible collision detected
change positions >>
alerting the operator that the examination is possible if the position of the component
at the collision limit is changed.

A Stitching examination is not completed if the movement causes a collision with the
"Barrier limit" safety (see paragraph 7.9.2).

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7.13.1 "Test" function in Stitching mode

Test

 Description
Before performing the examination, the position of the various stations on the patient
should be verified without the emission of X-rays.

 Operation

Test
Switch on the collimator light, press the key and at the same time press the
function joystick upwards (F).

The equipment will perform the set scan.

If the key or joystick is released before the test procedure is completed, the equipment
blocks in the position where the release occurred, followed by an intermittent audible
signal and the message on the display:
<< Activate function joystick >>
To restore the operating conditions, press the joystick upwards (F).

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7.14 X-ray-Fluoro control

 Description
The execution of a fluoroscopic examination is needed to locate the area to be x-rayed.

 Operation
Pressing the right control on the foot pedal control gives the emission of fluoroscopic
radiation.
Only in the event where there is no cassette in the Spot Film Device or the cassette is in
the park position and the size of which does not exceed 30 cm (10" for the cassettes in
inches).

 Limitations
The Fluoroscopic function is inhibited in the following conditions:
• Cassette not in the parked position
• Division selection not performed
• Tube not at 0°
• Preparation command active
• "Direct" workstation selected.

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7.15 Preparation-X-rays command

 Description
Performing a radiographic examination is the primary aim of a radiological equipment.

 Operation
By pressing the 1st click of the left pedal control the generator can achieve all actions to
prepare the X-ray tube for the emission or rays.
At the same time the equipment prepares some parts to receive radiation.
The X-rays are emitted by pressing the 2nd click of the control.
The activation of the preparatory command blocks all movements including the manual
movement of the collimator. Only the angulation movement during the tomography
program is enabled.

The following preparation-X-ray programs are possible:

• In Serial-radiography:
– standard
– Rapid sequence
– Tomography
– Stitching (optional – only VDX)
• In digital (if the system is equipped with a digital acquisition system):
– digital radiography
– digital tomography
– step angiography
• In Direct:
– direct exposure on the cassette outside the Spot Film Device.
– direct exposure on the digital VDX sensor.

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7.16 Intercom: voice communication between patient and

operator

Audio

EN[m] DE[m] FR[f]

 Description
The Apollo DRF touch screen control console is equipped with an intercom that allows the
operator to speak with/listen to the patient from the control room, while the patient is on
the table.
See paragraph 6.5.11 to adjust the audio level.

 Operation
The intercom is a one-way system; this means that speaking and listening are not
permitted simultaneously.

The direction of the intercom can be activated from the touch screen console: pressing the

key the icon is activated: this activates the "OPE" function and the patient
can hear the operator's voice.

pressing the key the icon is activated: this activates the "PAT" function and
the patient can speak to the operator.

Activation logic:
• PATIENT → OPERATOR (PAT): every time the button is pressed this function
changes and remains active or inactive until it is pressed again.
• OPERATOR → PATIENT (OPE): alternating ON/OFF if the PAT function isn't
active. If the PAT function was active before OPE was selected, it will return
active after OPE is released.

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7.16.1 Automated voice messages

EN[m] DE[m] FR[f]

Automated voice messages (MSG) are available for RAD procedures, these can be selected in
the 3 languages selected at the moment of installation. A 3-letter code beneath the MSG icon
specifies the language.
The main languages available are: English (EN), French (FR), Spanish (SP), Italian (IT), German
(DE), Russian (RU), Arabic (AR), Chinese (ZH). Other languages can be provided upon request.
Some languages may be available with a male voice (m) or female voice (f).

Some messages are sent using the PREP and RAD buttons available on the touch screen
console, rather than through the pedal:
• "Take a deep breath - Hold your breath", activated during the PREP phase.
• "You can breathe", activated after the deactivation of the X-rays or after the release of
the PREP and or RAD control.

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8 DIAGNOSIS
The Apollo EZ table software is designed to diagnose abnormal situations in which the
equipment may be.
Upon the occurrence of one or more diagnostic situations the movements of the table are
stopped and commands to accessories inhibited. The alarms present appears on the console
display accompanied by an audible signal.
The alarms are divided in 2 groups:

 Operating alarms
Alarms in this group are generated by functional errors due to mishandling by the operator
or malfunction of external accessories.
Since these alarms do not generate conditions of risk or danger to the patient, the
operator and the equipment, they can be reset without powering down the system.
The alarms generated have the following appearance:

ERROR: [n°]
[error description]

RESET

Press the "RESET" key twice, the first movement will stop the audible signal, the second
will reset the alarm.

Note
If the "Error reset" function has been activated using the related commands in the
"SETUP" page (Figure 19), the alarm is automatically reset after approx. 10 seconds.

Error Reset

Auto Manual

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 Alarms related to failures or malfunctions

The alarms in this group are generated by faulty components of the equipment. Since
these situations may generate conditions of risk or danger for the patient, the operator or
the equipment, the alarms of this group cannot be reset.
The alarms generated have the following appearance:

ERROR: [n°]
[error description]

The audible signal for this type of alarm can be muted by pressing inside the error
message box on the touch screen. A subsequent press will activate the signal again.
Take note of the message displayed, turn OFF the equipment and alert a qualified
technician to remove the causes of failure.

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8.1 Alarms

Note
The resettable alarms are highlighted with (*).

Code Message Description

59 X RAY ON from generator X-rays from the generator have been detected
without fluoro or exposure (input X0-13 active) without any fluoro or exposure
request request, or the presence of X-rays has remained
active for longer than 700ms from the interruption
of the fluoro or exposure request
60 (*) Shutters positioning timeout In the Spot Film Device mode, the shutters have not
in standard mode reached the set point position within 5 seconds.
61 (*) Shutters positioning timeout In the rapid sequence mode, the shutters have not
in rapid sequence mode reached the set point position within 5 seconds.
62 (*) Ready from generator not The generator has not activated the "ready" signal
present within 3 seconds from the 2nd click ray request
63 (*) Rapid sequence break off by The rapid sequence was interrupted by releasing the
operator X-ray control
64 (*) X RAY ON not present from The signal generator has not activated the "rays"
generator signal within 3 seconds from the fluoro request or
within 0.360 seconds in exposure
65 (*) Generator does not stop The generator X-ray time lasted longer than 6.5
exposure secs.
66 (*) Exposure command released The exposure request has been released before the
before end of X RAY time X-ray time (input X0-13) had terminated
67 (*) Preparation command The Preparation request has been released before
released before end of X RAY the X-ray time (input X0-13) had terminated
time
68 (*) Generator stops X RAY The generator has stopped issuing X-rays before
during tomo the tomography angle was over
69 (*) Generator does not stop The generator has continued the emission of X-rays
exposure at the end of tomo for more than 0.7 sec. after the X-ray control has
angle been disabled
70 Compressor does not reach The compressor has not reached the parked
park position in tomo and position within 30 seconds from the activation of
angio mode the tomo mode or angio mode access command

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Code Message Description

77 (*) Preparation request interrupt In Angiographic mode the generator ready signal is
by digital DSI not present, probably caused by the missed prep.
request by the digital system
78 (*) Program failed In Angiography or Stitching mode, the X-ray
sequence was interrupted before the exam was
completed
79 (*) Stitching test suspended The test command was issued prior to completion
80 General emergency The power relay (input X15-10) has been disabled by
external causes
82 Safety crushing circuit The control circuit for the anti-pinching safety
damaged device is interrupted
83 (*) SFD not active The Spot Film Device has been disabled, therefore
the calibration of the components inside the Spot
Film Device is not possible
84 (*) Cross subdivision not present The Spot Film Device is not pre-arranged with the
cross subdivision
90 EEPROM data damaged The RAM has detected an unintentional modification
of the data in EEprom
91 (*) Angulation movement over During the movement, the angulation has gained an
max error error position greater to that set in cell 311
92 (*) Scanning movement over max During the movement, the scan has gained an error
error position greater to that set in cell 329
93 (*) Tilting movement over max During the movement, the main beam has gained an
error error position greater to that set in cell 346
94 (*) Longitudinal tabletop During the movement, the longitudinal tabletop has
movement over max error gained an error position greater to that set in cell
361
95 (*) Shutters movement over max During the movement, the shutters have gained an
error error position greater to that set in cell 363
96 (*) Right cassette belt movement During the movement, the right belt has gained an
over max error error position greater to that set in cell 375
97 (*) Left cassette belt movement During the movement, the left belt has gained an
over max error error position greater to that set in cell 375
98 (*) Cross subdivision movement During the movement, the cross subdivision has
over max error gained an error position greater to that set in cell
399
99 Fault on inverter One or both of the inverters are in a state of alarm,
therefore input X18-1 is disabled
101 Angulation potmeter under The angulation potentiometer value is less than that
min stored in EEPROM

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Code Message Description

102 Angulation potmeter over The angulation potentiometer value is greater than
max that stored in EEPROM
103 Scanning potmeter under min The scan potentiometer value is less than that
stored in EEPROM
104 Scanning potmeter over max The scan potentiometer value is greater than that
stored in EEPROM
105 Tilting potmeter under min The main beam tilting potentiometer value is less
than that stored in EEPROM
106 Tilting potmeter over max The main beam tilting potentiometer value is greater
than that stored in EEPROM
107 Longitudinal tabletop The Longitudinal tabletop potmeter value is less
potmeter under min than that stored in EEPROM
108 Longitudinal tabletop The Longitudinal tabletop potmeter value is greater
potmeter over max than that stored in EEPROM
109 WB width cass. potmeter The WB width cassette potmeter value is less than
under min that stored in EEPROM
110 WB width cass. potmeter over The WB width cassette potmeter value is greater
max than that stored in EEPROM
111 Transversal table top The tabletop potentiometer value is less than that
potmeter under min stored in EEPROM
112 Transversal table top The tabletop potentiometer value is greater than
potmeter over max that stored in EEPROM
113 SID potmeter under min The SID potentiometer value is less than that
stored in EEPROM
114 SID potmeter over max The SID potentiometer value is greater than that
stored in EEPROM
115 WB height cass. potmeter The WB height cassette potmeter value is less than
under min that stored in EEPROM
116 WB height cass. potmeter The WB height cassette potmeter value is greater
over max than that stored in EEPROM
123 Compression potmeter under The compressor potentiometer value is less than
min that stored in EEPROM
124 Compression potmeter over The compressor potentiometer value is greater than
max that stored in EEPROM
125 Grid 1 potmeter under min The grid 1 potentiometer value is less than that
stored in EEPROM
126 Grid 1 potmeter over max The Grid 1 potentiometer value is greater than that
stored in EEPROM
127 Gripping potmeter under min The gripping potentiometer value is less than that
stored in EEPROM

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Code Message Description

128 Gripping potmeter over max The gripping potentiometer value is greater than
that stored in EEPROM
129 Cross subdivision potmeter The Cross subdivision potentiometer value is less
under min than that stored in EEPROM
130 Cross subdivision potmeter The Cross subdivision potentiometer value is
over max greater than that stored in EEPROM
131 Shutters potmeter under min The shutters potentiometer value is less than that
stored in EEPROM
132 Shutters potmeter over max The shutters potentiometer value is greater than
that stored in EEPROM
150 Grid 2 potmeter under min The grid 2 potentiometer value is less than that
stored in EEPROM
151 Grid 2 potmeter over max The Grid 2 potentiometer value is greater than that
stored in EEPROM
156 Serial line: timeout from The data does not arrive on the serial line from the
Supervisor to Main uP Supervisor to the main µP for a time exceeding 0.3
sec
157 Serial line: timeout from Main The data does not arrive on the serial line from the
uP to Supervisor main µP to the Supervisor for a time exceeding 0.3
sec
158 Single fault open at switch on The Single Fault circuit is not closed therefore the input
X13-24 is not at 0 V when the table switched ON
159 Inputs close at switch on A joystick or a key of the dual control is active when
the table is switched ON
160 Single fault open SID up=1 / The SID raise command is presumably active since
serial bit 0=0 the SF is open and the output port active but the
Supervisor does not receive serial confirmation of
the control activation
161 Single fault open SID up=0 / The Supervisor detects the SF open and the serial
serial bit 0=1 confirmation that the SID raise command is active,
but the output port is deactivated
162 Single fault open SID down=1 The SID down command is presumably active since
/ serial bit 1=0 the SF is open and the output port active but the
Supervisor does not receive serial confirmation of
the control activation
163 Single fault open SID down=0 The Supervisor detects the SF open and the serial
/ serial bit 1=1 confirmation that the SID lower command is active,
but the output port is deactivated
164 Single fault open table top The tabletop in command is presumably active since
in=1 / serial bit 2=0 the SF is open and the output port active but the
Supervisor does not receive serial confirmation of
the control activation

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Code Message Description

165 Single fault open table top The Supervisor detects the SF open and the serial
in=0 / serial bit 2=1 confirmation that the tabletop in command is active,
but the output port is deactivated
166 Single fault open table top The tabletop out command is presumably active
out=1 / serial bit 3=0 since the SF is open and the output port active but
the Supervisor does not receive serial confirmation
of the control activation
167 Single fault open table top The Supervisor detects the SF open and the serial
out=0 / serial bit 3=1 confirmation that the tabletop out command is
active, but the output port is deactivated
168 Single fault open compressor The compressor up command is presumably active
up=1 / serial bit 4=0 since the SF is open and the output port active but
the Supervisor does not receive serial confirmation
of the control activation
169 Single fault open compressor The Supervisor detects the SF open and the serial
up=0 / serial bit 4=1 confirmation that the compressor up command is
active, but the output port is deactivated
170 Single fault open compressor The compressor down command is presumably
down=1 / serial bit 5=0 active since the SF is open and the output port
active but the Supervisor does not receive serial
confirmation of the control activation
171 Single fault open compressor The Supervisor detects the SF open and the serial
down=0 / serial bit 5=1 confirmation that the compressor down command is
active, but the output port is deactivated
172 Single fault open A5 invert. The inverter A5 on command is presumably active
enable=1 / serial bit 6=0 since the SF is open and the output port active but
the Supervisor does not receive serial confirmation
of the control activation
173 Single fault open A5 invert. The Supervisor detects the SF open and the serial
enable=0 / serial bit 6=1 confirmation that the inverter A5 on command is
active, but the output port is deactivated
174 Single fault open A6 invert. The inverter A6 on command is presumably active
enable=1 / serial bit 7=0 since the SF is open and the output port active but
the Supervisor does not receive serial confirmation
of the control activation
175 Single fault open A6 invert. The Supervisor detects the SF open and the serial
enable=0 / serial bit 7=1 confirmation that the inverter A6 on command is
active, but the output port is deactivated
176 Single fault open A18 invert. The inverter A18 on command is presumably active
enable=1 / serial bit 8=0 since the SF is open and the output port active but
the Supervisor does not receive serial confirmation
of the control activation

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Code Message Description

177 Single fault open A18 invert. The Supervisor detects the SF open and the serial
enable=0 / serial bit 8=1 confirmation that the inverter A18 on command is
active, but the output port is deactivated
180 Single fault closed / SID up=1 The SF circuit is off (closed) but the SID up control
output port is active
181 Single fault closed / SID The SF circuit is off (closed) but the SID down
down=1 control output port is active
182 Single fault closed / table top The SF circuit is off (closed) but the tabletop in
in=1 control output port is active
183 Single fault closed / table top The SF circuit is off (closed) but the tabletop out
out=1 control output port is active
184 Single fault closed / The SF circuit is off (closed) but the compressor up
compressor up=1 control output port is active
185 Single fault closed / The SF circuit is off (closed) but the compressor
compressor down=1 down control output port is active
186 Single fault closed / A5 The SF circuit is off (closed) but the A5 inverter on
inverter enable=1 control output port is active
187 Single fault closed / A6 The SF circuit is off (closed) but the A6 inverter on
inverter enable=1 control output port is active
188 Single fault closed / A18 The SF circuit is off (closed) but the A18 inverter on
inverter enable=1 control output port is active
191 Angulation potmeter not in The control for the angulation movement is active
movement with active output but the movement is not detected through the
feedback of the potentiometer
192 Scanning potmeter not in The control for the scan movement is active but the
movement with active output movement is not detected through the feedback of
the potentiometer
193 Tilting potmeter not in The control for the main beam movement is active
movement with active output but the movement is not detected through the
feedback of the potentiometer
194 Longitudinal tabletop The control for the longitudinal tabletop movement
potmeter not in movement is active but the movement is not detected through
with active output the feedback of the potmeter
195 Shutters potmeter not in The control for the shutters movement is active but
movement with active output the movement is not detected through the feedback
of the potentiometer
196 Right cassette belt encoder The control for the cassette right belt movement is
not in movement with active active but the movement is not detected through
output the feedback of the potentiometer

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Code Message Description

197 Left cassette belt encoder not The control for the cassette left belt movement is
in movement with active active but the movement is not detected through
output the feedback of the potentiometer
198 Cross subdivision potmeter The control for the cross subdivision movement is
not in movement with active active but the movement is not detected through
output the feedback of the potentiometer
201 Angulation potmeter in There is no angulation movement control but
movement without request movement is detected from the potentiometer
feedback
202 Scanning potmeter in There is no scan movement control but movement
movement without request is detected from the potentiometer feedback
203 Tilting potmeter in movement There is no main beam movement control but
without request movement is detected from the potentiometer feedback
204 Longitudinal tabletop There is no longitudinal tabletop movement control
potmeter in movement but movement is detected from the potmeter
without request feedback
206 Transversal table top There is no Transversal tabletop movement control
potmeter in movement but movement is detected from the potmeter
without request feedback
207 SID potmeter in movement There is no SID movement control but movement is
without request detected from the potentiometer feedback
212 Compressor potmeter in There is no compression movement control but
movement without request movement is detected from the potentiometer
feedback
213 Grid 1 potmeter in movement There is no grid 1 movement control but movement
without request is detected from the potentiometer feedback
214 Gripping potmeter in There is no gripping movement control but movement
movement without request is detected from the potentiometer feedback
215 Cross subdivision potmeter in There is no cross subdivision movement control but
movement without request movement is detected from the potentiometer feedback
216 Shutters potmeter in There is no shutters movement control but movement
movement without request is detected from the potentiometer feedback
218 Transv. table top potmeter in The Transversal tabletop movement has exceeded the
movement over max error error set in cell 447
220 SID potmeter in movement The SID movement has exceeded the error set in cell
over max error 448
226 Compressor down output There is no compressor movement feedback with the
active without feedback input descent control active
227 Compressor outputs not The compressor movement feedback is active without
active with feedback active the movement command being active

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Rev. 2

Code Message Description

228 Compressor up output active There is no compressor movement feedback with the
without feedback input ascent control active
229 Grid 2 potmeter in movement There is no grid 2 movement control but movement
without request is detected from the potentiometer feedback
231 Single fault open without The SF circuit is open but no movement command
inputs active is recognised
232 Single fault close with inputs There are one or more movement commands but
active the SF circuit is not active (closed)
240 Right cass.belt movement The cassette right belt movement motor has
overcurrent exceeded the maximum current
241 Left cass.belt movement The cassette left belt movement motor has
overcurrent exceeded the maximum current
242 Shutters overcurrent The shutters movement motor has exceeded the
maximum current
243 Cross subdivision overcurrent The cross subdivision movement motor has
exceeded the maximum current
244 Grid 2 overcurrent The grid 2 movement motor has exceeded the
maximum current
300 Load cassette missing The cassette did not reach the format recognition
photocell within 1 sec.
301 Grid 1 movement timeout The grid 1 has not reached the destination (park or
position 0) within 8 sec
302 Gripping movement timeout The grippers do not reach the destination (cassette
closed or open) within 8 seconds.
303 Cassette size photosensor Cassette size photosensor is obscured for longer
not released than 5 secs.
304 Contemporary driver enable The grippers opening and closing control drivers
were driven simultaneously by the SW
305 Grid 2 movement timeout The grid 2 has not reached the destination (park or
position 0) within 8 sec
500 RAM-EEPROM: data missing EEprom malfunction detected
501 RAM-EEPROM: writing The data in EEprom could not be transferred
timeout
503 RAM-EEPROM: wrong The data in Eeprom are not read
EEPROM reading
907 (*) Joystick or button close at An active dual control joystick or key was detected
switch on on start-up
920 ETH communication timeout Ethernet line error between control console and
to Cabinet main CPU (control console side)

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Rev. 2

Code Message Description

930 (*) CAN communication timeout The collimator does not respond to controls
from collimator
999 (*) Data lost in RAM. Check The Ram no longer holds the data
battery
1800 ETH communication timeout Ethernet line error between control console and
from Cabinet cabinet CPU (cabinet side)

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User Manual – Cleaning and disinfection
Rev. 2

9 CLEANING AND DISINFECTION

In order to guarantee a good level of hygiene and cleaning, it is necessary to respect the
following procedures.

Warning
Disconnect the equipment from the mains
before performing any cleaning.

Avoid the penetration of water or liquid in parts of the equipment to avoid corrosion
or short circuits.

Periodically and when deemed necessary, clean the

painted surfaces and the tabletop, the footrest and
accessories with a damp cloth and mild detergent,
making sure to dry them with a dry cloth; do not
use corrosive, abrasive solvents (alcohol, petrol,
trichloro-ethylene).

When deemed necessary and at the end of each examination the cone of the compressor, the
tabletop, the patient support handgrips, the leg supports (optional) and footrest should be
disinfected using an antibacterial disinfectant solution with 2% glutaraldehyde.

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 User’s manual – Maintenance
Rev. 2

10 MAINTENANCE
This equipment, like all other electrical appliances, must be used correctly and also serviced and
controlled at regular intervals. This precaution ensures a safe and efficient performance.

The preventive maintenance consists in checks performed by the operator himself and/or by a
qualified technician.

The operator can control the following items:

Frequency Type of check Method

Daily Indicator light functionality inspection Visual inspection

Daily Functioning of joysticks and buttons located on the Practical control
control desk and on the panel on the side of the table
Daily Correspondence between the radiated field and the Visual inspection
light field of the collimator and its alignment
compared to the Spot Film Device
Daily Correspondence between radiated field – format Visual inspection
image receptor
Daily Functionality of the compression cone release device Practical control
Daily Absence of contrast liquid residuals Visual inspection
Daily Check smooth flow and noise of movements Practical control
Daily Check functionality of safety devices Practical control
Monthly Integrity of equipment and labels Visual inspection

Warning
If irregularities, excessive noise of motorised parts or failures are found, the operator
must immediately inform Technical Service.

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10.1 Parts to be replaced periodically

The expected service life for Apollo EZ angulation chain is 10 years.
Contact your service organization in order to plan the intervention once the unit is close to
reach the next replacement date given in the table below.
At replacement, Field Service Engineering will fill the column "Next replacement date" adding 10
years to the replacement date in both User's and Service Manuals.

Reason of the
Angulation chain Next Execute by
replacement: Date /
replacement date replacement date organization
corrective maintenance Signature
(dd/mm/yyyy) (mm/yyyy) (FSE name)
/ planned maintenance

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 User’s manual – Maintenance
Rev. 2

MAINTENANCE LOGBOOK

Installation: Date Technician

Maintenance: Date Technician

Reason

Maintenance: Date Technician

Reason

Maintenance: Date Technician

Reason

Maintenance: Date Technician

Reason

Maintenance: Date Technician

Reason

Maintenance: Date Technician

Reason

Maintenance: Date Technician

Reason

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Villa Sistemi Medicali

Via Delle Azalee, 3
20090 Buccinasco (Milan) - ITALY
Tel. (+39) 02 48859.1
Fax (+39) 02 4881844
www.villasm.com