Conducting Examinations 1. Conducting Examinations 2. Useful Functions

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1 Contents of all manuals give priority to Instruction Manual of OPESCOPE ACTENO eco. OPERATION GUIDE I N D E X Starting up and Shutting down the System Starting up and shutting down C-arm operation Conducting Examinations Selecting the APR 3 luoroscopy Adjusting Image Changing fluoroscopy conditions ilm radiography Conducting Examinations Useful unctions 4 Smart C memory rame memory oop memory

2 Instruction Manual Chapter 9 Appendix Starting Inspection/Ending Inspection S tarting Inspection Before turning the power ON Visual inspection! Always carry out the inspection described below before using the system. Have unnecessary items in the vicinity of the system been cleared away? Have previously used contrast media and drugs been removed from the system? Have you cleared away any rust and metal fragments from the moving parts of the system and the floor? Are any cables trapped, twisted, or rubbing against anything? Clear them away. Clean up. Clear them away. Correct this. Have any cable connectors been wet with water? Is there any damage to cable insulation? Is the cart cable connected correctly? Is the equipotential earth connected correctly? Is the main power cable connected correctly? Clear them away. Connect it. Connect it. Connect it. Inspection by touch Do the casters, brakes, and handles of the C-arm cart function correctly? Do the brakes of the monitor cart function correctly? Is the C-arm cart s brake applied? Are the monitor cart s brakes applied? Operate the brake. Operate the brake. After turning the power ON Visual/aural inspection Is the operating noise normal? Is any error message displayed? (on the C-arm main panel or monitor) System operation Is there an abnormal noise or chattering when the C-arm is operated? Is the laser pointer focused correctly? Does the C-arm lock switch function correctly? E nding Inspection Before turning the power O Is the C-arm at its home position (fixed position)? After turning the power O Visual inspection Operate the C-arm. Visual inspection! Always check the following points before finishing use of the system. Have unnecessary items in the vicinity of the system been cleared away? Have used contrast media and drugs been removed from the system? Are any cables trapped, twisted, or rubbing against anything? Clear them away. Clean up. Correct this. Have any cable connectors been wet with water? Is there any damage to cable insulation? Clear them away. Inspection by touch Do the casters, brakes, and handles of the C-arm cart function correctly? Do the brakes of the monitor cart function correctly? Are the monitor cart s brakes applied? Is the C-arm cart s brake applied? Operate the brake. Operate the brake. Meaning of tel: : If you discover an abnormality, notify your Shimadzu service agent. Responsible person:

3 Instruction Manual 3.3 Connecting and Dismantling the System, 3.4 Turn the Power ON/O Starting up Starting up and Shutting down the System 4 5 System switch Starting up and Shutting down the System C-arm 3 Back of the monitor cart ront of the monitor cart Shutting down Starting up Connect the C-arm and monitor cart with the cable and turn the lever to the OCK position. Connect the C-arm cart s equipotential earth. Insert the power plug into the power outlet. Turn the power switch ON. Power switch Wait for the system switch to stop flashing, and then turn the system switch ON. Shutting down 5 6 System switch 7 ront of the monitor cart Return the C-arm to its home position (fixed position). 4 3 Back of the monitor cart 3 4 Turn the system switch O. C-arm Wait for the system switch to stop flashing, and then turn the system switch O. Power switch Take the power plug out of the outlet. 5 6 Disconnect the equipotential earth. Turn the lever to the OPEN position and disconnect the cable between the C-arm and the monitor cart. 7 Wind the main power cable and cart cable onto the cable guides.

4 Starting up and Shutting down the System Instruction Manual 3.6 Positioning C-arm operation amp on (C-arm unlocked) amp off (C-arm locked) Starting up and Shutting down the System I.I. handle (option) Handle Handle I.I. handle (option) Handle C-arm operation Handle I.I. handle (option) Handle Press each lock switch. Move the C-arm while holding the handles. The C-arm is unlocked (the ED in the switch comes on). Memo 3 When you have set the position, press the lock switch again. The C-arm will be locked (the ED in the switch will go out). The C-arm must be locked during examination. The ED in the switch automatically goes off one minute after it came on, and the C-arm locks at the same time. Memo About the scales The zero on each scale is the C-arm s home position (fixed position). C-arm forward/back and lateral swiveling movement C-arm slide motion C-arm vertical movement C-arm rotary motion

5 Conducting Examinations Instruction Manual.. CD Display, 3.7 Selecting the APR Selecting the APR (Immediate) Startup Screen Turn APR Selection Screen (Immediate) (Releasing the restriction on X-ray The APR selection screen (Immediate) is displayed. Select the APR. The basic screen is displayed and the parameters registered in the APR are loaded. There are two modes of operation display in the basic screen, Simple Mode and Expert Mode. Set [Dose], [Pulse rate] and [oop]. When in simple mode, displays the fluoroscopy mode selection screen. Displays the APR selection screen and select APR. Basic screen (Simple mode) Basic screen (Expert mode) Basic screen Saves the image. Used for film radiography. (Only Expert mode) Selecting the APR Basic screen Conducting Examinations exposure) ON (lit).

6 Conducting Examinations Instruction Manual 3.8 luoroscopy luoroscopy Memo If the fluoroscopy timer beep sounds If the fluoroscopy timer preset time is exceeded, the beep sounds. The alarm can be stopped by pressing fluoroscopy timer beep sound reset switch. Press X-ray exposure (fluoroscopy) switch or depress the left foot switch. Irradiation indicator it Before moving away from the system for a long time, During radiation, the irradiation indicator (on the monitor cart) is lit. The fluoroscopic image is displayed on the monitor. Turn (Releasing the restriction on X-ray exposure) O (lamp off) in order to prevent malfunction. oot switch Adjusting Image Collimator and Parallel compensating filter operation Adjusting contrast and Brightness Parallel compensating filter open/close Parallel compensating filter rotation Octagonal collimator open/close Automatically adjusts the contrast and brightness of the image in 7 stages (- to +4). The set image brightness is displayed at the top right of the CD display. Resets the image brightness setting to the default value. Conducting Examinations luoroscopy Adjusting Image Image rotation and inversion The image is inverted in the up/down direction. Press and then The image is inverted in the left/right direction. press to rotate the image at high speed. The image rotates.

7 Conducting Examinations Instruction Manual 3.8 luoroscopy, 3.9 Changing I.I. ield Size (Zooming-up Images), Setting the Beam Hardening ilter Changing fluoroscopy conditions Switches the Changing the tube voltage. Changing the filter. X-ray adjustment Increases the tube mode. The filter is changed each time is voltage pressed. Auto Manual Reduces the tube voltage * Only valid when the X-ray adjustment mode is set to manual. Display ilter ilter Material (Applications) Cu0. mm (The limbs, etc.) Cu0. mm (Trunk, vertebral body, etc.) ilter 3 Cu0.3 mm (Chest, abdomen, etc.) NONE No filter Selecting the I.I. field size Displays the APR selection screen. ield size with 9 I.I. with 6 I.I. Button (Color) Normal 9" 6" (Gray) Zoomed 6" 4" (Blue) Conducting Examinations Displays the fluoroscopy mode selection screen. Change the Dose Change the Pulse rate Display Continuous 5 fps 0 fps 7.5 fps 3.75 fps Continuous fluoroscopy. Pulse fluoroscopy Pulse fluoroscopy Pulse fluoroscopy Pulse fluoroscopy Memo Select the APR The initial values will be set if the APR is switched during a study. If a switching state is registered using Smart C memory, the settings can be configured with one click after APR switching. Changing fluoroscopy conditions

8 Conducting Examinations Instruction Manual 3. ilm Radiography (General Radiography) ilm radiography Mount the cassette holder. Basic screen (Simple mode) Basic screen (Expert mode) Memo When in simple mode, switch to expert mode. Press (Radiography mode). The ED in the button will light up. 3 Adjust the KV and mas values by pressing. 4 Depress the right foot switch. Conducting Examinations (System status display) will temporarily go off. When preparations for radiography are completed, (System status display) will come back on. oot switch ilm radiography 5 Keep the right foot switch depressed. X-ray radiation will start. During X-ray radiation, the irradiation indicator (on the monitor cart) will be lit. Irradiation indicator it oot switch Keep depressing the foot switch until X-ray radiation is completed. If you release it part way through X-ray radiation will terminate prematurely.

9 Useful unctions Instruction Manual 3.3 Useful unctions, 4.. Saving Images Smart C memory Store the following conditions in two Smart C Memory. luoroscopy conditions Settings of the collimators Beam hardening filter Image rotation and inversion I.I. field size Smart C memory Storing Calling Up Hold down Smart C memory, for about second. Hold down Press the blinking Smart C memory, briefly. The current conditions will be stored in smart C memory []. When storing is completed the switch lights. it The conditions stored in the Smart C memory will be called up. At the same time, the switch will change from blinking to continuously lit. If any condition is changed from the stored condition in smart C memory, the smart C memory starts blinking. Blinks Blinks it rame memory oop memory Basic screen luoroscopy mode selection screen Press [Save]. You can temporarily save the currently displayed images. Select [oop] in the fluoroscopy mode selection screen and perform fluoroscopy. The fluoroscopy continuous image is temporarily saved from when (X-ray irradiation (fluoroscopy) switch) or the left foot switch is pressed until the switch is released. oop memory Useful unctions rame memory Smart C memory

10 Troubleshooting Troubleshooting