GE Senographe 2000 D User manual
Senographe 2000 D Acquisition System
Operator Manual
OM
0459
GE Healthcare
5179217–1–100
Revision 1
Do not duplicate.
CopyrightE2006 by General Electric Company inc. All rights reserved.
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
WARNING
X–RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR
UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED
Though this equipment is built to the highest standards of electrical and mechanical safety, the
useful x–ray beam becomes a source of danger in the hands of the unauthorized or unqualified
operator. Excessive exposure to x–radiation causes damage to human tissue.
Therefore, adequate precautions must be taken to prevent unauthorized or unqualified persons
from operating this equipment or exposing themselves or others to its radiation.
Before operation, persons qualified and authorized to operate this equipment should be familiar with
the Recommendations of the International Commission on Radiological Protection, contained in
Annals Number 60 of the ICRP, and with applicable national standards, and should have been
trained in use of the equipment.
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
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REGULATORY REQUIREMENTS
This product complies with the regulatory requirements of the following:
-Council Directive 93/42/EEC concerning medical devices: the 0459 label affixed to the product
testifies compliance to the Directive.
For a system, the location of the CE marking label is described in the system manual.
European registered place of business:
GE Medical Systems Europe
Quality Assurance Manager
BP 34
F 78533 BUC CEDEX France
Tel: +33 (0)1 30 70 40 40
-Code of Federal Regulations Title 21, Subchapter J – Radiological Health.
-Underwriters’ Laboratories, Inc. (UL), an independent testing laboratory.
-Canadian Standards Association (CSA).
-International Electrotechnical Commission (IEC), international standards organization, when
applicable.
Compliance with these standards is evidenced by the presence of the appropriate labels on the
exterior of the Generator cabinet.
-USA/HHS:
United States Federal law restricts this device to use by or on the order of a
physician.
-General Electric Medical Systems is ISO 9001 and EN 46001 certified.
-The original document was written in English.
All components of the Senographe 2000 D system (Generator Cabinet, Gantry, Acquisition
WorkStation Cart) are designed to be suitable for use within the patient environment, and are
compliant with the relevant standards (UL 2601, IEC 601.1.1).
Note: Since the equipment allows the physician to store information on the patient with the function
IMAGE ANNOTATIONS, the European Directive regarding “the protection of the people with
regard of data management on their private life and to the free circulation of these data” requests
to the computerized file users (radiologists, physicians) not to store data related to their:
– race,
– philosophical opinions,
– religious opinions,
– political opinions,
– etc.
CAUTION
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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
2
Electromagnetic Compatibility (EMC)
This equipment complies with IEC60601–1–2 Edition 2 EMC standard for medical devices.
This equipment generates, uses, and can radiate radio frequency energy. The equipment
may cause radio frequency interference to other medical and non-medical devices and radio
communications. To provide reasonable protection against such interference, this product
complies with radiated emissions as per CISPR11 Group 1, Class A standard limits.
Detailed requirements and recommendations about power supply distribution and installation
are listed in the Pre–Installation Manual (pim) shipped with your system. However, there is no
guarantee that interference will not occur in a particular installation.
If this equipment is found to cause interference (which may be determined by turning the
equipment on and off), the user (or qualified service personnel) should attempt to correct the
problem by one or more of the following measure(s):
– reorient or relocate the affected device(s)
– increase the separation between the equipment and the affected device
– power the equipment from a source different from that of the affected device
– consult the point of purchase or service representative for further suggestions
The manufacturer is not responsible for any interference caused by using other than
recommended interconnect cables or by unauthorized changes or modifications to this
equipment. Unauthorized changes or modifications could void the users’ authority to operate
the equipment.
All interconnect cables to peripheral devices must be shielded and properly grounded. Use of
cables not properly shielded and grounded may result in the equipment causing radio
frequency interference.
Do not use devices which intentionally transmit RF Signals (Cellular Phones, Transceivers, or
Radio Controlled Products) in the vicinity of this equipment as it may cause performance
outside the published specifications. Recommended separation distances are detailed in the
Pre–Installation Manual (pim) shipped with your system. Keep the power to this type of
devices turned off when near this equipment.
The medical staff in charge of this equipment is required to instruct technicians, patients, and
other people who may be around this equipment to comply fully with the above requirement.
Further data and recommendations for meeting Electromagnetic Compatibility requirements
for a typical installation are given in the Pre–Installation Manual (pim) shipped with your
system. Note that the magnetic field of an MRI device located nearby may cause a risk of
interference. Magnetic field amplitude limits are specified in the Pre–Installation Manual (pim)
shipped with your system.
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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
3
Recycling:
Machines or accessories at end–of–life:
The elimination of machines and accessories must be in accordance with national regulations for
waste processing.
All materials and components that could pose a risk to the environment must be removed from the
end–of–life machines and accessories (examples: dry and wet cell batteries, transformer oil, etc.).
Please consult your local General Electric Medical Systems representative before discarding these
products.
Packing materials:
The materials used to pack our equipment are recyclable. They must be collected and processed in
accordance with the regulations in force for the country where the machines or accessories are
unpacked.
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REV 1 OM 5179217–1–100
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Blank page.
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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
5
TABLE OF CONTENTS
Regulatory requirements 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreword 13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 1 – SAFETY RECOMMENDATIONS 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. INTRODUCTION 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. POTENTIAL ADVERSE EFFECTS 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. EMERGENCY SWITCHES 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. MOVEABLE COMPONENTS 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. BEFORE STARTING AN EXAM 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. ACQUISITION AND STORAGE OF IMAGES 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. AOP MODE 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. RESIDUAL IMAGES 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. DAMAGE TO THE DIGITAL DETECTOR 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 2 – INTRODUCTION 19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. DEVICE DESCRIPTION 19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. INDICATIONS FOR USE 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. CONTRAINDICATIONS 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. TRAINING PROGRAM 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. HOW TO USE THE MANUAL 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. QUALITY CONTROL 21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. CONVENTIONS FOR THIS MANUAL 21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7-1 Typographical 21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7-2 Definitions 21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. SYSTEM COMPONENTS 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-1 Overview 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-2 Senographe 2000 D X-ray System 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-3 Digital Detector and Image Receptor 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-4 Acquisition Workstation Cart 24. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-4-1 Overview 24. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-4-2 Three-Section Table 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-4-3 Light Box 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-4-4 Writing Table/Mouse Pad 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-4-5 Accessory Storage Unit 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-4-6 Uninterruptible Power Supply (UPS) 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
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8-4-7 External Connections 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. ACCESSORIES AND OPTIONS 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9-1 Senographe 2000 D Accessories 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9-2 System Options 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 3 – SENOGRAPHE 2000 D GANTRY 29. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. INTRODUCTION 29. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. COMPONENT OVERVIEW 30. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1 X-ray System 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1-1 Tube-arm Support 33. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1-2 Receptor-arm Support 34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1-3 Image Receptor 36. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2 Generator Cabinet 37. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3 Accessories 38. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-4 Optional Accessories 38. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 4 – GANTRY CONTROL CONSOLE 39. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. CONSOLE OVERVIEW 39. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. CONTROL CONSOLE OVERVIEW 41. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. LEFT-HAND SECTION OF CONTROL CONSOLE 43. . . . . . . . . . . . . . . . . . . . . . . . . . .
4. CENTRAL SECTION OF CONTROL CONSOLE KEYBOARD 48. . . . . . . . . . . . . . . . . .
5. RIGHT-HAND SECTION OF CONTROL CONSOLE 50. . . . . . . . . . . . . . . . . . . . . . . . . .
6. VIEW NAME SELECTION 52. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-1 View Names 52. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-2 Automatic View Name Selection 53. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-2-1 The automatic view selection process 53. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-2-2 Angles used in automatic view selection; default values 53. . . . . . . . . . . . . . . . . . . . . . .
6-3 Manual View Name Selection (Standing or Sitting Patients) 54. . . . . . . . . . . . . . . . . . . .
6-4 View Names for Recumbent Patients 54. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 5 – ACQUISITION WORKSTATION 57. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. OVERVIEW 57. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1 Introduction 57. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. WORKSTATION UNIT 58. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. STARTUP AND SHUTDOWN 58. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. HARDWARE CONTROLS 59. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-1 Mouse 59. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-2 Keyboard 59. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FOR TRAINING PURPOSES ONLY!
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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
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5. WINDOWS 60. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. ON-SCREEN TOOLS 60. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-1 Cursor 60. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-2 Buttons 61. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-3 Menus 61. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-4 Scroll Bar 61. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 6 – START UP AND SHUTDOWN 63. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. START UP PROCEDURE 63. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. SYSTEM SHUTDOWN 63. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. EMERGENCY SHUTDOWN 63. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. GANTRY RESET 63. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. GENERATOR CABINET PUSH-BUTTONS 63. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 7 – BROWSER 65. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. OVERVIEW 65. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. BROWSER RESTART 66. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. SYSTEM SHUTDOWN 66. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. LOCK SCREEN 66. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. BROWSER DISPLAY 67. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-1 Lists 67. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-2 List format 67. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-3 Application Controls 67. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-4 Network Panel 68. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-5 Status display 68. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. BROWSER MANAGEMENT 69. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-1 Selecting Images 69. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-2 Selecting Images 69. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-3 Status of Series 69. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-4 Sorting Lists 70. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-5 Deleting Images 70. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-6 Interchange Media 70. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. NETWORK TRANSFER 71. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7-1 Network options 71. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7-2 Transfer 71. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. TOOLS MENU UTILITIES 73. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
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8-1 Filter Management 73. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-2 Browser preferences 74. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-3 Medical Application preferences 76. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-4 Edit Patient 81. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-5 Set patient anonymous 81. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. FILTERS 82. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9-1 To select a registered filter or create a temporary filter: 82. . . . . . . . . . . . . . . . . . . . . . . .
9-2 Temporary Filter 82. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9-3 Registered Filters, Filter Management 83. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 8 – WORKLIST 85. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. WORKLIST FUNCTION 85. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. IMAGE ACQUISITION 87. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1 MEDICAL PROCEDURE CARD 87. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2 Image Acquisition – New Patient... 88. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3 Edit Patient 88. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-4 Image Acquisition – New Examination 88. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-5 Image Review 89. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. BAR CODE SCANNER (OPTION) 90. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1 Optional bar code scanner 90. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-1 How to read a bar code symbol 91. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-2 Set default configuration 91. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-3 How to enter an AWS text field 92. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1-4 What If ... 92. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 9 – VIEWER 95. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. OVERVIEW 95. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1 Viewing Area 96. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-2 Mosaic Image Browser 96. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-3 Image Selection 96. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. VIEW CONTROL 97. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1 Zoom 97. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2 2D Localization 98. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3 Contrast and Brightness sliders 98. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-4 Image Control 99. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. ANNOTATION 99. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1 Annotation Level 100. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-2 Graphics & Meas. 100. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
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3-3 Geom. Transformations 103. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. FUNCTION PANEL 104. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-1 Medical Procedure Card 104. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-2 Scrapbook 104. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-3 Reprocess 104. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-4 Close Exam (Exit Viewer) 104. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-5 Quality Check 105. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-6 Print to LaserCam 105. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-7 Middle Mouse Button 105. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-7-1 Magnifying glass 106. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-7-2 Image scroll 106. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-7-3 Contrast/Brightness control 106. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. SCRAPBOOK 107. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-1 Layout formats 108. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-2 Scrapbook functions 108. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-3 Composer area 109. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-4 Page navigation area 109. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 10 – IMAGE ACQUISITION PROCEDURE 111. . . . . . . . . . . . . . . . . . . . . . . . .
1. OVERVIEW 111. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. PREPARATION 111. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1 Worklist 111. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2 Preparing the Equipment 111. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. CONFIGURATION 112. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1 Standard exposures 112. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-2 Magnification 112. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-3 Examination of Chest Wall 112. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. AOP MODE 113. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-1 Use of Markers in AOP Mode 114. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-2 Mammary implants 114. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. MANUAL MODE 115. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. POSITIONING THE PATIENT 117. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. COMPRESSION 118. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. THICKNESS 118. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. IMAGE ACQUISITION 119. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. PROCESSING 121. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
10
CHAPTER 11 – PRINTING 123. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. INTRODUCTION 123. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. PRINTER MANAGEMENT 124. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. PRINT FUNCTIONS 124. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1 Auto Print 124. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-2 Manual Print 125. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-3 Printing Properties 126. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-4 Printing status 127. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-5 Filming Queue 127. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-6 Print Annotation Models 128. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 12 – INTERCHANGE MEDIA 131. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. OVERVIEW 131. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. USING THE INTERCHANGE MEDIA OPTION 131. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1 Handling CD-R Media 131. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2 Saving Images on Recordable CD 132. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2-1 Procedure 132. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2-2 Preview option 133. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2-3 Checking the CD-R 133. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2-4 Availability of system while writing to CD-R 133. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3 Restoring Images from Recordable CD 134. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3-1 Procedure 134. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3-2 Notes 135. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3-3 Errors 135. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-4 Ejecting a Disk from the CD-R Drive 136. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 13 – MAINTENANCE 137. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. CLEANING AND DISINFECTION 137. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1 Monitor cleaning instructions 137. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-2 General Information about disinfection 137. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-3 Cleaning Instructions 138. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-4 Low Level or Intermediate Level Disinfection 138. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-5 High Level Disinfection 139. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-6 RECOMMENDED GERMICIDES 139. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-6-1 Low or Intermediate Disinfection 139. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-6-2 High Level Disinfection 140. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. RECOMMENDED PLANNED MAINTENANCE 141. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1 Planned maintenance performed by the Radiologic Technologist 141. . . . . . . . . . . . . . .
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
11
2-2 Planned maintenance performed by the Medical Physicist 141. . . . . . . . . . . . . . . . . . . . .
2-3 Planned maintenance performed by the Field Service Engineer 141. . . . . . . . . . . . . . . .
CHAPTER 14 – ERROR MESSAGES 143. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. ERROR MESSAGES 143. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHAPTER 15 – SPECIFICATIONS 165. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1. TECHNICAL SPECIFICATIONS 165. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1 Electrical Specification 165. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1-1 Line voltage specifications 165. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1-2 kVA load characteristics 165. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1-3 Input impedance 165. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1-4 Generator Output (excluding tube) 165. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1-5 Duty Cycle 165. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1-6 Line Conditioner Resonance Frequency 166. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1-7 Generator Power (excluding tube) 166. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-2 Maximum Tolerance of Displayed Constants 166. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-3 Workstation Storage 166. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-4 Digital Detector FOV 166. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. RADIATION AND FILTER INFORMATION 167. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1 Radiation Reference Axis 167. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2 Technical Leakage Factor 167. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-3 Filters and Anode Tracks 167. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-4 Attenuation Equivalence 168. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. AMBIENT CONDITIONS 168. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-1 Operational Ambient Conditions 168. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-2 Transport and Storage Ambient Conditions 168. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-3 Ambient Light Level 168. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. TUBE INFORMATION 168. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. DIMENSIONS AND WEIGHTS 169. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. MEANING OF SYMBOLS 169. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Revision History 171. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
12
Blank page.
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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
13
FOREWORD
This manual is provided for Senographe 2000 D operators. It is designed to supply all the information
required for the correct use of this equipment.
The manual has been written to describe the use of the Senographe 2000 D in its most complete
configuration. If any of the options described in this manual are not included in your system, skip the
corresponding chapter or sections.
See your General Electric Medical Systems representative for the options available with the
Senographe 2000 D system.
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
14
Blank page.
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
CHAP. 1
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
15
CHAPTER 1 – SAFETY RECOMMENDATIONS
1. INTRODUCTION
Routine mammography provides the best method of early detection of breast cancer, and every effort
should be made to encourage its acceptance by patients and all concerned organizations.
Examinations performed regularly without problems are an essential part of this process. All aspects
of mammographic exams, and especially safety, must be optimized to ensure effective diagnosis and
allow the development of screening programs.
Safety precautions and recommendations for the avoidance of potential hazards, and against misuse,
are given throughout this document. They must be made known to, and be practised by, all operators
of the Senographe 2000 D equipment.
This chapter is intended to bring attention to and emphasize some of the more important of these
precautions and recommendations.
You are strongly recommended to keep this manual with the equipment at all times. Review it from
time to time and be sure that you are familiar with all aspects of use of the equipment, and especially
those affecting safety.
Stop all examinations and call your GEMS (General Electric Medical Systems) Service representative
immediately if you believe that the equipment is not operating correctly.
2. POTENTIAL ADVERSE EFFECTS
DThe following is a list of potential adverse effects that apply to mammography and are also
applicable to digital mammography using the Senographe 2000 D system:
– Excessive breast compression
– Excessive X–ray exposure
– Electric shock
– Infection
– Skin irritation, abrasions, or puncture wounds
3. EMERGENCY SWITCHES
DEmergency stop switches are provided on both sides of the Senographe 2000 D Gantry
examination column, easily accessible to the operator.
Push either of these switches to immediately cut power to the examination column.
All movements are stopped, and any compression which may have been applied to the patient
during an exam is released.
DIf an emergency arises which requires complete removal of power from all parts of the system, the
mains isolator which supplies power to the system from the hospital supply must be switched off.
Find out where this isolator is located and how to operate it.
Note that all image and patient information being processed at the time of cutting power will be
lost, and that power for the environmental control of the Digital Detector will be cut (this may entail
a delay before the system can be brought back into use).
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
CHAP. 1
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
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4. MOVEABLE COMPONENTS
The equipment includes a number of moveable components.
Users must be instructed to monitor all movements, and to take all due care and precautions when
moving any part of the equipment in the vicinity of themselves or other persons.
To ensure safe operation at all times, the Senographe 2000 D compression system is fitted with a
magnetic braking mechanism, which prevents the compression paddle from falling in the event of
power loss. If power loss does occur while a patient is under compression, a force of around 5 daN
remains on the compression paddle. Disengage the patient by raising the paddle gently by hand (do
not try to raise it too quickly) to counteract the compression force.
To minimize potential injury to the patient in decompression mode, the upward movement of the
compression paddle is stopped if a downward force greater than 3 daN is applied.
5. BEFORE STARTING AN EXAM
Check the system:
DCheck that the compression paddles, the Bucky (grid) or breast support, and the magnification
platform if in use, are all well inserted in their supports, and are being used as recommended.
DThe magnification platform must not be used when the column is rotated outside the range +90_to
–90_. In this position, it is possible for the patient’s abdomen to obscure the field of view.
DNo modifications to system hardware or software may be made without prior approval from GEMS.
GEMS cannot guarantee the integrity of the system if this recommendation is not followed.
DNo application programs of any sort may be loaded onto the system computer without prior
approval from GEMS. GEMS cannot guarantee the integrity of the system if this recommendation
is not followed.
DOnly accessories and components supplied by or specifically recommended by GEMS may be
used with the system. GEMS cannot guarantee the integrity of the system if this recommendation
is not followed.
DOnly Senographe 2000 D compression paddles may be used with the system. Use of other
paddles may adversely affect image quality by causing inaccurate measurements of breast
thickness.
DAll accessories should be checked regularly to ensure that they have no sharp edges or corners
which might cut, pinch, or otherwise hurt a patient.
Check the patient:
Before beginning the mammogram, observe the following points:
DBefore positioning the patient, make a visual assessment of the breast area, and note anything
which may affect or be adversely affected by the correct positioning of the breast for the
mammogram, for example, warts, scarring, or skin which is not intact. In patients with large
breasts, perspiration under the breast can cause the skin to soften, and become paper-thin.
To position the breast properly for a mammogram in the CC position, it is essential that the breast
is lifted away from the chest wall and gently pulled forward, in order to visualize the maximum
amount of breast tissue. Such pulling and lifting is necessary for correct positioning, but can cause
damaged skin to tear slightly, and may cause bleeding.
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
CHAP. 1
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
17
If any condition exists which may cause unusual discomfort or tearing of the skin, the patient
should be told of the importance of correct positioning, and should be warned in advance of the
possibility that minor tearing and /or slight bleeding might occur.
DUse suitable techniques for the positioning of patients with breast implants.
DIt is normal that the front part of the breast support is warm to the touch, as it contains electronic
components which generate heat. However, the temperature is never high enough to be harmful.
To ensure that examinations are carried out under optimum conditions, any unusual rise in
temperature causes a warning message to be displayed on the monitor screen, forbidding
examinations. Any further rise causes the detector system to be automatically shut down.
DGEMS can take no responsibility for injury to the patient caused by the use of heating or warming
devices external to the system.
6. ACQUISITION AND STORAGE OF IMAGES
Images acquired during examinations are stored on an internal disk system for preliminary
assessment, before permanent archiving or printing to film. The system is designed to avoid all
foreseeable problems during the acquisition and storage operations. Precautions include continuous
checks on all components and the provision of a battery-backed UPS (Uninterruptable Power Supply),
to allow correct processing of images to be completed before shutdown in the event of a power failure.
Certain conditions may cause a loss in the ability of the system to acquire high quality images or a risk
that images might not be correctly saved (for example, if the UPS batteries are not sufficiently charged
to ensure correct shutdown). For these conditions a warning message is displayed on the AWS
monitor and/or the Gantry Control Console. A list of possible error messages, with explanations and
suggested actions, is given in Chapter 14. “Error Messages”.
You should note the following recommendations:
DAlways follow the correct system shutdown procedure as described in Chapter 6 “Startup and
Shutdown”.
DIn spite of the presence of the UPS, it is not advisable to switch off power while an image is being
processed and stored.
DIf defects or failures on the disk system are observed, call your GEMS Service representative. It
may be possible to recover information on the disk if the damage is not too severe.
7. AOP MODE
The Senographe 2000 D provides an AOP (Automatic Optimization of Parameters) operating mode.
This mode is designed to optimize image quality for the examination of breasts with a compressed
thickness between 10 mm (0.4 inch) and 85 mm (3.35 inches).
However, there are some types of examination for which manual selection of parameters may be more
suitable. These are discussed in Chapter 10, Image Acquisition Procedure.
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
CHAP. 1
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100
18
8. RESIDUAL IMAGES
Repeated exposures made with a high contrast object in the digital detector area may lead to the
creation of a ghost image, caused by an excessive difference of residual charges between cells of the
detector. The time taken for this ghost image to disappear depends upon the magnitude of the
residual charges.
This effect can occur during checks to measure the X-ray field which use a dosimeter ionization
chamber in the beam. To avoid it, use one of the following solutions:
DReduce the contrast of the object by including it in a field protected by an X-ray attenuator of
adequate thickness.
DUse the internal dose measurement facility.
DProtect the digital detector by means of a 3 mm steel plate for the duration of the measurements.
9. DAMAGE TO THE DIGITAL DETECTOR
The digital detector contains thallium doped cesium iodide, a substance which requires special
precautions for handling and recycling. If the protective casing of the digital detector sustains damage,
please consult your local GEMS representative.
If the digital detector casing is punctured, the detector must be removed by
authorized GE Service personnel wearing protective gloves and dust masks;
send the protective items for disposal along with the defective detector.
CAUTION
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
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