Philips Practix User manual

Mobile radiography
INSTRUCTIONS FOR USE
PRA CTIX 100 plus
Mobile Medical X-ray System
English
Contents
Safety
Electrical safety 4 Mechanical safety 4 Radiation protection 5 Disposal 5 Conformity 5 Copyright 5 Electromagnetic compatibility 6
Legend
General view 7 Possible movements 7 Control desk 8 Collimator 8 Messages on the display 9
Operation
Transport 10 Positioning the unit 11 Switching on the unit 12 In the event of an error message 12 Preparing the tube assembly 13 Overview of operation 14 Program overview 15 Programmed exposure 16 Manual exposure 17 Radiography 18 Terminating operation 19 Parking the unit (in the parking position) 19 Remote control 20
Programming
Saving APR parameters 21
Maintenance
Tests by the user 22 Safety checks according to the Medical Device Directive 22 Repairs 23 Recording results 23 Main fuse 23 Cleaning 24 Disinfection 24
Technical data 25
Appendix
Exposure table 29
Safety
This manual is designed to make it possible for you to work with the X-ray equipment described safely. You may operate the X-ray equipment only in compliance with the safety instructions in this manual and not use it for purposes other than for which it is intended. The X-ray equipment may only be operated by persons who have the necessary expertise in radiation protection or knowledge of radiation protection and who have been instructed in how to operate the X-ray equipment.
In the United States, Federal law restricts this device to sale, distribution, and use by or on the order of a physician.
It is always the user who is responsible for compliance with the regulations applying to installation and opera­tion of X-ray equipment.
• You must never use the X-ray equipment if it has any electrical, mechanical or radiological defects. This particularly applies to faulty indicators, displays, warnings and alarms.
• If the user wishes to connect the X-ray equipment to other equipment, components or assemblies and if it is not apparent from the technical data whether it can be safely combined with such equipment, compo­nents or assemblies, the user must ensure that the safety of the patient, operating staff and the environment is not affected by the planned combination by consulting the manufacturers involved or by making enquir­ies from an expert.
• Philips is responsible for the safety features of its products only if maintenance, repairs and modifications have been performed by Philips or by persons explicitly authorised to do so by Philips.
• As with any technical appliance, this equip­ment requires not only correct operation but also regular, competent maintenance and care, which are described in the section “Maintenance“.
• If you operate the X-ray equipment incorrect­ly or if the user fails to have maintenance carried out properly, Philips cannot be held liable for any malfunctions, damage or injuries.
• Safety circuits must be neither removed nor modified.
• You may remove or open parts of the housing only if you are instructed to do so in this manual.
Electrical safety
This X-ray equipment meets the safety class I and type B according to IEC 60601-1.
Only trained maintenance staff may remove the covers from the high-voltage cable of the X-ray tube assembly and the high-voltage generator.
This X-ray equipment may only be operated in medical rooms which meet IEC requirements.
• You must never operate this X-ray equip­ment in areas where there is a risk of explosion.
• Detergents and disinfectants, including those used on patients, may create explo­sive mixtures of gases. Please observe the relevant regulations.
Mechanical safety
• Never hold the tube carrier arm to position the tube assembly. There is a risk you may trap your fingers! Use the grip on the tube assembly.
• Only transport the X-ray unit when the tube assembly arm has been locked in the transit position.
4
Radiation protection
Ensure that before each X-ray exposure all the necessary radiation protection measures have been taken.
When using X-radiation the personnel in the examina­tion room must comply with the valid radiation protec­tion regulations. In this respect please observe the following rules:
• To protect the patient against radiation always use radiation protection accessories in addition to devices which are fitted to the X-ray equipment (e.g. dia­phragm, spacer, filter).
•Wear protective clothing. Radiation protection aprons with a lead equivalent of 0.35 mm attenuate X-radiati­on at 50 kV by 99.84%, and at 100 kV by 91.2%.
• Distance is the most effective radiation protection. Keep as large a distance as possible away from the object exposed and the X-ray tube assembly. Use the full length of the release switch cable.
• Avoid working in the direct beam of radiation.
• Always use the smallest X-ray field collimation. Scattered radiation is largely dependent on the volume of the object being exposed.
• Always select a focal spot to skin distance as long as possible to keep the absorbed dose for the patient as low as could reasonably be possible.
• Always be aware that any material brought into the path of radiation between the patient and the image receptor (e.g. film) will have a negative influence on the image quality as well as on the patient dose.
Philips – supports you in disposing of the X-ray equipment
described in a proper manner
– returns reusable parts to the production cycle via
certified disposal companies and
– thus helps to reduce environmental pollution.
Consequently, do contact your Philips Service Organisa­tion in full confidence.
Conformity
0123
This Medical Device meets the provisions of the Medical Device Directive MDD 93/42 EEC (93).
If you have further questions regarding the applicable national or international standards, please address them to:
Philips Medical Systems DMC GmbH Quality Assurance Department Roentgenstrasse 24 D-22335 Hamburg Fax: (+49) 40/50 78-21 47
Copyright
© 2004 by Philips Medical Systems DMC GmbH, Roentgenstrasse 24, D-22335 Hamburg, Germany
This manual is a translation from the German.
Safety circuits which may prevent X-radiation from being switched on under certain conditions may be neither removed nor modified.
Disposal
Philips manufactures state-of-the-art X-ray equipment in terms of safety and environmental protection. Assum­ing no parts of the system housing are opened and assuming the system is used properly there are no risks to persons or the environment.
To comply with regulations it is necessary to use materials which may be harmful to the environment and therefore have to be disposed of in a proper manner.
For this reason you must not dispose of the X-ray equipment together with industrial or domestic waste.
When receiving data media the user acquires a non­exclusive, non-transferable right to use the software stored on them in connection with the hardware com­ponents delivered with it by Philips.
Changes to software, the use of which on hardware components other than those delivered by Philips in this connection (multiple use) or the making of copies, even for purposes of data backup, must be approved by Philips in writing beforehand.
5
Safety
Electromagnetic compatibility (EMC)
In accordance with its intended use, this electronic apparatus complies with the law governing EMC, which defines the permitted emission levels from electronic equipment and its required immunity against electro­magnetic fields.
Nevertheless, it is not possible to exclude with absolute certainty the possibility that radio signals from high-frequency transmitters, e.g. mobile phones or similar mobile radio equipment, which themselves conform to the EMC regulations, may influence the proper functioning of electromedical apparatus if such equipment is operated in close proximity and with relatively high transmitting power. Therefore, operation of such radio equipment in the immediate vicinity of electronically controlled medical apparatus should be avoided to eliminate any risk of interference.
Explanation: Electronic apparatus that satisfies the EMC require­ments is designed so that under normal conditions there is no risk of malfunction caused by electromag­netic interference. However, in the case of radio signals from high-frequency transmitters with a relatively high transmitting power, the risk of electromagnetic incom­patibility when operated in close proximity to electronic apparatus cannot be totally ruled out.
In unusual circumstances unintended functions of the apparatus could be initiated, possibly giving rise to undesirable risks for the patient or user.
For this reason, all kinds of transmission with mobile radio equipment should be avoided. This also applies when the apparatus is in „standby“ mode.
Mobile telephones must be switched off in designated problem zones.
6
Legend
General view
1 Tube assembly 2 Angle scales for position of tube
assembly
3 Grip for positioning tube
assembly
4 Collimator with light field
indicator
5 Fixing grip for tube assembly
swivel
6 Tube carrier arm 7 Transportation securing device 8 Handswitch for radiography
9 Equipotential bonding 10 Mains cable with holder 11 Travel joystick
– left: parking position – centre: travel straight ahead – right: parallel travel
12 Travel handle 13 Automatic cutout 14 Generator 15 Cassette compartment 16 Remote control (option) 17 Receiver indicator (LED) 18 X-ray on indicator (LED) 19 Release exposure 20 Switch on light beam lamp
12
15
11
14
13
6
7
8
9
10
5
16
17
1
2
4 3
18
19 20
2
Possible movements
7
Legend
Control desk
1 Display panel
2Switch OFF unit
3Switch ON unit
4 Ready display
“Unit ready for radiation”
5 display
“Radiation ON”
6 Delete messages (or: return to
APR menus)
7 Select APR menu line
8 Change mAs
9 Change kV
10 Activate APR mode
(or: turn menu page)
PRACTIX
23
11
10
100 plus
Ready
4
56
1
kV
+ +
mAs
89
PHILIPS
Reset
1
2
3
4
7
11 Switch ON light field lamp
Collimator
1Switch ON light field lamp
2 Open/close diaphragm at right
angles to tube assembly
3 Open/close diaphragm
longitudinally in relation to tube assembly
4 Slot for accessories
5 Rails for accessories
6Tape measure for measuring SID
(Source Image Distance)
1
2
3
4
5
6
8
Messages on the display
Message
MANUAL
READY
BUSY
CLOCK OFF
POWER FAULT
V3 FAULT
RESET APR
APR OUT OF RANGE
TUBE SEASONING
FILAMENT
HOT TUBE
V2 FAULT
STARTER INTERLOCK
CHOPPER FAULT
TIME OUT
LACK OF X-RAY
MAX TIME
DATA ERR.
MAN STOP RX
INVERTER KV ERR.
INVERTER OVERLOAD
INVERTER FAULT
ERR. TUBE CALIBR.
Meaning
Manual exposure/main menu.
The unit is ready for exposure.
A waiting time starts in order to prevent the X-ray tube assembly from overheating.
Fault in the electronic circuitry (clock generator).
Fault in the electronic circuitry (power supply).
Fault in the electronic circuitry (low voltage V3).
APR program data check.
An APR value is out of range.
After a lengthy operating interval (3 months) the X-ray tube has to be set in order to prevent damage.
Fault in the electronic circuitry (heating circuit).
The temperature of the X-ray tube has reached its maximum.
Fault in the electr. circuitry (low voltage V2).
Fault in the electr. circuitry (anode starting).
Fault in the electronic circuitry (chopper).
The handswitch has been pressed for longer than 15 s at position 1 (preparation for exposure).
Fault in the electr. circuitry (tube voltage).
Maximum exposure time (2 s) has been reached.
Fault in the electronic circuitry (data stor­age).
The handswitch has been released before the end of an exposure.
Fault in the electronic circuitry (converter).
Fault in the electronic circuitry (converter).
Fault in the electronic circuitry (converter).
Fault in the electronic circuitry (tube set­ting).
Action
Wait for “READY” message.
Press reset button and continue.
Switch OFF, wait a while and try again, otherwise call Customer Service.
Switch OFF, wait a while and try again, otherwise call Customer Service.
Press reset button and continue.
Press “reset“ and set APR value correctly.
Press reset button and continue, then call Customer Service to set X-ray tube.
Switch OFF, wait a while, try again; other­wise call Customer Service.
Press reset button and wait until the X-ray tube has cooled down.
Switch OFF, wait a while, try again; other­wise call Customer Service.
Press reset button and try again.
Press reset button and try again.
Let go of handswitch, press reset button and repeat exposure.
Press reset button and try again.
Press reset button and try again.
Switch OFF, wait a while, try again; other­wise call Customer Service.
Press reset button, repeat exposure and only let go of handswitch after hearing the signal three times.
Press reset button and try again.
Press reset button and try again.
Press reset button and try again.
Switch OFF, wait a while, try again; other­wise call Customer Service.
Remark
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
HAND SWITCH ERR.
Dose measuring unit
(option):
INACTIVE
ACTIVE
NOT OK
MAXDOSE
R = error message saved on storage unit for Service Organisation
Fault in the handswitch.
Dosemeter not fitted.
Dosemeter ready.
Dosemeter fitted but faulty.
Dose measurement has reached maximum.
Press “reset“, check cable and connection, try again; otherwise call Customer Service.
Press reset button and try again.
Press APR menu 1-button to reset value.
R
R
R
9
Operation
Transport
Please observe the following:
• Before transport – The unit must be switched off – The plug must be removed – The cable must be wound up
(see page 19).
• For transport –Move tube assembly into the
transport position
– Lock the transport securing
device.
To ensure that the transport secur­ing device, with the tube carrier arm in its lowest position, can lock into place:
• Set the knob with the arrow pointing to the red dot (see Fig. 1).
1. Swing tube carrier arm down until the transport securing device locks in place.
2. Set the tube assembly vertical and tighten the fixing grip.
10
3. To move straight ahead set the travel joystick straight.
To manoeuvre over thresholds you can tilt the unit slightly by pressing on the bar under the generator with your foot.
Positioning the unit
To prevent the transport securing device from locking in place uninten­tionally:
• Set button with the arrow point­ing to the green dots (see Fig. 1).
1. Pull out transport securing device button and swing tube carrier arm up.
3. To move in parallel set the travel joystick to the right. The wheels turn to the parallel travel position. A 45° position is also possible.
2. Move the unit to the patient, preferably at right angles.
4. Position the tube assembly above the region of interest.
11
Operation
Switching on the unit
• If the yellow LED is not lit, check whether the main fuse for the unit has been switched off (see page 22).
After switching ON, the unit per­forms a self-test; then the current software version is displayed for approx. 3 s (example: VER. 1.00.00).
•When all the segments for the condensator charge have been displayed on the fourth line, the unit is ready for operation. During charging (approx. 1 min) and during short recharging intervals a high frequency tone is audible.
1. Insert the plug into the socket.
PRACTIX
100 plus
Ready
[][][][][][][][][][][][][][][][][][][] [][][][][][][][][][][][][][][][][][][] [][][][][][][][][][][][][][][][][][][] [][][][][][][][][][][][][][][][][][][]
kV
+ +
PRACTIX
100 plus
Ready
kV
+ +
mAs
PHILIPS
Reset
1
2
3
4
2. The yellow LED next to the button is lit. Press the button to switch ON the unit.
PHILIPS
Reset
1
2
3
PRACTIX
4
100 plus
Practix 100 plus
>>>>>>>>>>>>>>>>>
kV
+ +
Ready
Ver. 1.00.00
PHILIPS
Reset
1
2
3
mAs
4
mAs
In the event of an error message
If an error message appears (see page 9):
• press
If the message remains:
• Switch off system
• Switch on system
If the message still remains:
• Call Customer Service
12
PRACTIX
PRACTIX
100 plus
MANUAL 70 2 mAs 4.0
kV
+ +
100 plus
ERR. TUBE CALIBR.
kV
+ +
Ready
MAN STOP RX
Ready
CALL SERVICE
mAs
mAs
PHILIPS
Reset
1
2
3
4
PHILIPS
Reset
1
2
3
4
Note: The exposure parameters illustrated are only examples.
Preparing the tube assembly
• Position cassette.
• Position the unit and tube assem­bly accurately.
•Measure source-image distance (SID).
• Collimate the light beam to the cassette size.
The light field lamp goes out automatically after approx. 30 s.
Example
1. Switch ON the light field lamp (also possible with on the control panel).
”18“
”24“
100 cm
24 cm
2. Collimate the light beam to the cassette size.
3. On the angle scales you can check the position of the tube assembly.
18 cm
4. The collimator can also be swiv­elled.
13
Operation
Overview of operation
Switch ON
Self-test / Version display
MANUAL EXPOSURE
Main menu
PROGRAMMED EXPOSURE
4 APR groups for selection
APR group
8 APR progr. per group for selection
APR program
Default kV and mAs
Change APR parameters
Then display of “*” on line 3
Save new APR parameters
Authorised personnel only!
Release exposure
If “READY” display on line 1
Set parameters
Free kV and mAs
Release exposure
If “READY” display on line 1
14
Program overview
Four APR groups, each with eight APR programs, are available for selection. You will find the factory-set kV and mAs values in the exposure table annexed.
APR group
APR program
1. SKULL / TRUNK
Thorax AP Skull Cervical spine Dorsal spine AP
Lumbar spine AP Abdomen AP Pelvis AP Hip AP
2. UPPER EXTREMITIES
Shoulder AP Clavicle Humerus/elbow Elbow
Lower arm Wrist Hand AP Finger
3. LOWER EXTREMITIES
Hip/femur Femur Knee Lower leg
TCJ Calcaneum Foot Toes
4. PEDIATRICS
Thorax 0.5 kg Thorax 1.0 kg Thorax 2.0 kg Thorax 4.0 kg
Thorax 6.0 kg Thorax 8.0 kg Thorax 10 kg Thorax 15 kg
15
Operation
Programmed exposure (APR mode)
A few seconds after switching ON (see page 12) the main menu appears.
1. Press to access the overview of the four APR groups.
2. With select one of the four groups displayed. Each group contains eight APR programs.
3. The list of eight APR programs takes up two pages. You will see this from the symbol indicating the next ( ) or previous ( ) page.
With you go from the first page to the second page (and back again).
4. With select the object/organ.
PRACTIX
PRACTIX
PRACTIX
100 plus
READY MANUAL 70 4.0
kV
+ +
100 plus
SKULL/TRUNK UPPER EXTREMITIES LOWER EXTREMITIES PAEDIATRICS
kV
+ +
100 plus
Thorax ap Skull Cervical spine Dorsal spine ap
kV
+ +
Ready
Ready
Ready
PHILIPS
Reset
1
2
3
mAs
4
mAs
PHILIPS
Reset
1
2
3
4
Press to return to the previous menu.
PHILIPS
Reset
1
2
3
PRACTIX
4
100 plus
mAs
Press to return to the previous menu.
Ready
Lumbar spine ap Trunk ap Pelvis ap Hip ap
kV
+ +
mAs
PHILIPS
Reset
1
2
3
4
5. The object/organ selected and the default exposure parameters (kV and mAs) are displayed.
6. If necessary, you can change the exposure parameters by pressing
for kV and mAs.
An asterisk (“*“) indicates that the exposure parameters have changed; however, they are not permanently stored. If you restore the original kV and mAs values, the asterisk remains.
16
PRACTIX
PRACTIX
100 plus
READY SKULL/TRUNK Pelvis ap 70 4.0
kV
+ +
100 plus
READY SKULL/TRUNK Pelvis ap 69 4.0
kV
+ +
Ready
Ready
PHILIPS
Press to return to the APR groups.
Press to return to the APR programs.
mAs
Reset
1
2
3
4
PHILIPS
Reset
1
2
3
mAs
4
You can also store the changed exposure parameters as presets for the APR program (see page 20).
Manual exposure
A few seconds after switching ON (see page 12) the main menu appears. After a Programmed Exposure (see page 16) you also access the main
menu by pressing more than once.
• The exposure parameters last valid (kV and mAs) are displayed.
PRACTIX
100 plus
READY MANUAL 70 4.0
kV
+ +
Ready
PHILIPS
Reset
mAs
1
2
3
4
Note: The exposure parameters illustrated are only examples.
•With you can change the exposure parameters.
PRACTIX
100 plus
READY MANUAL 69 4.0
kV
+ +
Ready
PHILIPS
Reset
1
2
3
mAs
4
17
Operation
Radiography
1. When lights up and “READY” appears on the first line of the display, the unit is ready for exposure.
• Keep as far away from the tube assembly as possible.
2. The handswitch is a two-position switch. Pos. 1: preparation (approx. 1 s) Pos. 2: release exposure.
• You can press the switch straight through to position 2. Until exposure release about another
1.2 s elapse (approx. 2.4 s on the 115 V version).
• Keep the switch pressed until exposure has been completed properly (three beeps); then let go.
PRACTIX
100 plus
READY MANUAL 70 4.0
kV
+ +
PHILIPS
Ready
mAs
Reset
1
2
3
4
12
During exposure
– The indicator lights up
(“Radiation ON”).
– The indicator goes out
(“Unit ready for radiation”).
After exposure
– Three beeps indicate that the
exposure has been completed properly
– The exposure time appears in ms
on the fourth line of the display, until the next change in exposure parameters or until the next exposure
– The “WAIT” display appears on
the first line if a waiting period is necessary
– The unit is ready for the next
exposure when the indicator lights up and “READY” appears on the first line of the display.
PRACTIX
PRACTIX
100 plus
MANUAL
70 4.0
kV
+ +
100 plus
BUSY MANUAL
70 100 ms 4.0
kV
+ +
Ready
Ready
PHILIPS
Reset
1
2
3
mAs
4
PHILIPS
Reset
mAs
1
2
3
4
Note: The exposure parameters illustrated are only examples.
18
If you let go of the handswitch prematurely
– Radiation will be interrupted –A long beep (1.2 s) indicates that
exposure has not been complet­ed properly
– “EXP. INTERRUPTED” appears
on the first line
– The mAs value used so far
appears on the fourth line.
• Press to acknowledge the message. Then repeat the expo­sure.
PRACTIX
100 plus
MANUAL 70 2 mAs 4.0
kV
+ +
Ready
MAN STOP RX
mAs
PHILIPS
Reset
1
2
3
4
Terminating operation
Never pull out the mains plug when the unit is switched on.
• First switch OFF the unit with
• Then pull out the plug (not pulling on the cable)
•Wind up the cable
• If necessary, prepare the unit for transport (see page 10).
Parking the unit (in the parking position)
PRACTIX
100 plus
Ready
kV
+ +
mAs
PHILIPS
Reset
1
2
3
4
1. Swing the tube carrier arm down until the transport securing device locks in place (see page 10); in doing so, set the tube assembly vertical and tighten up the fixing grip.
2. Set the travel joystick to the left. The wheels are set at left angles and the brakes are applied.
19
Operation
• After exposure the dose area products will be added until you reset to ”0” or switch off the unit.
• If you use additional filters in the lower rails of the collimator, the displayed DAP values are not conform with the factual values.
• Philips recommends to calibrate the Diamentor every two years (refer to the Service Manual).
• Philips recommends to reset the DAP value to ”0” after examination of every patient.
Remote control (option)
•Make sure that no more IR transmitter with the same safety code are used in your house.
• Use remote control: Switch on remote control on selection switch. The receiver indicators lit green.
• Point the remote control laterally at the unit to ensure a safe connection.
• Do not allow unauthorized use.
• The receiver indicators flicker green at IR connection between unit and remote control.
• Switch on light beam lamp to check position of radiation area. The LED is lit.
• Release exposure; this switch is a two-step switch too. Both LEDs are lit.
•Warning signals – If the remote control is not inserted into the holding device for more
than 3 min, every 30 s a warning signal can be heard. For examination 2 min are available. After 5 min every 30 s a triple beep can be heard. That means that the remote control will switch off soon. Put the
remote control into the holding device at the unit. – Change the battery if both LEDs are flashing. – At malfunction the receiver indicator lits red.
20
Programming
Saving APR parameters
The factory-set kV and mAs values in the APR programs may only be changed and stored by authorised personnel.
Requirements:
• Saving APR values is possible (setting by Customer Service).
• The unit is in the Programmed Exposure mode (see page 16).
• The APR program to be changed is selected.
• You have changed the default exposure parameters; this is indicated by “*” on the display.
• You wish to save the changed exposure parameters permanent­ly as a preset for the APR program.
PRACTIX
100 plus
READY SKULL/TRUNK Pelvis ap 69 4.0
kV
+ +
Ready
PHILIPS
Reset
1
2
3
mAs
4
To save:
• Press and keep it pressed,
then press until “*” disap­pears.
PRACTIX
100 plus
READY SKULL/TRUNK Pelvis ap 69 4.0
kV
+ +
Ready
PHILIPS
Reset
1
2
3
mAs
4
•With you return to the APR programs.
•With you return to the APR programs.
If you press again you return to the main menu (Manual Expo­sure)
21
Maintenance
As with any technical appliance this X-ray equipment also requires – proper operation, – regular testing by the user, – regular service and repair.
By taking these precautions you maintain the operability and operational reliability of the system. As the user of an X-ray unit you are obliged according to accident prevention regulations, the medical products law and other regulations to take such precautions.
Maintenance consists of tests which the user can perform and maintenance which is performed under service agreements, Philips service orders or by per­sons explicitly authorised to do so by Philips.
Safety checks according to the Medical Device Directive
The safety checks cover operability and operational reliability. They must be performed at least every 2 years. These tests constitute part of our preventive maintenance under our service agreements. They cover – visual checking for completeness and apparent
damage or defects as well as soiling, sticking parts and wear and tear which may affect safety,
– testing the necessary monitoring, safety, display and
indicating systems, – measuring the safety-relevant output parameters, – checking electrical safety as well as the operability of
an internal energy supply, – for the particular product other special technical tests
according to the generally accepted standards of
engineering practice, – other necessary tests specified by the manufacturer, – recording results and filing the test reports in the
X-ray system manual (medical products logbook).
Tests by the user
The user must check the X-ray equipment for apparent defects (see table). If operational defects or other depar­tures from normal operational behaviour occur, he must switch off the X-ray unit and inform the Service Organisa­tion. He may only resume operation of the X-ray equipment when it has been repaired. Operation using faulty components may lead to an increased safety risk or unnecessarily high exposure to radiation.
Interval Scope Method
Daily Stability test
Daily Faulty display lamps, damaged components, labels and warning signs Inspection
Weekly All cables and terminals (damage, breakage) Inspection
Weekly Oil leaks and unusual noises emanating from the high-voltage generator Inspection
6 months Centring aids for X-ray tube assembly and image receptor (marks, catches, contacts) Inspection
22
X-ray units contain mechanical components such as drive chains, ropes, steel strips and gears which are subjected to wear and tear due to operation. They include means of suspension for heavy components (e.g. image intensifier, X-ray tube assembly etc.). After a lengthy period of operation the safety of the suspen­sion may be impaired by wear and tear (e.g. rope break).
The correct setting of the electromechanical and elec­tronic assemblies affects the functioning, image quality, electrical safety and exposure of the patient and medi­cal personnel to radiation.
Philips recommends you to – perform the tests indicated in the table on a
regular basis,
– have the X-ray unit serviced by the Philips Service
Organisation at least once a year. You must have heavily used X-ray equipment subjected to main­tenance more frequently.
In this way you avoid endangering the patient and you meet your obligations.
Main fuse
If there is an excess flow of electric current, the circuit will be broken by a fuse.
• Reset the fuse by pressing the green button.
By entering into a service agreement with Philips you retain the value and safety of your X-ray equipment. All the necessary maintenance, including the safety tests for the purpose of preventive avoidance of danger and the necessary settings for optimum image quality and minimum exposure to radiation, are performed at regular intervals. Philips agrees on these intervals with you, taking the legal requirements into account.
Repairs
Faulty components which affect the safety of the X-ray equipment must be replaced by genuine spare parts.
Recording results
Service and repairs must be entered in the medical products logbook, including the following data: – type and scope of work, – if necessary, details of any changes to ratings or the
working zone,
– date, person performing the work, signature.
23
Maintenance
Cleaning
Please bear the following in mind when choosing a detergent:
To clean plastic surfaces you must never use anything other than soap and water. If other detergents are used (e.g. with a high alcohol content) the material will become matt or tend to crack. Never use any corrosive, solvent or abrasive detergents or polishes.
When cleaning, please observe the following:
• Before cleaning the X-ray equipment switch off at the mains. The capacitor may still be live 4 hours after switching off.
• Ensure that no water or other liquids can enter the X-ray equipment. This precaution prevents electrical short-circuits and corrosion forming on components.
• You should wipe enameled parts and aluminium surfaces only with a damp cloth and mild detergent and then rub with a dry woollen cloth.
• Rub down chrome parts with a dry woollen cloth only.
Disinfection
The method of disinfection used must conform to the legal regulations and guidelines regarding disinfection and explosion protection.
Never use any corrosive, solvent or abrasive deter­gents or polishes.
If you use disinfectants which form explosive mixtures of gases, these must first have evaporated before you switch the X-ray equipment on again.
• Before disinfecting the X-ray equipment switch off at the mains. The capacitor may still be live 4 hours after switching off.
• You may disinfect all parts of the X-ray equipment, including the accessories and connecting cables, by wiping only.
• Disinfection by spraying is not to be recommended because the disinfectant may enter the X-ray equip­ment.
• If you perform a room disinfection with an atomizer, you must switch off the X-ray equipment first. When the X-ray equipment has cooled down, cover it over carefully with a plastic sheet. When the mist of disinfectant has subsided you can remove the plastic sheets and disinfect the X-ray equipment by wiping.
24
Technical data
Mechanical data
Focal spot-floor distance
Rotation of tube assembly round the horizontal axis of the carrier arm
Rotation of tube assembly round its longitudinal axis
Cassette compartments
For operation/transit and storage:
– Ambient temperature
– Rel. humidity
– Atmospheric pressure
Weight
Generator
Safety class (IEC 60601-1)
Power supply
456 mm ... 2018 mm
± 180°
-18° … +133°
For four cassettes each up to 35 cm x 43 cm
+10 °C … +40 °C / -25 °C … +70 °C
30% … 75% / 10% … 90%
700 hPa … 1060 hPa
170 kg
Class I/B
230 V, 50 Hz/60 Hz; 115 V, 50 Hz/60 Hz; single-phase with earth lead
Automatic compensation for voltage fluctuations
Maximum current input
Mains resistance and fuses
Nominal power (IEC 60601-1/90)
kV values
mAs values
Max. tube currents (230 V )
± 10%
9 A
at 230 V: 1 , T 16 A at 115 V: 1 , T 16 A
11 kW at 100 kV and 100 ms
40 kV … 125 kV in 1-kV steps
at 230 V and 115 V: 0,2 mAs … 125 mAs in 12.5% steps
t100 ms t>100 ms Q<0,63 mAs
125 kV 75 mA 38 mA 38 mA 110 kV 90 mA 45 mA 45 mA 100 kV 110 mA 55 mA 55 mA 40 kV 140 mA 70 mA 70 mA
25
Technical data
X-ray tube
Nominal voltage
Focal spot
Cathode
Anode
Filtration
X-ray tube assembly
Nominal focal spot value
Maximum filament current for connection to the generators
Nominal input power for the equivalent anode input power of 20 W Maximum heat dissipation during continuous operation Maximum anode heat content Anode diameter Rotating speed/target angle Anode material
Not removable (filter value: Al equivalent)
Maximum continuous heat dissipation Maximum housing temperature Maximum heat storage capacity Radiation protection load factors Safety class Thermal safety switch for interlocking the generator Ambient temperature for operation Temperature for transport and storage
125 kV
0,8
5.4 A
11 kW
175 W 50 kJ 64 mm 3 000 min Tungsten
0.7 mm Al/100 kV (IEC 60522/1999)
55 W 57 °C 600 kJ 125 kV, 2500 mAs/h Class 1/B switches at 57 °C ± 3 °C +10 °C … +40 °C –25 °C … +70 °C
–1
/ 17.5°
Maximum radiation field
Diaphragm
SID 100 cm
43 cm x 43 cm
35 cm x 35 cm
Field size considering the heel effect
Rotation Timer for light beam lamp Light beam lamp
SID 80 cm
reference axis
± 130° 30 s 12 V / 100 W halogen
X-ray tube assembly with diaphragm
26
Total filtration (Al equivalent) Permissible leakage radiation
>2.7 mm (100 kV) <1 mGy/h in 1 m dist. from focus, 125 kV, 2500 mAs/h
50
40
30
20
10
0
E [kJ]
t [min]
05
10
15
500 W
300 W
100 W
200 W
50 W
Abkühlung / cooling
refroidissement / enfriamiento
Rating charts
I [mA]
300
250
200
150
100
50
50 kV 60 kV 70 kV 80 kV 90 kV
100 kV
110 kV 120 kV 130 kV
Heating and cooling curves of the anode
0
0.01
0.1 1 10
Heating and cooling curves of the tube assembly (tank unit)
E [kJ] 600
300
0
0
60
E
max
120
180
Technical drawing of the X-ray tube X20
t [s]
240
t [min]
60 cm
40 cm
ø 46
ø 16
122
100 cm
70 cm
17.5°
216
25
ø 64
ø 70
ø 80
27
Technical data
X-ray system with
Product name
PRACTIX 100 plus
Type designation
9890-010-81791
X-ray generator
X-ray tube assembly
X-ray tube Beam limitation system
MHF 2011 f. P100+ X 20 0,8 P 232 f. Practix 100+
4512-132-23001
4512-104-65262
Manufacturer: Philips Medical Systems, Development and Manufacturing Centre, Hamburg
Type plates
PHILIPS
Philips Medical Systems Development and Manufacturing Centre Röntgenstraße 24 D–22335 Hamburg / Germany
Mobile Medical X-ray System
Type:
Ser. No.:
Input: V
Phase Hz
A A
Date Mfg.:
PRACTIX 100 plus
9890–010–81791
230 / 115
1 50 / 60
16 9
IEC 601–1
TYPE B
0123
Made in Italy
Tank Unit
Ser. No.:
X-ray Tube:
~
Ser. No.:
U: 125 kVp max I: 140 mA
Total filtration 2,7 Al/100 kV 0,8 IEC 336/93
TECHNIX S.p.A.
Via E. Fermi 26, GRASSOBBIO – BG
TECHNIX
MHF 2011 f.P100+
X20 0,8
Made in Italy
0051
at the rear of the remote control
Philips Medical Systems
PHILIPS
type 4512 104 67321 s/n 04 00 001 Remote Control for Mobile
DMC GmbH Röntgenstrasse 24 D-22335 Hamburg/Germany
PHILIPS
BEAM LIGHT DEVICE type : 4512–104–65262 s/n : ………………… Collimator P232 f. Practix 400
Practix 100+
Philips Medical Systems Development and Manufacturing Centre Röntgenstraße 24 D–22335 Hamburg / Germany
INHER FILTRATION 2 mm Al / 80 IEC 522/1976
Made by
Ralco
0051
28
Appendix
Exposure table
Part of body kV mAs SC [DIN]1kV mAs S [DIN] Remarks
Skull and trunk
Skull a-p/p-a Skull lat. Cervical spine a-p Cervical spine lat. / oblique Dorsal spine a-p Dorsal spine lat. Lumbar spine a-p Lumbar spine lat. / oblique Hip a-p Pelvis a-p Thorax, recumbent (bed) Ribs 1-7 Ribs 8-12 Abdomen Abdomen lateral
78 74 66 74 78
80-85
78 85 77 77 85 66 78 85 90
5
2.5
6.3
2.5
6.3 10
6.3 13
5
3.2
3.2
5
3.2
5 8
400 400 400 400 400 400 400 400 400 400 200 400 400 400 400
Upper extremities
Fingers Thumb Hand a-p Wrist a-p Wrist lat. Lower arm and wrist a-p Lower arm and wrist lat. Lower arm and elbow a-p Lower arm and elbow lat. Elbow a-p Elbow lat. Humerus and elbow a-p Humerus and elbow lat. Humerus and shoulder a-p Humerus and shoulder lat. Shoulder a-p Clavicle
46 46 46 48 50 52 52 56 56 56 56 60 60 66 66 66 66
1.6
2.5
2.5
2.5
2.5
3.2
4
2.5
4 4 5 4
5 10 10 16 10
200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200
29
Appendix
Part of body kV mAs SC [DIN]1kV mAs S [DIN] Remarks
Lower extremities
Toes Tarsus a-p Tarsus obl. Metatarsus a-p Metatarsus obl. Talo-calcaneonavicular joint a-p Talo-calcaneonavicular joint obl. Talo-crural joint a-p Talo-crural joint lat. Calcaneum axial Calcaneum lat. Lower leg und TCJ a.-p. Lower leg und TCJ lat. Lower leg and knee a-p Lower leg and knee lat. Knee a-p Knee lat. Femur and knee a-p/lat. Femur and hip a-p
46 48 48 50 50 56 52 55 56 56 52 58 58 60 60 66 66 66 74
2 2
2.5
2.5 4 4 2 4 4 5
3.2
2.5
2.5 4
3.2 4
3.2
6.3 5
200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 400
Pediatrics
60 60 60 62 65 68 70 72
2
0.2
0.3
0.4
0.4
0.4
0.4
0.4
0.4
400 400 400 400 400 400 400 400
• Added filter 1 mm Al + 0,2 mm Cu Infant lung 0.8 - 1.0 kg Infant lung 1.0 - 1.4 kg Infant lung 1.4 - 1.8 kg Infant lung 1.8 - 2.2 kg Infant lung 2.2 - 3.0 kg Infant lung 3.0 - 3.5 kg Infant lung 3.5 - 4.0 kg Infant lung 4.0 - 4.5 kg
The values apply to an SID of 100 cm without grid. For grid cassettes you must increase the mAs values by four increments. Please enter the kV, mAs and sensitivity S values valid for your equipment.
Example:
Ribs 1-7 66 5 400 66 4 480
1
) SC is the sensitivity class. According to DIN 6867-10, a class 400 film/screen system (SC = 400) can cover a sensitivity range of S
DIN to S
2
) The filter combination of 1 mm Al + 0.1 mm Cu is also permissible.
= 560 DIN. From the derived dose value Ks the tolerance for S will be approx. ± 30%.
max
= 320
min
30
31
© 2004 Philips Medical Systems DMC GmbH
All rights reserved. Reproduction in whole or in part is prohibited without the prior written consent of the copyright-holder. Philips Medical Systems DMC GmbH reserves the right to make changes in specifications or to discontinue any product, at any time without notice or obligation, and will not be liable for any consequences resulting from the use of this publication. Printed in Germany. 4512 109 26861AA/704H * 04.2004
Internet address: http://www.philips.com/ms
Loading...