NEMOTO KYORINDO 0001 User Manual
001-100134.00.01
1st Edition
Contrast Delivery System
˴Dual Shot Alpha Operation Manual
Alpha
Nemoto Kyorindo Co., Ltd.
2-27-20 Hongo, Bunkyo-ku, Tokyo 113-0033, Tokyo Japan
06/01/12
001-100134.00
Dual Shot Alpha
1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
2. Before Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
3. Cautions in Use (for Safety) . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
4. Main Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Electric Rating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Safety Device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Error Message and Halt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Installation Condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Programming Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Volume Programming Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Flow Rate Programming Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Pressure Limiter Programming Range . . . . . . . . . . . . . . . . . . . . . . . . 14
Scan Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Interval Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Delay Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
5. Composition of the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
5-1.Composition of the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
5-2. Installation Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
5-3. Connection Diagram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
6. Names of Individual Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
6-1. Head. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
6-2. Main Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
6-3. Handswitch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
6-4. Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
6-5. Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
7. Basic Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
7-1. How to Turn On Power Supply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
7-2. How to Turn Off Power Supply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
7-3. Basic Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Start of the contrast injection from the operation room. . . . . . . . . . . . 36
Start of the contrast injection from the examination room. . . . . . . . . . 36
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001-100134.00
Dual Shot Alpha Contents
7-4. Basic Operations of the Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . 38
7-4-1. Setting of Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
7-5. Installation and Detachment of a Syringe. . . . . . . . . . . . . . . . . . . . . . . 41
7-5-1. Installation of a 100 mL Syringe . . . . . . . . . . . . . . . . . . . . . . . . 41
7-5-2. Detachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
7-5-3. Installation of a 200 mL Syringe . . . . . . . . . . . . . . . . . . . . . . . . 43
7-5-4. Detachment of a 200 mL Syringe . . . . . . . . . . . . . . . . . . . . . . . 43
7-5-5. Installation of B Side Syringe . . . . . . . . . . . . . . . . . . . . . . . . . . 44
7-5-6. Installation of a 100 mL Syringe Adapter . . . . . . . . . . . . . . . . . 45
7-5-7. Detachment of a 100 mL Syringe Adapter . . . . . . . . . . . . . . . . 46
001-100133.11.017-6. Filling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
7-7. Connection of the Injection Route . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
7-8. Operation Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
7-9. Injection Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7-9-1. Shift of Setting Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7-9-2. PH1 Setting and Multi Setting. . . . . . . . . . . . . . . . . . . . . . . . . . 54
7-9-3. Setting of PH1 ψ 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
7-9-4. Setting of PH1 ψ Stop ψ PH2 . . . . . . . . . . . . . . . . . . . . . . . . . 54
7-9-5. Setting of A1 ψ B1 (dual injection mode). . . . . . . . . . . . . . . . . 55
7-9-6. Setting of A2 ψ B1 (dual injection mode). . . . . . . . . . . . . . . . . 55
7-9-7. Setting of A1+B1 (dual injection mode) . . . . . . . . . . . . . . . . . . 55
7-9-8. Setting of AB1 ψ AB2 (dual injection mode) . . . . . . . . . . . . . . 56
7-9-9. Setting of A ψ A+B (dual injection mode). . . . . . . . . . . . . . . . . 56
7-10. Other Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Results of injection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
8. Adjustment screen
(setting of date and adjustment of volume) . . . . . . . . . . . . . . . . . .59
9. Daily Inspection and Periodic Inspection. . . . . . . . . . . . . . . . . .60
Daily inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Inspection of a system and accessories . . . . . . . . . . . . . . . . . . . . . . . 60
Inspection of Head and Stand. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Inspection of Ceiling Mounted Arm (option) . . . . . . . . . . . . . . . . . . . . 61
Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Operation inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
10. Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
11. Contact Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
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Nemoto Kyorindo Co., Ltd. 06/01/12
001-100134.01.01
Dual Shot Alpha Introduction
1. Introduction
Thank you for purchasing our Contrast Delivery System Dual Shot.
ع Please read this Operation Manual thoroughly before using this system in order to
use it properly.
ع For easy reference for users, please keep this Operation Manual in a convenient
place after reading.
ع Please observe cautions given herein including important items to prevent any
hazard to the user of this system or others and damage to any properties that may
arise.
1
Marking
ع Markings used in this Operation Manual and their description are as follows.
This is used when incorrect operation may directly lead to
Danger
Warning
Caution
death or serious injury, damage of the equipment and
occurrence of fire.
This is used when incorrect operation may indirectly lead to
death or serious injury, damage of the equipment and
occurrence of fire.
This is used when incorrect operation may cause injury or
physical damage.
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001-100134.01.01
Dual Shot Alpha Introduction
عޓInstruction symbols
The following symbols are used in the “Contrast Delivery System/Dual Shot”.
Symbol Description
Beware of getting your fingers pinched.
Caution! Read the description of Appendix.
Indicates to avoid the direct sunlight.
1
Indicates that wet by rain is prohibited.
Indicates cautions for handling.
Indicates not to turn over.
Indicates the temperature condition.
Indicates the production date.
Indicates that the power of the main unit is ON.
Indicates that the power of the main unit is OFF.
Indicates that the power of the console is ON/OFF.
Indicates a protective earth terminal.
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001-100133.01.01
Dual Shot Introduction
Symbol Description
Indicates that the current is alternate.
Indicates hazardous voltages.
Indicates start of injection.
Indicates stop of injection.
Indicates conformity to the CF type.
1
Forward (Fast)
Forward (Middle)
Forward (Slow)
Backward (Fast)
Backward (Middle)
Backward (Slow)
Indicates conformity to the European Medical Device Standards.
The TUV Rheinland solution for North America - testing and certification of
your electro-medical devices according to U.S. and Canadian standards
Indicates a list of memory for each injection mode.
Switches over the injection screen mode.
Indicates a list of results.
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Nemoto Kyorindo Co., Ltd. 06/01/12
044-100134.02.01
Dual Shot Alpha Before U se
2.Before Use
Warning
■ This system is aimed for a medical practitioner to inject contrast medium in
radiography.
■ Do not use this system for any purpose other than the intended such as injection of
drugs, chemical therapy and use with connected external equipment other than
specified by us. We shall not be liable for any malfunction of this system and the
followings resulting from the use other than the intended.
・ Any malfunction and/or damage of this system resulting from not adhering to the
warnings and/or operating instructions specified in this Operation Manual.
・ Any malfunction and/or damage of this system resulting from the deviation of
operating environment specified in this Operation Manual, such as power source,
installation condition, etc.
2
・ Any malfunction and/or damage of this system resulting from any natural
disaster, such as fire, earthquake, flood and lightening.
・ Any malfunction, damage and accidents of this system resulting from other
company's products.
■ Any future modification may be made to this Operation Manual without any prior
notice.
■ Multiple Portable Socket-Outlets(MPSO) should not be used for this equipment.
■ Please contact us if you need clarification or if you notice any error or concerns in this
Operation Manual. (Refer to the end of this Manual.)
■ This system complies with EN 60601-1-2:2001. This system uses high-frequency
energy for the internal function only and does not provide it to the patients. However,
note that even small amount of leakage of the high-frequency energy may damage the
highly-sensitive equipment.
Operation Manual 6 Nemoto Kyorindo Co., Ltd.
０６／３／１３
044-100134.02.01
2
Before Use Dual Shot Alpha
Warning
■ This device complies with Part 15 of the FCC rules. Operation is subject to the
following two conditions:
(1) this device may not cause harmful interference, and
(2) this device must accept any interference rece i ved, incl uding i nterf ere nce that may
cause undesired operation.
Caution:
Any changes or modifications not expressly approved by the party responsible for
compliance could void the user’s authority to operate the equipment.
■ If used according to the instructions, this radio system meets the basic requirements of
article 3 and the remaining applicable conditions of the R&TTE directive (1995/5/
EG) of March 1999.
Equipment Classification according to ETSI EN 300 330: Class 2.
Nemoto Kyorindo Co., Ltd. 7 Operation Manual
０６／３／１３
001-100134.03.01
Dual Shot Alpha Cautions in Use (for Safety)
3. Cautions in Use (for Safety)
Please read this Operation Manual thoroughly before using this system in order to
use it properly.
For easy reference for users, please keep this Operation Manual in a convenient
place after reading it.
Danger
3-1. This system must not be used by anyone other than the qualified
and trained person.
3
3-2. When installing this system, pay attention to the following.
1) Install the system in the area where fluid does not splash.
2) Install the system in the dried and light resistant area within the acceptable
ranges of atmospheric pressure, temperature and humidity.
3) Refrain from dusty place or the place in the air containing salinity or sulfur.
4) Do not install the system in the area where chemicals are stored or gases
may be generated.
5) Use this system at the stable condition, avoiding inclination, oscillating and
shock.
6) Note that the voltage, frequency and current capacity of the power supply
are in the range of tolerance.
7) Connect the earth properly.
3-3. Care must be taken to the following prior to operation.
1) Be well aware that the combined use with other additional devices
misguides an exact diagnosis, or has a possibility of causing the dangerous
situation.
2) Make sure to use the disposables (syringes, tubes, winged needles, etc.)
specifically provided for this system.
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001-100134.03.01
Dual Shot Alpha Cautions in Use (for Safety)
Danger
3-4. Pay attention to the following while operating this system.
1) Contrast medium and medicine must be injected according to the prescribed
usage and dosage.
Refer to the instruction manual of the contrast medium if necessary.
2) Condition of the whole system and the patient must be watched continuously to ascertain that they are in the good state.
3) If any unusual conditions are detected in the system and/or of the patients,
appropriate actions such as ensuring safety of the patient, stopping the
system, etc. must be taken.
3
4) Do not use the devices (electric knife, telemeter for medical use, and cellular
phone) that generate the high-frequency wave at the place near this system.
(It might cause the malfunction of the system.)
3-5. After operating this system, follow the procedures described below.
1) Put back the switches and dials, etc. to the original state according to the
predefined procedures, and turn the main power off.
2) Do not forcibly take off cables, etc. from the outlet by grasping the cable
itself and so forth. The cable may be damaged and it may become the cause
of a fire and/or electrification.
3) For the place to be stored, note the precautions described in the above 1) to
4) in 3-2.
4) Keep the accessories, cords, and terminals clean.
5) The system should be thoroughly cleaned so that it may function without
causing any problems in the next operation.
3-6. When the system gets trouble, leave the system as it is and ask the
professional person for repair.
3-7. Do not remodel the system.
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Dual Shot Alpha Cautions in Use (for Safety)
Danger
3-8. Maintenance and checkup
1) The system and its parts should be inspected once a year periodically.
2) When the system is operated after a long unused period of time, make sure
before operation that it functions properly and safely.
3-9. Others
1) There is a risk of possible fire or electrical shock if usage is continued under
any abnormal condition, such as but not limited to smoke or unusual smell/
noise. Immediately turn off the power switch of the unit and unplug the
power cord from the outlet. Please make sure there is no more smoke before
contacting us for repair.
3
2) Do not unplug the power cord with wet hands. It could cause electrical
shock.
3) Never remove the housing. Electrical shock may occur if you touch the
inside.
4) Do not fabricate, forcefully bend/twist/pull, apply heat to the power cord,
put anything heavy on the power cord or place the unit on top of the power
cord. If the cord is damaged, please have it replaced. It could cause fire or
electric shock.
5) Before use, ensure the status of a stopcock of the injection route surely.
Injection with a stopper closed may damage the syringe.
6) Pressure limit should not exceed the tolerable pressure* for the syringe and
injection route.
* For tolerable pressure limit for the syringe and injection circuit, see the Operation
Manuals for the syringe and injection route.
7) In the condition or injection route set for extreme pressure increase, pressure
may transiently exceed the pressure limit.
8) For prevention of accidents (injection of air, reuse of a syringe, etc.) to be
caused by forgetting replacement of a used syringe, make sure that a backward key is operated after the syringe is removed.
9㧕If contrast medium or physiological saline is leaked into the system, turn off
the power switch of the system and remove a power code plug from an
outlet, and call our support center. Continued use at such condition may
cause fire or electric shock.
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001-100134.03.01
Dual Shot Alpha Cautions in Use (for Safety)
ޓ
ޓAppropriate Consumables
This system is used to inject the contrast medium at a set flow rate for a
CT diagnosis.
Do not use this unit for any purpose other than the above.
There may be strong pressure during the injecting process which is
caused by the high viscosity of the contrast media. Please use a
syringe, a lock-type extension tube and a needle that have the
appropriate pressure endurances.
3
Proper syringes
Product name Type
100mL
Nemoto Disposable Syringe
*1
Nemoto Disposable Syringe 50 mL is exclusive for Head B.
*2
A 50 mL syringe adaptor (option) is needed.
200mL
50mL
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Nemoto Kyorindo Co., Ltd. 06/01/12
001-100134.04.01
Dual Shot Alpha Main Specifications
4. Main Specifications
Electric Rating
Main Unit Head Console
4
Voltage rating
Power output or consumption
Type of protection Class I
Level of protection Type CF
Splash-proof construction
Classification by operation mode Continuous operation
APAPG support
㧙
120/230 Vޓ50/60Hz
MAX 150㨂㧭
Drip-proof
Not supported
Safety Device
Error Message and Halt
ERR1 - 90 Halt after an error message is displayed
Buzzer Halt after buzzer goes off
Fuse
Main unit 5A250V (For 120V region)
2.5A250V(For 230V region)
HEAD 3.2A250V (Built into the head)
㧙
Installation Condition
When not operated...................Transportation and storage
Temperature: -40 - 70
Humidity: 10㧑 - 100㧑
Atmospheric pressure: 700hPa - 1060hPa
When operated..........................The system may not give the performance as specified
in the specification if it is used under the conditions
other than below.
Temperature: 10 - 40
Humidity: 30㧑 -75㧑
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001-100134.04.01
Dual Shot Alpha Main Specifications
Atmospheric pressure: 700hPa - 1060hPa
Programming Range
Volume Programming Range
Nemoto disposable syringe 200mL 1 - 200mL
Nemoto disposable syringe 100mL 1 - 100mL
Flow Rate Programming Range
A Head
Nemoto disposable syringe 200mL 0.1mL - 10mL/sec
Nemoto disposable syringe 100mL 0.1mL - 10mL/sec
B Head
Nemoto disposable syringe 50mL 0.1mL - 10mL/sec
4
Pressure Limitter Programming Range
Nemoto disposable syringe 200mL 1 - 200psi (15kg/cm2 1372kPa)
Nemoto disposable syringe 100mL 1 - 300psi (21kg/cm
Scan Time
Range 0 - 300sec
Interval Time
Range 0 - 300sec
Delay Time
Range 0 - 300sec
2
2058kPa)
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Nemoto Kyorindo Co., Ltd. 06/01/12
001-100134.05.01
Dual Shot Alpha Composition of the System
5. Composition of the System
5-1.Composition of the System
1) Head (A ceiling mounting type is an option at shipment.)
2) Main Unit
3) Console
4) A set of stand
A set of floor stand (a standard set at shipment)
Note) A stand set is not included in the type for ceiling mounting.
5) Accessories
5
Main unit power cable
Console cable
Head extension cable
Handswitch
CompactFlash card
Ceiling mounting arm 㧔Option㧕
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Nemoto Kyorindo Co., Ltd. 06/01/12
001-100134.05.01
Dual Shot Alpha Composition of the System
5-2. Installation Procedure
1. Assemble the Stand and mount the Head onto it.
Screw bolts securely when assembling a stand, etc.
It is dangerous when the bolts are loosen.
2. Connect the Head to the Main Unit with the Head Cable.
3. Connect the Console to the Main Unit with the Console Cable.
4. Connect the Handswitch to the Console.
5. Connect the power cable to the Main Unit last, and then, insert the power
plug into the outlet.
5
Connect each connector correctly always checking the
connection diagram. It may induce damage in future.
When the usable outlet has 2 pins, use a 2 pin/3pin
adapter for the power connector and make earth
connection.
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001-100134.05.01
Dual Shot Alpha Composition of the System
5-3. Connection Diagram
5
Never connect the connectors to any products other than those designated by us.
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001-100134.06.01
Dual Shot Alpha Names of Individual Parts
6. Names of Individual Parts
6-1. Head
<A Head>
6
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001-100134.06.01
Dual Shot Alpha Names of Individual Parts
<B Head>
6
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Nemoto Kyorindo Co., Ltd. 06/01/12
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