Operating Manual EVA-HF325/525

Transcription

1 Technical Publication Ver 4.0p Operating Manual EVA-HF325/525 COMED Medical Systems Co.,Ltd. 1

2 Table of Contents 1. Quality Guarantee Introduction Composition X-Ray radiographic device Options Others Using safety Guide Safety rule electronic safety Environmental risks and displacement Specifications X-Ray tube device X-Ray high-voltage device X-Ray Management Instrument structure Optional specifications using voltage Size and Weight Block Diagram Using environment condition Instrument running and Operation explanation handle bar Photographic table COMED Medical Systems Co.,Ltd. 2

3 7.3 Bucky stand Cassette tray X-RAY operating method OPERATION PANEL operating method Display lamp Operating panel PART Operating panel PART APR(Anatomical Programmed Radiography) Maintenance and repairing Broke down and measures Radiography condition table Radiography skill COMED Medical Systems Co.,Ltd. 3

4 1. Quality Guarantee Guarantee Range and Period All Komed Co.,Ltd. s products are sold with 1 year guarantee. During the 1 year guarantee period, any damage due to poor delivery and mechanical defect will receive free service. Under the following circumstances, little charge will be requested. 1) Any damage occurring after the guarantee period has elapsed. 2) Any damage due to natural disasters(fire, earthquake, lightening, and etc.). 3) Any damage due to misusage/treatment or carelessness after the installment. 4) Any damage due to poor repairing or remodeling done by non-komed Co. engineer or non-authorized person. Requirements for Service Requests When a problem/damage occurs, stop the system and re-check the relevant DATA in the operating manual. Before requesting for repair, turn off the system, verify the model and product number, as well as the date of purchase. Then, call the specified service department. External damage does not account for return or exchange of products. Comed Co.,Ltd. is not responsible for minor and indirect damages. Comed Co.,Ltd. is not responsible for damages after 1 year of guarantee period. Quality guarantee comes before particular suitability guarantee or any other guarantees. Comed Co.,Ltd COMED Medical Systems Co.,Ltd. 4

5 2. Introductions This manual is made for using instrument safe and rightly. This manual not respect changing the running mode and safety from external damage to instrument. This high frequency inverter type of the photo/imaging system is operated by the built-in operation program. It is comfortably designed to satisfy the operator's comfort as well as to enhance the efficiency and the quality of X-ray. Operator can easily select or change the necessary conditions for necessary photographs/images. (1) This manual is made for operating instrument safe and rightly (2) This instrument must following this manual process. (3) Read this manual carefully before using the instrument. Keep this manual closely for referring later. (4) EVA HF325/525 is a radioactivity medical instrument and using under the medical management. So it needs the authorized person who has the know-how about the X-ray. (5) High voltage generating circuit provides stable X-ray out put with little radiation through rectifying electric wave method. (6) X-ray tube system is made in rotary bipolar method which uses two foci(small focus 1.0mm/ large focus 2.0mm) to enhance its durability. (7) Control panel consists of x-ray controller and communication cable. So it can dealt the X-Ray irradiation and control from the long distance. LCD display allows the operator to irradiate at best X-ray irradiating conditions. (8) Table and stand are connected into one single unit. Therefore, no extra stand rail work is needed. Table moves in four directions to provide easy-positioning. (9) Temperature sensor is attached to prevent TUBE from overheating. micom-controller senses the temperature and protects the TUBE becoming too hot. (10) X-ray Controlling device and high voltage radiation device are all built in one unit. Therefore, it is easy to convey and possible to install even in a small space. COMED Medical Systems Co.,Ltd. 5

6 (11) PSU(POWER STORAGE UNIT) does not need much power and works efficiently under 2kW~3kW. Therefore, you could reduce electricity rate and save electricity cost. (PSU OPTION) (8) Wide selecting modes allow the operator to combine and create various working conditions. Only the legally authorized person(doctor, radio-diagnosis technician, X-ray diagnosis engineer) has the permission to operate the system COMED Medical Systems Co.,Ltd. 6

7 3. Composition This is divide by following that X-Ray radiography stand, an accessory, option etc X-Ray radiography device X-Ray tube STAND HANDLE BAR COLLIMATOR TABLE RAIL CONSOLE DISPLAY CONTROLLER HIGH TRANS 3.2 Option CEILING (Ceiling support) BUCKY STAND (Ground support) PSU STAND (Ceiling support) 3.3 The others User Manual COMED Medical Systems Co.,Ltd. 7

8 4. Using safety Guide 4.1 Safety rule KOMED Co, Ltd designs and builds this instrument complying with related safety requirement. Only the authorized personnel can remove the covers and/or have access to the components under tension. WARNING This device has not been designed to be used in environments where vapours, anaestethic mixes flammable with air, or oxygen and nitrous oxide can be detected. Avoid pouring water, even accidentally, or other liquids into the device, as this cause short-circuits. Before cleaning the device, please disconnect it from the line voltage Wherever necessary, use the accessories, such the leaded aprons, to protect the patient from radiation While performing the radiography, no one, apart from the operator and the patient, must remain in the room. EVA-HF 325/525 has been built to support a continuous operation at intermittent load. Cooling down the storing heating at a radioactivity origin, must follow the described use cycles. COMED Medical Systems Co.,Ltd. 8

9 WARNING! Though the X-ray quantity supplied by radioactivity units is quite low and distributed on a small surface, the operator must adopt the precautions and fit protections for the patient and himself, during the execution of radiography. It is advisable to control the X-ray emission from a protected area, by means of a remote control. If it is necessary to operate near the patient, stay as far as the cable of the remote control allows it, or at least 2m far both from the X-ray source and from the patient. COMED Medical Systems Co.,Ltd. 9

10 4.2 Electronic safety Before handling the system, be sure to check the following instructions. Make sure the source power voltage and capacity match up to AC VAC(37.5kW/40kW). (When using PSU, DC voltage 370VDC) Make sure all the connecting terminals(collimator, high voltage cable, bulky, and etc.) are properly connected. Make sure the system's grounding is perfectly done. (If the grounding is imperfect, there may be noise.) Warning! Through this unit has been designed with a quite acceptable protection level from electromagnetic interferences, it is advisable to install it a certain distance from electrical energy transformation chambers, from Uninterruptible Power Supply(UPS) units, from portable receiving-transmitting units. Mobile telephones are only admitted at a distance of more than 1,5 m from any component if the device. Other medical instruments and devices that must be used in the same installation area of the unit must comply the Electromagnetic Compatibility rules in force. Non-complying instruments, of which the poor immunity from electromagnetic fields in well known, must be installed at least 3m far from the EVA-HF325/525 and supplied by a different electrical line. COMED Medical Systems Co.,Ltd. 10

11 4.3 Environmental risks and displacement The device contains in some of its parts, materials and liquids that at the end of the units life, must be disposed of at the fit disposal centers. Particularly the device contains the following materials and components Tube: dielectric oil, lead, copper, iron, aluminium, glass, tungsten, beryllium. Control, HIGH TRANS : iron, dielectric oil, brass, acryloyl, non-biodegradable plastix material packaging Instrument structure : iron, brass, non-biodegradable plastix material packaging Warning! Part dismantle of the instrument must performed by the staff of COMED Co, Ltd or qualified technicians authorized personnel COEMD Co, Ltd or the agent is not responsible for the displacement of the device performed by the user and for the related costs. COMED Medical Systems Co.,Ltd. 11

12 5. Specifications 5.1 X-ray tube device (X-ray TUBE) Focal Spot : Large Focus : 2.0 mm Small Focus : 1.0 mm Anode Speed : 50 Hz : 2700 rpm (Min) 60 Hz : 3200 rpm (Min) Maximum Anode Heat Dissipation Rate : 667Hu/s 5.2 X-ray high-voltage device 1) EVA-HF325 Tube-current adjustment : 10mA ~ 300mA Tube-voltage adjustment : 40kV ~ 125kV Time adjustment : ~ 10sec Rated : 125kVp / 200mA / 1sec(200mAs) 80kVp / 100mA / 6.3sec(630mAs) total 0.010mAs ~ 630mAs possibly adjustment 2) EVA-HF525 Tube-current adjustment : 10mA ~ 500mA Tube-voltage adjustment : 40kV ~ 125kV Time adjustment : 0.001sec ~ 10sec Rated : 125kVp / 200mA / 1sec(200mAs) 80kVp / 100mA / 6.3sec(630mAs) total 0.010mAs ~ 630mAs possibly adustment 5.3 X-ray control method radiography MICRO PROCESSOR control digital display MANUAL APR(Anatomical Programalbe Radiography) COMED Medical Systems Co.,Ltd. 12

13 5.4 Instrument structure 1) Tube Forward-backward movement range : 185mm X-axis center rotating angle range : over ± 90 Z-axis center rotating angle range : over ± 90 Operating Max height : above ground 1720 mm (Tube photosphere standard) Min height : above ground 650 mm (Tube photosphere standard) Up-down movement range : 1170 mm Left-right movement range : 1940 mm 2) TABLE Forward-backward movement range : 200mm Left-right movement range : 600mm 5.5 Optional specifications All-in-one type Ceiling support type 5.6 Using voltage Power Outward Power single phase 220V 37.5kW/40kW 5.7 Size and weight Height : 2070 mm Width : 2600 mm Range : 1350 mm Weight : 398 Kg COMED Medical Systems Co.,Ltd. 13

14 5.8 Block Diagram The electric composition block diagram of PXR-Series is shown in Fig 2-1. Power Supply EM swich Delay EM swich AD/DC Convertor HF DC/AC Inverter HV TANK X-ray TUBE IGBT Driver Stater OP PANEL HT CONT Collimator PWR FILAMENT IF AEC ION Chamber Fig 1-1 COMPOSITION OF THE HFG AC input voltage is converted into DC voltage by a single-phase all wave rectifier circuit. This DC voltage is inverted in high-frequency voltage of about 20kHz by IGBT inverter. The high-frequency voltage is converted into the 40 (+20kV/-20kV) to 125kV (+62.5kV/-62.5kV) DC high voltage by a high-voltage transformer and the multi-voltage rectifier circuit. This DC high voltage is supplied to an X-ray tube through a high-voltage cable, and PWM INV controls this X-ray tube voltage. Modulating the Filament voltage controls the tube current.. The operation panel can operate selection in each mode of operation and control, selection and setting of conditions. These operation conditions are transmitted by the communication system from OP-CONT to HT-CONT. HT-CONT controls the output of a high-voltage generator according to the instructions from OP-CONT. COMED Medical Systems Co.,Ltd. 14

15 The flow of the control signal of X-ray exposure is shown in the following Fig 1-2. Operation Panel High Voltage Generator Main CPU A/D CONV D/A CONV PWM kv FB PWM kv, ma FB Amp Drive circuit Filament ma FB rms/dc CONV IGBT AEC FIL. INV. HV Trans FIL. Trans. kv ma A X-ray TUBE C FIL. ION Chamber Fig 1-2 CONTROL SIGNAL OF X-RAY EXPOSURE COMED Medical Systems Co.,Ltd. 15

16 6. Using environmental condition When using this instrument avoid following the place The place that direct rays The place that a lit of dust and high humidity The place that badly ventilated The place that saltiness The place that has chemical material and gas The place that high vibration Keep the temperature and humidity for the normal running. Possible Storage Temp.,Humidity Range: 5 ~40 C, 5 ~ 90%RH Possible Usage Temp.,Humidity Range: 10 ~35 C, 30 ~85%RH Best Preferred Temp.,Humidity Range: 17 ~23 C, 40 ~60%RH COMED Medical Systems Co.,Ltd. 16

17 7. Instrument running and operation instructions Preparations 1)Turn on the main power supply switch. Supply power to X-ray controlling system and check out for any extraordinary or odd. 2) Warm up the system for at least 30 minutes before taking radiography. 7.1 HANDLE BAR operating method When this button pressed condition, TUBE can rotate to WALL BUCKY and side of the patients When this button pressed condition, TUBE can move forward and backward direction. When this button pressed condition, TUBE can move up and down direction. When this button pressed condition, TUBE can move left and right direction. When this button pressed condition, body of the STAND can rotate. When this button pressed condition, TUBE can move all direction. COMED Medical Systems Co.,Ltd. 17

18 7.2 Radiography TABLE operating method Using table at this device select 4way table that operator easily decide radiography part of the patient s body. - Placed patient over the bed, pressed button of the collimator, and under pressed the foot switch. The operator placed radiography part of the patients. - When Table and Grid Center are same location that sounded buzzer like beep~. 7.3 BUCKY STAND operating method 1) Placed the patients front of the bucky stand, and decide the place adjust the patient s body size that move the cassette tray up and down 2) Input the cassette with a file to the Cassette holder 3) X-ray output window of the tube look at the bucky stand direction, and adjust angle of the handle bar to 90 degree. 4) Press the button of collimator and decide the position with pressing the up /down button of the handle bar that the center of the light to the radiography target part of the patient. 7.4 CASSETTE TRAY operating method 1) At first placed the radiate position of the patients, and move the center light of the collimator to the radiate position. 2) Pull out the cassette hold and move the tray to the radiated position and the tube in a straight line. 3) Input cassette within the film and fixed. And the cassette holder push into the tray that cassette fixed right position. COMED Medical Systems Co.,Ltd. 18

19 8. X RAY operating method 8.1 OPERATION PANEL operating method Display lamp A B C D E READY display lamp EXPOSURE display lamp SMALL FOCUS display lamp LARGE FOCUS display lamp ERROR display lamp F OVER LOAD display lamp COMED Medical Systems Co.,Ltd. 19

20 A. READY display lamp While the READY S/W is pressed, this lamp turn on. B. EXPOSURE display lamp When pressed the READY S/W and press the EXPOSURE S/W this lamp turned on during the X-ray radiation times C. SMALL FOCUS dislplay lamp If the focus of the Tube is the small focus, this display lamp will turn on. (below 160mA condition.) D. LARGE FOCUS display lamp If the focus of the Tube is the large focus, this display lamp will turn on. (over 160mA condition.) E. ERROR display lamp After the controller self-exam. if error occurred then error display lamp will turn on. F. OVER LOAD display lamp Exceed the capacity of the tube or abnormal condition that overload display lamp will turn on. COMED Medical Systems Co.,Ltd. 20

21 8.1.2 Operating panel PART1(Operating panel left side) A B POWER OFF S/W POWR ON S/W C kv adjustment S/W D ma adjustment S/W E TIME adjustment S/W F DENSITY adjustment S/W COMED Medical Systems Co.,Ltd. 21

22 G TUBE 1 SELECT S/W H TUBE 2 SELECT S/W I TIME, mas CHANGE S/W J AUTO EXPOSURE CONTROL POSITION S/W K BUCKY 1 SELECT S/W L BUCKY 2 SELECT S/W M BUCKY 3 SELECT S/W COMED Medical Systems Co.,Ltd. 22

23 A. POWER OFF S/W Press this button, all power turned off. B. POWR ON S/W Press this button, all power turned on. C. kv adjustment S/W The button adjust the value of the Kv. Press upper triangle, increase the value of the Kv and press downward triangle, decrease the value of the Kv. D. ma adjustment S/W The button adjust the value of the ma. Press upper triangle, increase the value of the ma and press downward triangle, decrease the value of the ma. COMED Medical Systems Co.,Ltd. 23

24 E. TIME adjustment S/W The button adjust the time of the radiation. Press upper triangle, increase the time of the radiation and press downward triangle, decrease the time of the radiation. F. DENSITY adjustment S/W The button adjust the density. (Not use at this machine.) G. TUBE 1 SELECT S/W Select the 1 st tube, when use two tubes. (Only one tube use at this machine.) H. TUBE 2 SELECT S/W Select the 2 nd tube, when use two tubes. (Not use at this machine.) COMED Medical Systems Co.,Ltd. 24

25 I. TIME, mas CHANGE S/W If press this button then display screen change time to mas (If press one more then change mas to time...) J. AUTO EXPOSURE CONTROL POSITION S/W Three button like above the picture, When using AEC functions. (Not use at this machine) K. BUCKY 1 SELECT S/W 1 st Burky button. Press this button then select the table burky running at this instrument. L. BUCKY 2 SELECT S/W Optional specification. If has the burky-stand. Press this button then select the burky running at burky-stand. M. BUCKY 3 SELECT S/W Functions select burky running of the other instrument. COMED Medical Systems Co.,Ltd. 25

26 8.1.3 Operating panel PART1(Operating panel right-side) A B Body size SELECT S/W Body part SELECT S/W C D Detail body part SELECT S/W Save condition S/W E Green READY S/W F Yellow EXPOSURE S/W A. Body size SELECT S/W The button select the body size, it divide patients to large, medium, small and child. B. Body part SELECT S/W The button selects the body part. The button select the wanted part at a picture. COMED Medical Systems Co.,Ltd. 26

27 C. Detail body part SELECT S/W The button selects the detail body part. Press the wanted part from the right LCD window. D. Save condition S/W The button saves the condition. When save the condition, press this button 2 second. E. READY S/W Green READY S/W. While pressing this button, READY display lamp turned on. F. EXPOSURE S/W Yellow EXPOSE S/W. During turning on the READY display lamp, press this button then the X-ray is generated. Warning! Please the X-RAY ON KEY switch press until end of the X-RAY radiation for completing the X-ray radiation. COMED Medical Systems Co.,Ltd. 27

28 8.1.4 APR(Anatomical Programable Radiography) saving method See operating panel menu. 1. Select the body size. Large Medium Small Child 2. Select the body part. SKULL PNS CHEST ABDOMEN SPINE UPPER EXTREMITY LOWER EXTREMITY 3. Select the detail body part. (See above display window and select one from 6 kind of the detail body part then marked symbol.) COMED Medical Systems Co.,Ltd. 28

29 4. Select the value of Kv and mas. 5. When save the setting condition, press the SET/SW until sounding the buzzer(about 1 second). COMED Medical Systems Co.,Ltd. 29

30 9. Maintenance and repairing General We recommend this instrument always have a periodical inspection every year for confidence and renew Must have a periodical inspection by the authorized technician. CLEANING No a periodical cleaning cycle, cleaning the unit when the instrument become dirty after operating To clean the main-part of the instrument, at first turn power off and pull the plug out from the socket then do cleaning. When cleaning the main-part of the instrument, using a soft piece of close and clean softly for not scratching the main-part COMED Medical Systems Co.,Ltd. 30

31 ERROR MESSAGE 10. Broke down and measures When specific ERROR occurred at this machine, easily recognized the error because CONSOLE DILSPLAY window show the ERROR MESSAEG due to self-exam functions of the CONTROLLER. Error Code Err 01 ERROR CODE LIST Description CHARGE MONITOR ERROR When the power voltage drops below AC160V and DC150V. Err 02 Err 03 Err 04 Err 05 Err 06 Err 07 Err 08 Err 09 Err 10 Err 11 Err 12 TIME OVER ERROR AT STANDBY(Serial Communication Fail Error) Standby position is not cleared after the 10 sec. at the operation panel power on( No reply from HT-CONT) READY OUT SIGNAL ERROR AT STANDBY Defects of Operation panel or HT control board X-RAY OUT SIGNAL ERROR AT STANDBY Defects of Operation panel or HT control board PANEL READY SWITCH INPUT ERROR AT STANDBY When the operation panel ready switch input is on position. PANEL X-RAY SWITCH INPUT ERROR AT STANDBY When the operation panel ready switch input is on position. Not Defined Not Defined ROTOR CURRENT ERROR AT NON-EXPOSURE POSITION TP18 (RTR_I_FB) of HT Control Board is higher than 1V at non-exposure action FILLAMENT CURRENT ERROR AT NON-EXPOSURE POSITION TP2 (FIL_I_FB) of HT Control Board is higher than 1.5V at non-exposure action kv FEEDBACK CURRENT ERROR AT NON-EXPOSURE POSITION TP8 (kv_fb) of HT Control Board is higher than 1V TP8 (33.3kV) at non-exposure action ma FEEDBACK CURRENT ERROR AT NON-EXPOSURE POSITION TP4 (ma_fb) 10-80mA setting of HT Control Board is higher than o.5v (5mA), In case of mA setting of HT Control Board is higher than o.1v (11mA) TP8 (33.3kV) at non-exposure action COMED Medical Systems Co.,Ltd. 31

32 Err 13 ROTOR CURRENT ERROR AT EXPOSURE POSITION TP18 (RTR_I_FB) of HT Control Board is lower than 3.0V at exposure ready action after the 0.8 sec. With ready switch input. Err 14 FILLAMENT CURRENT ERROR AT EXPOSURE POSITION TP2 (FIL_I_FB) of HT Control Board is lower than 1.5V at exposure ready action after the 1.5 sec. With ready switch input. Err 15 Err 16 Err 17 Err 18 Err 19 Err 20 Err 21 Err 22 Err 23 kv FEEDBACK CURRENT ERROR AT EXPOSURE POSITION After Exposure is ready, X-ray switch input and turn on HV-ENABLE signal and within 3msec HT8 (kv_fb)setting is under %70 During exposure TP8(kV_FB) setting is under 70% *kv Feedback monitoring data(70%) can be set on calibration mode[c-2_43] ma FEEDBACK CURRENT ERROR AT EXPOSURE POSITION Exposure Ready Condition TP4 (ma_fb) 10-80mA setting of HT Control Board is lower than o.5v (5mA), In case of mA setting of HT Control Board is lower than o.1v (11mA) after the 3 msec. with kv Feedback signal. During Exposure TP4 (ma_fb) 10-80mA setting of HT Control Board is lower than o.5v (5mA), In case of mA setting of HT Control Board is lower than o.1v (11mA). Not Defined X-RAY TIME OVER ERROR AT SEC MODE EXPOSURE X-ray end signal is not reached to the panel from HT exceeding the setting time at the sec mode exposure X-RAY TIME OVER ERROR AT mas MODE EXPOSURE X-ray end signal is not reached to the panel from HT exceeding the setting time calculated by the ma (1/2) formula at the mas mode exposure. X-RAY TIME OVER ERROR AT AEC MODE EXPOSURE X-ray end signal is not reached to the panel from HT exceeding the setting time calculated by backup-timer at the AEC mode exposure. HV INTERLOCK ERROR Unlink the HV trans connection IGBT FAULT ERROR HV Tans is under overloading condition about ma (350A). kv FEEDBACK OVER CURRENT ERROR AT EXPOSURE POSITION TP8 (kv_fb) of HT Control Board is higher than 20kV during the exposure. COMED Medical Systems Co.,Ltd. 32

33 Err 24 Err 25 Err 26 ma FEEDBACK OVER CURRENT ERROR AT EXPOSURE POSITION TP8 (ma_fb) of HT Control Board is higher than [ma setting value plus 50%] during the exposure. NO ZERO CROSS ERROR Impossible to detect the frequency signal. ZERO CROSS OVER ERROR Frequency signal detection over. Ch_01 Ch_07 TUBE THERMOSTAT OPERATION The temperature of the slim and long shaped light bulb is higher than 80C. Thermo switch is in open position. Release the check code at Thermo switch off condition. Shortage of power-supply capacity for exposure The power voltage drop is below AC160V and DC 150V. Release the check code with input of power. COMED Medical Systems Co.,Ltd. 33

34 When occur the Error code, Turn power off and contact the SERVISE PART. Collimator lamp replace method 1. back-cover release Release the bolt by the hand, which display two circles from above picture. Lifting and pull out back-cover of the collimator. 2. Lamp back-cover release Release the bolt a little by the screwdriver, which display the circles from above picture. Push the arrow-direction and pull the lamp back-cover. COMED Medical Systems Co.,Ltd. 34

35 3. Lamp pull out pull out the lamp the arrow-direction, which display the while-circle from above picture. 4. Lamp sticking Sticking of the lamp is reversed pull out of the lamp Warning Replacement lamp(new lamp) never touch by the hand (Long-time running lamp is very hot, so don t touch.) COMED Medical Systems Co.,Ltd. 35

36 11. Radiography condition table `POSITION SS S kvp ma mas Grid kvp ma mas Grid AP/PA Lateral SKULL Townes Mandible PA Axial Later Nasal Lateral Waters PNS Caldwell PNS Lateral Law Mastoid Stenvers Towns Chest PA Lateral CHEST Rib AP Both obliq Clavicle AP Shoulder AP Supine Erect ABDOMEN KUB Pelvis AP Lateral Hip Lateral C-spine AP Lateral SPINE T-spine AP Lateral L-spine AP Lateral Finger Hand Upper Wrist EXTREMITY Foream Elbow Lower EXTREMITY Humerus Foot Ankle Tibia Knee Merchant Femur COMED Medical Systems Co.,Ltd. 36

37 POSITION M L kvp ma mas Grid kvp ma mas Grid AP/PA Lateral SKULL Townes Mandible PA Axial Later Nasal Lateral Waters PNS Caldwell PNS Lateral Law Mastoid Stenvers Towns Chest PA Lateral CHEST Rib AP Both obliq Clavicle AP Shoulder AP Supine Erect ABDOMEN KUB Pelvis AP Lateral Hip Lateral C-spine AP Lateral SPINE T-spine AP Lateral L-spine AP Lateral Finger Hand Upper Wrist EXTREMITY Foream Elbow Lower EXTREMITY Humerus Foot Ankle Tibia Knee Merchant Femur Note! Above condition table is not the absolute value, So operator adjust and save to using above condition COMED Medical Systems Co.,Ltd. 37

38 12. Radiography skill HAND PA HAND Lateral Wrist PA Wrist Lateral Forearm AP Forearm Lateral COMED Medical Systems Co.,Ltd. 38

39 Humerus AP Humerus Lateral Elbow AP Glenoid fossa Shoulder axial Elbow Lateral COMED Medical Systems Co.,Ltd. 39

40 FOOT AP FOOT Lateral Ankle joint AP LEG AP LEG lateral Ankle joint lateral COMED Medical Systems Co.,Ltd. 40

41 KLEE joint AP KLEE joint Lateral Femur AP Hip joint AP Hip joint Lateral Femur Lateral COMED Medical Systems Co.,Ltd. 41

42 Pelvis AP Pelvis inlet Pelvis oblique C spine AP C spine lateral C-Open Mouth C-oblique Chest AP Chest Lateral COMED Medical Systems Co.,Ltd. 42

43 COCCYX AP COCCYX Lateral Pelvis outlet L-spine AP L-spine Lateral L-spine oblique COMED Medical Systems Co.,Ltd. 43

44 Skull AP Skull Lateral Skull Town's PNS AP PNS Lateral PNS waters COMED Medical Systems Co.,Ltd. 44

45 Memo Note! This instrument can changed no pre-notify for the efficiency and the safety Purchasing agency : ( ) Manufacturing company : Comed Co,Ltd ( ) Selling company : ( ) A/S company : ( ) COMED Medical Systems Co.,Ltd. 45