CEFLA NewTom 5G Series User manual

97050266
Rev. 3
28.10.2016
NewTom 5G series –Patient Table User Procedures
EN

NOTES
This document is provided as a consultation manual intended for the device technicians.
CEFLA s.c. follows a policy based on the constant development and update of the product. For this reason, it
reserves the right to change the content of this manual without prior notice.
This document can not be modified, copied, reproduced, distributed, saved on magnetic or optical supports,
or published on websites and other on-line services, in full or in part, without the prior written authorisation of
CEFLA s.c.
The original version of this manual is in English.
NEWTOM™ 5G is a trade mark of CEFLA s.c.
All other products and trade names mentioned in this document are registered marks of the relevant
manufacturers.
INFORMATIVE NOTE OF THE MANUFACTURER ON THE MEDICAL DEVICES
The medical device referred to in this manual consists of a scanner and a control, display and calculation
unit (Main Workstation). Such device, as delivered and configured by the production and assistance
technical personnel, is an X-ray device compliant with the safety requirements set forth by the Italian
Legislative Decree of 19 September 1994, no. 626 implementing Directives 89/391/EEC, 89/654/EEC,
89/655/EEC, 89/656/EEC, 90/269/EEC, 90/270/EEC, 90/394/EEC and 90/679/EEC concerning the
improvement of the health and safety of workers in the workplace, and with the essential requirements set
forth by the Italian Legislative Decree 24 February 1997, no. 46 implementing Directive 93/42/EEC as
amended, on the medical devices.
The medical device referred to in this manual is an X-ray device compliant with Directive 2011/65/EU on the
restriction of the use of certain hazardous substances in electrical and electronic equipment.
Any tampering with, modification, updating or other change both of hardware1and software2of the device as
supplied and installed by the company (and in the conditions specified in the attached documentation) may
partially or totally compromise the device expected operation. This may also alter the safety features with
consequent hazard increase for patients, operators and surrounding environment.
For this reason, should the user need to modify the device, he/she must request a written authorisation by
CEFLA s.c.
Failure to comply with what is specified in this informative note will null and void the device warranty and the
civil and/or penal responsibility for any consequent damage and/or accident and/or worsening of the patient,
operator or other people health (including the surrounding environment) will be borne by the person who
tampered with the device or his/her legal representative.

TABLE OF CONTENTS
1TARGET AND FIELD APPLICATION ......................................................................................................... 1-1
2PATIENT TABLE ...................................................................................................................................... 2-1
2.1 PATIENT TABLE CONSOLE ............................................................................................................................ 2-1
2.1.1 Console structure and definitions................................................................................................. 2-1
2.1.1.1 Definition of “REST” position .................................................................................................................. 2-1
2.1.1.2 Definition of “WORKING” position........................................................................................................... 2-1
2.1.1.3 Synchronized movement pantograph / longitudinal axis ........................................................................ 2-2
2.1.1.4 Console overview..................................................................................................................................... 2-3
2.1.1.5 Display overview...................................................................................................................................... 2-4
2.1.1.6 HOME Page............................................................................................................................................... 2-5
2.1.1.7 LOCK Page ............................................................................................................................................... 2-7
2.1.2 Movement sequences..................................................................................................................... 2-7
2.1.2.1 Daily reset ............................................................................................................................................... 2-7
2.1.2.2 Complete reset ........................................................................................................................................ 2-8
2.1.2.3 Patient accommodation........................................................................................................................... 2-8
2.1.2.4 Patient exit.............................................................................................................................................. 2-8
2.1.2.5 Anti-collision safety................................................................................................................................. 2-9
2.1.2.6 Console position compared to the patient .............................................................................................. 2-9
3PATIENT TABLE WITH STRETCHER........................................................................................................ 3-1
3.1 PATIENT TABLE CONSOLE............................................................................................................................. 3-1
3.1.1 General overview and definitions................................................................................................. 3-1
3.1.1.1 Definition of “FACILITATED UPHILL position” ......................................................................................... 3-1
3.1.1.2 Definition of “EXAM PREPARATION position” .......................................................................................... 3-2
3.1.2 Console buttons indications .......................................................................................................... 3-3
3.1.3 Console structure .......................................................................................................................... 3-4
3.1.4 Displayed pages ............................................................................................................................. 3-5
3.1.4.1 INFO page ................................................................................................................................................ 3-5
3.1.4.2 HOME page............................................................................................................................................... 3-5
3.1.4.3 POS page.................................................................................................................................................. 3-6
3.1.4.4 ERROR page ............................................................................................................................................. 3-6
3.1.5 Movement sequences..................................................................................................................... 3-7
3.1.5.1 Exam preparation position sequence (P1)............................................................................................... 3-7
3.1.5.2 Facilitated uphill position sequence (P2)................................................................................................ 3-7
3.1.6 Safety controls............................................................................................................................... 3-8
3.1.6.1 Collision safety ........................................................................................................................................ 3-8
3.1.6.2 Crushing safety ........................................................................................................................................ 3-9
3.1.7 Troubleshooting............................................................................................................................. 3-9
3.1.8 Flowchart of available commands .............................................................................................. 3-10

NewTom 5G series –Patient Table User Procedures 1-1
1 Target and field application
This manual is an attached document of the “User Manual” and provide informations and instructions
regarding the use of the NewTom 5G series Patient Table.
For more details about NewTom 5G series scanner unit, please refer to the “User Manual” document.
“Patient Table User Procedures” and “User Manual”must be read and understood before you start using
the NewTom 5G series.
Keep this and other associated manuals for future reference and for new operators or qualified service
personnel.

NewTom 5G –Patient Table User Procedures 2-1
2 Patient Table
2.1 Patient Table Console
CAUTION:
The use of controls, adjustments, or the
performance of procedures other than those specified
herein may result in hazardous radiation exposure.
2.1.1 Console structure and definitions
The patient table console includes a keypad with 14 buttons, 3 signal LEDs, a monochrome display and an
emergency button.
It is possible to instantly interrupt a movement by pressing one of the available buttons (expect when the
“Service” level is enabled) or engaging the emergency button
2.1.1.1 Definition of “REST” position
The “REST” position, is intended as the position in which the patient can get in the table. In this position:
- Table is out of the gantry
- Table is transversely (Y axis) centered.
- Pantograph is in the low position (inside a predefined range).
- Back plate of the table is tilted (inside a predefined range).
- Leg rest plate tilted
From the “REST” position is possible:
- raise and lower the pantograph (inside a predefined range) by pressing the corresponding button
on the console;
- adjust the back plate (inside a predefined range) by pressing the “+” e “–“ buttons, when from
the TABLE page the back plate is enabled.
- adjust the leg rest plate (inside a predefined range) by pressing the “+” e “–“ buttons, when from
the TABLE page the back plate is enabled.
- all the other movements are inhibited.
2.1.1.2 Definition of “WORKING” position
The “WORKING” position, is intended as the position in which the table is in a high and horizontal
position, the patient lies on the table and is ready to enter in the scanner gantry. In this position:
- Table can be inside or outside of the scanner gantry
- Table is transversely (Y axis) centered
- Pantograph is in the high position (inside a predefined range)
- Back plate of the table is horizontal (inside a predefined range)
- Leg rest plate almost horizontal (inside a predefined range)
From the “WORKING” position is possible:

NewTom 5G –Patient Table User Procedures 2-2
- slide the table inside or outside the gantry along the X axis, by pressing the corresponding buttons
on the console.
- move the table transversely (along the Y axis) in order to move the patient to its left or to its right
by pressing the corresponding buttons on the console.
- raise and lower the pantograph (inside a predefined range) by pressing the corresponding buttons
- on the console. The vertical movement is associated to an automatic longitudinal movement
(along the X axis) in order to keep the patient in the same longitudinal position (see paragraph
“Synchronized movement pantograph / longitudinal axis”)
- adjust the back plate (inside a predefined range) by pressing the “+” e “–“ buttons, when from
the TABLE page the back plate is enabled.
- adjust the leg rest plate (inside a predefined range) by pressing the “+” e “–“ buttons, when from
the TABLE page the back plate is enabled.
- all the other movements are inhibited.
2.1.1.3 Synchronized movement pantograph / longitudinal axis
Once the table is in the WORKING position, the vertical movements (raising/lowering the patient
position), affect the longitudinal position of the patient (X axis), which is automatically adjusted by the
table in order to compensate the previous movement.
Raising the table the patient will slightly slide away from the gantry, while lowering the table the patient
will slightly slide toward the gantry.
In case the longitudinal movement along the X axis is inhibit, due to the limit switch activation, the
vertical movement will also be disabled (in that case is necessary to manually move the table along the X
axis in order to deactivate the limit switch).

NewTom 5G –Patient Table User Procedures 2-3
2.1.1.4 Console overview
Button
Function
Warning
UP/DOWN
Raise and lower the table
The vertical position of the table
can be adjusted only during
the REST or WORKING position.
The maximum and minimum
positions are predefined.
FORWARD/BACK
Longitudinal movement
toward the direction of the
button arrow (e.g. manually
sliding the patient inside or
outside the gantry)
The longitudinal position of the table
can be adjusted only during the
WORKING position.
LEFT/RIGHT
Transversal movement
toward the direction of the
button arrow (e.g.
centering the top laser on
the patient nose)
The Transversal position of the table can
be adjusted only during the WORKING
position.
P1
Run the process to slide
the patient inside the
gantry
Available only when the “P1”
symbol appears on the display.

NewTom 5G –Patient Table User Procedures 2-4
P2
Run the process to slide the
patient outside the gantry
Available only when the “P2” symbol
appears on the display
+ / -
Allow the adjustment of
the back and/or leg rest
plate.
Function depends from the current page
on the display.
LASER
Turn the Laser ON/OFF
Active only after the communication
between 5G and PC has been established.
F1 / MODE / F2
Menu navigation button:
F1, MODE, F2
Function depends from the current icon on
the display, attached to each button.
READY
5G/PC established connection
XRAY EMISSION.
X-ray emission ON
FAULT
Fault status
2.1.1.5 Display overview
Display shows different pages that allow to select different functions of the table and to visualizethe
status information. It is possible to scroll among different page, select functions and perform movement
using the keypad buttons.
Navigation buttons can refer to different actions depending on the current page.
Pressing a button not associated to any command will force the display to show the prohibition sign on the
top right corner.
Page with prohibition sign

NewTom 5G –Patient Table User Procedures 2-5
In the bottom part of each page the corresponding actions of the F1, MODE and F2 button are shown.
After the device has been turned on, the LOGO page will appear for a few seconds followed by the main
page (HOME page).
2.1.1.6 HOME Page
This page shows the current status of the table and the available functions. If the “P1” icon is visible, is
possible to proceed to move the table to the working position. If the “P2” icon is visible, is possible to
proceed to move the table to the rest position.(or reset, if required).
After turning on the table requires a daily reset.
It is not possible to perform any movements until the reset procedure has been carried out.
In the HOME page the “triangle warning” icon that appear next to the “crossed patient” icon, reminds the
user that the reset procedure must be performed with the table empty (no patient sitting or lying).
To run the procedure press the P2 button.
HOME page with request of daily reset
The reset procedure is finished when the following page appears
HOME page after daily reset has been completed
The icons referring to the F1, MODE and F2 buttons links to the correspond POS, TABLE and INFO pages.
Pressing the emergency button, located under the console keypad, will force the display to show the
corresponding icon on the right side. This will disappear a few seconds after the button has been released.
HOME page with emergency button icon
The POS page shows the current position for the “X” axis (longitudinal to the bed), “Y”axis (transversal),
“Z” axis (vertical) in millimeters, for the leg rest plate, the back plate and the pantograph (in integer
units).

NewTom 5G –Patient Table User Procedures 2-6
POS page
Pressing the MODE button will bring back to the HOME page.
The TABLE page offer the possibility to move the back plate and the leg rest plate separately or
simultaneously.
The F1 and F2 button select/deselect back plate and leg rest plate, the central icon shows the current
selection.
By pressing the “+” and “-” button the selected part/s will move. The excursion of the movement can be
limited by the table current position (rest/working) or by the safety systems.
TABLE page with back plate, leg rest plate and both selected
Pressing the MODE button will bring back to the HOME page.
The INFO page shows in the bottom right corner the table serial number and the console firmware
version.
Pressing the MODE button will bring back to the HOME page.
INFO page

NewTom 5G –Patient Table User Procedures 2-7
2.1.1.7 LOCK Page
When the table is remotely controlled the “locked console” icon could appear on the display. In such
condition all the console buttons are disabled.
LOCK page
In case of fault condition an ERROR page will appear on the display, showing the error code and a brief
description. This page will stay on until the MODE button will be pressed.
ERROR page
2.1.2 Movement sequences
2.1.2.1 Daily reset
Required after the device has been turned on. Must be performed without the patient.
In the HOME page the “triangle warning” icon, the “crossed patient” icon, and the “P2” icon will appear
when the reset procedure is required.
HOME page with daily reset required and daily reset running
By pressing the P2 button, the sequence will start performing all the necessary movements in order to
bring the table to the REST position. During the entire procedure the HOME page will show the running
icon (hourglass).
Once the procedure has successfully completed the table will be in the REST position and the “P1” icon
will appear.
In case the procedure stops and the daily rest icons appears again, press the “P2” until the procedure
completes successfully.
It is possible to interrupt the procedure by pressing any button. At that point repeat the procedure in
order to carry it out.

NewTom 5G –Patient Table User Procedures 2-8
2.1.2.2 Complete reset
Some times the table, in addition to the daily reset, will require a complete reset. The procedure is
transparent to the user.
After pressing the P2 button, the table will automatically run the daily or the complete reset. In case the
procedure is interrupted due to a fault or a button pressure, it can be restarted by pressing the “P2”
button.
The complete reset will take longer than the daily reset, but as for the daily reset, will terminate in the
REST position.
2.1.2.3 Patient accommodation
This is the sequence that starting from the REST position brigs the table to the WORKING position (ready
to slide the patient in the gantry).
This procedure can be performed each time the HOME page shows the “P1” icon.
Home page with P1 icon, patient accommodation available
By pressing the P1 button, the sequence will start performing all the necessary movements in order to
bring the table to the WORKING position. In case the sequence is stopped due to a button selection, the
HOME page will show the available sequences.
Depending on the current position will be possible to complete the sequence by pressing the P1 button, or
perform the reset procedure by pressing the P2 button.
Home page with P1 and P2 icons, patient accommodation and reset sequences available
2.1.2.4 Patient exit
This sequence starts from the WORKING position (or from intermediate position previously selected) and
brings the table to the REST position in order to allow the patient to leave the table.
This procedure can be performed each time the HOME page shows the “P2” icon. .
Home page with P2 icon, patient exit sequence available

NewTom 5G –Patient Table User Procedures 2-9
Once the P2 button has been pressed, the sequence will start performing all the necessary movements in
order to bring the table to the REST position. In case the sequence is stopped due to a button selection,
the HOME page will show the available sequences.
Depending on the current position will be possible to complete the sequence by pressing the P2 button, or
perform the reset procedure by pressing the P1 button.
Manual movements can be performed only when the table is in the REST or WORKING position.
2.1.2.5 Anti-collision safety
In the WORKING position the anti-collision control is activated. All the movements that can cause the table
to collide with the scanner are inhibit.
2.1.2.6 Console position compared to the patient
Depending the side the console is mounted (right or left of the patient) some icon will be consequently
modified.
HOME page with console on the left of the patient and console on the right of the patient

NewTom 5G –Patient Table User Procedures 3-1
3 Patient Table with stretcher
3.1 Patient Table console
CAUTION:
The use of controls, adjustments, or the
performance of procedures other than those specified
herein may result in hazardous radiation exposure.
3.1.1 General overview and definitions
The table console is composed from a 14 buttons (12 active buttons, lateral arrows not used), 3 signal
LEDs, a monochrome display and an emergency button located on the bottom.
It is possible to instantly interrupt a movement by pressing one of the available buttons and/or engaging
the emergency button.
Every assisted movement demands the activation of the stretcher block (by the handle near to the patient
table console); if the stretcher is unlocked in order to allow its manual movement, any motorized
movement is inhibited: in such case a warning signal appears on the display to inform the operator to
exercise extreme caution when handling manual stretcher.
3.1.1.1 Definition of “FACILITATED UPHILL position”
"FACILITATED UPHILL position", refer to a position in which the patient can easy accommodate on the
table. This postion is characterized by:
Stretcher completely out of the gantry (with active limit switch)
Transversely in a centered position
Pantograph in low position
In this position it is allowed to run the "exam preparation position" sequence (P1) (refer to Par. Errore.
L'origine riferimento non è stata trovata.) and UP / DOWN - LEFT / RIGHT movements to further
adjustment of the position in special cases.

NewTom 5G –Patient Table User Procedures 3-2
3.1.1.2 Definition of “EXAM PREPARATION position”
"EXAM PREPARATION position", refer to the position in which the patient is ready to be centered inside the
gantry before the exam.
It is characterized by:
Stretcher completely out of the gantry (with active limit switch)
Transversely in a centered position
Pantograph in a suitable position for the stretcher introduction into the gantry
Pantograph longitudinally in the determined position (x-axis)
On the position the following adjustment are available:
Move the table transversally (from right to left) using the related buttons on the console; the
witdh of the movement depends from the stretcher position, and include a safety controlled by
the anticollision system.
Move the table vertically (up and down) inside a predefined range using the related buttons on the
console. The witdh of the movement depends from the stretcher position, and include a safety
controlled by the anticollision system.
The vertical adjustment combines both the pantograph and the longitudinal movement (see Par. 2.1.3).
The patient can be place inside the gantry by manually sliding the stretcher in it.

NewTom 5G –Patient Table User Procedures 3-3
3.1.2 Console buttons indications
Button
Function
Warning
UP/DOWN
Raise and lower the table
These movements are not allowed in
case of "facilitated uphill position".
The minimum / maximum excursions
of the movements are limited to
defaults values by active collision
controls.
FORWARD/BACK
Not available
Not available. Physically, the
stretcher can be moved only in
manual mode
LEFT/RIGHT
Transversal movement
Transversal table movement is not
allowed in case of "facilitated uphill
position". The minimum / maximum
excursions of the movements are
limited to defaults values by active
collision controls.
P1
Start sequence
"Exam Preparation Position"
Operation allowed when the display
show a window with P1 symbol (ie if
the stretcher is completely out of
the gantry with active limit switch).
P2
Start sequence
“Facilitated Uphill Position”
Operation allowed when the display
show a window with P2 symbol (ie if
the stretcher is completely out of
the gantry with active limit switch).

NewTom 5G –Patient Table User Procedures 3-4
+ / -
+ / - buttons
The function depends on the current
page displayed on the screen
LASER
Laser ON / OFF buttons
The button is active only if the
communication 5G / PC is active
F1 / MODE / F2
Navigation menu buttons
F1 / MODE / F2
The function depends by the icon
displayed on the screen in
correspondence of the relevant key
READY
5G/PC connection Led
A green LED is on when the
connection between 5G and PC is
active
X-RAY EMITTION
X-ray emission Led
A yellow LED is on when an x-ray
emission is active
FAULT
Fault Led
A red LED is on when when an
anomaly occurs. The operator
attention is required
3.1.3 Console structure
Different pages can be shown on the display of the console in order to select functions or visualize status
information.
It is possible to navigate through different pages using the button located on the console.
On each page on the botton area of the display the actions corresponding to the F1/ MODE / F2
buttons are visualized.
Table console

NewTom 5G –Patient Table User Procedures 3-5
3.1.4 Displayed pages
3.1.4.1 INFO page
After the device has been switched on, the INFO page will appear for a few seconds . This page inslude
the logo, the serial number and the console firmware version.
After a few seconds the HOME page(see next picture) will automatically show up.
INFOpage
3.1.4.2 HOME page
This page always shows the current status of the table and the procedures that at the moment can be run.
-If the “P1” icon appears on the display it is possible run the procedure to prepare the table for an
exam;
-If the “P1” icon appears on the display it is possible run the procedure to reset the table.
P1 and P2 will be available only if the stretcher is lock and all the way outside the gantry (activating the
corresponding limit switch) (see next picture).
If the emergency button has been pressed the corresponding icon will appear on the display( ). This
icon will disappear after a few seconds the button has been released.
HOME P1-P2 Page
In case the stretcher is unlock the following picture will appear. In this case it is possible to manually slide
the stretcher in or outside the gantry. Since the adjustment is manually run by the operator is suggested
to always perform if carefully.
All the motorized movements are inhibited.
HOME page with stretcher lock
In case the stretcher is locked in a different position from the one that allows to run the P1 and P2
procedure (limit switch not activated), one of the following images will appear depending on the level of
stretcher insertion in the gantry
HOME page with stretcher lock but not all the way out from the gantry

NewTom 5G –Patient Table User Procedures 3-6
In this case the only available movements are UP/DOWN and LEFT/RIGHT (using the corresponding buttons
on the console panel, see Par. Errore. L'origine riferimento non è stata trovata.)
In all the aforementioned pages the icons corresponding to the F1/F2 buttons refer to the POS and INFO
pages.
3.1.4.3 POS page
In the POS page the following information appear:
longitudinal position of the stretcher [in mm]
trasversal position of the stretcher [in mm]
vertical position of the stretcher [in mm]
position of the stretcher potentiometer [in mm]
longitudinal position of the pantograph [in mm]
vertical position of the pantograph [in internal unit]
Pagina POS
By pressing the MODE button (corresponding to the icon located at the bottom of the display) is possible
to return to the HOME page.
3.1.4.4 ERROR page
In case an error appear the ERROR page will show up reporting the error code and a brief description. To
close the error page press the MODE button.
Pagina ERROR

NewTom 5G –Patient Table User Procedures 3-7
3.1.5 Movement sequences
3.1.5.1 Exam preparation position sequence (P1)
Allow to position the table before the execution of an exam (table ready for patient positioning).
It is possible to perform this procedure if the the HOME page appear with the P1 icon (see next picture).
HOME P1-P2 Page
To run the processi is necessary to move the stretcher all the way out of the gantry and lock it.
Once the P1 button , has been pressed the table will move to the EXAM PREPARATION position.
Pressing any button during this procedure will result in stopping the process and showing the HOME page.
Once stopped is possible to restart the procedure by pressing the P1 button again.
3.1.5.2 Facilitated uphill position sequence (P2)
Allow to position the table before in order to facilitate the patient accomodation (table out of the gantry
and at the lowest height).
To run the processi is necessary to move the stretcher all the way out of the gantry and lock it.
It is possible to perform this procedure if the the HOME page appear with the P2 icon (see next picture).
HOME P1-P2 Page
Once the P2 button , has been pressed the table will move to the RESET position.
Pressing any button during this procedure will result in stopping the process and showing the HOME page.
Once stopped is possible to restart the procedure by pressing the P2 button again.