Radlink CR Pro User manual

CR Pro Computed Radiography (CR) Scanner
USER MANUAL
January 22, 2 7
Release 2.
Reference Only
Radlink, Inc.
2400 Marine Ave.
Redondo Beach, CA 90278
3 0-643-6900 (phone)
3 0-643-6906 (fax)

© Copyright 2007 by Radlink, Inc
All rights reserved
Printed in USA
Specifications and product and/or service offerings are subject to change without
notice. The information in this book is provided for informational proposes only.
It is subject to change without notice. Radlink, Inc. assumes no liability for any
errors or inaccuracies that may appear in this book.
No part of this publication may be reproduced, stored in a retrieval system, or
transmitted, in any form or by any means, electronic, mechanical, photocopying,
recording or otherwise, without the prior written permission of Radlink, Inc.
The following product names are trademarks of Radlink, Inc.
•CR-Pro
•Pro Image Acquire
•Pro Image Viewer™
•Pro Image Archive™
Radlink, Inc.
2400 Marine Ave.
Redondo Beach, CA 90278
3 0-643-6900 (phone)
3 0-643-6906 (fax)
2

SAFETY
•SAFETY – Read and follow all warning and safety instructions in this
User’s Manual and marked on the product. Not following the
instructions may be hazardous or illegal.
•LIFTING HAZARD – The CR Pro weighs 50 lbs.
Do not attempt to lift the unit by one person. Always seek help from
two additional able bodied persons.
Lifting heavy equipment may result in serious injury to personnel,
equipment and possibly adjacent surroundings.
POWER – There are two models of the CR Pro, a domestic and a
European Model. To avoid damaging your device, be sure
the voltage selected matches the required voltage for the Model.
Domestic – 97- 40VAC, 47-65Hz, 5A
Accommodates most of North and South America.
Eastern countries such as South Korea and Taiwan.
European – 97-260VAC, 47-60Hz, 0A
CR Pro European - 240VAC, 50Hz, 3.0A
Accommodates most of Europe, the Middle East, and the Far East.
LASER SAFETY – The CR Pro is a Class Laser Device which utilizes a 50
mW solid state laser operating at 20 mW. The covers on the CR Pro and the
enclosed inner housing protect the user from direct and indirect exposure when
the unit is operating. Under no circumstances are the covers to be removed while
the unit has power applied. Removing of the covers should be done only by a
qualified technician for servicing.
3

•FCC NOTICE “Declaration of Conformity Information” – This
equipment has been tested and found to comply with the limits for a Class A
digital device, pursuant to Part 5 of the FCC Rules. These limits are
designed to provide reasonable protection against harmful interference in a
commercial installation. This equipment generates, uses, and can radiate
radio frequency energy and, if not installed and used in accordance with the
instructions, may cause interference to radio communications.
Electromagnetic Compatibility (EMC) is the ability of items of electronic
equipment to function properly together in the electronic environment.
Electromagnetic Interference (EMI) is any signal or emission, radiated in free
space or conducted along power or signal leads, that endangers the
functioning ofa radio navigation or other safety service or seriously degrades,
obstructs, or repeatedly interrupts a licensed radio communications service.
Radio communication services include, but are not limited to, AM/FM
commercial broadcast, television, cellular services, radar, air-traffic control,
pager and Personal Communication Services (PCS). These licensed
services, along with unintentional radiators such as digital devices, including
computers, contribute to the electromagnetic environment.
While this device has been designed and determined to be compliant with
regulatory agency limits for EMI, there is no guarantee that interference will
not occur in a particular installation. If this equipment does cause interference
with radio communication services, which can be determined by turning the
device off and on, you are encouraged to correct the interference by one or
more of the following measures:
•Re-orient or relocate the receiving antenna.
•Relocate the device with respect to the receiver.
•Increase the separation between the equipment and receiver.
•Connect the equipment to an outlet on a circuit different than that
to which the receiver is connected.
•REPLACING THE BATTERY – A coin-cell battery on the CPU
motherboard maintains computer configuration, date and time information.
The battery can last several years, however, if time and date require frequent
resetting, replace the battery as follows:
4

•CAUTION – A new battery can explode if incorrectly installed. Replace
the battery only with the same type or equivalent type recommended by
the manufacturer. Discard the used battery as described under
“BATTERY DISPOSAL”.
. Turn off power to the device.
2. Open the computer cover.
3. Locate the battery socket.
4. Remove the battery by carefully inserting a non-conductive tool
between the battery and the socket and pry it out of it’s socket.
5. Insert the new battery.
•CAUTION – BATTERY DISPOSAL – The CPU uses a lithium-ion
battery. Lithium-ion batteries are rated as hazardous. Do not dispose of
the battery with household waste. Contact a local waste disposal for the
nearest battery disposal site.
•REPLACING THE FLUORESCENT LAMPS – There are four
fluorescent lamps in the erase sub-assembly. Access to these lamps is very
tight and care must be taken to avoid lamp breakage. To replace a lamp,
perform the following:
. Turn off power to the device.
2. Open the device back cover.
3. Locate the battery socket.
4. Remove the side panels, then remove the small covers over the
fluorescent lamps.
5. Locate the defective lamp.
6. Remove the lamp by carefully turning the lamp with both hands
until the lamp is out of it’s socket.
7. Insert the new lamp.
•CAUTION - FLUORESCENT LAMP DISPOSAL - Fluorescent
lamps contain mercury, a hazardous material. Do not dispose of a
5

fluorescent lamp with household waste. Contact a local waste disposal
for the nearest fluorescent lamp disposal site.
•QUALIFIED SERVICE – All service must be performed by the factory or
by a certified CR Pro field service engineer. There are no user replaceable
parts inside the CR Pro. DO NOT remove the covers as internal parts may be
damaged, the warranty will be voided and it may be hazardous to your health.
•SPACE REQUIREMENTS – The CR Pro has dimensions of
22in(56.4cm)(w) x 2 in( 53.9cm)(d) x 40in( 02.6cm) (h). An additional 36 in
(92.3 cm) of space should surround the CR Pro to provide access and
working space for documents and plate cassettes.
•POWER REQUIREMENTS –
Domestic (U.S.): AC outlet 00V – 20VAC 5 amp, 60 Hz
European: AC outlet 220V – 240VAC 0 amp, 47Hz – 63Hz.
The AC outlet should be dedicated to the CR Pro (no other devices
connected to this circuit) to prevent the possibility of injected line noise by
other devices.
The CR Pro is fused for 5 amp domestic and 3 amp European. Fuses are
located in the AC power input fixture on the back, bottom, right hand side of
the CR Pro.
●FUSE – The input power is fused at the AC power input connector at the
bottom, right rear of the CR Pro cabinet. The fuse(s) is located in a box
directly above the input connector and is a integral part of the connector
assembly. to remove the fuse box, perform the following:
. Turn off power to the device.
2. Remove the AC line cord from the connector.
3. Using a small flat tip device, insert the tip under the tab at the bottom
of the box above the connector and gently pry the box open.
4. Inside the box are two (2) fuses as follows:
5. Domestic 00 – 20VAC 5V Fuse(s) (standard)
European 220 – 240VAC 3V Fuse(s) (standard)
Replace the fuse(s) with the value required for your model CR Pro
scanner and replace the box in its receptacle making sure the box is fully
inserted.
Replace the AC line code and turn on power. If the fuse blows again,
6

turn the power switch OFF and immediately call for service.
●ENVIRONMENT –
Temperature – 60ºF ( 9ºC) to 80ºF (32ºC) Operating
40ºF (4ºC) to 90ºF (33ºC) Non-operating
Relative Humidity – 20% to 80% non-condensing
Light – Phosphor plates are light sensitive and are erased if exposed to light. The
CR Pro cassettes are light protected. However, light can penetrate the CR Pro
light seal if bright light or sunlight is directed to the cassette slot on top of the CR
Pro. Ambient light in the proximity of the CR Pro should be kept to a minimum.
●SHIPPING AND UNPACKING THE CR PRO – The CR Pro is
shipped in a custom designed box that protects the unit from shipping
damage. When the unit is returned for any reason, it must be package in
the original container. Retain all Interior protective parts and hardware for
reuse.
●CAUTION – The packing crate can be tipped when shipping and
moving and should be tethered to avoid tipping
●CAUTION – The CR Pro weighs 198 pounds and, even with
attached casters, to avoid injury, it should not be moved by less than
two people. If lifted, such lifting should be performed by professional
movers or installers.
To remove the CR Pro from the shipping container:
. Remove the Philips head screws located at each top corner of the
shipping container lid, then remove the lid.
2. Remove approximately 7 Philips head screws located at the front
and bottom corners of the shipping container and remove the front.
Continue until all four sides are removed.
3. Remove the 2 Philips head screws located on each side of the
shipping container cross braces. Remove cross brace. Continue until
both cross braces are removed.
4. Remove monitor and cassettes.
5. CR Pro is now ready to be lifted down from the pallet.
6. Remove protective padding and shrink wrap from CR Pro, after the CR
Pro is removed from the pallet.
7

Gather all packing material for future packing of the CR Pro for return.
TABLE OF CONTENTS
Preface
Chapter 1: Hardware Installation and Setup
Chapter 2: Software Setup and Configuration
Chapter 3: Operating Instructions, Applications,
Gain Tables and Calibration
Appendix
Hardware Specifications
Error Conditions and Actions
USER QA
CALIBRATION PROGRAM
8

Preface
•THANK YOU – For purchasing the Radlink CR Pro Computed Radiography
Scanner. This manual will assist your certified CR Pro field service engineer
in learning all the functions of your CR Pro, from installation through
operation. Please read each section carefully.
•SAFETY - Read and follow all warning and safety instructions in this User’s
Manual and marked on the product. Not following the instructions may be
hazardous or illegal.
•INSTALLATION – Follow the Installation Instructions in this manual carefully.
Use only the supplied accessories. If parts are missing, contact eRadlink
before proceeding.
•PRESCRIPTION STATEMENT – Federal law restricts the possession of this
device to:
A person, or his agents or employees, regularly and lawfully engaged in the
manufacture, transportation, storage, or wholesale or retail distribution of
such device; or
in the sale by or on the order of a medical practitioner, licensed by the law of
the State in which he practices to use or order the use of the device in the
course of his professional practice.
9

Introduction
The Radlink CR Pro is a radiological device, that scans erasable phosphor plates
and transmits the image to an imaging onboard computer for review, archiving or
forwarding to other facilities for further evaluation and archiving. The CR Pro
handles plates of the following size:
Inch Standard
0in x 2in (203.2mm x 254.0mm)
4in x 7in (355.6mm x 43 .8mm)
The CR Pro’s unique design makes it low maintenance, as there are no mirrors
or galvanometers, which are subject to frequent adjustment. Additionally, the CR
Pro mechanism is shock mounted to allow for more reliable operation.
Multiple file formats are supported including TIFF, JPEG, PNG, BMP, DICOM
and Raw formatted images for both reading and writing.
Multiple images may be sent simultaneously to PACS hosts, and the embedded
DICOM Spooler handles multiple destinations and a DICOM broadcast capability.
The CR Pro has relatively few and connections, making the installation process a
quick and efficient procedure.
An external Uninterruptible Power Supply (UPS) accepts input voltage of
5VAC nominal at 50 to 60Hz or 220VAC nominal at, 50Hz to 60Hz at 5 A
(rms) for 5 VAC and 7.5A (rms) for 220 VAC Input current, allowing the CR
Pro to be installed in most countries in the world.
It is recommended that the entire User Manual be read before proceeding with
the installation.
10

Chapter 1
Hardware
Installation
and Setup
11

Chapter 1: Hardware Installation and Setup
Unpacking the CR Pro
Before assembling the CR Pro, take inventory of the contents of the shipping
carton to verify that all parts are included. If any parts are missing, circle the item
on this page and return a copy of the page to Radlink immediately and the parts
will be replaced.
Mail, fax or phone missing parts request to:
Radlink Inc.
2400 Marine Ave.
Redondo Beach, CA 90278
Attn: Customer Service
3 0-643-6906 (fax)
3 0-643-6900 (phone)
Contents:
Table 1 – CR Pro Hardware
Quantity Description Part Numbers
CR Pro Scanner 02-00-00
2 Cassettes – Phosphor Plate Holder
0in x 2in, 4in x 7in with plates
Cable – Power Cord 20 VAC 5A
Or
Cable – Power Cord 220 VAC 0A
Cable – Ethernet
Cable – USB2
Table 2 – CR Pro Software
Quantity Description Part Number
CD – CR Pro Application & Drivers
Table 3 – CR Pro Miscellaneous
Quantity Description Part Number
Manual – CR Pro User Manual
Warranty Card
12

Installation
It is important that the enclosed Warranty Card be completed and submitted
before continuing with the installation to protect the CR Pro for repair and to
validate the warranty.
Assuming the computer is set up, the hardware is unpacked and all parts are
accounted for, the hardware will be assembled first.
Hardware Assembly
WARNING
The CR Pro weighs 98 pounds and to avoid injury, it should not be moved by
one person. If lifted, such lifting should be performed by professional movers or
installers.
Note: A medical grade uninterruptible power supply (UPS) may be required.
Please verify the stability of the power source before installing the CR Pro.
CR Pro
. Place the CR Pro on a solid surface and open the back door , remove
the foam insert around the lead screw.
2. With the back of the CR Pro facing you, plug the output cable connector
into the CR Pro Power Connector (standard 3 pin female connector) on
the back of the CR Pro (see Figure -2 ).
3. Make sure the Power ON/OFF switch (see Figure -2) on the CR Pro is
in the OFF position.
4. Plug the male connector into a properly grounded A/C power outlet. It
is desirable to have the CR Pro on an isolated circuit to avoid conducted
noise from other devices affecting the quality of operation.
5. Plug one end of the ethernet cable or modem cable into the CR Pro
ethernet port (see Figure -2). Plug the other end into a
dedicated phone outlet. Note: Do not route the Ethernet cable and the
power cable in close proximity as power cable radiation may affect
transmission of data.
6. Turn the Power ON/OFF switch on the back of the CR Pro to ON .
This completes the Hardware assembly.
13

Figure 1-1 – CR Pro Scanner
14
Monitor
CD-RW
LCD Display
Keyboard/
Trackball
Cassette
Slot
USB Port
Ethernet
Port
On/Off Switch
AC Input
AC Line Filter

Figure 1-2 – CR Pro Scanner Rear View
Chapter 2:
Software Setup and
Configuration
15

Chapter 2: Software Setup and Configuration
Radlink Software Installation
All of the required software is installed at the factory. The software can be reinstalled
using the enclosed CD. This includes the driver, installation and startup program,
application and toolkit.
Radlink Application Installation Procedures
Radlink Clean Install Procedures
Note: The CR Pro is configured with the CR Pro Image Acquire software as part of the
manufacturing process and is already installed.
. Double click the “Double Click to Install Radlink” icon. This installs the Radlink
application. (Simply inserting the Radlink CD will cause the setup program to
automatically run on most machines).
2. If you are sending images to PACS servers or other DICOM devices. Contact
your PACS administrator for the proper settings.
Radlink Update Install Procedures
The following are the installation procedures for updating the Radlink Application to the
current Release:
1. From “Add Remove Programs” in the control panel, uninstall the Radlink
application then reboot the computer.
2.
3. Double click the “Double Click to Install Radlink” Icon on the install CD. This
installs the Radlink application. (Simply inserting the Radlink CD will cause the
setup program to be automatically run on most machines).
4. The Radlink Database will need to be synchronized to your existing Image
Archive. Open the Image Acquire Screen and Click “FileàDatabase
Maintenance” menu item then click the “Sync. Database” button.
5. Periodically check www.radlink.com for software updates. Select Software
Updates. Read the release notes for the latest release. If a newer version
interests you, you should download the entire release folder to your desktop then
double click “Double_Click_to_Install_Radlink” program in the downloaded folder.
This will start the installation process for the updated release.
This completes the Software installation procedure.
16

Figure 2-1 – Confirming The X – Ray Techniques
Settings
Body Part Major Grouping for display purposes.
Size This can be “Small”, “Medium” or “Large”
kVp The kVp setting at the X-Ray machine.
mAs The milliamp-seconds setting at the X-Ray Machine
Distance The distance between the X-Ray tube and the X-Ray cassette.
Grid Grid type; Can be 03, 78, or no grid.
Offset Should be set to calculate the Gain.
Gain Value This is the Gain Value as computed from the above settings.
17

Figure 2-2 – Destination Settings
Destination Settings - The destination settings for networked DICOM devices are
shown above. It also has a field called “State” that instructs the software whether or
not to send a DICOM image from the CR Pro to selected destination(s). Unchecking
the State does not turn off communications to the programmed satellite destinations.
However; Again the state check box only controls output from the CR Pro to each
selected destination.
Active Destinations – This specifies the active hosts that will receive images. All
hosts listed in active destinations will be sent images as they are acquired from the
CR Pro.
Inactive Destinations – Inactive destinations will be ignored and, therefore, will not
receive images. This specifies valid host destinations that are not active.
Host Alias – A user selected name for a PACS host. This name can be modified by
selecting the text in the Host Alias combo box and retyping a new name. Changing
the name will not impact DICOM communications. Note that the Host Alias names
are the names the user sees in the DICOM Spooler Host combo box.
IP – Specifies Internet IP address. Usually a World Wide Web address, i.e.
www.radlink.com.com. IP can also be the physical network node address.
Port – Specifies the logical port of the PACS server. Radlink is currently
using port 07. Other PACS host will have different port assignments.
Client AE Title – Specifies the Client User Name. This field is ignored by most
PACS.
Host AE Title – Specifies the application entity title. Call your PACS administrator
for the Host Title. It is case sensitive.
#Retries – The router will give up and post an error alert if the transmission failed
after the count of 0 retries have been attempted. The default is retry 0 times.
18

Prompt on Send Failure? – An option to the router to not prompt on a send failure but
rather place the DICOM image in the canceled queue after a number of user defined
retries. This is important for unattended operation.
Network Timeout –The elapsed number of seconds before a network timeout will be
issued when establishing a DICOM association.
Protocol – The normal setting “DICOM” is based on the standard DICOM release,
and handles various modalities and PACS hosts. The “Radlink” protocol setting
supports image compression. The older protocol is based on the RSNA 2000 standard.
The protocol setting is ”Mallinckrodt”. This setting was added to accommodate older
PACS hosts. This protocol does not support compression and doesn’t support newer
modalities.
Compression – The compression techniques supported are: noCompression – Save
the image uncompressed. jpeglossy – 8 bit Process – This is JPEG 8 bit lossy
compression. The default viewer with CD creation is only able to recognize jpeg 8 bit
lossy and uncompressed images.
Destination Settings Action Buttons
New – A new host is created by pushing the New button. A system generated Host
Alias will automatically be generated and can be easily modified.
Delete – A host can be deleted by pushing Delete after selecting the destination to be
deleted. If there are DICOM transfers in progress or queued up for that host, they will
not be sent. No directories or files are actually deleted with this operation.
DICOM Ping – Click the DICOM Ping button to verify that the Destination settings, the
network settings, and the PACS settings are correct and the PACS server is accepting
associations. If all is well, the following message will be displayed:
Figure 2-3 – DICOM Ping Success Message
19

If there are problems, the following message will be displayed:
Figure 2-4 – DICOM Ping Error Message
The most typical reason for the error message is incorrect IP and/or Port destination
settings. The DICOM Ping button is also present in the Radlink Router destination
settings.
Router Settings
The purpose of the Router Scheduler is to postpone DICOM transfers for example,
after business hours.
Figure 2-5 – Radlink Router Scheduler
When the check box is checked, the router will cease to send images except
between the times selected.
Figure 2-6 – Scheduler Settings
20