Medical Diagnostic X-ray System

User’s Manual

Nanjing Perlove Medical Equipment Co., Ltd.

 User’s Manual V2.11.1E

Electrical equipment security type: This product is a permanent installation of ordinary

equipment, which is Class I Type B and protection against electric shock.

The mode of operation is continuous operation with intermittent loading.

The manufacturer accepts the responsibility for security, reliability and performance of the

equipment, as show as the following items:

 Assembling, adjustment, operation and maintenance must be carried out by authorized

personnel;

 Electric utilities of the machine room must be complied with related regulations;

 The equipment must be operated in accordance with user’s manual.

Packaging, storage and transportation requirements:

The packaging, storage and transportation of this product should be in accordance with the

provisions of YY/T 1099-2007 "packaging, transportation and storage of medical X - ray

equipment" and "GB/T 191-2008" "packaging and transportation graphic symbols".

The packaged products should be adapted to transport by air, rail, ship and tertiary

highways.

Transport and Storage:

• Ambient temperature range: -20℃ to 65℃

• Relative humidity: ≤93%

• Atmospheric pressure range: 50kPa to 106kPa

• Indoor environment without corrosive gas

• Articles weighs more that 30kg should be not allow storage on the top of packing case.
Production date: see product nameplate
 User’s Manual V2.11.1E

Dear customer:

Firstly, we would express our gratitude to you and your company to select our products!

Be sure to read the Product Manual carefully before operating the equipment, especially the

following safety precautions, in order to operate the equipment correctly for you.

● Please read the following precautions carefully, in order to operate the equipment

correctly for you.

● Be sure to get fully known about the performance and operation of the equipment before

operating the equipment.

● Pay attention to the following matters for setup and storage location of the equipment:

 Equipment not suitable for use or store in presence of inflammable and explosives;

 Equipment not suitable for use or store in presence of temperature, humidity and

atmospheric pressure exceeding permitted ranges;

 Equipment not suitable for use or store in presence of ingress of water;

 Avoid tilt, shake and shock (including transportation);

 Pay attention to power supply frequency and voltage as well as allowable current;

 Keep ventilation and avoid direct sunlight.

● Pay attention to the following matters before using the equipment:

 Electromagnetic emission and electromagnetic immunity of the equipment should

meet requirements specified in YY0505-2012(idt IEC 60601).The equipment should

be operated in typical health care environment specified in YY0505-2012(idt IEC

60601);

 Confirm power supply connection with the equipment and check whether the

equipment is operated normally;

 Confirm ground connection of the equipment well;

 Reconfirm the power supply voltage.

 In case of equipment failure, instead of disassembling, please paste a note written with

“Break down!” on the equipment, and the Company will assign authorized personnel

to eliminate the failure.

 User’s Manual V2.11.1E

● No refitting the equipment.

● Maintenance and inspection

● Inspect the equipment and spare parts regularly;

● If there is a long time to do not operate the equipment, be sure to confirm whether the

equipment can be operated normally and securely before operating it.

 User’s Manual V2.11.1E
The following warning symbols used in this manual. Their application and indication are described
below.

DANGERS ADVISE OF CONDITIONS OR SITUATIONS THAT IF NOT

HEEDED WILL CAUSE DEATH OR SERIOUS PERSONAL INJURY,
AND COULD CAUSE PART OR ALL OF DAMAGE OF THE
EQUIPMENT.

ADVISE OF CONDITIONS OR SITUATIONS THAT IF NOTHEEDED

COULD CAUSE PERSONAL INJURY,OR
DAMAGEOF EQUIPMENT OR DATA.

ADVICE OF CONDITIONS OR SITUATIONS THAT IF NOT HEEDED

COULD CAUSE MISOPERATION AND ERROR ACTION
 User’s Manual V2.11.1E
The following security identity symbols are used in the equipment. Their indications are described
below.
Symbol Description

NOTE:consult the accompanying documentation

Ionizing radiation

Equipment with Type B applied parts

Dangerous voltage

Earth-fault protection

Some components contain material and liquid that,

at the end of the equipment life-cycle, must be
disposed of at the recycling centers appointed by the
Local Health Units.
 User’s Manual V2.11.1E

TABLE OF CONTENTS
CHAPTER1 OVERVIEW................................................................................................................ 1
1.1 Application of the Equipment................................................................................................ 1
1.2 Main Structure and Feature of the Equipment....................................................................... 1
1.3 Daily Preheating Process of X-ray Tube................................................................................3
1.4 Duty Cycle Limit of Generator.............................................................................................. 3
1.5 Standards and Specifications................................................................................................. 4
1.6 Manufacturer’s Responsibilities............................................................................................ 5
1.7 Safety Precautions..................................................................................................................6
1.7.1 General Rules..............................................................................................................6
1.7.2 Electrical Safety.......................................................................................................... 7
1.7.3 X-ray Safety Protection...............................................................................................7
1.7.4 The Effective Occupation........................................................................................... 8
1.7.5 Environmental Risks and Treatment...........................................................................9
1.7.6 Retirement of Equipment............................................................................................ 9
1.8 Use Logo Identity...................................................................................................................9
1.8.1 External Label........................................................................................................... 10
1.8.2 Equipment Nameplate Location................................................................................12
1.9 Transportation and Storage Environment Constraints......................................................... 13
CHAPTER2 TECHNICAL PARAME.............................................................................................. 14
2.1 X-ray High Voltage Generator.............................................................................................14
2.2 X-ray Tube Assembly.......................................................................................................... 14
2.3 Diagnostic Table.................................................................................................................. 19
2.4 Technical Characteristics of Collimator.............................................................................. 20
2.5 Technical Parameters of Flat Panel Detector....................................................................... 20
2.6 Electrical Output Data..........................................................................................................22
2.7 Combination of Diagnostic Table Loading Factors............................................................. 23
2.8 Earth Leakage Current......................................................................................................... 24
CHAPTER3 PRE-INSTALLATION.................................................................................................25
3.1 The Room Requirements and Layouts.................................................................................25
3.2 Electrical Regulations.......................................................................................................... 26
3.3 Environmental Conditions................................................................................................... 27
CHAPTER4 INSTALLATION OF THE EQUIPMENT.................................................................. 28
 User’s Manual V2.11.1E
4.1 Overview..............................................................................................................................28
4.2 Installation of the Diagnostic Table..................................................................................... 28
4.2.1 Diagnostic Table Base Positioning........................................................................... 28
4.2.2 Installation of the Tube-Collimator Combination.....................................................29
4.2.3 Installation of the Flat Panel Dectetor.......................................................................30
4.3 Equipment Cable Connection.............................................................................................. 32
4.3.1 Power Cables and Protective Grounding Wires........................................................32
4.3.2 High Voltage Generator Cable Connection.............................................................. 33
4.3.3 Diagnostic Table Cable Connection......................................................................... 35
4.3.4 Cable Connection of Image System..........................................................................36
4.4 Final Verification................................................................................................................. 38
CHAPTER5 CALIBRATION OF THE EQUIPMENT.................................................................... 39
5.1 Debugging of Diagnostic Table........................................................................................... 39
5.1.1 Diagnostic Table Tilt Up and Down Debugging...................................................... 43
5.1.2 Debugging of Longitudinal movesment of X-ray Tube Column..............................45
5.1.3 Lateral Movesment Debugging of the Tabletop....................................................... 48
5.1.4 Debugging of the Advance and Backward Movesment of the Compressor............. 48
5.1.5 Debugging of tube lifting.......................................................................................... 50
5.1.6 Debugging of Pedal Rotation.................................................................................... 51
5.1.7 Mosaic Image Overlap Width Setting.......................................................................51
5.1.8 Table Type Setting.................................................................................................... 51
5.1.9 Aging Test.................................................................................................................51
5.2 Image Acquisition Workstation Software Installation.........................................................52
5.2.1 DFOC Software Installation......................................................................................52
5.2.2 Software Registration................................................................................................55
5.3 Operating Instructions for Image Acquisition System.........................................................55
5.3.1 Hardware Setting.......................................................................................................98
5.3.2 Workstation IP Settings.......................................................................................... 100
5.4 High Voltage Generator Debugging.................................................................................. 101
5.4.1 Software Interface................................................................................................... 101
5.4.2 Debug Steps............................................................................................................ 103
5.4.3 Final Confirmation Inspection................................................................................ 106
5.5 X-ray and Image Calibration..............................................................................................106
5.5.1 X - ray Beam Collimation Adjustment................................................................... 106
 User’s Manual V2.11.1E
5.5.2 Adjustment of Dosimetry Indication Values.......................................................... 107
5.5.3 Collimator X - ray Field - light Field Coincidence Calibration.............................. 107
5.5.4 Collimator Adjustment............................................................................................108
5.5.5 Flat Panel Detector Adjustment.............................................................................. 111
5.5.6 Final Confirmation Inspection................................................................................ 118
CHAPTER6 OPERATION OF THE EQUIPMENT.......................................................................119
6.1 Symbol Descriptionon Equipment..................................................................................... 119
6.1.1 Table Exercises for Interface and Symbols.............................................................120
6.1.2 Generator Operation Instructions............................................................................124
6.1.3 Operation Instruction of Collimator........................................................................126
6.1.4 Intercom System Operation Instructions.................................................................127
6.1.5 Image Acquisition Workstation Software Settings................................................. 127
6.2 Use of Equipment - Digital Radiography Mode................................................................ 164
6.2.1 Fluoroscopy.............................................................................................................164
6.2.2 Radiography............................................................................................................ 164
6.2.3 Fluoroscopy Spot-film............................................................................................ 165
6.2.4 Emergency Relief of Compressor Pressure............................................................ 165
6.2.5 Initial RUN-UP....................................................................................................... 166
CHAPTER7 MAINTENANCE....................................................................................................... 167
7.1 Maintenance by Operator...................................................................................................167
7.2 Maintenance by the Authorized Technician....................................................................... 169
7.3 The Cycle of Maintenance and Repair...............................................................................171
7.4 Fault Code and Troubleshooting........................................................................................ 172
7.4.1 HV Generator.......................................................................................................... 172
7.4.2 Diagnostic Table Fault Code................................................................................... 178
CHAPTER8 ATTACHMENT.........................................................................................................179
8.1 Appendixes Attached with Following Circuits.................................................................. 179
 User’s Manual V2.11.1E

CHAPTER1 OVERVIEW

1.1 Application of the Equipment

Used to radiography patients and obtain single image for clinical diagnosis.
Contraindications: incompatible patients, pregnant women and lactation women, children, infants,
and critically ill patients are not suitable.

1.2 Main Structure and Feature of the Equipment

This equipment mainly consists of System console, high-voltage generator , Collimator , X-ray
tube assembly , Flat panel detector , DR acquisition workstation, diagnostic table see Figure 1-1.

1 -X-ray tube assembly 2 -Collimator 3 -diagnostic table 4 -Flat panel detector

5 -high-voltage generator 6-DR acquisition workstation 7-System console

Figure 1-1

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 User’s Manual V2.11.1E

Main features:
1. Diagnostic Table
 Visual display man-machine interface and touch screen control makes man-machine
dialogue more direct-viewing, convenient and easy to understand.
 Programmable control device technology with high control precision, good stability
and excellent anti-interference performance.
 Frequency converter control technology, the table operates with soft startup and soft
shutdown, which is smooth without noise and the position, is more accurate.
 Reliable angular displacement sensor technology with excellent precision, little
dynamic noise and long mechanical service life.
 Tilt range: 90° ~ 0° ~ -25°, it can carry out conventional examinations about
alimentary organs, and it also can be used for a variety of special examinations.
 Humanized design of diagnostic table side switch, which is more convenient for
positioning when operating local the console.
 FPD and Toshiba high-quality image intensifier, which further improves image clarity
and contrast ratio, and makes it much easier and clearer to identify the nidus.
 The moving range of spot-film device is wide, so we adopt the operating mode with
machine moving but people unmoving, which thus simplifies the implementation of a series of
inspections from the throat and esophagus to the lower abdomen.
2. Generator
 Generator with X-ray radiography and fluoroscopy functions and its maximum output
power is 65.5 kW.
 Output voltage is 150kV.
 Smaller and lighter block design
 During exposure, you can adjust kV and mA buttons to achieve constant X-ray output.
 Large screen LCD flat panel display, which is used to display APR conditions and
practical conventional items.
 User-friendly operating system configuration.
 A variety of diagnostic procedures with prompt information for the operator.
3. Flat panel detector
 The high-tech FPD flat panel detector converts X-rays directly into electrical signals
for better clarity and sensitivity
 17×17-inch large-sized flat detector, which can completely cover the full belly and full
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 User’s Manual V2.11.1E
chest, allows the shooting without any restrictions.
 Fast direct imaging speed, perfect combination with DFOC acquisition software,
greatly improving system efficiency.
 Amorphous silicon has stable performance and low requirement of environmental
temperature. No irreversible damage caused by crystallization in high-temperature
environment.

4. Powerful image system

 One button setting exposure conditions and acquisition protocol, greatly improving the
patient pass rate and work efficiency.
 Parallel image processing and symphonic multi-channel filtering equalization
technology can shorten imaging time and improve imaging quality.
 Open collection and background curve to meet the personalized diagnostic needs of
different specialized hospitals.
 Rich and complete image processing and measurement system, and provide abundant
clinical diagnostic tools.
 Comprehensive DICOM support and network connection processing functions to meet
the needs of digital expansion of the system.
 Fully comply with the latest DICOM3.0 standards, compatible with
DICOM-WORKLIST, and realize all applications such as patient management/image
management/transmission/display/archive/print/CD burning, etc.
 Provide static and dynamic image output based on WINDOWS format for easy
browsing.

1.3 Daily Preheating Process of X-ray Tube

This process should be entered into when opening the generator for the first time or it is restarted
after a long time out of service for hours. Exposure at medium power should be firstly conducted
in this process before start of exposure at the max. mA or kV, in order to reduce the damage of
anode and high-voltage components. No testing setting is required. Please select the following
technical options at startup in order to acquire the optimal stability and reliability: Large focal,
80 kV and 200 mAs. 1-3 exposures at the interval of 30s.

1.4 Duty Cycle Limit of Generator

Much heat will be generated in the generator and lead to major damage if it is not fully cooled
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 User’s Manual V2.11.1E
between exposures. The generator can send out alextremity when detecting excessive heat relying
on its function of monitoring internal duty cycle.


1.5 Standards and Specifications

GB/T 191—2008 Packaging-pictorial Marking for Handling of

Goods
GB 9706.1—2007 Medical Electrical Equipment
Part 1: General requirements for safety (idt IEC
60601-1)
GB 9706.3—2000 Medical Electrical Equipment
Part 2: Particular requirements for the safety of
high-voltage
generators of diagnostic X-ray generators (idt IEC
60601-2-7)
GB 9706.11—1997 Medical Electrical Equipment
Part 2: Particular requirements for the safety of
X-ray source
assemblies and X-ray tube assemblies for medical
diagnosis
(idt IEC 60601-2-28)
GB 9706.12—1997 Medical Electrical Equipment
Part 1: General requirements for safety 3. Collateral
standard: General requirements for radiation
protection in
diagnostic X-ray equipment (idt IEC 601-1-3)
GB 9706.14—1997 Medical Electrical Equipment
Part 2: Particular requirements for the safety of
associated
equipment requirements of X-ray equipment
(idt IEC 601-2-32)
GB 9706.15—2008 Medical Electrical Equipment
Part 1: General Requirements for Safety 1.
Collateral
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 User’s Manual V2.11.1E
standard: Safety requirements for medical electrical
systems
(idt IEC 60601-1-1)
GB/T 19042.1—2003 Evaluation and Routine Testing in Medical Imaging
departments - Part 3-1: Acceptance tests - Imaging
performance of X-ray equipment for radiographic
and
radioscopic systems (idt IEC 61223-3-1)
YY 0076—1992 Coating Classifications for Metal Product Technical
Conditions
YY/T 0291—2016 Environmental Requirements and Test Methods
for Medical X-ray Equipment
YY/ T1099-2007 Packaging, Transportation and Storage for Medical
X-ray Equipment
GB/T10151-2008 Medical X-ray Equipment - Specification for High
Voltage
Cable Plug and Socket Connections
YY/T 0741-2018 General Specifications for Digital Medical X-ray
Radiography System
YY/T0742-2009 Particular Specifications for Gastrointestinal
Diagnostic X-ray Equipment
YY/T0743-2009 Particular Specifications for Gastrointestinal
Diagnostic Table
YY 0505-2012 Medical Electrical Equipment
part 1-2: General Requirements for Safety- parallel
standards:
electromagnetic compatibility requirements and
tests

1.6 Manufacturer’s Responsibilities

The manufacturers equipment in compliance with safety requirements;moreover,

it provides all necessary information for an appropriate use and warnings about the dangers
associated with X-ray generators.
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 User’s Manual V2.11.1E
The manufacturers does not take any responsibility for:
 The use of the equipment different from the one it was originally desigened for.
 Damages to the equipment, to the operator, to the patient caused by both wrong installation and
maintenance not in conformity with the procedures contained in the equipment's user and
maintenance manuals, and by incorrect operating techniques.
 Mechanical and/or electrical modifications performed during or after installation.
Only authorized personnel can provide technical assistance for the system.
Only authorised personnel may remove the protections of the electrical cabinet and of
the equipment, and access the parts under tension and the moving parts.

1.7 Safety Precautions

1.7.1 General Rules

The purpose of the Manual is guiding certified fluorographer to operate the equipment
safely. As radioactive equipment, this equipment will be operated strictly according to
provisions of the Manual and cannot be used for other purpose except medical radiography.
This equipment can only be used by trained personnel with needed radiation knowledge.
Special attention will be paid on the following matters during using:

1. It is not allowed to use the equipment if it has any electric or mechanical fault.
2. It is not allowed to removes protective circuit or protective device to make the equipment
working under power on.
3. It is not allowed to use the equipment under the environment of moist, inflammable and
explosive.
4. Consent of our Company or maintenance personnel authorized by the Company shall be
obtained from any modification to the equipment.
5. It shall be ensured that replacing components of the equipment will not endanger any
patient or operator; where necessary, maintenance personnel of our company may be
contacted.
6. Improper operation may result in damage to the equipment; hence regular inspection and
maintenance are necessary.
7. The company will be liable for any personal and property losses caused by the equipment,
excluding that due to non-compliance to the Manual or modifying the system without
authorization.

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 User’s Manual V2.11.1E
1.7.2 Electrical Safety

1.Ensure network voltage and current meet requirements of the equipment on power.
2.The equipment shall be put in well-ventilated room without flammable and combustible
gas leakage.
3.Cleaning, disinfection and sterilization shall be conducted when the complete machine
is power off.
4.If the floor where the high voltage generator locates is not made of wood, the generator
shall be put on wood base.
5. Shut off the machine and switch off the power after using.

1.7.3 X-ray Safety Protection

Every time before exposure, it shall be ensured to adopt measures to prevent X-ray and keep in
mind the following matters:
1. Wear X-ray protective clothing and goggles for tableside work;
2. Operate in compartment to the greatest extent to be far away from X-ray source;
3. Low dose exposure to the greatest extent under permitted projection condition.

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 User’s Manual V2.11.1E
1.7.4 The Effective Occupation

Figure 1-2 Effective occupation area

Figure 1-3 Effective occupation area

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 User’s Manual V2.11.1E
1.7.5 Environmental Risks and Treatment

When the equipment is retired, the X-ray tube assembly and transformer oil in high voltage
generator shall be reclaimed by specialized industrial waste and waster oil collection station; while
other steel and cooper materials shall be reclaimed by corresponding department. In particular, the
equipment contains the following materials and/or components:
 “Reducers”: lubricating oil, steel, aluminium
 Motor: iron, copper, hard plastic material casings
 Electric cabinet: iron, aluminium, copper, non-biodegradable plastics, vetronite for
printed circuits.

1.7.6 Retirement of Equipment

The equipment life-cycle is 10 years under the condition of correct using, and the X-ray tube
life-cycle is about 100,000 times, the damaged X-ray tube can be sented to our company for
replacement. If the equipment is damaged and it is beyond repair after correct using for 10 years, the
equipment shall be retired.

1.8 Use Logo Identity

Symbol Description:
Dangerous Ionizing
Radiography
voltage radiation
Small Focal Type-B Protective
spot symbol equipment grounding

Large focal “Speaking” “Listening”

spot symbol device device

Talkback Emergency
Fluoroscopy
conversion stop

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 User’s Manual V2.11.1E
1.8.1 External Label

1. Nameplate of the equipment (see the picture below):

Figure 1-4

2. Nameplate of high voltage generator (see the picture below):

Figure 1-5

3.Nameplate of console (see the picture below):

Figure 1-6

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 User’s Manual V2.11.1E
4.Nameplate of diagnostic table (see the picture below):

Figure 1-7

5.Nameplate of electric collimator (see the picture below):

Figure 1-8
6.Nameplate of X-ray tube(see the picture below):

Figure 1-9

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 User’s Manual V2.11.1E
7. Nameplate of DSI System(see the picture below):

Figure 1-10

8. Nameplate of Flat panel detector(see the picture below):

Figure 1-11

1.8.2 Equipment Nameplate Location

The equipment nameplate location is as shown in Figure1-12

Figure 1-12

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 User’s Manual V2.11.1E
1.9 Transportation and Storage Environment Constraints

1. The product must be fixed in the process of transport measures, prevent wobbling in the
boxcar. Transport by gondola car, it must be cover well with felt cloth. If the product is found
damage, fault or any other problem, please contact with our company and show the following
situations:
a) Product model;
b) Production serial number or date;
c) Purchase date;
d) Specific content of the problem to be contacted, such as the fault condition, the fault
point or damage.
2. Transport and storage
a) Environmental temperature:-20°C～55°C.
b) Relative humidity: ≤90%.
c) Atmospheric pressure: 70kPa～106kPa.
d) Indoor environment without corrosive gas.
e) The packaging box should not be stacked with heavy objects over 30 kg.

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 User’s Manual V2.11.1E

CHAPTER2 TECHNICAL PARAME

2.1 X-ray High Voltage Generator

1.Maximum power： 65.5kW

2.kV range： Radiographic：40～150kV Fluoroscopic：40～125kV
3.mA range： Radiographic：10～800 mA
Fluoroscopic：0.5～10 mA（Continuous fluoroscopy）
5～20 mA（Palsed fluoroscopy）
4.mAs range： 0.1～1000 mAs
5.Time range:： Radiographic：1.0～10000ms Fluoroscopic：0 to 10min

2.2 X-ray Tube Assembly

Attention:
● X-ray tube assembly equipped to this equipment (hereinafter referred to as assembly)
only applies to medical Radiography.
● Pay attention to that load exceeding the stipulated condition is not allowed, because
overload operation may result in damage to tube sleeve and X-ray tube.
● The assembly is equipped with normally-closed temperature switch, which will start
when wall temperature of the assembly reaches 75°C.
● The assembly will generate X-ray while working under high voltage; therefore
attention shall be paid to protect it during operation and adjustment.
● Using the assembly in the environment with inflammable or poisonous gas is not
allowed.
● The operation environment temperature is 10℃～40℃, relative humidity is 30%～
85% and the atmospheric pressure is (70~106)kPa.
● As for transportation and storage environment conditions, the temperature range is
-20℃ ～ 70℃, the relative humidity is 20%~90% and the atmospheric pressure is
(50~106)kPa.
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 User’s Manual V2.11.1E
● Inside the assembly, there’s glass X-ray tube mounted, hence it shall be handled
gently during transportation and installation to avoid damage to X-ray tube.
● As per the national regulations, installation, adjustment and using of the assembly
shall be carried out by personnel with professional qualification certificates.
1. X-ray tube assembly type: E7252X
2. X-ray tube component level: Class I Type B
3. X-ray tube parameters:
Model of X-ray tube: XH-106V
Target construction: Rhenium-tungsten faced molybdenum
The reference axis involved in the target Angle and focus characteristics of the X ray tube: a
straight line perpendicular to the axis line of the X ray tube and passing through the window marker
Anode angle: 12º
Nominal focal spot value: Large focus: 1.2mm Small focus: 0.6mm
Nominal X-ray tube voltage: Fluoroscopic: 125kV Radiographic: 150kV
Nominal anode input power(at 0.1s): Large focus: 75kW Small focus: 27kW
Anode heat content: 210KJ (300kHU)
Filament voltage:
Large focus（5.5A）12.7 ～ 17.1V
Small focus（5.2A）7.0 ～ 9.4V
Filament frequency limits: 0～25 kHz
Permanent filtration: 0.9mm Al/75kV
Anode speed of X-ray tube: 180Hz: Minimum 9700 min-1
Maximum anode heat dissipation: 475W（667HU/s）
4. Stator parameters
Project Starting Running
Driven frequency 180 180
(Hz)
Input power (W) 2300 300
Voltage (V) 460 130
Current (A) 5.4 2.0
Min. Speed Up (s) 1.0 —
Capacitor (μF) 3 3
Min. Braking (s) 1.5/90V(DC)

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 User’s Manual V2.11.1E
5. Resistance between housing and low voltage terminals: 2MΩ（Min）
6. Available additional filter combination (0.4 - 1.5 mm): ≥1.9mm Al/75kV
7. Radiation protection of the assembly shall meet GB9706.12 III. General Requirements on
Radiation Protection of X-ray Diagnosis Equipment of Part I: General Safety Requirements
of Medical Electric Device (idt IEC601-1-3), i.e. 150kV, 3.4mA.
8. X-ray coverage: 345 ×345mm at SID 835 mm
9. Assembly weight (approximate): 18kg
10. High voltage receptacle: To meet the requirements of IEC 60526
11. Cooling medium: transformer oil with temperature≤75℃
12. Cooling method of assembly: Without Air-circulator
13. X-ray tube assembly heat content: 900kJ (1250kHU)
14. Nominal continuous input power (Without Air-circulator): 200W（16HU/min）
15. Emission & filament characteristics as shown in figure 2- 1.

Figure 2-1 Emission & Filament Characteristics

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 User’s Manual V2.11.1E
16. Maximum rating charts as shown in figure 2-2.

Figure2-2 Maximum Rating Charts (three-phase 180Hz）

17. Anode thermal characteristics as show in figure 2-3.

Figure 2-3 Anode thermal characteristics of X-ray tube

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 User’s Manual V2.11.1E
19. Cooling characteristics of the component are shown in figure 2-4.

Figure 2-4 thermal characteristics of X-ray tube assemblies

20. See figure 2-5 for the wiring of the anode plate of the component.

Figure 2-5 wiring of the anode

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 User’s Manual V2.11.1E
21. See figure 2-6 for the overall dimensions of the components.

C ：Common
L ：Large focus
S ：Small focus

Figure 2-6 Outline Drawing

2.3 Diagnostic Table

1.The table body tilt range：+90°～ 0°～ -25°

2.ateral movesment range of tabletop：220 mm
3.Minimum distance between the compressor and the tabletop surface： no more than 150mm
4.Compression force of the compressor：80N～130N
5.Bearing capacity of tabletop：200 kg
6.Tabletop X- ray attenuation equivalent: should be less than 1.2mmAl
7.Longitudinal movesment range of spot film device：1000 mm
8. Lift the X-ray tube:
Manual lifting: increase the SID to 1800mm ± 20mm ,Reduce the SID to 1000mm ± 20mm

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 User’s Manual V2.11.1E
2.4 Technical Characteristics of Collimator

1.Exposure field：
a.shape of irradiation field: rectangle
b.minimum irradiation field: 0×0 (when the blades coincide)
c.maximum radiation field: 430 mm×430 mm (at SID 1000 mm)
2.Visible light irradiation brightness：Average central illumination brightness：>100Lux
3.Lamp：LED，d.c. 3.6V，5W
4.Lighting time：5~45s，5s at each step
5.Filtration：≥1.0mmAl；Additional filter：3.5 mmAl
6.Blade driving mode:Remote button operation and setting closed-loop control, local forward
operation button electric
7.Overall dimension：225mm×262mm×210mm(length×width×height)
8.Weight：about 9.0kg
9.Power supply： DC24V

2.5 Technical Parameters of Flat Panel Detector

1.Plate type： PLD-1417V

2.Tablet parameters：

Active Area： 434 mm × 434 mm

Pixel Array： 3072(H)×3072(V)

Pixel Pitch： 139 μm

Limiting resolution: 3.7lp/mm typ

Energy range: 40 - 150kvp

A / D conversion： 16 bit

Power input： DC 24V

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 User’s Manual V2.11.1E
Quantum detection efficiency:
Radiation Spatial frequency DQE(Horizo
RQA/(including Gy /mm-1 ntal/vertical)
0.5 lp/mm ≥60%
1.0 lp/mm ≥55%
1.5 lp/mm ≥45%
5/2µGy 2.0 lp/mm ≥40%
2.5 lp/mm ≥30%
3.0 lp/mm ≥20%
3.5 lp/mm ≥10%
Frame rate:
≥2fps (1x1binning, 2816x2816, 43cmx43cm FOV)
≥6fps (1x1 binning, 1536x1536, 23cmx23cm FOV)
≥13fps (2x2 binning, 1408x1408, 43cmx43cm FOV)
≥20fps (1x1 binning, 1024x1024, 15.6cmx15.6cm FOV)
≥30fps (2x2 binning, 768x768, 23.7cmx23.7cm FOV)
Modulation transfer function:
1lp/mm ≥60%
2lp/mm ≥30%
3lp/mm ≥30%
3.Components and characteristics

Cooling： Natural air cooling

Power： DC 24V

Size： 460mm (l) × 460mm (w) × 28mm (h)

Weight： 6 Kg

4.environment conditions

temperature： 10℃ ~ 40 ℃

Relative humidity： 30 % ~ 75 % RH

atmospheric pressure： 700~1060hPa

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 User’s Manual V2.11.1E
5.storage conditions

temperature： -20 ℃ ~ 55 ℃

Relative humidity： 10% ~ 90 % RH

atmospheric pressure： 700~1060hPa

2.6 Electrical Output Data

Fluoroscopy:
● Tube voltage: 40kV～125kV, continuous adjustment
● Tube current: 0.5mA-10mA (continuous fluoroscopy)
5mA～20mA（palsed fluoroscopy）
Maximum power output: 80kV×10mA=0.8 kW (continuous fluoroscopy)
Continuous X-ray tube maximum voltage: 125kV
Corresponding maximum tube current: 6.3mA
Continuous X-ray tube current: 10mA
Corresponding maximum tube voltage: 80kV
Maximum power output: 125kV×20mA=2.5kW (palsed fluoroscopy)
palsed fluoroscopy X-ray tube maximum voltage： 125kV
Corresponding maximum tube current： 20mA
palsed fluoroscopy X-ray tube maximum current: 20mA
Corresponding maximum tube voltage: 125kV
Radiography:
● Tube voltage: 40kV ~ 150kV, continuously adjust
● Tube current: 10mA ~ 800mA, each value is: (selected by R '10 coefficient value)
● Exposure time: 0.001s-10s. The value of each step is: (selected by R '10 coefficient value)
● Nominal X-ray tube voltage: 150kV corresponding maximum tube current: 400mA
● Nominal X-ray tube current: 800mA Corresponding maximum tube voltage: 79kV
● Maximum output power: 104kV× 630mA=65.5kW (104kV, 630mA)
● Nominal electric power: 100kV× 630mA=63kW (100kV、630mA、0.1s)
●Technical parameters of automatic exposure control:
Automatic exposure control shortest irradiation time: 1ms
Minimum irradiation conditions for automatic exposure control:
Nominal X-ray tube voltage: 150kV corresponding maximum tube current: 400mA
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 User’s Manual V2.11.1E
Nominal X-ray tube current: 800mA corresponding maximum tube voltage: 79kV

2.7 Combination of Diagnostic Table Loading Factors

Focus mA kV S

10、12.5、16、20、
150 10
25、32

150 6.3
40
149 10
150 6.3
50
Small focus 129 10
150 3.2
63
99 10
150 0.25
80
79 10
150 0.01
100
49 10
150 3.2
125
139 8
150 1.6
160
119 6.3
150 0.63
200
79 5
150 0.16
250
Large focus 69 4
150 0.4
320
59 3.2
150 0.25
400
59 2.5
130 0.25
500
49 2
630 104 0.125

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 User’s Manual V2.11.1E
49 1
79 0.32
800
70 0.32

2.8 Earth Leakage Current

Normal status:≤5mA；Single failure status: ≤10mA

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 User’s Manual V2.11.1E

CHAPTER3 PRE-INSTALLATION

3.1 The Room Requirements and Layouts

1. Machine Room Requirements
a）The area of the X-ray room shall not be less than 20m2;
b ） The control room covers an area of 5000×2500mm, which should be connected to the
machine room, and the observation window should be equipped with lead glass;
c）The height of the machine room with a clearance of at least 2905mm；
d）Door of the machine room, 1500mm wide and 2300mm high；
e）The diagnostic table should be fixed on the ground directly, based on the foundation should
be level and can carry 1500 kg load；

The foundation shall adopt cement with grade no less than 400" and casting
thickness no less than 200mm.

f) Cable trench and cable trench cover shall be installed flush with the ground;
g) Room should be equipped with special grounding line, grounding resistance is not greater
than 4 Ω;
h)The X-ray protection ability of the machine room shall meet the requirements of national
regulations.

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 User’s Manual V2.11.1E
2. Layout of Machine Room

Figure 3-1 machine room layout

3.2 Electrical Regulations

1. Power condition:
a) Power supply voltage: a.c.380V, 50/60Hz;
b) The power resistance should be no greater than 0.17 Ω;
c) Power supply capacity shall not be less than 105 kVA.
2. The power distribution box shall be equipped with a three-phase air switch with rated voltage of
500V and rated current of 130A as the disconnection switch with the power supply network. The
power distribution box shall be firmly fixed on the wall with a floor level of not less than 1.5m
away from the room, and a power source with a power capacity of not less than 105kVA and an
independent ground wire (not more than 4 Ω).

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 User’s Manual V2.11.1E
3.3 Environmental Conditions

Ambient temperature: 10℃～40℃

Relative humidity: 30%～75%
Atmospheric pressure: 70kPa～106kPa

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 User’s Manual V2.11.1E

CHAPTER4 INSTALLATION OF THE EQUIPMENT

4.1 Overview
The equipment must be installed and adjusted by professional personnel of our Company or
authorized by our Company.
Before opening the packing case, it shall be stored in the rain-proof and dust-free environment;
and board of box shall be opened reasonably while opening the case. While handling the parts,
attention shall be paid to avoid scratching parts surface; check according to the packing list after
opening the case and installation shall only be conducted after confirming the machine is defect and
omission; any problem shall be informed to the Company for us to dispose in time.

4.2 Installation of the Diagnostic Table

4.2.1 Diagnostic Table Base Positioning

Figure 4-1 The installation of the base

1.According to the figure 4-1, the diagnostic table installation position is measured, the
table is placed well, the diagnostic table is fixed on the ground base directly, the base level can
bear the load of 1500Kg, the cement mark of the foundation is not less than 400, and the
pouring thickness is not less than 200mm.
2．The table base according to the requirements put good, as shown with percussion drill in
the bolt hole on the ground dozen Ø 14 deep 60 mm hole
3.Fix the base with four M10×100mm expansion bolts.

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 User’s Manual V2.11.1E
4.2.2 Installation of the Tube-Collimator Combination

1) Install the diagnostic table, high voltage generator and console panel according to the
layout requirements of the machine room, and connect the wiring according to the circuit
diagram.
2) Put through power supply, the table body tilt to 90 °, with X-ray tube column.
3) Installation of the Tube-Collimator combination

1-tube cross arm 2-Hexagon socket head screw M10X25

3-Hexagon socket head screw M6x25 4-tube connection plate 5-Collimator
6-cross recessed countersunk head screw M6x25 7-Subplate of collimator
8-X ray tube housing mounting plate 9-Hexagon socket head screw M6X20
10-fixed collar Connection plate 11-X-ray tube assembly 12-fixed collar assembly
13-Hexagon socket head screw M5x20 14-Hexagon socket head screw M4X10
15-fan 16-X-ray tube housing 17-Hexagon socket head screw M4×15
Figure 4-2 The installation diagram of the tube-collimator combination
1. Fixed the fixed collar assembly on the tube with four Hexagon socket head screw
M5x20,then fixed the fixed collar connection plate on the fixed collar assembly with four
hexagon socket head screw M6X20,fixed the tube connection plate on the fixed collar
connection plate with four hexagon socket head screw M6X25;
2. Nsert the tube connection plate into the mounting hole of the cross arm of the tube, and fix it
with three M10x25 inner hexagon screws. Pay attention to the direction of installing the tube

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 User’s Manual V2.11.1E
(the direction shown in the figure, with the cathode facing up;
3. Stack the subplate of collimator, tube mounting plate and connecting plate together, and
connect to the tube with cross recessed countersunk head screw M6x25;
4. After the collimator adapting piece is installed,back-out thecollimator with Hexagon socket
head screwM5×40,not fall off..Install collimator ,rotate the collimator，align the notch with the
notch of the connecting plate, then rotate the collimator to the appropriate position and tighten
the M5x40 socket hex screw;
5. Install the fan on the tube housing and secure the fan to the tube housing using four m4x10 hex
socket screws;
6. Install the outer cover of the tube, insert the T-shaped slot of the outer cover into the notch of
the mounting plate of the tube, and connect the outer cover of the tube with the transverse arm
of the tube by using two inner hexagon screws M4x15.

4.2.3 Installation of the Flat Panel Dectetor

1-film holder 2-spout 3-spout support plate 4-hexagon socket cap screws M4×16
5-cross recess pan head screw M5×8 6-Ionization chamber 7-grid
8-Dynamic flat panel detector 9-flat baffle 10-cross recess pan head screw M4×8
11-Protection of lead 12-Flat mounting plate 13-hexagon socket cap screws M5×12
14-film holder front cover 15-cross recess pan head screw M4x12
Figure 4-3 The installation diagram of the Flat panel dectetor

30
 User’s Manual V2.11.1E
1. Fixed the spout support plate (part 3 ) on both sides of the film holder(part 1 ) with six
cross recess pan head screws M5×12;
2. Installation of the Ionization chamber:put the Ionization chamber (part 6 )on spout
support plate(part 3 ),press the ionization chamber with spout (part 2) on both sides
respectively,fixed the spout and spout support plate with six hexagon socket cap screws
M4×16;
3. Installation of the flat panel detector: put the dynamic flat panel detector (part 8) on flat
mounting plate (part 12),put flat gasket and spring washer ,and connect with four
cross recess pan head screws M4×8(part 10),Secure the plate mounting plate to the plate box
(part 1) with six hexagon socket screws M5x12 (piece 13), flat washers, and spring washers.
Ensure that the screws are consistent with the center line of the tube;
1.Flat baffle installation:First, stick the protective lead (part 11) on the plate baffle plate with
AB adhesive, and then install the plate baffle plate (part 10) on the plate box (part 1) with the
cross recut pan head screw (part 10), flat washer and spring washer;
4. Installation of front cover sealing plate of film holder: fix the front cover sealing plate of plate
box (part 14) on the film holder (part 1) with M4x12 cross-recessed countersunk head screws
(part 15);
5. Installation of grid:Insert the grid (part 8) into the left and right chutes in the film holder, and
the assembly is completed.

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 User’s Manual V2.11.1E
4.3 Equipment Cable Connection

4.3.1 Power Cables and Protective Grounding Wires

1. Total power cable D:

High voltage generator Main power cable D Wall brake

Terminal X1 XJZ10.04 Terminal
U L1
V L2
W —— —— L3
N N

2.Diagnostic Table Cable A:

Diagnostic Table Diagnostic Table Cable A High voltage generator

PCB20.20 XJZ20.01 X2 Terminal
F1-3 A U
F1-2 B V
F1-1 C W
J22-1/2 N N

3.Console Panel Power Cable:

Console Console Panel Power Cable Diagnostic Table

PCB60.32 XJZ20.10 PCB20.20
J1-1 2125 J33-7
J1-2 2124 J33-8

4.Grounding Wires： BRV 4mm2,yellow-green line，length is 8 m,connect from the console

ground point to the ground point of the diagnostic table base electrical mounting plate
5.Other protective earthing wires: console protective earthing wire with a length of 5m is
connected from the console base protective earthing terminal to the independent protective
earthing wire of the wall gate; Detector protective ground wire, length of 5m, connected
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 User’s Manual V2.11.1E
from the protective ground terminal of the diagnostic table base to the protective ground of
the plate detector; The x-ray tube protective earthing wire is 12m in length, which is
connected by the protective earthing terminal of the high voltage generator tank to the
protective earthing point E of the x-ray tube.

Protective earthing line to ensure the safety of equipment and staff, the
user must provide independent meet the national standards for this
equipment is the protection of the ground line, the earthing resistance
must not be greater than 4 Ω.

Wall gate wiring, must ensure that the switch is in the open state, unless
the installation wiring has been completed, otherwise do not allow
closing.

4.3.2 High Voltage Generator Cable Connection

1.CAN BUS Communication Cable:

Interface board CAN BUS Communication Cable CAN-USB converter

Plug XJZ10.80 Plug
PT4 —— —— CAN1

2.USB Cable:

Computer CAN-USB converter

USB Cable
Plug Plug
USB —— USB

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 User’s Manual V2.11.1E
3.Generator Control Cable O:

Control box Generator Control Cable O HV Generator

PCB20.18 XJZ50.04 Terminal
2885 X3-4
2553 X3-5
2883 X3-6
2870 X3-10
J7 2872 X3-11
2869 X3-28
2871 X3-29
2875 X3-30
2873 X3-31

4. Stator cable B:

High voltage generator Stator cable B X-ray tube of diagnostic table

PD3 Terminal XJZ10.51 Terminal
1 1 1
2 3 2
3 2 3
5 4 5
6 5 6
—— —— FG

5. High Voltage Cable:

High Voltage Generator X-ray Tube

High Voltage Cable
Interface Interface

-CATHODE- CATHODE -CATHODE-

+ANODE+ ANODE +ANODE+

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 User’s Manual V2.11.1E
High voltage cable bending should not be less than 10 times of its diameter,
as far as possible to avoid bending. Excessive bending will cause high
voltage cable breakdown, endangering the safety of equipment and
personnel.

4.3.3 Diagnostic Table Cable Connection

1.Collimator Power Cable A：

Diagnostic Table Collimator Power Cable A Collimator

PCB20.20 XJZ10.42 plug
J26-1 2502
2P Aviation Socket
J26-2 2511

2.Collimator Communication Composise Cable F:

Diagnostic Table Collimator Communication Collimator

Composise Cable F
PCB20.20 plug
XJZ10.46
J10 —— —— 6P Aviation Socket

3.Diagnostic Table Control and Communication Composise Cable B：

Diagnostic Table Diagnostic Table Control and Communication Control Box

(PCB20.20) Composise Cable B (PCB20.18)
plug XJZ20.24 plug
J11 —— —— J2

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 User’s Manual V2.11.1E
4.Machine Room Speaker Cable :
Intercom System Machine Room Speaker cable Speaker
PCB40.02 XJZ40.23 plug
J4 —— —— +/-

5.Machine Room Microphone cable:

Intercom System Machine Room Microphone Diagnostic Table
PCB40.02 cableXJZ40.24 plug
J3 —— —— X6

6.Console Panel Speaker cable:

Intercom System Console Panel Speaker cable Speaker
PCB40.02 XJZ40.22 plug
J5 —— —— +/-

7.Generator Emergency Stop Cable J:

Diagnostic Table Generator Emergency Stop Cable J High voltage generator
PCB20.20 XJZ50.54 plug
J13-1 2595 PP8B-2
J13-2 2596 PP8B-3

4.3.4 Cable Connection of Image System

1.Gigabit Ethernet cable G:

Detector Gigabit Ethernet Cable G Computer
plug XJZ30.37 plug
Internet —— —— LAN

2.Serial Port Cable:

Computer Serial Port Cable Contorl Box
plug DRA80.24 plug
COM —— —— DB9/M

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 User’s Manual V2.11.1E
3.Generator Control Cable O:
Generator Generator Control Cable O Control Box
plug DRA80.25 plug
X3-1 3852
X3-7 3850
X3-8 3851
DB37/F
X3-9 3001
X3-26 3854
X3-27 3855

4.Detector SYNC Cable A:

Detector Detector SYNC Cable A Control Box
plug DRA80.20 plug
DB15/M —— —— DB37/M

5.Ground Cable D:
Detector Diagnostic Table
Ground Cable D
XJZ40.04

6.Detector Power Cable A:

Switching Power Supply Detector Power Cable A Detector
plug DRA80.21 plug
+24V 3004
POWER
GND 3001

7.Detector Exposure Control Cable A：

Control Box
Control Box Detector Exposure Control Cable A
(PCB20.18)
KZT70.41
plug plug
—— —— J7
DB9/F
J9

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 User’s Manual V2.11.1E
4.4 Final Verification

The base of the diagnostic table is fixed, the X-ray tube Collimator is installed in the center,
the image intensifier is fixed, the image intensifier TV system is installed accurately, and the cable
connection of the equipment is confirmed to be accurate.

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 User’s Manual V2.11.1E

CHAPTER5 CALIBRATION OF THE EQUIPMENT

5.1 Debugging of Diagnostic Table

Figure 5-1 Symbols of buttons and handles in debugging

Description：
1：Manual and automatic switch button of the collimator
2：compressor tracking button
3：Table negative Angle button
4：tilt down button
5：tilt up button
6：column up button
7：column down button
8、9：Subfunction switch button(Only used in debug mode)

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 User’s Manual V2.11.1E
1.Debugging Need to Know

Limit Debugging
Enter working state,cover the corresponding optocoupler with a visor or hold the
corresponding stroke switch limit by hand ,at the same time, check whether the corresponding LED
lamp on the PCB board is on or off normally(General cover limit or press the travel switch limit
corresponding to the LED off, release the visor or release the hand LED light ).Be sure to ensure
that each limit is working properly before the next step of debugging.

Motor Direction Debugging

On the basis of the completion of limit debugging, the direction of each motor is debugged:
Enter the debugging state,debug the direction of up and down motor,column moving
motor,SID motor ,tabletop transverse motor,compressor motor,Rotary foot pedal
motor(optional),ensure that the motor direction are accurate,If the direction of the motor is opposite,
replace the two wiring of the motor. The common end drive line of the compressor is unchanged.

Potentiometer Debugging
During debugging, the potentiometer is released from the gear;The AD value increases when
the table up,The AD value decreases when the table down.The AD value increases when the
column up,The AD value decreases when the column down.The potentiometer AD value can be
measured with a multimeter,The voltage of 4%~96% VCC is normal or the range of 32~990
displayed on the control panel is normal. If the range is beyond this, the potentiometer is abnormal
and the parameters cannot be saved. In normal mode, the corresponding error code of the
potentiometer is displayed.

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 User’s Manual V2.11.1E
2.Enter debugging state

Ensure the emergency stop switch is unscrewed,press button on control box,then press

button to starting up the machine,If there is no error, the digital tube shows C01, indicating

that the debugging function has been entered,press button switch between C01 and C19.If
there are sub-functions in the main function, the operation handle will switch back to the
sub-function switch key, and the sub-function code will be switched from 01 to 99 (according to the
actual need) .
The description of main function code and sub-function code is shown in Table 2:
Table 2
Main function code sub-function code function button description of function button
table down

table up

01 table 90° The current AD

value is saved
C01 02 table 0° The current AD value
is saved
03 table negative protection The
current AD value is saved
04 table -15° The current AD
value is saved
SID decrease

SID increase
C02
01 Max SID,AD value is saved

02 Min SID,AD value is saved

Column down

Column up
C04
01 Save the maximum AD value
when the column up
02 Save the minimum AD value

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 User’s Manual V2.11.1E
when the column down

03 Column protection AD value

save
Enter the show

Tabletop movesment direction

set value switch plus
Tabletop movesment direction
set value switch minus
C06
Tabletop ingression

Tabletop relocation

01 Save the set value of tabletop

movesment directioN
C07 Compressor down

Compressor up

C08 Pedal reversal

Pedal corotation

Subfunction Enter the show

switch button
Mosaic image overlap width
C09 increased
Mosaic image overlap width
decreased
01 Mosaic image overlap width
saved
C10 Start aging action
Stop aging action
C19 Subfunction Enter the show
switch button

Table size switch plus

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 User’s Manual V2.11.1E
Table size switch minus

01 Save the table size

5.1.1 Diagnostic Table Tilt Up and Down Debugging

Note:before the table tilt up and down debugging,make sure the emergency stop works
properly.In the debugging state, the table has no automatic function. When the table rotates,
be sure to moves the column to the middle position to prevent collision during the table
movesment.
1.Table up and down travel limit debugging:The photoelectric coupler is used as the limit
protection device for thetable, and the potentiometer is used as the limit device. It is installed on the
optical coupling control in the base assembly, as shown in Figure 5-2.

1/ 2-Limit at both ends of table 3-Lift potentiometer

Figure 5-2 Tilt Up and Down limit installation mechanism

At debugging mode “C01”,first,insert a block of suitable size into the infrared transmission
slot of the photoelectric coupler in the direction of +90° from the table, and then check whether the
LED4 light on the corresponding PCB is off. When removesd, LED4 light on the PCB is on, if it is
normal, otherwise check the corresponding line and the corresponding photoelectric coupler until
normal. Similarly, the -25° photoelectric coupling of the table was tested. Check the LED1 on the
PCB, and finally confirm that the visor is installed.

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 User’s Manual V2.11.1E

2.Action debugging :The handle of the control box on the control console moves to
LED14, LED17 bright,LED16 off,table down , The handle of the control box on the control console

moves to ,LED14 、 LED16 bright,LED17 off, table up.Make sure that the table is in the
horizontal state, and the starting and reversing direction is the same as the direction indicated by the
control box mask, then the table's starting and reversing direction is correct. If it is opposite, adjust
the motor input drive line, adjust any two motor drive lines marked 2401, 2402 and 2403 to make
the motor reverse phase.

3.Table up and down travel limit debugging:The table is inverted using potentiometer as a limiting
device,as shown in Figure 5-2. The potentiometer must be released from gear before
debugging. Make sure the potentiometer is installed after adjustment.

table up and down AD value debugging

Control box on the operation console operating handle backwards respectively subfunction
switch key switch "01", "02", "03", "04" .First , the table inverted angle to 37.5°, the table inverted
potentiometer value adjustment is about 2.5V or view the console control box display "512", install

the potentiometer. Switch to "01", the table turns to 90°, press the button to save the

corresponding current AD value; Switch to "02", adjust the table to 0° level, press the button

to save the corresponding current AD value; Switch to "04", set the table to -25°, press the
button to save the corresponding current AD value; Switch to the negative protection position

(about -7°) of table 03, and press the button to save the corresponding current AD value.

After the completion of debugging, the test of the inverted function should be carried out:
special attention, before testing the inverted action, first confirm that the inverted emergency
stop can work normally.In the debugging state, there is no automatic function. When the
table rotates, pay attention to prevent collision during the table movesment.

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 User’s Manual V2.11.1E

The handle of the control box on the control console moves to or, or press the

table up and down button on the near panel or ,control the table up and down, clockwise
can reach +90°, rotating to the limit or let go immediately stop; Counterclockwise direction can
reach -25°, limit or release immediately stop, if from above the level of counterclockwise rotation,
to the level will stop, to continue to the negative angle of the table , there are two operations : One
is controlled by the control box, the other is controlled by the buttons on the near control
board. When operating through the control box, it is necessary to release the operation handle first,

then press and hold the table negative angle function button on the control box, again operate

the operation handle on the control box to reverse , the table movess to negative angle, release

the button or operation handle, or the table reaches the negative angle limit, the table negative

angle motion stops. When using the near control board, be sure to release the operation button

first, press the near control board button again, the table movess to the negative angle, release

the button or the table to the negative angle limit, the negative angle table movesment stops. If
the tablestarts to rotate clockwise at a negative angle and stops when it is horizontal, if you want to
continue to moves to +90°, you must release the operation button or handle first, and then start the
movesment operation, you can continue to rotate to +90°, release the operation button or handle or
to +90° limit, and the tablestarts to stop.
Finally, adjust the position of the photoelectric coupler of each angle of the table to meet the
needs of the table rotation angle.

5.1.2 Debugging of Longitudinal movesment of X-ray Tube Column

1.Debugging of the travel limit of the x-ray tube column：The longitudinal movesment of the
tube column uses a travel switch as a limit protection device,As a limiting device, the potentiometer
is installed on the travel switch and potentiometer in the table assembly, as shown in Figure 5-3,
5-4 .
In the debugging mode "C04", hold the tube column down travel switch limit, and then check
whether the corresponding LED6 light on the PCB is off. When you release the hand, LED6 light
on the PCB is on. If yes, it is normal; otherwise, check the corresponding line and the
corresponding travel switch until normal. Similarly, test the limit of the column upward travel

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 User’s Manual V2.11.1E
switch and check LED8 lamp.

1-Upper limit of column 2-Lower limit of column

Figure 5-3 Sliding Limit of Vertical Column
2. Debugging of column direction:Under the debugging mode "C04", the operation handle of

the control box on the operation console moves to , LED15 and LED17 are on, LED16 is off,

the column movess down, the operation handle moves to , LED15 and LED16 are on, LED17
is off, the column movess up. If the tube column movess in the opposite direction, it is necessary to
adjust any two input drive lines of the motor, and confirm that the limit collision block is installed.
3. Tube column moving potentiometer debugging

1-Tube-column potentiometer
Figure 5-4 Tube-column longitudinal shift potentiometer
Before the potentiometer is debuged, loosen and disengage the gear; Install it after debugging.
After the debugging of limit and motor direction is completed, switch "01", "02" and "03"
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 User’s Manual V2.11.1E
respectively by the reverse sub-function switch key of the control box operation handle on the
operation control. moves the tube column to the middle position of the table, adjust the tube column
moving potentiometer voltage to 2.5V or view the console display "512", install the

potentiometer . The handle of the control box on the control console moves to ,the column
up,AD value increase.When the column stops moving to the upper limit, switch to 01 and press the

button on the control box, save the maximum AD value of the tube column.The handle of the

control box on the control console moves to ,the column down,AD value decrease,when

moving to the lower limit, the column stops moving. Switch to 02 and press the button on the
control box , save the minimum AD value of the tube column.The handle of the control box on the

control console moves to ,moves the column down to the lower limit and press the
button on the control box to switch,enter"C01”,The handle of the control box on the control console

moves to ,swing the table to a negative angle,press the button on the control box to

switch,return “C04”,The handle of the control box on the control console moves to ,moves the
column up slowly until the column housing is close to the ground. Switch to 03 and press the

button on the control box to save the column protection AD value.

After the debugging is completed, the longitudinal movesment function of the tube column
should be tested:

Keep the table level, then operate the handle to reverse or , or press the column moves

button or on the near control panel to control the movesment of the column of the tube.
When the column of the tube is pressed to the limit of the travel switch, the column of the tube
should stop moving immediately, and the limit will be effective. Control the operation handle or
press the column moving button on the near control panel, you can control the movesment of the
tube rack, release the handle or release the button to stop immediately, the column moving stroke is
970 ㎜, 0 ㎜, that is, the column moving total stroke is 970 ㎜.
Finally, adjust the limit stroke switch of column movesment to meet the need of longitudinal
stroke of column movesment of tube.

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5.1.3 Lateral Movesment Debugging of the Tabletop

Tabletop inward and outward direction debugging:Under the debugging state "C06", the

operation handle moves to , LED45 is on, LED44 is off, and the tabletop movess

inwards; The operating handle moves to , LED44 is on, LED45 is off, the tabletop movess
outward; If the opposite, to adjust the motor input drive line, the replacement of the tabletop can
moves two motor drive line.
The reverse subfunction switch key of the control box operation handle on the operation
console is switched to "01". At this time, the first value of the third nix tube is the set value of
thetabletop movesment direction, and the second value is the saved set value of the tabletop

movesment direction. The operation handle moves to or ,The set value of tabletop
movesment direction can be selected. "1" is the actual direction of tabletop movesment
direction. "0" is set as the image direction for the inward and outward motion of the tabletop .

press button save the set value, save the rear swing arm angle digital tube update display
saved value.
Finally, the position of the tabletop moving photoelectric coupler is adjusted to meet the needs
of the tabletop inward and outward the shift stroke.

5.1.4 Debugging of the Advance and Backward Movesment of the Compressor

1.Compressor travel limit debugging:A travel switch is used to limit the up and down of the
compressor, and is installed in the assembly of the compressor, as shown in Figure 5-5
In the debugging mode "C07", press the ascending stroke switch by hand, LED5 off, let go of

light, the limit is normal. The operate handle upside down , LED49 bright, LED48 off, the
compressor up.Pressing the upper limit switch by hand will not continue to rise,it is normal.The

operate handle upside down ,LED48 bright, LED49 off,the compressor down.it is
normal.When the compressor reaches the limit of the travel switch, it should be able to stop the
movesment. Confirm that the limit block is installed.
2.Debugging of the motion direction of the compressor:Under normal conditions, the handle of

the control box on the operation console moves to , the compressor is down, moves to

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the compressor is up. If the reverse should be done, the input drive line of the compressor
motor should be adjusted, and the non-common two motor drive lines of 2407, 2408 and 2409 at
the lower end of the terminal block can be reversed to make the compressor motor.

1-The compressor movess up the limit 2-The compressor movessdown the limit
Figure 5-5 Compressor Stroke Switch
Finally, adjust the position of the limit stroke switch of the compressor to meet the needs of the
advance and retreat stroke of the compressor.

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5.1.5 Debugging of tube lifting

SID limit Debugging:The travel limit of the tube uses a travel switch as the limiting device, as
shown in Figure 5-6.

1-The tube moves down the limit 2-The tube moves up the limit
Figure 5-6 The limit of tube lifting
First,switch SW2 2, 4 to the ON side that on PCB20.20 B5.

Under the debugging state "C02", keep the table 90°, the operation handle movess to ,

LED46 is on, LED47 is off, the tube rises; The operating handle moves to , LED47 is on,
LED46 is off, and the tube drops. Press the corresponding travel switch by hand, if the tube stops
moving immediately, then the travel switch limit is normal, otherwise, check the corresponding line
and the corresponding limit switch.
Finally, adjust the position of the tube lift limit switch to meet the needs of SID.

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5.1.6 Debugging of Pedal Rotation

The rotating pedal uses a DC motor,under the debugging state "C08", the operation handle

moves to ,LED42 on, LED43 off, and the pedal is turning forward; The operating handle

moves to ,to LED43 on and LED42 off, and the pedal is reversed. If the direction is opposite,
replace the two motor drive lines 2415 and 2416 at the lower end of the terminal block.

5.1.7 Mosaic Image Overlap Width Setting

In the mode of "C09", the handle is inverted to the subfunction switch key to enter the
subfunction. At this time, SID nix tube will display the setting value of overlap width of mosaic
image, and the third nix tube will display the saving value of overlap width of mosaic

image. Operate the handle moves to or ,select the desired set value of the overlap

width of the mosaic image, and the set value ranges from 2 to 15; Press button save set value,
save after the pendulum third digital tube update display saved value.

5.1.8 Table Type Setting

In "C19" mode, the operation handle is reversed to the subfunction switch key to enter the
subfunction, SID nixie tube shows the set value of table type, and the third nixie tube shows the

saved value of table type. The operation handle moves to or , select the current actual

table type set value, the table type of the equipment should be set to "20F"; Press to save the
set table type, after saving the third digital tube update display saved value.

5.1.9 Aging Test

When all debugging work is complete and the test is normal in normal mode, machine aging

tests can be performed if necessary. Enter the debugging mode "C10" and press start aging
test. At this time, the second nixie tube displays the value of aging step, and the third nixie tube

displays the value of aging waiting time; During the aging process, press again to exit the
aging test and return to the debugging mode.

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5.2 Image Acquisition Workstation Software Installation

5.2.1 DFOC Software Installation

For the official version, user needs to start the installation from the CD-ROM, if it isn’t
automatically start, double click “DFOC_XXXX.exe”; for the demo version, mostly the user will
get an installation package, and then just double click “DFOC_XXXX _DEMO.exe”.
Double click to start the installation, the following steps will display:

Select language
If it is to upgrade the software, there would pop up the following interface:

Uninstall option

Uninstall Existing Version

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Select folder

Confirm installation

Installation process

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Install the granddog driver. (For official version only)

Start installation

Finish installation
After successful installation, there would display the following interface:

.
Finish installation
After the installation steps above, the program will create shortcut of “DRConsole.exe” and
“DRDongle.exe”. User can double click the “DRConsole.exe” to start the program, or double click
the “DRDongle.exe” to register the software.
[Warning] if the official version is unregistered, the program will show message in Figure 2.8,
then the program will automatically shut down

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Unauthorized messages

5.2.2 Software Registration

The official version of the software will come with a USB hardware dongle. After software
installation; the user inserts the dongle into the computer's USB port to run dongle "111". Click the

" " button. If the dongle driver is installed correctly and the USB dongle has been
successfully identified by the computer, the dongle serial number and authorization information
will appear simultaneously.

If no list of authorization information appears, check to see if the USB dongle driver was
installed successfully or if the USB dongle has been read in the computer device manager.

5.3 Operating Instructions for Image Acquisition System

1) Login
The program will validate the user before entering the system. Input the User ID and Password.

(Default User ID / Password: admin/admin). User can also click the keyboard button to
start or close the vitual keyboard.
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Login
Enter the correct User ID and Password in the Login interface and click “OK” button, then

software would enter the loading interface and if you don’t want to enter the system click the “ ”
button. (If you don’t know the password, please consult your system administrator). The User ID,
Password and permissions are assigned by system administrator.
[Note] When you enter the password, the system will does not display the relevant character
information. Password case sensitive. If you need to change your password, please refer to the
system management settings.
After logging in, the main interface of the workstation software (the Register interface), as
follows:

2) Logout

Click “ ” button, pop up the confirmation box:

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Enter the password, click the “OK” button to exit the console software (the images would be

saved automatically); click the “ ” button to cancel exit and return to the software interface.
3) Devices validating and configuration
After successful login, the system will start to load drivers of devices and validate the device
initialized successes or failed. There are some stages of loading the drivers: loading drivers for the
generator and drivers for the detector or other drivers.

If failed to initialize the device, then click “ ” button in the upper right corner of the
interface and change the configurations.

[Note]For detailed instructions on the use of the configuration tool, please refer to the
Configuration Manual.

Study Management

This section mainly manages the patient information, including work list, registration and
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study list.

1) Work list

The work list displays the list of patient that need to acquiring image. It can query patient data
from RIS or registration station follow DICOM 3.0. The configuration of worklist will be
introduced in Configuration manual.

Work list

Search Items:

1. Patient ID: user need to input the patient’s id in the textbox, and define the correct date
time.
2. Accession: user need to input the patient’s accession in the textbox, and define the
correct date time.
3. Name: user need to input the patient’s name in the textbox, and define the correct date
time.
4. Today: query the patients’ data in today.
5. Two days: query the patients’ data in two days.
6. Three days: query the patients’ data in three days.
7. One week: query the patients’ data in a week.
8. Custom: query the patients’ data in user defined period. Once the condition set down,
the work list will query data frequently, it can also refresh immediately after the button
“Refresh” clicked.

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Register new Patient:

Input the patient data and register a new patient for study.

Delete:
Delete current selected patient.

Begin to study:
Begin to acquiring image of current patient.

Emergency:
Register a patient in emergency with auto generated information.
2) Registration

Registration
The register is used to record information of a new patient. User can select study protocols
through protocol or Item mode.
Accession*: input the accession number of patient. It will be automatically generated and
usually suggest user don’t change it. It must unique in the system.
PatientID*: input the ID of a patient. It will be automatically generated and usually suggest

user don’t change it. Input PatientID and click , system will automatically fill the patient’s
information in the text box.

IDCardNO*: input the CardNO of a patient. Input CardNO or click , system will
automatically fill the patient’s information in the text box, the premise is that the computer is

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connected to the ID card recognizer.

Name: input the name of a patient.

Gender: select gender of a patient. (Male, Female, Other (unknown)) Age: input age of a
patient at the age unit of year, month or day.
Height(cm): input height of a patient. Weight(kg): input weight of a patient. Birthday: select
birthday of a patient. Description: input more comments of a patient.
[Note]The items with “*” means this item must be filled. If not, there will be a warning
message:

Study Bodypart：Select the oval gray button on the body as needed, and click the button, andthe
gray turns green to indicate that the site is selected. The list on the right has a corresponding check
position.
Study Protocols and Items:

Click button => Study Protocols interface

Double-click or click the button after

checking the name of the agreement you want in the
protocol bar,
The Protocol appears in the selected Protocol Tube
stand.

Double-click or click the button after selecting

an agreement name in the selected agreement bar and the
agreement name is removed from the selected Tube stand.

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Click button => Study Protocols interface

Click button
Switching Rad/
Fluoroscopy.

Double-click or click the button after

checking the desired item name in the item bar and the
item will appear in the selected item bar.

Double-click or click the button after selecting

an item name in the selected item bar, and the item name is
removed from the selected Tube stand.
3) Study list

Study list
It is used to query the information of the patients that finished the study. Same with the work
list, the result can be displayed under different condition.

Click the button to enter the Studylist interface, where you can query the
specified patient information and related photographic image records.

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a) List Information：

Click button , The list includes patient information that has been examined:
patient number, name, gender, age, height, weight, date of birth, check number, check
site, description, number of images, archive identification, printed identification, etc.
These lists can be configured for display and according to hospital requirements for
easy display.

b) Information search：
Study management provides the ability to search on a certain basis. Enter the conditions

thatneed to be retrieved, only click button .

The search conditions include the registration time range of the patient to be examined, the
patient number, examination number, name query. Registration time ranges can be quickly
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selected via buttons, including "Today," "Two Days," "Three Days," "One Week and Custom"
ranges. After the retrieval criteria are selected, click the "Confirm" button to check and place
eligible patients for examination in the list.

[Note] If the patient number, the study number, the patient name is empty, indicates any
condition.
c) Delete records：

Select a checked patient in the list to be examined, click the button and the software

will pop up the delete confirmation box.

If you confirm that delete the patient record have selected, click OK, otherwise Cancel.
d) Browse images：
Select a patient in the study list and double-click it to enter the image browsing interface.
e) Re Examine：

Click button enter the image acquisition interface, you can add a study protocol or

item to restart the examine.

f) Image archiving and burning：

Burning: Select one or more records and click the button to start the disc

burning operation, see chapter 8.2.

Archiving: Upload images to the network. Click the button to upload the

selected image to the set storage address.

Print: Print images with connected print devices, Click the button . See chapter 8.3

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Selection All: All patient information in the list is selected, and all the information

in the list is marked gray.

Lock: Select one or more patient records and click the button to pop up the check

box， This record is locked after click OK，Lock bar marked as “1” , If click Cancel.
Record will be unlocked. Delete operation cannot be performed after patient record is locked.

Storage queues: When the system is not connected to the PACS server, click the

button to add the selected item to the upload queue and wait for the communication to connect to
upload. The Storage Queue check box can be refreshed, retried, removed, and canceled.

Print Queue: when the system is not connected to the PACS server, click the button to add the
selected items to the network print queue and print after the communication is connected. The Print
Queue check box can be refreshed, retried, removed, and canceled.

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Image acquisition
There are several paths can enter the acquisition interface, as follows:

Select a patient record in the work list double click the record or click the button .

Click the emergency button in the work list or register interface.

Double-click on a record in the worklist to enter the acquisition interface.

The acquisition interface includes the body size of patient, the exposure position, the study
item, the study protocol, generator exposure parameter setting and the diagram of body position.
The following are detailed introduction.

Acquisition interface
Note: Interface functions and operations vary with hardware and system configurations.
1. Thumbnail navigation area
2. Exposure condition and position selection area.
3. System status.

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4. Image preview.
5. Image processing tool.
6. Dynamic image playback control area, image save area.
7. Functional control area.
8. Other Information.
a) Thumbnail navigation area

 Thumbnails are arranged in a tree,separately open

for each
individual
 In each image tree, the top appears
as
the current position name.
 The exposure type of the current image (DR/RF) is
displayed in the upper right corner of each thumbnail.
 Each thumbnail shows the total number of current
images in
the lower left corner. The number of DR images is

Left-click switch bodypart and images

right-click Add Items -> Study Protocols interface
Image Archive ->Send Image to Pacs.
Print->

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Delete->Delete current image

StoreDir->Open store directory

b) Exposure condition and position selection area

There are the body position diagrams selected for patient information registration. You can see
the specific study body part and the standard position for intuitive reference.
For emergency patients this region is blank. See Chapter 4.2 for steps to add a body position.
Before Image acquisition, the parameters of generator should be property configured, and the
trigger mode of detector must be correct. For more information, please read the manual of these
devices.
Exposure signal lamp and Reset error：

This button will light up when there is a system error, and there
will show the error code following the button. Click this button to reset
the error and if it does not work, please contact customer service
engineer
This lamp will rotate during exposure.

Press first gear of the hand brake, then the signal lamp

will light up. Green light means being ready;

Continue to press the hand brake to second gear, the signal lamp

will light up. The yellow light will keep lighting up in the exposure

process.

There is default parameter for every body part. You can adjust
these parameters as needed. Click this button after you change these
parameter. If don’t click the save button, the adjusted parameters is

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only used for the current exposure.

Fat adults Medium adults

Thin adults Baby

Patient body size：

Generator exposure parameter setting
Left-click to switch single-frame acquisition and
sequence acquisition, and you can select the frame rate of
the sequence acquisition in the drop-down box on the
right.
[Note]Different detector have different frame rates
and modes.

KVp:KV voltage mA: mA

mS: Duration
DEN(Reserve): Switch density in AEC mode
This region show the default parameters of the
current item. You can adjust these parameter by click the
arrow button.
Exposure position
Table Wall Reserve

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Focus
Small focus Big focus

Exposure mode
mA/ms mode: KV mA and mS parameters can be adjusted.
mAs mode: Only KV and mAs can be adjusted.

AEC mode: on this mode, can adjust density and field.

Software support 3 fields mode

Generator fluoroscopy exposure parameter setting

Left-click to switch Continuous fluoroscopy and

Pulse fluoroscopy, and you can select the frame rate of
these mode in the drop-down box on the right.
[Note]Different detector have different frame rates
and modes.

KVp: Fluoroscopy KV
voltage mA: Fluoroscopy mA
[Note]This region show the default parameters of
the
current item. You can adjust these parameter by click
the arrow button.

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Other setting on fluoroscopy exposure

LIH: Only display fluoroscopy
images not save.
F-Store: Store all frame images.

Fluoroscopy cumulative time.

Click button can zeroing time.

In ABS mode, the fluoroscopy parameters are

automatically adjusted to the appropriate value based
on the grayscale value of the image. For different
generator, this feature will be different, the software
supports software ABS and hardware ABS, More
specific applications can contact generator
manufacturers and software manufacturers.
c) System status
This area shows the status of each part of the software system.

The components of the system are working

properly.

Detector parts are not working properly may be

dropped or other circumstances, need to check that the
part is powered up or that the correct model is selected.
If it still can't be resolved. need to contact the software
manufacturer or detector manufacturer.
Generator parts are not working properly, may be
dropped or other circumstances, need to check that the
part is powered up or that the correct model is selected.

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If it still can't be resolved. need to contact the software

manufacturer or generator manufacturer.

The sync box parts are not working properly, May

the equipment does not power up, does not connect the
wire, does not configure serial port; If it still can't be
resolved. Need to contact the software manufacturer.
d) Image preview
After the exposure trigger, the image collected by the system will be displayed in the image
preview area as follows:

The same position can be photographed/perspective multiple times.

Click the left mouse button to move the image; click the right button to drag can adjust the
WW/WL.
[Note] The information display in the four corners of the image can be modified in the
configuration tool. See the configuration manual for details.
e) Dynamic image playback control area

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Play speed adjustment you can drag the slider to

adjust.
Play progress control.

Cycle again.

The last frame.

Play.

The next frame.

Play forward.

Play back.

f)Functional control area

Hide exposure conditions and position selection area.

The report interface pops up. See Chapter 6 for details.

Save the current series of images.

The printing interface pops up. See Chapter 8.3 for details.

Click the button to pause the current check, and the page returns to
the work list interface.

Click the button to save the image and enter the studylist interface.

Description of system operating status information.

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Image storage hard drive remaining capacity.

System current time.

Ondispaly current patient information .On worklist

interface and

studylist interface, Click ico will pop up

modifying the patient information interface.

Click the button to save the image and enter the

studylist interface.

g) Other Information
Image browse

Image preview
After acquired an image from detector, the processed image will be displayed. There are many
powerful tools for advanced user to take a better view of the image.
a) Tools
Tool button Description

Page Pre/Next.

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Clicking this button will exit the multi-layout selection box. Default
1x1 layout.

Delete selected tool.

Zoom In/Out:

Histogram WW/WL

Invert Color

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Zoom out

Zoom in

Screen Size

Text Edit

Image advanced process

Rotate 90

Flip Vertical

Measure the angle:

Image hint

Point gray value of the image:

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Reset: reset the image.

Magnifier:

Copy:
The function of image contrast has been optimized. Click the
“Copy” button in the preview interface of patient A, then switch to the
preview interface of patient B, select a blank box and click the
“Paste” button to add the copied image. Be sure to click the
“Save” button before exiting if you want to save the image.
CTR: cardio-thoracic ratio
Make the following marks on the chest
radiograph: Line 1: Positive midline;
Line 1: Maximum transverse diameter of thorax;
Line 3+4: maximal transverse diameter
of the heart; CTR = (length (Line 3+ Line
4))/length (Line 2)

Email:

Click the button ， input the mail address, subject,

content in the appropriate edit box of the pop-up box and select current
image by clicking “Add” button if there were exposed images. The DR

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Software would automatically call the Outlook to send the mail after
you click the “Send” button.

Save as:

Its role is similar to the “copy” / “paste” tool. All three of them are

used to compare an image with itself. The “copy” / “paste” tool can

be used among different patients, while the “Save as” tool can only be

work with the images of one patient (the “Save as” tool has the same

function with a
combination of the “copy” and “paste” tool)
Inverse Compare:
When you click on the button, the Software will show another
inverted image as guidance for doctor observing and diagnosis.
Notes: the “Image color inversing” tool can be only used in the
image viewing interface of the DR Software.

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Window/Level

ROI Window/Level

Auto WW/WL

Full Size

Mark Left

Mark Anterior

Mark Right

Clip Tool

Rotate -90

Flip Horizontal

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Distance Measure:

Image stitching.

Ellipse clip tool

ROI Magnifier:

Arrow

Paste:

The function of image contrast has been optimized. Click the

“Copy” button in the preview interface of patient A, then switch to the

preview interface of patient B, select a blank box and click the

“Paste” button to add the copied image.

Be sure to click the “Save” button before exiting if you want to save
the image.
Free Rotate:
Click the “Free Rotation” tool, then pop-up a box for rotation
angle. Enter any
angle value you want and click the “OK” button to rotating image.
Rotate to the left by default. Click the “Undo” button the image will
turn back.

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Cobb angle：

1. The patient stands while a front view x-ray of the spine is

taken.

2. The doctor uses the x-ray to locate the apex vertebra, which
is at the deepest part of the scoliosis curve, as well as the
most-tilted vertebra above the apex and most-tilted vertebra below
the apex.

3. A perpendicular line extending from the most-tilted

vertebra above the apex is drawn. The same is then done for the
most-tilted vertebra below the apex.

4. Where the two lines extending from the most-tilted vertebra

above the apex and most-tilted vertebra below the apex join together
gives the Cobb angle

Compare:

When you click on the button, the Software will show a pop-up

box for image selection. Then you should click on the “Add” button and

select two or more images, finally click on the “Open” button to enter

the Image contrast interface. Note here that if the Software is in the

image Acquiring interface, please click on the “Save” button before

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image selection.
Notes: the “Image contrast” tool can be only used in the
image viewing
interface of the DR Software.

Clip Options

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Polygon measurement

Rectangular measurement
[Note] Hold the ctrl key and pull it into a square

Elliptical measurement
[Note] Hold the ctrl key to pull it into a perfect circle

Double energy silhouette

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End of the browse

Finish &Save:
End current study and save all images to local drive as DICOM files. If successfully, then user
can find the study in the studylist.
b) Image stitching

User can enter the stitching interface by clicking “Image Stitching” in the image

preview interface. Before to enter the image stitching, please make sure the current study has at
least two saved images.

: Exit the stitching interface.

Description about tool buttons:

Click the button to access the Stitching Screen, this screen consists of three function

screen: Select Image, Image Stitching, View Image, as shown:

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Before the image stitching operation, the user should ensure that all selected image must be
acquired from stitching exposure.

Delete：Delete the current image.

Move back: click this button to move the current image up one step.

Move forward: click this button to move the current image down one step.

H-stitching: The system stitches the selected images in horizontal automatically.

After selecting the image, click to enter Image Stitching screen. In this screen, the user
can stitch images manually.

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Opacity: Move the sider to adjust the opacity of the overlapping area. Untis: Move the sider to
adjust the dixel(s) of the overlapping area.
Select one image, the number of this image changes to red.

Click the buttons or click the orientation key on the black

board to adjust the position of the selected image.

Click the button to trim the selected image.

Fuse area: Move the sider to adjust the display degree of the overlapping area.

Click the button to save the setting parameters and enter the View Image screen.

Click【（ 】to save the stitched image

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Click【 】back to Stitching Image Screen.

5.Image and Text Report

Click the【 】button to enter the report interface:

a) Report Edit
Report editing module includes image selection, patient information editing, reporting content
and inspection results editing, print template selection, etc. are presented below.

【1】 Select image

Move the mouse to the image need to be printed, then there will display a white check box at
the lower right corner of the image. Check the box then the box to add a black “√” and the there will
appear a yellow number at the lower left corner. Click again to cancel the selected image.
【2】 Diagnostic content and conclusion edit box
You can edit the diagnostic content and conclusion in the edit box, click the content and
description template on the right side if you need to add.
【3】 Select the template for printing

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1Standard300.rvf : One image with the height of 300

2Standard300.rvf : Two images with the height of 300
4Standard300.rvf : Four images with the height of 300
6Standard300.rvf : Six images with the height of 300
【4】 Report content template selection
Button Function Describe
Select diagnostic template of the body
Add diagnostic part on the right hand of the drop-down list,
describe click the “+Desc.” button to add diagnostic
describe.
Select diagnostic template of the body
Add diagnostic part on the right hand of the drop-down list,
conclusion click the “+Diag.” button to add diagnostic
describe.
Add Click this button to add diagnostic
diagnostic and describe and conclusion.
describe conclusion

Click this button there will pop up the

Edit diagnostic
box of Knowledge bose editor. You can edit,
template
add and
delete the diagnostic template

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Button Function Describe

Add: Enter a new name in the edit box of Class
Add/Delete class Name, click the ” button to add the new class.
Delete: select a class you want to delete from the

drop down list on the left. Click the “ ” button to

delete it. (The deleted class will be moved to recycle
bin).
Edit the template
Click the button to Edit the template corresponding
corresponding to
to current report.
current report
a) Enter a new name in the edit box of the
“Item name”.
b) Enter the describe information in the edit
Add new item box of “Desc.”
c) Enter the conclusion information in the
edit box of “Diag.”.
d) Click this button to add the new item.
Update template Select the template you want to edit. Click the
information update button to save the change after editing.

Select the item you want to delete. Click this

Delete Item
button to delete the the template. (The deleted item will
be moved to recycle bin).
Click this button to enter the recycle bin interface
Recycle bin
to find deleted templates.

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Button Function Describe

Recover the Select the items or class you want to recover and click
deleted this button. Then the selected items or class will recover
class or item to the knowledge base

Completely
Select the items or class you want to delete completely
delete the deleted
and click this button. Then the selected items or class will
items or class in the
delete completely and it can be recovered forever.
recycle
bin
【5】 Tools and Setting

Click button to enter the Dictionary Setting interface：

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You can add and update the doctor information in the interface.
Button Function Describe
When there are more than one monitor, the
Multi-screen doctor can write
display
a report while viewing the image.

Save Click this to save the report. And the report

will enter read only mode and looks as follows.

Print Click to enter the print report interface. See

chapter 7.1

Exit Click to quit the report interface and back to the

study list interface.

b) Report Printing

Click the print button to enter the print report interface:

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Button Function Describe

Quick Print Print current report with the default printer.

Print Select installed printer to print report.

6.Image archive, export and printing

This chapter will concentrate on image archive, export and printing which used in the study list.

Study list

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a) Image archive
In archive process, the images will be sent to PACS server follow the DICOM 3.0 standard.
Before the use of image archive, the parameters of DICOM storage must be properly configured
(reference to Configuration manual).

User can click button “image archive” to execute the image

archive process. But it is unnecessary if configured to archive automatically after end of a study.
If there is a failed message, then user should check the communication with the PACS.
b) Image export
The system provides two ways of export, and support customized export. User can export all or
selected patient’s data from the study list.
i. Burning CD
Select the patients that need to be imported or burned. Hold down Ctrl to select multiple
patients

Click on Burn export button popup window

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CD2GO
Enter or select the appropriate information. File Set ID：The name of a burning or producing
ISO file. File compression: Standard, Compression.
Structure: Selecting DCMIMG means that only DICOM images will be output, and the system
will automatically generate by patient name and check well.
File’s name: Select DCMDIR to output the patient's information and DICOM image as a
CDViewer. Check BMP or JPG to output the image in either format.
Save Settings: Generate ISO files or burn directly to CD. ISO files can be selected to save the
file directory, burning CD to choose burning device.
Execute after the configuration is completed.

Click on the , The schedule displays the progress of the execution, and a checkbox
prompts if it succeeds.
ii. Export to selected folder
Besides burning CD, user can also export patient’s data to a selected folder. First user should
select a folder for item “ExportStudy”. And then there are two items:

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DCMIMGA: Export only DICOM images.

The export will create a fold named with patient name and accession. For example:
Emergency41-000041. All DICOM image of current patient will save to the folder.
DCMDIR: Export patient’s information, DICOM images with a viewer program.

DCMDIR export
Running the CDViewer:

CDViewer

Double click the select patient or click preview , user can preview the image of
current patient.

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Image preview of CDViewer

The CDViewer also support to upload patient images to PACS server after configuration.

Image uploading of CDViewer

c) Image print
When accept the print operations, system will send images to printers that support
DICOM print services protocols, and user can defined the parameters of these printers.

In the image preview interface, click button “Print”:

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Print preview
The preview interface provides several items:

Click the , user can configure the property of select printer. All the property is referenced to
DICOM 3.0 standard.

Configuration of printer
Choose layout of images:

Film size: the film size should consistent with the printer.

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File orientation: “LANDSCAPE” for horizon, “PORTRAIT” for vertical. Print Num: the copy
of current image.
Print Range: Print all the pages or only current page. Zoom Type: Print at ratio of 1:1 or auto
ratio.
Button Describe

Switch between dicom printing and local printing.

Select installed printer to print report.

Start printing

Delete the currently selected image

Refresh image Delete

all images

Add other images

7.Exit

Click ， Pop up the exit confirmation box:

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Enter the login password, click the system saves the image and exits the console
,

software; click , Cancel the exit operation and return to the software operation interface.

5.3.1 Hardware Setting

Click " " button from the navigation bar to enter the management options and select
hardware configuration:

Click the " " button to enter the hardware configuration check box, including
Syncbox, high voltage, detector, Collimator, DAP.

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5.3.2.1 Syncbox

Settings for Syncbox include:

Port: 4 (set according to the actual sync box interface)
SyncboxType: Single FPD (set according to the actual number of tablets)
Log: normal mode
High voltage: RuiYing (set according to the actual high voltage model)
Detector: CareRAY (set according to the actual tablet model)
5.3.2.2 High-voltage generator

High voltage generator: RuiYing (set according to the actual high voltage model)
Log level: normal mode

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5.3.2.3 Detector

Detector: CareRay (set according to the actual flat detector model);

Log level: normal
5.3.2 Workstation IP Settings
Under WIN10 system, open the control panel of the network connection, find local address
workstations with plate connection, double-click to open and click "properties" find "Internet
protocol version 4 (TCP/IP)" and click "properties", open the dialog box as shown, select "use the
following IP address", as shown in the figure below set the IP address and subnet mask:

Click ok to exit.

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5.4 High Voltage Generator Debugging

5.4.1 Software Interface

Names &Functions of elements on the Self-Test interface

1: Showing Area of Self-test Process Information
A. High voltage generator works well, switch on for the first time: show Self-test process of the
system
B. High voltage generator works well, switch on not for the first time: show the current station
of the system

C. Being not connected to the High voltage：only show” CAN is turned on successfully”

D. Running the software repeatedly: show information as followed:

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If the software turns to Self-test interface with attention information again after pressing the
‘’OK KEY”, indicating that the software is working now, and you need close all the working
HVSDK.exe, and then reopen the software to make it work normally.

Attention：A. If the software turns to Self-test interface with attention information as

followed under the circumstance that the software has not been opened repeatedly，please press

button 2(close button )，unplug CAN controller communication line and plug it again, then
reopen the software, it will start Self-test process.

B. If the software turns to Self-test interface with information as followed without any
change，it indicates that the CAN controller is well connected, but High voltage
communication fails, maybe because the High voltage start fails or something irregular.

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2.Software closing button

Exit when pressing this button during the process of the working software.
Attention：
1. Switch on the high voltage ,if there exists error，the program will show error code box.
2 .The software will slide into SDK interface only after the normal finish of high voltage
self-check .

5.4.2 Debug Steps

5.4.2.1 Initialization Parameter Setting

Open the generator touch screen computer software HVSDK and into the main interface after
self -checking. The main interface detailed see "6.2 operation description of the Generator ", click

on the lower right corner of the main page " " into the system configuration, click into
the configuration interface, the interface can be done:

Configuration interface

Selection of items:
1．The X-ray tube selection box: click the arrow on the right side of the box, select the
corresponding tube type in the pop-up menu.

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2．AEC enables you to select the drop-down box. Click this drop-down box to pop up the AEC
selection box and click on a specific type.

3． AEC curve select drop-down box: click this drop-down box, will produce 11 AEC curves
(to increase).

Optional type, click on a class.

4．Shooting mode choice: you can choose "Rad" or "Rad/Flue".
5．KV conversion curve: the conversion curve can be selected.
6．ABS curve: you can choose the exposure curve in ABS mode, and this machine provides 3
kinds (to increase).
7．The digital point slice enables the drop-down box to be selected. Click this drop-down box
to pop up the "Disable" and "Enable" options, and select them as needed.
8．Pulse perspective enables you to select the drop-down box: click this drop-down box to pop
up the selection box, and select "external synchronization" or "internal synchronization".
9． Language selection.
10．Load factor R10 and R20 numeral value selection: select R20 by default.

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5.4.2.2 Training Tube
On the manual control interface, adjust the mA to 32mA, mS to 100mS, from 40kV to
exposure, every two minutes exposure, each additional 5kV is exposed 3 times in this file, and has
been added to the highest tube voltage of the tube. If there is a tube discharge in the exposure
process, the kV will be reset to 40kV and repeat the above adjustment steps. The whole tube
training process will end after normal,.
5.4.2.3 Automatic Calibration of Tube Current
Select the corresponding X-ray tube at the configuration interface, and set workstation 1 to "NO

Pannel", select the click " " button to enter the tube interface as shown below.

Automatic calibration interface

The initial default first small focus of the tube current calibration, press the hand switch 1, 2
gear, until the small focal tube current calibration can be released after the end of the hand switch
(Each calibration is played with a mA value and will be ticked in the corresponding box of the
table.); After 10 minutes of rest, select the large focus "Large Focus", press the hand switch 1, 2
gear, use the same way to carry out the large focus of tube current calibration. In the process of
automatic control, if the hand switch is loosened, the upper computer interface will pop up a
prompt box, "automatic tube is not completed, whether to continue". At this time, you can choose
"yes", press the 1 and 2 gear of the hand switch again, continue to calibrate from the KV and MA
values that have just been interrupted, and also choose "no" to end this automatic control operation.
The calibration of automatic tube current only includes 6 gears: 50KV, 60KV, 70KV, 80KV, 100KV
and 120KV. The remaining KV files are calculated by software.
After the automatic tube end, it returns to the manual tube interface, selects several KV files
and several mA files randomly, exposing under the 12.5mS condition, verifying the tube current,

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observing whether the mA value is accurate, and whether the error value is within the allowable
range.
5.4.2.3 Fluoroscopy Calibration
This machine has made an automatic calibration of the X-ray current when calibrating the
tube current. The following is only required to enter the perspective calibration interface as shown
below.

Fluoroscopy Calibration Interface

First adjust the mA to 0.5, step on the foot switch, and adjust the filament value until the
feedback value is equal to the selected mA value by ±10%.
The calibration method is the same as the above mA values: 2, 3, 4, 5, 6, 7, 8, 9, 10.
After the calibration is completed, wait for 5 minutes and do other operations.

5.4.3 Final Confirmation Inspection

The high-voltage generator of the equipment must be debugged by the factory or the
technicians approved by the factory. Please consult the supplier for the debugging method and
related technical problems.

5.5 X-ray and Image Calibration

5.5.1 X - ray Beam Collimation Adjustment

Adjust the table in a horizontal position, will collimator opening to maximum, the collimating
tube placed in the center of the image intensifier is.Open the acquisition workstation software and
manually set the photography conditions: 50kV,5mAs, observed by the method of perspective
collimating tube round imaging the edge of the monitor, if the edge size uniform (projection edge
thickness is the difference between the maximum and minimum 1 mm or less) suggests that X-ray
focus is perpendicular to the wire grid. If uneven, adjust the tube to the thicker side of the edge until
even.
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5.5.2 Adjustment of Dosimetry Indication Values

Accuracy of dosimetry indication values:

1. When the specific kinetic energy rate of air and cumulative specific kinetic energy of air
exceed 6 mGy/min and 100 mGy, the deviation from their displayed values should not be more than
± 35% ;
2. The deviation from the cumulative display value of the dose area above 5uGy•m2 should
not be greater than ±35 % ;
The display of the dose indication value is obtained by calculating the loading factors of the
high voltage generator, so the output accuracy of the high voltage generator must be controlled to
ensure the accuracy of the dose indication value.

5.5.3 Collimator X - ray Field - light Field Coincidence Calibration

Placed in the center of the image intensifier 100 x100 square iron box (coarse 5 x 5), adjusting
the limit of the beam splitter to X and Y to speak, in the light of wild slightly larger than the iron
box (5 mm or so), by looking through the method of the limit of optical field box beam and the
place of iron frame around the gap is consistent, otherwise adjust the limit of internal view the
location of the light beam splitter, lead to the agreement clearance (error is about 2 mm).

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5.5.4 Collimator Adjustment

1-Real-time opening size indication 2- Horizontal (X direction) lead vane button

3-Light delay button 4-Longitudinal (Y - direction) lead leaf button
5-SID indicator light L1、L2
Figure 5-5
1) Function description:
a. The valid button for Collimator debugging is as shown in the operation panel diagram of the

Collimator. After the Collimator is powered on, press and hold it ，3 Seconds later, four "8s"
appear in the window indicating the real-time opening size and enter the debugging state (the power
on the new Collimator without debugging parameters will automatically enter the debugging state).
At this time, L1 and L2 in the real-time opening size indication will be off, and four "0's" will be
displayed on the digital tube.

b. At this point, click or , you can select the function, and the first group of

digital tube display, click or , can be adjusted parameters, and the second set of
digital tube display.
The digital tube display functions are as follows: the first group of digital tube display "C1" is
the setting function of horizontal motor AD, the second group is the real-time AD value, and the
"longitudinal lead adjustment button" can control the motor action; The first group of digital tube
display "C2" for longitudinal motor AD setting function, the second group for real-time AD value,
"longitudinal lead adjustment button" can control the motor action; The first group of digital tube

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display "C3" for the lamp delay setting, the second group for the time setting display 5 to 45
seconds, 5 seconds per step, "longitudinal lead adjustment button" to select the corresponding time;
The first set of digital tube display "C4" for the Collimator opening size debugging, debugging the

next level menu. Click on the or , C1-C5 can be selected in a cycle. When the

corresponding value is selected, press Set values can be saved.

c. Adjust the opening size of the Collimator. Debug it in the next level menu under

"C4".Click , Display 4 "d", that is, the opening size of the Collimator has been adjusted. The
opening size of Collimator can be adjusted by "X opening" and "Y opening". "X opening"

corresponds to A value, and "Y opening" corresponds to B value. Click or A1-ad

and b1-b9 can be selected circularly and displayed by the first group of nixie tubes. Click

or , the opening size can be adjusted, and the second set of digital tube display its

opening real-time AD value. When the corresponding value is selected, press Set values
can be saved. The comparison table of relevant parameters is as follows:
Table 5-9
X to open Y to open
A1=24mm b1=30mm
b2=54mm
A2=28mm
（perspective）
A3=30mm b3=48mm
A4=33mm b4=60mm
A5=36mm b5=66mm
A6=42mm b6=72mm
A7=48mm b7=84mm
A8=60mm b8=101mm
A9=66mm b9=Max
AA=72mm
Ab=84mm
AC=54mm
（perspective）

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Ad=Max

2) Setting description:
In the normal working state, the delay button of the point light turns on the visual field light,
and the control button of the point related lead blade reduces the lead blade in two directions to zero
and enters the debugging state. The real-time AD value is saved under the function of "C1", the
real-time AD value is saved under the function of "C2", and the corresponding delay time is saved
under the function of "C3"."C4" function is set in the next menu level, as function description
3.Among them, "C4" is also divided into whole piece setting, vertical setting and horizontal

setting.C5 "function is X, Y axis automatically open and close test, press Entering the test,
facing the Collimator operation panel, the 2-bit nixie tube on the left shows the value of AD on the
X-axis, and the 2-bit nixie tube on the right shows the value of AD on the Y-axis (the remaining 4

keys are useless in the test);then press Close the test and display "C500".
Full film setting: turn on the Collimator light, turn the vertical and horizontal lights to the

maximum limit, then shrink back a little and press down Save the Settings.
Setting of vertical division, vertical dichotomy only requires the cooperation of large light bar
board, turn on the Collimator lamp, reduce the longitudinal direction to the point where the light

falls on the lead sheet of large light bar, and press down Save the Settings.
Setting of horizontal division: the horizontal division only needs the small light bar to
cooperate with each other. First, move the small light bar to the required opening size, turn on the
Collimator lamp, and reduce the horizontal division to the light shining on the lead sheet of the

small light bar, and then press down Save the Settings.
3) Exit setting description:
To exit the debugging state, you must first ensure that the function display is L1 and L2 off,
digital tube display 4 "0", function display key can make the function display back to this state,

press and hold 3 seconds after the display of 4 "8" to quit. One from the "C4" next level

menu back to "C4", click or Make digital tube display 4 "d", click Can
return.
Description of real-time opening size: SID110 light indicates that the value of digital tube is
SID=1100 light field size; SID150 indicates that the value of the nixie tube is SID=1500 light field
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size.
4) PCB jumping function
JP2 and JP3 in PCB board (PCB10.31) do not need short connection

5.5.5 Flat Panel Detector Adjustment

Close the DFOC, open D:\XRayDR\Xray\XRayRF\DFOC\,find and open

CalibrationTools.exe,as show below:

5.5.4.1 Photographic Mode Calibration:DRS2816 and DRS153 Modes.

In the "DRMode" menu, select the DRS2816 mode (the green is selected), select the maximum
frame rate 3 on the right, and click the "Calibration" button. At this time, the "Offset" button will be
switched from unselected to selected, as shown in the picture below:

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Note:Calibration is divided into point-slice, continuous perspective and pulse perspective
according to the use mode. The following is the point-slice calibration process. Because
DR2816 and DRS2816 use the same calibration data, DR2816 and DR1536 do not need to be
calibrated, only for DRS2816 and DRS1536.
Select the "Offset" button in the figure above to start the collection of dark field image of the
flat panel. The gray value of the currently obtained image will be displayed in "Current Value", and
the "Process" on the right will indicate the current obtaining status, as shown in the figure on the
left below. If the current acquisition status is displayed as "64/64", it means that 64 dark field
diagrams need to be collected in the current mode, and the collection has been completed. In this
case, "Gain" button is optional, and "Offset calibration completes successfully" is displayed in the
following information box. As shown on the right below:

Select the "Gain" button, and then adjust the photographic dose to dot the slices (as shown in
the image on the left below). The gray value of the light field map after the current loading offset
calibration will be displayed in the "Current Value". Compare this gray Value with the "Expected
Value". Make the "Current Value" close to the Value of "Expected Value", and the deviation shall
not exceed 5% as far as possible. When the two values meet the above requirements, keep the hand
brake unchanged, click the "Accept" button, and start to enter the gain calibration, as shown
below:

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Note: The Accept button can only be selected if the handbrake is pressed all the time.
When the hand switch is pressed and the "Accept" button is selected, the gain calibration will
begin, and the value after "Process" will show the current calibration state (as shown in the left
figure below). When "Process" shows "64/64", it means the current calibration has been
completed. At the same time, "Gain calibration completes successfully" is displayed in the status
bar, as shown in the right picture below:

Then calibrate the DRS1536 mode and select the maximum rate 6. Refer to section 5.5.5.1.

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5.5.4.2 Continuous Perspective Mode Calibration: there are three modes CF1408, CF1024
and CF768.
Select "CF1408" mode from the "RFMode" menu, and the current maximum frame rate will be
displayed by default. Confirm that the left perspective mode is continuous perspective mode, as
shown in the figure below :

Click the "Calibration" button in the upper right corner to enter the Calibration state. At this
time, the Offset of the current mode is in optional mode. After selecting, the dark field image will
be collected, and the background gray Value of the current dark field will be displayed behind
"Current Value", and the number of the currently acquired dark field images will be displayed in
"Process". See the figure below:

When the Process status is refreshed to 128/128, the offset calibration completes. In the status
bar, the message "Offset calibration completes successfully" is displayed, and the Gain button is
optional, as shown in the following figure:

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Select "Gain" button, press down the perspective foot brake, adjust the left perspective dose
parameters, make the "Current Value" close to the Value of "Expected Value", the deviation should
not exceed 5%, when the two values meet the above requirements, keep the Current foot brake in
the down state.Click the "Accept" button in the right image below to start the gain calibration, as
shown below;

When the coaster brake switch is pressed and the "Accept" button is selected, the gain
calibration will begin, and the value after "Process" will show the current calibration state (as
shown in the left figure below). When "Process" shows "128/128", the current calibration has been
completed. At the same time, "Gain calibration completes successfully" is displayed in the status
bar, as shown in the right picture below:

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CF1024 and CF768 are also calibrated by referring to section 5.5.4.2.

5.5.4.3 Pulse Perspective Mode Calibration: PF1408, PF1024 and PF768 modes.
In the "RFMode" menu, select "PF1408" mode, and then select the maximum frame rate under
the current mode (12 frames /s here), and confirm that the left perspective mode is pulse
perspective mode, as shown in the figure below:

Click the "Calibration" button in the upper right corner to enter the Calibration state. At this
time, the Offset of the current mode is in optional mode. After selecting, the dark field image will
be collected, and the background gray Value of the current dark field will be displayed behind
"Current Value", and the number of the currently acquired dark field images will be displayed in
"Process". See the figure below:

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When the process status is refreshed to 128/128, the offset calibration completes. In the status
bar, the message "Offset calibration completes successfully" is displayed, and the Gain button is
optional, as shown in the following figure:

Select "Gain" button, press down the perspective foot brake, adjust the left perspective dose
parameters, make the "Current Value" close to the Value of "Expected Value", the deviation should
not exceed 5%, when the two values meet the above requirements, keep the Current foot brake in
the down state.Click the "Accept" button on the following image to start the gain calibration as
shown below:

When the foot switch is pressed and the "Accept" button is selected, the gain calibration will
begin, and the value after "Process" will show the current calibration state (as shown in the left
figure below). When "Process" shows "128/128", the current calibration has been completed. At
the same time, "Gain calibration completes successfully" is displayed in the status bar, as shown in
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the right figure below :

Refer to section 5.5.4.3 to calibrate PF1024 and PF768.

5.5.4.4 Flat-panel detector :suggest that at least half a year on a calibration, if it is found that the
image is the ghosting, bad, bad point or uneven image, is the need for calibration, flat panel
detector calibration needs to have experience of clinical staff, if you are not familiar with the
calibration process, refer to the above calibration steps or contact producer service engineer
telephone guide.

5.5.6 Final Confirmation Inspection

The high-voltage generator of the equipment must be debugged by the technical personnel
approved by the factory or the factory. Please contact the technical personnel approved by the
factory or the factory for debugging method and training management and related technical
problems.

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CHAPTER6 OPERATION OF THE EQUIPMENT

6.1 Symbol Descriptionon Equipment

The on/off button of the device is on the control box，

1. Power on button.

2. Power off button.

Power on：1.Make sure the emergency stop switch unscrew,press the start button
on the generator control box ,power on the system.
2.Press the PC button,after the PC has finished booting, open the image
workstation.
Power off: Close the image acquisition workstation computer manually, close the PC , and

press button on the generator control box , the power can be turned off.

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6.1.1 Table Exercises for Interface and Symbols

Figure 6-1 DR box remote control panel

Figure 6-2 local control panel

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6.1.1.1 Description of Table Control Symbol

Emergency stop button：
Emergency stop diagnostic table
Tube-column move up button

Tube-column move down button

Tabletop lateral movement button

Using this button control the tabletop
lateral movement

Tilt button

Forward button of compressor:

Using this button control the compressor
forward move close to the patient's body
Backward button of compressor:
Using this button control the compressor
backward move far away from the patient's body
Protection button of compressor:
When this button be pressed, under the
compressor pressure while banning Tube stand
column longitudinal movement, Tabletop
transversal movement and Foot stand rotate.
Pedal rotation button

Vertical open /close button of the collimator

Horizontal open/close button of the

collimator

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Auto mode button of the collimator:
Using this button collimator can be switch
to automatic tracking state, in spot radiography
while collimator automatically adjust to the size
according to the film size and subdivision format
Negative Angle start button:
Press this button and the Table tilt down button at
the same time, the Table body is tilt down from
horizontal position to the negative angle
direction
SID adjustment button:
Press to set the diagnostic table SID to 1000mm
Automatic reduction to specified distance
SID adjustment button:
Press to set the diagnostic table SID to 1800mm
Automatic reduction to specified distance
Exposure preparation buttons and instructions

Exposure buttons and instructions

Fluoroscopy instructions

Power on button

Power off button

6.1.1.2 Operation of Table Control

1) Table tilt: Operating on the remote control operating handle or near the tilt buttons on

control board, can control the table tilt up down motion, loosen the button to immediately

stop or limit to immediately stop automatically, is the direction to + 90 °, arrived in the

opposite direction - 25 °, you have automatic stop function level 0 °, to continue to

exercise close control, operation can once again, the console operation, At the same time,

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press this button and the inverted table handle button to rotate the table from the

horizontal to the negative angle direction. When the table moves up, the tube should be

full of a certain height from the ground. If not, the tube column will be automatically

adjusted to avoid falling and touching the ground

Do not place foreign matter in the rotation range of the table , otherwise
it will cause damage to the table.

2) Vertical movement of x-ray tube column: the vertical movement of x-ray tube column

can be controlled by operating handle on the operating table or by pressing the vertical

movement of X-ray tube column on the local control panel. Release the handle or release

the button and stop immediately. The upward movement distance is 1000mm and the

downward movement is 0mm, that is, the total distance is 1000mm.

3) Press cup advance and retreat:Press the press into button on the remote control table to

control the downward action of the pressure cup, press the press back button on the

remote control table to control the upward action of the pressure cup. In the compressor

tracking key indicator light and compression state, the compressor in the direction of

non-compression force and bed panel has a relative displacement will make the relief of

compression force failure, and accompanied by an alarm sound, to remind the operator to

pay attention.

4) Tabletop movement:With the control table lateral tabletop lateral movement handle or

press the near control tabletop lateral movement key can control the tabletop lateral

movement, reflected as the perspective image on the TV to move left and right, release the

handle or release the key immediately stop, the total movement distance is 220mm.

5) SID:SID adjustment the SID changes from 1000mm to 1800mm

6) Pedal rotation:The human body can be rotated in either direction by rotating the handle.

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6.1.2 Generator Operation Instructions

6.1.2.1 Generator iIndicator Light and Operation

High voltage generator control box and hand brake switch are shown below.

1. Perspective indicator light.

2. Exposure indicator light.

3. Or the first gear of hand brake: prepare button.

4. Or the second gear of hand brake: exposure button.

Note: in case of emergency, please force the emergency stop switch

(usually red mushroom button) to cut off the connection between the high
voltage generator and the main power supply.

Preparation, X-ray exposure, and exposure indicators

Press the preparation button of the generator control box or the first gear of hand brake

(preparation), ready indicator in the upper right corner of the ready button lights up.
By pressing the exposure button or the second gear of hand brake (exposure) controlled by

the generator, the exposure indicator lights up and a buzzer goes out through the process
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through which the X-ray is emitted.

You can use the first gear of hand brake or (ready) and the second gear of hand brake

or (X-ray exposure) photographic exposure with two hand brakes.

Use the dot film controller on the corresponding dot film device for dot film exposure.
During the exposure process, the preparation and exposure indicator light indicate the
exposure status.
X-ray hand brake button has three positions: hand brake release, the first gear of hand brake
and the second gear of hand brake.

Press the first gear of hand brake or (ready), when ready, press the second gear of

hand brake or (exposure).

Ready: press the first gear of hand brake or , prepare to select the X-ray tube for
exposure. When the X-ray tube is ready and there is no interlock failure or system failure, the
preparation indicator light on the generator control box will be lit.

After pressing this button, the following functions will be activated:

 The anode rotates.

 Filament current switches from standby to selected mA.

When the foot brake switch is pressed for X-ray fluoroscopy, The perspective
indicator lights up.
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6.1.2.2 High Voltage Generator Parameter Adjustment

Parameter adjustment of high voltage generator is described in 5.4, see 5.4.1 for details.

6.1.3 Operation Instruction of Collimator

1. Basic structure
The shape of the Collimator is shown in the figure below. The main internal parts are
transmission device, detection device, transverse variable lead blade, longitudinal variable lead
blade and limit mechanism. The outside is mainly composed of lead blade opening and closing
adjusting buttons, Collimator lighting buttons and interfaces connected with X-ray tube
components.

Shape diagram of Collimator

1- Light button 2-Real-time opening size indication 3-Set screw
4-Additional filter mounting port 5-Horizontal lead adjustment button
6-Longitudinal lead adjustment button
Figure 6-3
2. Instructions
a. The size of the radiation field of view is shown by the size of the irradiated area of the
collimator. The size of the field of view is adjusted by clicking the corresponding button of the lead
plate opening and closing indicator icon on the panel. The operating table also has corresponding
buttons to control the size of the visual field.
b. In the fluoroscopy state, when it is switched to the manual state, the vertical and horizontal
lead blades can be remotely adjusted to change the visual field size. In the automatic state, the
Pedals only tracks to the preset value when it is pressed. The same is true in radiography.

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6.1.4 Intercom System Operation Instructions

The user can speak to the patient by stepping on the left-foot switch.

6.1.5 Image Acquisition Workstation Software Settings

6.1.5.1 Login
After the operating system starts, the login window displays. Enter the correct user name and
password on the system login interface to enter:

In the user login window, enter the correct user number and password and press " " to

enter the loading interface. If you do not want to enter the system, click " " to exit.

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6.1.5.2 Exit

Click ， the exit the confirmation box pops up：

Enter the login password ,Click ,After the system saves the image, exit the console

software.Click ,cancel the exit operation and return to the software operation interface.

6.1.5.3 Study Management

1．Work list

Work list

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Search Items:

1. Patient ID: user need to input the patient’s id in the textbox, and define the correct date time.
2. Accession: user need to input the patient’s accession in the textbox, and define the correct date
time.
3. Name: user need to input the patient’s name in the textbox, and define the correct date time.
4. Today: query the patients’ data in today.
5. Two days: query the patients’ data in two days.
6. Three days: query the patients’ data in three days.
7. One week: query the patients’ data in a week.
8. Custom: query the patients’ data in user defined period. Once the condition set down, the work
list will query data frequently, it can also refresh immediately after the button “Refresh”
clicked.

Register new Patient:

Input the patient data and register a new patient for study.

Delete:
Delete current selected patient.

Begin to study:
Begin to acquiring image of current patient.

Emergency:
Register a patient in emergency with auto generated information.
2.Registration

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Registration
The register is used to record information of a new patient. User can select study protocols
through protocol or Item mode.
Accession*: input the accession number of patient. It will be automatically generated and
usually suggest user don’t change it. It must unique in the system.
PatientID*: input the ID of a patient. It will be automatically generated and usually suggest

user don’t change it. Input PatientID and click , system will automatically fill the patient’s
information in the text box.

IDCardNO*: input the CardNO of a patient. Input CardNO or click , system will
automatically fill the patient’s information in the text box, the premise is that the computer is
connected to the ID card recognizer.

Name: input the name of a patient.

Gender: select gender of a patient. (Male, Female, Other (unknown)) Age: input age of a
patient at the age unit of year, month or day.
Height(cm): input height of a patient. Weight(kg): input weight of a patient. Birthday: select
birthday of a patient. Description: input more comments of a patient.
[Note]The items with “*” means this item must be filled. If not, there will be a warning
message:

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Study Bodypart：Select the oval gray button on the body as needed, and click the button, andthe
gray turns green to indicate that the site is selected. The list on the right has a corresponding check
position.
Study Protocols and Items:

Click button => Study Protocols interface

Double-click or click the button after

checking the name of the agreement you want in the
protocol bar,
The Protocol appears in the selected Protocol Tube
stand.

Double-click or click the button after selecting

an agreement name in the selected agreement bar and the
agreement name is removed from the selected Tube stand.

Click button => Study Protocols interface

Click button
Switching Rad/
Fluoroscopy.

Double-click or click the button after

checking the desired item name in the item bar and the
item will appear in the selected item bar.

Double-click or click the button after selecting

an item name in the selected item bar, and the item name is
removed from the selected Tube stand.

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4) Study list

Study list
It is used to query the information of the patients that finished the study. Same with the work
list, the result can be displayed under different condition.

Click the button to enter the Studylist interface, where you can query the
specified patient information and related photographic image records.

a) List Information：

Click button , The list includes patient information that has been examined:
patient number, name, gender, age, height, weight, date of birth, check number, check
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site, description, number of images, archive identification, printed identification, etc.
These lists can be configured for display and according to hospital requirements for
easy display.

g) Information search：
Study management provides the ability to search on a certain basis. Enter the conditions

thatneed to be retrieved, only click button .

The search conditions include the registration time range of the patient to be examined, the
patient number, examination number, name query. Registration time ranges can be quickly
selected via buttons, including "Today," "Two Days," "Three Days," "One Week and Custom"
ranges. After the retrieval criteria are selected, click the "Confirm" button to check and place
eligible patients for examination in the list.

[Note] If the patient number, the study number, the patient name is empty, indicates any
condition.
h) Delete records：

Select a checked patient in the list to be examined, click the button and the software

will pop up the delete confirmation box.

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If you confirm that delete the patient record have selected, click OK, otherwise Cancel.
i) Browse images：
Select a patient in the study list and double-click it to enter the image browsing interface.
j) Re Examine：

Click button enter the image acquisition interface, you can add a study protocol or

item to restart the examine.

k) Image archiving and burning：

Burning: Select one or more records and click the button to start the disc

burningoperation, see chapter 8.2.

Archiving: Upload images to the network. Click the button to upload the

selectedimage to the set storage address.

Print: Print images with connected print devices, Click the button . See chapter 8.3

Selection All: All patient information in the list is selected, and all the information

in the list is marked gray.

Lock: Select one or more patient records and click the button to pop up the check

box， This record is locked after click OK，Lock bar marked as “1” , If click Cancel.
Record will be unlocked. Delete operation cannot be performed after patient record is locked.

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Storage queues: When the system is not connected to the PACS server, click the

button to add the selected item to the upload queue and wait for the communication to connect to
upload. The Storage Queue check box can be refreshed, retried, removed, and canceled.

Print Queue: when the system is not connected to the PACS server, click the button to add the
selected items to the network print queue and print after the communication is connected. The Print
Queue check box can be refreshed, retried, removed, and canceled.

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6.1.4 Image Acquisition

There are several paths can enter the acquisition interface, as follows:

Select a patient record in the work list double click the record or click the button .

Click the emergency button in the work list or register interface.

Double-click on a record in the worklist to enter the acquisition interface.

The acquisition interface includes the body size of patient, the exposure position, the study
item, the study protocol, generator exposure parameter setting and the diagram of body position.
The following are detailed introduction.

Note: Interface functions and operations vary with hardware and system configurations.
1.Thumbnail navigation area
2.Exposure condition and position selection area.
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3.System status.
4.Image preview.
5.Image processing tool.
6.Dynamic image playback control area, image save area.
7.Functional control area.
8.Other Information.
a)Thumbnail navigation area

 Thumbnails are arranged in a tree,separately open

for each
individual
 In each image tree, the top appears
as
the current position name.
 The exposure type of the current image (DR/RF) is
displayed in the upper right corner of each thumbnail.
 Each thumbnail shows the total number of current
images in
the lower left corner. The number of DR images is
shown as 1, or RF images, as the actual total.

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b)Exposure condition and position selection area

Left-click switch bodypart and images

right-click Add Items -> Study Protocols interface
Image Archive ->Send Image to Pacs.
Print->
Delete->Delete current image
StoreDir->Open store directory

There are the body position diagrams selected for patient information registration. You
can see the specific study body part and the standard position for intuitive reference.
For emergency patients this region is blank. See Chapter 4.2 for steps to add a body
position.
Before Image acquisition, the parameters of generator should be property configured,
and the trigger mode of detector must be correct. For more information, please read the
manual of these devices.
Exposure signal lamp and Reset error：

This button will light up when there is a system error, and there
will show the error code following the button. Click this button to reset
the error and if it does not work, please contact customer service
engineer
This lamp will rotate during exposure.

Press first gear of the hand brake, then the signal lamp

will light up. Green light means being ready;

Continue to press the hand brake to second gear, the signal lamp

will light up. The yellow light will keep lighting up in the exposure

process.
There is default parameter for every body part. You can adjust
these parameters as needed. Click this button after you change these

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parameter. If don’t click the save button, the adjusted parameters is
only used for the current exposure.

Patient body size：

Fat adults Medium adults

Thin adults Baby

Generator exposure parameter setting

Left-click to switch single-frame acquisition and
sequence acquisition, and you can select the frame rate of
the sequence acquisition in the drop-down box on the
right.
[Note]Different detector have different frame rates
and modes.

KVp:KV voltage mA: mA

mS: Duration
DEN(Reserve): Switch density in AEC mode
This region show the default parameters of the
current item. You can adjust these parameter by click the
arrow button.

Exposure position

Table Wall Reserve

Focus
Small focus Big focus

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Exposure mode
mA/ms mode: KV mA and mS parameters can be adjusted.
mAs mode: Only KV and mAs can be adjusted.

AEC mode: on this mode, can adjust density and field.

Software support 3 fields mode

Generator fluoroscopy exposure parameter setting

Left-click to switch Continuous fluoroscopy and

Pulse fluoroscopy, and you can select the frame rate of
these mode in the drop-down box on the right.
[Note]Different detector have different frame rates
and modes.

KVp: Fluoroscopy KV
voltage mA: Fluoroscopy mA
[Note]This region show the default parameters of
the
current item. You can adjust these parameter by click
the arrow button.
Other setting on fluoroscopy exposure
LIH: Only display fluoroscopy
images not save.
F-Store: Store all frame images.

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Fluoroscopy cumulative time.

Click button can zeroing time.

In ABS mode, the fluoroscopy parameters are

automatically adjusted to the appropriate value based
on the grayscale value of the image. For different
generator, this feature will be different, the software
supports software ABS and hardware ABS, More
specific applications can contact generator
manufacturers and software manufacturers.
c) System status
This area shows the status of each part of the software system.

The components of the system are working

properly.

Detector parts are not working properly may be

dropped or other circumstances, need to check that the
part is powered up or that the correct model is selected.
If it still can't be resolved. need to contact the software
manufacturer or detector manufacturer.
Generator parts are not working properly, may be
dropped or other circumstances, need to check that the
part is powered up or that the correct model is selected.
If it still can't be resolved. need to contact the software
manufacturer or generator manufacturer.
The sync box parts are not working properly, May
the equipment does not power up, does not connect the
wire, does not configure serial port; If it still can't be
resolved. Need to contact the software manufacturer.

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d)Image preview
After the exposure trigger, the image collected by the system will be displayed in the
image preview area as follows:

The same position can be photographed/perspective multiple times.

Click the left mouse button to move the image; click the right button to drag can adjust
the WW/WL.
[Note] The information display in the four corners of the image can be modified in the
configuration tool. See the configuration manual for details.
e)Dynamic image playback control area

Play speed adjustment you can drag the slider to

adjust.
Play progress control.

Cycle again.

The last frame.

Play.

The next frame.

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Play forward.

Play back.
f)Functional control area
Hide exposure conditions and position selection area.

The report interface pops up. See Chapter 6 for details.

Save the current series of images.

The printing interface pops up. See Chapter 8.3 for details.

Click the button to pause the current check, and the page returns to
the work list interface.

Click the button to save the image and enter the studylist interface.

g)Other Information

Description of system operating status information.

Image storage hard drive remaining capacity.

System current time.

Ondispaly current patient information .On worklist
interface and

studylist interface, Click ico will pop up

modifying the patient information interface.

Click the button to save the image and enter the

studylist interface.

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4.Image browse

Image preview
After acquired an image from detector, the processed image will be displayed. There are
many powerful tools for advanced user to take a better view of the image.
a）Tools

Tool button Description

Page Pre/Next.

Clicking this button will exit the multi-layout selection box. Default
1x1 layout.

Delete selected tool.

Zoom In/Out:

Histogram WW/WL

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Invert Color

Zoom out

Zoom in

Screen Size

Text Edit

Image advanced process

Rotate 90

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Flip Vertical

Measure the angle:

Image hint

Point gray value of the image:

Reset: reset the image.

Magnifier:

Copy:
The function of image contrast has been optimized. Click the
“Copy” button in the preview interface of patient A, then switch to the
preview interface of patient B, select a blank box and click the
“Paste” button to add the copied image. Be sure to click the
“Save” button before exiting if you want to save the image.

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CTR: cardio-thoracic ratio
Make the following marks on the chest
radiograph: Line 1: Positive midline;
Line 1: Maximum transverse diameter of thorax;
Line 3+4: maximal transverse diameter
of the heart; CTR = (length (Line 3+ Line
4))/length (Line 2)

Email:

Click the button ， input the mail address, subject,

content in the appropriate edit box of the pop-up box and select current
image by clicking “Add” button if there were exposed images. The DR
Software would automatically call the Outlook to send the mail after
you click the “Send” button.

Save as:
Its role is similar to the “copy” / “paste” tool. All three of them are

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used to compare an image with itself. The “copy” / “paste” tool can
be used among different patients, while the “Save as” tool can only be
work with the images of one patient (the “Save as” tool has the same
function with a
combination of the “copy” and “paste” tool)
Inverse Compare:
When you click on the button, the Software will show another
inverted image as guidance for doctor observing and diagnosis.
Notes: the “Image color inversing” tool can be only used in the
image viewing interface of the DR Software.

Window/Level

ROI Window/Level

Auto WW/WL

Full Size

Mark Left

Mark Anterior

Mark Right

Clip Tool

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Rotate -90

Flip Horizontal

Distance Measure:

Image stitching.

Ellipse clip tool

ROI Magnifier:

Arrow

Paste:
The function of image contrast has been optimized. Click the
“Copy” button in the preview interface of patient A, then switch to the
preview interface of patient B, select a blank box and click the
“Paste” button to add the copied image.
Be sure to click the “Save” button before exiting if you want to save
the image.
Free Rotate:
Click the “Free Rotation” tool, then pop-up a box for rotation
angle. Enter any
angle value you want and click the “OK” button to rotating image.
Rotate to the left by default. Click the “Undo” button the image will
turn back.
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Cobb angle：

5. The patient stands while a front view x-ray of the spine is

taken.

6. The doctor uses the x-ray to locate the apex vertebra, which
is at the deepest part of the scoliosis curve, as well as the
most-tilted vertebra above the apex and most-tilted vertebra below
the apex.

7. A perpendicular line extending from the most-tilted

vertebra above the apex is drawn. The same is then done for the
most-tilted vertebra below the apex.

8. Where the two lines extending from the most-tilted vertebra

above the apex and most-tilted vertebra below the apex join together
gives the Cobb angle

Compare:
When you click on the button, the Software will show a pop-up
box for image selection. Then you should click on the “Add” button and
select two or more images, finally click on the “Open” button to enter
the Image contrast interface. Note here that if the Software is in the
image Acquiring interface, please click on the “Save” button before
image selection.
Notes: the “Image contrast” tool can be only used in the
image viewing
interface of the DR Software.

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Clip Options

Polygon measurement

Rectangular measurement
[Note] Hold the ctrl key and pull it into a square

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Elliptical measurement
[Note] Hold the ctrl key to pull it into a perfect circle

End of the browse

Finish &Save:
End current study and save all images to local drive as DICOM files. If successfully, then
user can find the study in the studylist.
b) Image stitching

User can enter the stitching interface by clicking “Image Stitching” in the

image
preview interface. Before to enter the image stitching, please make sure the current study
has at least two saved images.

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: Exit the stitching interface.

5.Image and Text Report

Click the【 】button to enter the report interface:

a) Report Edit
Report editing module includes image selection, patient information editing, reporting
content and inspection results editing, print template selection, etc. are presented below.

【1】 Select image

Move the mouse to the image need to be printed, then there will display a white check
box at the lower right corner of the image. Check the box then the box to add a black “√” and
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the there will appear a yellow number at the lower left corner. Click again to cancel the
selected image.
【2】 Diagnostic content and conclusion edit box
You can edit the diagnostic content and conclusion in the edit box, click the content and
description template on the right side if you need to add.
【3】 Select the template for printing
1Standard300.rvf : One image with the height of 300
2Standard300.rvf : Two images with the height of 300
4Standard300.rvf : Four images with the height of 300
6Standard300.rvf : Six images with the height of 300
【4】 Report content template selection

Button Function Describe

Select diagnostic template of the body
Add diagnostic part on the right hand of the drop-down list,
describe click the “+Desc.” button to add diagnostic
describe.
Select diagnostic template of the body
Add diagnostic part on the right hand of the drop-down list,
conclusion click the “+Diag.” button to add diagnostic
describe.
Add Click this button to add diagnostic
diagnostic and describe and conclusion.
describe conclusion

Click this button there will pop up the

Edit diagnostic box of Knowledge bose editor. You can edit,
template
add and
delete the diagnostic template

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Button Function Describe

Add: Enter a new name in the edit box of Class
Add/Delete Name, click the ” button to add the new class.
class Delete: select a class you want to delete from the
drop down list on the left. Click the “ ” button to
delete it. (The deleted class will be moved to recycle
bin).
Edit the
Click the button to Edit the template corresponding
template
to current report.
corresponding to
current report
e) Enter a new name in the edit box of the
“Item name”.
Add new item f) Enter the describe information in the edit
box of “Desc.”
g) Enter the conclusion information in the
edit box of “Diag.”.
h) Click this button to add the new item.
Update Select the template you want to edit. Click the
template update button to save the change after editing.
information

Select the item you want to delete. Click this

Delete Item button to delete the the template. (The deleted item will
be moved to recycle bin).

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Click this button to enter the recycle bin interface
Recycle bin to find deleted templates.

Button Function Describe

Recover the Select the items or class you want to recover and click
deleted this button. Then the selected items or class will recover
class or item to the knowledge base
Completely
Select the items or class you want to delete completely
delete the deleted
and click this button. Then the selected items or class will
items or class in the
delete completely and it can be recovered forever.
recycle
bin
【5】 Tools and Setting

Click button to enter the Dictionary Setting interface：

】

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You can add and update the doctor information in the interface.
Button Function Describe
When there are more than one monitor, the
Multi-screen doctor can write
display
a report while viewing the image.

Save Click this to save the report. And the report

will enter read only mode and looks as follows.

Print Click to enter the print report interface. See

chapter 7.1

Exit Click to quit the report interface and back to the

study list interface.

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b) Report Printing

Click the print button to enter the print report interface:

Button Function Describe

Quick Print Print current report with the default printer.

Print Select installed printer to print report.

5.Image archive, export and printing

This chapter will concentrate on image archive, export and printing which used in the
study list.

Study list

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a ) Image archive
In archive process, the images will be sent to PACS server follow the DICOM 3.0
standard.
Before the use of image archive, the parameters of DICOM storage must be properly
configured (reference to Configuration manual).

User can click button “image archive” to execute the

image archive process. But it is unnecessary if configured to archive automatically after end
of a study.
If there is a failed message, then user should check the communication with the PACS.
b)Image export
The system provides two ways of export, and support customized export. User can
export all or selected patient’s data from the study list.
iii. Burning CD
Select the patients that need to be imported or burned. Hold down Ctrl to select multiple
patients

Click on Burn export button popup window

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CD2GO
Enter or select the appropriate information. FileSetID ： The name of a burning or
producing ISO file. File compression: Standard, Compression.
Structure: Selecting DCMIMG means that only DICOM images will be output, and the
system will automatically generate by patient name and check well
File’s name: Select DCMDIR to output the patient's information and DICOM image as a
CDViewer. Check BMP or JPG to output the image in either format
Save Settings: Generate ISO files or burn directly to CD. ISO files can be selected to
save the file directory, burning CD to choose burning device
Execute after the configuration is completed

Click on the , The schedule displays the progress of the execution, and a
checkbox prompts if it succeeds
iv. Export to selected folder
Besides burning CD, user can also export patient’s data to a selected folder. First user
should select a folder for item “ExportStudy”. And then there are two items:
DCMIMGA: Export only DICOM images.
The export will create a fold named with patient name and accession. For example:
Emergency41-000041. All DICOM image of current patient will save to the folder.

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DCMDIR: Export patient’s information, DICOM images with a viewer program.

DCMDIR export
Running the CDViewer:

CDViewer

Double click the select patient or click preview , user can preview the image
of current patient.

Image preview of CDViewer

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The CDViewer also support to upload patient images to PACS server after configuration.

Image uploading of CDViewer

c)Image print
When accept the print operations, system will send images to printers that support
DICOM print services protocols, and user can defined the parameters of these printers.

In the image preview interface, click button “Print”:

Print preview
The preview interface provides several items:

Click the , user can configure the property of select printer. All the property is
referenced to DICOM 3.0 standard.

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Configuration of printer
Choose layout of images:

Film size: the film size should consistent with the printer.
File orientation: “LANDSCAPE” for horizon, “PORTRAIT” for vertical. Print Num: the
copy of current image.
Print Range: Print all the pages or only current page. Zoom Type: Print at ratio of 1:1 or
auto ratio.
Button Describe
Switch between dicom printing and local
printing.

Select installed printer to print report.

Start printing

Delete the currently selected image

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Refresh image Delete

all images

Add other images

6.Exit

Click ， Pop up the exit confirmation box:

Enter the login password, click the system saves the image and exits the
,

console software; click , Cancel the exit operation and return to the software
operation interface.

6.2 Use of Equipment - Digital Radiography Mode

6.2.1 Fluoroscopy

When you need to fluoroscopy, you need to enter the image acquisition workstation first,
set up the image acquisition options, set the image acquisition fluoroscopy, step the
fluoroscopy foot switch under the console. The system will display the image in real time.
When the foot switch is loosened, the final image will be kept and displayed automatically.

6.2.2 Radiography

Divided into two kinds of working condition, CCD XTV radiography and flat panel

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detector photography, two kinds of state by state switch button to switch function,
photography conditions set by the image acquisition system, when to CCD photography, to
switch to Digital machine table, through the perspective to positioning, and then select the
corresponding dose of photography, obtain the CCD image and display; When plate
photography is carried out, the Table should be switched to first. At this time, the technician
should position the patient and then select the appropriate dose for exposure to obtain the
plate image and display it.

6.2.3 Fluoroscopy Spot-film

Enter the image acquisition workstation first, set the image acquisition options, set the
image acquisition perspective options and photography conditions, step on the perspective
foot switch under the console, the system will display the image in real time, move to the area
of interest, press the exposure hand brake for photography.

6.2.4 Emergency Relief of Compressor Pressure

When the device is in use and the power supply is suddenly interrupted and the
compressor is in the position of pressing the patient, in order not to cause injury to the patient
due to the long duration of the pressure, please press the button marked "release button" in the
figure below to lift the pressure cup of the compressor upward and relieve the pressure on the
patient.
Before pressing the button, press the pressure cup in the direction of the patient, and then
press and hold the button to eliminate the pressure cup in the direction of the patient, and the
pressure cup will automatically spring up.

Pressure relief indication

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6.2.5 Initial RUN-UP

The initial run-up of the equipment after it has first been installed, by the professional
installation personnel in accordance with the adjustment description of the high voltage
generator in the specification, until the initial run-up is completed.

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CHAPTER7 MAINTENANCE

7.1 Maintenance by Operator

1. General Rules
This equipment needs regular maintenance; following suggestions will be good for usage and
safety.
● Keep room clean, dry, and with good ventilation.
● Mechanical safety will be degraded due to long time usage. In order to reduce potential
damage to both user and patient, it is necessary to check mechanism if any loose and if brake
is good.
● Correct electrical calibration can well perform machine’s performance. Calibration work
should be completed by professional staff authorized by our company.
● Machine should be in charged by designed person and establish file management system.
● Any changes to machine are forbidden to ensure both patient and operator’s safety, if any
changes needed, please contact with manufacturer.
● Adjustment for contact gap among moving parts with orbital bearing assembly should
be done once a year.
● Regular big repair should be done, for details pls contact with manufacturer.
● If product has malfunction, contact with professional staff approved by manufacturer.
● Operator should be well trained and can complete normal inspection.

2. Maintenance and Repair for unit

(1) Cleaning the surface of the unit，can use soft cloth with a little anhydrous alcohol to scrub.
Organic solution can't be used to scrub the surface of the machine parts absolutely.
(2) Anti-bacterial requested machine surface touched by patients, such as sterilizing the table
panels, can use the ethanol for disinfection, but mercurochrome, iodine are not allowed. It is
suggested that Ultraviolet radiation etc. is configured on a regular disinfection in the machine
room.

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For the disinfection work, unit power must be shut down! And
disinfection liquid should be paid attention that it can’t flow into the
unit interior, lest the phenomenon of leakage and short circuit is
occurred, which will lead to all kinds of malfunction, even cause
injuries.

3. Maintenance and Repair for collimator

(1) Collimator should be kept clean, dry, transmission parts and components shall not have
dust.
(2)After period of time usage, check whether the bar lead-leaf get loose, and fix it in time
(check it every three to six months).Few thin lubricant can be added on internal mechanical
parts.
(3)When any malfunction is happened, it should be done by professional person or contact
factory in time for maintenance.
4. Maintenance and repair for X-ray tube assembly
(1)After continuous exposure, it should pay attention to X-ray tube temperature lift. When
the temperature of outer surface components exceed 75 ℃,X-ray generator must stop loading
automatically.
(2)It should ensure that high-voltage cable plugs, sockets have good contact so X-ray tube
filament is always on, and it can avoid X-ray tube to withstand cold high-voltage, thus
extended x-ray tube life.
(3)When X-ray tube components are used for the first time or idled for a longer time, it
must be progressive loading before X-ray tube used, and do the sophisticated test to avoid
damaging to the X-ray tube by instantaneous load.
5. Maintenance and repair for high-voltage generator
(1)It should ensure that high-voltage cable plugs, sockets have good contact so X-ray tube
filament is always on, and it can avoid X-ray tube to withstand cold high-voltage, thus
extended x-ray tube life.
(2)After removal of high voltage cable sockets, it should pay attention to the residual
charge, do not touch electrode by hand to avoid electric shocks. If needed, discharge it first.

Attention: Clean dust on top of high-voltage generator.

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6.Maintenance and repair for tables

(1)All surfaces of Radiography table should be kept clean, dry , and variety of
residues can be scrubbed with a soft cloth dipped with few absolute alcohol
(2)Regular check if bearing or movement orbit is short of oil .After cleaning, it should
coat with lubricant (grease) in time.
(3)No flammable liquids, gases near the equipment to prevent explosion.
(4)Protect grounding facilities, and inspections should be done every half year.
(5)Diagnostic table’s sterilization methods are same as the unit’s.

7.2 Maintenance by the Authorized Technician

Medical Diagnostic X-ray System is sophisticated, valuable medical diagnostic

equipment. It is necessary that user’s knowledge about machine’s technical performance,
structure principle, operating procedure and daily maintenance to give full play to the
efficiency of the machine, prolong the useful life of the machine, ensure the normal use of
equipment, ensure that the safety of operators and personnel inspected.
1.Properly operating in the process of using X-ray machine, make its normal operation, and
what’s more important is that it should pay special attention to the body of X-ray
protection, make X-ray operator and the patient's damage down to a minimum. For
example, machine room should have protective equipment and measures (e.g., lead plate),
the operator must use protective appliances (such as lead glasses) and wear protective
clothing (lead cap lead, lead aprons, gloves), operator should be occupied area in effective
operation when the patients with radiation inspection.
2.This machine should be placed in air circulation, clean and dry work condition. It cannot be
placed in the humidity, heat and sunlight exposure area.
3.Control cabinet should be opened front and back cover regularly (depending on the
environment, such as the six months to one year), and removed internal dust. For damaged
parts, purchase the same model of spare parts from factory for replacement. During
examination, pay attention whether there is any loose terminals and displacement
phenomena, and fasten them.
4.In area where the power supply and voltage has a high fluctuation, always pay attention to
whether power supply and voltage is in permitted range. If it has high, low, mutation and
other anomalies, machine should be closed immediately and check out the problem, it can
only be used after problem solved.

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5.Do not press heavily on all buttons of controller to avoid dislocation, injury or poor contact,
even damaged.
6.Check frequently protective earth of each components is in good condition (grounding
resistance is very small).
7.Check power supply on a regular basis, and check power supply resistance value (or the
power supply voltage value is changed), to make sure it meet machine’s requirement.
8.After using the controller, it should be cut off the power in time.
9.Avoid striking of x-ray tube components during operation.
10.When X-ray tube components are used for the first time or idled for a longer time, it must
be progressive loading before X-ray tube used, and do the sophisticated test to avoid
damaging to the X-ray tube by instantaneous load.
11.When machine works continuously, please pay attention to the X-ray tube assembly to
allow Thermal capacity, or check surface temperature of X-ray tube assembly , it can’t
exceed 75 ℃.

The personnel for the above inspection, maintenance and processing

must be accredited by professionals; It’s not allowed for other people
to carry out such inspection, maintenance and processing.

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7.3 The Cycle of Maintenance and Repair

Time Interval Contents of Maintenance and Inspection

 Check if the signal, display and indicator are normal.

 Check if warming and danger SYMBOLS are good.

Daily  Check if X-ray generator assembly has abnormal noise during

Inspection exposure.

 Check if all grounding is good.

 Check if there is any loose, stuck on the button of the Console.

 Check if any oil leakage of the X-ray generator component.

 Check flexibility of table and column bearing, observe if any friction

Weekly is too large, and coat bearing orbit with lubricating oil.
Inspection
 Check if any loose and shedding of fastener parts between
components, if any need, it should be fixed them in time.

 Check machine grounding resistance (less than 0.2Ω).

 Check if any filler come out of head of the HV cable because of

heating.
Check once  Clear silicone oil on high-voltage outlet, scrub High voltage plugs and
six month
sockets with ether or carbon tetrachloride, and then smear some new
silicone grease, tighten the fixing ring of plug.

Check the center of X-ray generator assembly and collimator.

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7.4 Fault Code and Troubleshooting

7.4.1 HV Generator

Fault
Information Adjustment method
Code
ER00 Communication fails 1. Check if the CANBUS communication
wire of the upper computer is of good
contact.
ER1 First gear of hand break plugs in 1.Firstly, turn off high voltage generator ，
during self-checking. then using avo meter to check if the 1st gear
of handbrake is right. If the handbrake is
abnormal, change it and then check again. If
difficult is settled, problem will be closed
or，otherwise, proceed the next procedure.
2.check the wire from mini control box to
the plug of power panel PP1.
3.change interface CPU board and turn on
high voltage generator to check ， if fault
disappears, problem will be closed.
4.if trouble is still there after above
procedures, you can shut down, change

main cpu board, and then check again. If

trouble disappears, it can be ascribed to
handbrake problem and problem will be
closed.

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ER2 Second gear of hand break plugs 1. Firstly, turn off high voltage generator,
in during self-checking. using avo meter to check if 1st gear of band
brake signal is right and, if abnormal,
change handbrake and go on your
examination. If trouble is settled, it can be
credited to handbrake problem and problem
will be closed. Otherwise, proceed the next
procedure.
2.check the wire from mini control box to
the plug of power panel PP1.
3. Change main control board and turn on
high voltage generator to check. If fault
disappears, it can be attributed to main
control board problem and problem will be
closed.
4. If trouble remains after above procedures,
you can shut down and change interface
board to check. If fault disappears, it can be
attributed to interface board problem and

problem will be closed.

ER03 Not received PHVOK signal 1. Voltage feedback wire in bus is of bad
during soft powering contact. Please close the generator and
check if wires are rightly connected.
2.malfunction of power distribution board;
change power distribution board.

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ER4 Tested out excess feedback value 1. Check if the network electricity is in the
of bus voltage AD during soft range of generator standard limitation, if
powering beyond, turn of the machine.
2. Malfunction of power board; change
power board .

ER5 Tested out too low feedback 1. Check if the network electricity is in the
value of bus voltage AD during range of generator standard limitation, if
soft powering beyond, turn off the machine.
2. Malfunction of power board; change
power board .

ER6 SAMFAULT signal is low level 1. Change the main control board
during self-checking

ER7 Tested out excess feedback value 1. Check if the network electricity is in the
of bus voltage AD after main range of generator standard limitation, if
contactor plugged in. beyond, turn off the machine.
2. Malfunction of power distribution board;
change power distribution board.

ER8 Tested out too low feedback 1. Check if the network electricity is in the
value of bus voltage AD after range of generator standard limitation, if
main contactor plugged in. beyond, turn off the machine.
2. Malfunction of power distribution board;
change power distribution board.

ER9 SLINK is high level during 1. Check if the ground wire of oil tank is
self-checking. It is possible that rightly linked.
oil tank is not linked or didn`t 2. Check if the wire between main control
attach ground wire. board and oil tank is rightly linked.

ER10 STLOW output is low level 1. Change anode starter board.

during self-checking.

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ER11 Hard signal to filament board 1. Change filament board.

FLIAFAULT is low level even 2. Change the main control board.
when the filament has yet to be
heated during self-checking.

ER12 Feedback to small lamp filament 1. Change filament board.

malfunctioned during
self-checking.

ER13 Hard signal to filament 1. Change filament board.

FLIAFAULT is low level during 2. Change the main control board.
filament heating in the course of
self-checking.

ER14 Feedback to big lamp filament 1. Change filament board 2.check the link of
malfunctioned during cathode high voltage cable.
self-checking.

ER15 PHVOK signal malfunctioned. Please contact technical support.

ER16 Excess bus voltage Please contact technical support.

ER17 Bus voltage deficit Please contact technical support.

ER18 Temperature control signal in

Please contact technical support.
lamp tube malfunctioned.

ER19 Not connected oil tank Please contact technical support.

ER20 Read-write 2864 failure Please contact technical support.

ER21 Pressed the 1st gear of hand

Please contact technical support.
brake as configuration

ER22 Filament feedback deficit Please contact technical support.

ER23 Excess filament feedback Please contact technical support.

ER24 FILAFAULT induced break-off. Please contact technical support.

ER25 SAMFAULT induced break-off. Please contact technical support.

ER26 Other signal induced break-off Please contact technical support.

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EL27 Detect that door switch signal is

high level when pressed 1st gear
Please contact technical support.
of handbrake to ordinary
shooting.

ER28 Detect that FILIAFAULT signal

is low level during sudden Please contact technical support.

heating

ER29 STLOW is Low level. Please contact technical support.

ER30 Correspondence failure during

Please contact technical support.
preparation

ER31 Not received hand 2 Please contact technical support.

ER32 Door switch is high level Please contact technical support.

ER33 Not detected signal from 2ed

Please contact technical support.
gear of handbrake

ER34 Not received return signal within

Please contact technical support.
1s after sending out XR1

ER35 KVAD feedback malfunction Please contact technical support.

ER37 Braked in advance Please contact technical support.

ER38 Hand 2 not loosed Please contact technical support.

ER39 Hand 1 not loosed Please contact technical support.

ER40 Signal malfunction at AECEND Please contact technical support.

ER41 Door switch malfunctioned Please contact technical support.

ER42 Filament malfunction Please contact technical support.

ER43 Rotating anode STLOW

Please contact technical support.
malfunctioned

ER44 Correspondence failure during

Please contact technical support.
preparation

ER45 Not received hand 2 Please contact technical support.

EL46 Door switch malfunctioned Please contact technical support.

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ER47 KV feedback malfunctioned Please contact technical support.

ER48 2ed gear of handbrake loosed in

Please contact technical support.
advance

ER49 2ed gear of handbrake

Please contact technical support.
malfunctioned

ER50 Door switch malfunctioned Please contact technical support.

ER51 FILAFAULT failure during auto

Please contact technical support.
correction

ER52 STLOW failure during auto

Please contact technical support.
correction

ER53 Correspondence failure during

preparation for exposure in the Please contact technical support.

course of auto correction

ER54 Not received signal from

handbrake 2 during auto Please contact technical support.

correction

ER55 Handbrake 2 loosed in advance

Please contact technical support.
during auto correction

ER56 Correspondence failure during

exposure in the course of auto Please contact technical support.

correction

ER57 KV feedback failure during auto

Please contact technical support.
correction

ER58 Handbrake loosed in advance

Please contact technical support.
during auto correction

ER59 Excess inverter current Please contact technical support.

ER60 Error-reporting due to excess

Please contact technical support.
thermal capacitance HEVALUE

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ER61 Maximum value of Large focus

filament beyond 2400 during Please contact technical support.

auto correction

ER62 Value of small focus filament

beyond 2060 during auto Please contact technical support.

correction

ER63 self-tube-training failure Please contact technical support.

ER70 PHVOKMA malfunction

induced breakoff during Please contact technical support.

self-checking

ER86 2rd gear of hand break 5s not

loosed after exposure during Please contact technical support.
AEC shooting

ER207 Communication failure during

Please contact technical support.
exposure

7.4.2 Diagnostic Table Fault Code

Fault code Adjustment method

Diagnostic E01 Communication fault of table, check 485 chip and communication line.
table E02 Communication fault of Film, check 485 chip and communication line.
E03 Communication fault of collimator, check 485 chip and communication
line.

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CHAPTER8 ATTACHMENT

8.1 Appendixes Attached with Following Circuits

1.Medical Diagnostic X-ray System:JX

2.The connection diagram of console panel:KZT40
3.The connection diagram of diagnostic table:ZDC20.00JX

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