Multix Top
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MULTIX TOP
Operator Manual
MULTIX TOP
Operator Manual
MULTIX TOP
Operator Manual
MULTIX TOP
Operator Manual
Rückenschild für Schuber A4 (50 hoch)
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AXB1-150.620.01.01.02 AXB1-150.620.01.01.02 AXB1-150.620.01.01.02 AXB1-150.620.01.01.02
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Operator Manual
MULTIX TOP
© Siemens AG 2004
All rights reserved
Order No.: AXB1-150.620.01.01.02
08.2004
Contact information:
Siemens AG Siemens AG, Medical Solutions, AX
Wittelsbacher Platz 2 Siemensstraße 1
DE-80333 München DE-91301 Forchheim
Germany Germany
Phone: +49 9191 18-0
Internet: www.Medical.Siemens.com
Current Information / Safety
System Overview / Operating Elements
System Operation / Radiography
Exposure Tables
VERTIX PRO/TOP Bucky Wall Unit
Generator
Accessories
Technical Description
Important information from the
manufacturer
This product is provided with a CE marking in accordance with the
regulations stated in Appendix II of the Directive 93/42/EC of June
14, 1993 concerning medical products.
In accordance with Appendix IX of the Directive 93/42/EWG, this
product is assigned to class II b.
The CE marking applies only to medical products which have been
put on the market according to the above-mentioned EC Directive.
The product complies with the requirements of EMC classes B +
12dB.
Unauthorized changes to this product invalidate this declaration.
The original version of this manual was written in the German
language.
Please observe the
Safety Instructions
Order No.: RX0-000.621.01
These must be studied exactly before system start-up.
Product description
Table of Contents
MULTIX TOP
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Operator Manual
Product description
Chapter: Description
General information ............................................................................................................5
Applications ................................................................................................................... 5
Variants ......................................................................................................................... 5
System configuration .......................................................................................................... 6
1. "Manual" system version ............................................................................................... 6
2. "Manual" system version with planigraphy ......................................................................... 7
3. "ACSS" system version ................................................................................................. 8
4. "ACSS" system version with planigraphy ........................................................................... 9
Possibilities of use ............................................................................................................ 10
Chapter: Overview
Standard Configuration ..................................................................................................... 11
MULTIX TOP ................................................................................................................ 11
MULTIX TOP P ............................................................................................................. 11
MULTIX TOP ACSS ....................................................................................................... 11
MULTIX TOP ACSS P .................................................................................................... 11
Extensions ........................................................................................................................ 12
Overall view ...................................................................................................................... 13
Edge protection on the patient table ................................................................................. 14
Chapter: Safety Information
General safety .................................................................................................................. 15
Collision and crushing zones ............................................................................................ 15
Switching on the system on the generator ...................................................................... 18
"Manual" system without ACSS automatic format collimation ................................................. 18
Only if ACSS automatic format collimation is installed ........................................................... 18
Product description
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Operator Manual
2
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Red EMERGENCY STOP button ...................................................................................... 19
Red EMERGENCY SHUTDOWN button ........................................................................... 19
Blockage and fault indicators ............................................................................................ 20
Daily Checks ..................................................................................................................... 21
Before examinations ...................................................................................................... 21
During examinations ...................................................................................................... 21
Monthly Checks ................................................................................................................ 22
Legally required checks .................................................................................................... 22
Safety-relevant parts subject to wear ............................................................................... 22
Maintenance intervals ...................................................................................................... 23
Behavior in the case of functional disturbances ............................................................... 23
Cleaning the system ......................................................................................................... 23
Disinfection of the system ............................................................................................... 23
Chapter: Operating Elements
Operating elements for table movements ....................................................................... 25
Foot kick switch in the table base ..................................................................................... 25
Operating Elements for 3D Ceiling Support ..................................................................... 27
Operating elements and function displays on the control panel ...................................... 29
Operating elements ....................................................................................................... 29
Operating elements for 3D support and tube unit ........................................................ 29
Operating elements for moving the X-ray tube unit ...................................................... 30
Function displays ................................................................................................. 30
Operating elements for planigraphy (only with TOP P and TOP ACSS P) .......................... 32
Operating elements and function displays on the control panel with analog angle display
(only with MULTIX TOP) ................................................................................................... 33
Operating elements ....................................................................................................... 33
Operating elements for 3D support and tube unit ........................................................ 33
Operating elements for moving the X-ray tube unit ...................................................... 34
Function displays ................................................................................................. 34
Product description
Table of Contents
MULTIX TOP
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Manual collimator ............................................................................................................. 35
Operating elements and displays ...................................................................................... 35
Front ................................................................................................................. 35
Bottom side ........................................................................................................ 36
Backside ............................................................................................................. 39
Changing the lamp on the collimator ................................................................................. 39
Operation .................................................................................................................... 43
Setting the format collimation ................................................................................. 43
Rotating the collimator about the central beam axis (up to ± 50°) ................................... 45
Rotating the collimator to the 0° stop position ............................................................ 47
Setting the prefiltration .......................................................................................... 48
ACSS Collimator ............................................................................................................... 49
Operating elements and displays ...................................................................................... 49
Front ................................................................................................................. 49
Display on the ACSS Collimator ............................................................................... 50
Bottom ............................................................................................................... 51
Backside ............................................................................................................. 53
Changing the collimator lamp .......................................................................................... 54
Operation .................................................................................................................... 55
Rotating the collimator about the central beam axis (max. up to ±45°) ............................. 55
Rotating the collimator into the 0° stop position .......................................................... 56
Indication of the collimator 0° stop position ................................................................ 56
Setting the prefiltration .......................................................................................... 57
Operating elements on the manual or ACSS cassette tray .............................................. 59
Brake handle ................................................................................................................ 60
Position of the brake handle ................................................................................... 60
Function of the brake handle ................................................................................... 60
Operating the brake handle .................................................................................... 60
Operating and display elements of the follow-up control (only with ACSS and ACSS P) . 61
Overall view ................................................................................................................. 61
Control panel and displays for ceiling support settings .......................................................... 62
Operating elements for motor-driven height adjustment (vertical) ................................... 62
Operating elements on the patient table ............................................................................ 63
Operating elements for MULTIX constant SID ............................................................ 63
Product description
Table of Contents
Operator Manual
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MULTIX TOP
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Product Description
Description
General information 0
This Operator Manual describes all system features of all system variants.
The complete system is described with all options and components that have
been released. Possible options have not been marked specially. Particular opti-
ons or components may not be available for specific systems.
The quotation text of your order is the sole reference for the functional scope of
your system.
Applications 0
With your MULTIX TOP you have a Bucky table radiographic system with a 3D
ceiling support at a high technical level for hospital and medical practice.
The X-ray unit is a universal workstation with a motor driven table height adjust-
ment device for all projection X-ray exposures or DLR cassettes for digital lumi-
nescence radiography.
There are removable, changeable scattered radiation grids for examinations on
children with special requirements with regard to radiation protection and addi-
tional filtration.
Balanced ergonomics Special attention has been paid in design to ergonomics with the objective of sim-
ple operation of the radiographic system.
Motor driven table
height adjustment
The table height is adjustable by motor drive in the range from 59 cm to 89 cm.
Planigraphy o Tomographic exposure technique
ACSS o Automatic cassette size sensing to control the diaphragm leaves in the multi-
leaf collimator for automatic precollimation to the current cassette format.
Variants 0
MULTIX TOP o Basic version, manual
MULTIX TOP ACSS o with automatic format collimation
MULTIX TOP ACSS-N o with automatic format collimation and follow-up control
MULTIX TOP P o Manual, with planigraphy (tomographic exposure technique)
MULTIX TOP P ACSS o with automatic format collimation and planigraphy
MULTIX TOP P
ACSS-N
o with automatic format collimation, planigraphy and follow-up control
Product Description
Description
Operator Manual
6
von 64 AXB1-150.620.01.01.02
VERTIX PRO or
VERTIX TOP or
VERTIX S
o Bucky wall unit with catapult Bucky adjustable in height or catapult Bucky ad-
justable in height and capable of swivelling.
System configuration 0
1. "Manual" system version 0
consists of:
MULTIX TOP patient table and 3D ceiling support with
– Motor driven table height adjustment
– "Manual" format collimation
– "Manual" catapult Bucky
– VERTIX TOP, VERTIX PRO or VERTIX S
1
5
1
MULTIX TOP
VERTIX TOP,VERTIX PRO
or VERTIX S
Product Description
Description
MULTIX TOP
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2. "Manual" system version with planigraphy 0
consists of.
MULTIX TOP patient table and 3D ceiling support with:
– Motor driven table height adjustment
– "Manual" format collimation
– "Manual" catapult Bucky
– Tomographic attachment for planigraphy
– Tomographic height light localizer
– VERTIX TOP, VERTIX PRO or VERTIX S
1
5
1
VERTIX TOP, VERTIX PRO
or VERTIX S
MULTIX TOP P
Product Description
Description
Operator Manual
8
von 64 AXB1-150.620.01.01.02
3. "ACSS" system version 0
consists of:
MULTIX TOP patient table and 3D ceiling support with:
– Motor driven table height adjustment
– ACSS format collimation
– Catapult Bucky with ACSS
– VERTIX TOP ACSS, VERTIX PRO ACSS or VERTIX S ACSS
1
5
1
M
MULTIX TOP ACSS
VERTIX TOP ACSS,
VERTIX PRO ACSS or
VERTIX S ACSS
Product Description
Description
MULTIX TOP
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4. "ACSS" system version with planigraphy 0
consists of:
MULTIX TOP patient table and 3D ceiling support with:
– Motor driven table height adjustment
– ACSS format collimation
– Catapult Bucky with ACSS
– Tomographic attachment for planigraphy
– Tomographic height light localizer
– VERTIX TOP ACSS, VERTIX PRO ACSS or VERTIX S ACSS
M
1
5
1
VERTIX TOP ACSS,
VERTIX PRO ACSS or
VERTIX S ACSS
MULTIX TOP ACSS P
Product Description
Description
Operator Manual
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von 64 AXB1-150.620.01.01.02
Possibilities of use 0
Patients up to 190 cm tall can be examined from head to toe without reposi-
tioning by shifting the tabletop and moving the 3D ceiling support and the
catapult Bucky.
X-ray exposures in the region of the skull, the spinal column (skeleton), the tho-
rax, lungs and abdomen as well as of the extremities can be taken from the lying
and sitting patient on a Bucky table with the MULTIX TOP radiographic system.
In addition, free onto-table exposures or bedside exposures as well as emergen-
cy station trolley exposures can be taken.
Exposures of the standing or sitting patient can be taken on the VERTIX PRO/TOP
or VERTIX S Bucky wall stand.
MULTIX TOP
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Product Description
Overview
Standard Configuration 0
MULTIX TOP 0
o MULTIX TOP
– with manual collimator
o Generator POLYDOROS IT
o X-ray tube unit with double-focus X-ray tube
o Standard accessories
MULTIX TOP P 0
o MULTIX TOP P
– "Planigraphy " version
– with manual collimator
o Generator POLYDOROS IT
o X-ray tube unit with double-focus X-ray tube
o Standard accessories
MULTIX TOP ACSS 0
o MULTIX TOP ACSS
– with ACSS automatic cassette size sensing collimator
o Generator POLYDOROS IT
o X-ray tube unit with double-focus X-ray tube
o Standard accessories
MULTIX TOP ACSS P 0
o MULTIX TOP ACSS P
– "Planigraphy " version
– with ACSS automatic cassette size sensing collimator
o Generator POLYDOROS IT
o X-ray tube unit with double-focus X-ray tube
o Standard accessories
Product Description
Overview
Operator Manual
12
von 64 AXB1-150.620.01.01.02
Extensions 0
o VERTIX PRO, VERTIX TOP or VERTIX S Bucky wall stand
o Generator POLYDOROS LX
o Generator POLYDOROS SX
o CAREMAX
o Collision protection
o Optional accessories
Product Description
Overview
MULTIX TOP
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Overall view 0
Components of the system
(1) Bucky table with positioning tabletop and catapult Bucky
(2) 3D ceiling support with control panel, X-ray tube unit and collimator
(3) X-ray tube unit
(4) Collimator with control panel and displays
(5) Handles for 3D ceiling support/tube unit movement
(6) Table base
(7) Catapult Bucky with cassette tray
(8) Foot switch for tabletop movements and table vertical movement
(9) EMERGENCY STOP button
(10) Signal lamps
(11) VERTIX TOP, VERTIX PRO or VERTIX S Bucky wall unit
(12) Brake handle
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3
2
5
5
4
11
VERTIX TOP, VERTIX PRO
or VERTIX S
1
10
7
9
6
8
12
Product Description
Overview
Operator Manual
14
von 64 AXB1-150.620.01.01.02
(13) White light: EMERGENCY STOP button activated or security end switch
has responded: 3D ceiling support longitudinal movement or tube rotation or
catapult Bucky movement.
(14) Green light: power supply ON, system operational
Signal lamps (10) at the left side of the patient table
Edge protection on the patient table 0
o The edge protection at the four corners of the patient table securely closes off
the profile rails.
You can pull the edge protection forwards for attaching or removing accesso-
ries such as handles, hand switches or other accessories in order to insert the
parts and remove them again.
u Pull the edge protection forwards against the spring tension to insert or
remove accessories.
u Subsequently insert again.
14
13
Testing the signal lamps
During the initialization phase
the white lamp EMERGENCY
STOP will temporarily light up for
testing purposes without the
EMERGENCY STOP button or
security end switch being
activated.
Edge protection
MULTIX TOP
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Product Description
Safety Information
General safety 0
Medical electrical equipment needs special precautions regarding Electromagne-
tic Compliance (EMC). EMC information provided in the accompanying docu-
ments must be followed where appropriate.
Portable and mobile RF communications equipment can affect medical electrical
equipment.
Collision and crushing zones 0
--- possible collicion and crushing zones for patient and operating staff, especially
with respect to extremities, in case of operation errors:
o between patient table and patient tabletop
o between patient table and catapult Bucky
o between patient tabletop and handle of the Bucky
o between patient tabletop and base frame in tabletop movement
o between tube unit and object/floor when moving the tube unit down
o between tabletop and 3D ceiling support when raising or
lowering the tabletop
o between bottom edge of the tabletop and object in table downwards move-
ment
o between persons, MULTIX unit, VERTIX Bucky wall stand, wall or objects and
3D ceiling support during longitudinal or transverse movement or tube unit
rotation about the vertical or horizontal axis.
o when moving the 3D ceiling support outside the specified parking range
o between persons and the 3D ceiling support during motor-operated move-
ment of the patient table
o risk of collision with the handle of the catapult Bucky for the patient when
getting on or off the table.
Warning
There is a risk of collision / crushing for patients, operating staff, unit and objects
- caused by unit movements which could be released by inadmissible
actuation of operating elements by patients.
Product Description
Safety Information
Operator Manual
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o between handles of the 3D ceiling support and the collimator when rotating
the collimator
o at collimator accessory rails
Please take special care when the patient is getting onto or leaving the patient
table that no unintentional activation of the operating elements occurs.
If the patient slips, for instance, it is possible that the table brake may be activa-
ted unintentionally, or the active brakes are overridden and thus a system move-
ment occurs.
Warning
The patient and operating personnel may grip only the handles which are inten-
ded for this purpose. If this is not possible, please pay attention to posssible
risks of injury by crushing between moving parts and their guide openings.
The operator is obliged to ensure that system movements are released only if
it is assured that neither the patient nor third parties can be endangered by
these movements.
Product Description
Safety Information
MULTIX TOP
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Risk of injury by crushing for operating staff and patients
Product Description
Safety Information
Operator Manual
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Switching on the system on the generator 0
u You switch your system on and later off again on the generator.
switch on
switch off
– Refer to the Generator register for further information
"Manual" system without ACSS automatic format
collimation
0
u Select the MULTIX TOP or VERTIX PRO/TOP/S or free exposure workstation
at the generator console.
– The tube unit symbol in the control panel lights up
Only if ACSS automatic format collimation is installed 0
u Select the MULTIX TOP or VERTIX PRO/TOP/S or free exposure workstation
at the generator console.
– The "Selected" display
1
lights up on the collimator to confirm that the
correct ACSS receptor (VERTIX tray or table) has been selected.
– The "X-ray tube unit selected" symbol lights up on the control panel to
confirm that the correct X-ray tube unit has been selected.
Warning
Make sure before switching on that
all covers and panels are attached to your system.
In this way you avoid foreign parts penetrating into the system.
Please perform the functional and safety check.
– Refer to the Functional and safety check chapter in the
Current information / Safety register
1
Not active when "Free exposure" is selected
Product Description
Safety Information
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Red EMERGENCY STOP button 0
If an emergency situation arises implying danger for the patient, for the operator
or for the system
u then press the red EMERGENCY STOP button on your system
– This stops all motor driven system movements.
Restarting u Take the patient off from the tabletop.
u Eliminate the dangerous situation.
u If the dangerous situation cannot be eliminated, then please call the Siemens
Uptime Service.
u To unlock the red EMERGENCY STOP button, simply turn it CCW.
➩ You will find further information in the
Current information / Safety register
Red EMERGENCY SHUTDOWN button 0
The EMERGENCY SHUTDOWN button should be installed by the customer on
the wall of the examination room at a well accessible place. It switches off the
power for the entire system and disconnects it from the voltage.
Press this button if the dangerous situation cannot be eliminated by pressing the
EMERGENCY STOP button.
In this case you must not start up the system again.
Please notify the Siemens Uptime Service without delay.
You will find further information in the Current information / Safety register of
this Operator Manual.
Warning
Pay attention to the correct selection of the tube unit for the intended
workstation as well as the alignment of the tube unit with the cassette in the
cassette tray, to avoid unintended radiation at the wrong place.
Product Description
Safety Information
Operator Manual
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Blockage and fault indicators 0
If fault messages light up at the generator console, then
u Reset the error on the generator pressing the precontact.
u Switch the system off and back on again or
If the indicator does not go out because of this, please notify the Siemens
Uptime Service.
Only for the MULTIX TOP P, TOP ACSS and TOP ACSS P system versions:
If numbers other than 010 (EMERGENCY STOP) light up in the function display
of the control panel with the EMERGENCY STOP button pressed and if the
system does not work as usual then:
u Switch the system off and back on.
If the indicator does not go out because of this, please notify the Siemens
Uptime Service.
– You will find further information in the Generator register
Product Description
Safety Information
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Daily Checks 0
Before examinations 0
u Clean the patient tabletop.
u Check all operating elements, system movements, displays and signal lamps.
u In particular, test the function of the system EMERGENCY SHUTDOWN
button and the red EMERGENCY STOP button.
u Attach the required devices for patient restraint and immobilization correctly
to the unit (e.g. hand grips).
u Use the radiation protection accessories required for examining close to the
patient.
u Perform a functional check of the movement of the patient tabletop.
➩ For further information refer to the
Current information/Safety register.
During examinations 0
u Check the patient immobilization, e.g. use of handgrips.
u System movements may be released only if there is no danger for the patient
or third parties and if there are no objects which may obstruct system move-
ments.
Warning
The radiation ON indicator may light up briefly only during the duration of the
X-ray exposure.
Product Description
Safety Information
Operator Manual
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Monthly Checks 0
u Perform a functional check of the system EMERGENCY SHUTDOWN button
and of the red EMERGENCY STOP button.
– You will find additional information on this in the
Current Information/Safety register
u Perform a functional check of the ACSS automatic format collimation.
Legally required checks 0
u Legally required checks, such as the constancy test in accordance with the
X-Ray Code §16 RöV in the Federal Republic of Germany shall be performed
at the stated time intervals.
Safety-relevant parts subject to wear 0
For safety reasons, steel cables (e.g. in the VERTIX Bucky wall stand) must be
inspected and, if required, changed at a time interval of three years at the most.
The three-digit digital display source image distance "SID" may be checked for
conformity with the tape measure in the collimator.
(Working with an ACSS system in the ACSS mode or with a manual collimator,
measure with the tape measure up to the table top and add 5 cm for the
table top - cassette distance.)
We recommend to perform this check on a regular - e.g. monthly - basis.
If the SID values are incorrect, overexposures might occur.
Please notify our Uptime Service if this is the case.
SID checks which are performed on a regular basis will prevent unintentional
overexposures.
Product Description
Safety Information
MULTIX TOP
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Maintenance intervals 0
To maintain the safety and function of the system, maintenance must be
performed regularly, at least every 12 months.
(e.g.: periodic relubrication of the lifting spindle of the table lifting column)
u If you have not concluded a maintenance contract, please notify Siemens
Uptime Service.
Behavior in the case of functional distur-
bances 0
u Please switch the system off and proceed according to the instructions in the
Current information / Safety register.
Cleaning the system 0
u Shut down the system properly before cleaning.
o No moisture may penetrate into the system.
o Plastic surfaces may be cleaned only with a damp cloth with soap solution
since other agents (e.g. with high alcohol contents) can cause the surface to
become dull and liable to crack.
– You will find further information on this in the
Current information / Safety register.
Disinfection of the system 0
u Shut down the system before cleaning.
o Only those disinfection methods which satisfy the applicable regulations and
directives as well as explosion protection may be used.
o No corrosive, dissolving or gaseous disinfectants may be used.
o Spray disinfection is therefore not recommended since disinfectants can
penetrate into the system in this case.
– You will find further information on this in the
Current information / Safety register
Product Description
Safety Information
Operator Manual
24
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