AGFA DR 800 User manual

DR 800
6010/200
User Manual
0392C EN 20210309 1049

Contents
Legal Notice ..........................................................................8
Introduction to this Manual ................................................... 9
Scope of this Manual ................................................10
About the safety notices in this document ................ 11
Disclaimer ............................................................... 12
Introduction ........................................................................ 13
Intended Use ............................................................14
Indications for Use ...................................................15
Intended User .......................................................... 16
DR 800 System Overview .........................................17
Radiographic Table ...................................... 19
Position Controls ..........................................21
Worklist window ..........................................25
Software Console .........................................26
Exposure Controls ........................................28
Examination window ...................................30
Acquisition window ..................................... 31
Editing window ........................................... 32
Main Menu window .....................................33
Monitor for reference images ....................... 34
DR detector switch .......................................35
Collimator ................................................... 36
Portable DR Detector ................................... 38
Compressor ................................................. 39
FLFS overlay ................................................ 40
Emergency stop button .................................41
Emergency shutdown power switch ............. 42
Cabinets and power switch .......................... 43
Radiographic wall stand .............................. 44
Ceiling Suspension ...................................... 49
Messages ................................................................. 52
Labels ...................................................................... 53
Additional labeling of the radiographic table ...
56
Additional labeling of the positioning console ..
58
Additional labeling of the wireless console ...59
Additional labeling of the DR 800 sync cabinet
60
Additional labeling of the positioner cabinet ....
61
Additional labeling of the radiographic wall stand
..........................................................................62
Additional labeling of the collimator ............ 63
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Additional labeling of the X-ray tube ceiling
suspension ...................................................64
Additional labeling of the Full Leg Full Spine
overlay .........................................................65
Additional labeling of components with
earthquake resistance .................................. 66
Installation .............................................................. 67
Mains supply ................................................68
Radiation protection .................................... 69
Radiation Protection ................................................70
Fluoroscopy ................................................. 71
Monitoring of Personnel .............................. 72
Protected area and significant zones of occupancy
..........................................................................73
Maintenance ............................................................77
Maintenance of the ceiling suspension and the
radiographic wall stand ............................... 80
Offset calibration ......................................... 81
Checking the automatic collimation .............82
Cleaning and Disinfecting ....................................................83
Cleaning .................................................................. 84
Use of protective covers and sheaths ........................ 85
Disinfecting ............................................................. 86
Disinfecting safety directions ................................... 87
Approved disinfectants ............................................ 88
FLFS Overlay ........................................................... 89
Safety Directions ..................................................................90
Dangerous areas ...................................................... 94
Patient visibility .......................................................98
Wireless console .................................................... 100
Getting on and off the table ....................................101
Preventing damage to the equipment ..................... 102
Attention to overhead loads ................................... 103
Full Leg Full Spine ................................................. 104
Digital tomosynthesis .............................................105
Ceiling suspension and radiographic wall stand ..... 106
Basic Workflow ..................................................................107
Starting the System ................................................108
Warming-up of X-ray tube .......................... 109
Automated workflow for warming-up of X-ray
tube ...........................................................110
DR workflow with fluoroscopy for positioning ....... 111
DR workflow for dynamic images ........................... 117
DR workflow for digital tomosynthesis ...................124
DR workflow for digital subtraction angiography (DSA)
....................................................................................130
DR workflow for DSA roadmapping ....................... 135
Stopping the System ...............................................141
Application Examples .........................................................142
Positioning the patient on the examination table ....143
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Fine‐tuning the table position and centering of the
examination area ................................................... 145
Gastrointestinal examinations: oesophagus and stomach
....................................................................................146
Gastrointestinal examinations: small intestine and colon
.................................................................................... 147
Skeleton .................................................................148
Cervical spine ........................................................ 149
Abdominal and lumbar region ............................... 150
Upper limbs and lower limbs (also with load) .........151
Thorax and lungs ................................................... 152
Urography and pyelography ...................................153
Hysterosalpingography ..........................................154
Guidelines for Pediatric Applications ..................... 155
Typical examination settings .................................. 157
Full Leg Full Spine ............................................................. 159
Retrieve the patient info .........................................160
Select the exposure ................................................ 160
Prepare the Full Leg Full Spine configuration ......... 161
Prepare the examination ........................................ 163
Prepare the X-Ray system for the examination ........166
Check the exposure settings ................................... 167
Execute the exposure ............................................. 169
Perform a quality control ....................................... 170
Finalize the examination ........................................173
Storing the FLFS overlay .........................................174
Manually adjusting a DR Full Leg Full Spine image ....
175
To rotate all partial images ......................... 176
To stitch a set of partial images ...................177
To align the partial images based on their
projection on the stitching grid .................. 178
To align the partial images based on the analysis
of the anatomical information in the image ....
179
To manually align two partial images ......... 180
To turn the black borders or cropping on or off
182
To save the stitched image ..........................183
Rejecting a DR Full Leg Full Spine image ................184
Making measurements ...........................................185
Software Console ...............................................................187
Examination overview ........................................... 188
X-ray modality status frame ........................190
Ready For Exposure Status ......................... 191
Modality Position .......................................192
DR detector switch .....................................193
DR Detector Status .....................................194
Performing offset calibration ......................195
Unknown status ......................................... 196
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Filter Status ................................................197
Grid Status .................................................198
Heat Units ..................................................199
Radiation status .........................................200
DAP Value ..................................................201
Fluo timer ..................................................202
Resetting the fluo timer ............................. 203
Generator controls for static image, rapid sequence or
DSA ....................................................................... 204
Radiography imaging modes ......................206
Patient age group .......................................207
One point, two point and three point working
modes ........................................................208
Sensor area ................................................209
Radiographic Parameters ........................... 210
Focal Spot Indicator ................................... 211
Automatic Exposure Control (AEC) ............ 212
AEC field selection ..................................... 213
Dose ...........................................................214
Density ...................................................... 215
Patient Size ................................................ 216
AEC dose failure .........................................218
Generator controls for fluoroscopy or roadmapping ....
219
Fluoroscopy imaging modes .......................220
Patient age group .......................................221
Sensor area ................................................222
Radiographic Parameters for fluoroscopy .. 223
Automatic Brightness System (ABS) ...........224
Collimator camera ..................................... 227
X-ray modality controls ..........................................228
Positioning controls ............................................... 229
Automatic position .....................................230
Actual and target position parameters ........ 231
Collimation controls .................................. 232
Wireless console status .............................. 234
Controls for digital tomosynthesis ..........................235
Radiographic Parameters for digital tomosynthesis
........................................................................236
Position parameters for digital tomosynthesis ..
237
Reconstruction parameters ........................ 238
System messages ................................................... 239
Options and accessories ..................................................... 241
Mounting the patient footrest ................................ 242
Mounting the patient footrest as a seat .......244
Removing the patient footrest ....................245
Mounting the hand grips ........................................246
Mounting the shoulder rests ...................................247
Mounting the compression belt ..............................248
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Mounting the lower limbs support, ankle support or head
contention device .................................................. 250
Mounting the lateral arm rest on the radiographic table
....................................................................................251
Mounting the lateral arm rest on the radiographic wall
stand ..................................................................... 253
Mounting the lateral cassette/detector holder ........254
Mounting the joystick console on the radiographic table
....................................................................................256
Attaching the cushion to the tabletop .....................257
Mounting the paediatric cradle .............................. 258
Using the paediatric cradle in vertical position .
259
Exposure control pedals ......................................... 261
Problem solving .................................................................263
Compressor cannot be released ..............................264
DR Detector must be Recalibrated ..........................265
DR 800 sync cabinet is down ..................................266
Anatomical stitching is not optimal ........................ 267
Stitching fails .........................................................268
Only part of the full leg full spine image is displayed ....
269
Full Leg Full Spine examination is interrupted ....... 271
Wireless console with position controls cannot restore
connection .............................................................272
Problems with the ceiling suspension .....................273
Error messages on the ceiling suspension ............... 274
Product Information .......................................................... 275
Compatibility ......................................................... 276
Compliance ............................................................276
General ......................................................277
Safety ........................................................ 277
X-Ray Safety ...............................................277
Electromagnetic Compatibility ................... 277
Earthquake resistance ................................277
Equipment Classification ....................................... 278
Exposure control foot pedals ......................279
Applied Parts ............................................. 279
Patient data security .............................................. 280
Requirements on the operating environment ...
280
Product Complaints ............................................... 282
Environmental protection ...................................... 283
System Documentation ..........................................284
Training .................................................................285
Performance .......................................................... 286
Technical Data ....................................................... 287
DR 800 Technical Data ...............................288
Radiographic table .................................... 290
Fixed DR Detector Technical Data .............. 292
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Wireless console ........................................ 295
Collimator Technical Data ..........................296
Radiographic wall stand ............................ 297
Ceiling suspension ..................................... 298
Workstation PC technical data ................... 300
DR 800 FLFS overlay ..................................301
Equivalent filtration ...................................302
Dosimetric and quantitative information (IEC
60601-2-54, IEC 60601-1-3) ...................... 303
Mains supply ..............................................307
Technical data of options and accessories ... 311
Remarks for HF-emission and immunity (radiographic
table) .....................................................................312
Immunity to RF wireless communication
equipment ..................................................314
Remarks for HF-emission and immunity (radiographic
wall stand) .............................................................315
Remarks for HF-emission and immunity (radiographic
wall stand bucky with moving grid) ....................... 319
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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. NX and DR 800 are trademarks 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
8 | DR 800 | Legal Notice
0392C EN 20210309 1049

Introduction to this Manual
Topics:
•Scope of this Manual
•About the safety notices in this document
•Disclaimer
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Scope of this Manual
This manual contains information for safe and effective operation of the DR
800 system.
10 | DR 800 | Introduction to this Manual
0392C EN 20210309 1049

About the safety notices in this document
The following samples show how warnings, cautions, instructions and notes
appear in this document. The text explains their intended use.
DANGER:
A danger safety notice indicates a hazardous situation of direct,
immediate danger for a potential serious injury to a user,
engineer, patient or any other person.
WARNING:
A warning safety notice indicates a hazardous situation which
can lead to a potential serious injury to a user, engineer, patient
or any other person.
CAUTION:
A caution safety notice indicates a hazardous situation which
can lead to a potential minor injury to a user, engineer, patient
or any other person.
An instruction is a direction which, if it is not followed, can
cause damage to the equipment described in this manual or any
other equipment or goods and can cause environmental
pollution.
A prohibition is a direction which, if it is not followed, can cause
damage to the equipment described in this manual or any other
equipment or goods and can cause environmental pollution.
Note: Notes provide advice and highlight unusual points. A note is
not intended as an instruction.
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Disclaimer
Agfa assumes no liability for use of this document if any unauthorized
changes to the content or format have been made.
Every care has been taken to ensure the accuracy of the information in this
document. However, Agfa assumes no responsibility or liability for errors,
inaccuracies or omissions that may appear in this document. To improve
reliability, function or design Agfa reserves the right to change the product
without further notice. This manual is provided without warranty of any kind,
implied or expressed, including, but not limited to, the implied warranties of
merchantability and fitness for a particular purpose.
Note: In the United States, Federal law restricts this device on order
of a physician for prescription use only.
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0392C EN 20210309 1049

Introduction
Topics:
•Intended Use
•Indications for Use
•Intended User
•DR 800 System Overview
•Messages
•Labels
•Installation
•Radiation Protection
•Maintenance
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Intended Use
The DR 800 is an X-ray modality. It is designed for general radiography and
dynamic (fluoroscopy and/or rapid sequence) applications. The DR 800 will
be used in a radiological environment by qualified staff to capture and route
static and dynamic X-ray images.
The DR 800 is not intended for cardiovascular and cerebrovascular contrast
studies and mammography applications.
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Indications for Use
The DR 800 system is indicated for performing dynamic imaging
examinations (fluoroscopy and/or rapid sequence) of the following
anatomies/procedures:
• Positioning fluoroscopy procedures
• Gastro-intestinal examinations
• Urogenital tract examinations
• Angiography
• Digital Subtraction Angiography
It is intended to replace fluoroscopic images obtained through image
intensifier technology.
In addition, the system is intended for projection radiography of all body
parts.
In addition, the system provides the Agfa tomosynthesis option, which is
intended to acquire tomographic slices of human anatomy and to be used with
Agfa DR X-ray systems. Digital tomosynthesis is used to synthesize
tomographic slices from a single tomographic sweep.
Not intended for cardiovascular and cerebrovascular contrast studies.
Not intended for mammography applications.
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Intended User
This manual is written for trained users of Agfa products. Users are considered
as the persons who actually handle the equipment as well as the persons
having authority over the equipment. Before attempting to work with this
equipment, the user must read, understand, note and strictly observe all
warnings, cautions and safety markings on the equipment.
Only a physician or a legally certified operator should use this product.
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DR 800 System Overview
The complete DR 800 consists of the following components:
• Radiographic table with X-ray tube, collimator and integrated DR Detector
for dynamic imaging.
• X-ray generator
• MUSICA Acquisition Workstation
(further referred to as the NX workstation)
• Positioning console and exposure controls
• DR Generator Sync Box
• Automatic Exposure Control (AEC)
• Dose Area Product Meter (DAP, optional)
DR 800 can be extended with
• Ceiling suspension with a second X-ray tube and collimator.
• Radiographic wall stand with bucky. In the bucky a DR Detector or a CR
cassette can be inserted.
• Monitor for displaying a reference image.
• Duplicate operation controls in the examination room:
• Wireless console with position controls.
• Monitor for the NX workstation.
• Monitor for displaying a reference image.
• Double fluoroscopy and radiography foot pedal.
• Accessories for the radiographic table.
X-ray parameters are controlled using the Software Console on the NX
workstation.
DR 800 can be used in combination with portable DR Detectors. DR 800 can
be used in combination with a CR digitizer.
1 2 5 6
874
3
5
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1. Radiographic table
2. Position controls on the table
3. Collimator
4. X-ray tube
5. Exposure controls
6. Position controls
7. NX workstation software
8. Software console
• Examination overview
• Generator controls for static image or rapid sequence
• Generator controls for fluoroscopy
• X-ray modality controls
• Positioning controls
• Messages
Figure 1: DR 800 configuration
Topics:
•Radiographic Table
•Position Controls
•Worklist window
•Software Console
•Exposure Controls
•Examination window
•Acquisition window
•Editing window
•Main Menu window
•Monitor for reference images
•DR detector switch
•Collimator
•Portable DR Detector
•Compressor
•FLFS overlay
•Emergency stop button
•Emergency shutdown power switch
•Cabinets and power switch
•Radiographic wall stand
•Ceiling Suspension
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Radiographic Table
The radiographic table is used for positioning of the patient lying, sitting or
standing in front of the detector for exposure.
The radiographic table has various degrees of freedom to allow different
examinations.
The radiographic table contains a built-in DR detector to acquire radiography
or fluoroscopy images.
The radiographic table has two variants:
• Radiographic table with a built-in set of focused grids. Exposures can be
made with or without a grid. The grid is automatically selected based on
the SID.
• Radiographic table with removable grids. The focal distance of the grid is
detected in the bucky.
1
2
3
4
5
66
1. Table height
2. Table tilting angle
3. Source image distance (SID)
4. X-ray tube tilting angle, coupled to a displacement of the DR detector (for
oblique exposures)
X-ray tube rotation (to direct the X-ray tube away from the radiographic
table)
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