2236420 & 2275938 Series) AMX4+ RATINGS AND SPECIFICATIONS_SM_2173221-100_8, AMX4+ RATINGS AND SPECIFICATIONS_SM_2173221-100_8 AMX−4+ Ratings and Specifications (Model 2169360

GE Healthcare
gehealthcare.com
Technical Publications
Direction 2173221−100
Revision 8
AMX4+ Ratings and Specifications (Model 2169360, 2236420 & 2275938 Series)
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IMPORTANT! . . . X-RAY PROTECTION
X-ray equipment if not properly used may cause injury. Accordingly, the instructions herein contained should be thoroughly read and understood by everyone who will use the equipment before you attempt to place this equipment in operation. The General Electric Company, Medical Systems Group, will be glad to assist and cooperate in placing this equipment in use.
Although this apparatus incorporates a high degree of protection against x-radiation other than the useful beam, no practical design of equipment can provide complete protection. Nor can any practical design compel the operator to take adequate precautions to prevent the possibility of any persons carelessly exposing themselves or others to radiation.
It is important that everyone having anything to do with x-radiation be properly trained and fully acquainted with the recommendations of the National Council on Radiation Protection and Measurements as published in NCRP Reports available from NCRP Publications, 7910 Woodmont Avenue, Room 1016, Bethesda, Maryland 20814, and of the International Commission on Radiation Protection, and take adequate steps to protect against injury.
The equipment is sold with the understanding that the General Electric Company, Medical Systems Group, its agents, and representatives have no responsibility for injury or damage which may result from improper use of the equipment.
Various protective material and devices are available. It is urged that such materials or devices be used.
CAUTION: United States Federal law restricts this device to use by or on the order of a physician.
CERTIFIED ELECTRICAL CONTRACTOR STATEMENT
All electrical installations that are preliminary to positioning of the equipment at the site prepared for the equipment shall be performed by licensed electrical contractors. In addition, electrical feeds into the Power Distribution Unit shall be performed by licensed electrical contractors. Other connections between pieces of electrical equipment, calibrations, and testing shall be performed by qualified GE Medical personnel. The products involved (and the accompanying electrical installations) are highly sophisticated, and special engineering competence is required. In performing all electrical work on these products, GE will use its own specially trained field engineers. All of GE’s electrical work on these products will comply with the requirements of the applicable electrical codes.
The purchaser of GE equipment shall only utilize qualified personnel (i.e., GE’s field engineers, personnel of third-party service companies with equivalent training, or licensed electricians) to perform electrical servicing on the equipment.
DAMAGE IN TRANSPORTATION
All packages should be closely examined at time of delivery. If damage is apparent, have notation “Damage in Shipment” written on all copies of the freight or express bill before delivery is accepted or “signed for” by a
General Electric representative or a hospital receiving agent. Whether noted or concealed, damage MUST be reported to the carrier immediately upon discovery, or in any event, within 14 days after receipt, and the contents and containers held for inspection by the carrier. A transportation company will not pay a claim for damage if an inspection is not requested within this 14day period. To file a report:
Call 18005483366 and use option 8.
Fill out a report on http://egems.med.ge.com/edq/home.jsp
Contact your local service coordinator for more information on this process
Rev. June 13, 2006
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TABLE OF CONTENTS

SECTION 1
INTRODUCTION 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1 Identification and Compatibility 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-2 General 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-3 Inspection 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-4 HHS Testing 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION 2
SPECIFICATIONS 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1 Accuracy Criteria 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2 Physical Characteristics 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2-1 Dimensions (All measures are nominal) 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2-2 Environmental Limits 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3 Battery 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3-1 Specifications 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3-2 Battery Capacity 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-4 Movements 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-5 Moving Efforts 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-6 Drive Speed 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-7 Tube Unit Ratings 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-8 Generator Operator Indicators 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-9 kVp Accuracy 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-9-1 Test Method 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-10 mAs Metering Accuracy 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-10-1 Test Method 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-11 Reproducibility 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-12 Beam Quality 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-12-1 Test Method 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-13 Collimator Function 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-14 Collimator Alignment and SID 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-15 Collimator Light Field Intensity 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-16 AEC Minimum Exposure Time
(Applies to units equipped with MobilAID) 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION 3
HHS TEST CHECKLISTS 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1 HHS Tests (Excluding AEC) 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-1 Generator Operator Indicators 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-2 Technique Accuracy kVp/mA 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-3 Indirect Linearity 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-4 Technique Accuracy mAs 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-5 Reproducibility Of Exposures Non−AEC 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-6 Beam Quality
(Half Value Layer) 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-7 Collimator Function 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-8 Collimator Alignment and SID 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-9 Collimator Light Field Intensity 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-2 AEC HHS Tests
(Units with MobilAID) 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-2-1 Reproducibility Of Exposures AEC 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-2-2 AEC Minimum Exposure Time 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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REVISION HISTORY

REV DATE REASON FOR CHANGE
A Oct. 30, 1996 Draft copy. 0 Dec. 13, 1996 Initial release. 1 Mar. 7, 1997 Changed Tube Column (Section 2−4) rotation to 270 degrees. 2 Aug. 14, 1997 High Impact Inspection. 3 Sept. 16, 1997 Added Keithly NonInvasive Divider to kVp calibration and verification
(Section 2−9−1). 4 Apr. 12, 1999 Added AMX−4+ Model 2236420. 5 Nov. 8, 2000 Added AMX−4+ Model 2275938. 6 Nov. 20, 2003 Revised moving efforts in section 2−5. 7 Aug. 20, 2006 Added new collimator 46−270615P3 (Medys) reference in Section 2−13. 8 May 09, 2008 Updated Section 212 for CFR 1020.30/31/32 regulatory compliance.
Updated for international compliance.
Updated model numbers in Table 1−2.
Added model numbers to note in Table 1−2.
Added model numbers to Section 2−2−1, step 1.
Added model numbers to Section 2−3−1, step 2, 2nd bullet.
Added model numbers to Section 24, step 1a and 1c.
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SECTION 1 INTRODUCTION

1-1 Identification and Compatibility

See Illustration 1−1. The AMX−4+ is identified by Model Number on the rating plate located on the top cover. Model part and catalog numbers are identified in Table 1−1.
TABLE 1−1
AMX4+ MODELS
Description Part Number
Domestic 21693607 A0659F 22364207 & 22759387 A0659JF
Domestic, AEC 21693608 A0659FA 22364208 & 22759388 A0659JG
Domestic, Tech Switch 21693609 A0659FC 22364209 & 22759389 A0659JH
Domestic, AEC, Tech Switch 216936010 A0659FB 223642010 & 227593810 A0659JJ
IEC, EMC 2169360 A0659A 2236420 & 2275938 A0659J
IEC, EMC, AEC 21693602 A0659AA 22364202 & 22759382 A0659JA
IEC, EMC, Tech Switch 21693603 A0659AB 22364203 & 22759383 A0659JB
IEC, EMC, AEC, Tech Switch 21693604 A0659AC 22364204 & 22759384 A0659JC
Japan 21693605 A0659C 22364205 & 22759385 A0659JD
Japan Short Column 21693606 A0659D 22364206 & 22759386 A0659JE
240V Short Column 227593812 A0659JM
240V Short Column, AEC 227593813 A0659JN
240V Short Column, Tech Switch 227593814 A0659JP
240V Short Column, AEC, Tech Switch 227593815 A0659JR
IEC, Tech Switch − Chinese 2275938−16 A0659JS
IEC, AEC, Tech Switch − Chinese 2275938−17 A0659JW
Catalog Number
Part Number
Catalog Number
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ILLUSTRATION 1−1
AMX4+ IDENTIFICATION
RATING
PLATE
The applicable components making up the AMX4+ are identified with the nameplate statement, “this product conforms to all applicable standards under 21 CFR part 1020,” or “complies with radiation performance standards, 21 CFR sub- chapter J.”
TABLE 1−2
AMX4+ COMPONENTS
Component Model No. Nameplate Location
HV Transformer 46270954G2 Duplicate plate on front of top cover above circuit
breaker
HRT Xray Tube Housing 46155750G8 Rear trim cover
Maxiray 75 TH 111 X−ray Tube Housing
Collimator 46270615P3 Right side of Collimator
MobilAID D1300 Automatic Exposure Control*
*Note: MobilAID is present only on AMX4+ Models 21693602, 4, 8, 10, 22364202, −4, 8, 10 and 22759382,
4, 8, 10, 13, 15, 17.
2222709 Rear trim cover
46279732P4 (A8413BA) Duplicate plate on front of top cover above AEC
paddle

1-2 General

The AMX−4+ contains operating safeguards to provide maximum safety. Before calling for service, be certain proper operating procedures are being used. Refer to Direction 21669131EN, AMX4+ Operation for proper operating procedures.
Satisfactory equipment performance requires the use of service personnel specially trained on X−ray apparatus. GE Healthcare is responsible for the effects on safety, reliability, and performance only if the following conditions are met:
The electrical wiring of the relevant rooms complies with all national and local codes.
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All assembly operations, extensions, re-adjustments, modifications, or repairs are carried out by GE
Healthcare, authorized service representatives.
The equipment is used in accordance with the instructions for use. Refer to Direction
21669131EN, AMX4+ Operating Manual for proper operating procedures.
AMX4+ contains high voltage circuits for generating Xrays. Only trained and qualified personnel should be permitted access to the internal parts of this equipment.

1-3 Inspection

In order to assure continued performance of this Xray equipment, a Periodic Maintenance program must be established in accordance with 2173227100 AMX4+ Periodic Maintenance. It is the owner’s responsibility to supply or arrange for this service.

1-4 HHS Testing

The United States Department of Health and Human Services (HHS) has established performance requirements for diagnostic Xray equipment. These requirements are defined in Title 21 of the Code of Federal Regulations, and apply only to certain specified components identified as “certified equipment.”
The manufacturer of specified diagnostic Xray components must certify that the components:
1. Perform as required by the HHS standard when installed, adjusted, and tested as specified in the manufacturer’s instructions to the assembler.
Refer to Direction 2173222100 AMX4+ Installation for HHS compliance testing as it pertains to the AMX4+ during installation.
2. Will continue to comply when maintained in accordance with the manufacturer’s instructions.
Refer to Direction 2173227100 AMX4+ Periodic Maintenance for periodic HHS compliance testing for the AMX−4+.
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SECTION 2 SPECIFICATIONS

2-1 Accuracy Criteria

Specified accuracies are subject to additional errors for accuracy of instrumentation used during calibration and measurement. To achieve generator accuracies, the following criteria must be met:
The WAIT message must not appear on the Message Display when taking an exposure.
The READY FOR EXPOSURE message must appear on the Message Display.
General Electric Healthcare reserves the right to change specifications at any time without incurring any obligation to incorporate new features in products previously sold.

2-2 Physical Characteristics

2-2-1 Dimensions (All measures are nominal)
1. Height: 70 inches (1778 mm) for Models 21693606, 22364206, and 22759386, 12, 13, 14,
15; all others 76 inches (1930 mm).
2. Width: 253/16 inches (640 mm)
3. Length: 453/8 inches (1153 mm)
4. Weight: 1080 pounds (490 kg)
2-2-2 Environmental Limits
1. Operating temperature range: 59 to 100 Degrees Fahrenheit (15 to 38 Degrees Celsius) at 80% noncondensing humidity.
2. Storage temperature range 40 to +140 Degrees Fahrenheit (40 to +60 Degrees Celsius)
3. Maximum operating altitude: 8,000 feet (2440 meters).

2-3 Battery

2-3-1 Specifications
1. Nine 12.9 volt batteries connected in series provide approximately 116 volts at full charge.
2. Battery charger requires the following:
> For Models 21693607, 21693608, 21693609, 216936010, 22364207 & 22759387,
22364208 & 22759388, 22364209 & 22759389, 223642010 & 227593810: 120 Volts AC, 60 Hz at 6 A.
> For Models 2169360, 21693602, 21693603, 21693604, 2236420 & 2275938, 22364202 &
22759382, 22364203 & 22759383, 22364204 & 22759384 and 227593812, 13, 14,
15, 16, 17: 220/240 Volts AC, 50 Hz at 3.15 A.
> For Models 21693605, 21693606, 22364205 & 22759385, 22364206 & 22759386:
100 Volts AC, 50/60 Hz at 6 A.
Voltage must be maintained to +/10% of the nominal value during charging.
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2-3-2 Battery Capacity
The AMX4+ battery capacity can be measured by one of the following five methods. All capacities are measured after the AMX4+ has been charged to the “CHARGE COMPLETE” state. Available capacity as stated applies only to new battery sets free of defective cells. Capacity may decrease as the battery nears the end of its useful life.
method 1: exams
The AMX4+ batteries will provide capacity for more than 20 typical EXAMs. An “EXAM” is defined as:
Two 70 kVp, 10 mAs Xray exposures including:
> 7 seconds of prep (rotor and filament drive)
> 25 seconds of field light
5 minutes of drive time
9 minutes of idle time
The formula in the “VARIED USAGE” section can be used to determine the number of total EXAMs available for usage regimes different from this typical case.
method 2: Xray Exposures
The AMX4+ batteries will provide enough capacity for 165 or more 100 kVp, 100 mAs Xray exposures. Each exposure includes 4 seconds of prep (rotor and filament drive) time and 30 seconds of idle time for battery recovery. This number may be reduced by additional idle time required for Xray tube cooling.
method 3: drive time
The AMX4+ batteries will provide enough capacity for 140 minutes of continuous drive time. This time is typically independent of driving conditions, however, it may be reduced if a significant portion of the drive is on carpeting or up ramps.
method 4: idle time
The AMX4+ batteries will provide capacity for 23.3 hours of continuous idle time. “Idle” is the time when the AMX4+ is ON but not being used.
method 5: Varied usage
For varied usage, the AMX4+ batteries will provide capacity according to the following formula:
{ (idle time in minutes ) 3} + { (drive time in minutes ) 30} + { ( field light time in minutes ) 25 } + { ( prep time in minutes ) 30} + { ( exposure energy* ) 2.17} = 4200
*exposure energy = cumulative { ( kVp mAs ) 1000 }
EXAMPLE: Assume one desires to estimate the number exams available from an AMX4+ used in a particular pediatric ward. It is determined that a typical exam for this case is comprised of:
Two 70 kVp, 0.8 mAs Xray exposures including:
> 3 seconds of prep
> 15 seconds of field light
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1 minute of drive
5 minutes of idle
Using the above formula we can estimate the number of exams as follows:
each EXAM uses { (5 idle minutes ) 3} +
{ (1 drive minutes ) 30} + 2 x [ { (15 60 field light minutes ) 25} + { (3  60 prep minutes ) 30} + { ( (70 kVp 0.8 mAs )  1000 )  2.17} ] = 60.7
therefore the total number of typical EXAMs available is:
4200  60.7 = 69

2-4 Movements

1. Tube vertical movement measured at the focal spot (arm extended):
a. Range at least 46.5 inches (1181 mm) for Models
21693606, 22364206 and 22759386, 12, 13, 14, 15; all others at least 52.5 inches (1334 mm).
b. Lowest position 26.1 inches (663 mm) max. from floor.
c. Highest position 72.6 inches (1844 mm) min. from floor for Models
21693606, 22364206 and 22759386, 12, 13, 14, 15; all others 78.6 inches (1996 mm) min. from floor.
2. The horizontal movement measured at the focal spot relative to column face is 24 inches (610 mm) minimum, to 40 inches (1016 mm) maximum.
3. Tube Column rotation measured from horizontal arm latch is +/270 degrees.
4. Tube and yoke rotation around Horizontal Arm measured from tube port down position:
a. Range 360 degrees;
b. Detent locations0, +/90, and +/180 degrees.
5. Tube Trunnion rotation measured from tube port down position:
a. Range 120 degrees;
b. Forward 110 degrees;
c. Backward 10 degrees;
d. Detent 0 degrees, and 90 degrees.
6. Collimator Rotation measured from the front of the collimator with the tube port facing down:
a. Range 180 degrees;
b. Right 90 degrees;
c. Left 90 degrees;
d. Detent 0 and 90 degrees.
6
AMX4+ RATINGS & SPECIFICATIONS
GE HEALTHCARE (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 8 DIRECTION 2173221100

2-5 Moving Efforts

1. Moving efforts with locks mechanically off (that is, energized electrically):
a. Vertical tube motion: 12 pounds (53 Newtons) maximum, measured going up or down; 15 pounds
(67 Newtons), measured over last 4 inches (102 mm) of travel.
b. Horizontal tube motion: 14 pounds (62.3 Newtons) maximum, measured going in or out.
c. Tube Column rotation: 15 poundfeet (20.3 Newtonmeters) maximum.
d. Tube and yoke angulation around horizontal Arm: 10 to 20 poundfeet (14 to 27 Newtonmeters)
to disengage from detent, 6 to 18 pound−feet (8 to 24 Newton−meters) to rotate between detents.
e. Tube rotation in yoke: 7 to 30 pound−feet (9.5 to 41 Newton−meters) to disengage from detent, 4
to 20 poundfeet (5 to 27 Newtonmeters) to rotate between detents.
2. Moving efforts with locks mechanically on (that is, not energized electrically):
a. Vertical tube motion: 15 pounds (67 Newtons) minimum, 32 pounds (142 Newtons) maximum;
measured going up or down.
b. Horizontal tube motion: 10 pounds (44.5 Newtons) minimum, 28 pounds (125 Newtons) maximum;
measured going in or out.
c. Tube Column rotation: 25 to 40 poundfeet (34 to 54 Newton−meters).

2-6 Drive Speed

There are two speeds: Drive Speed with the horizontal Tube Arm secured for transport, and Maneuvering Speed with the horizontal Tube Arm removed from the Transport Latch.
Drive speed is measured on a smooth, hard and level surface. Speed will be reduced by inclines, carpeted or soft surfaces.
1. Drive Speed is 264 feet (6705 mm) per minute +/ 25%;
2. Maneuvering Speed is 30% to 60% of drive speed.

2-7 Tube Unit Ratings

Tube Housing and Insert Specifications are given in Direction 46017226, Tube Ratings, HRT 50 and 60 Hz., or in 2236721100, Product Data Sheet Maxiray 75 TH 11 Xray Tube. Also, refer to note on maximum allowable kVp and mAs ratings in 21669131EN AMX4+ Operating Manual.

2-8 Generator Operator Indicators

Check for proper operation of tones or buzzers and labels as required by regulations. Reference “Generator Operator Indicators” in Tab 3 of Direction 46−013894, System Field Test for HHS.
1. Xray on indicator lights during an exposure.
2. Audible tone occurs during exposure.
3. Audible tone occurs with safety timed termination of AEC exposures.
4. Safety timed termination of AEC exposures requires resetting before taking another exposure.
5. Xray warning label is legible.
7
AMX4+ RATINGS & SPECIFICATIONS
GE HEALTHCARE (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 8 DIRECTION 2173221100

2-9 kVp Accuracy

1. Rise time of the kVp wave form from 10% to 90% of the maximum kVp is 1.2 millisecond or less.
2. Fall time of the kVp wave form from 90% of the maximum kV to 20 kV is 2.5 milliseconds or less.
3. Accuracy of the kVp wave form to selected kVp is +/8% of the value displayed on the operator panel for the first 20 ms and +/5% after 20 ms. Accuracy applies within the range of the bar graph battery charge indicator.
Note: These specifications do not apply to switching transients which occur during the first millisecond and
the last millisecond of an exposure.
2-9-1 Test Method
Preferred
Use a Keithley NonInvasive kVp Divider (Model 35080A with Deviation 535 or Model 35080B, both using Mobile Filter Pack Plus 37946C and optional Low Range Filter Pack 38237C). A Triad 35050A Dosimeter can also be used to provide digital readout of corrected kVp values. No other substitutions for
noninvasive kVp Dividers are approved!
The setup procedure and linear correction curves (non−Triad systems) for using the Keithley divider are covered in Section 3 of Direction 46017561 HHS Control and Tube Assembly Tests and Keithley’s Operation and Maintenance manuals.
Alternate
Use the GE C1515A Invasive Bleeder. If this method is used, the unit should be calibrated and verified with this meter.
Note: If an attempt is made to verify a unit calibrated with a C1515A bleeder with either of the above Keithley
NonInvasive dividers, kVp readings will read 57 kVp higher than when read with the C1515A. This is due to impedance changes in the high voltage circuit with the bleeder removed from the circuit and due to frequency compensation errors present using the C1515A divider with the AMX4+ waveform.
The procedure for connecting the C1515A High Voltage divider is covered in Direction 46−013288 Bleeder, HighVoltage Dual Type T8005G and C1515A Connection ... Applications, and Direction 2196272100, High Voltage Cable Installation and Troubleshooting Procedures.
Make exposures and calculations as described in “Technique Accuracy kV/mA” in Tab 3 of Direction 46013894 System Field Test for HHS.

2-10 mAs Metering Accuracy

Accuracy of mAs is the integral of Xray tube emission current between the time at which the kV wave form reaches 75% of the indicated peak value at the beginning of an exposure and the time at which it falls to 75% of the indicated peak value when the exposure is terminated.
Actual mAs shall match selected mAs within +/−10%.
8
AMX4+ RATINGS & SPECIFICATIONS
GE HEALTHCARE (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 8 DIRECTION 2173221100
2-10-1 Test Method
This is an indirect procedure which verifies accuracy of the mAs metering circuitry and mAs calibration. Measuring mAs Metering Accuracy is done by injecting 100 mA into the mAs integrating circuit and comparing the response with a meter installed in the circuit. Reference Direction 2173223−100, AMX4+ Calibration familiarity with this direction is assumed. Also reference “Technique Accuracy mAs” in Tab 3 of Direction 46013894, System Field Test for HHS.
1. Enter mAs calibration and install meter.
2. At the prompt ENTER VALUE compare meter reading with displayed reading.
3. Correct reading to include meter accuracy before comparing with requirements.
Note: Accuracy of mA reading at the approximate 100 mA test condition is  0.1 mA. Meter accuracy must
be added to the mA reading before making judgment on the final reading.

2-11 Reproducibility

The coefficient of variation for radiation output is less than 0.045 for successive exposures having constant technique factors.
Coefficient of variation is measured and calculated as described in “Reproducibility of Exposure” in Tab 3 of Direction 46013894, System Field Test for HHS. This applies to all units for non−AEC mode − reference the procedure “for exposures made without the use of A.E.C.” For units equipped with MobilAID, also reference the procedure “for exposures made with an A.E.C.”

2-12 Beam Quality

The half−value layer of the useful beam at 80 kVp shall not be less than 2.5 millimeters of aluminum. This requirement differs slightly from and supersedes NCRP 33. The specific test point is at 80 kVp requiring a half value layer of 2.5 millimeters of aluminum. This applies to systems manufactured before June 10th,
2006.
For systems manufactured on or after June 10th, 2006 the following new regulation applies; The halfvalue layer of the useful beam at 80 kVp shall not be less than 2.9 millimeters of aluminum. The specific test point is at 80 kVp requiring a half value layer of 2.9 millimeters of aluminum.
Reference the System Rating Plate to determine manufactured date. Note: The rating plate shows month and year only. For systems manufactured during June, 2006 you must verify the manufactured date in the GE GIB database. Contact your local Service Representative for assistance.
2-12-1 Test Method
The procedure for measuring Beam Quality is presented in “Beam Quality (Half Value Layer)” in Tab 4 of Direction 46013894 System Field Test for HHS. The following noted exceptions to that procedure apply for the AMX−4+:
1. Select initial technique factors of 80 kVp and 20 to 48 mAs.
2. When making an exposure without the absorber, adjust mAs so that the radiation meter reading contains three significant digits.
3. Use an AMX−4 absorber 46−173632G2 in the collimator rails.
9
AMX4+ RATINGS & SPECIFICATIONS
GE HEALTHCARE (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 8 DIRECTION 2173221100
> For systems manufactured On or After June 10th, 2006 add additional aluminum filtration from
the HVL Attenuator set part # 46194427P274 found in the HHS Kit part # 46303879G1 or 46303879G2. Total test filtration = 3.1 mm of Aluminum. Affix these plates to the AMX−4 absorber with tape. Ensure the tape is not in the usable beam path.
> For tube changes there is an additional 1.2 mm Aluminum cup added to the XRay Tube. This
cup snaps onto the collimator mounting plate and is easily identified since the tube glass port is not visible. This cup must be present and retained for systems manufactured On or After June 10th, 2006. Likewise this cup if provided with the replacement tube it must be removed for systems manufactured before June 10th, 2006. Reference the system rating plate affixed to the AMX unit.

2-13 Collimator Function

A manual collimator, model 46−270615P2 (Micro Medical Systems) or model 46−270615P3 (Medys), bearing an HHS certification label is installed on the AMX4+. Reference “Functional Test − Manual Rad Collimator Version” in Tab 6 of Direction 46−013894, System Field Test for HHS.
1. Minimum source to skin distance is limited to more than 30 centimeters by the skin spacers at the beam exit of the collimator.
2. Full 17 by 17 inch (43 by 43 centimeters) radiographic coverage at 40 inch (1.02 meter) Source to Image Distance.
3. Minimum inherent filtration of 2.0 mm aluminum equivalent at 100 kVp.

2-14 Collimator Alignment and SID

Collimator Alignment and SID tests are performed in accordance with Tab 6 of Direction 46−013894, System Field Test for HHS, reference:
SID Test Light to Xray Field Test Center to Center Test Field Indicator (Pointers to Actual Size)
1. The Xray field size must agree with the indicated field size within 1.8% of SID.
2. Total misalignment of parallel edges of the light field with the edges of its Xray field must not exceed 1.7% of SID.
3. The difference between the indicated SID and the actual SID must not exceed 1.8% of the indicated SID.

2-15 Collimator Light Field Intensity

The average illumination at a distance of 100 cm (39.37 inch) from the focal spot shall be 16 foot candles (170 lux) or more. Reference “Collimator Light Field Intensity” in Tab 6 of Direction 46−013894, System
Field Test for HHS.
10
AMX4+ RATINGS & SPECIFICATIONS
GE HEALTHCARE (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 8 DIRECTION 2173221100

2-16 AEC Minimum Exposure Time

(Applies to units equipped with Mobil−AID)
When the X−ray kVp is equal to or greater than 50 kVp, the minimum exposure time will be equal to or greater than the time interval required to deliver 5 mAs. Reference “AEC Minimum Exposure Time” in Tab 3 of Direction 46013894, System Field Test for HHS.
11
AMX4+ RATINGS & SPECIFICATIONS
GE HEALTHCARE (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 8 DIRECTION 2173221100
SECTION 3 HHS TEST CHECKLISTS
The importance of HHS compliance testing cannot be over emphasized. Before starting these procedures, review Direction 46013894 System Field Test for HHS. Pay particular attention to “Introduction” (Tab 1 of Direction 46−013894).
With the exception of Collimator Function and Beam Quality, all field tests for HHS compliance are to be performed at specified intervals.

3-1 HHS Tests (Excluding AEC)

Requirements are pass or fail. Service is required if any Requirement is failed. After each Requirement is verified, place a check in its box. Record notes and comments next to the Requirement.
Inspect Requirement Inspector’s Notes
3-1-1 Generator Operator
Indicators
Required during Installation, preventative maintenance calls, or when replacing major components.
3-1-2 Technique
Accuracy kVp/mA
Required during Installation, preventative maintenance calls, and repair.
3-1-3 Indirect Linearity
Required during Installation, preventative maintenance calls, and repair.
3-1-4 Technique
Accuracy mAs
Required during Installation, preventative maintenance calls, and repair.
[ ] Check for proper operation of tones and
buzzers as required by regulations. Refer to “Generator Operator Indicators” in Section 2 of Direction 2173221100, AMX4+ Ratings And Specifications, and perform defined inspection.
[ ] Actual kVp matches select kVp. Refer to
“kV Accuracy” in Section 2 of Direction 2173221100, AMX4+ Ratings & Specifications, and perform procedure.
[ ] Refer to “Indirect Linearity” in Tab 3 of
Direction 46013894, System Field Test for HHS.
[ ] Refer to “mAs Metering Accuracy” in
Section 2 of Direction 2173221100, AMX4+ Ratings & Specifications, and perform defined procedure.
3-1-5 Reproducibility Of
Exposures NonAEC
Required during Installation, preventative maintenance calls, and repair.
[ ] Refer to “Reproducibility” in Section 2 of
Direction 2173221100, AMX4+ Ratings & Specifications, and perform defined procedure for nonAEC mode exposures.
12
AMX4+ RATINGS & SPECIFICATIONS
GE HEALTHCARE (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 8 DIRECTION 2173221100
Inspect Inspector’s NotesRequirement
3-1-6 Beam Quality
(Half Value Layer)
Required during Installation, or after replacement of tube unit, collimator, or other absorption between source and patient.
3-1-7 Collimator
Function
Required during Installation, or after replacement of collimator.
3-1-8 Collimator
Alignment and SID
Required during Installation, preventative maintenance calls, and repair.
3-1-9 Collimator Light
Field Intensity
Required during Installation, preventative maintenance calls, and repair.
[ ] Refer to “Beam Quality” in Section 2 of
Direction 2173221100, AMX4+ Ratings & Specifications, and perform defined procedure.
[ ] Refer to “Collimator Function” in Section 2
of Direction 2173221100, AMX4+ Ratings & Specifications, and perform defined checks.
[ ] Refer to “Collimator Alignment and SID” in
Section 2 of Direction 2173221100, AMX4+ Ratings & Specifications, and perform defined procedures.
[ ] Refer to “Collimator Light Field Intensity” in
Section 2 of Direction 2173221100, AMX4+ Ratings & Specifications, and perform defined procedure.

3-2 AEC HHS Tests

(Units with Mobil−AID)
Requirements are pass or fail. Service is required if any Requirement is failed. After each Requirement is verified, place a check in its box. Record notes and comments next to the Requirement.
Inspect Requirement Inspector’s Notes
3-2-1 Reproducibility Of
Exposures AEC
Required during Installation, preventative maintenance calls, and repair.
3-2-2 AEC Minimum
Exposure Time
Required during Installation, preventative maintenance calls, and repair.
[ ] Refer to “Reproducibility” in Section 2 of
Direction 2173221100, AMX4+ Ratings & Specifications, and perform defined procedure for AEC mode exposures.
[ ] Refer to “AEC Minimum Exposure Time” in
Section 2 of Direction 2173221100, AMX4+ Ratings & Specifications, and perform defined procedure.
13
AMX4+ RATINGS & SPECIFICATIONS
GE HEALTHCARE (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 8 DIRECTION 2173221100
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14
GE Healthcare
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