Codonics Horizon XL User manual

Table of Contents
EN - English ..............................................................................................................................................................21
Documentation and Notice......................................................................................................................................21
Overview..................................................................................................................................................................21
Specifications ...........................................................................................................................................................21
Product Information ............................................................................................................................................24
Warnings and Limitations of Use.........................................................................................................................25
Location of Safety and Compliance Labels ......................................................................................................25
Voltage Warning ..............................................................................................................................................25
Laser Warning ..................................................................................................................................................26
Temperature Warning .....................................................................................................................................27
Compliance ......................................................................................................................................................27
Serial Number, Configuration, Date Code, and Modification Codes...............................................................27
ESD Caution......................................................................................................................................................28
Potential for Radio Frequency Interference on Imager Operation..................................................................28
Potential for Radio and Television Interference..............................................................................................28
Guidance Regarding Electromagnetic Emissions and Immunity .....................................................................29
Safety Precautions ...........................................................................................................................................31
Location Precautions........................................................................................................................................32
Cleaning Precautions........................................................................................................................................33
Media ...............................................................................................................................................................33
Codonics Paper/White Film Media..................................................................................................................34
File Transfer via FTP and LPR ...........................................................................................................................34
Color Management ..........................................................................................................................................34
Image Scaling ...................................................................................................................................................34
Hardware Variations ........................................................................................................................................34
Disposal Requirements ....................................................................................................................................34
European Disposal Requirements....................................................................................................................34
Indications for Use...........................................................................................................................................35
User Manual Warnings and Cautions ..............................................................................................................36
FR - Français.............................................................................................................................................................39
Documentation et Avis ............................................................................................................................................39
Aperçu......................................................................................................................................................................39
Caractéristiques .......................................................................................................................................................39
Produit Informations............................................................................................................................................43
Mises en garde et Limites de Utilisation..............................................................................................................43
Lieu de Sécurité et Conformité Étiquettes.......................................................................................................43
Tension Avertissement ....................................................................................................................................44
Laser Avertissement.........................................................................................................................................45

Température Avertissement............................................................................................................................46
Conformité.......................................................................................................................................................46
En série Nombre, Configuration, Date Code, et Modification Codes..............................................................46
ESD Mise en garde ...........................................................................................................................................47
Potentiel pour Radio La fréquence Ingérence sur Imageur Opération............................................................47
Potentiel pour Radio et Télévision Ingérence..................................................................................................47
Conseils Concernant Électromagnétique Émissions et Immunité...................................................................48
Sécurité Précautions ........................................................................................................................................50
Lieu Précautions...............................................................................................................................................51
Nettoyage Précautions.....................................................................................................................................52
Médias..............................................................................................................................................................52
Codonics Papier / Blanc Film Médias...............................................................................................................53
Déposer Transfert via FTP et LPR.....................................................................................................................53
Couleur Gestion ...............................................................................................................................................53
Image Mise à l'échelle......................................................................................................................................53
Matériel Variations ..........................................................................................................................................53
Disposition Conditions .....................................................................................................................................54
européen Disposition Conditions.....................................................................................................................54
Les indications pour Utilisation........................................................................................................................54
Utilisateur Manuel Mises en garde et Précautions..........................................................................................55
DE - Deutsch.............................................................................................................................................................58
Dokumentation und Beachten.................................................................................................................................58
Überblick..................................................................................................................................................................58
Spezifikationen.........................................................................................................................................................58
Produkt Information ............................................................................................................................................62
Warnungen und Einschränkungen von Benutzen ...............................................................................................62
Ort von Sicherheit und Beachtung Etiketten...................................................................................................62
Stromspannung Warnung................................................................................................................................63
Laser Warnung.................................................................................................................................................64
Temperatur Warnung ......................................................................................................................................65
Beachtung ........................................................................................................................................................65
Seriennummer Nummer, Aufbau, Datum Code, und Änderung Codes...........................................................65
ESD Vorsicht.....................................................................................................................................................66
Potenzial zum Radio Frequenz Interferenz auf Imager Operation..................................................................66
Potenzial zum Radio und Fernsehen Interferenz.............................................................................................66
Orientierungshilfe Bezüglich Elektromagnetisch Emissionen und Immunität ................................................67
Sicherheit Vorsichtsmaßnahmen.....................................................................................................................69
Ort Vorsichtsmaßnahmen................................................................................................................................70
Reinigung Vorsichtsmaßnahmen.....................................................................................................................71
Medien.............................................................................................................................................................71

Horizon® XL
Multi-media Imager
EN - English
Documentation and 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
The Horizon XL combines diagnostic film, color paper and grayscale paper
printing in a versatile medical imager. Horizon XL features exclusive 36” and 51” dry long film ideal for
long bone and scoliosis studies. A total CR/DR print solution, Horizon XL will reduce your costs, save
you space, and completely eliminate your wet film processing needs. 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, 25-100 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
14” x 36”, 14” x 51” (blue only) 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: 512MB RAM
Hard Disk: 80GB (60GB available for spooling)
Removable Disk: 100MB ZIP™ Disk 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: 15-30˚C, Storage: -22.2 - 50.6˚C, 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: [email protected]
Web Site: www.codonics.com
General product information can also be requested by sending email to:
Email: [email protected]
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