AGFA DR 600 User manual

DR 600
5530/100
User Manual
3261K EN 20210708 0808

Contents
Legal Notice ..........................................................................9
Introduction to this Manual ................................................. 10
Scope of this Manual ................................................11
About the safety notices in this document ................ 12
Disclaimer ............................................................... 13
Introduction .........................................................................14
Intended Use ........................................................... 15
Intended User .......................................................... 16
Configuration .......................................................... 17
Applied Parts ............................................... 19
Options and Accessories ...........................................20
Operation Controls .................................................. 21
Radiographic table ...................................... 22
Radiographic wall stand .............................. 23
Control Panel of the X-Ray Tube Head Unit ....
24
Remote Control for the X-Ray Tube Head Unit ..
25
Tube head display ........................................ 27
MUSICA Acquisition Workstation (NX) ........ 28
Software Console .........................................29
Extra monitor in the examination room ....... 30
DR Detector Switch ......................................31
Automatic positioning button .......................32
X-ray generator mini console (Spellman) ..... 33
X-ray generator mini console (EMD) ............ 34
Exposure button .......................................... 35
Automatic collimator ................................... 36
Collimator camera ....................................... 37
Portable DR detector ....................................39
Emergency stop button ................................ 40
Emergency shutdown power switch ............. 42
Power off behaviour .....................................43
Installation .............................................................. 44
HF-emission and immunity ..........................44
Radiation Protection ................................................45
Monitoring of Personnel .............................. 46
Protected area and significant zones of occupancy
..........................................................................47
Skin dose levels according to IEC 60601-2-54 ..
54
Ongoing quality control in digital radiography .
55
Labels ...................................................................... 56
Warning labels on the radiographic table ..... 58
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Warning labels on the radiographic wall stand .
58
Type label .................................................... 59
DR Detector identification label ................... 60
Additional Labeling of the Tube Head Unit ... 61
Additional Labeling of the Radiographic Table .
62
Additional Labeling of the Radiographic Wall
Stand ...........................................................63
Labeling of the bucky ...................................64
Labeling of the Automatic Exposure Control (AEC)
..........................................................................66
Labeling of the DR Generator Sync Box ........ 67
Labeling of the X-ray generator (Spellman) ....
68
Labeling of the X-ray generator (EMD) .........70
Labeling of the Remote Control ....................71
Labeling of components with earthquake
resistance .....................................................72
About the software ...................................... 73
Cleaning and Disinfecting ........................................ 74
Cleaning ...................................................... 75
Disinfecting ................................................. 77
Disinfecting safety directions ....................... 78
Approved disinfectants ................................ 79
Maintenance ............................................................80
Maintenance of the radiographic table,
radiographic wall stand and X-Ray Tube Head Unit
..........................................................................80
Safety Directions ..................................................................84
General Safety Directions .........................................85
Safety Directions for the X-Ray System .....................87
Safety Directions for the radiographic table ............. 89
Safety Directions for the Ceiling Suspension ............ 90
Basic Workflow ....................................................................91
Starting the System ................................................. 92
Automated workflow for warming-up of X-ray
tube ............................................................ 92
Performing an exposure using the DR Detector ........ 94
Step 1: retrieve the patient info ....................95
Step 2: select the exposure ...........................96
Step 3: Prepare the exposure ........................97
Step 4: Check the exposure settings ............. 98
Step 5: execute the exposure ........................99
Step 6: perform a quality control ................100
Performing a digital tomosynthesis examination .... 101
Step 1: prepare the examination ................ 102
Step 2: position the X-ray system and the patient
........................................................................105
Step 3: check the exposure settings ............ 106
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Step 4: execute the digital tomosynthesis exposure
sequence ....................................................107
Step 5: perform a quality control ................ 110
Performing an exposure using a CR cassette ........... 111
Step 1: retrieve the patient info .................. 112
Step 2: select the exposure ......................... 113
Step 3: prepare the exposure ...................... 114
Step 4: check the exposure settings ............ 115
Step 5: execute the exposure ...................... 116
Step 6: repeat steps 2 to 5 for the next
subexposures ............................................. 117
Step 7: digitize the image ........................... 118
Step 8: perform a quality control ................ 119
Performing a Full Leg Full Spine examination ........ 120
Stopping the System .............................................. 121
Guidelines for pediatric applications ...................... 122
Guidelines for Pediatric Applications ..........122
Software Console and Tube Head Display .......................... 124
Action buttons ....................................................... 126
Planned exposures ................................................. 127
Live camera image on the tube head display ...........128
Previewing the position of the collimation area
and the AEC fields ......................................129
Prerequisites for previewing collimation and AEC
fields ..........................................................130
Non-perpendicular angles .......................... 131
Image Preview Window ......................................... 132
Main screen of the Tube head display ..................... 133
Device Status Frame ...............................................134
Ready For Exposure Status .........................135
Modality Position .......................................136
DR Detector Switch ....................................137
Filter Status ............................................... 138
Grid Status .................................................139
Radiation status ......................................... 140
Unknown status ......................................... 141
Generator controls ................................................. 142
One point, two point and three point working
modes ........................................................143
Radiographic Parameters ........................... 145
Focal Spot Indicator ................................... 146
Automatic Exposure Control (AEC) ............ 147
X-Ray Tube Load ........................................ 152
DAP Value ..................................................153
Heat Units ..................................................154
DR detector and X-ray tube head alignment ........... 155
X-ray modality controls .......................................... 157
Positioning controls ............................................... 158
Positioning screen of the tube head display ....
159
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Actual and target position parameters ........ 160
Collimator Parameters ................................161
Automatic positions ................................... 162
Tracking the radiographic table ..................167
Tracking the radiographic wall stand ......... 169
Automatic centering ...................................171
Controls for digital tomosynthesis .......................... 173
Radiographic Parameters for digital tomosynthesis
........................................................................ 174
Position parameters for digital tomosynthesis ..
175
Reconstruction parameters .........................176
Adjusting the reconstruction settings for digital
tomosynthesis ............................................177
System messages ....................................................178
Ceiling Suspension .............................................................180
Control Panel of the Tube Head Unit ...................... 181
Positioning the X-Ray Tube .....................................182
Stop positions ............................................ 184
Collision indicator ......................................185
Positioning the X-Ray Tube using the Remote Control ..
186
Automatic Collimator .............................................189
Semi-automatic collimation mode ..............191
Manual collimation mode .......................... 192
Collimation area for free exposures ............ 193
Dose Area Product Meter (DAP) ................. 194
Effect of SID on patient dose .................................. 195
Radiographic Table ............................................................ 196
Positioning the Radiographic Table ........................ 197
Positioning the floating tabletop ................ 198
Adjusting height .........................................199
Collision protection ............................................... 200
Positioning the bucky .............................................201
Radiographic Table Accessories ............................. 202
Mounting the patient hand grips ................203
Mounting the tabletop hand grips .............. 204
Foot pedals at the rear side ........................ 205
Mattress .....................................................206
Lateral cassette holder ............................... 207
Compression belt ....................................... 208
Radiographic Wall Stand ................................................... 209
Positioning the Radiographic Wall Stand ................211
Radiographic Wall Stand Accessories ..................... 213
Patient hand grips ...................................... 214
Mounting the lateral arm rest .....................215
Spacer ........................................................216
Wall stand fixation kit ................................ 217
Bucky .................................................................................218
Bucky configuration .............................................. 220
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Rotating the bucky .................................................221
Loading of the bucky in the Radiographic Table ..... 222
Loading of the bucky in the Radiographic Wall Stand ...
223
Unloading of the bucky in the Radiographic Table . 224
Unloading of the bucky in the Radiographic Wall Stand
....................................................................................225
Opening the bucky drawer configured with an earthquake
kit ..........................................................................226
Automatic Cassette Size Sensing ............................ 227
Bucky types ........................................................... 228
Cassette and detector formats ................................ 230
Standard cassette formats ...................................... 231
DR Detector formats and orientation ..................... 232
Orientation of DR 10s in the bucky .............233
Orientation of DR 14s in the bucky .............234
Orientation of DX-D 10C, DX-D 10G in the bucky
........................................................................236
Using DX-D 45C, DX-D 45G, XD 10, XD⁺10 only
outside the bucky .......................................237
Grids ..................................................................... 238
Anti-scatter grids ....................................... 239
Grid focal distance color indication ............240
Grid detection ............................................ 241
Storage box for DR Detector and grids ........242
Changing the grid configured with an earthquake
kit ..............................................................243
Automatic Exposure Control (AEC) ........................244
X-Ray Generator Mini Console ........................................... 245
Starting and stopping the generator .......................246
X-ray tube start-up modes ...................................... 247
X-ray generator messages and warning signals (Spellman)
....................................................................................248
X-ray generator messages and warning signals (EMD) .
249
Exposure parameters ............................................. 250
Radiographic Parameter Limits ..................252
Exposure termination ............................................ 254
Problem solving .................................................................255
Restoring connection between generator and NX after
generator failure ....................................................256
Automatic collimation always too wide or too narrow ..
257
NX does not connect to the generator due to ID tablet ..
258
No table movement ................................................259
No movement when using remote control .............. 260
DR Detector is Exceeding the Maximum Working
Temperature .......................................................... 261
DR Detector must be Recalibrated ..........................262
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Tube head display shows screen to check network
connection .............................................................263
Radiographic Parameter Limits ..............................264
Product Information .......................................................... 265
Compatibility .........................................................266
Connectivity .......................................................... 267
Compliance ........................................................... 268
General ......................................................269
Safety ........................................................ 269
Electromagnetic Compatibility ...................269
X-Ray Safety .............................................. 270
X-Ray Accuracy .......................................... 270
Environmental Compliance ........................270
Biocompatibility ........................................ 270
Usability .................................................... 270
Earthquake resistance ................................270
Equipment Classification ....................................... 271
Patient data security .............................................. 272
Requirements on the operating environment ...
272
Product Complaints ................................................274
Environmental protection ...................................... 275
System Documentation .......................................... 277
Installing the Online Help .......................... 277
Training .................................................................279
Technical Data ....................................................... 280
DR 600 Technical Data ...............................281
Generator Technical Data (Spellman) ........ 283
Generator Technical Data (EMD) ............... 284
Radiographic Table Technical Data ............ 285
Wall Stand Technical Data ......................... 286
Ceiling Suspension Technical Data .............288
X-Ray Tube Technical Data .........................289
Bucky Unit Technical Data ......................... 291
Automatic Exposure Control (AEC) Technical Data
........................................................................293
Automatic collimator technical data ...........294
Dose Area Product Meter (IBA DAP) Technical
Data ...........................................................295
Dose Area Product Meter (VacuTec DAP) Technical
Data ...........................................................296
Fixed DR Detector ......................................297
Portable DR Detector Technical Data ..........301
NX Workstation Technical Data ..................302
DR Generator Sync Box Technical Data ...... 303
Remarks for HF-emission and immunity ................304
Immunity to RF wireless communication
equipment ................................................. 309
Precautions on EMC ................................... 310
Cables, transducers and accessories ........... 311
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Maintenance on EMC relevant parts ........... 315
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Legal Notice
0413
Agfa NV, Septestraat 27, B-2640 Mortsel - Belgium
For more information on Agfa products, please visit www.agfa.com.
Agfa and the Agfa rhombus are trademarks of Agfa-Gevaert N.V., Belgium or
its affiliates. DR 600 is a trademark of Agfa NV, Belgium or one of its affiliates.
All other trademarks are held by their respective owners and are used in an
editorial fashion with no intention of infringement.
Agfa NV makes no warranties or representation, expressed or implied, with
respect to the accuracy, completeness or usefulness of the information
contained in this document and specifically disclaims warranties of suitability
for any particular purpose. Products and services may not be available for
your local area. Please contact your local sales representative for availability
information. Agfa NV diligently strives to provide as accurate information as
possible, but shall not be responsible for any typographical error. Agfa NV
shall under no circumstances be liable for any damage arising from the use or
inability to use any information, apparatus, method or process disclosed in
this document. Agfa NV reserves the right to make changes to this document
without prior notice. The original version of this document is in English.
Copyright 2021 Agfa NV
All rights reserved.
Published by Agfa NV
B-2640 Mortsel - Belgium.
No part of this document may be reproduced, copied, adapted or transmitted
in any form or by any means without the written permission of Agfa NV
DR 600 | Legal Notice | 9
3261K EN 20210708 0808

Introduction to this Manual
Topics:
•Scope of this Manual
•About the safety notices in this document
•Disclaimer
10 | DR 600 | Introduction to this Manual
3261K EN 20210708 0808