Siemens Lithostar Multiline System manual

LITHOSTAR Multiline

System manual

Start-up Instructions

SP

© Siemens AG 2004

The reproduction, transmission or
use of this document or its contents
is not permitted without express
written authority. Offenders will be
liable for damages. All rights,
including rights created by patent
grant or registration of a utility
model _or_ design,_are_ reserved.

English
Print No.: RXL2-120.815.01.02.02 Doc. Gen. Date: 02.05

Replaces: RXL2-120.815.01.01.02

0 - 2 Revision

Chapter Page Revision

all alle 02

Document revision level

The document corresponds to the version/revision level effective at the time of system delivery. Revi­sions to hardcopy documentation are not automatically distributed.

Please contact your local Siemens office to order current revision levels.

Disclaimer

The installation and service of equipment described herein is to be performed by qualified personnel
who are employed by Siemens or one of its affiliates or who are otherwise authorized by Siemens or
one of its affiliates to provide such services.

Assemblers and other persons who are not employed by or otherwise directly affiliated with or autho­rized by Siemens or one of its affiliates are directed to contact one of the local offices of Siemens or
one of its affiliates before attempting installation or service procedures.

LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 4 Siemens AG
System manual Rev. 02 02.05 CS PS 24 Medical Solutions

Contents 0 - 3

Page

1 _______Prerequisites / General Information________________________________ 1 - 1

Required documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 1

Required tools and measurement devices . . . . . . . . . . . . . . . . . . . . . . . 1 - 1

Important Information Regarding Start-Up . . . . . . . . . . . . . . . . . . . . . . . 1 - 2

Abbreviations and Symbols Used in these Instructions . . . . . . . . . . . . . . . . . 1 - 2

Protective Measures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 3

Preliminary Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 3

POLYDOROS SX 65/80 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 5

POLYDOROS LX 30/50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 6

2 _______General Start-Up _______________________________________________ 2 - 1

Inspection of the I.I. support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 1

Line Voltage and Internal Line Impedance . . . . . . . . . . . . . . . . . . . . . . . 2 - 1

Generator Start-Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 3

3 _______Shock Wave System ____________________________________________ 3 - 1

Filling the Cooling System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 1

Filling the Coupling Circuit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 3

Shockwave Release Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 5

4 _______Start-Up of Multiline System _____________________________________ 4 - 1

Service Software Installation and System Programming . . . . . . . . . . . . . . . . 4 - 1

Generator Start-Up without High Voltage . . . . . . . . . . . . . . . . . . . . . . . . 4 - 2

Checking the Display on the Operating PC . . . . . . . . . . . . . . . . . . . . . 4 - 2

Checking Selection of kV and mAs . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 2

Checking the Anode Starter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 2

Generator Start-Up with High Voltage. . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 2

Generator Programming. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 3

Setting the Time and Date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 3

Performing test shots from the X-ray Tube . . . . . . . . . . . . . . . . . . . . . 4 - 3

Checking kV Accuracy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 5

Exposure Indicators on the Operating PC. . . . . . . . . . . . . . . . . . . . . . . . 4 - 5

Checking the mAs Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 5

Checking the Maximum Generator Power. . . . . . . . . . . . . . . . . . . . . . . . 4 - 5

Checking the Fluoroscopy Timer . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 6

Checking and Adjusting the Shock Wave Head . . . . . . . . . . . . . . . . . . . . . 4 - 6

Shock Wave Pressure Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 7

5 _______Exposure Geometry ____________________________________________5 - 1

Alignment of the Radiation Field Center to the Film Center. . . . . . . . . . . . . . . 5 - 1

Fluoroscopic Field Limitation (without Overframing) . . . . . . . . . . . . . . . . . . 5 - 2

6 _______Checking the Dose Rate _________________________________________6 - 1

Siemens AG RXL2-120.815.01 Page 3 of 4 LITHOSTAR Multiline
Medical Solutions Rev. 02 02.05 CS PS 24 System manual

0 - 4 Contents

Page

General Remarks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 - 1

Test Videomed DIM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 - 1

Flowchart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 - 2

A. Indirect measurement of the fluoroscopic dose . . . . . . . . . . . . . . . . . . . 6 - 6

B1. Dose Rate/Iris Adjustment for POLYDOROS LX. . . . . . . . . . . . . . . . . . 6 - 6

B2. Dose Rate/Iris Adjustment for POLYDOROS SX. . . . . . . . . . . . . . . . . . 6 - 8

C. Maximum Skin Dose Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 - 11

D. Setting the Water Equivalent Take Over. . . . . . . . . . . . . . . . . . . . . . .6 - 12

Preparation (measurement configuration) . . . . . . . . . . . . . . . . . . . . .6 - 12

E. Setting the maximum Skin Dose Rate. . . . . . . . . . . . . . . . . . . . . . . .6 - 12

F. DR Snapshot (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 - 12

Checking the dose / image . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 - 12

Dose setting for DR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 - 13

PDA Sensor Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 - 14

Image brightness for DR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 - 16

G. Check measurement of the B signal . . . . . . . . . . . . . . . . . . . . . . . .6 - 17

H. Resolution Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 - 18

7 ______ Start-Up and Tests of the Options _________________________________7 - 1

ECG Triggering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 1

Respiratory Triggering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 1

Respiratory and ECG triggering . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 1

Release shock waves and check their synchronization to the pulse and respiration rates

(refer above). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 1

DICOM Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 1

Multispot 2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 2

Setting the Time on the ECG Monitor . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 2

Start-up of Sonoline Adara . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 2

8 ______ Final Steps ____________________________________________________8 - 1

Customer-specific and Country-specific Settings for the Multiline . . . . . . . . . . . 8 - 1

Back-up and Error Memory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1

Final Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1

9 ______ Changes to previous version _____________________________________9 - 1

LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 4 Siemens AG
System manual Rev. 02 02.05 CS PS 24 Medical Solutions

Prerequisites / General Information 1

Required documents 1

• Repair instructions, shock wave system RXL2-120.091.06

• Shock Wave Pressure and Position Control SPL2-120.074.01

• Operating the service software RXL2-120.113.01

• System configuration POLYDOROS LX RXL2-120.034.02

• System configuration POLYDOROS SX RXL2-120.034.05

• Adjustment instructions, shock wave head RXL2-120.071.01

• IQC software description RXD0-000.073...

• IQC software RXD0-000.037.04

• Host software parameter setting RXL2-120.032...

• Start-up instructions, SONOLINE U3 LH300.031...

• Repair instructions, ultrasound localization RXL2-120.091.10...

Required tools and measurement devices 1

• Standard Installation Tool Kit

• Service PC (see Intranet Service Laptop for CSE’s

• PC interface cable, 5 m 99 00 440 RE999

• Internal line impedance meter 84 28 104 RE999

• Oscilloscope e.g. Fluke Scope Meter 73 92 074

• Resolution test, Type 41 28 71 820 RE999

• 17 µm Cu strip (minimum contrast check) 11 67 662 G5247

• Copper filter set (10 x 0.3 mm) 44 06 120 RV090

• Copper plate, 2.1 mm 99 00 598 XE999

• ESD equipment

• Protective conductor meter 44 15 899 RV090

• Dosimeter DIADOS 97 17 612

• Digital multimeter e.g. Fluke 187 99 94 831

• mAs meter 81 60 400 RE999

• Temperature meter ± 1° C must be purchased locally

• PTU pressure tester 30 95 408 J1008

• PTU Adapter 70 41 028 J1008

1 - 1

Siemens AG RXL2-120.815.01 Page 1 of 6 LITHOSTAR Multiline
Medical Solutions Rev. 02 02.05 CS PS 24 System manual

1 - 2 Prerequisites / General Information

Important Information Regarding Start-Up 1

p

NOTICE

NOTE

The system cabling must be complete.
The system has been preassembled to system level, programmed and also tested at the

factory (see test certificates for generator, unit and image quality measurement, filed in
the system binder). During start-up, only a few checks or tests are required to ensure that
none of the settings has changed.

The results for tests marked must be entered in the test certificate or the image quality
test protocol as indicated for the specific case.

The following tests required for the acceptance test in the Federal Republic of Germany
according to the X-Ray Ordinance, §16, or the acceptance test in the USA, were already
performed and are documented in the test certificates:

- Visual inspection of filter values - Alignment of radiation field and film center

- Collimation of fluoroscopic field - Centering of radiation field to center of monitor

- Fluoroscopy dose rate - Maximum skin dose rate

- Resolution and minimum contrast - Unit attenuation factor

- Check of kV accuracy

When performing service work and tests, adhere to the product­specific safety information in the document as well as the general
safety information contained in the ARTD/ Part 2.

The oscilloscope must always be connected to ground. Use the
TEK isolation transformer and the trigger option to avoid interfer­ence from ground loops that may distort the measurement
results.

NOTE

According to DHHS Regulations, the following items must be checked:

1. Documents required for the customer

2. Radiation protection

3. DHHS and identification labels

These measurement values and the values determined during the
start-up procedure can be taken from the test certificate and
entered in the Acceptance Test Protocol.

Abbreviations and Symbols Used in these Instructions 1

AH = Recessed Allen screws HH = Hex-head bolts

DVM = Digital Volt Meter SID = Source-to-image distance
FID = Focus - Image Intensifier Distance C = Collimator

I.I. = Image Intensifier FL = Fluoroscopy

LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 6 Siemens AG
System manual Rev. 02 02.05 CS PS 24 Medical Solutions

Prerequisites / General Information 1 - 3

Protective Measures 1

• Adhere to the protective measures contained of the LITHOSTAR Multiline System

binder.

NOTICE

WARNING

Tests and adjustments performed with radiation ON are identified
by the radiation warning symbol .
Radiation protection must be worn during these types of adjust­ments (refer to ARTD part 2).

Voltage is still present in transformer T1 and power-on circuit
D160 even after the generator is switched off (see wiring dia­grams X2206-10, X2169-10).
Following generator switch-off a voltage of approximately 600 V
DC is still present for the converter! LEDs V35 and V36 on D110
(Fig. 1) indicate this (X2206-16, X2169-10) and LED V89 (X2206-19,
X2168-019) lights up.
The voltage drops to 0 V in approx. 1
when the voltage reaches approximately 30 V.

1

/2 minutes; the LED’s go out

• Set the main system switch to OFF to switch off power to all components (generator and

connected equipment).

• Switch OFF (S1) SS on the D 100 board (Fig. 1, no inverter power) to avoid inadvertent

release of high voltage or radiation.

• Install or remove assemblies only with the generator switched off and according to ESD

guidelines.

Preliminary Steps 1

• Set switch (S1) on board D 100 to SS OFF (Fig. 1).

Siemens AG RXL2-120.815.01 Page 3 of 6 LITHOSTAR Multiline
Medical Solutions Rev. 02 02.05 CS PS 24 System manual

1 - 4 Prerequisites / General Information

V36 V35

S2

D110

D160

S1

D100

Fig. 1

LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 6 Siemens AG
System manual Rev. 02 02.05 CS PS 24 Medical Solutions

Prerequisites / General Information 1 - 5

POLYDOROS SX 65/80 1

D320.XCU
to Com.1

3

M9

DIA

1

BUS mouse

Important:

- Connect the system controller
(D320.XCS) to Com 1.

- Connect the PC mouse to the PC

BUS mouse connector.

T2

M16

2

Siemens AG RXL2-120.815.01 Page 5 of 6 LITHOSTAR Multiline
Medical Solutions Rev. 02 02.05 CS PS 24 System manual

1 - 6 Prerequisites / General Information

POLYDOROS LX 30/50 1

D110

D115

D100

D200

D220

K30

M16

D291

X9

SN

D160

X5

T2

H1

K20

F1F2 F3

3

1

Com 1

Com 2

2

X5

SPC

Important:
The system controller (D200.X5)
must be connected to Com 1.

LITHOSTAR Multiline RXL2-120.815.01 Page 6 of 6 Siemens AG
System manual Rev. 02 02.05 CS PS 24 Medical Solutions

General Start-Up 2

Fig. 1

Inspection of the I.I. support 2

• Remove both covers from the image intensifier ( /Fig.1).

2 - 1

p

• Check the image intensifier support for damage.

• Replace the image intensifier if defects are found.

• Reattach the covers if no defects are found.

Line Voltage and Internal Line Impedance 2

CAUTION

• Remove the cover from the knife fuses F1, F2 and F3 in M16 of the generator and

remove the fuses using the special gripper.

• Connect a multimeter between two of the phases at the lower connections of the fuse

holders for F1, F2 and F3 (X2169-11, POLYDOROS LX / X2206-10, POLYDOROS SX).

• Switch the system breaker ON.

• Use the multimeter to measure the voltage, phase to phase, consecutively.

• Record the voltage measured in the Multiline test report.

• Switch the system breaker OFF.

The LITHOSTAR Multiline system can be operated only at a line
voltage of 400 V ± 10% and 50/60 Hz. A system pretransformer
must be used for all other line voltages.

• Measure the internal line impedance at M16.L1, L2, L3 using the internal line impedance

meter (phase-to-phase) as follows:

• Connect the internal line impedance meter between 2 phases respectively of L1, L2 and

L3.

• Switch the system breaker ON.

• Perform the measurement.

Siemens AG RXL2-120.815.01 Page 1 of 4 LITHOSTAR Multiline
Medical Solutions Rev. 02 02.05 CS PS 24 System manual

2 - 2 General Start-Up

• Switch the system breaker OFF.

• Remove the internal line impedance meter and test the other phases.

p

• Record the measured value in the table below or in the Multiline test report.

• To reach full generator power, the measured internal power line impedance may not

exceed the following value.

U

Line

400 V ± 10% 0.15 Ohm

400 V ± 10% 0.14 Ohm

400 V ± 10% 0.11 Ohm

max. R

max. R

max. R

for POLYDOROS LX 50 Measured

Line

for POLYDOROS SX 65

Line

POLYDOROS SX 80

Line

• Switch the system breaker OFF.

• Reinstall the knife fuses.

• Reinstall the cover over the knife fuses.

LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 4 Siemens AG
System manual Rev. 02 02.05 CS PS 24 Medical Solutions

General Start-Up 2 - 3

Fig. 2

Generator Start-Up 2

• Switch off circuit breakers F7, F8 and F9 in M16 of the Multiline control cabinet.

• Switch the system breaker

ON:

NOTE

In the event of a fault check the fuses for transformer T1 (below
D160) (X2169-11, 12 and 19 and X2206-11, 12 and 19).

The red LED V23 and the lamps H1 and H2 must light up
on power-on circuit board D160.

• Switch the system ON; The generator initializes; the 7-segment display on D100

displays "b" (meaning "ready").

• Use S2 on D160 to switch the generator OFF (test of blocking). It may not be possible to

switch on the generator from the control console.

• Set sliding switch S2 on D160 position 1.

• System contactor OFF.

• Switch on circuit breakers F7, F8, F9 in the M16 control cabinet.

• Switch S1 on shock wave cabinet N12 ON.

• Withdraw plug from pump M15 in N12 (pump must not run dry).

• Switch the system ON.

The message "No contact to shock wave system" appears on the PC monitor.

NOTE

Siemens AG RXL2-120.815.01 Page 3 of 4 LITHOSTAR Multiline
Medical Solutions Rev. 02 02.05 CS PS 24 System manual

Due to changes in the monitoring of the shock wave system, the
shock wave cabinet must be switched on when switching on the
system. The shock wave cabinet can be switched off, when the
system is ready for use.

2 - 4 General Start-Up

Systems with the ultrasound option:

• Remove the front cover (Fig. 2).

• Install the uro insert.

• Move the unit to the left so that board D31 is accessible.

• Connect control cable X28 on board D31 and secure it with screws.

• Reattach the cover.

LITHOSTAR Multiline RXL2-120.815.01 Page 4 of 4 Siemens AG
System manual Rev. 02 02.05 CS PS 24 Medical Solutions

Shock Wave System 3

Filling the Cooling System 3

3 - 1

NOTE

Due to changes in the monitoring of the shock wave system, the
shock wave cabinet must be switched on when switching on the
system. The shock wave cabinet can be switched off, when the
system is ready for use.

• Move the shock wave head into the therapy position.

• Disconnect the plug to the M15 in the N12 pump (the pump must not run without water).

• Measure the room temperature.

• Connect the multimeter at test point X2.2 of board W11 in slot W11A and connect the 0 V

lead to the D1 board at test point X3.

• Check whether the voltage measured matches the room temperature value from the

following table.
Voltage tolerance: ± 30 mV; adjustable using R13 on the W11 board.

°C18° C19° C20° C21° C22° C23° C24° C25° C26° C

Volt 4.36 4.53 4.69 4.85 5.01 5.17 5.33 5.50 5.66

° F64° F66° F68° F70° F72° F73° F75° F77° F79° F

°C27° C28° C29° C30° C31° C32° C33° C34° C35° C

Volt 5.82 5.98 6.14 6.31 6.47 6.63 6.79 6.95 7.11

° F81° F82° F84° F86° F88° F90° F91° F93° F95° F

• Turn N12 off with S1.

• Reconnect the connector to the M15 pump.

• Fill the water container with 4 liters of sterile water (refer to Speed Info RX 17/96).

• Install the water container in the cabinet on the transport bracket.

NOTE

The container should not be closed to allow adequate ventilation.

• Ensure that the vent valve on the filter is set to open. If not, set it to open by holding the

lower brass screw in place with a crescent wrench.

• Open the red cap on the vent valve.

• Open the quick couplings and pump outlet (located on the right hand-side behind the

pump).

• Turn on N12 using switch S1 until water runs out of the fast couplings.

• Turn off N12 using switch S1.

• Connect the quick couplings and the pump.

• Turn on N12 using switch S1; the cooling circuit is filled and ventilated.

NOTE

Siemens AG RXL2-120.815.01 Page 1 of 6 LITHOSTAR Multiline
Medical Solutions Rev. 02 02.05 CS PS 24 System manual

Ensure that the cooling circuit does not contain air bubbles.

3 - 2 Shock Wave System

If the M15 pump and the Y1 valve should start to vibrate, i.e. switching on and off con­stantly, disconnect and reconnect the connector of the Y1 valve several times until the
M15 pump runs smoothly.
Alternately vent each circuit of the cooling unit (OT and Litho) for approx. 10 minutes to
remove the air. The flow rate can be increased to 40 l/h (W11.R5).

During venting, move the shock wave head several times from the park position into the
therapy position and back again.

• If no more air bubbles can be seen in the

flow rate meter, set R5 on board W11 to a
flow rate of 25 ± 3 liters.
(Refer to figure on the right). If necessary,
set switch S1 of the flow rate meter to
20 ltr.

• After the filling process terminates,

LED V3 on board W11 must light up.

• Check the S1 flow rate switch.

Decrease the flow rate slowly with poten­tiometer R5 on W11 until a flow rate of
20 ltr. is displayed. LED V3 is no longer
illuminated.
Subsequently, reset the flow rate to
25 ± 3 l .

25l

20l

After venting the system, check the voltage at measurement point X3 (or MP.X2.3) of
board W11. (0 Volts on board D1 at measurement point X3).
This voltage must not change by more than 50 mVolts within 10 minutes. The cooling unit
must be switched off during this check.

NOTE

If the voltage drops

⇒ Leakage in the cooling circuit
⇒ Solenoid valve Y1 is defective

• Tighten the red cap of the vent valve.

LITHOSTAR Multiline RXL2-120.815.01 Page 2 of 6 Siemens AG
System manual Rev. 02 02.05 CS PS 24 Medical Solutions

Shock Wave System 3 - 3

S2

S1

S3

R71

R85

R49

R998

Fig. 1 Fig. 2

standard mode

Empty coupl. bellows

Button on: Filling coupling bellows

standard mode

Service mode

Offset Coupling pressure sensor B1

Lift min. (V 22)

Lift max. (V23)

Offset Filling level sensor W4 (B3)

W12 Board

Function in

service

mode only

M20

Filling the Coupling Circuit 3

Approximately 4 liters of distilled water are required (refer to Speed Info RX 17/96).

• Set the following switches on board W12 (Fig. 1):

S3 in SERVICE MODE position
S2 in EMPTY COUPL. BELLOWS position (valve Y3 open)

Y2

Y3

S5

W4 (B3)

1

3

2

• Connect the test device to board W12 at test point X3.1 and connect the 0V lead to test

point X3 on board D1.

• Check if the measured voltage of the B1 pressure meter equals1,0 V ± 0.01 V at mea-

surement point X3.1 at atmospheric pressure (adjustable with R71 on board W12).

• Measure the zero point offset of the W4 (B3) sensor on board W12 d14

(0V on board D1X3). Record the measured value (acceptable range: 1.80 V ± 0.25 V).

• Connect the funnel for filling the water tank (2/Fig. 2).

• Fill the water tank until the water level is between the two marks on the upper sight glass

(1/Fig. 2).

• Remove the funnel (open the quick coupling on the water tank) (2/Fig. 2).

• Remove the elbow from the coupling bellows.

• If there are air bubbles:

- Fill the hose through the elbow using a syringe and a needle.
If the hose cannot be filled, remove the shock wave head cover and fill it according to
the section "Replacing the Sensor Module" of the instructions RXL2-120.091.06..

• Press the coupling bellows together.

• Reconnect the elbow.

• Set the S2 switch (Fig. 1) to STANDARD MODE (Y3 valve closed).

Siemens AG RXL2-120.815.01 Page 3 of 6 LITHOSTAR Multiline
Medical Solutions Rev. 02 02.05 CS PS 24 System manual