User Manual RapidStart™
Contents
1. Figure 5 1 Main Screen Select SYSTEM 1 On the Main Screen select SYSTEM 2 Select SETUP MENU 3 Select DESTINATION 4 Select STORAGE Figure 5 3 Destination Tab Page 19 Chapter 5 Transferring Images from the RapidStart Setting the Image Destinations continued Figure 5 4 Destination Tab gt Storage 5 Select the desired destination s ReadyStore specifies a ReadyStore R5 as a destination ReadyView specifies a ReadyView workstation PC or laptop as a destination Select the buttons to turn them on or off Figure 4 Destination Tab gt Storage demonstrates ReadyStore and ReadyView are turned on Select EXIT after setting the appropriate destination s on or off Only two storage destinations may be used at one time If two storage destinations are to be used only these combinations can be used The names STORAGE3 and STORAGE4 can modified to reflect additional destinations ReadyStore and eFilm local ReadyStore and STORAGE4 STORAGE3 and eFilm local STORAGE3 and STORAGE4 Page 20 Chapter 5 Transferring Images from the RapidStart continued Transferring the Image When the destination has been set the images are automatically transferred to the selected destination when either the SEND button or the END STUDY button is selected Active transfer is indicated by a flashing green light in the upper right hand corner of the screen PATIEN2. e f sleep mode is OFF ghosting may occur on the next exposure Dense areas of the previous image may appear on the subsequent image AB The ON button is a toggle Select the ON button to toggle to OFF Enter the amount of seconds before the panel enters sleep mode The panel will enter sleep mode after either ending a study or canceling a study Select OK Page 36 Chapter 6 Customizing RapidStart Settings continued Changing the RapidStart Password System functions can be locked from non authorized users A system password will be required to access these functions A yellow key signifies that a function is locked and requires the system password to access it eat mi PRE I _ R Figure 6 29 Administrator Setup Screen CHANGE PASSWORD Button 1 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM Select SETUP MENU see Figure 6 2 SYSTEM Screen Select SETUP MENU Select ADMINISTRATOR SETUP tab Select CHANGE PASSWORD A popup will appear requesting the system password Enter the system password and select OK E HL i S w Another popup will appear Enter the new password Re enter the new password and select OK AP Please keep the system password in a safe place Technical Support can help if the password has been misplaced Page 37 Chapter 6 Customizing RapidStart Settings continued Setting Date and Time The system date and time can be modified to reflect current
3. Peif Lact Hami Fait hee Mosely G Eni _ mm Mein li GER KE KE te Hops NH R BF 9 US GE 671572010 v 6 15 2010 v a G mi ck R A Acree Shady Diis Fiete HE Ss mg eg eg eem ke abuses ala Expo fe Ha r s pre LI Baco Lint Wee 3 Loca Exon 0 emote Even ACC 3 image Channel Zeep 7 Ts Sard al A Baa E S MITHANI MHIL ARI 21 C Abtemar 2610 05 28 Eam CT I Thorax 20050 Wi Forti 2010 00 45 H Figure D 3 Filtering by Date 5 Dates Today button See all studies performed today Yesterday See all studies performed yesterday Date range Select From check box Select date from drop down arrow list or enter dates manually Repeat for To check box Click Search All studies performed within date range are displayed If there is data in the search fields select Clear Filter If any of the search fields contain entries from a previous search the list will be filtered and the complete eFilm database will not display Page 52 Appendix D eFilm Application continued Burn CD Enables user to save selected studies or images to a CD Figure D 5 Burn CD Main Screen Copy an Entire Study Select the study in the Study Manager list Select BURN CD Enter CD Title most cases use the owner or patient name Select DICOM with eFilm Lite CD can be used in any computer Select BURN CD Select Remove package on completion Select Eject the CD
4. Add Template to Image i tio HI Fou er e ad Ue a erue Vra VU Ca po OR UC IIa UU Ie DEUM Va cewek 66 Size and Position Template di 67 TO MOVE Template ETE T TT T T 67 To Change Template 5126 50 devo cede eO US UVP RP RR ET ss 68 Pivot Template a vob bos ees eoi soa eee aceasta eu ewan DU DIL DUE 69 Delete a Template nin caia rai 70 R calibrate animate ia cata D EE n vIM e Ves 70 Appendix E Digital Radiography Technique Charts Appendix F Technical Support SHIPPING Address coi SS ds 74 Ee nl UE Ee eg Em 74 WEDSIVG pe ET lid 74 rev072010 Page xiii Chapter 1 Introduction to RapidStart ED Figure 1 1 RapidStart Components Features The RapidStart features a 17 LCD touch screen display for patient data entry selection of views and image acquisition Page 1 Chapter 2 Start up and Shut down Procedures Start up Ensure the power supply for the panel is powered on Start the RapidStart by depressing the ON OFF button The Main screen will display Figure 2 1 Main Screen Shut down On the Main screen select SYSTEM see Figure 2 1 Main Screen Select SHUTDOWN The SHUTDOWN after trans button may also be used to shutdown the system This will allow the system to complete the transfer of images before shutting down Figure 2 2 System gt Shutdown Figure 2 3 System gt Shutdown after trans To reboot the system turn off the panel power supply box by depressing t
5. Contrast is adjusted The region of interest may be adjusted in the QA screen Image Is Acceptable If the image is acceptable select OK and continue the study See Figure 3 6 Initial Image Capture Image Is Unacceptable If the image is not acceptable select RETAKE See Figure 3 6 Initial Image Capture Select OK in the dialogue box to retake the image The unit will reset to allow immediate retake of the image in the same radiographic view Page 6 Chapter 3 Image Acquisition continued Retake Image Retake image due to low REX value or noisy grainy image incorrect positioning or movement H h PATIENT NAME MALE i rne 10D 0707106 01 02 2003 Check Image ABDOMEN REALTY Figure 3 9 Retake Image Using Same Body Part Page 7 Chapter 3 Image Acquisition continued Reject Image If the image is not acceptable due to mislabeling select REJECT Select OK in the lower right hand corner of this screen The main screen will appear allowing you to select another body part PATIENT NAME MALE 01 02 2003 Check Image ANDOMEN i vo Rejec ae E Figure 3 10 Reject Image Capture A Images that have been rejected by selecting RETAKE or Reject are not permanently deleted The Reject button is a toggle Select the Reject button again to restore the image to the study Images may also be restored to the study by selecting the MULTI VIEW button This will display a thumbnail of all images in the curren
6. Diagnostic REX Value 300 Small Animal For Patients over 30cm double the mAs DIAGNOSTIC REX VALUE 300 Small Animal Limited Output Generator For Patients over 30cm double the mAs Diagnostic REX Value 300 5 m J 00 50 95 10 No 9 we f s Page 71 Appendix E Digital Radiography Technique Charts continued Small Animal Limited Output Generator For Patients over 30cm double the mAs Diagnostic REX Value 300 Time Sec in Decimals A p Exotic Animal For patients greater than 25cm double the mAs kVp may be increased 10 if necessary we T Small Animal Portable 80 15 Generator For Patients over 30cm increase the time in seconds Diagnostic REX Value 300 Time Sec in Decimals sp esp esp es A p SI ow Page 72 Appendix E Digital Radiography Technique Charts continued Small Animal Portable 90 30 Generator For Patients over 30cm increase the time in seconds Diagnostic REX Value 300 Time Sec in Decimals 1 10 11 15 16 25 26 30 l 5 os ME Small Animal Portable 90 30 Generator For Patients over 30cm increase the time in seconds Diagnostic REX Value 300 Time Sec in Decimals As p we gt Page 73 Appendix F Technical Support Shipping Address Sound Eklin 5817 Dryden Place Suite 101 Carlsbad California 92008 USA Technical Support Office hours Weekdays 8 00 A M 5
7. Maintenance and Inspection O A When the instrument has been dropped and it is damaged the instrument must be repaired by a qualified engineer only If it is not repaired properly it may cause fire electric shock or accident For safety reasons be sure to inspect the instrument before using it Page vi Conventions The following conventions are used in this guide Text lt Alt gt lt F4 gt Keystrokes typed simultaneously Start gt My Computer Windows operating system menu selections Figures Highlight box Red rectangle i Text entry Blue rectangle C Page vii Table of Contents RapidStart User Guide Goa NOE ns Ee ii A E I T Lm ii Please NOL cte m iii General Safety Informatlori rinda iv Reguldt OE da iv CAUTION SIGS eu o usd isa od I v EXE AUI EINEN CO M UTEM CI VE d a pd ed uU eve uou Meu dU d via V WADING Secu E E EN V ia WE V p ejr LE NS S V Environment of Use and Storage 5 sss ss sss cs EE EIS QUE a V BT vase 3253 5 519 90 4090 ia oc V Console edes LN PII dm Nbre esie ace a Unde est V ele te Il tn vi When Problem OCGUIS T Vi Maintenance and Inspection iris is vi CONVENTIONS nao vii rev072010 Page viii Table of Contents Chapter 1 Introduction to RapidStart PEGUEN Da E dia SOS 1 Chapter 2 Start up and Shut down Procedures Start UD A in 2 nl ee E EE 2 Chapter 3 Image Acquisition Entering Patient INTORMAON eer
8. Names e Edit the DICOM Series Description e Copy the Body Part Buttons to Save as New Menu Buttons e Change the Order and Location of the Body Part Buttons e Move Add or Change a Body Parts tab List e Change the Image Processing IP and Lap Enhance Parameters If editing the body part button names the DICOM series description should also be altered to ensure uniformity Refer to Edit the Series Description A password is required to make these changes Edit the Body Part Button Names 1 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM Icon Select EDIT EXPOSURE MODE Select EDIT PARA default if not already selected E oe o Select a body part tab Lr lT PARAJ SELECTA raza HUTTON Tepr ee 1 M vb Leh Lateaal Aligha Lateral SPIRIT NEIN i neum mam wegen wn der mme REM m p 551 l Figure 6 8 SYSTEM Screen Select EDIT EXPOSURE MODE Figure 6 9 Body Parts Button Menu Select EDIT PARA Page 25 Chapter 6 Customizing RapidStart Settings Editing Exposure Mode Parameters continued IUH S PAIA SELECT Py PART DIREC TIA scht EEELEELIT LW EEE EEN Figure 6 10 Edit Body Part Button Screen Figure 6 11 Edit Button Onscreen Keyboard 5 Select a body part button The edit screen will display and the Body Part button as it is currently saved will display toward the top of the screen e Select the button to edit the name The edit keyboard will display with the current nam
9. date and time where the RapidStart system is being utilized To change the date and time 1 2 3 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM Select SETUP MENU see Figure 6 2 SYSTEM Screen Select SETUP MENU Select ADMINISTRATOR SETUP tab see Figure 6 3 System Information Screen ADMINISTRATOR SETUP Button Select DATE Modify the date time and time zone in the Windows Date and Time Properties window Changing the dates and time also modifies the computer system date and time Page 38 Chapter 7 RapidStart Maintenance Calibration Procedures Perform the calibration at least once a year or if image quality degrades Laat Calibration ANNUS ES Grid TAD es ES LT NEN JESEY mses mes 1 mAg a cm CIA es Lest Grid NO EA E Figure 7 1 System gt Calibration Figure 7 2 Start Calibration 1 Make sure there is nothing on the tabletop overlying the sensor panel e lead markers gloves etc The tabletop should be wiped clean before performing calibration 2 Align the crosshairs of the X Ray machine collimator on the X Y and Z axis of the sensor panel Open the collimator to include the entire sensor panel 3 Set the focal distance from the anode to the sensor panel at approximately 40 inches 4 Set the technique on the X Ray generator A technique of 66 kVp and 2 0 mAs works well on most X Ray machines The RapidStart will indicate if the exp
10. dee eg 3 Optional information on the Patient Information Screen eee 3 Study NfO iia is A AAA AAA da 4 ee UN elt Sne 5 Preview the Image da 5 EValuate mate II ENET MET 6 image ls AGGCEDtADIC srne T O M 6 linage ls Unacceptable eieiei ee Eeer 6 Retake Nase essed sce AH E bs oOx V Menor a E e HR NM vete ie EE UU M sea 7 Giel 8 Chapter 4 Processing the Image image Quality ASSUFaTCO Ni voe oro ou E cen PLE ho E EV ove AN Ordi EUR CPV ege tues 10 LUT LOOK Up Tablas aa 11 Lap Enhance Laplacian Enhancement ccccccccccccccccccccccccessccccsccccescceses 12 POSION aE E AA Ea 13 Orientation PUR Ue 13 ANNOCAOM ireira a PR 15 Adjust Che FM iria 16 Adjust ROL Region of Interest o ici rain eer Geh 17 View Enlarged image vases dius SE D eld dT Poi cies 18 Completion of Image Quality Assurance sesesceseseseccececesoecececosoececesosoecececceceoe 18 rev072010 Page ix Table of Contents Chapter 5 Transferring Images from the RapidStart Setting the Image Destinations iia SNA Ha bo ME 19 Transferring tne TTT 21 Senda Mades eeror eE E E EET ENS 21 Chapter 6 Customizing RapidStart Settings Study N EE 22 Modify the Study Information sss ss ss sss ss ss A aaaea 22 To Create a Selection aiii sida 24 Editing Exposure Mode Parameters e eebe re EN aa 25 Edit the Body Part Button Names sss sss ss sss ss ss se ces A Ee 25 Edit th DICOM Series Description v
11. list Select Previous icon to view image before current image within the series study Select Next icon to view image after current image within the series study There are three options for moving between images within a series study Select previous or next icon Move cursor over image right click mouse and scroll to image you d like to view Use thumbnail panel ez i et iim 7 1 7 Abdomen Cal 2006 Feb 30 13 38 75 000000 FL Abdomen FOR 7006 dor 05 15 05 CA p d rs Bat uiy Treba Aob Tech gres ek B x x m gS 0 8 A al ads gt d P Va 2 108 NNI a BE Figure D 15 Viewing a Different Image Using Right Mouse Click Page 60 Appendix D eFilm Application Viewing Study Images continued Thumbnail Panel ie chilm 2 1 2 Ld Ple D Ley Teenz Droits Took Window Help 4 L i Ld x L am e p S v z Se m OE a d La d CARLOS CR 2 CARLOS OR 2 ly Abdomen Cat For help prexs F Figure D 16 Viewing a Different Image Using Thumbnail Panel Features of Thumbnail Panel e Tab for every exam performed on that patient e Active tab is denoted with a green check box e Click and drag to move and resize the window e Drag and drop images from thumbnail panel to display panel e Click OK or click the X to close the thumbnail pane Accessing the thumbnail panel Select the thumbnail panel tool from the toolbar or Select Automatically popup the thumbnail pane
12. name of the practice as it should be displayed Select OK to exit Keyboard screen Select OK to exit from Annotation 72 field screen Select EXIT To Modify The Name Of The Practice Select the Annotation 2 field Place the cursor in the line to be modified Select ONSCREEN KEYBOARD button Enter the name of the practice as it should be displayed Select OK to exit Keyboard screen Select OK to exit from Annotation 72 field screen Select EXIT For advanced annotation settings i e OFA and PENNHIP or multiple practices sharing a system see Appendix A Recommended Small Animal Page 35 Patient Data Entry Protocol Chapter 6 Customizing RapidStart Settings continued Sleep Mode Sleep mode allows the sensor panel to go to sleep This enables the panel time to discharge the previous radiation dose that has been applied to the sensor panel ADS TRA TOR Figure 6 28 Turn SLEEP MODE On I ET EE F i a E re EEFE i Figure 6 27 System Setup Screen Select SLEEP MODE Button To Enable Sleep Mode 1 2 3 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM Select SETUP MENU see Figure 6 2 SYSTEM Screen Select SETUP Select SYSTEM SETUP tab see Figure 6 3 System Information Screen ADMINISTRATOR SETUP Button Select SLEEP MODE Select ON to turn sleep mode on e If sleep mode is ON exposures cannot be made as quickly Sleep mode allows the sensor panel to reset itself
13. on completion Select Continue when ready Copy Multiple Studies in Sequence Figure D 6 Copy Studies In Sequence Hold the lt Shift gt key Click on the first and last study Repeat steps to BURN CD from above Page 53 Appendix D eFilm Application continued Copy Multiple Studies Not in Sequence Ven Sp Loca Evans Lei Bee Exams 8 DOP D image Charen Jane Deg Aghn Brest Abdomen 010 0534 Than 2090730 Fura 2010 01 13 Figure D 7 Copy Studies Not In Sequence Hold the lt Ctrl gt key Select the studies to be copied Repeat steps above above Copy Selected Images Search Study Manager list for desired study emm Utility MM Open the study Process Manager Select the images to be copied DICOM Dump Select Utility l Scroll down to Create CD v Repeat steps above above Clear Queue Set Password LaXw fm ja Sdn dan Pen em mem Don t start the burn CD process when you are ready to 9o onto another task as other applications are not available during the burn process Appendix D eFilm Application continued Image Display Tools Toggle Survey Explode Mode Select icon to toggle between survey mode displays all the images in a study or a single view one image in the study V Ets ES Ltr Hoces F i Dash rss eE EA E a Tam v ty Dd PIPER FA Abdomen EDS 2004 A
14. to meet PENNHIP or OFA requirements Select OK Select the screen where annotation should appear preferably near the other annotation information There will be position arrows to reposition the annotation if needed Select OK and EXIT Magnify the image to verify the annotation is properly located Page 46 Appendix B RapidStart and Accessories Acquisition Station The RapidStart acquisition station consists of the touch screen display and shuttle box which contains the operating software and local image storage It delivers superior diagnostic content and image processing capabilities Figure B 1 RapidStart Cables Figure B 2 Cross over Cable The cross over cable transfers the images from the sensor panel to the acquisition station Figure B 3 Network Cable The network cable connects the acquisition station to the network port or switch It relays information to ReadyView diagnostic workstations ReadyStore multi modality PACS image management systems Remote web based image management portals and medical grade dry film printers Figure B 4 Synchronization Cable The synchronization cable connects the synchronization box to the acquisition station It relays a signal to the acquisition station to open the sensor panel for radiation exposure Page 47 Appendix B RapidStart and Accessories continued Panel Power Supply Box Power Cord Connection ynchronm
15. 0 6 cm 19 9 wide x 49 0 cm 19 3 high x 2 3 cm 0 9 deep Flat panel touch screen display Veterinary specific anatomical view selection and acquisition optimization Preview approximately 4 seconds after exposure Total time approximately 10 seconds per image DICOM 3 0 compatible 100 Base T network interface Networks to ReadyView diagnostic workstations or ReadyStore multi modality PACS image management systems AIS web based image management portal Local storage includes approximately 25 500 images Long term storage provided by offsite AIS archive 100V 120V 230 240V 50 60Hz 300 VA Maximum 5 35 C 41 95 F 30 75 RH non condensing Page 49 Appendix D eFilm Application Accessing eFilm On RapidStart Acquisition Station 1 Hold the left mouse button and click the right button to switch from Canon interface to eFilm application 2 Select OK at the log on screen 3 The Study Manager page appears displaying all the studies currently stored in the eFilm database 4 Repeat step 1 to toggle back to Canon interface On ReadyView Workstation 1 eFilm is loaded in the start menu of all ReadyView workstations allowing it to load automatically when the system is booted 2 If eFilm does not open automatically double click the eFilm shortcut icon on desktop 3 Select OK at the log on screen 4 The Study Manager page appears displaying all the studies currently stored in the eFilm da
16. 00 P M Pacific Time Emergency 24 hour support is available Telephone 800 268 5354 option 3 Website www soundeklin com Page 74 amp sound din a VCA ANTECH company Sound Eklin Technical Support 5817 Dryden Place Suite 101 Carlsbad California 92008 USA toll free phone fax international 800 268 5354 option 3 760 918 9626 760 918 9620 1 760 918 9626 www soundeklin com O 2010 All Rights Reserved Sound Eklin a VCA ANTECH company
17. Click on annotation 2 field Place cursor in line under practice name Click on physician button Page 45 Appendix A Recommended Small Animal Patient Data Entry Protocol continued Consistent Patient Data Entry of Species and Sex Enable a Free Field in Study Info and Set it to Essential Enter the following choices canine canine neutered canine spayed feline feline neutered feline spayed avian exotic Include a space when entering canine canine neutered etc in order to keep the annotation from running together An example of the end result is F canine spayed Add Free Field To Annotation 1 Patient Info After Sex In Annotation In Administrator Setup Consistent Patient Data Entry for PENNHIP and OFA Activate Free Annotation System gt setup menu gt system setup gt annotation In the upper right corner select free annotation toggle disable to enable Select font and change size from 72 to 28 Leave font style on swiss 21 BT Add Free Annotation to Image This information must be added to each individual image that is being submitted in the QA screen after exposure is made Select QA in the preview image screen Select the annotation tab in the QA screen Select Free annotation at the top takes a second to load Select add text Select the text square and add the required information Example AKC 123456 Santa s Little Helper Micr 8675309 the practice staff should know what information needs entered
18. PARA 4 Select a body part tab see Figure 6 9 Body Parts Button Menu Select EDIT PARA 5 Select a body part button The edit screen displays see Figure 6 9 Body Parts Button Menu Select EDIT PARA 6 Select NEXT PAGE button The series description displays in the lower left corner of the window see Figure 6 12 Edit Body Part Button Screen Select NEXT PAGE 7 Select the IP PARAMETER tab on the right side of the screen e To change the CURVE SHAPE Select the square box next to the currently saved curve shape Page 32 Chapter 6 Customizing RapidStart Settings Editing Exposure Mode Parameters continued Figure 6 20 Changing Curve Shape 7 Select the IP PARAMETER tab on the right side of the screen e To change the CURVE SHAPE Select the square box next to the currently saved curve shape Select the desired curve shape The IP parameters screen redisplays with the newly selected curve shape e To change the BRIGHTNESS or CONTRAST Select 4 or to select the desired number Figure 6 22 LAP ENHANCE Tab 8 Select the LAP ENHANCE tab on the right side of the screen e To change the DYNAMIC RANGE or EFFECT Select 4 or to reach the desired number e Select OK 9 Select OK when asked Save the changed parameter 10 Repeat steps 7 through 9 to continue changing the IP and Lap Enhance parameters for the body part buttons Page 33 Chapter 6 Customizing RapidStart Settings contin
19. Pan reduces or enlarges Zoom the image within the field of view To activate Pan Click and hold the left mouse button while over the image Scroll to move the image around within the field of view To activate Zoom Click and hold the right mouse button while over the image Scroll up to enlarge the image Scroll down to reduce the image Use the Pan feature to move the image if the area of interest is not visible Select large arrow to return image to original magnification Page 56 Appendix D eFilm Application Image Display Tools continued S eFilm 2 1 2 FF Abdomen EDR3 2006 Apr 05 15 09 57 COLUCCI DOLLY 2005 May 03 08 06 00 000 f Ld Ele Edt mty Tebez Profle Tools Window Heb i sw bb E sol Wee E ME fi Left mouse button Zoom Right magnil v 4 mouse button mere aor Pan Left mouse button Zoom Right RR mouse button L pa mes l el est A Es For Help press Fl Figure D 11 Pan and Zoom Options Toggle Overlay Shows hides DICOM information Select the Toggle Overlay icon to show DICOM information Select again to toggle off Page 57 Appendix D eFilm Application Image Display Tools continued Add User Annotation Left Mouse 7 ef iim 7 1 7 Ld fe Eat ny Coat Profile Inh Window Heb L IG 4 3 a 1 Ko 0 9 a E il h n Ee E gt SI SS 8 OA mW Figure D 12 DICOM Information and User Annotations Click Add User Annotation icon Click o
20. RAM These parameters cannot be saved as default if the image has been accessed from the study list The system password must be entered to save changes Contact Technical Support if you forget this password Page 12 Chapter 4 Processing the Image Image Quality Assurance continued Position The body parts menus are designed to give the proper orientation based on a recognized pattern of animal orientation However sometimes it is necessary to position an animal differently than what the system is expecting The image must be oriented manually to be displayed correctly The position may be adjusted by selecting the POSITION tab 2 PATIENT HAME MALE e sn ID D70106 01 02 2003 Check image Lu Figure 4 4 POSITION Tab Orientation Select the orientation button The image may be e Flipped horizontally or vertically or e Rotated 90 or 180 degrees clockwise or counterclockwise Select OK to change the image orientation Figure Orientation Pop up Page 13 Chapter 4 Processing the Image Image Quality Assurance continued ly PATIENT HAME MAL D m 1 Pale Teks 70706 E D Figure 4 5 Orientation Corrected If the new parameters are to be saved as the default select the small arrow in the bottom middle of the QA screen and SAVE PARAM These parameters cannot be saved as default if the image has been accessed from the study list The system password must be entered to save changes Contact Technical Su
21. RapidStart User Manual RapidStart User Guide Version 3 0 Part Number 74 152 July 2010 Copyright Notice Copyright 2010 Sound Eklin 5817 Dryden Place Suite 101 Carlsbad CA 92008 USA All Rights Reserved This manual shall not wholly or in part in any form or by any means electronic mechanical including photocopying be reproduced or transmitted without the authorized written consent of Sound Eklin This guide has been produced to assist in providing instructions for the Sound Eklin RapidStart product Every effort has been made to make the information in this guide as accurate as possible The authors of this guide shall have neither liability nor responsibility to any person or entity with respect to any loss or damages in connection with or arising from the information contained in this guide Trademarks Sound Eklin and RapidStart are registered trademarks of Sound Eklin Any additional software products named in this document are claimed as trademarks or registered trademarks of their respective companies Page ii Please Note 1 This product is intended for Veterinary use only not for Human use 2 Roentgenography image processing reading of image and storage of data must be performed in accordance with the law of the state country where the product is being used 3 The user is responsible for maintaining the privacy of image data 4 The user is responsible for the use and maintenanc
22. T MAME ALE 0 070106 HOY LIME HINU LIM RUIN SHULL TUE FULI Slit Figure 5 5 Return to Main Screen A Do not shut the system down while the green light is flashing Send Images Send images one of two ways 1 Select the SEND button while the study is in process sends each image individually 2 Select the END STUDY button after the study is complete sends all the images A The study should be ended immediately upon completion by touching the END STUDY button This will prevent images from a different patient from being added to the study in error Page 21 Chapter 6 Customizing RapidStart Settings Study Info The Study Info is information associated with a radiographic study Information pertaining to the study description referring physician physician operator and institution can be enabled disabled and essential optional for data input dP Modifications to the Study Info setup cannot be made during a study Modify the Study Information SE BATH Figure 6 1 Main Screen Select SYSTEM Figure 6 2 SYSTEM gt SETUP MENU 1 Select SYSTEM 2 Select SETUP MENU 3 Select ADMINISTRATOR SETUP tab Lis EIA Figure 6 3 System Information Screen ADMINISTRATOR SETUP Button Page 22 Chapter 6 Customizing RapidStart Settings Study Info continued 4 Select STUDY INFO ADS HA TIIN Figure 6 5 ENABLE DISABLE Button 9 Select a tab on the ri
23. T PAGE button The series description will display in the lower left window 7 Select the Series Desc box to access the edit keyboard e Select forward cursor key at the bottom of the keyboard to deselect the entire description e Select backspace key to erase the unwanted sections of the description e Use the keyboard to type in the desired description e Select OK when complete and exit the edit keyboard e Select OK to return to the body part buttons 8 Repeat steps 4 through 7 to continue altering the series description of the desired body part names 9 When all desired series descriptions have been altered select EXIT twice to return to the main screen Page 27 Chapter 6 Customizing RapidStart Settings Editing Exposure Mode Parameters continued Copy the Body Part Buttons to Save as New Menu Buttons 1 Select SYSTEM see Figure 6 1 Main screen select SYSTEM icon 2 Select EDIT EXPOSURE MODE see Figure 6 8 SYSTEM Screen Select EDIT EXPOSURE MODE 3 Select COPY a COPY SELECT A BUTTON RT AR Bom FORE LIMITI Hing quoa Bie LI uc L n Leh Lateral f fg Re SKIL Exotics HULI Figure 6 14 Body Parts Button Menu Select COPY 4 Select a body part Tab 5 Select a body part button The study button name will be highlighted in blue 6 Select a blank body part button to place the copied item It can be placed in a different body part tab 7 Select OK when asked Are you sure y
24. all the way down on the footswitch until X ray machine fires A Standard focal distance from the X Ray tube to the sensor panel is 40 inches Preview the Image A preview of the acquired image will appear on the screen approximately 4 seconds after exposure The preview screen allows evaluation of the image for appropriate positioning motion and technique A N PATIENT MAME Tr teh 070108 heck TIT Figure 3 6 Initial Image Capture Page 5 Chapter 3 Image Acquisition Preview the Image continued Figure 3 7 Image from Saturated and Unsaturated Panel Evaluate Image The number in the lower right corner of the image is the reached exposure REX number See Figure 3 6 The REX value indicates the relative number of X ray photons that reached the sensor panel An acceptable range for the REX number on the RapidStart is 300 1200 REX values less than 300 may be objectionably grainy when zoomed and should be repeated REX values in excess of 800 will not affect image quality but indicate more exposure than necessary was used With very high REX values gt 2000 the panel may saturate and be unable to record the anatomy When this occurs a black ghost image may appear over the thinner parts of the field of view The number that appears on the initial preview screen is an average value for the entire acquisition area of the sensor panel The REX number will change when the region of interest ROI or Brightness and
25. at the bottom of one ball Drag to the bottom of other ball Distance between balls displays In the example shown we know the two balls are 10cm apart but it shows 11 1cm therefore the image needs to be calibrated Select calibrate button Select Yes when asked The image is already calibrated Proceed anyway Enter 10 0 cm Select OK Image is now sized length notation changes to 10 0 cm ip If calibrate button is selected with no line selected system will display One linear measurement tool must be selected for calibration Select OK Select linear measurement line then reselect calibrate button Page 65 Appendix D eFilm Application Using Templates continued Add Template to Image Ld P DB ey Bebe fade Da grier pr d A wZswIS mW AITB HW UNE N a Ex E J Ba Reg Figure D 20 Selecting a Template Select add template button Template Selection dialog box displays Select a template e g Biomedtrix BFX Stem Anterior Posterior 5 Select Apply Select Done Click and drag template to right hip template is for left hip Right click and drag to horizontal Image flips horizontally and is now oriented for right hip Page 66 Appendix D eFilm Application Using Templates continued Size and Position Template Figure D 21 Change Template Orientation To Move Template Select Zoom button Select Left and Right Template buttons Click and ho
26. bers sss ss sss ss ss s c ENEE ENEE ENEE EEN Identification of Multiple Practices Sharing the Same RapidStart DR System Consistent Entry of Doctor Names in Physician Field ee ENEE EE ENNEN ENEE EEN Enable Physician Tab Study Inder ee iaa Add the Physician in Annotation Field iii Consistent Patient Data Entry of Species and Sex sss ss ss sss ee eea eaa aeaaaee aaa Enable a Free Field in Study Info and Set it to Essential ee ss sss ss sesa eaa aeaaeae Consistent Patient Data Entry for PENNHIP and OFA ccccccccccccccccccscccccscccccccccees ACUVALE Free Anotaciones Add Free Annotation to made vasos Appendix B RapidStart and Accessories Acquisition CALCIO aca Cables NO cand AA E Usu E RAR L E Panel Power Supply BOX EE Sensor li NEE Appendix C Specifications Intended Purpose Veterinary Radiography ccccccccccccccccccccccceccccecccceccceccceeccces SDE CIM CACIONS ia Sensor UE a rev072010 43 Page xi Table of Contents Appendix D eFilm Application ACCESSING CEM E TT 50 On RapidStart Acquisition Station nic 50 OmiReadyView Workstation E 50 Vew Ud soc 50 Search Study Manager Sui HT 51 Bur ED EA IU wig nes uA une UN A ie dun i bue ome naw meee eens 53 Copy an Entire Study oos debes it osi se pici Se eso pemte ona 53 Copy Multiple Studies in S quence ioa t veu va alli a 53 Copy Multiple Studies Not in Sequence sss ss sss s c s c e
27. c e e ee eee eee 54 TUA a s BI EE 54 image Display delen E 55 Togsle Survey Explode MOG a lt vax asr aa aaa ONN ENA N NNN E 55 Window Level Right MOUSE uste a aevo rre oa as CES iii 55 Magnification Lett MOUSG cci aaa pe tono RE Cur AS EXER KaR ER EE AEVORE QI Ra a ERU P eases 56 Pan Left mouse and Zoom Right mouse ENEE ENEE 56 TOS OVER M LANA 57 Add User Annotation Left Mouse edo sss ss ss a ss ss ces VI E EU RUE RUP LEO ED VEN aa 58 SEADDOOK EE 59 Creemos uod mos Seo moneda aia 60 Viewing Study IMEI 60 Viewing Previous or Next Studies or Series Aen 60 Th trnbnallPablel oc see uo Ure ortu ep SNO x wee NENNT dra EUM UM V OE 61 Compare Studies From Different DateS seccesesescececesecoecececosoececesosoecececceceoe 61 image Orientation TOO Sisi 62 Flip Horizontal vii T MM MER 62 EU ME TT TI EU 62 Rotate 90 Degrees Counter Clock WiSG siii 62 Rotate 90 Degrees ClOCKWISQ s c 6 6 0 aN ds 62 A P A 62 rev072010 Page xii Table of Contents Appendix D eFilm Application continued Measurement TOO Sa ose 62 ATFOW RiSHE MOUSO iii EE 62 Eine Rieht MOlSe iocucec noe aa eani eo SR ES OESTREVESES a 63 STOW EE E 63 Clear Measurement TOOL tii isa 64 Seid Te te EE 64 ric f 64 Usine ersten TESTED UTE 64 Calibrate Image to Correct for Magnification Factor ssesececesescecececcecececeececeoe 65
28. e highlighted at the top of the window e Select forward cursor key at the bottom of the keyboard to deselect the entire name e Select backspace key to erase the unwanted sections of the name e Use the keyboard to type in the desired name e Select OK when complete and exit the edit keyboard e Select OK to return to the body part buttons e Repeat steps to continue altering body part names e When all desired names have been altered select EXIT twice to return to the main screen A If the parameter is locked another popup window will display requesting the system password Enter the password to continue Contact Technical Support if you forget this password Page 26 Chapter 6 Customizing RapidStart Settings Editing Exposure Mode Parameters continued Edit the DICOM Series Description EET PARA SELECT SOY PART OIE CT 1219 Figure 6 12 Edit Body Part Button Screen Select NEXT PAGE Figure 6 13 Edit Body Part Button Series Desc Field 1 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM Icon 2 Select EDIT EXPOSURE MODE see Fieure 6 8 SYSTEM Screen Select EDIT EXPOSURE MODE 3 Select EDIT PARA if not already depressed see Fieure 6 9 Body Parts Button Menu Select EDIT PARA 4 Select a body part tab see Figure 6 9 Body Parts Button Menu Select EDIT PARA 5 Select a body part button The edit screen will display see Figure 6 9 Body Parts Button Menu Select EDIT PARA Select the NEX
29. e of the product We suggest that a member of the user s staff be designated as being in charge of maintenance so as to ensure that the product is kept in a safe and good condition Also veterinary medical products must be used only by a qualified person 5 n no event will Sound Eklin be liable for direct or indirect consequential damage arising out of the use of this product Sound Eklin will not be liable for loss of image data due to any reason 6 Sound Eklin reserves the right to change the specifications configuration and appearance of the product without prior notice 7 Do not make any changes or modifications to the equipment unless otherwise specified in the manual 8 The products are not fault tolerant and are not designed manufactured or intended for use or resale as on line control equipment in hazardous environments requiring fail safe controls such as in the operation of nuclear facilities aircraft navigation or aircraft communication systems air traffic control life support or weapons systems high risk activities Sound Eklin on behalf of itself and the manufacturers or suppliers of the products specifically disclaims any express or implied warranty of fitness for such high risk activities Buyer represents and warrants that it will not use or Knowingly directly or indirectly distribute or resell products for such high risk activities Page iii General Safety Information Follow the safety instructio
30. est may be adjusted for brightness and contrast Select the anatomical area of interest by touching the screen in opposing corners A pink border will appear around the selected area The brightness and contrast will be optimized to display the selected region of interest Page 17 Chapter 4 Processing the Image Image Quality Assurance continued View Enlarged Image Figure 4 11 MAG Image Views Select MAG or QA MAG The image will display on the full screen The image may be magnified up to three times by touching the screen The image is magnified and recentered from the spot where the image is touched e Select RESET to establish the original magnification factor e Select CLOSE to exit and return to the QA screen Completion of Image Quality Assurance Select OK to accept changes and return to the image preview screen Page 18 Chapter 5 Transferring Images from the RapidStart Ensure the RapidStart is connected to the local area network LAN Transfer the study to a ReadyStore R5 at the earliest opportunity to ensure adequate back up The appropriate destination must be preset before images can be transferred A A copy of the study is transferred based on individual practice preferences and may be sent to one or multiple destinations Studies stored on the ReadyStore R5 may be viewed at the ReadyView workstation following the initial transfer Setting the Image Destinations SEI BATH
31. estination is selected Network switch is off or unplugged or needs to be reset Network port on network switch is not functioning Firewall related issues Check your firewall settings IP address has been changed or non static Static IP address is required Server is not running Server is running but needs to be rebooted To Clear Error Select CANCEL The unit will display Images can be sent later Select OK If the error bar is still present repeat step 1 until the error bar is gone If the error is persistent call a Sound Eklin service representative Images are Not Showing Up On Server or Workstation Check Destination to ensure the proper destination is active see Chapter 5 Transferring Images from the RapidStart If no error is present on the capture system check search criteria and local and remote tabs within eFilm Page 43 Appendix A Recommended Small Animal Patient Data Entry Protocol Consistent Entry of Patient ID Numbers The recommended patient data entry protocol is to enter the owner last name and pet name in the name field and the patient identification number assigned to the pet by the practice management software in the patient ID field Example Name SMITH FLUFFY ID 1000 In many practices the practice management software assigns only a client number and does not assign a patient identification number In these cases the recommended patient data entry protocol is to enter t
32. ft AP d Figure 8 1 Noisy Exposure Synchronization Issues e Salt and pepper exposure REX of 1 noisy exposure Misfire of exposure switch Usually the rotor is not up to speed Make sure 2 step process is followed for exposure The synchronization cable is bad The X Ray unit foot switch is bad The X Ray unit is not emitting X Ray e Error message CXDI irradiation has stopped The foot switch was double clicked or is faulty Page 41 Chapter 8 Troubleshooting Image Acquisition continued Image artifacts e Latent image artifact Check to see if sleep mode is off It should be on e Environment related artifact Calibration was performed with an object overlying the sensor panel Clean the tabletop and recalibrate Sensor panel error Sensor panel connection Make sure cable is fully connected If the cable is not fully connected do not try to connect it while the RapidStart is running Shut down the RapidStart and connect the cable correctly If the cable is fully connected and the error still occurs contact a Sound Eklin service representative Image Transfer DICOM connect error 502 Enter Patient Data Figure 8 2 Connect Error Page 42 Chapter 8 Troubleshooting Image Transfer continued Error indicates an image destination could not be found Network cable is not connected either at acquisition station or destination Destination system is not turned on Incorrect d
33. ght hand side Select from Study Desc Referring Phys Physician Operator or Institution To allow data input of information select DISABLE The button will toggle to ENABLE The ENABLE button is a toggle button Select the ENABLE button to togele to DISABLE Page 23 Chapter 6 Customizing RapidStart Settings Study Info continued Figure 6 6 OPTION ESSENTIAL Button To require data input of information select OPTION The button will be relabeled ESSENTIAL The OPTION button is a togele button am Select the OPTION button to toggle to ESSENTIAL Selecting ESSENTIAL for the study info will cause the field to require data input at the time of patient entry To Create a Selection List 1 Select INPUT the Study Desc a popup box will appear 2 Type in a key and description 3 Select OK to close the box and add the information to the selection list 4 Select CANCEL to close the popup without adding the information 5 For all other study information a popup will appear Enter the name of the referring physician physician operator or institution To continue adding data to the selection list repeat steps Figure 6 7 Study Desc Dialog Box Page 24 Chapter 6 Customizing RapidStart Settings continued Editing Exposure Mode Parameters The body part buttons in the exposure mode display can be altered in the following ways e Edit the Body Part Button Names e Edit the Body Part Button
34. harmful interference to radio communications Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at their own expense For Canada This Class A digital apparatus complies with Canadian ICES 003 Cet appareil num rique de la classe B est conforme a la norme NMB 003 du Canada Page iv Caution Signs Warning OH This indicates a potentially hazardous situation which if not heeded could result in death or serious injury to you or others Caution A This indicates hazardous situation which if not heeded may result in minor or moderate injury to you or others or may result in machine damage Note AY This is used to emphasize essential information Be sure to read this information to avoid incorrect operation Environment of Use and Storage OH Do not use or store the instrument near any flammable chemicals such as alcohol thinner benzene etc If chemicals are spilled or evaporate it may result in fire or electric shock through contact with electric parts inside the instruments Also some disinfectants are flammable Be sure to take care when using them Connection A Do not connect the instrument with anything other than specified Otherwise it may result in damage to the unit Console C Be sure to turn OFF the power of each instrument before connecting or disconnecting the cables Also do not handle them
35. he ON OFF switch on the back of the panel power supply box Wait 1 2 minutes Turn on the panel power supply box by depressing the ON OFF switch Start the RapidStart system Page 2 Chapter 3 Image Acquisition Entering Patient Information Hama Pe eech H Tear eaa 20 B B LL uum Kam Jam Tam anoun anong n FC L NS L HEN peg Le later rf e H FULL pla nl m Figure 3 1 Main Screen Select PATIENT Figure 3 2 Patient Information Screen La mm Select PATIENT on the Main screen On the Patient Information Screen enter 1 Required information See Appendix A Recommended Small Animal Patient Data Entry Protocol page 44 2 Name Enter the patient s name ownerslastname petname in a consistent manner It is suggested that all capital letters be used The maximum length is 63 alphanumeric characters 3 ID Enter patient identification maximum length is 32 alphanumeric characters Each patient should be assigned a unique identifier Optional information on the Patient Information Screen Choose the patient s sex by selecting MALE FEMALE or OTHER Birth Enter the patient s birth date The patient s age will be automatically calculated if the month day and year are entered as follows Month 2 digits i e 01 for January Day 2 digits i e 01 for the 1st day of the month Year 4 digits i e 2005 a System will not calculate age if date format is in
36. he button reads ADJUST TRIM default the image may be trimmed cropped by touching the screen to create a box around the area of the image the user wishes to keep Select the screen in opposing corners over the area of interest A red border will appear around the selected area H M PATIENT NAME MALE bait ID 070106 07 07 7009 Check image il LAF TRAM BN PIENE FA TiC S TAN LODH TRAS T m BCS S PROC fa a Conant CONTRAST d EC Bg crm Figure 4 8 Select Area Of Interest a The Green box around the image is an auto crop feature in the software Only the area inside the Green box will be transferred to the workstation s and or a ReadyStore R5 Page 16 Chapter 4 Processing the Image Image Quality Assurance continued If the image is cropped in error Select the RESET button to reset the image to the original settings before selecting the OK button The ADJUST TRIM button is a toggle button Select the ADJUST TRIM button to toggle to ADJUST ROI Please make sure the proper button is selected for the desired adjustment Adjust ROI Region of Interest MALE 21 02 22521 Check imaga A rad MAME MALE 10070108 611222001 PATIO LL LI ALS YF pa CON TT gcc TEES PER gt a Pa Ba FS L E OSs nn o E E A Figure 4 9 Adjust ROI Figure 4 10 Selected ROI Select ADJUST TRIM This will toggle to ADJUST ROI When the button reads ADJUST ROI the region of inter
37. he owner last name and pet name in the name field and the client number followed by the pet name in the patient ID field Example Name SMITH FLUFFY ID 1000FLUFFY In some cases owners may choose to use the name of a deceased pet for a new pet resulting in a second Fluffy Smith A number can be added to the patient name to indicate the pet is Fluffy 2 3 etc Example Name SMITH FLUFFY ID 1000FLUFFY2 Occasionally practices are not using practice management software In these cases the recommended patient data entry protocol is to enter the owner name in the name field and the pet name in the patient ID field Example Name SMITH JOE ID FLUFFY Use all capital letters in patient data entry and use no punctuation It is important to understand the DICOM viewing software eFilm uses the patient ID field as the primary data sort field Consistent entry of patient data allows proper use of the features in the PACS software Fusion and DICOM viewing software eFilm i e routing rules and thumbnail feature Page 44 Appendix A Recommended Small Animal Patient Data Entry Protocol continued Identification of Multiple Practices Sharing the Same RapidStart DR System In some instances multiple practices may co exist in the same building and be sharing a single RapidStart DR system The following is a protocol to help identify images In most cases the individual practices are using their own numbering system Placing the fir
38. ieabon Cable Connection Poi Belli The panel power supply box 50 Pane Cable Connection n Power indicator Light has multiple functions including supplying power to the panel transferring control signals to the panel and transferring the digital image data from the sensor panel to the acquisition station Figure B 5 Panel Power Supply Box Sensor Panel Ws The sensor panel is a lightweight direct capture digital X ray panel The sensor panel enables the capture of high quality images from any X ray generator Figure B 6 Sensor Panel Synchronization Box B sse CHE Dn MON The synchronization box is mounted to the Foct Suntch Cable Cesinection TER Font Setich Cette I X Ray generator It sends a signal to the C pa acquisition station to open the sensor panel c par puma dii UT for radiation exposure pie Ee Ennis za Dva Caldo Figure B 7 Synchronization Box Page 48 Appendix C Specifications Intended Purpose Veterinary Radiography not intended for human use Specifications Sensor Unit Type Imaging Area Pixel Pitch Pixel Array Grayscale Weight Dimensions System Controls Application Image Processing Time Data Output Image Storage Voltage Power Consumption Operating Environment Canon Medical CXDI 50G Sensor 35 6 cm x 43 2 cm 14 x 17 160 x 160 microns 2 208 x 2 688 pixels 5 935 104 pixels 12 bit 4 096 levels 4 8 kg 10 6 lbs 5
39. in image quality from view to view even when using the same radiographic technique A It is recommended that any changes to the preset buttons be made with the support of a Sound Eklin Service Representative An image that is too light or too dark does not require a retake Adjust the image using the following tools and steps 1 Select QA a PATIENT NAME IT rm HI EIER Figure 4 1 Initiating QA Page 10 Chapter 4 Processing the Image Image Quality Assurance continued 2 Select the required tab A PATIENT HAME MALE n ren ID 070106 01 02 2D03 Check Image Figure 4 2 LUT Tab LUT Look Up Table The gray scale curve used to display the image is modified using the Look Up Table LUT Any changes in these parameters are immediately reflected in the displayed image Set the BRIGHTNESS of the image between 1 and 29 The value on the left is the saved setting The value on the right is the current setting which changes when the buttons are touched Changing the brightness setting will change the brightness of the whole image Set the image CONTRAST between 1 and 29 The value on the left is the saved setting The value on the right is the current setting which changes when the buttons are touched Changing the contrast setting will change the contrast of the whole image Select OK to save the changes If the new parameters are to be saved as the default select the small arrow in the bottom middle of the QA sc
40. isi 27 Copy the Body Part Buttons to Save as New Menu Buttons sesessesossessesossesoeooeoe 28 Change the Order and Location of the Body Part Buttons eeeeee eene 29 Move Add or Change a Body Parts Tab css sss esec sss aeaee eee ENEE EEN 30 To Move a Body Part E i 30 To Add A Body Part Tabto the Tab List ccccccccscccccccccccscccccscccscscccsescsess 30 To Add a Custom Body Part Tab xis e eto did 30 To Change a Body Part Tab Name assi aeaaaee 31 Change the Image Processing IP and Lap Enhance Parametere NENNEN 32 ANO OM ini diia 34 To Add the Name of the Practice Age ripe ER SERES ia 35 To Modify The Name Of The Practice unida ii iia 35 e ee MR M P c 36 Changing the RapidStart Password canina aii ie 37 settine Date aN TIME i isdetcs cused 38 Chapter 7 RapidStart Maintenance Calibration Tae EE 39 System ee e 40 Care of Touch Screen MONITOR va E es aE Ge NR N A ANN aA 0 is 40 rev072010 Page x Table of Contents Chapter 8 Troubleshooting Image A CGUISILIOMN TTT No Exposure or Unable To Make Exposure esesesescoecececosoecececcececececcecececeececesoe SEET KEE EE Image artMacts on Mage Trastero Error indicates an image destination could not be found eere eee TO Clear Erne a cae A ie Se ee I Ue LED Appendix A Recommended Small Animal Patient Data Entry Protocol Consistent Entry of Patient ID Num
41. l box on the Study Manager screen Compare Studies From Different Dates From the toolbar click the Screen Layout and select the series layout with the desired number of images you want to compare Click OK Click and drag the images from the thumbnail panel to the display pane for comparison Move between studies by selecting the desired tab in the thumbnail panel Page 61 Appendix D eFilm Application continued Image Orientation Tools Flip Horizontal Flip Vertical gt Rotate 90 Degrees Counter Clockwise Reverses colors black to white and white to black toggle annotations will be mirrored Measurement Tools Arrow Right Mouse R Draw arrow on image to highlight Select Arrow tool Right Click near item area to be highlighted Drag arrow point to specific area to be highlighted Release mouse Enter annotation text if desired AP These are DICOM files and can not be changed Create a scrapbook of original image to save annotations see scrapbook Page 62 Appendix D eFilm Application Measurement Tools continued Line Right Mouse a Draws a line on image to denote dimension Draw line Select Line tool Right click start location for measurement Drag to end location for measurement Release mouse Change measurement i e increase or decrease length Select endpoint Click and hold left mouse button Drag to desired location Change measurement location i e move entire line with
42. ld left mouse button Move mouse in all directions left right up down Template moves with mouse Pes L MOR OSO U p A SP Soe e d i ok E A Y y d 25400 TE ug Figure D 22 Position Template Page 67 Appendix D eFilm Application Using Templates continued d SZ d b J E a nu mx te IM E Figure D 23 Position Template To Change Template Size Figure D 24 Change Template Size Click mouse button Move mouse up Template decreases in size Move mouse down Template increases in size Right click on template Pop up displays showing current size Drag to desired size Page 68 Appendix D eFilm Application Using Templates continued U ES Ep gun S nn Pe fek quine eh Cl ww E e mone Se Pp m e cc Figure D 25 Current Template Size Pivot Template Figure D 26 Pivot Template Move mouse left to right Template pivots on axis Page 69 Appendix D eFilm Application Using Templates continued Delete a Template Select template Right click Drag to delete All templates must be deleted before image can be recalibrated as system calibrates images and templates together Recalibrate an Image Delete all templates see delete a template above Follow appropriate calibration steps as detailed in previous instructions Page 70 Appendix E Digital Radiography Technique Charts Small Animal For Patients over 30cm double the mAs
43. n image to create a text box Create a scrapbook to retain information Page 58 Appendix D eFilm Application Image Display Tools continued Scrapbook Allows user to save any information added to an image i e Measurements or annotations r ce Figure D 13 Creating a Scrapbook ILE LI PE ee apart ee E pe LR quer Toe bais Doch giri ped Dw moe e AIN IAI H a ke Ki 43 b E N y A us mdp sn Fy Figure D 14 Scrapbook Images Select box in lower right corner of images with added information Select create scrapbook icon Select create Select yes if working with a PACS server to store image on server Select no to store image in local eFilm database original DICOM image is not changed A Original DICOM images can not be modified All changes must be saved asa scrapbook and stored in the local eFilm database Page 59 Appendix D eFilm Application Image Display Tools continued Screen Layout L Displays images in various layouts on the screen Select screen layout tool On Series side select desired layout pane Select OK Return to the screen layout tool to return to the original layout Viewing Study Images Viewing Previous or Next Studies or Series Previous Study or Next Study Previous Series or Next Series moves between images in a series study Select either Previous Study or Next Study to move between studies on the study manager
44. ns in this manual and all warnings and cautions printed on the warning labels Ignoring such cautions and warnings while handling the product may result in injury or accident Be sure to read and fully understand the manual before using this product Note Digital Radiography exposes you to the same radiation as conventional radiography Always practice radiation safety when using this product Keep this manual for further reference Regulatory Do not make any changes or modifications to the equipment unless otherwise specified in the manual If such changes or modifications should be made you could be required to stop operation of the equipment For EU Countries This product has been classified under EN60825 1 1994 and conforms to the following classes CLASS 1 LASER PRODUCT LASER KLASSE 1 APPAREIL A RAYONNEMENT LASER DE CLASSE 1 APPARECCHIO LASER DI CLASSE 1 PRODUCTO LASER DE CLASE 1 APARELHO A LASER DE CLASSE 1 This product conforms to EMC 89 336 EEC and medical directive 93 42 EEC For U S A This equipment has been tested and found to comply with the limits for a Class A digital device pursuant to Part 15 of the FCC rules These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instruction manual may cause
45. o continue 8 Repeat steps 4 through 7 to continue changing the location of the body part buttons a When all copies have been made select EXIT twice to return to the main screen Page 29 Chapter 6 Customizing RapidStart Settings Editing Exposure Mode Parameters continued Move Add or Change a Body Parts Tab 5 POT TAM manl an L ze Las nth v W COLUMN ABI LE mi s I TELLI LEPRWAL H IK LH r eee n i Figure 6 16 Body Parts Button Menu Select EDIT Tab Figure 6 17 Tab List Pop Up Window Pre Programmed Tab 1 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM 2 Select EDIT EXPOSURE MODE see Figure 6 8 SYSTEM Screen Select EDIT EXPOSURE MODE 3 Select EDIT tab The tab list of body parts displays To Move a Body Part Tab Select the body part tab to be moved Select the scroll buttons to move it up or down on the list to the desired location Repeat step 4 to move additional body part tab in the tab list To Add A Body Part Tabto the Tab List Select ADD A popup window displays To add a Pre Programmed Body Part tab Select one of the buttons Select OK to add the button to the tab list Repeat steps to add additional pre programmed body part tab To Add a Custom Body Part Tab Select onscreen keyboard button Type in the desired body part name and select OK Select OK again to return to the tab list of body parts Repeat step 6 to add additional cu
46. osure is under or over the required dose Adjust the technique until the system accepts the exposure 5 To start the calibration e Select SYSTEM e Select CALIBRATION e Select START e Perform 4 exposures as prompted dp If there is a problem with the sensor panel perform a self test Only do the self test immediately after the Calibration has been completed and only with the guidance of a Technical Support representative Page 39 Chapter 7 RapidStart Maintenance continued System Reboot System should be rebooted at least once a month To perform a reboot follow the Start Up and Shutdown procedures in Chapter 2 dP Note The panel power supply box needs to be powered on first before commencing Start up procedures Care of Touch Screen Monitor Shutdown the RapidStart before cleaning the monitor Use electrostatic wipes used for cleaning any monitor or a clean soft cloth to clean the touch screen monitor Do not spray cleaners directly on the monitor Do not use any sharp objects on the monitor Sharp objects may scratch or otherwise damage the monitor Page 40 Chapter 8 Troubleshooting Image Acquisition No Exposure or Unable To Make Exposure e s the synchronization box switch set in the DR position e sthe synchronization cable plugged in properly e Has the patient data been entered e Has the exposure mode been selected 2 BRITZ COCOA PAINT ID 2694 Check Image Emiremity GN Le
47. ou want to copy it here 8 When all copies have been made select EXIT twice to return to the main screen Refer to to alter the names of the duplicated buttons Be careful when copying exposure buttons due to the image display and processing parameters attached to each individual button When copying Body part buttons to create new menu buttons be sure to copy a button with similar parameters Page 28 Chapter 6 Customizing RapidStart Settings Editing Exposure Mode Parameters continued Change the Order and Location of the Body Part Buttons MOVE SELECT A BUTTOR SS 1 ae m l BDOMEM BESSER o on E d DN UU Lett Lateral Right Lateral FORE NS 1l TIL THORAX Jyuonax Lon Bie TI vi M a Lett Latetal ight Lateral SKIL SRT Figure 6 15 Body Parts Button Menu Select MOVE 1 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM Select EDIT EXPOSURE MODE see Figure 6 8 SYSTEM Screen Select EDIT EXPOSURE MODE Select MOVE 2 3 4 Select a body part tab 5 Select a body part button The study button name is highlighted in blue 6 Select a blank body part button to temporarily place the item It can be placed in a different body part tab N A popup window will display with the following Are you sure you want to move it here Select OK to save the changes If the parameter is locked another popup window will display requesting the system password Enter the password t
48. out changing length Select middle of line Drag to desired location Show Angles a p Draws lines on image and denotes angles Select Line tool and Show Angles tool Draw two intersecting lines per Line instructions above Release mouse button Software applies angle To relocate annotations left click to select and drag Figure D 17 Measuring Body Part Angles Page 63 Appendix D eFilm Application Measurement Tools continued Clear Measurement Tool Delete all measurement annotations Elliptical Tool Measure dimensions e g bone cyst d ps L up Bia Ds jr z ee Eeer SEH 3 ww 35 w wo Amm nn d E x p E M i cr A A D gt 0 Figure D 18 Image with Ball Phantom When obtaining the original radiograph you must place the ball phantom in the collimated beam parallel to the table and at the level of the bone joint of interest on all views that templates may be used for Display image with ball phantom stacked to exactly the same height above the table as the anatomical area of interest e g hip joint Page 64 Appendix D eFilm Application Using Templates continued Figure D 19 Zoom Image for Linear Measurement Calibrate Image to Correct for Magnification Factor Select zoom tool and zoom image see To Activate Zoom page 56 Precisely measure distance between balls see Line Right Mouse page 63 Select linear measurement tool Place cursor
49. p 05 150757 COLICI DL 2005 May 07 08 04 00 000 e 10 gt d mim bR Wire Todas Pr Tep ned l l l Sow DIR 8 ia 9 9 Le ATTA ER m E ES T K Mu OS ae de h Bu CR 1 LI Bi de Dy Gar 0 AN ei E a z i ab ae r m E Figure D 9 Toggling Between Views Window Level Right Mouse y R u K 7 Adjusts the brightness and contrast of selected image Click the Window Level icon To change image brightness Place the cursor over the image Hold down the right mouse button Move mouse up to darken the image Move mouse down to lighten the image To change image contrast Place the cursor over the image Hold down the right mouse button Move mouse left to increase the contrast Move mouse right to decrease the contrast Press F2 on the keyboard to return image to original settings Page 55 Appendix D eFilm Application Image Display Tools continued Magnification Left Mouse L E Q 7 Magnifies selected image aie 113 It Abdomen IS 2006 Apr MS TDMS A COLIACCLOGAA T 2001 May 02 DEEN ID Gu 2 age DO i IW HH EC N b MIS ees c0 HD Por rii penas Fi Figure D 10 Magnify ROI Click the Magnification icon Place cursor over the image Hold down left mouse button Enlarged image appears in expanded window Scroll to view other areas of the image Release mouse button to return image to original size and window Pan Left mouse and Zoom Right mouse QU Moves
50. pport if you forget this password A The Left and Right markers provided by the digital software are an overlay Exercise care when utilizing the flip feature as the image will be flipped behind the overlay This may lead to incorrectly marked images Conventional lead markers may be placed on the table top sensor panel to ensure the image is marked correctly Page 14 Chapter 4 Processing the Image Image Quality Assurance continued 2 PATIENT NAME MALE Maiden doro 0070106 01 02 2003 Check Image Figure 4 6 ANNOTATION Tab Annotation The annotation position for Exposure Annotation can be changed by selecting the respective buttons e Exposure Anno contains the L R marker e Annotation contains the patient information e Annotation2 contains the practice information Select OK to apply the changes If the new parameters are to be saved as the default select the small arrow in the bottom middle of the QA screen and SAVE PARAM These parameters cannot be saved as default if the image has been accessed from the study list The system password must be entered to save changes Contact Technical Support if you forget this password Page 15 Chapter 4 Processing the Image Image Quality Assurance continued H N PATIENT NAME MALE 73 ID 070106 01 02 2003 I p4 m STAR CONTRAST m THH RE SS PIDE EE Pa RAST oo 1 u Pg Figure 4 7 Adjust Trim Adjust the Trim When t
51. reen and SAVE PARAM to save the new parameters for the exposure modes as default These parameters cannot be saved as default if the image has been accessed from the study list The system password must be entered to save changes Contact Technical Support if you forget this password Page 11 Chapter 4 Processing the Image Image Quality Assurance continued e PATIENT NAME MALE 01 02 2003 Check Image Figure 4 3 LAP ENHANCE Tab Lap Enhance Laplacian Enhancement o Laplacian Enhancement is the image processing algorithm and allows the dip user to enhance the image The actual raw data changes as the DYNAMIC RANGE and EFFECT are modified Set the dynamic range of the image between 1 and 20 the typical range is between 1 and 5 This controls the spread of pixel values A lower setting effectively subtracts exposure from over exposed areas and adds to under exposed areas The value on the left is the saved setting The value on the right is the current setting which changes when the buttons are selected Set the EFFECT of the image between 1 and 20 the typical range is between 12 and 20 Effect enhances the contrast of the image The value on the left is the saved setting The value on the right is the current setting which changes when the buttons are selected Select OK to save the changes If the new parameters are to be saved as the default select the small arrow in the bottom middle of the QA screen and SAVE PA
52. st letter of the practice specialty in the front of the patient identification number will prevent overlapping patient ID numbers Example Internal medicine 11000 Surgery S1000 Emergency E1000 In most cases each of the practices that share the RapidStart DR system will want their name in the image annotation The recommended protocol for this is as follows 1 Enter the name of the practice that purchased the system in the institution field in study info 2 Enable a free field in study info and set it to essential Enter the names of each of the additional practices using the system in the drop down menu of the free field 3 Add Institution and Free fields to annotation 2 Study Date Time in Annotation in Administrator Setup Consistent Entry of Doctor Names in Physician Field Doctor names entered in the Physician Field will appear on the x ray images and should be entered exactly as they appear on business cards or practice letterhead Additional credentials can be included based on practice preference i e ACVS etc Example William Jones DVM Jane Smith VMD Enable Physician Tab in Study Info System SetUp Menu Administrator Setup Study Info Toggle DISABLE to ENABLE Toggle OPTION to ESSENTIAL Select input and enter doctor names as in above example Add the Physician in Annotation Field System gt SetUp Menu gt System Setup gt Annotation Add Physician to annotation 2 under the practice name
53. stom body part tab Page 30 Chapter 6 Customizing RapidStart Settings Editing Exposure Mode Parameters continued Figure 6 18 Tab List Pop Up Window Custom Tab To Change a Body Part Tab Name Select the name in the tab list and select CHANGE TABNAME Select the onscreen keyboard button see Fieure 8 20 Tab List Pop up Window Custom tab above Type in the desired body part name and select OK Select OK again to return to the tab list of body parts Repeat step 6 a through d to change additional body part tab names 4 When all changes are complete select OK 5 Select OK when asked Save the changed parameters 6 When all changes have been made select EXIT twice to return to the main screen Page 31 Chapter 6 Customizing RapidStart Settings Editing Exposure Mode Parameters continued Change the Image Processing IP and Lap Enhance Parameters A Warning DO NOT change any IP parameters unless directed by a Sound Eklin service representative Incorrect IP settings will result in poor image quality iur oF LET PTT a re RECH F3 BENNELIESES mise ES Tem FS m I on IES ES mum sc Figure 6 19 Select IP PARAMETER Button 1 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM 2 Select EDIT EXPOSURE MODE see Figure 6 8 SYSTEM Screen Select EDIT EXPOSURE MODE 3 Select EDIT PARA if not already depressed see Figure 6 9 Body Parts Button Menu Select EDIT
54. t study Rejected images will have an X next to them figure 3 11a To restore a rejected image in the multiview screen select the image and select the Reject button to toggle it to off figure 3 11b The image will have a number beside it instead of an X when it has been restored to the study figure 3 11c Page 8 Chapter 3 Image Acquisition Reject and Retake Image continued 3 basins MALE mm imc 10 070105 012022003 Check image E _ 0 5 AI TOO LLL a ee gt OoOo m W D TETH 2003 l Check image MALE ur 01 02 2003 Check image A TT ER T TT Figure 3 11c Restored Image Capture The storage capacity of the RapidStart console is approximately 3000 images Page 9 Chapter 4 Processing the Image Image Quality Assurance All body part radiographic view buttons are preset at the factory to yield consistent results with a wide variety of X ray machines and techniques These QA tools are very powerful and have a dramatic effect on image quality These settings may be interactively altered on each image if desired However since the changes are permanent we do not recommend changing the default settings until you have sufficient experience with your new digital system and are sure you want to permanently make changes Any changes to the defaults should be done systematically for every view of that anatomical area Indiscriminately changing the default settings can result in wide swings
55. tabase View a Study 1 To open a specific study highlight the study and either double click or select View 2 To close the study select the X E luy Mana 7 or Pion emn AL A KI mra Firelecnis Panini EI Lacs hi rei Feit bi gru Mina Enable E Buda cl pees Eme te E ORE ER D MB Ar S IP SGD wal or m RT EB w Z R RC HM M M Br Mr Shady Dez Firm HE pT D j ee popa He unta pare Er Z Loca Eran Loi Femara Eupen UR Den D image arra 2010 00 15 14307 L Figure D 1 eFilm Study Manager A Select column title to sort by that data field e g Patient ID Name Page 50 Appendix D eFilm Application continued Search Study Manager List Q i Search allows user to search and filter eFilm data 2 uude i ee ARRE 27 PATO A 142291 2XESDS 24 Abcomar 2010 05 28 Thorax 2005 07 50 Forti 2010 0045 H Figure D 2 Select a Study In the Study Manager List 1 Enter search criteria in the appropriate field e g Owner name or Patient ID Select Search Select Clear Filter to start a new search e Enter desired search filters Owners last name Enter full last name or first few letters Click Search Displays studies with owner s last name Patient ID Enter patient ID Click Search Displays all studies for this patient Page 51 Appendix D eFilm Application continued twee Manager 4 aches Denm en Ux A peanti z J6 l Fiber Hanna Pris Sanh
56. ued Annotation The annotation is information associated with a radiographic study Information pertaining to the practice name date time and exposure mode can be displayed on the image SYR 1 M DU ga TID VE AS Ade H PER CE Figure 6 23 System Information Screen Select SYSTEM SETUP Button To Modify the Annotation 1 Select SYSTEM see Figure 6 1 Main Screen Select SYSTEM Select SETUP MENU see Figure 6 2 SYSTEM Screen Select SETUP MENU Select SYSTEM SETUP tab Select ANNOTATION DES TOLA Thi OZ SETA L women SET C PRES AY i El k U md j LL pru m Figure 6 24 System Setup Screen Select ANNOTATION Button Page 34 Chapter 6 Customizing RapidStart Settings Annotation continued Annotation 1 displays the patient identification and owner s name as well as the date of birth if entered Annotation 2 displays the name of the practice and the system the images were acquired with B Sant E kin EDPS Dg e F adagesphr shed ed Td E ennnen nnn ELE Figure 6 25 Available Annotation Fields Figure 6 26 Image Annotation Onscreen Keyboard To Add the Name of the Practice Select the Annotation 72 field Select ONSCREEN KEYBOARD button Place the cursor at the beginning of the line displaying Sound Eklin RapidStart Digital Radiography System Select NEW LINE button Position the cursor at the beginning of the new line Enter the
57. valid A Select the NUM key to toggle to the numeric keyboard Page 3 Chapter 3 Image Acquisition Entering Patient Information continued Study Info 1 If study menus have been customized select STUDY INFO button 2 Select the desired study information from the screen if configured 3 Select OK to save the study information Alternatively select CANCEL to return to the Patient Information screen without saving any changes to the study information ETE ETI SMITH BOOMER ID Fa 1 1 LE sian Fig A 25 lt s Les m m D Eil m x cam i l r I B EH Kg Figure 3 3 Patient Information Screen Figure 3 4 STUDY INFO Screen Select STUDY INFO Button 4 Select OK on the Patient Information screen to return to the Main screen 5 If incorrect data was entered select PATIENT to make changes Study information may be changed BEFORE the study is ended by selecting PATIENT on the main screen Permanent changes cannot be made after the study is ended Page 4 Chapter 3 Image Acquisition continued Acquiring an Image PATICHT MASAI SCC Figure 3 5 Initial Acquisition Screen 1 2 3 4 5 6 Select the body part tab for the examination to be performed Select an Exposure Mode view Set the technique as indicated on the Sound Eklin Technique Chart on the X ray machine Press the footswitch half way down to engage the rotor Hold until rotor is up to speed Press
58. with wet hands Otherwise you may get an electric shock that may result in death or serious injury C Be sure to hold the plug or connector to disconnect the A C power cables If you pull the cable the core wire may be damaged resulting in fire or electric shock Page v Caution Signs Continued O O Handling O O Do not cut or process the A C power cables Also do not place anything heavy including the instrument on it step on it pull it bend it or bundle it Otherwise the cable may be damaged which may result in fire or electric shock Do not turn ON the system power when condensation is formed on the instrument Otherwise it may result in fire or electric shock Never disassemble or modify the product as it may result in fire or electric shock Also since the instrument incorporates parts that may cause electric shocks and other hazardous parts touching them may cause death or serious injury Do not hit or drop the instrument The instrument may be damaged if it receives a strong jolt which may result in fire or electric shock if the instrument is used without it being repaired When Problem Occurs O Should any of the following occur immediately turn OFF the power of each instrument unplug the power cable for the AC outlet and contact Sound Eklin When there is smoke odd smell or abnormal sound When liquid has been spilled into the instrument or a metal object has entered through an opening
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