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1. 835707P015 00 revision 1 0 E Loncin S A 2009 MEDEX Loncin s a WARNING X RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED Though this equipment is built to the highest standards of electrical and mechanical safety the useful X ray becomes a source of danger when used by unauthorized or unqualified operators Excessive exposure to X radiation causes damage to human tissue Therefore adequate precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment or exposing themselves or others toits radiation Before operation persons qualified and authorized to operate this equipment should be familiar with the Recommendations of the International Commission on Radiological Protection contained in the Annals Number 26 of the ICRP and with applicable national standards 2 80 DigiMedX User Manual 835707P015 00 O 2009 MEDEX Loncin s a Warning TABLE OF CONTENTS EENEG 2 EXBLE Ob CON EN ES E aci 3 BON USE AN EE 6 2 DPED dd EU TM 7 DM oi OC E EE E E E E PR ORE 7 2 2 Benefits of a Full Digital Equipment inner 8 A PA 10 ofa IM DU o ARA EU OO ee ee 10 aL EE 10 O AA A ni ads 10 SC Eh sec ceececeeoaceescace eco aceeeweee cae ueeu gence sues cucu acces eucu eu ecenu cucu suecens ence suecccucacussancsssacuuseceeucucssucesucucssucseueucssueceescacssueesesccceuueceeseeceuueeteuee 11 AE RES oO emer ne ere ne RR RR
2. Configure parameters according to requested usage O Save new settings using Ok button or discard them using Cancel button To delete patient or exam O Choose patient and exam in the lists O Click on corresponding EZE Delete button on left side of information pane A patient and or an exam cannot be deleted while it is selected and active ao Confirm delete in displayed confirmation box using Yes button 4 Please note that some basic information is mandatory DigiMedX User Manual 55 80 Controls and Commands Description 835707P015 00 2009 MEDEX Loncin s a 10 MAINTENANCE 10 1 GENERAL ASPECTS The following table summarizes who must perform the maintenance jobs for the equipment maintenance Who Action Maintenance job When Documentation Field check cable once a year Service Manual engineer Seen cal mechanical motions and brakes supplier stand control buttons stand movement safety user interface X ray parameters image quality cleaning all equipment parts User check mechanical parts every 2 weeks and User Manual as often as needed tube preheating batteries cleaning covers floor under the equipment monitor screens b i DigiMedX is sophisticated equipment and requires proper care and maintenance The applied maintenance has a direct impact on its performance and longevity CAUTION It is the responsibility of the user to take good care of the equipment and to apply the maintenance program b i In case of probl
3. RR e e 11 9 1 5 cea E 12 OC 100 eo re 12 A ANOLE O 0 12 D OO DUO ne mine 12 A E PO Ra 13 A ar A o Pr din eee een Te 13 S KC RRC ele BO q e Ao A R RR 13 34 Productident cal ON oesie acii aani UE a tn tee 13 PONS e 15 3 6 Mechanical Specification retirem cnn 16 3 7 Compliance Standards Electromagnetic Compatibility sn 18 So RAGIODEOC CE ON da Due 19 CR ANA Li PR PEER as 24 AM WY O ADO CASA A0 0 oO CORE OPC A E 24 4 2 Protection against X ray Radiations ss 25 E E an Ae 25 DigiMedX User Manual 3 80 Table of Contents 835707P015 00 2009 MEDEX Loncin s a 9 CONTROLS AND COMMANDS DESCRIPTION csi na 53 2d Mandem Ke cee sscct ca ceca ce sede vectoec us cecc ceca E A A A 53 GG TPO E nr renee ere rere Te RR RR EEE EEE EEE 53 SE EE 56 da RES 5 0 a P o 56 LA eso 56 O EE 59 E 59 GE LOGS PPP oa 59 GE Reg EL E 59 Ja Ee E E 60 GE Euren E 60 DA NN Een 62 TS UA ia 63 DA EC COMINO ea a T A 64 di PCA DD EE 64 9 3 1 Treatment A 6 lt P 65 Do 2 al Oly ETE eo 66 A HAD eet 67 aCe CCUG A e e Eo E o o o E OE 68 e lee 69 D SAS ROMA MOM I q y 69 DO SCD NO GMO nan nan a nn on 70 Doo D ABC Mana DO aC RT RR RT RR seers teen vaciuieed eisai 70 OR RD RD RR 70 GE Te A AAA A o o 12 TO MAINTENANCE aio 73 10 1 TE Ee e PP E RR cseseecacts 73 LOL LUE PES AAA ee a RN 74 LOS Batteries Mananciais ooo 74 10 4 Regular Installation ET 75 OS CAR o RS RN ee eee RPE DOER OR ee
4. 76 A PP 77 COS SA SR ne ee eee ee ren 77 112 Warne VIC SS RS a ta ann eat nn ou 77 LS Error E 78 ke DS COR PRE CO RTS Us US E E 78 TES Beebe 2 ee pepe 79 DigiMedX User Manual 5 80 Table of Contents 835707P015 00 2009 MEDEX Loncin s a 1 HOW TO USE THIS MANUAL This user manual is divided in different chapters Each of these chapters provides information dedicated to a user or a function So according to his needs the user can go directly to the chapter that will help him These chapters are 1 How to Use this Manual this introductory chapter 2 DigiMedX Presentation quick description of this equipment advantages 3 Specification all equipment technical specification 4 Warnings all precautions to know and keep in mind when using this equipment 5 System Powering how to start and stop DigiMedkX 6 Acquisition with a Film Cassette how to use DigiMedX with a cassette instead of the built in digital detector 7 X ray Examination Setup how to properly prepare the system for a good quality image acquisition 8 Image Acquisition Software how to configure and use MegXsoft the software installed on DigiMedkX 9 Controls and Commands Description how to configure the software 10 Maintenance a list of commonly used terms with a short description 11 Appendixes additional information Before installing DigiMedX for the first time the user should read the chapters 3 4 5 and 9 Before using DigiMedX a new
5. according to the result No need for several cassettes for multiple exams on a patient Fewer images needed to get a diagnosis and therefore less exposure for the patient More patients treated in less time X ray dose reduced for the patient and the user Easy storage of acquired images on a digital support Benefits of DigiMedX interface User friendly system with one computer controlling both generator and imaging system Large latitude of settings Interpretable images in a wider range of kV and mAs than film Interpretable results for almost any image Automatic image processing to improve the diagnostic Easy and quick image processing 8 80 DigiMedX User Manual 835707P015 00 2009 MEDEX Loncin s a DigiMedX Presentation 3 SPECIFICATION 3 1 FEATURES 3 1 1 Digital Detector For DigiMedX Based on a very sensitive 16 bit CCD giving a wide contrast range 400 by 400 mm entrance detector no geometrical image distortion 1024by 1024 pixels Image acquisition time less than 10 s Certified by WHO World Health Organization For DigiMedX FP Based on a very sensitive 14 bit flat panel giving a wide contrast range 430 by 430 mm entrance detector no geometrical image distortion 3072 by 3072 pixels with 140um by 140 um pixels Image acquisition time less than 10 s Certified by WHO World Health Organization For DigiMedX HR Based on a very sensitive 16 bit CCD giving a wide co
6. ce start with entered value Filtering is done immediately at entering time Example entering sa in filter left field will reduce list first to names starting with s then to names starting with sa Patient information o Name mandatory Enter patient first and last name o Reference Patient reference number This field is automatically filled with a unique unchangeable number o Gender Select patient sex M masculine F feminine or O other o Birthdate Enter patient birth date o Comment Enter a comment about this patient Exam information o Date mandatory Select the date of the exam o Reference Exam reference number This field is automatically filled with a unique unchangeable number o Anatomical program Select a pre programmed anatomical exam from the rich proposed list See section 9 2 1 Anatomical programs for further information a Comment Enter a comment about this exam Dialog box usage To open an exam O Choose patient then exam in the lists O Click on Open button O If an anatomical program has been selected X ray constants are retrieved from it and automatically send to generator To add a new patient or exam a Click on corresponding Add button on left side of information pane O Configure parameters according to requested usage O Save the new settings using Ok button or discard them using Cancel button To modify patient or exam O Choose patient and exam in the lists O
7. em all components generator housing X ray tube cables collimator computer screen detector must be replaced by a model of the same brand and specification as the original CAUTION an part replacement must be done in agreement with he manufacturer kb All maintenance job must be performed by people with the appropriate education and training CAUTION DigiMedX User Manual 73 80 Maintenance 835707P015 00 2009 MEDEX Loncin s a
8. ipment DigiMedX User Manual 7 80 DigiMedX Presentation 835707P015 00 O 2009 MEDEX Loncin s a DigiMedX is made of several parts The stand including O The swivel arm rotating and up down positioning system O The X ray generator O The image acquisition detector CCD or flat panel The generator cabinet including O The high voltage generator O The backup batteries The computer cabinet including O The control computer O The optional UPS The user interface including o The computer screen keyboard and mouse O The remote acquisition switch 2 2 BENEFITS OF A FULL DIGITAL EQUIPMENT DigiMedX is digital equipment that does not require any consumable No film chemicals chemicals disposal or dark room is required This makes the X ray image acquisition much easier to handle and to process It is also much faster as no time consuming film processing is required And last but not least the equipment operation is much cheaper as there is almost no additional operational cost The digital acquired images can be stored and at any time transferred viewed processed or printed on any computer running a DICOM viewer They can be printed either on standard paper or on radiology films Benefits of DigiMedX compared with film technology Immediate visualization of the radiography about 10s No operator displacement as all processing is done on DigiMedx Opportunity to quickly analyse the images and to appropriately react
9. ntrast range 400 by 400 mm entrance detector no geometrical image distortion 2848 by 2848 pixels Image acquisition time less than 15 s Certified by WHO World Health Organization 3 1 2 X ray Generator 32 KW 500 mA at 0 1 s high frequency inverter Use power supply line 230 V 10 10 A Maximum power o 400 mA at 80 kVp O 320 mA at 100 kVp O 250 mA at 125 kVp Parameters can be memorized and recalled by physiological menu X ray tube with anode rotation and anode capacity of 150 kJ thermal overload protection by microprocessor X ray tube with double focus of 0 3 and 1 0 mm All generator parameters are monitored by microprocessor for high reliability performance Manual collimator with light centring Battery powered by 90 lead batteries with a 9 Ah capacity 10 80 835707P015 00 2009 MEDEX Loncin s a DigiMedX User Manual Specification 3 6 MECHANICAL SPECIFICATION Dimensions 506 e E S E SN e Eis SE HE ol dE ES i e 8 El dx Els Eu ss 9 ys E 5 Els E SE qu Ze pt kg 3 EA 1236 mm d ee OF e 7 HD 1400 mm DigiMedX mechanical dimensions 16 80 DigiMedX User Manual 835707P015 00 2009 MEDEX Loncin s a Specification A second screen appears with configuration automatic tests If all tests are ok this screen disappears after a few seconds once all tests are passed Initialisation process 1002 Generator initiali
10. user should read the chapters 2 4 5 7 and 8 6 80 DigiMedX User Manual 835707P015 00 2009 MEDEX Loncin s a How to Use this Manual 2 DIGIMEDX PRESENTATION 2 1 INTRODUCTION DigiMedX is a complete economic radiographic equipment It uses DDR Direct Digital Radiological image acquisition and covers 95 of conventional X ray examinations DigiMedX has been analysed by WHO World Health Organisation and complies with their WHO DIL 00 1 Rev 1 standard requirements In collaboration with 20 medical radiological centres all around the world WHO studies the optimal design for a radiological stand DigiMedX follows this design and brings the additional benefits of a digital image acquisition easy process So any conventional exposure can be done on a patient in a standing sitting or lying position Optional accessories are available for geometrical magnification DigiMedX generator is battery operated So it can be used in area where the power supply is not efficient or not available all the time A main 4 A main supply at 230 VAC is enough to power the complete system It could also be supplied by a small power group of 1 5 kVA The tube stand with its swivel arm is very easy to use The movements are well balanced and the arm is locked in place by electromagnetic brakes A additional safety detector avoids accidental collision of the image detector with the floor during rotation and translation movements RO DigiMedX equ
11. zed 2001 Imager 2002 Imager 2007 Imager 2008 Imager 2006 Imager initializing initialized starting started detector temperature is 20 8 C KT Cancel MegXsoft starting screen and temperature control During start up process the imager must be cooled down to its operating temperature This starting screen displays current camera temperature and cooling progress 2 If an image must be acquired in a hurry the cooling down process may be bypassed by clicking on Cancel button then on Close button that will replace it In such a case image quality might not be optimum amp The cool down process does not take place with DigiMedX FP and HR Once initialisation process is complete without error the system is ready and MegXsoft user interface is automatically started If errors occur during initialisation as illustrated in next picture a brief explanation of these errors is displayed Nevertheless the application can be started by clicking the Enter button 46 80 835707P015 00 O 2009 MEDEX Loncin s a DigiMedX User Manual Image Acquisition Software Dialog box description In this dialog box the following information are entered and recorded Patients list Selection list of the patient whose parameters are being modified and or opened Exams list Selection list of the exams whose parameters are being modified and or opened Filters List only patients whose name and or referen
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