Shimadzu Bransist Alexa User manual

Operation Guide
BRANSIST alexaDigital Angiography System
M517-E190D
Digital Angiography System
BRANSIST alexa
Read this manual thoroughly before you use the product.
Keep this manual for future reference.
Operation Guide

This Operation Guide describes the basic operation of BRANSIST alexa.
For detailed information, refer to the following “Operation Manuals”.
DAR-9500f Operation Manual (M517-E181)
D150GC-40 Operation Manual (M501-E085)
MH-200S Operation Manual (M523-E016)
MH-300 Operation Manual (M523-E014)
Please read and observe all safety precautions.
Symbols
The following symbols are used in this Operation Guide.
Symbols Meaning
WARNING Indicates a potentially hazardous situation which, if not avoided, could
result in serious injury or possibly death.
CAUTION Indicates a potentially hazardous situation which, if not avoided, may
result in minor to moderate injury or equipment damage.
NOTE Emphasizes additional information that is provided to ensure the proper
use of this product.
1, 2, 3, …Indicates the operation in order.
1, 2, 3, …Indicates further details of above operation.
●Indicates the operating description and items.
Indicates the result of operation.
Describes the points, notices and references of operation.
© 2011-2016 Shimadzu Corporation. All rights reserved.
General Description of
BRANSIST alexa is the digital angiography system with FPD (Flat Panel Detector).
BRANSIST alexa, a combination of high quality digital imaging with low dose exposures, provides
fast and efficient operation for PCI and diagnostic studies.

3
Contents
1
System Components...............................4
Examination Room ..................................................................4
Control Room ........................................................................12
2
System Startup and Shutdown ............. 16
Startup ...................................................................................16
X-ray Tube Warm-up .............................................................17
Shutdown...............................................................................19
Daily Inspection .....................................................................21
3
Start Study ............................................22
Input Patient Information .......................................................22
4
Fluoroscopy/Radiography .....................23
Operation of C-arm................................................................23
Operation of Catheterization Table ........................................27
Fluoroscopy/Radiography......................................................28
Change Fluoroscopy/Radiography Program .........................29
HV Flip...................................................................................30
Change Settings of Injection Delay .......................................31
Recording Fluoroscopy Image...............................................32
Adjusting Image.....................................................................33
Adding, Deleting and Displaying Reference Images .............35
Related Operation for Study ..................................................36
Measuring and Analyzing ......................................................37
Operating DSA Tool ...............................................................41
Printing Images......................................................................42
Closing Study ........................................................................42
5
Studies Management ............................43
Managing Studies..................................................................43
Sending Studies ....................................................................44
Writing to CD/DVD.................................................................45
6
Trouble Shooting...................................46
Emergency Halt .....................................................................46
Safety Switch.........................................................................46
Shutdown Failure...................................................................47
Digital Angiography system application problem ...................48
FPD Problem .........................................................................49
Power Failure ........................................................................50
Error Messages .....................................................................51
7
Appendix ...............................................58
IVR NEO buttons/Keyboard Shortcut keys functions ............58

4
FPD
X-ray Tube
Collimator IVR NEO Catheterization
Table
CyberGrip
(or Cyber Console)
Local Console
Foot Switch
(Examination Room)
Acquisition
Monitor
Review
Monitor
C-arm
Indicator
C-arm
1
System Components
Examination Room

5
1
System Components
■CyberGrip
Stop Switch
Release Switch
Field of View Switch
Catheterization Table
Up/Down Switch
Tabletop Unlocking Switch
(Located at the rear side of the grip)
C-arm Rotation Selector Switch
Direct Memory Switches
C-arm Travel
Selector Switch
FPD SID Switch
■Cyber Console
Field of View
Switch
Center Reset
Switch
C-arm Rotation/Travel
FPD SID Confirmation Switch
Release Switch (on the side of the console) Direct Memory Switches
Stop Switch
Catheterization Table
Up/Down Switch
Tabletop Unlocking Switch

6
■Local Console
Type A
① ④③②
⑧⑥ ⑤ ⑦
No. Name or Explanation
①C-arm Working Positions Switch
②Direct Memory Switches
③Operate the C-leaf of the Collimator by moving up and down.
④Operates the H/V Collimation. The Collimator opens up when this is pressed down.
⑤Operates the Compensation Filter in the Collimator.
⑥Field of View Switch
⑦Center Reset Switch
⑧C-arm Parking Switch

7
1
System Components
Type B
① ⑨ ⑤⑧
④⑥③⑦②
No. Name or Explanation
①C-arm Working Position Switch
②Direct Memory Switches
③Operate the C-leaf of the Collimator by moving up and down.
④Operates the H/V Collimation.
⑤Operates the Compensation Filter in the Collimator.
⑥Leaves Oper Switch. The Collimator opens up when this is pressed.
⑦AP/PA Position Switch
⑧C-arm Parking Switch
⑨Set Switch

8
＊How to use Direct Memory Function (CyberGrip)
Type A
1Select a button from , , and .
2Select the location of the C-arm
from this area.
3Press and hold to move the
C-arm to memory position.
Type B
1Select a button from .
2Select the location of the C-arm
from this area.
3Press and hold to move the
C-arm to memory position.

9
1
System Components
＊How to use Direct Memory Function (Cyber Console)
Type A
1Select a button from , , and .
2Select the location of the C-arm
from this area.
3Press and hold to move the
C-arm to memory position.
Type B
1Select a button from .
2Select the location of the C-arm
from this area.
3Press and hold to move the
C-arm to memory position.

10
■IVR NEO
The IVR NEO features 16 buttons with LED indicators and a multi-function Joystick with button.
Default button settings are as following table. Refer to Appendix for the other functions available.
Joystick
Category Button LED Meaning A R
Acquisition
Select Fluoro Program ON=Fluoro menu displayed.
Select Rad Program ON=Rad menu displayed.
Select Image Comment ON=Comment menu displayed.
Add Reference Image ON=can add Reference Image.
Fluoro Record
(Last N Seconds mode)
ON=can record the latest fluoro loop
(unavailable for Direct Fluoro Record mode
"Recording Fluoroscopy Image" P.32)
Start/Stop/Close Timer ON=timer displayed on Acq. monitor.
Image
display
Monitor Select ON=Acquisition monitor selected.
Single/Split Display ON=Review monitor split vertically.
Left/Right Focus ON=right half of split Review monitor selected.
Reference Mode ON=Reference Mode.
Cine Area Zoom ON=Zoom the images only in the Examination
room.

11
1
System Components
A= Relevant to Acquisition monitor R= Relevant to Review monitor
Category Button LED Meaning A R
Other
Save Still Image ON=can save still image (must be paused).
16-up Selector ON=Review monitor in 16-image select mode.
LIVE ON=display DSA LIVE image.
Linkage with
C-arm
Positioning ON=send projection angle of currently
displayed image to the C-arm.
Image Filter ON= filter and display the projection angle of
image as current C-arm angle.
The function keys of the digital system keyboard can be
configured as IVR NEO buttons (except for [Monitor Select] and
[Reference Mode] functions).
For details, contact Shimadzu service representative.
NOTE

12
Review Monitor X-ray Generator Console
Foot Switch
Acquisition Monitor
Keyboard Digital Operation
Cabinet
Mouse C-arm Remote
Console
Control Room

13
1
System Components
■X-ray Generator Console
Hand
Switch
Fluoroscopy
Parameters
Message
Power ON
Button
Power
OFF
Button
Radiography
Parameters
Heat Unit
Indicator
Fluoroscopy Accumulated
Time
Fluoroscopy Density Button
IBS Button
BH Filter NumberC-arm Information
X-ray OFF ButtonSetting Button
Accumulated
Fluoroscopy Time
Reset Button
Warm-up Button
[Tool] menu
C-arm Collision Indicator
Focus Switch
Button
Field of View
Switch Button
Auto/Manual
Switch Button
Radiography
Density Button
Thefieldofviewswitchwindowcanremainopenduringastudyto
switchfieldofviewsizequickly.
ex.)[12]⇔[8]
NOTE

14
■Main Window
Acquisition Monitor
Study Information
is displayed
in reference mode.
Side Menu
(displayed when the mouse pointer
is put on the left edge of the screen)
Parameters
Acquisition Active
Image Selector
Status Messages Programs
Comment
Cine Control
Exit Button Modes/Info Network
Activity
Timer
Image Viewer

15
1
System Components
Review Monitor
Side Menu
Image Viewer
Probe Signal
Digital Program Menu
is displayed
in reference mode.
Status Messages Programs
Comment
Cine Control
Exit Button Modes/Info Network
Activity
Study Information Study
Information
Parameters Image
Selector

16
Startup
Be sure to perform daily inspection before patient use.
"Daily Inspection" P.21
NOTE
X-ray Generator Console
1
Press (ON)
Starting up whole system.
Power ON Button
2
System Startup and Shutdown

17
2
System Startup and Shutdown
Be careful!
During warm-up, X-ray exposure is performed automatically without operating
hand switch or foot switch.
CAUTION
The warm-up procedure can be performed when C-arm is at
the park position even though the "fluoroscopy at park position"
setting is set to OFF. In this setting X-ray exposure by the foot
switches and the hand switch is not available.
NOTE
X-ray Generator Console
1
Press on the [Tool] menu
Warm-up window is displayed.
2
Press
Warm-up procedure is started.
The progress of warm-up is displayed.
When warm-up is complete, the progress bar
displays full.
X-ray Tube Warm-up

18
If you need to pause warm-up during procedure,
・Press to pause warm-up.
Press to resume.
・Press to cancel warm-up, and press
to confirm.

19
2
System Startup and Shutdown
Shutdown
C-arm (Type A)
1
Set the C-arm to the center
position
Press and hold the Center Reset Switch until travel
is completed.
2
Move the C-arm to the park
position
Press and hold the C-arm Parking Switch until travel
is completed.
C-arm (Type B)
1
Set the C-arm to the center
position
Press the Center Reset Switch to select the
operation. Then press and hold the Set Switch until
travel is completed.
2
Move the C-arm to the park
position
Press the C-arm Parking Switch to select the
operation. Then press and hold the Set Switch until
travel is completed.

20
Digital Radiography System
3
Click
A confirmation message is displayed.
4
Confirm the message by
clicking
X-ray Generator Console
5
Press (OFF) when
System Display window is
changed
Make sure the OFF button is lit.
To restart the system, wait 1 minute after turning off power to the
X-ray generator, then press (ON) again.
NOTE