AGFA DX-D 600 User manual

DX-D 600
User Manual
Technical Publication
0242F EN 20181218

DX-D 600
User Manual
0242F EN 20181218
REVISION HISTORY
REVISION DATE REASON FOR CHANGE
AMAY 20, 2011 First edition
B AUG 05, 2011 DX-D 600 Semi-automatic & Automatic Systems
C OCT 27, 2011 DX-D 30C Detector
D DEC 02, 2013 IEC Standards update
Auto-tracking Function update
Single Panel Upgrade
New Automatic Positioning Control Box
Remote Control
RAD Table Tabletop Pinch Points upgrade
E MAR 24, 2015 New Flat Tabletop of the RAD Table
Collimator Mechanical Detents
New Overhead Patient Holder
Lateral DR Detector (35x43) Holder with Trolley
Specifications Update
FDEC 18, 2018 New DX-D 600 System Label
IEC Standards update
Errors List Upgrade
Modification of the name of the Legal
Manufacturer
Applied Parts Heating Warning
1000 mA Generator (option)
General Upgrades
This Document is the English original version, edited and supplied by the manufacturer.
The Revision state of this Document is indicated in the code number shown at the bottom of this page.

DX-D 600
User Manual
0242F EN 20181218
ADVISORY SYMBOLS
The following advisory symbols will be used throughout this manual. Their
application and meaning are described below.
DANGERS ADVISE OF CONDITIONS OR SITUATIONS THAT
IF NOT HEEDED OR AVOIDED WILL CAUSE SERIOUS
PERSONAL INJURY OR DEATH.
ADVISE OF CONDITIONS OR SITUATIONS THAT IF NOT
HEEDED OR AVOIDED COULD CAUSE SERIOUS PERSONAL
INJURY, OR CATASTROPHIC DAMAGE OF EQUIPMENT OR
DATA.
Advise of conditions or situations that if not heeded or
avoided could cause personal injury or damage to equipment
or data.
Note .Alert readers to pertinent facts and conditions. Notes represent
information that is important to know but which does not
necessarily relate to possible injury or damage to equipment.

DX-D 600
User Manual
0242F EN 20181218 i
TABLE OF CONTENTS
Section Page
1 INTRODUCTION 1.........................................................
1.1 System Overview 1...................................................
1.2 System Configuration 2...............................................
1.3 General Features 4...................................................
1.3.1 Ceiling Suspension 4...........................................
1.3.2 RAD Table 6..................................................
1.3.3 RAD Wall Stand DR 7..........................................
1.3.4 X-ray Generator 8.............................................
1.4 Product Identification 9................................................
1.5 Indications for Use 10..................................................
1.5.1 Intended Use 10................................................
1.5.2 Normal Use 10.................................................
1.5.3 Contraindications 10............................................
1.6 Applied Parts 11.......................................................
2 SAFETY AND REGULATORY INFORMATION 13...............................
2.1 General 13...........................................................
2.2 Responsibilities 16.....................................................
2.3 Maximum Permissible Dose (MPD) 17...................................
2.4 Radiation Protection 18................................................
2.5 Monitoring of Personnel 20.............................................
2.6 Safety Symbols 20.....................................................
2.7 Regulatory 25.........................................................
2.7.1 Certifications 25................................................
2.7.2 Environmental Statement on the Life Cycle of the Equipment or System 25
2.7.3 Mode of Operation 25...........................................
2.7.4 Protection Against Electric Shock Hazards 26......................
2.7.5 Protection against Harmful Ingress of Water or Particular Matter 26....
2.7.6 Protection Against Hazards of Ignition of Flammable Anaesthetic Mixtures 26
2.7.7 Protection Against Hazards from Unwanted or Excessive Radiation 26.
2.7.8 Designated Significant Zones of Occupancy 27.....................
2.7.9 Distribution of Stray Radiation 30.................................
2.8 Electromagnetic Compatibility (EMC) 37..................................

DX-D 600
User Manual
0242F EN 20181218
ii
Section Page
2.9 Quantitative Information 45.............................................
2.9.1 Functional Tests Performed to Obtain the Quantitative Information 42..
2.10 Deterministic Effects 52................................................
2.11 Product Complaints 52.................................................
3 STARTUP AND SHUTDOWN 53..............................................
3.1 Startup 53............................................................
3.2 Shutdown Routine 54..................................................
4 CEILING SUSPENSION OPERATION 57......................................
4.1 Touchscreen Control Console 61........................................
4.1.1 Workstation Selection 63........................................
4.1.2 Movements Controls and Indicators 64............................
4.1.3 Ceiling Suspension Status Indicator 64............................
4.1.4 INFO Area 65..................................................
4.1.5 RAD Area 67...................................................
4.2 Ceiling Suspension Movements 68.......................................
4.2.1 Ceiling Suspension Manual Motion 69.............................
4.2.2 Detent Points 70................................................
4.2.3 Automatic movements 72........................................
4.2.3.1 Automatic Positioning Control Box 72......................
4.2.3.2 Remote Control 73......................................
4.2.3.3 Emergency Stop for Automatic Movements 78..............
4.2.3.4 Automatic Movements Safety Policy 78....................
4.2.3.5 X-ray Interlock 80.......................................
4.2.3.6 Auto-Center 81.........................................
4.2.3.7 Auto-tracking 83........................................
4.2.3.8 Auto-positioning 93......................................
4.2.4 Position. Automatic System Auto-positioning 94.....................
4.2.5 Position. Semi-automatic System Auto-positioning 96................
4.2.6 Programmed Positions (PP) 98...................................
4.3 X-ray Beam Alignment with Respect to Patient 100..........................
5 RAD TABLE OPERATION 103................................................
5.1 Patient Positioning 106..................................................
5.2 Tabletop Movements 107................................................
5.2.1 Horizontal Movements 107........................................
5.2.2 Vertical Movements 109..........................................

DX-D 600
User Manual
0242F EN 20181218 iii
Section Page
5.3 DR Detector Horizontal Movement 110....................................
5.4 Portable DR Detector Loading 111........................................
5.5 Grid Loading and Removal 111...........................................
5.6 Accessories 112........................................................
5.6.1 Hand Grips 112..................................................
5.6.2 Compression Band 113...........................................
5.6.3 Lateral Cassette Holder 113.......................................
5.6.4 Lateral DR Detector (35x43) Holder with Trolley 114..................
6 RAD WALL STAND DR OPERATION 119.......................................
6.1 RAD Wall Stand DR Movements 121......................................
6.1.1 Vertical Movement 121...........................................
6.1.2 Automatic Vertical Movements 122.................................
6.1.2.1 DR Vertical Auto-positioning 122............................
6.1.2.2 DR Vertical Auto-tracking 122..............................
6.2 Footswitch Operation 122................................................
6.3 Tilting 123.............................................................
6.4 DR Detector Rotation 125...............................................
6.5 Alignment 127..........................................................
6.6 Portable DR Detector Loading 128........................................
6.7 Using and Maintaining the DR Detector 128................................
6.8 Grid Loading and Removal 129...........................................
6.9 Accessories 130........................................................
6.9.1 Overhead Hands Support 130.....................................
6.9.2 Mobile Overhead Patient Support 131..............................
7 COLLIMATION 135..........................................................
7.1 Ralco R225 Automatic Collimator 135.....................................
7.1.1 Automatic Mode 137.............................................
7.1.2 Busy Mode 137..................................................
7.1.3 Manual Mode 138................................................
7.1.4 Collimation Light Control 138......................................
7.2 Ralco Manual Collimator R225/R225 DHHS 139............................
7.3 Dosimeter Device (optional) 140..........................................

DX-D 600
User Manual
0242F EN 20181218
iv
Section Page
8 TROUBLESHOOTING GUIDE 141.............................................
8.1 RAD Wall Stand DR 141.................................................
8.2 RAD Table 141.........................................................
8.3 Ceiling Suspension 142.................................................
8.4 Software Error Messages 142............................................
8.4.1 Error Display 142................................................
8.4.2 Error List 143....................................................
9 OPERATING SEQUENCES 159...............................................
9.1 Start-up Routine 159....................................................
9.2 X-ray Tube Warm-up Procedure 159......................................
9.3 Radiographic Operation 160.............................................
9.4 AEC Operation 161....................................................
9.4.1 How to Verify the Proper Functioning of the AEC 161.................
10 PERIODIC MAINTENANCE 163...............................................
10.1 Operator Tasks 163.....................................................
10.2 Service Tasks 164......................................................
11 TECHNICAL SPECIFICATIONS 165...........................................
11.1 Environmental Requirements 165.........................................
11.2 X-ray System Positioners 165............................................
11.2.1 Power Line Requirements 165.....................................
11.2.2 Information Related to Radiation 166...............................
11.2.3 Dimensions and Product Weight 166...............................
11.3 X-ray Generator 176....................................................
11.3.1 Factors 176.....................................................
11.3.2 Range Of Radiographic Parameters 176............................
11.3.3 Duty Cycle 177..................................................
11.3.4 Physical Characteristics 177......................................
11.4 X-Ray Tubes 178.......................................................
11.5 Collimators 178........................................................
APPENDIX A GUIDELINES FOR PEDIATRIC APPLICATIONS A-1.....................

DX-D 600
User Manual
0242F EN 20181218 1
SECTION 1 INTRODUCTION
1.1 SYSTEM OVERVIEW
This nual contains all the necessary information to understand and operate the
DX-D 600 X-ray System. It provides a general description, safety information,
operating instructions and specifications concerning the equipments of the
different configuration possibilities: Semi-automatic and Automatic.
This manual is not intended to teach radiology or to make any type of clinical
diagnosis.
This system comprises:
Ceiling Suspension with the Control Console, X-ray Tube and
Collimator subassemblies. There are two different models available
depending on the system configuration:
GSemi-automatic Ceiling Suspension with the Touchscreen
Control Console, but it is just motorized the vertical axis to allow
the Auto-tracking function. Other axis are not motorized, so it is not
possible to complete fully the Auto-position functions.
GAutomatic Ceiling Suspension with the Touchscreen Control
Console, Auto-positioning, Auto-centering and Auto-tracking
functions available.
RAD Elevating Table, available in double panel systems
RAD Wall Stand DR
X-ray Generator
There are two different system configurations depending on the number of
available DR Detectors (refer to Illustration 1-1):
GDouble Panel System (default configuration). It is provided with
horizontal DR Detector or RAD Table and vertical DR Detector or
RAD Wall Stand DR.
GSingle Panel System is provided just with the RAD Wall
Stand DR which can operate vertically and horizontally, in that
case it is provided always with a spacer to be adapted to work with
any kind of stretcher or mobile tables.

DX-D 600
User Manual
0242F EN 20181218
2
1.2 SYSTEM CONFIGURATION
Illustration 1-1
DX-D 600 X-ray Systems
Single PanelDouble Panel
DX-D 600 SYSTEMS
COMPONENTS SEMI-AUTOMATIC AUTOMATIC
Ceiling Suspension
Control Console Touchscreen Control Console Touchscreen Control Console
Collimator Ralco R225DHHS Manual Collimator
Ralco R225ACS Automatic Collimator Ralco R225ACS Automatic Collimator
X-Ray Tubes
Canon E7252X
Canon E7254FX
Canon E7869XX
Canon E7884X
Canon E7252X
Canon E7254FX
Canon E7869XX
Canon E7884X
Longitudinal Rails 3.4/4.0/4.6/5.3/6m 3.4/4.0/4.6/5.3/6m
Transverse Rails 2.0 / 2.25 / 2.5 / 2.75 / 3.0 / 3.5 m 2.0 / 2.25 / 2.5 / 2.75 / 3.0 / 3.5 m
Movements policy Manual movements and
motorized movement only in vertical axis
Manual movements and
motorized movements in all axes
Automatic Movements Auto-tracking just along vertical axis
of the Ceiling Suspension
Auto-positioning
Auto-tracking
Auto-centering

DX-D 600
User Manual
0242F EN 20181218 3
DX-D 600 SYSTEMS
COMPONENTS SEMI-AUTOMATIC AUTOMATIC
RAD Table
Receptor
Fixed DR Detector
&
Portable DR Detector
Fixed DR Detector
&
Portable DR Detector
Sensing Tray -- --
Grid 132 Lines, 10:1, FFD 1 m 132 Lines, 10:1, FFD 1 m
Ion Chamber (AEC) Claymount SSMC-617 Claymount SSMC-617
Functionalities DR Vertical Auto-tracking
DR Vertical Auto-tracking
DR Horizontal Auto-tracking
DR Auto-positioning
RAD Wall Stand DR
Model RAD Wall Stand DR RAD Wall Stand DR
Receptor
Fixed DR Detector
&
Portable DR Detector
Fixed DR Detector
&
Portable DR Detector
Sensing Tray -- --
Grid
132 Lines, 10:1, FFD 1 m
132 Lines, 10:1, FFD 1.5 m
132 Lines, 10:1, FFD 1.8 m
132 Lines, 10:1, FFD 1 m
132 Lines, 10:1, FFD 1.5 m
132 Lines, 10:1, FFD 1.8 m
Ion Chamber (AEC) Claymount SSMC-617 Claymount SSMC-617
Functionalities DR Vertical Auto-tracking DR Vertical Auto-tracking
DR Auto-positioning
X-ray Generator
Model
50 kW (640 mA) 1T, LS/HS, Power Line 400 / 415 / 440 / 480 V~
64 kW (640 mA), 1T, HS, Power Line 400 / 415 / 440 / 480 V~
80 kW (800 mA), 1T, HS, Power Line 400 / 415 / 440 / 480 V~
80 kW (1000 mA), 1T, HS, Power Line 400 / 415 / 440 / 480 V~
+ Auxiliar Boost Transformer to adequate the line voltage to 530 V~
Fail-safe Mandatory

DX-D 600
User Manual
0242F EN 20181218
4
1.3 GENERAL FEATURES
The main features of the X-ray System are:
Ergonomic, robust and light weight design, to withstand intensive
hospital use.
Easy operation, security and precision of all positioning movements with
respect to patient.
Controls for lock release of each equipment of the X-ray System.
1.3.1 CEILING SUSPENSION
The Control Console of the Ceiling Suspension is ergonomically built,
equipped with controls logically arranged and easily accessible in every
angle and position of the X-ray Tube and Collimator assembly.
Provided with Touchscreen Control Console. The operator controls and
displays for radiographic operations and X-Ray Tube positioning are
shown on the Touchscreen Control Console.
Light weight telescopic column design with four independent parts
guided by a high precision alignment mechanism for a smooth and quiet
operation. This rigid and durable design reduces instability and vibration
to the minimum, to facilitate precision in positioning.
Optimal mechanical balancing system for manual movements with
almost no efforts.
X-ray Support with 360ofor X-ray Tube rotation and 270ofor X-ray Tube
angulation.
Safety devices including negative locks on horizontal rotation and
angulation.
Complete safety policy during automatic movements to avoid any
collision risk with other equipments of the room or patient or operator
crushing risk.
Equipped with Emergency OFF Switch to stop the whole System in the
event of an emergency.

DX-D 600
User Manual
0242F EN 20181218 5
Illustration 1-2
DX-D 600 Ceiling Suspension
Beside the mentioned features, the differences between both models are:
SEMI-AUTOMATIC CEILING SUSPENSION
Fully manual positioning in all axis with Vertical Axis motorized for
automatic movement.
Auto-positioning, Auto-tracking and Auto-centering in Vertical Axis.
AUTOMATIC CEILING SUSPENSION
Motorized positioning in all axis for automatic movement.
Full servo electronics for balancing and positioning.
Auto-positioning, Auto-tracking and Auto-centering in all axes.

DX-D 600
User Manual
0242F EN 20181218
6
1.3.2 RAD TABLE
Illustration 1-3
DX-D 600 RAD Table
Smooth and extra optimized elevating mechanism for outstanding
patient comfort with a large vertical travel.
Foot pedal control for RAD Table movements.
Four way floating Tabletop.
Patient safety is guaranteed with the use of electromagnetic brakes in all
moving axis. Double click action pedal avoiding any incident while patient
is unattended.
DR Detector (max. 430 x 430 mm).
Configurable automatic stops at 3 different height levels: maximum,
minimum and intermediate.
Accessories: Handgrips, Compression Band and Lateral Cassette
Holder.
The Hand grips must not be positioned in the trajectory of the
X-Ray beam.
Equipped with Emergency OFF Switch to stop the whole System in the
event of an emergency,
In the Automatic System the DR Detector is motorized allowing its
Auto-positioning and Horizontal Auto-tracking.
Note .

DX-D 600
User Manual
0242F EN 20181218 7
1.3.3 RAD WALL STAND DR
Illustration 1-4
DX-D 600 RAD Wall Stand DR
Manual and motorized vertical motion balanced with internal
counterweights.
DR Detector (max. 430 x 430 mm).
Manual Tilting which provides DR Detector angulation from +90o
(horizontal position) to -20o.
DR Detector Rotation of ¦90o.
Optional spacer for Single Panel Systems, it means that there is just one
DR Detector, which can operate vertically and horizontally.
Accessories: Handgrips and Overhead Hands Support.

DX-D 600
User Manual
0242F EN 20181218
8
1.3.4 X-RAY GENERATOR
Illustration 1-5
DX-D 600 X-ray Generator
The Generator Cabinet comprises the Power Module, which contains the
power and control components and the High Voltage Transformer.
The Generator is controlled by multiple microprocessors providing
increased exposure consistency, efficient operation and extended X-ray
Tube life. A high level of self-diagnosis greatly increases serviceability
and reduces down time.
Constant potential high frequency that provides all the advantages of
high frequency wave form Generators including lower patient dose,
shorter exposure times and greater accuracy and consistency.
Three point control by selecting kVp, mA and ms, or two point control by
selecting kVp and mAs (no AEC), or one point control by selecting kVp
with AEC operations.
Automatic Exposure Control (AEC).
Fail-safe function (Receptor detection and exposure rapid termination).
Two DR Detectors can be directly connected to the Generator.
Equipped with closed loop control of X-ray Tube current, kVp and
filaments, which minimizes potential errors and the need for
readjustments.
Automatic line compensation due to closed loop operation of X-ray Tube
current and kVp.

DX-D 600
User Manual
0242F EN 20181218 9
1.4 PRODUCT IDENTIFICATION
The major items in the equipment have some identification labels attached to
them which provide the following manufacturer and product information.
Product
Model
Volts (V), Line Phases, Frequency (Hz), and Power (kVA, kW)
Date of manufacture
Serial number
Reference
Manufacturer
Place of manufacture
Certification
Illustration 1-6
X-ray System Labeling Location

DX-D 600
User Manual
0242F EN 20181218
10
1.5 INDICATIONS FOR USE
1.5.1 INTENDED USE
This equipment is intended for use by qualified personnel only.
The X-ray System Units are equipment included in a Medical Equipment
System designed for general radiography in hospitals, clinics and medical
practices to provide X-ray radiographic images of the skeleton, skull, chest,
abdomen, extremities and other body parts.
Images can be obtained with the patient in the sitting, standing or lying position.
Examinations can be performed to any kind of patient group. Patients may be
physically abled, disabled, immobilized or in a state of shock.
The DX-D 600 X-ray System contributes to the metrics of imaging performance
ensuring the efficient use of radiation.
The X-ray image receptors used in this system are Digital Detectors.
1.5.2 NORMAL USE
The Normal Use of this X-ray System is defined as the Intended Use plus the
Maintenance and Service tasks.
1.5.3 CONTRAINDICATIONS
Do not use this X-ray System for any purposes other than those for which it is
intended. Operation of the equipment for unintended purposes could lead to
fatal or other serious injury.
This X-ray System is not intended for mammography applications.
This X-ray System is not especifically designed for paediatric purposes; if
children are to be examined, they should always be accompanied by an adult.

DX-D 600
User Manual
0242F EN 20181218 11
1.6 APPLIED PARTS
Applied Parts refer to parts of the medical equipments that in Normal Use
necessarily comes into physical contact with the patient for the medical
equipment to perform its function. These equipments include the following
Applied Parts:
RAD TABLE
Tabletop of the RAD Table
Hand Grips (optional)
Compression Band (optional)
Other accessories
RAD WALL STAND DR
Front panel of the RAD Wall Stand DR
Hand Grips
Overhead Hands Support (optional)
Other accessories
BEAR IN MIND THAT SOME APPLIED PARTS MAY HEAT UP
TO 48 oC (118.4 oF) WHEN THE AMBIENT TEMPERATURE
FOR OPERATION IS ON THE LIMIT. THIS IS COMPLETELY
NORMAL AND DOES NOT MEAN A MALFUNCTION OF THE
EQUIPMENT.

DX-D 600
User Manual
0242F EN 20181218
12
This page intentionally left blank.