Codonics Horizon Ci User manual

Table of Contents
EN - English............................................................................................................................................................21
Documentation Notice.........................................................................................................................................21
Overview................................................................................................................................................................21
Specifications........................................................................................................................................................21
Product Information.............................................................................................................................................25
Warnings and Limitations of Use..........................................................................................................................25
Location of Safety and Compliance Labels .......................................................................................................25
Voltage Warning...............................................................................................................................................26
Laser Warning ..................................................................................................................................................27
Temperature Warning......................................................................................................................................28
Compliance.......................................................................................................................................................28
Serial Number, Configuration, Date Code, and Modification Codes ................................................................28
ESD Caution......................................................................................................................................................29
Potential for Radio Frequency Interference on Imager Operation...................................................................29
Potential for Radio and Television Interference...............................................................................................29
Guidance Regarding Electromagnetic Emissions and Immunity.......................................................................30
Safety Precautions............................................................................................................................................32
Location Precautions........................................................................................................................................33
Cleaning Precautions........................................................................................................................................34
Media ...............................................................................................................................................................34
Codonics Paper/White Film Media...................................................................................................................35
File Transfer via FTP and LPR............................................................................................................................35
Color Management...........................................................................................................................................35
Image Scaling....................................................................................................................................................35
Hardware Variations.........................................................................................................................................35
Disposal Requirements.....................................................................................................................................36
European Disposal Requirements ....................................................................................................................36
Indications for Use............................................................................................................................................36
User Manual Warnings and Cautions ...............................................................................................................37
FR - Français..........................................................................................................................................................40
Documentation Avis ............................................................................................................................................40
Aperçu ....................................................................................................................................................................40
Caractéristiques ...................................................................................................................................................40
Produit Informations ............................................................................................................................................44
Mises en garde et Limites de Utilisation...............................................................................................................44
Lieu de Sécurité et Conformité Étiquettes .......................................................................................................44
Tension Avertissement.....................................................................................................................................45
Laser Avertissement.........................................................................................................................................46

Laitteisto Muunnelmat...................................................................................................................................238
Hävittäminen Vaatimukset.............................................................................................................................238
eurooppalainen Hävittäminen Vaatimukset...................................................................................................238
Käyttöaiheet varten Käyttää...........................................................................................................................239
Käyttäjä Manuaalinen Varoitukset ja Varoitukset ..........................................................................................239
GA - Gaeilge..........................................................................................................................................................243
Doiciméadú Fógra..............................................................................................................................................243
Forbhreathnú......................................................................................................................................................243
Sonraíochtaí........................................................................................................................................................243
Táirge Eolas ........................................................................................................................................................247
Rabhaidh agus Teorainneacha de Úsáid.............................................................................................................247
Suíomh de Sábháilteacht agus Comhlíonadh Lipéid.......................................................................................247
Voltas Rabhadh...............................................................................................................................................248
Léasair Rabhadh .............................................................................................................................................249
Teocht Rabhadh .............................................................................................................................................250
Comhlíonadh ..................................................................................................................................................250
Srathach Uimhir, Cumraíocht, Dáta Cód, agus Modhnú Cóid.........................................................................250
ESD Rabhadh ..................................................................................................................................................251
Acmhainn le haghaidh Raidió Minicíocht Cur isteach ar Íomhá Oibríocht......................................................251
Acmhainn le haghaidh Raidió agus Teilifís Cur isteach ...................................................................................251
Treoir Maidir le Leictreamaighnéadach Astaíochtaí agus Díolúine.................................................................252
Sábháilteacht Réamhchúraimí........................................................................................................................254
Suíomh Réamhchúraimí .................................................................................................................................255
Glanadh Réamhchúraimí................................................................................................................................256
Meáin .............................................................................................................................................................256
Codonics Páipéar / Bán Scannán Meáin .........................................................................................................257
Comhad Aistriú via FTP agus LPR....................................................................................................................257
Dath Bainistíocht ............................................................................................................................................257
Íomha Scálú....................................................................................................................................................258
Crua-earraí Athruithe .....................................................................................................................................258
Diúscairt Riachtanais ......................................................................................................................................258
Eorpach Diúscairt Riachtanais ........................................................................................................................258
Tásca le haghaidh Úsáid .................................................................................................................................259
Úsáideoir Lámhleabhar Rabhaidh agus Rabhadh ...........................................................................................259
HR - hrvatski jezik..............................................................................................................................................263
Dokumentacija Obavijest .................................................................................................................................263
Pregled .................................................................................................................................................................263
Tehnički podaci..................................................................................................................................................263
Proizvod Informacija...........................................................................................................................................267
Upozorenja i Ograničenja od Koristiti.................................................................................................................267

Horizon® Ci
Multi-media Imager
EN - English
Documentation Notice
Codonics Products are Class I products intended for use by Healthcare Professionals.
Products packaging and labeling, including Graphic User Interface (GUI) for operation are offered in
English and meet MDR, Annex I, Chapter III, 23.4, taking account the training and the knowledge of
the potential user.
*Web information, Key Specifications, Intended Use, User manual Appendix, Quick Start Guide &
Setup IFU are available in simple translation Member State Languages; primary IFU are available in
English.
Overview
Horizon Ci combines diagnostic film, color paper and grayscale paper printing to provide
the world’s most versatile medical imager.
Featuring color paper to show off your latest imaging techniques, room light viewable
grayscale paper to cut your costs and a compact, counter-top design, Horizon obsoletes
film-only imagers. High speed image processing, networking and spooling are all standard.
Specifications
Print Technology: Dye-diffusion and direct thermal (dry, daylight safe operation)
Spatial Resolution: 320 DPI (12.6 pixels/mm)
Throughput: Up to 100 films per hour
Time To Operate: 5 minutes (ready to print from “off”)
Grayscale Contrast Resolution: 12 bits (4096)
Color Resolution: 16.7 million colors
256 levels each of cyan, magenta, and yellow
Media Inputs: Three supply cassettes, 50-100 sheets each, one color ribbon
Media Outputs: Three receive trays, 50-sheet capacity each
Media Sizes: 8” x 10”, 14” x 17” (blue and clear) DirectVista® Film A, A4, 14” x 17” DirectVista
Grayscale Paper A, A4 ChromaVista® Color Paper
Dmax: >3.0 with DirectVista Film
Archival: >20 years with DirectVista Film, under ANSI extended-term storage conditions
Media Supply: All media is pre-packaged and factory sealed
Interfaces: Standard: 10/100 Base-T Ethernet (RJ-45), Serial Diagnostic Port, Serial Console
Network Protocols: Standard: FTP, LPR
Optional: DICOM (up to 24 simultaneous connections), Windows network printing
Image Formats: Standard: TIFF, GIF, PCX, BMP, PGM, PNG, PPM, XWD, JPEG, SGI (RGB),Sun Raster,
Targa
Optional: DICOM, PostScript™ compatibility
Image Quality: Automatic calibration using built-in densitometer

Image Control: Gamma, Contrast, Saturation, Medical Color Matching (MCM™), Polarity,Rotation,
Scaling, Antialiasing
Sheet Control: Density Adjustment (Dmax), Look-Up Tables (LUT), Image Warnings,Captions, Sheet
Coverage, Border Color, Border Fill, Crop Anchor
Sheet Formatting: 1:1 - 1:81; Variable Multi-Formatting (VMF™), Fixed Multi-Formatting (FMF™)
Control Panel: Large, backlit LCD display, Status lights include Online, Alert, Fault, Active Power and
Menu navigation buttons
Processor: Intel
Memory: 512 MB RAM
Hard Disk: SSD, 32 GB (24 GB available for spooling)
Removable Storage: USB for software upgrades
Smart Card: 72 KB for storing configuration data
Power: Universal Input: 100-120/230V~ 50/60 Hz, 600W printing, 150W idle
Heat Emission: Maximum 600W, 2,050 BTUs/hr. printing, 150W, 512 BTUs/hr. idle Weight: 66 lbs. (30
kg.)
Engine Dimensions: 14.5” (37 cm) H, 20.5” (52 cm) W, 24” (61 cm) L
Environment: Operating Temperature: 15-30C, Storage: -22.2 - 50.6C, Operating Humidity: 10-70% R.H.
(non-condensing)
Regulatory: Full medical device compliance including Class 2 FDA and Class I
MDR 2017/745/EU (CE), GMP/QSR, ISO 13485:2016/NS-EN
ISO 13485:2016, Electrical Safety IEC 60601-1 Ed. 3.1 and EMC/EMI:
FCC Class A and IEC 60601-1-2: Ed. 4 for Professional Healthcare Facilities
Conventions Used in the User Manual
Bulleted Lists
Bullets are used to display a list of nonprocedural items. For example:
The control panel contains:
•A display panel
•Keys
•Indicators
Numbered Steps
The icon indicates the beginning of a procedure. The steps in a procedure are numbered. For
example:
1. Press the MENU key.
The Main Menu displays on the control panel. The selector arrow ( ) automatically points to
the first menu option.
2. To scroll through the menu options, press the up and down keys.

The selector arrow ( ) moves up and down through the list. The bottom portion of the control
panel display shows a message associated with the currently selected menu option.
Control Panel Navigation
Menu paths are used in some procedures instead of documenting every step needed to navigate to a
specific menu option. For example:
From the Main Menu, select the following options:
Default Media
Grayscale
DV Film Blue
Control Panel Keys
Control panel keys are shown in small black ovals to resemble the actual keys, for example, “Press
the ENTER key.”
Control Panel Menu Options
Control panel menu options are shown in bold type, for example, “Select the Gamma menu
option.”
Notes and Tips
Notes contain additional information related to a topic or procedure. For example:
NOTE: If your network is managed by a network administrator or an information technology
(IT) department, it would be considered a complex network. You should have the responsible
person perform any network-related administrative tasks.
Tips provide additional insights about a topic or procedure (such as, why you may want to do
something or a faster way to perform an operation). For example:
TIP: Specifying print settings in a multi-user environment
If the Horizon imager is accessed by multiple users, it is typically better for individual users to enter print
values through the DICOM application interface rather than change the default settings through the control
panel.
Cautions and Warnings
Cautions alert you to actions or situations that could cause harm to equipment or data. For
example:
CAUTION Any changes you make to the imager default settings will also affect prints made by
other users. Use caution when changing default settings.
Warnings alert you to actions or situations that could result in personal injury. For example:
WARNING With the imager cover open, touch only those internal components that are colored
green.
Text Files and Displayed Text

Monospaced type is used for the contents of an ASCII file or machine text displayed in a terminal
command window.
User Data
Bold monospaced type is used to indicate specific characters or words that you enter at a host
workstation when performing advanced imager operations. If the type is also italicized, it
indicates variable text. For example:
1. From your workstation, open a UNIX or MS-DOS command window.
2. Enter the command telnet hostname or telnet IP Address (using either the Horizon imager
hostname or IP Address).
3. At the login prompt, enter the command status.
Important Information and Filenames
•Bold type is used for emphasis, command names, and paths or filenames. For example:
•The Horizon imager default settings can be changed both at the control panel and using text
files. The hostname and IP Address must be added to the /etc/hosts file.
New Terms
Italic type is used when a term is introduced and defined. For example:
•The Horizon imager has a complete set of default settings that contain preconfigured values for
every aspect of a printed sheet.
Purpose and Scope
Refer to this user manual for procedures on how to perform the most common imager
operations, including:
•Setting up the imager
•Loading media
•Sending print jobs from DICOM Print Service Classcompliant applications running on imaging
devices or image viewing workstation
•Sending print jobs from workstations via PostScript
•Sending print jobs using FTP and LPR
•Changing the imager’s default image and sheet settings
•Adjusting the appearance of printed images for user preference
•Performing preventive maintenance
•Performing film calibration
•Troubleshooting common problems
NOTE: Some features and functions described here may not apply to older versions of the software.
This User’s Manual is intended to be as simple and straightforward as possible for the everyday
user. If you need more detailed or more technical information on a feature or topic, or wish to
perform more advanced operations, refer to the Horizon Imager Technical Manual

(Catalog no. HORIZON MNLT). The Technical Manual serves as a companion document to this
manual
Product Information
For technical assistance with the Horizon, call Codonics Technical Support at the following number:
Phone:[phone]
Toll Free: 800.444.1198 (USA only)
Technical Support is available anytime. Technical Support is also available online via email and the
Codonics web site:
Email: [e-mail]
Web Site: www.codonics.com
General product information can also be requested by sending email to:
Email: [e-mail]
Please include your postal mailing address and telephone number in the email message. Basic
product information is returned via email unless otherwise requested.
Warnings and Limitations of Use
Location of Safety and Compliance Labels
The following figure shows the locations of the imager’s safety and compliance labels.

Voltage Warning
The exclamation point within an equilateral triangle and person reading a manual symbol are
intended to alert the user to the presence of important operating and maintenance (servicing)
instructions in the literature accompanying this device.
NO USER-SERVICEABLE PARTS INSIDE. REFER SERVICING TO QUALIFIED SERVICE
PERSONNEL. REMOVAL OF LABELS, COVERS, OR ENCASEMENT FASTENERS VOIDS THE
WARRANTY.
THIS APPARATUS MUST BE ELECTRICALLY GROUNDED.

TO PREVENT FIRE OR SHOCK HAZARD, DO NOT EXPOSE THIS IMAGER TO RAIN OR
MOISTURE.
EQUIPMENT IS NOT TO BE USED AS A COMPONENT OF A LIFE SUPPORT SYSTEM. Life
support devices or systems are devices or systems that support or sustain life, and whose failure to
perform can be reasonably expected to result in a significant injury or death to a person. A critical
component is any component of a life support device or system whose failure to perform can be
reasonably expected to cause the failure of the life support device or system, or to affect its safety or
effectiveness.
WARNING Grounding reliability can be achieved only when the Horizon is connected to a
receptacle marked “Hospital Only” (that is, “Hospital Grade”).
WARNING The power cord connected to the Horizon is the main disconnect for the system.
WARNING To disconnect overall power to the Horizon prior to servicing it, power of the system.
WARNING Do not modify this equipment without authorization of the manufacturer
WARNING External equipment intended for connection to signal input, signal output, or other
connectors, shall comply with relevant IEC standard (e.g., IEC 60950 for IT equipment and the IEC
60601 series for medical equipment). In addition, all such combinations - systems - shall comply
with the IEC 60601-1 standard for Medical Electrical Equipment Systems. Equipment not
complying to IEC 60601 shall be kept outside the patient environment, as defined in the standard.
Any person who connects external equipment to signal input, signal output, or other connectors
has formed a system and is therefore responsible for the system to comply with the requirements of
IEC 60601-1-1. If in doubt, contact a qualified technician or Codonics Technical Support for
approved configurations.
WARNING Do not touch a patient while also accessing the internal components that are under the
top cover or receive trays.
Laser Warning
The Horizon imager uses a laser to read barcode information on the media cassettes. The laser
module is a 650 –670nm device of 1.26 mW or less. As such it has been found to comply with the 21
CFR 1040.10 and 1040.11 and IEC 60825 laser standards as a low power Class 1 device.
For safety reasons, the laser is turned on only for a short time when a cassette is inserted. Still, one
should use caution and never stare at the laser beam, should avoid exposure to the laser, and
should never override any of the interlocks and safety mechanisms. These measures are taken for
your protection.
WARNING Use of controls or adjustments to the performance of procedures other than those
specified in this manual may result in hazardous radiation exposure.
The laser apertures are marked with a single label, shown below. There are three apertures that
correspond to the three cassette locations, one for each, on the same side of the Horizon imager as
this label.
Safety interlocks are marked by the following label. They are located on the same side of the
Horizon imager as this label.

Temperature Warning
Because the Horizon imager is a thermal print device, the surface of the thermal print head heat
sink gets hot. Avoid directly touching any components not colored green when accessing the
interior of the imager if the imager has been printing. (During some preventative maintenance
tasks, you will be touching internal components with cleaning pads or swabs.)
The temperature warning label is shown below.
Compliance
Codonics is in compliance with various regulations.
The Compliance label, which is affixed at the back of the imager, is shown below.
Serial Number, Configuration, Date Code, and Modification Codes
The Serial number label is placed onto the Compliance label. It includes the following information.
•The serial number (SN), which uniquely identifies the unit.
•The Configuration number (CNFG), which details the build configuration.
•The modifications codes, which are to the right of the CNFG number and are a series of 20
numbers. When any of these numbers are blocked out, that identifies a modification that was
made to the unit.
•The date code in YYYY-MM format below the factory date code symbol.

ESD Caution
Connections to other pieces of equipment are made at the rear of the Horizon imager. These
connectors are marked with a precautionary ESD warning symbol, as shown below. Do not touch
any of the pins of these connectors. When making connections to the imager, it is best done while
the imager is plugged in but not powered on. ESD may cause erratic behavior of the imager when
powered on. Should this occur, power to the imager may have to be cycled. It is recommended that
all staff involved in making connections to the imager be aware of these ESD precautions.
Potential for Radio Frequency Interference on Imager Operation
Both portable and mobile RF communications equipment can affect medical electrical equipment,
including the Horizon imager. Keep such RF communications equipment out of the immediate
area.
Potential for Radio and Television Interference
The Horizon imager generates and uses radio frequency energy, and if not installed and used
properly, that is, in strict accordance with the manufacturer’s instructions, may cause interference
to radio and television reception. It has been type tested and found to comply with Class B emission
limits for a computing device in accordance with the specifications in Subpart J of Part 15 of FCC
Rules, which are designed to provide reasonable protection against such interference when
operating in a commercial environment. Operation of the equipment in a residential area is likely to
cause interference, in which case the user, at his own expense, will be required to take whatever
measures may be appropriate to correct the interference. If your imager does cause interference to
radio or television reception, you are encouraged to try to correct the interference by one or more of
the following measures:

•Reorient the receiving antenna
•Relocate the imager with respect to the receiver
If necessary, you should consult Codonics technical support or an experienced radio/television
technician for additional suggestions. You may find the following booklet prepared by the Federal
Communications Commission helpful: How to Identify and Resolve Radio-TV Interference Problems.
This booklet is available from the U.S. Government Printing Office, Washington, D.C. 20402, Stock
No. 004-000-00345-4.
This product is in conformity with the requirements of EC Council directive MDR 2017/745/EU
(CE) on the approximation of the laws of the Member States relating to medical devices. This
product satisfies the Class A limits of IEC60601-1-2 and CISPR 11. A declaration of conformity with
the requirements of the Directive has been signed by the Director of Operations. Horizon is
approved for export via FDA Certificates to Foreign Government and registered as a medical
device for import. A current list of countries is available on request.
Guidance Regarding Electromagnetic Emissions and Immunity
Suitable Environments:
•Horizon is intended for use in professional healthcare facility environments, including hospitals
and medical clinics.
•Horizon has not been evaluated for use near HF surgical equipment. If use near HF surgical
equipment is desired, the user is responsible for verifying proper operation of the Horizon. If
Horizon does not perform correctly in this environment, move the Horizon farther from the
source of the electromagnetic disturbance.
•Horizon has not been evaluated for use in emergency medical vehicles.
As a support device, Horizon does not provide essential performance.
WARNING Use of this equipment adjacent to or stacked with other equipment should be avoided
because it could result in improper operation. If such use is necessary, this equipment and the other
equipment should be observed to verify that they are operating normally.
WARNING Use of accessories, transducers and cables other than those specified or provided by
the manufacturer of this equipment could result in increased electromagnetic emissions or
decreased electromagnetic immunity of this equipment and result in improper operation.
WARNING Portable RF communications equipment (including peripherals such as antenna cables
and external antennas) should be used no closer than 30 cm (12 inches) to any part of the Horizon,
its cables, or accessories. Otherwise, degradation of the performance of this equipment could result.

Safety Precautions
•Never connect this imager to any outlet or power supply that has a voltage or frequency
different than that specified on the rear of the imager.
•When servicing the imager, always power it off using the (power) key at the control panel, then
turn the rocker switch in the back to the 0(off) position, then unplug the imager.

•Damage to the power cord may cause fire or shock hazard. When unplugging the power cord,
hold it by the plug only and remove the plug carefully.
•If the power cord needs to be replaced, replace it only with another Codonics power cord
manufactured specifically for your imager’s power configuration.
•If the imager is smoking or making unusual sounds, power off and unplug the imager
immediately.
•Do not insert foreign objects of any kind into the imager; doing so can constitute a safety hazard
and cause extensive damage.
•Do not place any liquid containers on the imager. If, for some reason, liquid seeps into the
imager, power off the imager and unplug the power cord from the source outlet. If used
without corrective measures, the imager may be damaged.
•Do not use the imager near flammable gases.
•With the imager top cover open or the receive trays removed, touch only those internal
components that are colored green (shown in the following figure). Remove rings, ties, jewelry,
and other items, and tie back hair, so that they do not fall into or get caught in the imager.
Internal Components That Are Colored Green (called out in the illustration) Are Safe to Touch
Location Precautions
•The imager’s operating ambient temperature range is 15–30ºC
(59–86ºF), with a relative humidity of 10%–80%.
•If the imager is moved quickly from an extremely cold place to a warmer one, condensation is
likely to form. Do not use the imager if condensation has formed. Wait until the condensation
has evaporated. You can speed up the evaporation time by moving the imager to a dryer
location.
•Ventilation slots and holes are provided on the sides and rear of the imager. Place the imager on
a hard level surface and locate it at least 10 cm (4 in.) from walls to ensure proper ventilation

CAUTION Adequate ventilation is required for proper operation of the imager
CAUTION When positioning the Horizon Imager, ensure there is adequate space to access the rear
power switch.
•Do not place imager in a high humidity or high dust area. Airborne dirt particles can cause
image quality problems. Avoid placing the imager in areas where ventilation ducts, open doors,
or frequent passers-by might expose the imager and media to high levels of debris.
•Do not locate the imager in hot-springs areas where hydrogen sulfide and acidic ions are likely
to be generated.
•Do not locate the imager where there are oily fumes and vapors.
•Do not locate the imager in direct sunlight.
•Do not locate imager near sources of high RF energy.
•Do not locate the imager where it might be subject to jarring or vibrations, such as a table or
desk in a hightraffic area. Jarring and vibrations can affect the print quality of images.
•Horizon satisfies the electrical safety limits of IEC60601-1 and CISPR 11 and is suitable for
patient care area location. Check with local ordinances and installation guidelines to confirm
approved location requirements.
Cleaning Precautions
•Many plastic components are used in the imager’s construction. Coat flecking and deformation
is likely to occur if the imager is wiped with chemical dusters, benzene, thinners, insecticides, or
other solvents. Rubber and PVC materials left in contact with the imager for extended times will
cause damage. Never use petroleumbased solutions or abrasive cleaners.
•To clean the imager cover, first power off the imager using the (power) key at the control
panel, then turn the rocker switch in the back to the 0(off) position, then unplug the imager.
Clean the cover with a soft cloth slightly moistened with a mild soap and water solution. Allow
the cover to completely dry before operating the imager again.
Media
For ChromaVista®color prints, the consumed ribbon contains facsimiles of any patient images
printed to ChromaVista color sheets. Therefore, you must properly dispose of or destroy
consumed ribbon to ensure the confidentiality of patient images.
The optical density of reflective and transmissive prints have a nominal range of: Dmin = 0.10 OD
(reflective), 0.11 OD (transmissive) to Dmax = 2.10 OD (reflective), 3.1 OD (transmissive). Actual
optical densities may vary based on media variations and on the instrument being used to
measure density. For example, DirectVista®Clear film may have a lower Dmin and Dmax than
DirectVista Blue film.
•The Horizon imager includes a built-in densitometer. The built-in densitometer is designed to
produce consistent prints by compensating for variation from one film cassette to another and
one imager to another. For applications that require absolute control of the maximum density,
the results should be checked against a bench-top commercial densitometer. The internal
densitometer can be calibrated to a desktop unit. See the Horizon Imager Technical Manual for
more information.

•DirectVista media is optimized for grayscale prints, while ChromaVista is optimized for color
prints. If ChromaVista is not giving you satisfactory results with grayscale images, you may
want to consider using DirectVista media for those applications.
•Media variations between different production lots may produce subtle differences in image
quality and color. These variations most often occur in color ribbons and are characterized as a
slight color hue in grayscale images.
•Codonics film media is designed to be viewed using a light box suitable for viewing medical
diagnostic images.
•Codonics paper/white film media is designed to be viewed under coolwhite, fluorescent light.
Spectral differences and intensity variations in the viewing light sources can change the
apparent color of images printed on paper/white film.
•Printed images that are subject to prolonged exposure to sunlight, ultraviolet light, or extreme
heat may degrade in image quality. (For example, printed sheets should not be stored in an
automobile on a sunny day.) Precautions should be used to avoid prolonged direct exposure.
Codonics Paper/White Film Media
The terms “white paper” and “white film” are synonymous references and used interchangeably in
this manual.
File Transfer via FTP and LPR
•Different users who share a user name when transferring files to the imager may cause
unpredictable and erroneous printed output. The imager associates information with the user
name. Each user should have a unique user name when connecting to the imager via FTP and
LPR.
Color Management
•Image settings—including gamma, contrast, Dmax, saturation, and MCM™ (Medical Color
Matching™)—are intended to compensate for differences that may occur between image
acquisition and image printing. These filters allow you to accurately render the final printed
image. You should use care when applying these filters to avoid over compensation.
•The Default User Settings set at the control panel will potentially affect prints made by all users.
Use caution when changing the default settings.
Image Scaling
•Scaling an image will filter the original image data and add or remove information, which may
affect the accuracy of the final printed image. The amount of information added or removed
will also vary with the magnitude of the scale factor applied. This can also affect the accuracy of
the final printed image. You should be aware of the properties and limitations of each scaling
algorithm and select the appropriate algorithm for the task.
Hardware Variations
•Components used in the imager may vary, causing differences in image quality. The thermal
process of producing a print utilizes many components that are calibrated to provide
consistency between imagers. There are subtle differences between imagers that can cause print

variations. These differences usually apply to thermal print head calibration. Other factors such
as age, usage, heat, mechanical wear, and shipping can affect image color and quality.
•The type of media used to install software updates and to backup imager configuration settings
depends on hardware variations. If the imager has a built-in Zip drive, installations and
backups are performed using 100-MB Zip disks. If the imager does not have a built-in Zip drive,
USB flash drives are used with the USB ports on the rear panel. Throughout this manual, Zip
disks and USB flash drives are referred to as installation media or backup media, depending on the
operation being performed.
NOTE: If the imager has both a Zip drive and a USB port, always use the Zip disk to install
software and save configuration settings.
Disposal Requirements
Disposal of this product and consumables shall be in accordance with all applicable laws and
regulations in effect at the locality at the time of disposal.
European Disposal Requirements
Codonics imagers and electronic accessory devices are not to be discarded or recycled; rather they
are to be returned to the manufacturer. Contact Codonics directly or by the link provided for the
latest information concerning:
•Identification of the country-specific Importer/Distributor/Producer
•Product return and treatment of our electronic products
Manufacturer: Codonics Inc.
17991 Englewood Drive
Middleburg Heights, OH 44130 USA
Phone: [phone]
Fax: [phone]
E-mail: [e-mail]
www.Codonics.com
Codonics electronic products and accessories bearing the following symbol are subject to European
Directive on Waste Electrical and Electronic Equipment (WEEE) 2002/96/EC, amended by Directive
2003/108/EC. The EN 50419 symbol indicates separate collection and return required.
EN 50419 symbol
Indications for Use
CAUTION Approved FDA Class 2 device - Federal law restricts this device to be sold for use by or
on the order of a physician.

The intended use of the Horizon Series Imagers is high-resolution hardcopy imaging of digital
image source material and through the conversion of electronic signals from a wide variety of
direct/indirect medical imaging modality outputs. The hardcopy output includes, however is not
limited to, digital radiography, nuclear medicine, ultrasound, CT, MRI, CR, and Radiation Therapy
planning. Images are suitable for medical image diagnosis use and referral. The system is intended
for use by medical radiologists, imaging modality specialists, and communications to referring
physicians.
The Horizon Series Imagers are dry, thermal, grayscale (G, GS,GSs,GS-Rad, G1, and G2 models)
and grayscale/color (Ci, Ci-s, CiRAD, and SF models) direct thermal printer/imagers.
The Horizon XL is a special model adding 14 x 36in. and 14 x 51in. true size “long” media that
permits digital direct orthopedic application hardcopy, including diagnosis and analysis of
scoliosis, weight bearing spine/hip/knee, and long bone/hip prosthetic and orthopedic appliances
work-up and surgical planning. Horizon XL is applicable to true-size hardcopy of whole body CT,
MRI, and Angiographic and Venous flow imaging procedures.
Horizon Imagers are 510(k) cleared to market as FDA Class 2 devices, Regulation number 892.2040,
Classification Product Code LMC: Horizon Series Medical Multimedia Dry Imagers K021054 and
Horizon XL Medical Long Film Imager Hardcopy Multimedia K060440.
User Manual Warnings and Cautions
CAUTION Approved FDA Class 2 device - Federal law restricts this device to be sold for use by or on
the order of a physician.
CAUTION Make sure that the table can support the weight of the imager [approximately 66.7 kg
(147 lbs) with receive trays and three full supply cassettes installed].
WARNING The imager is heavy. To avoid injury, use two people to unpack and position the imager.
CAUTION Do not scratch or nick the sheet metal. Scratches and nicks in the basement will damage the
printed side of ChromaVista sheets.
CAUTION Make sure that the imager is powered off before connecting the Ethernet cable. For
information about powering the imager on and off, refer to “Powering the Imager On and Off”.
CAUTION Do not touch any of the connector pins.
CAUTION If the thermal print head is not parked, power on the imager, then repeat steps 2 and 3 to
properly power off the imager so that it does park.
CAUTION Push the ribbon carriage down slowly. Forcing it down too quickly may damage the
carriage.
CAUTION If the imager is powered off using the POWER key, unprinted queued jobs are saved and
will finish printing once the imager is powered on again (you can purge all jobs). However, if the
imager is powered off using the rocker switch in the back or power is interrupted (for example, an
unexpected power failure), queued jobs may be lost.
WARNING When servicing the imager, always power it off using the POWER key, turn the rocker
switch in the back to the 0 (off) position, then unplug the imager.
CAUTION Use only Codonics media. Do not use plain paper, office transparencies, or other
unapproved media as damage, improper operation, or malfunction may result. For information about
the approved Codonics media types and sizes, and how to order cassettes, refer to “Ordering Media”.
CAUTION Do not refill a cassette. Do not tamper with or remove the barcode label. The cassette’s
barcode information is essential for ensuring diagnostic image quality. Compromising the cassette in
any way jeopardizes the quality and reliability of the imager.

CAUTION Do not remove or insert a cassette while a sheet is being printed, or you could affect the
image quality of the printed sheet or cause a jam. Always pause the imager first.
CAUTION Do not remove the printed cassette cover; it protects the media from dust and other
contaminants. Always hold and store the cassette with the open side up to prevent the sheets from
falling out.
WARNING With the imager cover open, touch only those internal components that are colored green.
Remove rings, ties, jewelry, and other items, and tie back hair, so that they do not fall into or get caught
in the imager.
CAUTION Used ribbon retains the negative of the color images that were printed using that ribbon. If
you are required to ensure patient confidentiality and privacy, the ribbon should be destroyed.
CAUTION Use caution when changing the imager default settings. Changes could affect prints made
by other users.
CAUTION Changing the default settings will affect prints made by other users. Use caution when
changing default settings. Typically, it is better to specify sheet and image parameter settings from the
DICOM application or a PostScript printer’s settings, or use a Job Settings file that contains the values
you need. For information about Job Settings files, refer to the Horizon Imager Technical Manual.
CAUTION If the imager’s settings were changed from the factory defaults prior to being shipped (for
example, to accommodate a special OEM configuration), resetting to the factory defaults will not
restore the “as shipped” settings. Instead, they will be reset to the standard factory default values.
CAUTION Resetting to the factory defaults will affect prints made by other users. Use caution when
changing default settings. Typically, it is better to specify sheet and image parameter settings from the
DICOM application or a PostScript printer’s settings, or use a Job Settings file that contains the values
you need. For information about Job Settings files, refer to the Horizon Imager Technical Manual.
CAUTION Changing the imager’s Default Media and Default User Settings could affect subsequent
prints made by other users. Use caution when changing default settings.
CAUTION Changing the imager’s Default Media and Default User Settings could affect subsequent
prints made by other users. Use caution when changing default settings.
WARNING With the imager cover open, touch only those internal components that are colored green.
Remove rings, ties, jewelry, and other items, and tie back hair, so that they do not fall into or get caught
in the imager.
WARNING The thermal print head may be hot.
WARNING When cleaning the print head, avoid the extreme ends of the print head, which are sharp.
CAUTION Use only the print head cleaning wipe when cleaning the thermal print head. Also, do not
touch the glass surface of the thermal print head with your fingers; it could damage the print head. To
avoid touching the glass surface, you may want to wear gloves when cleaning the thermal print head.
CAUTION The thermal print head must be completely dry before attempting to use the imager.
Allowing the thermal print head to heat up again while still wet will damage the thermal print head.
WARNING With the imager cover open, touch only those internal components that are colored green.
Remove rings, ties, jewelry, and other items, and tie back hair, so that they do not fall into or get caught
in the imager.
CAUTION Use only the platen roller cleaning wipe when cleaning the platen. The platen roller could
be damaged if you use the print head cleaning wipe.
WARNING With the receive trays removed, touch only those internal components that are colored
green. Remove rings, ties, jewelry, and other items, and tie back hair, so that they do not fall into or get
caught in the imager.
CAUTION Use only the platen roller cleaning wipe when cleaning the pick tires. The tires could be
damaged if you use the print head cleaning wipe.
CAUTION Do not touch the pick tires (which may be white or green); body oils from your fingers are
hard to remove and could eventually damage the tires.