MULTIX PRO

AX
Also applicable for VERTIX Solitaire

Maintenance

Maintenance Instructions

The Maintenance Protocol © Sie mens AG 1998

The reproduction, transmission or
RXB1-[Link].02 use of this document or its contents
is not permitted without express
written authority. Offenders will be

is required for these Instructions liable for damages. All rights,

including rights created by patent
grant or registration of a utility
model _or_ design,_are_ reserved.

English
Print No.: RXB1-[Link].02 Doc. Gen. Date: 07.01
Replaces: RXB1-[Link].02
0-2 Revision
Chapter Page Revision
all all 01
all all 02

Document revision level

The document corresponds to the version/revision level effective at the time of system delivery.
Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.

Disclaimer
The installation and service of equipment described herein is to be performed by qualified per-
sonnel who are employed by Siemens or one of its affiliates or who are otherwise authorized by
Siemens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated with or
authorized by Siemens or one of its affiliates are directed to contact one of the local offices of
Siemens or one of its affiliates before attempting installation or service procedures.

MULTIX PRO RXB1-140.101.01 Page 2 of 4 Siemens AG

Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
Contents 0-3

Page
1 _______General Remarks _______________________________________________ 1 - 1

Required Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 1

Required Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 - 1
Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 1
Radiation Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 1
Protection Against Laser Radiation . . . . . . . . . . . . . . . . . . . . . . . . .1-1
Remark Regarding Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Explanation of the Abbreviations in the Maintenance Protocol . . . . . . . . . . .1-2
Maximum Torque Values (Table) . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Lubricants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Paint Colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 3
Abbreviations Used in these Maintenance Instructions . . . . . . . . . . . . . . .1-4
Remarks Regarding Working with the Service Software . . . . . . . . . . . . . .1-4
MULTIX PRO Wearable Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 4
Special Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 5

2 _______Column Stand _________________________________________________ 2 - 1

Longitudinal Carriage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 1

M1 Column . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 - 2
S1/S2 Safety Limit Switches (Tomo) . . . . . . . . . . . . . . . . . . . . . . . .2- 2
Tomo Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 2
Condition of Support Steel Cable and Drop Brake . . . . . . . . . . . . . . . . .2-3
Replacing the Support Steel Cable . . . . . . . . . . . . . . . . . . . . . . . . .2- 4
M3 Support Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5
Z66 Collimator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 6

3 _______M11 Table _____________________________________________________ 3 - 1

Patient Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3- 1

Emergency Stop Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3- 1
Bucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3- 2
Lift Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3- 3
Unit Movements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3- 3
Floor Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3- 4

4 _______VERTIX PRO/TOP ______________________________________________ 4 - 1

Catapult Bucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 4

5 _______Emergency Off _________________________________________________ 5 - 1

Emergency Off Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 1

6 _______Ground Wire Measurement_______________________________________ 6 - 1

7 _______Image Quality __________________________________________________ 7 - 1

Siemens AG RXB1-140.101.01 Page 3 of 4 MULTIX PRO

Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
0-4 Contents

Page
8 ______ Changes to Previous Version _____________________________________ 8 - 1

MULTIX PRO RXB1-140.101.01 Page 4 of 4 Siemens AG

Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
General Remarks 1-1

1 General Remarks

1.1 Required Documents

• Maintenance Protocol RXB1-140.101.01...
• Adjustment Instructions RXB1-140.071.01...
• TI 236 Safety Information ARTD-002.731.03...

1.2 Required Aids

NOTICE All tools, test equipment and aids, with the exception of the
"standard installation tool kit “, are listed and specified in the Ser-
vice Tools Catalogue.

• Standard installation tool kit

• ESD equipment, Type 8501-3M 37 02 606 Y3121
• Spacer gauge
• Ground wire test instrument 44 15 898 RV090
• Torque wrench up to 100 Nm (20-100 Nm) 44 30 906 RH090
• Torque wrench, 1/4” (3-20 Nm) 34 24 553
• Spring balance, 100 N 44 29 122 NH029
• Service PC with appropriate software

1.2.1 Safety Information

CAUTION When carrying out the work and tests, the product-specific safety
information contained in the documents, as well as the general
safety information contained in Register binder must be
observed.

1.2.2 Radiation Safety

CAUTION Checks or adjustments that must be carried out with radiation

switched on are labeled with the radiation warning symbol
While performing the work step labeled in this way, radiation pro-
tective clothing must be worn.

1.2.3 Protection Against Laser Radiation

• This system contains a Class 2 laser.
• When working on the laser light localizer, do not look directly into the laser beam.
• See also ARTD, Part 2 "Laser Radiation".

Siemens AG RXB1-140.101.01 Page 1 of 6 MULTIX PRO

Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
1-2 General Remarks
1.2.4 Remark Regarding Maintenance

NOTICE When performing maintenance on the MULTIX PRO, also carry

out inspection and maintenance of the components (generator,
VERTIX etc.).

The required documents must be obtained in accordance with the system.

Damaged or worn parts may only be replaced with original parts.
The Maintenance Protocol must be filled out and signed by the maintenance technician.
Repair work and work steps which are not listed in the checklists must be listed sepa-
rately.

1.2.5 Explanation of the Abbreviations in the Maintenance Protocol

Abbreviation Explanation
SI Safety inspection
SIE Electrical safety
SIM Mechanical safety
PM Preventive maintenance
PMP Periodic preventive maintenance
PMA Maintenance, preventive adjustment
PMF Preventive check of operating values and functions
Q System quality, image quality
QIQ Image quality
QSQ System quality
SW Software maintenance
FSE Field Service Engineer (customer service technician)
KSK-No. Customer-specific code
IVK Installed volume component
WE Maintenance unit

MULTIX PRO RXB1-140.101.01 Page 2 of 6 Siemens AG

Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
General Remarks 1-3
1.2.6 Maximum Torque Values (Table)

Nominal thread Screw material Steel per DIN 267 Brass

diameter CuZn
alloy
Hardness rating 4.6 4.8 5.8 8.8 10.9 12.9
M3 0.5 0.67 0.83 1.3 1.9 2.2 0.62
M 3.5 0.76 1.0 1.3 2.0 2.8 3.4 0.95
M4 1.1 1.5 1.9 3.0 4.2 5.1 1.4
M5 2.2 3.0 3.7 6.0 8.4 10.1 2.8
M6 3.8 5.1 6.4 10.2 14.4 17.3 4.8
M8 9.5 12.6 15.8 25.3 35.6 42.7 11.9
M 10 18.7 24.8 31.1 49.8 70.0 84.0 23.3
M 12 32.9 43.8 54.8 87.6 123.3 147.9 41.1

When checking tightness, use the corresponding torque values for hardness rating 8.8.

NOTICE A tolerance of ± 10% is admissible for torque values.

1.2.7 Lubricants
• Klüberplex GE11-680 100ml 55 07 608
• Contact spray 28 70 061 RE008 (as rust protection for rails)
• Viscogen KL 300 73 95 353 RH090 (for steel cables)
• Longtime PD2 20 gr 34 91 271; 1 kg 73 95 449

1.2.8 Cleaning
Soiling that is not accessible to the customer’s cleaning personnel must be removed using
a concentrated cleaning liquid during maintenance work.
Soften contrast medium with water and remove.
After completing the maintenance work, remove coarse soiling on painted parts only with
alcohol or a concentrated cleaning liquid.
• Hakapur 96 60 648 RH999
• Alcohol

1.2.9 Paint Colors

• White (textured) 4146
• White (spray can) 84 27 734 RE999
• White (paint stick) 34 44 403

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Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
1-4 General Remarks
1.2.10 Abbreviations Used in these Maintenance Instructions
FFA = Film-focus distance (SID)
ISK = Allen screw
RWG = Bucky wall stand
TB = collimator
DVM = Digital voltmeter
RL = Bucky
DHA = Rotation around the horizontal axis
DVA = Rotation around the vertical axis
SSW = Service software

1.2.11 Remarks Regarding Working with the Service Software

A help text is available for the individual masks. Detailed explanations about the individual
work steps are listed in the help texts.
To select the help text: "F1" key
To close the help text: "Esc" key

1.2.12 MULTIX PRO Wearable Parts

Replace Replace if
Component Designation Quan. Part No. every 3 damaged
years
Column stand Steel cable 1 12 92 411 GE073 X
Collimator Bulb 1 83 75 545 G2107 X
Roller bearing 4 04 75 111 G050G X
Table Rubber bumper, 04 73 637 G050G
4 X
transverse
VERTIX PRO Steel cable 1 12 92 031 GE072 X X
Steel cable 1 12 92 031 GE072 X X
Steel cable 1 12 92 338 GE072 X
VERTIX TOP
Connection steel 12 92 213 GE072
1 X
cable

MULTIX PRO RXB1-140.101.01 Page 4 of 6 Siemens AG

Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
General Remarks 1-5

Special Symbols 1

- Symbol for working with radiation.

- Symbol for working with dangerous voltage.

- Symbol for torque value.

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1-6 General Remarks
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Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
Column Stand 2-1

2 Column Stand

1 1

3
2
2

Fig. 1 Fig. 2

2.1 Longitudinal Carriage

SIM Check of the Condition and Mounting
• The 3 floor mounting bolts (1/Fig.1, 2) for the longitudinal carriage must be tightened to a
torque of 25 Nm.
• Check the two end stops on the ends of the longitudinal rails (2/Fig.2) for secure
mounting and the rubber bumpers for wear.
• Check the connection plates between the longitudinal carriage and the table.
• Check the guide rails (2/Fig.1) and the roll pins that are used to mount them.
• Check the switch strike plates for the S1/S2 safety limit switches (3/Fig.2).
PMP Cleaning
• Clean the contact surfaces on the longitudinal carriage rails.

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Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
2-2 Column Stand

Fig. 3 Fig. 4

2.2 M1 Column
SIM Condition and Mounting
• Check the roller bearings, counter bearings and lateral guides (1/Fig. 3).
SIE Condition
• Check the cable channel, corrugated hose and cables for any damage.
PMP Cleaning
• Clean the roller bearings, counter bearings and lateral guides.
PMA Checking Rotation and Latching
• Check rotation around the vertical axis (DVA).
• Check the latch position (2/Fig. 4).

2.2.1 S1/S2 Safety Limit Switches (Tomo)

SIE Checking the Function of the Safety Limit Switches
• Select tomo.
• Move up to the S1and S2 switches (1/Fig.4); to do this, move the column to the left and
then to the right stop. The switches must positively actuate. The safety breaker
deenergizes and the red lamp on the left side of the table (safety circuit) must go on, all
unit movements must be blocked.

2.2.2 Tomo Drive

SIM Tomo Drive
• Check the tension of the toothed belt per the Adjustment Instructions.
• Check for securing mounting of the tomo motor and housing.

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Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
Column Stand 2-3

Fig. 5 Fig. 6

2.2.3 Condition of Support Steel Cable and Drop Brake

SIM Check of the Support Steel Cable for Broken Strands (every 12 Months)
• To do this, let the support steel cable pass through a cleaning cloth as shown in Fig. 5;
broken strands and cable damage will be indicated by fibers that are caught.
• Relubricate the steel cables with VISKOGEN KL 300.

NOTICE If broken strands or other damage is found, replace the support

steel cable.
The support steel cable must always be replaced after an operat-
ing period of 3 years.

SIM Checking the Drop Brake

• Secure the counterweight in the holes (1/Fig.5) with the transport bracket (installation).
Then raise the support arm approx. 10 cm; the drop brake will respond. To release the
drop brake, slightly raise the support arm and press on the drop brake by the cable
hanger (1/Fig.6) until the brake is released. Move the support arm down slowly until the
support steel cable is again fully tensioned.

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2-4 Column Stand

1
1

Fig. 7 Fig. 8

2.2.4 Replacing the Support Steel Cable

• Move the support arm all the way down and secure the counterweight in the holes
(1/Fig.7) with the transport brackets (installation).
• Raise the support arm approx. 30 cm and use a 400 x 25 x 50 mm wooden block
(1/Fig.8) as a support.
• Replace the support steel cable, see also the Adjustment Instructions.

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Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
Column Stand 2-5

1 1

Fig. 9 Fig. 10

2.3 M3 Support Arm

SIM Play in the Support Arm (DHA)
• Check the 3 Allen-head set screws (1/Fig.9) to make sure they are securely tightened on
the rotation axis.
• Check the condition of the rubber bumpers on the vertical carriage (1/Fig.10).
SIM Check of Rotation Movement and Stop
• Check rotation around the horizontal axis (DHA)
• Check the latch position and the alignment of the central beam to the table and Vertix.
PMP Cleaning
• Clean the roller bearings and contact surfaces of the vertical carriage (2/Fig.10) and
lubricate them.

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Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
2-6 Column Stand

Fig. 11

2.4 Z66 Collimator

SIM Adjustment of the Rotating Flange
• Check the adjustment of the rotating flange function.
• Check for easy rotation movement.
• If necessary, remove the collimator, clean the flange and collimator ring and relubricate
with PD2 Longtime.
• Adjust the tightness of the mounting screws (1/Fig. 11) per the Adjustment Instructions.

MULTIX PRO RXB1-140.101.01 Page 6 of 6 Siemens AG

Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
M11 Table 3-1

3 M11 Table

2 1

1 2
3

Fig. 1 Fig. 2

3.1 Patient Table

PMP Cleaning the Contact Surfaces
• Clean the contact surfaces of the bearings for longitudinal movement (1/Fig.1) and
transverse movement (1/Fig.2) (alcohol/cleaning solution) and grease them (PD2
Longtime).
• Check the play in the bearings/counterbearings (3/Fig.2 longitudinal, 1/Fig.2
transverse).
- It must be just still possible to turn them by hand. If needed, adjust per the Adjustment
Instructions.

SIM Rubber Stops

• Check the condition of the longitudinal (2/Fig.1) and the transverse (2/Fig.2) rubber
stops.

3.2 Emergency Stop Switch

SIE Checking the Function
• The safety breaker is deenergized and the red lamp on the table must light up.
• All motorized movements must be blocked.

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Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
3-2 M11 Table

1
1
2
Fig. 3 Fig. 4

3.3 Bucky
PMF Bucky Longitudinal Drive
• Check movement / detent
- Movement must be even and there may be no rattling.
• Check the toothed belt for wear and the tension per the Adjustment Instructions.
• Check the mounting of the guide bracket (1/Fig.3) on the Bucky.

PMF Bucky
• Check the grid drive with proof of a test exposure.
• Check latching of the cassette tray (1/Fig.4) for function and for secure seating.

SIE Checking the Function of the Safety Limit Switches on the Bucky
• Check the function of the microswitches on the D30.
• Check the cabling for good condition and for correct clamping of the shielding.

SIE Checking the Function of the Safety Limit Switches on the Bucky
• For this, select a tomo program.
• When the two safety limit switches, S111 and S112 (2/Fig.3), are pressed, the safety
breaker must deenergize and the red lamp on the left side of the table must go on.

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Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
M11 Table 3-3

1
2

Fig. 5

3.4 Lift Drive

PMP Lift Drive
• Completely remove the old grease with a clean cloth.
• Lubricate the lift drive spindle (1/Fig.5) with Klüberplex GE11-680.

NOTICE Do not lubricate the glide bearings (2/Fig. 5) which run dry.

SIE Safety Limit Switches

• Check the condition of the flexible plastic chain and wiring harness.
• Check the function of the S10 and S11 safety limit switches.

3.5 Unit Movements

PMF Kickswitch on the Table Base
• Release the longitudinal/transverse table brakes (floating patient table).
• Move the table into the top and bottom lift positions.
PMF Footswitch (Option)
• Release the longitudinal / transverse table brakes (floating patient table).
PMF Handswitch (Option)
• Release the longitudinal table brake.
• Release the transverse table brake.
• Move the table lift into both extreme positions.

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Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
3-4 M11 Table

Fig. 6

3.6 Floor Mounting

SIM Checking the Condition of the Mounting and Table Base
• The 4 mounting screws (1/Fig. 6) must be tightened to the nominal torque of 25 Nm.

SIE Cabling / Shielding

• Check the condition and location of the cables.
• Check for secure clamping of the shielding to the strain-reliefs.

MULTIX PRO RXB1-140.101.01 Page 4 of 4 Siemens AG

Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
VERTIX PRO/TOP 4-1

4 VERTIX PRO/TOP

Fig. 1 Fig. 2

SIM Floor and Wall Mounting

• The mounting screws (1,2/Fig.1) must be tightened to a torque of 25 Nm.
• Check the wall mounting (1/Fig.2) to make sure it is secure.

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4-2 VERTIX PRO/TOP

Fig. 3 Fig. 4

SIM Support Steel Cable for the Vertical Carriage

• Check the support steel cable (1/Fig. 3) for broken strands (periodic, every 12 months).

NOTICE If broken strands are found, replace the steel cable. Always
replace the support steel cable after an operating period of 3
years, see also the Adjustment Instructions.

SIM VERTIX TOP Support and Safety Cables, Tilt Mechanism

• Check the support and safety steel cables (1/Fig. 4) for broken strands (periodic, every
12 months).

NOTICE If broken strands are found, replace both steel cables.

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Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
VERTIX PRO/TOP 4-3

Fig. 5

SIM Brakes and Stops

• Check the stand carriage vertical brakes.
• Tilt the catapult Bucky brakes into 0°/ 90°

SIE Cabling
• Check the condition of the corrugated hose and the cabling.

SIM Cover Panels and Accessories

• Check the cover panels for secure installation, and for any damage.
• Check the Babix holder / patient grips / insertable grip for function and to make sure they
are securely mounted.
PMP Contact Surfaces and Bearings
• Clean and lubricate the contact surfaces of the vertical carriage.
• Check the roller bearings and counter bearings and, if needed, adjust them.

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4-4 VERTIX PRO/TOP

4.1 Catapult Bucky

Fig. 6

PMF Catapult Bucky

• Check the grid drive with proof of a test exposure.
• Check latching of the cassette tray (1/Fig.6) for function and secure seating.
SIE Cabling
• Check the function of the microswitches on the D30.
• Check the cabling for good condition and for correct clamping of the shielding.

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Emergency Off 5-1

5 Emergency Off

5.1 Emergency Off Switch

NOTICE An emergency off switch must be installed on every system.

Power can be switched off from the power source to the entire
system by means of the emergency off switch.

SIE Checking the Function

• When the system breaker is switched off, power is switched off from the power source to
the entire system.

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5-2 Emergency Off
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Ground Wire Measurement 6-1

6 Ground Wire Measurement

SIE Checking Ground Wire Resistance

Ground wire test instrument

Unit
Table/Tabletop
Monitor
Cabinets
Transformers
Consoles
I.I.
Tube assembly
< 0.2 Ohm Collimator
Generator etc.

Test instrument: Ground wire test meter

Measurement max. 0.2 Ohm (observe country-specific regulations)
value:
(current: 10 A, voltage drop: max. 2 V)
Test procedure: Measure between all conductible parts of the system that can be
touched and the ground wire rail in the generator.
Conditions: Ground wire resistance, max. 0.2 Ohm
• If greater, increase the ground wire cross section
• Lower transfer resistance (e.g. tighten screws)

Final work steps

• Reinstall all cover panels.

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6-2 Ground Wire Measurement
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Image Quality 7-1

7 Image Quality

Length
Light field

Marker

Side marker

Fig. 1

QIQ Check of the Light Field, Radiation Field and Format Collimation
• Position the central beam so it is vertical.
• Place a 20x30cm (10”x12”) cassette on the MULTIX PRO tabletop.
• Set a vertical SID of 115 cm.
- Use the tape measure in the collimator to measure to the top surface o the cassette.
• Use the knobs on the collimator to exact set a display of 18 cm x 24 cm or
8” x 10” (the exposure is also used for the check of the manual format collimation).
• Switch on the light localizer.
• Place a radio-opaque marker (e.g. washer, coin) on the cassette as shown in Fig. 1.
• Place on a washer as a side marker.
• Trigger an exposure: ( ; 50 kV; 5 mAs) and develop the film.
• Use a waterproof felt pen to make a note of the following data on the developed film:
- Set SID
- Focus size
- Film size
- Radiation field size

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Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
7-2 Image Quality

Y1
Film

Light field

X2 X1

Radiation field

Y2

Fig. 2

Evaluation: Coincidence of Light Field to Radiation Field

• Calculate the total difference in the X and Y directions (without regard to the
mathematical sign in front).
- The difference in width X and the difference in length Y may not exceed 1.4 cm
at an SID of 115 cm.

Evaluation: Manual Format Collimation

• Calculate the difference in length and width between the size of the radiation field and
the set format.
- The difference in both directions (length and width) may each not exceed 1.4 cm.

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Maintenance Rev. 02 07.01 TD SD 21 Medical Solutions
Image Quality 7-3

Film format

Radiation field

∆
Metal washer
Center of cassette

Side marker

Fig. 3

QIQ Centering (Bucky A MULTX Table)

• Coincidence of radiation field center and film center (Bucky A MULTIX table)
Procedure:
• Position the central beam so it is vertical, center the tube assembly over the cassette tray
marker and set an SID of 115 cm.
• Move the tube assembly in the transverse direction into the middle position stop.
• Mark the 24x30cm (10”x12”) cassette with a center marker (tape on a metal washer) and
place on a second marker as a side marker (Fig. 30).
• Load the marked cassette with film, insert it into the cassette tray and slide the tray in all
the way to stop.
• Use the knobs on the collimator to set a format of 18 cm x 24 cm (8” x 10”) per the scale
(SID = 115 cm).
• Trigger an exposure ( ; 50 kV; 5 mAs) and develop the film.

Evaluation:
• Evaluate the center deviation ∆ as shown in Fig. 3.
- The difference may not exceed 17 mm at an SID of 115 cm.

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Medical Solutions Rev. 02 07.01 TD SD 21 Maintenance
7-4 Image Quality

Film format

Radiation field

∆
Metal washer
Center of cassette

Side marker

Fig. 4

QIQ Centering (VERTIX PRO)

• Check the coincidence of the radiation field and film center to the
VERTIX PRO (if configured)
a) Horizontal beam direction
Preparation:
• With a 24x30 cm or 10” x 12” cassette, mark the center of the cassette by taping on a
washer and place on a second washer as a side marker.

Procedure:
• At the generator, select the workstation for the VERTIX.
• Pivot the tube assembly into the horizontal beam direction.
• Move the tube assembly in the transverse direction into the middle stop to the VERTIX.
• Set the min. SID.
• Insert a 24x30 cm or 10” x 12” cassette with a center marker into the cassette tray and
slide the tray all the way in to stop.
• Center the line light localizer to the center marker of the cassette tray.
• Use the knobs on the collimator to set a format of 18 cm x 24 cm or 8” x 10”.
• Trigger an exposure ( ; 50 kV; 4 mAs).
• Develop the film, determine the center of the radiation field and evaluate the film per
Fig.4.

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Image Quality 7-5
The max. center deviation ∆ may not exceed the following values:

max. Difference
SID (corresponds to 1.0% of
the SID)
1.00 m 1.00 cm
1.15 m 1.15 cm
1.50 m 1.50 cm
2.00 m 2.00 cm
3.00 m 3.00 cm
36” 0.91 cm
40” 1.01 cm
48” 1.21 cm
72” 1.82 cm

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7-6 Image Quality
QIQ Accuracy of Automatic Formatting for Cassette Formats

NOTICE Check the collimation accuracy with automatic formatting with 3

formats for each Bucky and document the results. Check the
3 formats by generating a test film.

Bucky A, MULTIX Table

• Select the MULTIX.
• Move the tube assembly in the transverse direction into the middle position, set
SID = 115 cm.
• Center the line light localizer on the centering mark of the cassette tray.
• Place a 35x43cm or 14” x 17” cassette with film so it is centered to the light localizer on
the tabletop.
• If possible, use the three formats 13x18cm (5” x 7”), 18x24cm (8” x 10”) and 24x30cm
(10” x 12”) for the test. If fewer formats are used at this workstation, check only those.
• At the generator, select (, approx. 40 kV, 5 mAs (with the universal screen).
The exposure should produce a density of about 0.7 over base fog.
• Then, one after the other, beginning with the smallest format, insert three cassettes
without film into the catapult Bucky, allow it to format automatically, and trigger an
exposure for each.
• After inserting the cassettes into the catapult Bucky, check whether the inserted cassette
format is displayed on the collimator.
The maximum admissible difference between the display and the cassette format is
± 0.3 cm.
Evaluation:
The 3 exposures are made on the 35x43cm or 14” x 17” cassette on the tabletop, one on
top of the other; evaluation is possible by observing the different density of the
individual formats (see Fig. 5).
• Develop the film and label it.

The 3 format sizes to

Film
be checked

Fig. 5

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Image Quality 7-7
QIQ Check of the Tomo Exposures
• Select the Bucky mode (key).
• Position the stand in the longitudinal stop; the corresponding LED next to the key goes
on.
• Set the SID to 115 cm or 102 cm.
• Align the catapult Bucky per the line light localizer in the collimator.
• Prepare the tomo test phantom and place it on the tabletop so that it is centered to the
light localizer. One line test must be positioned at the anode side, the other must be
pointing towards the tomo height line light localizer.
• Load a 18 cm x 24 cm (8” x 10”) cassette with the high-resolution screen (S ≤ 200) with
film and insert it into the catapult Bucky.
• Select the small focus and insert a 1.2 mm Cu filter into the collimator.
• Trigger a Bucky exposure:
- Exposure data: 81kV, small focus , 80% power, middle measuring field
1.2 mm Cu prefilter.
• A basic density of D = 1...1.4 should result. Depending on the screen type, set a different
mAs value.
• If necessary, repeat the first exposure with modified exposure data.
• Once more make sure that the notches of the two line tests are at the same height above
the tabletop; exactly measure this dimension (115 mm, ±1mm).
• Select the 40o; 2 sec tomo program. The longitudinal brake automatically releases and
the catapult Bucky centers itself automatically to the central beam.
• Select the tomo height so that the displayed tomo height exactly matches the measured
”notch height”.
• Make 2 tomo exposures: 40°; 2 sec. and 20°; 0.6 sec.
- Exposure data:
81kV and to achieve the same density for the tomo exposure as for the Bucky
exposure, increase the mAs value by one mAs point:
- Exactly label all exposures:
81 kV, mAs, 1.2 mm Cu, SHa = 115 mm, 40o; 2 sec., linear.

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7-8 Image Quality
Accuracy of the Tomo Height Display
The hole in the focus test that appears sharply focused is in the tomo plane.
If the hole next to the notch is sharply focused, the numerically selected tomo height SHa
matches the actual tomo height SH; i.e. ∆ SHa = 0.
• If there are differences, determine the difference in height ∆ SHa in mm between the
sharply focused hole and notch; there is a difference in height of 2 mm from hole to hole.
- If the actual tomo height is above the notch, ∆ SHa is positive.
- If the actual tomo height is below the notch, ∆ SHa is negative.

Determine the actual tomo height. SH = SHa + ∆SHa

• Calculate the difference in height ∆SHL between the actual tomo height and the line light
height: ∆SHL = SHL - SH

The difference between ∆SHa and SHL may be max. ≤ 5 mm.

Optical Resolution
Evaluation of the resolution of the tomo exposures is made by comparing them to an
exposure made with the Bucky under comparable conditions. In this way, all influences
which determine the resolution of a radiographic exposure (focal spot size, screen type,
film, geometric relationships, exposure data, etc.) are taken out of consideration and it is
possible to make a clear statement about the quality of the tomo device.
• Determine the maximum optical resolution of the tomo exposures and record the results
(min. 6x magnifier).
• Determine the maximum optical resolution of the Bucky exposure.
The difference in the maximum optical resolution between the Bucky exposure and the
tomo exposures may not be more than one line group. The resolution for the Bucky expo-
sure should result in at least 2.8 Lp/mm (depending on the film-screen system).
If there is more than one line group difference, there intolerable movement problems in the
tomo device; it can no longer be said that there is even movement of the tomo device.

NOTICE If the difference in parallelism between table-stand is more than

3 mm over the complete table length, focus will be affected!

• The resolution of the tomo exposures must be at least 2 Lp/mm.

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Image Quality 7-9
Tomo figure and even movement of the tomo device
With a linear layer, the blur patterns of the holes to the left and right of the notch must be
parallel; if they are not, the focus plane and film plane are not parallel. This also results in
reduced resolution in the line test in a longitudinal direction to the tomo device.
If the blur patterns are jagged (jumpy, wavy lines), there are non-synchronous oscillations
in the tomo system (loose or jamming locations, etc.). This also results in reduced resolu-
tion.
The blur patterns of the holes should have about the same density over the entire length.
When the blur patterns are dotted, there is uneven tomo movement (usually of the cata-
pult Bucky). If there is a continuous change in density of the blur patterns, there is uneven
movement speed or there is an uneven dose rate.
Uneven tomo movement can also be recognized in that the edges of the line test plates do
not have a continuous change in density, but are visible as “steps”.

Overall evaluation of the tomo device

Shape and movement of the tomo figure
The blur pattern of the holes in the line test show the form and movement of the tomo fig-
ure. If one example is not sufficient for an evaluation, also make a pin-hole exposure as
described on Page for the particular tomo figure.
good Linear layer

The blur patterns of the holes are even and are

parallel on both sides of the notch.

satisfactory
Linear layer

The blur patterns are slightly out of parallel or

slightly curved.

poor Linear layer

The blur patterns are not parallel or strongly

curved and/or very wavy.
The parallelism of table-stand must be
improved.

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7 - 10 Image Quality
Evenness of blurring

good The blur patterns of the holes and edges are

continuous and are not dotted or stepped or
dotting and stepping is scarcely visible.

satisfactory

The blur patterns show several (4 and more)

clearly visible dots or steps.

unsatisfactory

The blur patterns show few (2 to 3) clearly

visible dots or steps, so that the "tomo expo-
sure" is comprised virtually of only 2 to 3
oblique exposures made at different beam
angles.

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Changes to Previous Version 8-1

8 Changes to Previous Version

Cover page:
Rewritten.
Chapter 1, Pages 1, 3 and 5
Tool added.
Part Number for Klüberplex expanded.
Drawing added.
Chapter 2, Page 4
Text expanded.
Chapter 3, Pages 2, 3 and 4
Text rewritten and notice added.
Chapter 4, Pages 2 and 4
Notice expanded, text expanded.

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8-2 Changes to Previous Version

TD PS 21 / Conrad, Tropia

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