Kodak DirectView CR800, DirectView CR900 User Manual

Kodak DirectView CR 800/CR 900

Series

H196_0501HC

User’s Guide

Eastman Kodak Company 343 State Street Rochester, NY 14650

1 Safety and Related Information

Health and Safety Compliance ..........................................................................................................................1-7

CR 800/900 Systems...................................................................................................................................1-7

CR 850/950 Systems...................................................................................................................................1-8

Remote Operations Panel...........................................................................................................................1-9

User Guide Conventions ...........................................................................................................................1-10

Special Messages................................................................................................................................1-10

2 Overview

Product Description ......................................................................................................................................... 2-1

CR 800/850 System Components ......................................................................................................................2-2

CR 900/950 System Components ......................................................................................................................2-3

Touch Screen Monitor ...............................................................................................................................2-4

Internal PC.................................................................................................................................................2-4

Cassettes ....................................................................................................................................................2-4

Remote Operations Panel.................................................................................................................................2-5

Site Operating Configurations ...........................................................................................................................2-5

Network Configuration ...............................................................................................................................2-5

Workflow .........................................................................................................................................................2-7

Workflow Definitions .................................................................................................................................2-7

Workflow Diagram.....................................................................................................................................2-8

3 Operation and Main Menu

Starting the CR System......................................................................................................................................3-1

Logging on to the Operator Console (Option) ..................................................................................................3-2

Changing your Password ............................................................................................................................3-2

Shutting down the CR System............................................................................................................................3-2

Rebooting the System .......................................................................................................................................3-3

Power Failures ................................................................................................................................................. 3-4

Operating Modes..............................................................................................................................................3-4

Pass-through Mode ....................................................................................................................................3-4

QA Mode....................................................................................................................................................3-4

Main Menu.......................................................................................................................................................3-5

June 3, 2003 1F3742 i

Table of Contents

Main Menu Functions.................................................................................................................................3-5

Main Menu Screen Navigation Buttons .......................................................................................................3-6

Using the Touch Screen....................................................................................................................................3-7

Navigation Buttons .....................................................................................................................................3-7

Error Messages ..........................................................................................................................................3-7

Virtual Keyboards .............................................................................................................................................3-8

Standard Alphanumeric Virtual Keyboard ...................................................................................................3-8

Standard Numeric Virtual Datepad .............................................................................................................3-9

Special Keyboards ......................................................................................................................................3-9

Entering Information into Data Fields.............................................................................................................3-10

4 Exam Data Entry

Manual Data Entry............................................................................................................................................4-1

Entering Patient Information ............................................................................................................................4-3

New Patient ................................................................................................................................................4-3

Trauma Patient...........................................................................................................................................4-4

Existing Patient...........................................................................................................................................4-4

New Study ..................................................................................................................................................4-6

Entering Exam Information ..............................................................................................................................4-7

Using Procedure Codes and Procedure Mapping........................................................................................4-7

Mandatory Exam Information.....................................................................................................................4-8

Optional Exam Information ........................................................................................................................4-9

Saving the Patient and Exam Information .................................................................................................4-10

5 Scanning, Viewing and Printing Images

Performing an Exam ........................................................................................................................................5-1

Loading Cassettes .............................................................................................................................................5-3

CR 800/850 System ....................................................................................................................................5-3

CR 900 System ...........................................................................................................................................5-4

CR 950 System ...........................................................................................................................................5-6

Viewing Images ................................................................................................................................................5-7

Viewing an Image in Pass-through Mode ....................................................................................................5-7

Viewing Images in QA Mode.......................................................................................................................5-7

Working with Images .....................................................................................................................................5-10

Reprocessing Images ...............................................................................................................................5-10

Routing Images ........................................................................................................................................5-10

Erasing Screens........................................................................................................................................5-11

Reviewing Images.....................................................................................................................................5-13

Managing Images ...........................................................................................................................................5-15

Managing Failed Delivery Images .............................................................................................................5-16

Managing Unassigned Images...................................................................................................................5-16

Printing Images..............................................................................................................................................5-18

ii 1F3742 June 3, 2003

Table of Contents

Printing Multi-format Images................................................................................................................... 5-21

Other Multi-format Settings...................................................................................................................... 5-25

Multi-format Only Check Box............................................................................................................. 5-25

Image Review Screen......................................................................................................................... 5-25

Deleting Multi-format Images ............................................................................................................ 5-26

Printing Text.................................................................................................................................................. 5-26

Printing Internal Text Boxes .................................................................................................................... 5-27

Printing External Text Boxes.................................................................................................................... 5-28

True-size Printing (Option) ........................................................................................................................... 5-29

1 cm Tick Marks ..................................................................................................................................... 5-31

6 Maintaining Image Quality

Guidelines for Optimizing Image Quality.......................................................................................................... 6-1

Performing the Exam................................................................................................................................. 6-1

Image Processing ...................................................................................................................................... 6-1

Changing Image Orientation ...................................................................................................................... 6-2

Adjusting Contrast and Brightness.............................................................................................................. 6-2

Changing Window Widths (Contrast)................................................................................................... 6-2

Changing Window Levels (Brightness)................................................................................................. 6-2

Changing Image Tonescale ........................................................................................................................ 6-3

Image Processing ............................................................................................................................................ 6-4

Improving Image Characteristics ..................................................................................................................... 6-7

7 Troubleshooting

Error Messages................................................................................................................................................ 7-1

Releasing Cassette Jams................................................................................................................................... 7-1

System Reset.................................................................................................................................................... 7-1

System Status................................................................................................................................................... 7-2

Clear Pending Images...................................................................................................................................... 7-2

Slow System Response .................................................................................................................................... 7-2

Incorrect Image Grouping ............................................................................................................................... 7-2

Modifying Patient Information ................................................................................................................... 7-3

8 Maintaining Equipment and Cassettes

Cleaning the CR System Surfaces...................................................................................................................... 8-1

Cleaning the ROP Touch Screen....................................................................................................................... 8-1

Cleaning Storage Phosphor Screens................................................................................................................. 8-2

Special Cleaning Materials......................................................................................................................... 8-2

Removing the Phosphor Screen ................................................................................................................. 8-2

Cleaning the Phosphor Screen ................................................................................................................... 8-3

Replacing the Phosphor Screen ....................................................................................................................... 8-4

Cassette Cautions ............................................................................................................................................. 8-5

June 3, 2003 1F3742 iii

Table of Contents

Cleaning Cassettes ............................................................................................................................................8-6

Replacing Erase Lamps ....................................................................................................................................8-7

9 Key Operator Functions

Introduction.....................................................................................................................................................9-1

Managing Patient Exam Records ......................................................................................................................9-3

Statistics...........................................................................................................................................................9-5

Cassette Statistics........................................................................................................................................9-5

Destination Statistics ..................................................................................................................................9-6

Technologist Statistics ................................................................................................................................9-7

Scan Cycles ................................................................................................................................................9-9

Destination Status Summary .....................................................................................................................9-10

System Configuration......................................................................................................................................9-11

Saving System Configurations ...................................................................................................................9-14

Restoring Configurations ..........................................................................................................................9-14

Option Registration ..................................................................................................................................9-16

Workflow Optimization ............................................................................................................................9-17

Changing Button Names, Colors, and Position ..........................................................................................9-18

Changing Button Names .....................................................................................................................9-18

Changing Button Colors......................................................................................................................9-18

Changing Button Location ..................................................................................................................9-19

Body Part and Projection Configuration .............................................................................................9-20

Department and Physician List Configuration ...........................................................................................9-21

Procedure List and Procedure Mapping Overview ....................................................................................9-23

Procedure List Configuration....................................................................................................................9-23

Procedure Mapping (Option) ..................................................................................................................9-24

Procedure Mapping on the CR System................................................................................................9-25

Using an Existing Procedure to Create a New Procedure ....................................................................9-26

Mapping more than 34 Procedures ....................................................................................................9-26

Editing Procedure Codes and Names..................................................................................................9-27

Using a HIS/RIS System ......................................................................................................................9-27

Deleting a Procedure .........................................................................................................................9-27

Procedure Mapping Using the Remote Key Operator ...............................................................................9-28

Adding a New Procedure ...................................................................................................................9-28

Locating Procedures ..........................................................................................................................9-30

Editing Procedures.............................................................................................................................9-30

Using an existing procedure to Create a New Procedure.....................................................................9-31

Deleting a Procedure .........................................................................................................................9-31

HIS/RIS Broker Configuration ..................................................................................................................9-32

Introduction.......................................................................................................................................9-32

HIS/RIS Broker Configuration ............................................................................................................9-32

iv 1F3742 June 3, 2003

Table of Contents

Push Configuration ............................................................................................................................ 9-34

CR Display Configuration ......................................................................................................................... 9-36

Reject Reason Configuration (Option)..................................................................................................... 9-38

Setting Trauma Defaults (Option)............................................................................................................ 9-40

Using Unique Numbers ...................................................................................................................... 9-41

Profile Destination Configuration ............................................................................................................ 9-42

Default Profile Configuration ............................................................................................................. 9-42

Configuring Profiles................................................................................................................................. 9-43

Text Box Configuration (Option) ............................................................................................................. 9-45

External Text Boxes ........................................................................................................................... 9-45

Internal Text Box............................................................................................................................... 9-45

Combined Internal and External Text Boxes ...................................................................................... 9-46

External Text Box Characteristics....................................................................................................... 9-47

Choosing a Text Box .......................................................................................................................... 9-47

Magnification Factor................................................................................................................................ 9-48

Using the Text Box Editor ....................................................................................................................... 9-48

Internal Text Box Editor .......................................................................................................................... 9-48

Text Box Viewer................................................................................................................................. 9-48

Text Box Editor.................................................................................................................................. 9-48

Navigation Controls............................................................................................................................ 9-50

Adding a Column or a Row ................................................................................................................ 9-50

Deleting or Saving a Field .................................................................................................................. 9-50

External Text Box Editor.......................................................................................................................... 9-50

Saving and Restoring Configuration Options ......................................................................................9-50

Configuring a Text Box ........................................................................................................................... 9-51

Delivery Preferences................................................................................................................................ 9-54

Delivery Option Configuration............................................................................................................ 9-54

Configuring Default Hospital Name and Address ................................................................................ 9-56

CAD Workstation Configuration ......................................................................................................... 9-56

Configuring External Devices ................................................................................................................... 9-57

Remote Operator Panel Expanded Connectivity.................................................................................. 9-57

Configuring a Remote Operator Panel to Multiple CR Systems............................................................ 9-59

Configuring Multiple ROPs to Multiple CR Systems............................................................................. 9-62

Remote Patient Data Entry Software (RPDES).......................................................................................... 9-65

Computer Requirements.................................................................................................................... 9-65

Installation Instructions..................................................................................................................... 9-65

RPDES Configuration Instructions...................................................................................................... 9-65

RPDES Operation............................................................................................................................... 9-67

Create a RPDES Shortcut on the Desktop........................................................................................... 9-67

Remote Key Operator............................................................................................................................... 9-68

June 3, 2003 1F3742 v

Table of Contents

Setting Up the Remote Key Operator...................................................................................................9-68

Logging In..........................................................................................................................................9-68

Downloading Statistics .......................................................................................................................9-69

Procedure Mapping ...........................................................................................................................9-69

Color Preferences ....................................................................................................................................9-70

Bar Code Configuration ...........................................................................................................................9-71

Overview ............................................................................................................................................9-71

Changing the Bar Code Characteristics ...............................................................................................9-71

Changing the Cassette ID Bar Code Format .........................................................................................9-73

Changing the Country Code ................................................................................................................9-74

Changing the Prefix and Suffix............................................................................................................9-75

Bar Code Examples for Scanning........................................................................................................9-78

Required Fields........................................................................................................................................9-85

System Maintenance Defaults ...................................................................................................................9-87

Regional Settings......................................................................................................................................9-87

Configure Monitor....................................................................................................................................9-87

Miscellaneous ..........................................................................................................................................9-89

Calibrate Touch Screen ............................................................................................................................9-89

Administration ...............................................................................................................................................9-91

User Maintenance ....................................................................................................................................9-91

Creating a New User ...........................................................................................................................9-91

Editing A User ....................................................................................................................................9-92

Deleting a User...................................................................................................................................9-92

User Login Configuration....................................................................................................................9-93

Grid Detection and Suppression (Option)......................................................................................................9-94

10 Remote Operations Panel

Medical Device Directive (MDD) ...................................................................................................................10-1

English...........................................................................................................................................................10-2

Dansk ............................................................................................................................................................10-2

Deutsch..........................................................................................................................................................10-3

Español..........................................................................................................................................................10-3

Français .........................................................................................................................................................10-4

Greek.............................................................................................................................................................10-4

Italiano ..........................................................................................................................................................10-5

Lietuviðkai .....................................................................................................................................................10-5

Nederlands.....................................................................................................................................................10-6

Norsk.............................................................................................................................................................10-7

Português.......................................................................................................................................................10-7

Suomeksi .......................................................................................................................................................10-8

Svenska..........................................................................................................................................................10-8

vi 1F3742 June 3, 2003

Table of Contents

Overview ........................................................................................................................................................10-9

Start Up..........................................................................................................................................................10-9

Operation.....................................................................................................................................................10-10

ROP Configured to Access Multiple CR Systems ............................................................................................10-11

Bar Code Scanner ........................................................................................................................................10-12

Using the Bar Code Scanner ...................................................................................................................10-12

Scanning a Bar Code ..............................................................................................................................10-12

Turning Off the ROP .....................................................................................................................................10-13

Appendix A: Kodak DirectView Total Quality Tool for CR Systems

Appendix B: Default Procedure Codes

Appendix C: Printing Exceptions

Text Box Rotation.............................................................................................................................................C-3

Glossary

Index

vii 1F3742 June 3, 2003

Table of Contents

June 3, 2003 1F3742 viii

Safety and Related Information

CAUTION:

United States federal law restricts this device to sale to, by, or on order of a physician.

IMPORTANT: The side and back panels shall be opened by authorized

Kodak service personnel only.

LASER WARNING:

This equipment uses a visible red laser. Laser radiation will be present when the machine is opened with the side and back panels removed and the interlocks defeated. Avoid direct exposure to the laser beam.

This product is a Class 1 Laser product. This product complies with DHHS regulation 21 CFR Chapter I Subchapter J and IEC/EN 60825-1.

CLASS 1 LASER PRODUCT. CLASS I EQUIPMENT. INTERNALLY POWERED EQUIPMENT. INTENDED FOR CONTINUOUS OPERATION. ACCEPTABLE FOR INCIDENTAL OR CASUAL CONTACT WITH THE PATIENT. PRODUCT IS PROVIDED WITH ORDINARY PROTECTION AGAINST THE

HARMFUL INGRESS OF WATER. PRODUCT IS NOT SUITABLE FOR USE IN THE PRESENCE OF A FLAMMABLE

ANESTHETICS MIXTURE WITH AIR OR WITH OXYGEN OR WITH NITROUS OXIDE.

June 3, 2003 1F3742 1-1

Safety and Related Information

EUROPEAN MARKETS only: This device is Class I, Type B medical equipment as defined by EN 60 601-1. AUTHORIZED REPRESENTATIVE: Manager, Product Safety, Kodak AG; Hedelfingerstr. 54-56, 70327 Stuttgart,

GERMANY.

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 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 his own expense.

The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include:

• Use of the accessory in the patient vicinity.

• Evidence that the safety certification of the accessory has been

performed in accordance to the appropriate IEC 950 and/or IEC 601-1 and/or IEC 601-1-1 harmonized national standard.

CAUTION:

The small footprint and specifications of the CR 800/850 Systems allow for flexibility in placement of the unit, including in the exam room. When installed in this manner, scatter radiation from the x-ray system may cause image artifacts in two scenarios:

• When CR cassettes are stored in the exam room.

Precaution: CR cassettes should not be stored in the exam room or kept in the exam room during individual patient studies.

• When an exposed CR cassette is being scanned by the CR 800/850 System in the exam room during a subsequent x-ray exposure.

Precaution: The potential exists for artifacts if one cassette is being processed while a second cassette is being exposed. If you experience image artifacts, we suggest you discontinue simultaneous exposing and processing of CR cassettes.

1-2 1F3742 June 3, 2003

Safety and Related Information

CAUTION:

Kodak DirectView CR Cassettes contain lead. Disposal of components that contain lead may be regulated due to environmental conditions. For disposal or recycling information, contact your local authorities or visit the Electronics Industry Alliance web site at http://www.eiae.org.

CAUTION:

The UPS battery must be replaced by a Kodak authorized Service Provider. The UPS battery contains lead and poses a hazard to the environment and human health if not disposed of properly. Due to the toxicity of lead, the US EPA’s Resource Conservation and Recovery Act (RCRA) and state solid/hazardous waste authorities consider a spent lead-acid battery a regulated waste. Treat this battery as a hazardous waste if it is not recycled. A recycling infrastructure is widely available in the US to manage this battery type.

CAUTION:

This product contains mercury. Disposal of components containing this material may be regulated due to environmental considerations. For disposal or recycling information, please contact your local authorities or visit the Electronics Industry Alliance Web site at http://www.eiae.org.

The information contained herein is based on the experience and knowledge relating to the subject matter gained by Eastman Kodak Company prior to publication. No patent license is granted by this information. Eastman Kodak Company reserves the right to change this information without notice and makes no warranty, express or implied, with respect to this information. Kodak shall not be liable for any loss or damage, including consequential or special damages, resulting from the use of this information, even if loss or damage is caused by Kodak's negligence or other fault.

June 3, 2003 1F3742 1-3

Safety and Related Information

H177_0011HC

KODAK

SERVICE CODE

MANUF

100-127V~ 50/60 Hz 10A 200-240V~ 50/60 Hz 5A

THIS SUBCHAPTER J.

CER CODE / CER DE L’ELECTRICITE SEULEMENT.

DirectView CR800 system

SERIAL

3519

NUMBER

ACTURED:

N137

MEDICAL ELECTRICAL EQUIPMENT

25Y

PRODUCT

TIFIED ONLYTO CANADIAN ELECTRICAL

TIFIE EN VER

CLASSIFED BY UNDERWRITERS

LABORATORIES INC. WITH RESPECT TO ELECTRICAL SHOCK, FIRE, MECHANICAL

AND OTHER SPECIFIED HAZARDS ONLY, IN ACCORDANCE WITH UL 2601-1 AND

CAN-CSA C22.2 No. 601.1.

COMPLIES

WITH

TU DU CODE CANADIAN

CFR

Made in U.S.A. by EASTMAN KODAK COMPANY Rochester, NY 14650

CHAPTER I,

5E3348

H187_0001HC

KODAK

SERVICE

3520

CODE

MANUF

ACTURED:

N137

PRODUCT

THIS SUBCHAPTER J.

TIFIED ONL

CER CODE / CER DE L’ELECTRICITE SEULEMENT.

DirectView CR900 system

SERIAL NUMBER

10AHz 50/60 100-127V~

25YA

TIFIE EN VER

Made in U.S.A. by EASTMAN KODAK COMPANY Rochester, NY 14650

5AHz50/60 200-240V~

MEDICAL ELECTRICAL EQUIPMENT

CLASSIFED BY UNDERWRITERS

IN ACCORDANCE WITH UL 2601-1 AND

CAN-CSA C22.2 No. 601.1.

WITH

COMPLIES

CANADIAN ELECTRICAL

OTY

TU DU CODE CANADIAN

CHAPTER I,

CFR

TORESPECT WITH INC. TORIES LABORA

MECHANICALFIRE, SHOCK, ELECTRICAL

3H9506

,YONLHAZARDS SPECIFIED OTHER AND

1-4 1F3742 June 3, 2003

Safety and Related Information

H194_0024HC

KODAK

CODE

MANUFACTURED:

100-127V~ 10A

COMPLIES WITH 21 CFR 1040.10 AND 1040.11 EXCEPT FOR DEVIATIONS PURSUANT TO LASER NOTICE NO. 50, DATED JULY 26,2001.

CERTIFIED ONLY TO CANADIAN ELECTRICAL CODE / CERTIFIE EN VERTU DU CODE CANADIAN DE L’ELECTRICITE SEULEMENT.

DirectView CR 850 system

SERIALSERVICE

4825

NUMBER

50/60

Hz200-240V~

N137

50/60

WITH RESPECT TO ELECTRICAL SHOCK, FIRE AND MECHANICAL HAZARDS ONLY

IN ACCORDANCE WITH UL 2601-1,

CAN/CSA C22.2 No. 601.1.

Made in U.S.A. by EASTMAN KODAK COMPANY Rochester, NY 14650

MEDICAL EQUIPMENT

25YA

1F4335

June 3, 2003 1F3742 1-5

Safety and Related Information

H196_0100HC

KODAK

SERVICE SERIAL CODE

DirectView CR 950 system

4826

NUMBER

MANUFACTURED:

50/60

200-240V~ Hz

COMPLIES WITH 21 CFR 1040.10 AND 1040.11 EXCEPT FOR DEVIATIONS PURSUANT TO LASER NOTICE NO. 50, DATED JULY 26,2001.

CERTIFIED ONLY TO CANADIAN ELECTRICAL CODE / CERTIFIE EN VERTU DU CODE CANADIAN DE L’ELECTRICITE SEULEMENT.

50/60

N137

Made in U.S.A. by EASTMAN KODAK COMPANY Rochester, NY 14650

10A100-127V~

MEDICAL EQUIPMENT

WITH RESPECT TO ELECTRICAL SHOCK, FIRE AND MECHANICAL HAZARDS ONLY

IN ACCORDANCE WITH UL 2601-1,

CAN/CSA C22.2 No. 601.1.

25YA

1F5241

1-6 1F3742 June 3, 2003

Health and Safety Compliance

The CR 800/CR 900 Series Systems were examined for compliance and have classifications and licenses as follows:

CR 800/900 Systems U. S. A.

47 CFR Part 15, Sub B, Class A UL 2601-1 Medical Electrical Equipment 2nd Edition

Canada

CAN/CSA C22.2 No. 601.1-M90 - Medical Electrical Equipment CAN/CSA 22.2 No. 601.1S1-94 Supplement No. 1-94 to Medical Electrical

Equipment (R1999) CAN/CSA 22.2 No. 601.1B-90 - Amendment 2 to Medical Electrical Equipment ICES-003 Issue 3, Class A ITE Emissions

Safety and Related Information

International

IEC 60601 - 1: 1988, +A1 (1991), + A2(1995) Medical Electrical Equipment IEC 825-1 - (1993) Safety of Laser Products EN 60601-1-2:1993 Medical Electrical Equipment Electromagnetic

Compatibility EN 55011: 1998 ISM Emissions, Group 1 Class A EN 61000-4-2: 1995 Electrostatic Discharge immunity test EN 61000-4-3:1997 Radiated, Radio-Frequency, electromagnetic field

immunity EN 61000-4-4: 1995 Electrical Fast Transient/burst immunity EN 61000-4-5: 1995 Surge immunity EN 61000-4-6: 1996 Immunity to conducted disturbances EN 61000-4-11: 1995 Voltage dips, sags, interrupts EN 61000-3-2: 1995: Limits for harmonic current emissions EN 61000-3-3: 1995 Flicker

WARNING:

This is a class A product. In a domestic environment this product may cause radio interference in which case the user may be required to take adequate measures.

June 3, 2003 1F3742 1-7

Safety and Related Information

CR 850/950 Systems U. S. A.

47 CFR Part 15, Sub B, Class A UL 2601-1 Medical Electrical Equipment 2nd Edition

Canada

CAN/CSA 22.2 No. 601.1-M90 - Medical Electrical Equipment (R2001) CAN/CSA 22.2 No. 601.1S1-94 - Supplement No. 1-94 to Medical Electrical

Equipment (R1999) CAN/CSA 22.2 No. 601.1B-90 - Amendment 2 to Medical Electrical Equipment

(R2002) ICES-003 Issue 3, Class A ITE Emissions

International

IEC 60601 - 1: 1988, +A1 (1991), + A2(1995)Medical Electrical Equipment IEC 60825 - 1:1993 + A1:1997 + A2:2001 Safety of Laser Products EN 60601-1-2:1993 Medical Electrical Equipment Electromagnetic

Compatibility EN 55011: 1998 ISM Emissions, Group 1 Class A EN 61000-4-2: 1995 Electrostatic Discharge immunity test EN 61000-4-3: 1997 Radiated, Radio-Frequency, electromagnetic field

WARNING:

This is a class A product. In a domestic environment this product may cause radio interference in which case the user may be required to take adequate measures.

Acoustic Noise Emission Information

Operator position Sound Pressure Levels (LA)

Standby <70 dB(A)

Operate <70 dB(A)

Tested per DIN 45635, ANSI S12.10-1985, ISO 7779.

1-8 1F3742 June 3, 2003

Safety and Related Information

Remote Operations Panel

U.S.A. UL 1950 Safety for Information Technology Equipment

Canada

CAN/CSA C22.2 No. 950-95 Safety for Information Technology Equipment

International

EN 60950:1992 Safety for Information Technology Equipment (with Amendments A1, A2, A3, A4, and A11)

EN 55011:1998 ISM Emissions, Group 1 Class A EN 60601-1-2: 1993 Medical Electrical Equipment Electromagnetic

Compatibility EN 61000 -3-2:1995 Powerline Harmonics EN 61000 -3-3:1995 Flicker EN 61000 -4-2:1995 ESD EN 61000 -4-3: 1997 RF immunity EN 61000 -4-4: 1995 EFT EN 61000 -4-5: 1995 Surge immunity EN 61000 -4-6: 1996 Conducted immunity EN 61000 -4-11: 1995 Voltage dips, sags, interrupts

WARNING:

This is a class A product. In a domestic environment this product may cause radio interference in which case the user may be required to take adequate measures.

June 3, 2003 1F3742 1-9

Safety and Related Information

User Guide Conventions

Special Messages The following special messages emphasize information or indicate potential

risks to personnel or equipment. NOTE: Notes provide additional information, such as expanded

explanations, hints, or reminders.

IMPORTANT: Important notes highlight critical policy information that

affects how you use this guide and this product.

CAUTION:

Cautions point out procedures that you must follow precisely to avoid damage to the system or any of its components, loss of data, or corruption of files in software applications.

WARNING:

Warnings identify procedures that you must follow precisely to avoid injury to yourself or others.

LASER WARNING:

Laser warnings warn personnel that access to laser radiation is possible and all personnel must avoid direct exposure to the beam.

Typeface Conventions

Boldface type represents buttons or selections that you make on the touch screen and to identify screen names.

1-10 1F3742 June 3, 2003

Overview

Product Description

The Kodak DirectView CR 800/CR 900 Series systems process and produce digital images directly from latent images captured on storage phosphor screens. You can reproduce, reprocess, and distribute images to other output and storage devices.

The CR Systems manage patient and examination information associated with the captured and stored images. They can interface with a PACS Broker such as Mitra to obtain patient demographic data from the site HIS/RIS system. The data is sent to the CR System where it is associated with the proper image.

You can use the CR System to:

• Read images on a phosphor screen using conventional X-ray generators.

• Modify images and change image orientation.

• Enter examination and patient information using the Kodak DirectView

Remote Operations Panel (ROP), the bar code scanner, or the touch screen monitor.

• Correct erroneous patient or examination information.

• Store images that have incomplete patient or study data until the

required data is added and the image is accepted.

• Create collections of related images and data (a Study).

• Send exams to DICOM storage devices, physician’s diagnostic viewing

stations, and DICOM laser imagers.

The CR 900/950 System is designed for use as a centralized processing unit serving multiple exposure rooms in conjunction with the Kodak DirectView Remote Operations Panel (ROP). See page 10-10 for information on using the ROP.

June 3, 2003 1F3742 2-1

Overview

CR 800/850 System Components

The Kodak DirectView CR 800/850 System components include:

• Internal Computer

• Touch screen monitor

• Cassette feed slot

• Bar code scanner

• Internal Uninterruptible Power Supply (UPS)

The CR 800/850 System loads a single storage phosphor cassette, permits automatic scanning of the phosphor screen, and produces an image. You place the cassette into the cassette feed slot for scanning. Once the image is scanned and stored on the CR System, the cassette is erased and ejected.

Cassette Feed

Touch Screen Monitor

H177_0500GC

Kodak DirectView CR 800/850 System

Bar Code Scanner

2-2 1F3742 June 3, 2003

CR 900/950 System Components

The Kodak DirectView CR 900/950 System components include:

• Internal PC

• Touch screen monitor

• Cassette transport table for scanning

• Internal Uninterruptible Power Supply

The CR 900/950 System loads multiple storage phosphor cassettes, scans the phosphor screen, and produces an image. You place the cassette into the cassette transport table for scanning. Once the image is scanned and stored on the CR System, the cassette is erased, ejected, and automatically moved so the next cassette can be scanned.

Overview

u b e S

i d e

Start

CR 900

CR 950

H187_0512GC

H196_0002GC

Kodak Directview CR 900 and CR 950 Systems

Cassette transport features include:

• Load and unload cassettes at eight positions

• Center-positioned scan slot

• Start and pause from the touch screen (CR 900 System only. CR 950 uses

mechanical Start button)

• Supports four standard cassette sizes

June 3, 2003 1F3742 2-3

Overview

H177_2445AC

Cassette

Bar Code

H177_2445ACA

Touch Screen Monitor The touch screen monitor (touch screen) is mounted on top of the

CR 800/850 System. You can mount the touch screen monitor on the left side or the right side of the CR 900/950 System or on the wall.

For the CR 900/950 System, in case of a network failure, use the touch screen as a back-up system to enter patient demographic data, exam data, and review images.

The monitor has an SGVA display with a 1024 x 768 pixel resolution.

Internal PC An internal PC, accessible from the front of the CR System, contains the

operating software for image processing and for communicating with external network devices.

Cassettes Storage phosphor screens are mounted in standard size cassettes. You

perform patient exams the same way as when using conventional film cassettes. Instead of processing film to develop the image, a laser in the CR System scans the latent image on the phosphor screen and produces a digital image. Cassettes are repeatedly exposed, and their screens erased and reused. General Purpose (GP) cassettes have gray corners and High Resolution (HR) cassettes are identified with black corners.

Typical Cassette

The CR Systems accept four standard cassette sizes:

• 18 x 24 cm

• 24 x 30 cm

• 35 x 35 cm

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• 35 x 43 cm

Remote Operations Panel

H177_1511AC

SWITCH

BRIGHTNESS

POWER SWITCH

H177_1511ACA

The Kodak DirectView Remote Operations Panel (ROP) is a wall-mounted touch screen where you can perform most CR System functions. Use the ROP, with the bar code scanner, to enter patient, exam, or cassette (PEC) data, and review and reprocess images and route the images to their destinations. All Patient Exam Cassette (PEC) records and images are stored on the hard drive of the CR System computer. You can query existing PEC records and images stored in the CR System to review existing information. The ROP complies with ITE type standards and is not suitable for patient contact.

Overview

POWER SWITCH

Remote Operations Panel

Site Operating Configurations

Network Configuration

The CR Systems and ROPs require connection with external equipment to a 10 BaseT or 100 BaseT Ethernet network. All network communication is done in accordance with DICOM-conforming digital imaging equipment. Physical connections are via site-provided Category 5 cabling. In addition, the customer must provide the Mitra Broker to enable access to the HIS/RIS system.

You can configure each ROP to connect to a maximum of eight CR Systems.

H177_1521ACA

H177_1521AC

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Overview

Kodak DirectView

CR 800 System

DICOM TCP/IP

CR 850 System

Mitra

HIS/RIS

PACS Broker

Destinations

CR 950 System

Remote Operations Panel

Remote Patient

Data Entry Station

Kodak ArchiveManager

Medical Viewing Station

Kodak

PACS Link

9410 Acquisition System

Medical Image Manager

and Automated Workflow

Digital Archive

Management System

Medical Viewing Station

Kodak DryView

8100 Laser Imager

CR 950 System

Kodak

PACS Link

DICOM Print Server

Kodak Ektascan

6_9000EC

Remote Operations Panel

ETHERNET

2180 Laser Printer

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Workflow

Workflow Definitions

Overview

The CR System workflow consists of a series of tasks performed in sequence. Definitions and a typical step-by-step workflow sequence are listed below.

Cassette ID Identification number on cassette. Collimate To reduce the size of the X-ray beam by restricting

it, usually with lead shutters.

Destinations Locations on the network to which an image is sent. Exam One or more images with the same associated

information.

Exam Information Data pertaining to the way the image was captured. HIS Hospital Information System Image A single picture. Key Operator The person or persons designated by the

department manager to receive advanced training. The Key Operator has the password for access to password protected areas for changing defaults, routing profiles, etc.

Patient Exam Cassette (PEC) Record

Patient Information Demographic information that includes patient’s

Post Processing Any image re-processing or manipulation after the

RIS Radiology Information System Storage Phosphor The phosphor crystal that captures and stores the

Study A collection of related images and data. Worklist Management Enhances clinical workflow by importing patient

The demographic data and cassette ID that has been tied together to create a record/image file.

name, date of birth, physician, etc.

initial image processing.

latent analog raw image data.

information and study information from an information management system, eliminating errors from manual entry.

NOTE: If you purchase the Kodak DirectView Remote Patient Data Entry

Software, you can collect patient demographic data at a computer.

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Overview

Workflow Diagram

Collect patient demographic

data.

YES

Enter Patient Data

Scan the Patient ID bar code. Query the Local database. Query the HIS/RIS database.

Repeat as needed

HIS/RIS Broker?

1. Scan the cassette bar code label.

2. Enter Exam data.

3. Touch Submit.

4. Position the Patient.

5. Collimate properly for best image quality.

6. Expose the cassette

Expose additional cassettes if

necessary.

Load the cassette(s)

in the CR System.

Manually enter the Patient data on the

ROP CR System, or

Remote Patient Data Entry Station.

Review and evaluate images. If acceptable, send to destinations and release patient.

H194_9000EC

IMPORTANT: For maximum throughput, accept images as soon as they

are available.

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Operation and Main Menu

Starting the CR System

To turn on the CR System power:

1. Release the latch and open the front door.

2. Press and hold I/TEST on the UPS until you hear a beep, then release.

3. Check that the power LED on the computer illuminates and remains on.

4. If the Power LED is not on, press the Power button on the computer.

5. Close and latch the front door. The CR System will not initialize unless the

front door is closed.

6. Wait for the CR System to initialize. The Main Menu or the Login screen

appears.

I/Test

H177_0133GCA H177_0133GC

/TEST

Line

On Battery

CR 800/850 System Front View

Bypass

T S E T /

Front Door

Power Button

Power LED

UPS

On Line

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Operation and Main Menu

DCBA

Bypass

On Line

H187_0102GC

/TEST

Line

ABCD

Bypass

On Line

On Battery

H196_0003GC

/TEST

Line

On Battery

CR 900 and CR 950 Front Views

Logging on to the Operator Console (Option)

1. Enter your user name.

2. Enter your password.

3. Touch Login.

NOTE: A ROP can login to any CR System listed in the ROPs Link Screen if

you have an account on any CR System in the list.

Changing your Password

You can change the password you use to log in to the Operator Console.

1. At the Main Menu, touch Utility Menu.

2. Touch Change Password.

3. Enter your current password.

4. Enter your new password.

5. Enter your new password again.

6. Touch Save Changes.

Shutting down the CR System

To shut down the CR System power:

1. At the Main Menu, touch Utility Menu.

2. Touch System Shutdown and touch Yes. The CR System shuts down.

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