Stephanix BRS Basic User Manual
BRS
BASIC RADIOLOGICAL
SYSTEM
USER MANUAL
STEPHANIX
54 bis, rue Jean-Baptiste David
42014 SAINT ETIENNE CEDEX 02
FRANCE
E s te pr oduc to ost enta u na m ar c a C E d e ac uer do con la s d is pos ic io nes de l a D i r ecti v a 93/ 42/C E E d el 1 4 de Jun io de 19 93 s obr e Pr oduc tos Mé dic os .
This product bears a CE marking in accordance with the provisions of the 93 / 42/ EEC MDD dated June 14, 1993 .
BASIC RADIOLOGICAL SYSTEM BRS
STEPHANIX constantly strives to improve its products and, therefore, reserves the right to deliver,
without prior notice, machines whose characteristics differ from those described here: nonetheless, these
machines are still guaranteed to comply with regulations in force.
All rights reserved.
MDU BRS A January 2002 Page I / I
BASIC RADIOLOGICAL SYSTEM BRS
TABLE OF CONTENTS
INTRODUCTION ...........................................................................................................................................6
Preliminary Information .......................................................................................................................6
Explanations........................................................................................................................................6
GENERAL MANIPULATIONS......................................................................................................................7
Column and swivelling arm .................................................................................................................7
Cassette holder ...................................................................................................................................7
Light beam collimator ..........................................................................................................................7
X ray tube ............................................................................................................................................7
CONTROLS OF THE BRS ...........................................................................................................................8
Lungs and heart ..................................................................................................................................8
Ribs .....................................................................................................................................................9
Abdomen ...........................................................................................................................................10
Urinary tract survey ...........................................................................................................................11
Urinary bladder and inner pelvis .......................................................................................................12
Skull...................................................................................................................................................13
Sinuses and face...............................................................................................................................14
Mandible............................................................................................................................................15
Cervical spine....................................................................................................................................16
Thoracic and lumbar spine................................................................................................................17
Sacrum, lumbosacral junction and sacroiliac joints ..........................................................................18
Clavicle, scapula and shoulder joint..................................................................................................19
Humerus............................................................................................................................................20
Elbow.................................................................................................................................................21
Forearm.............................................................................................................................................22
Wrist, hand and fingers .....................................................................................................................23
Pelvis and hip joints ..........................................................................................................................24
Femur ................................................................................................................................................25
Knee ..................................................................................................................................................26
Leg ....................................................................................................................................................27
Foot and toes ....................................................................................................................................28
TABLE.........................................................................................................................................................29
The CE mark on the system indicates that the unit is in compliance with the European
Directive 93/42/CEE of the 14/06/93 concerning the medical devices.
Original language of document: FRENCH
MDU BRS A January 2002 Page 1 / 30
BASIC RADIOLOGICAL SYSTEM BRS
GUARANTEE CONDITIONS
It is the responsibility of the user to ensure that the government regulations respecting installation and
operation of the equipment are observed.
Incorrect operation, or failure of the user to maintain the equipment in accordance with the schedule of
maintenance relieves STEPHANIX or his agent from all responsibility for consequent non-compliance,
damage, injury, defects and/or other malfunction.
The installation and equipment must not be used if any mechanical, electrical or radiation-emitting
component is defective, or if the procedures described in the schedule of maintenance have not been
carried out.
Changes and additions to the equipment may only be carried out by STEPHANIX or by third parties
expressly authorized by STEPHANIX to do so. Such changes must comply with local regulations and
accepted standards of good practice.
In case the power lines do not meet the specifications given in section A "Pre-installation" of the Service
Manual, the BRS cannot reach its maximum performance and the standard use cannot be guaranteed.
Technical files (diagrams, parts list, measurement procedure and so on...) of the
Basic Radiological System are available on request to STEPHANIX.
CARRIAGE CONDITIONS
Goods travel at owner's risk.
No contest shall be taken into account unless written reservations have been made on the consignment
note, face to face to the carrier, upon receipt of the goods in case of apparent loss or damage.
During transportation and storage, the black cap of the H.T. tank must be neither unscrewed nor
removed.
Crates and packing means made by STEPHANIX cannot be used for other purposes than carriage.
Page 2 / 30 January 2002 MDU BRS A
BASIC RADIOLOGICAL SYSTEM BRS
SAFETY AND PROTECTION
X-rays are not innocuous and can be dangerous if used badly. You must, therefore, take precautions
even when following the instructions in this manual.
X-rays units manufactured by STEPHANIX comply with the strictest safety standards in force throughout
the world (Europe, Japan, USA, etc.). They guarantee optimum protection against radiation risks.
Nonetheless, you are handling a unit specifically designed to generate X-rays to allow medical diagnosis
on a film or using a digital imaging system. Consequently, despite the inherent safety of our equipment,
we recommend using conventional commercially available equipment to protect yourself and your patient
against scattered radiation risks.
The following instructions must be strictly observed:
- Use the smallest possible X-ray field
- Use the shortest possible fluoroscopy time
- Use the lowest input dose necessary for efficient working
- Maintain the X-ray tube in good condition
- Keep as far away from the beam as possible
- During exposure, personnel not directly involved with the patient must go behind lead or
lead-glass shielding
Should any part of the equipment be damaged, it must be repaired or replaced before the
equipment is returned to service.
Equipment described herein is unsuitable for operation where and when flammable gasses or
vapours are present.
The user must always electrically disconnect the equipment from the mains before cleaning or
disinfecting.
Do not allow water or other liquid to enter the equipment, as such liquid may cause short
circuits and /or some corrosion.
MDU BRS A January 2002 Page 3 / 30
BASIC RADIOLOGICAL SYSTEM BRS
It must be noted that some disinfectants vaporise, forming potentially explosive mixtures.
Should such disinfectants be used, the vapours must first be allowed to disperse before the equipment is
returned to use.
In addition, it is vital that an authorized STEPHANIX distributor carries out the assembly,
extensions, adjustments, modifications and repairs. Also, your radiology unit must be installed in
premises that comply with IEC provisions and the standards in force.
Due care must be taken to prevent injury to the patient. Ensure that patient's clothing cannot
be trapped in the equipment. It is important that the patient hands remain on the tabletop.
It is important that all personnel dealing with X-radiation be fully acquainted with the radiation
protection.
In the event of failure to comply with these instructions, STEPHANIX shall not be held responsible for the
safety, reliability and characteristics of the machine.
Your distributor will be pleased to help you with the initial use of your unit and to answer any subsequent
questions you may have.
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BASIC RADIOLOGICAL SYSTEM BRS
NOTE TO THE USER
You have just purchased a Basic Radiological System. We congratulate you on your choice, and are sure
you will be fully satisfied with its use and diagnostic capabilities.
STEPHANIX radiology units offer high quality and advanced technology.
We recommend reading the user's manual carefully before using your unit, to become familiar with its
operation and make the most of its performance.
Keep this manual in a safe place so that you can easily refer to it in the future.
Thank you for placing your confidence in STEPHANIX.
MDU BRS A January 2002 Page 5 / 30
BASIC RADIOLOGICAL SYSTEM BRS
INTRODUCTION
PRELIMINARY INFORMATION
The B.R.S. system has been design by the WHO in order to comply with a need for a small equipment,
easy to use and to manipulate for operator having a little knowledge in X ray units and techniques.
The B.R.S. system can be used with different X ray generators from STEPHANIX:
- N 32 HF, N 32 HFM, N 32 HFR
- N 40 HF
- N 50 HF
This manual explains shortly how to manipulate the B.R.S. system and gives a range of basic radiological
techniques sufficient to enable 90% of the problems diagnosable through radiography to be routinely
examined.
Concerning the X ray generator, the operator will have to refer to the relevant manual.
Since films, X ray cassettes and screens vary, the exposure required for each examination must be
adjusted to local conditions by a fully qualified radiographer / X ray technologist when the machine is
installed. If the film-cassette-screens combination is changed, readjustment of the exposure will be
necessary for the best results.
When used by trained radiographers, techniques more complex than those shown in this manual can de
carried out with the basic radiological system, serving the particular needs of specialists in various fields
of medicine.
EXPLANATIONS:
ERECT : standing or sitting up.
SUPINE : lying on the back.
PRONE : lying on the stomach.
OBLIQUE : turned a little, usually at a 40° angle.
LATERAL : lying with the side close to the cassette.
AP : antero-posterior
PA : postero-anterior
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BASIC RADIOLOGICAL SYSTEM BRS
GENERAL MANIPULATIONS
COLUMN AND SWIVELLING ARM
- Up and down movement: the swivelling arm can go up and down just by pushing it in the right
direction. the up and down movement is fully counter balanced by a counterweight inside the column. A
manual brake, situated behind the column, on the up and down mechanism, can be used to block the
movement to the right position.
- Rotation movement: the swivelling arm is fully counter balanced and can rotate in the vertical
plane around its horizontal axis on the up and down mechanism. A big washer, with indication of the
rotation angle, is attached to the swivelling arm. A manual brake situated on the front of the up and down
mechanism is used to block the rotation movement.
CASSETTE HOLDER
The cassette holder is situated in the opposite position to the X ray tube ,and contain a fixed grid.
To insert a cassette inside pull the handle situated on the front of the tray and put the cassette between
the blocking parts which are also used to centre the cassette.
LIGHT BEAM COLLIMATOR
- Light: An halogen lamp can be switch on by pressing the button on the front of the collimator. An
integrated timer allows to switch off this light after around 30 seconds in order not to overheat the
collimator and the lead shutters.
- Lead shutters: the X ray beam can be reduced to the size of the cassette inserted in the cassette
holder, by turning the two buttons situated in front of the collimator, in the appropriate direction. Coloured
indications for positioning the shutters are also indicated on the cassette holder
X RAY TUBE
The X Ray tube is auto-centred on the cassette holder on the opposite side.
In some cases, it might be necessary to rotate the tube head in order to use the X Ray beam on an
other system, like a wall Bucky or a fluoroscopy stand. It is possible to do it, just by rotating the tube head
in the right direction. Adjustment of the surface of the beam can be made using the lead shutters of the
light beam collimator.
MDU BRS A January 2002 Page 7 / 30
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