1k x 1k Mobile WorkStation

Vascular
Neuro-Vascular
Cardiac

Operator's Guide
Part Number 00-880860-01

OEC Medical Systems, Inc.

384 Wright Brothers Dr,

Salt Lake City, Utah 84116

801/328-9300
 Contents

Text Manual Revision History

Rev Dash Date Change Description
1 -01 November 1998 Pre -release
2 February 1999 Engineering Release
3 March 1999 Pre-release
4 -01 April 1999 Engineering release
A -01 April 1999 Release version
B -01 September 1999 Software updates; editorial

© November, 1998
OEC Medical Systems, Inc.
384 Wright Brothers Dr.
Salt Lake City, Utah 84116

CAUTION!
Federal law restricts this device to sale by,
or on the order of, a physician.

This manual may not be reproduced, in whole or in part, without the written
permission of OEC Medical Systems, Inc.
The material in this manual is provided for informational purposes only and is
subject to change without notice.
The text of this manual was originally written, approved, and published by the
manufacturer in English (part number 00-880861-01).
All trademarks and registered trademarks are trademarks or registed trademarks
of their respective holders. SERIES 9800 is a trademark of OEC Medical Sys-
tems, Inc. in the USA and other countries.
Companies, names, and data used in examples herein are fictitious unless other-
wise noted.
U.S. and foreign patents pending. Made in the U.S.A.
This manual contains descriptions, instructions, and procedures which apply only
to the 1k x 1k Mobile WorkStation.
Page ii
 Contents

Table of Contents
Introduction and Safety .................................................1
Overview ............................................................................................................................ 1
Owner Responsibilities ....................................................................................................... 2
System Compatibility .................................................................................................. 2
Operator Qualifications ............................................................................................... 2
Continued Compliance ................................................................................................ 3
Power Requirements .................................................................................................... 3
OEC Medical Systems, Inc. Responsibilities ..................................................................... 4
System Certification .................................................................................................... 4
After-sale Operating and Safety Practices ................................................................... 4
Communication Center Telephone Numbers ..................................................................... 5
Safety Hazards .................................................................................................................... 6
Collision ...................................................................................................................... 7
CRT Implosion ............................................................................................................ 8
Electrical Fire .............................................................................................................. 9
Electrical Safety ........................................................................................................ 10
Equipment Malfunction ............................................................................................ 12
Explosion ................................................................................................................... 13
External Devices ........................................................................................................ 14
Hazardous Voltages ................................................................................................... 15
Patient Environment .................................................................................................. 16
Typographical Conventions .............................................................................................. 18

Page iii
 Contents

Setup and Positioning ............................................... 2-1

Overview ......................................................................................................................... 2-1
WorkStation Components ................................................................................................ 2-2
Moving the WorkStation.................................................................................................. 2-4
.................................................................................................................................. 2-6
Brake Pedal .............................................................................................................. 2-6
Connecting the WorkStation ............................................................................................ 2-7
Turning the WorkStation ON ........................................................................................... 2-9
Turning the WorkStation OFF ....................................................................................... 2-10

Using the 1k x 1k WorkStation Controls .................. 3-1

Overview ......................................................................................................................... 3-1
Touchscreen Controls ...................................................................................................... 3-2
1k x 1k WorkStation Keyboard ....................................................................................... 3-4
Navigation and Text-Entry Keys .............................................................................. 3-6
Diacritic Keys ........................................................................................................... 3-8
Image Processing Keys ............................................................................................ 3-9
Function Keys ......................................................................................................... 3-22
Remote Control ............................................................................................................. 3-24
Using the Cursor Movement Key .................................................................... 3-25
Remote Image Processing Screen .......................................................................... 3-26
Using the Remote Image Processing Screen ................................................... 3-27
Using Zoom with the IR Remote .................................................................... 3-28
Image Annotation using the IR Remote ................................................................. 3-30
Markers Screen ............................................................................................... 3-31
Comment Screen ............................................................................................. 3-32
Crop Screen ..................................................................................................... 3-33
Footswitch and Handswitch .......................................................................................... 3-34

Page iv
 Contents

Patient Information ..................................................... 4-1

Overview ......................................................................................................................... 4-1
Patient Information Screen .............................................................................................. 4-2
Entering Patient Information ........................................................................................... 4-4
Selecting a Patient from the Scheduled Exams ........................................................ 4-6
To set up the Scheduled Exams feature ............................................................ 4-7
To select a patient from Scheduled Exams ....................................................... 4-8
Selecting a Patient from Saved Exams ................................................................... 4-10
To retrieve a patient's images .......................................................................... 4-10
Editing Patient Information .................................................................................... 4-14
To edit patient information during an exam .................................................... 4-14
To edit patient information for a scheduled exam........................................... 4-15
To edit Patient Information for a saved exam ................................................. 4-16

Page v
 Contents

Imaging........................................................................ 5-1
Overview ......................................................................................................................... 5-1
To Image a Patient ........................................................................................................... 5-2
X-Ray Switch Setup ........................................................................................................ 5-4
Switching Mode Pairs ............................................................................................. 5-8
Status Bar .......................................................................................................... 5-9
To set up imaging modes available during the exam ...................................... 5-10
Selecting Continuous or Pulsed X-rays ......................................................................... 5-12
To select pulsed X-rays ................................................................................... 5-14
Selecting Cine Options .................................................................................................. 5-16
To display the Cine Setup screen .................................................................... 5-17
Fluoro Imaging .............................................................................................................. 5-25
To produce a Fluoro image ............................................................................. 5-25
High Level Fluoro Imaging ........................................................................................... 5-27
Standard HLF ......................................................................................................... 5-29
To produce a standard HLF image .................................................................. 5-29
Digital Cine HLF .................................................................................................... 5-30
To create an HLF Digital Cine image ............................................................. 5-30
Digital Spot Imaging ..................................................................................................... 5-31
To produce a Digital Spot image ..................................................................... 5-31

Page vi
 Contents

Subtraction Imaging ...................................................................................................... 5-32

Sequence of Events During Subtraction ................................................................ 5-33
Subtraction Procedure ............................................................................................ 5-36
Roadmap Imaging ......................................................................................................... 5-38
Sequence of Events During Roadmapping ............................................................ 5-39
Roadmap 1st Phase ......................................................................................... 5-40
Roadmap 2nd Phase ........................................................................................ 5-41
Roadmap Procedure ............................................................................................... 5-42
Sharpening a Roadmap Mask ................................................................................. 5-44
To Sharpen a Roadmap Mask ......................................................................... 5-44
Adjusting the Mask ................................................................................................ 5-45
Registration ..................................................................................................... 5-45
To register the roadmap mask ......................................................................... 5-46
Landmarking ................................................................................................... 5-47
Selecting and Clearing a Roadmap Mask .............................................................. 5-48
Using a Saved Mask ........................................................................................ 5-50
Clearing the Current Mask .............................................................................. 5-51

Page vii
 Contents

Image Review, Hardcopy and Archive ...................... 6-1

Overview ......................................................................................................................... 6-1
Accessing Image Directory ............................................................................................. 6-2
Reviewing Static Images ................................................................................................. 6-4
Reviewing Cine Runs ...................................................................................................... 6-6
To Review a Cine Run .............................................................................................. 6-7
Choosing Cine Runs from the Cine Screen ............................................................ 6-10
Setting Cues ............................................................................................................ 6-11
To set cues ....................................................................................................... 6-11
Viewing Options ............................................................................................................ 6-14
Viewing in Subtracted and Unsubtracted Form ..................................................... 6-15
Applying Peak Opacification to a Subtraction ....................................................... 6-16
Performing a Post-processing Subtraction ............................................................. 6-17
To perform a post-processing Subtraction using a Fluoro or HLF run ........... 6-17
Creating a Post-Processing Subtraction Mask ....................................................... 6-18
Producing a Roadmap Mask from a Subtraction Cine Run ................................... 6-19
To prepare a roadmap mask from a stored subtraction run ............................. 6-20
Reviewing Dose Information ......................................................................................... 6-22

Page viii
 Contents

Hardcopying Images ...................................................................................................... 6-24

Selecting a Hardcopy Device ................................................................................. 6-25
Selecting a Layout for Hardcopy ........................................................................... 6-26
To select a layout ............................................................................................. 6-27
Making a Hardcopy ................................................................................................ 6-28
To print on the Instant Film/Paper printer or a DICOM printer ...................... 6-28
To Hardcopy the Dose Summary ........................................................................... 6-31
To Hardcopy Patient Information ........................................................................... 6-32
To Clear the Copy Queue ....................................................................................... 6-33
Archiving Images .......................................................................................................... 6-34
Archiving Images ................................................................................................... 6-35
Selecting a Storage Device ..................................................................................... 6-38
Selecting a Copy Format for Archiving ................................................................. 6-40
To choose a Copy Format ............................................................................... 6-41
Archiving Static Images ......................................................................................... 6-43
To archive static images ................................................................................. 6-43
Archiving a Cine Run ............................................................................................. 6-45
To archive a Cine run ...................................................................................... 6-45
Clearing the Storage Device Queue ....................................................................... 6-46
Retrieving a Saved Exam .............................................................................................. 6-47
To retrieve an exam for a patient ..................................................................... 6-47
Retrieving an Archived Exam ........................................................................................ 6-49
To display a list of archived patient exams ..................................................... 6-49

Page ix
 Contents

Annotating Images ..................................................... 7-1

Overview ......................................................................................................................... 7-1
Using Markers ................................................................................................................. 7-2
To place markers on an image ........................................................................... 7-2
Using Comments ............................................................................................................. 7-4
To add comments to an image ........................................................................... 7-4
Using Crop ....................................................................................................................... 7-6
To crop an image ............................................................................................... 7-6

Special Applications .................................................. 8-1

Customizing Operation .............................................. 9-1

Overview ......................................................................................................................... 9-1
Customize Screen ............................................................................................................ 9-2
To set Customize features ................................................................................. 9-2
WorkStation Options ................................................................................................ 9-3
To set customized WorkStation options ............................................................ 9-4
Miscellaneous Options ............................................................................................. 9-7
To set alarm tone and default settings ............................................................... 9-8
Time and Date ........................................................................................................ 9-11
To set the time and date ................................................................................... 9-11
Patient Information ................................................................................................. 9-13
To customize patient information ................................................................... 9-14

Page x
 Contents

Maintenance ............................................................. 10-1

Overview ....................................................................................................................... 10-1
Performance Checks ...................................................................................................... 10-3
Check Mechanical Performance ............................................................................ 10-3
Check Electrical Performance ................................................................................ 10-3
Cleaning ......................................................................................................................... 10-4
Replacing the IR Remote Battery .................................................................................. 10-5
To replace the batteries .................................................................................... 10-5
Long-Term Storage or Shipment ................................................................................... 10-5
Periodic Maintenance Schedule .................................................................................... 10-7
Semi-Annual Maintenance ..................................................................................... 10-7

Messages .................................................................. 11-1

Overview ....................................................................................................................... 11-1
Error Recovery Steps ..................................................................................................... 11-2
Messages ........................................................................................................................ 11-3

Page xi
 Contents

Labels and Symbols................................................. 12-1

Overview ....................................................................................................................... 12-1
Labels ............................................................................................................................ 12-2
Symbols ......................................................................................................................... 12-4

Technical Reference................................................. 13-1

Overview ....................................................................................................................... 13-1
Workstation Classification ............................................................................................. 13-2
Dimensions .................................................................................................................... 13-3
Dose Area Product ......................................................................................................... 13-4
Electromagnetic Compatibility Statement ..................................................................... 13-5
Environmental Requirements ........................................................................................ 13-6
External Connections .................................................................................................... 13-7
Material Safety Data Sheets .......................................................................................... 13-8
Optional Equipment ...................................................................................................... 13-9
Power Requirements .................................................................................................... 13-10
System Input power .............................................................................................. 13-10
Connector Output Voltages ................................................................................... 13-12
Replacement Items ...................................................................................................... 13-13
Video Signal ................................................................................................................ 13-14

Page xii
Chapter 1

Introduction and Safety

Overview
This guide explains how to use the 1k x 1k Mobile WorkStation with the
Series 9800™ Mobile C-Arm to produce images, how to use the
WorkStation's image review and processing functions, and how to
transfer images from the WorkStation to hardcopy and storage devices.

Only WorkStation functions are described in this Operator's Guide. The

Mobile C-Arm is described in the SERIES 9800 Mobile C-Arm
Operator's Guide.

During an imaging procedure, the 1k x 1k WorkStation is connected to

the Mobile C-Arm and is used for mode selection, image display, image
processing, and image storage.

Together, the WorkStation and C-Arm can be used in a variety of

diagnostic, interventional, and surgical applications. The 1k x 1k
WorkStation can also be used alone as an image review and image
processing station.

Page 1-1
Introduction and Safety

Owner Responsibilities
The owner has the responsibility to ensure system compatibility,
operator qualifications and the continued compliance of equipment and
operating specifications. Systems should only be used in designated use
areas with approved AC receptacles. Unauthorized changes or
modifications to any part of the system could have hazardous
consequences. Changes or modifications must not be made unless
specifically authorized by OEC Medical Systems, Inc.

System Compatibility
The 1k x 1k WorkStation should only be used in conjunction with a
SERIES 9800 Mobile C-Arm. Damage may result to the system if
incompatible components are connected.

Operator Qualifications
It is the responsibility of the owner to ensure that the WorkStation is
operated only by properly trained, qualified personnel who have
obtained credentials from the appropriate authorities.

Page 1-2
 Introduction and Safety

Continued Compliance
The owner is responsible for verifying continued compliance with all
applicable regulations and standards. Consult local, state, federal and/or
international agencies regarding specific requirements and regulations
applicable to the use of this type of medical electronic equipment.

Power Requirements
Before connecting the system to a power outlet, operator must be certain
that the power outlet matches the system settings for voltage, current and
frequency.

Specific voltage and current ratings are (nominally):

Line Frequency: 60/50 Hz

120 VAC (+/- 10%): 15 Amps
200/220/230/240 VAC (+/- 10%): 10 Amps

Page 1-3
Introduction and Safety

OEC Medical Systems, Inc.

Responsibilities
OEC Medical Systems, Inc. certifies each 1k x 1k Mobile WorkStation
and Mobile C-Arm. After-sale operating practices and safety are the
responsibility of the owner/operator.

System Certification
OEC Medical Systems, Inc. certifies that each 1k x 1k Mobile
WorkStation and SERIES 9800 Mobile C-Arm complies with U.S.
Federal regulations and International standards applicable to diagnostic
X-ray equipment.

After-sale Operating and Safety Practices

OEC Medical System, Inc. assumes no responsibility or liability for
after-sale operating and safety practices of users; nor can it be
responsible for personal injury or damage resulting from misuse of the
systems by users.

Page 1-4
 Introduction and Safety

Communication Center
Telephone Numbers
If the 1k x 1k WorkStation does not operate properly or fails to respond
to the controls as described in your Operator’s Guide, call OEC Medical
Systems, Inc. to request service. The communication center's telephone
numbers are listed below:

U.S. or Canada - 1 (800) 874-7378

Europe - [Link].44
All others worldwide - 1 (801) 536-4688

You may also call these numbers to order items such as printer paper,
drapes, circuit diagrams, component part lists, or calibration instructions,
and to request information which will assist qualified service technicians
to repair the WorkStation.

Page 1-5
Introduction and Safety

Safety Hazards
Possible hazards exist in the use of medical electronic devices and X-ray
systems. Operators using the equipment should understand the safety
issues, emergency procedures, and the operating instructions provided.

Questions and comments regarding safety should be addressed to the

nearest OEC Medical Systems, Inc. service organization, or you may
contact:

Vice President of Quality and Regulatory Affairs

OEC Medical Systems, Inc.
P.O. Box 25296
Salt Lake City, Utah 84125-0296
(801) 328-9300

OEC Medical Systems, Inc. has designated the following entity to act as
the European Union (EU) representative in matters dealing with the
Medical Devices Directive under Annexes I and II:

OEC Medical Systems, GmbH

Wilhelm-Maisel Strasse 14
90530 Wendelstein, Germany
Phone: 011.49.9129.282830
FAX: 011.49.9129.270972

The following pages describe hazardous an dpotentially hazardous

conditions, and how to adequately protect yourself and others from
possible injury.

Page 1-6
 Introduction and Safety

Collision
The WorkStation is mounted on wheels and casters. If improperly
moved, the WorkStation can roll out of control.

• When moving the WorkStation up or down an incline, two people

should maintain control of the WorkStation.

• Never attempt to move the WorkStation up or down any steps or an

incline greater than 10 degrees.

• Always apply the caster locks when the system is in its final position.
Never attempt to lock the WorkStation in place on an incline greater
than 5 degrees.

NOTE: During operation, follow safety procedures to prevent the WorkStation

from tipping, falling, being pushed or jolted. Any sudden, intense impact
may cause damage to the Cine disk and could result in loss of previously
recorded Cine runs and prevent further Cine imaging. In the event of
loss or damage, call the Communication Center for repair.

Page 1-7
Introduction and Safety

CRT Implosion
A CRT (monitor) can shatter if struck or severely jarred. If shattered, the
monitor can produce a shower of flying glass. The coating on the face of
the CRT can produce dust or fumes which can be toxic if inhaled.

To avoid this hazard, do not expose the monitors to shock or allow

anything to fall against them.

Page 1-8
 Introduction and Safety

Electrical Fire
In the event of electrical fire, perform the following emergency
procedure:

NOTE: Any emergency procedure developed by the owner for the area in which
the WorkStation is used, should include these safety measures.

1. Turn off the WorkStation by pressing the WorkStation power

switch.

2. Unplug the WorkStation power cord from the AC receptacle.

3. Evacuate personnel from the area.

4. Use a fire extinguisher that is approved for use on electrical

fires.

5. If necessary, call your local fire department for help.

CAUTION
The use of the wrong type of fire extinguisher presents
electrical shock and burn hazards. To avoid these hazards, a
fire extinguisher which has been approved by the appropriate
local, state, and federal codes must be available in the room
where the equipment is being used.

Page 1-9
Introduction and Safety

Electrical Safety
Observe the following safety procedures to avoid electric shock or
serious injury to operators and patients, and to avoid system malfunction.

• Do not touch any external connectors on the system and a patient at

the same time. Make all connections while outside the patient
environment.

• Do not bypass, jumper or otherwise disable the WorkStation's safety

interlocks.

• Do not remove any of the WorkStation assembly covers. Only OEC

trained service representatives should remove these covers and
perform repairs on the WorkStation.

WARNING
All power to the system has not been removed until the
WorkStation is unplugged from the electrical outlet.

Page 1-10
 Introduction and Safety

• Do not place food or beverage containers on any part of the

equipment. They can tip over and introduce conductive substances
into the electrical circuitry.

• Always turn the WorkStation OFF and disconnect the power cord
before cleaning the equipment. Use a slightly damp cloth or sponge
for cleaning.

• The WorkStation remains powered until the power cord is

disconnected from the receptacle.

WARNING
The WorkStation is not waterproof. Water, soap, or other
liquids, if allowed to drip into the equipment, can cause
electrical short circuits leading to electric shock and fire
hazards. If liquids should accidentally spill into the
WorkStation electronics, DO NOT connect the power cord to
a power supply connection or turn the WorkStation on until
the liquids have dried or evaporated completely.

Page 1-11
Introduction and Safety

Equipment Malfunction
If either a system or hospital circuit breaker trips after being reset, it may
indicate an equipment malfunction. Do not attempt to operate the system
until it has been checked by a qualified service technician.

If any of the system controls fail to respond, the operator should stop
using the system and:

1. Press the WorkStation power button to turn the system off.

2. Disconnect the power plug from the AC receptacle.

3. Notify a qualified service technician.

4. Do not attempt to operate the system until the service technician

advises that it is operating properly.

Page 1-12
 Introduction and Safety

Explosion
Vapors and gases can be ignited by electrical arcs that can occur during
the normal operation of switches, circuit breakers, pushbuttons, and
other circuit components.

The system must never be operated in the presence of flammable

anesthetics, or other flammable or explosive liquids, vapors, or gases. If
flammable substances are present before the WorkStation is turned on,
do not plug it in and do not turn it on.

If flammable substances are detected after the WorkStation has been

turned on:

1. Do not turn the system OFF or unplug it from the AC receptacle.

2. Do not operate any other electrically powered equipment.

3. Evacuate all personnel from the area.

4. Ventilate with fresh air if it is possible to do so without

operating any automated (electrically operated) doors or
windows.

5. Contact your local fire department as soon as possible.

Page 1-13
Introduction and Safety

External Devices
To ensure patient safety, only connect an external device that has been
approved by OEC Medical Systems, Inc. All equipment attached to the
external interface connections must meet the requirements of IEC
60601-1 when operated within the patient environment. When used
outside of the patient environment, each externally connected device
must comply with the relevant IEC/ISO requirements for that device. In
all cases, the combination of all externally connected equipment shall
not cause the leakage current of any device used within the patient
environment to exceed the limits stated in IEC 60601-1.

Page 1-14
 Introduction and Safety

Hazardous Voltages
Certain components within the WorkStation produce high voltages
which can be potentially hazardous. To avoid this hazard, only OEC
qualified service technicians should attempt to service and repair a
system.

WARNING
Electrical circuits inside the equipment use voltages which
are capable of causing serious injury or death from electric
shock. To avoid this hazard, never remove any of the cabinet
covers or protective panels.

Page 1-15
Introduction and Safety

Patient Environment
Within the U.S., the Patient Environment is defined by NFPA 99 and
UL 2601-01.

In areas in which patients are normally cared for, the patient

environment is defined as the space with surfaces likely to be contacted
by the patient or an attendant who can touch the patient.

This space within the room extends 6 ft. beyond the perimeter of the bed
(examination table, dental chair, treatment booth, etc.) in its intended
location, and vertically 7.5 ft. above the floor.

6.00 ft. 6.00 ft. 7.50 ft.

6.00 ft.

Page 1-16
 Introduction and Safety

Outside of the U.S., the Patient Environment is defined by IEC

60601-1-1.

In areas in which patients are normally cared for, the patient

environment is defined as the space with surfaces likely to be contacted
by the patient or an attendant who can touch the patient.

This space within the room, extends 1.5 m beyond the perimeter of the
bed (examination table, dental chair, treatment booth, etc.) in its intended
location, and vertically 2.5 m above the floor.

2.5 m
1.5 m 1.5 m

1.5 m

Page 1-17
Introduction and Safety

Typographical Conventions
This book is designed with the following typographical conventions:

TIMES All citations in TIMES, ALL CAPS, represent keys on

the 1k x 1k WorkStation keyboard or words onscreen
such as messages.

Times Citations with an uppercase first letter refer to screens

that display on the 1k x 1k WorkStation.

HELVETICA All citations in HELVETICA, ALL CAPS, refer to function

buttons on the 1k x 1k WorkStation screens.

Page 1-18
Chapter 2

Setup and Positioning

Overview
This chapter describes:

• 1k x 1k WorkStation components
• Moving the 1k x 1k WorkStation
• Adjusting the brake
• Connecting the 1k x 1k WorkStation to a C-Arm
• Turning the system ON
• Turning the system OFF

Page 2-1
 Setup and Positioning

WorkStation Components
The items listed below identify the location of components used on a
1k x 1k WorkStation during setup and positioning.

1. Wheel lock pedal

2. Interconnect cable
3. WorkStation handle and cable hanger (one each side)
4. Power switch (green illuminated pushbutton)
5. Power cable

3
2
5

Figure 2-1. WorkStation Component Identification.

Page 2-2
 Setup and Positioning

The WorkStation back panel has a green indicator light showing the
WorkStation is being powered. Power is not completely removed by
pushing the power switch. Power is still being received by the
WorkStation until it is unplugged from the electrical outlet. Once
unplugged from the AC receptacle, the green light should be off,
showing all power is removed.

Circuit breakers are located below the green indicator light and on the
right side of the back panel. See Chapter 12, "Labels and Symbols" for
more details on each circuit breaker.

1. Green Indicator Light

2. Circuit Breakers (See Chapter 12 for explanations)

Figure 2-2. WorkStation Back Panel.

Page 2-3
 Setup and Positioning

Moving the WorkStation

CAUTION
Familiarize yourself with the location and mechanical
operation of all controls prior to moving the system.

1. Press the WorkStation power switch to turn the WorkStation off.

2. Unplug the WorkStation power cord.

3. Disconnect the interconnect cable from the Mobile C-Arm. Coil and
secure the cables around the WorkStation's handles.

4. Unlock the pedal brakes on the WorkStation.

5. Guide the WorkStation to its destination using the handles as shown

in Figure 2-3.

6. When you reach your destination, apply the wheel brakes on the
WorkStation (see Figure 2-4).

CAUTION
Do not move the 1k x 1k WorkStation over inclines greater
than 10 degrees. Do not move the WorkStation up or down
stairs or steps. Do not lock the WorkStation in place on an
incline greater than 5 degrees.

Page 2-4
 Setup and Positioning

Figure 2-3. Moving the 1k x 1k WorkStation.

Page 2-5
 Setup and Positioning

Brake Pedal
The 1k x 1k WorkStation brake pedal has three positions that control
wheel movement. The pedal is located on the left side of the
WorkStation. The pedal positions are:

Position Description

1 The wheels close to the pedal roll in a straight line, and

the front wheels pivot freely. Place the brake pedal in
this position to move the WorkStation long distances.

2 Allows all the wheels to pivot freely. Place the brake

pedal in this position to easily maneuver the WorkStation
during final positioning.

3 Prevents the wheels from pivoting or rolling.

2
3

Figure 2-4. The 1k x 1k WorkStation brake pedal.

Page 2-6
 Setup and Positioning

Connecting the WorkStation

If the 1k x 1k WorkStation will be used with a Mobile C-Arm, you must
connect the C-Arm to the WorkStation before plugging in the
WorkStation.

If the 1k x 1k WorkStation will be used as an independent workstation,

skip to step three.

1. Insert the interconnect cable into the connector located on the left
side panel of the C-Arm by aligning the index marks (red dots) on
the connector.

è
2. Push the connector in until it locks in place.

CAUTION
If the connector does not lock in place, unreliable system
operation may result.

Figure 2-5. Connecting the C-Arm.

Page 2-7
 Setup and Positioning

CAUTION
Damage may result to the Mobile C-Arm if the interconnect
cable is inserted after the WorkStation power cord is plugged
into an AC receptacle. Always connect the C-arm before
plugging in the WorkStation.

3. Plug the 1k x 1k WorkStation power plug into a properly rated AC

receptacle.

Figure 2-6: 120 V 15 A connection.

Page 2-8
 Setup and Positioning

Turning the WorkStation ON

Press the green WorkStation power switch. The light within the switch
will turn on indicating the power is turned ON. The system will begin
the power up sequence. The C-Arm should always be attached before the
WorkStation is plugged in and powered on.

Figure 2-7: WorkStation monitor power switch.

The WorkStation is ready for operation when the Patient Information

screen is displayed on the right monitor.

NOTE: If the WorkStation monitor fails to display the OEC logo and Patient
Information screen, you must restart the system.

To restart the system, press the power button, wait five seconds and then
press the power button again. If restarting the system fails, call for
service.

Page 2-9
 Setup and Positioning

Turning the WorkStation OFF

When the WorkStation power button is in the OFF position, neither the
WorkStation nor the C-Arm will operate. The C-Arm should always be
removed after the power cord is unplugged.

Perform the following steps to turn the WorkStation OFF:

1. Press the green WorkStation power button. The light within the
button will turn off indicating the power is turned OFF.

If pressing the power button fails to turn the WorkStation off,

unplug the power cord from the AC receptacle.

2. To remove all power, unplug the WorkStation power cord from

the AC receptacle.

3. Disconnect the C-Arm.

NOTE: Remove all power from the system before moving the system or if a
problem occurs which prevents normal operation. All power should also
be removed when periodic maintenance and cleaning is performed.

CAUTION
All power to the system has not been removed until the
WorkStation is unplugged from the electrical outlet. To make
sure power is disconnected, verify that the green light on the
lower left back panel of the WorkStation is OFF.

Page 2-10
Chapter 3

Using the 1k x 1k
WorkStation Controls

Overview
This chapter describes how to use the 1k x 1k WorkStation controls for
imaging and post-processing. Before using the WorkStation, you should
become familiar with the controls located on the following components:

• Touchscreen
• WorkStation keyboard
• Infrared (IR) Remote control

When using the 1k x 1k WorkStation with a Mobile C-Arm to produce

X-rays, you should also understand how the X-ray switches operate.
These X-ray switches are described in this chapter:

• Footswitch
• Hand-held X-ray Switch (Handswitch)
• X-ray On button

Refer to the Mobile C-Arm Operator's Guide for detailed information

about operating the C-Arm.

Page 3-1
 Using the Workstation Controls

Touchscreen Controls
The right monitor provides a touchscreen for interacting with the 1k x 1k
WorkStation. Using the touchscreen (and the keyboard for text-entry)
you can:
• Enter and view patient information
• View and process images
• Configure the X-ray switches
• Set imaging parameters
• Annotate images

Page 3-2
 Using the Workstation Controls

To select a touchscreen button, or a field for text-entry, touch it and

quickly remove your finger from the touchscreen.

Patient Information Screen

Page 3-3
 Using the Workstation Controls

1k x 1k WorkStation Keyboard
1k x 1k WorkStation keyboard controls include navigation, text-entry,
image processing, and function keys.

Two versions of the WorkStation keyboard are available: text and icon.
The layout and functionality of each keyboard is identical. Only labeling
distinguishes text and icon versions of the keyboards.

Page 3-4
 Using the Workstation Controls

EDGE NOISE PATIENT IMAGE IMAGE SPECIAL

ENHANCE FILTER CONTRAST BRIGHTNESS INFORMATION DIRECTORY ANNOTATION APPLICATIONS CUSTOMIZE HELP

A ?

ZOOM NEGATE ? ! @ # $ % ^ & * ( ) _ +

/ 1 2 3 4 5 6 7 8 9 0 - =
AUTO

Q W E R T Y U I O P ' •
Tab
´ ¨

A S D F G H J K L ° / Æ Enter
Caps Lock ¸
• æ

Z X C V B N M < > " ß

SAVE SWAP Shift Shift
, . ' \

Del

Figure 3-1. 1k x 1k WorkStation US Keyboard Layout.

A ?

? ! @ # $ % ^ & * ( ) _ +
/ 1 2 3 4 5 6 7 8 9 0 - =

Q W E R T Y U I O P ' •
´ ¨

A S D F G H J K L ° / Æ
• ¸ æ

Z X C V B N M < > " ß

, . ' \

Figure 3-2. 1k x 1k WorkStation International Keyboard Layout.

Page 3-5
 Using the Workstation Controls

Navigation and Text-Entry Keys

1k x 1k WorkStation navigation keys allow you to move the cursor, edit
text, and make button selections from the touchscreen. Touchscreen
buttons can be selected by using the tab key and pressing ENTER or
touching the button on the screen.

NOTE: A touchscreen button possesses focus when its text label is outlined with
a dotted border. Pressing ENTER will enact the button with focus.

The text-entry keys allow you to enter text in upper and lower case
letters.

TAB
Tab

Moves the cursor to the next text-entry field.

TAB also changes the focus to the next touchscreen button in

left-to-right, top-to-bottom order.

ENTER

Moves the cursor to the next text-entry field. Also selects the
Enter
touchscreen button that possesses the focus.

Page 3-6
 Using the Workstation Controls

BACKSPACE

Deletes one character to the left of the cursor. Also deletes a

selected marker or comment.

DELETE
Del

Deletes a selected marker or comment in Image Annotation

screen.

ARROWS

Used for fine positioning of image annotation on the

touchscreen.

Page 3-7
 Using the Workstation Controls

Diacritic Keys
' •
´ ¨

° / Æ
• ¸ æ

" ß
' \

Figure 3-3. Diacritic Keys on the WorkStation Keyboard.

Diacritic keys can be used in any language.

To use the Diacritic keys:
1. Press the diacritic key.
2. Press the letter to receive the diacritic mark.

Page 3-8
 Using the Workstation Controls

Image Processing Keys

Image processing keys apply image processing attributes to images
displayed on the left monitor. To save an image after you process it,
press the SAVE key.

The following pages describe how each image processing key operates.

Page 3-9
 Using the Workstation Controls

EDGE ENHANCEMENT

Emphasizes edges in an image. You can select an edge enhancement

level from 0 to100 in increments of 10.

Press ▲ or ▼ once to view the current level of edge enhancement. The

current edge enhancement level is shown on the Edge Enhancement
indicator bar displayed on the left monitor.

Press ▲ to increase the amount of edge enhancement applied. Press ▼

to decrease amount of edge enhancement applied. Pressing and holding
the key, or repeated pressing changes the value.

Changes to edge enhancement are indicated by a corresponding rise or

fall in the non-shaded portion of the indicator bar. Display of the
indicator bar times-out two seconds after the button is released or
immediately when any X-ray switch is pressed.

NOTE: Edge Enhancement can be applied to static and dynamic images. This
function can be applied to live and post-processed images.

Page 3-10
 Using the Workstation Controls

Edge Enhancement Display

Page 3-11
 Using the Workstation Controls

NOISE FILTER (Averaging)

Averaging provides image noise reduction to create a smoother image.

Noise Filter can be applied during live fluoro for all image modalities.
Higher levels of noise filtering produce a smoother (or less noisy) image,
but may also cause more lag when imaging moving objects or anatomy.
You may choose from no filtering, low, medium and high levels of
filtering.

Press ▲ or ▼ once to view the current noise filtering level. The noise
filter level is shown on the Noise Filter indicator bar displayed on the
left monitor. Press either key again to change the level of noise filtering.

Press ▲ to increase the amount of noise filtering applied. Press ▼ to

decrease the amount of noise filtering applied. No bar showing on the
indicator bar means no filtering is applied.

Changes to noise filtering are indicated by a corresponding rise or fall in

the non-shaded portion of the indicator bar. Display of the indicator bar
times-out two seconds after the ▲ or ▼ button is released, or
immediately when any X-ray switch is pressed.

NOTE: Noise Filtering is a real-time processing function and cannot be adjusted

on static images. The noise filtering level may be modified only during
playback of 30 FPS (25 FPS on 50Hz systems) runs.

Page 3-12
 Using the Workstation Controls

Noise Filter Display

Page 3-13
 Using the Workstation Controls

ZOOM

Press the ZOOM key to activate the Zoom function.

Magnified Image Zoom Screen

Left monitor Right Monitor

Page 3-14
 Using the Workstation Controls

The left monitor image is copied to the right monitor and the left image
is displayed by default at two times the magnification. A square box
representing the region of interest is displayed on the right monitor.
Drag (touch and move) the box to move the region of interest.
Select the 4 X button to increase magnification to four times. Select the
1 X button to restore the image to original size.
Select the EXIT button or press the Zoom key to close the Zoom screen.
If the image is magnified when EXIT or ZOOM is selected, the left
monitor image remains magnified until an X-ray switch is pressed or
until another image is recalled.

If the WorkStation is equipped with a Cine disk, you can apply Zoom to
a single frame of a Cine run.

Page 3-15
 Using the Workstation Controls

NEGATE

NEGATE reverses the display of light and dark values in an image.

Positive image Negated Image

Page 3-16
 Using the Workstation Controls

Press the NEGATE key to activate the negate function.

Negate is applied to the current image on the left monitor and to all
subsequent images produced until Negate is disabled.

Until disabled, each time Fluoro is pressed on the footswitch or

handswitch, the image will be negated.

To disable Negate, press the NEGATE key again.

NOTE: Negate can be applied to static and dynamic images.

Page 3-17
 Using the Workstation Controls

CONTRAST

Changes image contrast. Press ▲ or ▼ once to view the current level of

contrast. The current contrast level is shown in a range from 0-100 on
the contrast indicator bar displayed on the left monitor and in a numeric
value displayed on the lower right corner of the left monitor image.

Press either key again to change the level of contrast. Press ▲ to

increase amount of contrast applied. Press ▼ to decrease the amount of
contrast applied. Short, quick presses of the key adjust Contrast one
increment at a time. Pressing and holding the button down adjusts it
rapidly.

Changes to contrast are indicated by a corresponding rise or fall in the

shaded portion of the indicator bar. Display of the indicator bar times-out
two seconds after the ▲ or ▼ key is released or immediately when any
X-ray switch is pressed. A numeric value on the lower right corner of the
left monitor image shows the contrast level applied to the image.

Contrast and Brightness Display

Page 3-18
 Using the Workstation Controls

BRIGHTNESS

Changes image brightness. Press ▲ or ▼ once to view the current

brightness level. The brightness level is shown on the Brightness
indicator bar displayed on the left monitor and in a numeric value
displayed on the lower right corner of the left monitor.

Press either key again to change the level of brightness applied to the left
monitor image. Press ▲ to increase amount of brightness applied. Press
▼ decrease amount of brightness applied. Short, quick presses adjust
Brightness one increment at a time. Pressing and holding the button
down adjusts it rapidly.

Changes to brightness are indicated by a corresponding rise or fall in the

shaded portion of the indicator bar. Display of the indicator bar times-out
two seconds after the ▲ or ▼ key is released or immediately when any
X-ray switch is pressed. A numeric value on the lower right corner of
the left monitor image shows the brightness level applied to the image.

Page 3-19
 Using the Workstation Controls

AUTO

Enables automatic adjustment of contrast and brightness on the left

monitor image. When enabled, the system automatically selects the
optimum contrast and brightness values for the left monitor image. If
the LED next to the Auto key is illuminated, Auto is enabled.

To enable automatic contrast/brightness, press the AUTO key. To

disable automatic contrast/brightness selection, press the AUTO key or
contrast/brightness buttons. The Auto LED is not illuminated when Auto
is disabled. Pressing AUTO after manually adjusting the levels will
readjust the levels you have set.

You can enable AUTO from the C-Arm or WorkStation keyboard.

Page 3-20
 Using the Workstation Controls

SWAP
Press the SWAP key to exchange images between the Left and Right
monitor. When only one image displays on the left monitor, SWAP will
copy the image to the right monitor.

SAVE
Press the SAVE key to save the left monitor image on the system disk.
Up to 400 static images and 250 Cine runs can be stored on the system
disk. The image number is diplayed on the bottom left corner of the left
monitor screen. This number corresponds with the image number in the
Image Directory.

When storage capacity has been reached, each new image is saved over
the oldest image on the disk.

Page 3-21
 Using the Workstation Controls

Function Keys
Use the Function keys located on the top row of the keyboard to display
touchscreen menus on the right monitor.

PATIENT INFORMATION
Displays the Patient Information screen. Use this screen to enter patient
information. Refer to Chapter 4, "Patient Information."

IMAGE DIRECTORY
Displays the Image Directory screen. Image Directory allows you to
review, print, and archive stored images and dose information. Refer to
Chapter 6, "Image Review, Hardcopy and Archive" for details.

Page 3-22
 Using the Workstation Controls

A IMAGE ANNOTATION
Displays the Image Annotation screen. Image Annotation allows you to
place markers, add comments, and crop images. Refer to Chapter 7,
"Annotating Images" for details.

SPECIAL APPLICATIONS
Displays the Special Applications screen.
Refer to Chapter 8, "Special Applications" for details.

CUSTOMIZE
Displays the Customize screen. Refer to Chapter 9, "Customizing
Operation" for details.

HELP
?
Help is not implemented with this release.

Page 3-23
 Using the Workstation Controls

Remote Control
You may also use the optional infrared remote control to interact with
the touchscreen.

Exit Key Remote Control

Screen Key

Cursor
Movement Enter Key
Ring

Figure 3-2. Optional Remote Control

Press this key to EXIT any of the touchscreen displays.

CURSOR MOVEMENT ring.

ENTER key.

Press this key to display the Remote Control screen.

Page 3-24
 Using the Workstation Controls

Using the Cursor Movement Key

Press the arrows to move the cursor from button to button . The focus
will move to the closest button in the direction of the arrow pressed.

Once the cursor is placed on a touchscreen button, the button will

possess the focus. Press the ENTER key in the center of the ring to
activate the button function.

Page 3-25
 Using the Workstation Controls

Remote Image Processing Screen

Press on the IR Remote Control to display the Remote Image

Processing screen.

Remote Control Screen

Page 3-26
 Using the Workstation Controls

Using the Remote Image Processing Screen

The Remote Image Processing screen allows remote access to Edge
Enhancement, Noise Filter, Contrast/Brightness, Negate and Zoom
functions. You may also save images displayed on the left monitor and
swap images between monitors. (See explanation of Swap in Chapter 3,
“Using the 1k x 1kWorkStation Controls.”)

Using the CURSOR MOVEMENT ring, move to the function you want
to modify, and press ENTER. With the focus on an up or down
arrow, continue to press ENTER to adjust the levels.

Use the CURSOR MOVEMENT ring to move between buttons.

Page 3-27
 Using the Workstation Controls

Using Zoom with the IR Remote

1. Move the cursor to the ZOOM button on the Remote Image
Processing screen.

2. Press the ENTER keyon the IR Remote to activate the Zoom

function.
The left monitor will display the magnified image.
The right monitor will display the original image with the Zoom
Region of Interest (ROI) box.
The ROI box will have focus. The default upon opening the Zoom
screen is 2X magnification.

3. Use the CURSOR MOVEMENT ring to move the ROI box.

4. Press ENTER to remove focus from the ROI box. The EXIT button
will have focus.

Page 3-28
 Using the Workstation Controls

5. Use the CURSOR MOVEMENT ring to choose a different

magnification button. Press the arrow pointing the direction of the
magnification button on the screen. Press ENTER to select the
magnification and place the focus on the ROI box.

The button denoting the current magnification will be highlighted

around the outer edge of the button.

6. Follow steps 3-5 until ready to exit.

To exit the Zoom screen:

• When the EXIT button has focus, press the ENTER keyon the IR
Remote to leave the Zoom screen.

• To exit the screen at any time, press the EXIT key on the IR
Remote Control.

The left monitor image will remain at the most recent magnification until
a new X-ray is taken.

Page 3-29
 Using the Workstation Controls

Image Annotation using the IR Remote

The Image Annotation features can be controlled by the IR Remote.

To display the Image Annotation screen, press the Image Annotation

A key on the WorkStation keyboard.

Page 3-30
 Using the Workstation Controls

Markers Screen
1. Using the CURSOR MOVEMENT ring, and ENTER, select the
MARKERS... button. The Markers screen displays.

2. Use the CURSOR MOVEMENT ring to select a marker. Press

ENTER. The marker will appear on the right monitor image. The
marker will have focus.

3. Use the CURSOR MOVEMENT ring to move the marker with

focus. Once positioned on the image, press ENTER on the IR
Remote Control. The focus will then be placed on the OK button.

4. Repeat steps 2-3 for each marker placed. Save the image, or continue
with other Image Annotation features.

5. Select OK to return to the Main screen.

Page 3-31
 Using the Workstation Controls

Comment Screen
1. Using the CURSOR MOVEMENT ring, and ENTER, select the
COMMENT... button. The Comment screen will display.

2. Using the CURSOR MOVEMENT ring, and ENTER, select the

COMMENT button on the Comment screen. The comment box will
appear on the right monitor image.

3. Use the keyboard to enter information in the comment box. Use the
CURSOR MOVEMENT ring while the box has focus to position it
on the image. Once completed, press ENTER. The focus will return
to OK.

4. Repeat steps 2-3 for up to 5 comments. When completed, select OK

to return to the Main screen.

Page 3-32
 Using the Workstation Controls

Crop Screen
1. Using the CURSOR MOVEMENT ring, and ENTER, select a crop
arrow. Use the CURSOR MOVEMENT ring to move the arrow.

2. To remove the focus from the crop arrow, press ENTER. The focus
will return to the OK button.

3. Select OK to return to the Main screen.

Page 3-33
 Using the Workstation Controls

Footswitch and Handswitch

The X-ray footswitch and handswitch offer maximum flexibility and
control over image generation. Either switch may be used to generate X-
rays or change between the available imaging modes.

Figure 3-3. Footswitch and Three-button Handswitch

Press the left switch to generate standard

fluoroscopic images or a roadmap.

+ Press the right switch to produce high-level

fluoro (HLF) images, digital spot (DIG. SPOT)
images, Digital Cine images, or a subtraction.

Use the Mode switch to change between

standard fluoroscopy and vascular imaging
modes.

Page 3-34
 Using the Workstation Controls

On handswitches with four buttons:

Press the SAVE key on the handswitch to save

images.

Figure 3-4. Four-button Handswitch

Specific instructions for using these switches is provided in Chapter 5,

"Imaging."

CAUTION
Do not stretch the hand control cord further than 10 feet
(3.048 m). This may result in damage to the cord.
If the cord is damaged and touches the floor, it is a safety
hazard. Call the Communications Center for assistance.

Page 3-35
 Using the Workstation Controls

Page 3-36
Chapter 4
Patient Information

Patient Information

Overview
Patient Information provides a convenient and flexible means for
identifying and locating images. From the Patient Information screen
you can:

• Enter patient information.

• Display Scheduled Exams and begin a new exam.
• Display Saved Exams and select an exam containing images.
• Edit patient information.
NOTE: Due to the large number of images that can be stored, you should always
enter patient information before beginning a new exam. If a patient name
is not entered, images must be recalled using the default name
"UNNAMED."

Page 4-1
 Patient Information

Patient Information Screen

The Patient Information screen is displayed automatically at system
start-up.

Patient Information Screen

To redisplay this screen after start-up, press the PATIENT

INFORMATION key on the WorkStation keyboard.

Page 4-2
 Patient Information

The active fields are defined in the Customize Patient Information screen
in the Customize function. Inactive fields are "ghosted" and cannot be
selected. (Refer to Chapter 9, "Customizing Operation" for details.)

A cursor indicates which field you are in. Use the TAB or ENTER key,
or touch the next box to move the cursor to the next active field. Each
field containing information will be displayed on all static and live
images for the patient.

Once you begin imaging, switch screens or select EXIT, the fields are
locked. To edit the fields, you must select EDIT on the Patient
Information screen.

Page 4-3
 Patient Information

Entering Patient Information

Enter alphanumeric characters in upper and lower-case characters in
each of the active fields on the Patient Information screen.

Enter patient information immediately before a procedure or retrieve it

from the Scheduled Exams list.

At system startup:

1. Enter patient last name.

2. Move through the fields to complete patient information.
3. Select the EXIT or NEW EXAM button on the screen when you
have finished entering patient information.
If you select EXIT: The Patient Information screen closes and the
Main Image screen is displayed. The system is ready for you to
begin taking X-rays for the patient you have just entered.

If you select NEW EXAM: The patient information you just

entered is saved in the Scheduled Exams list and the Patient
Information screen is cleared.

Page 4-4
 Patient Information

Once you have entered Patient Information, you may immediately begin
taking X-rays for that patient. The patient information screen will
automatically close and display the Main screen.

Each time you choose NEW EXAM or SCHEDULED EXAMS, the C-Arm
settings are reset to default parameters. This includes the Cine Overwrite
warning, fluoro timer, contrast/brightness, noise filtering and mode
settings. The collimator leaves and iris will adjust to a full open position.

Settings will not be retained with the exam information. When the
current patient is changed, any imaging parameters set will reset.
Parameters will need to be reset when returning to re-image the patient.
See Chapter 9,"Customizing Operation," for any settings that can be pre-
determined for default.

Page 4-5
 Patient Information

Selecting a Patient from the Scheduled

Exams
The Scheduled Exams feature allows you to enter patient information
prior to exams and retrieve it at the beginning of the procedure.

Patient information can be stored in Scheduled Exams for 48 hours. If X-

rays are not taken within 48 hours, the record is deleted. Once X-rays
have been taken, the patient record is moved to Saved Exams.

Page 4-6
 Patient Information

To set up the Scheduled Exams feature

1. Complete the Patient Information screen.

2. Press NEW EXAM to send the information to the Scheduled Exams

screen. An empty Patient Information screen will display.

3. Repeat steps 1 and 2 for each patient to be saved in Scheduled

Exams. X-rays for each patient must be taken within 48 hours.

4. When completed, press NEW EXAM to send the last patient entered to
the Scheduled Exam list, or EXIT to begin imaging that patient.

Page 4-7
 Patient Information

To select a patient from Scheduled Exams

1. Select SCHEDULED EXAMS from the Patient Information screen.

The Scheduled Exams screen displays an alphabetical list of

scheduled patients. To list by physician, select the BY PHYSICIAN
button on the screen.

Scheduled Exams Screen

Page 4-8
 Patient Information

2. Touch a patient field.

3. Select the OK button to close the Scheduled Exams screen and

display the Patient Information screen for the selected patient.

You may begin taking X-rays for the selected patient.

NOTE: Always ensure the correct patient name is displayed on the Patient
Information screen.

Page 4-9
 Patient Information

Selecting a Patient from Saved Exams

The Saved Exams screen contains a list of patients examined. If a last
name was not entered for the patient before X-rays were produced,
images are stored under the last name "UNNAMED."

To retrieve a patient's images

1. Select the SAVED EXAMS button from the Patient Information screen
to view a list of patients examined.

Page 4-10
 Patient Information

Saved Exams Screen

The Saved Exams list displays patients alphabetically, by last name.

• Select the BY DATE button to display the list chronologically.

• Select the BY PHYSICIAN button to display the list alphabetically,

by doctor.

Page 4-11
 Patient Information

2. Touch a patient field and then select the OK button to display the
Patient Information screen for that patient.

The Patient Information screen now contains all the information

stored for the selected patient's exam. You can:

• Edit information in the patient record you just recalled.

• Produce additional X-rays. Images will be saved using the
date and time of the original exam.

NOTE: When you recall a patient record from Saved Exams, new images can be
saved under this patient's name. If you are continuing an exam for a
previous patient, you need to reselect that patient from the Saved Exams
screen before you resume saving images for that patient. Always ensure
the correct patient is displayed on the Patient Information screen
before producing X-rays. Otherwise, images may be stored under the
incorrect patient name.

Page 4-12
 Patient Information

If you do not want to store images with an existing exam record,

create a New Exam for the patient:

1. Select the NEW EXAM button on the Patient Information screen to

clear all information.
2. Enter the patient information.
3. Select the EXIT button.
4. Begin the exam.
Images are stored using the current date and time.

Page 4-13
 Patient Information

Editing Patient Information

You can edit patient information for current, scheduled, and saved
exams. Once you begin imaging, choose another screen, or press EXIT,
all fields on the Patient Information screen will be locked.

NOTE: Editing patient information modifies information stored with all images
for that patient exam.

To edit patient information during an exam

1. Press on the keyboard.

The Patient Information screen is displayed.

2. Touch EDIT on the screen.

3. Highlight the patient field to be edited.

4. Edit information as needed.

5. Touch the EXIT button to update and return to the Main screen.

Page 4-14
 Patient Information

To edit patient information for a scheduled exam

1. Press on the keyboard.

The Patient Information screen is displayed.

2. Select SCHEDULED EXAMS from the Patient Information screen.

3. Select the patient record you want to modify. Press OK.

The Patient Information screen is redisplayed containing information
for the selected patient.

4. Touch EDIT on the screen.

5. Select the patient field to edit.

6. Enter or edit information. Repeat steps 5 and 6 for each field to be

edited.

7. Touch EXIT to return to the Main screen.

Page 4-15
 Patient Information

To edit Patient Information for a saved exam

1. Press on the keyboard.

The Patient Information screen is displayed.

2. Select SAVED EXAMS from the Patient Information screen.

3. Select the patient record from the Saved Exams list. Press OK.
The Patient Information screen is displayed for the saved exam.

4. Touch EDIT on the screen.

5. Select the field to be edited.

6. Enter or edit information as needed. Repeat steps 5 and 6 for each

field to be edited.

7. Touch EXIT to return to the Main screen.

Page 4-16
Chapter 5
Imaging

Imaging

Overview
This chapter explains how to produce images using each of the imaging
modes.
At system startup, all 1k x 1k WorkStation and Mobile C-Arm imaging
capabilities are immediately available from the footswitch or
handswitch. You can complete an exam simply by turning on the power,
entering patient information, and pressing the X-ray switch. The system
automatically selects the best combination of X-ray imaging parameters
to produce an optimal image.
For each new exam, common default settings are automatically applied
to the 1k x 1k WorkStation. You can override the default settings to
manually set edge enhancement, noise filtering, contrast, and brightness
values or select pulse and Cine acquisition rates. These settings will be
reset for each New Exam or Scheduled Exam.
Two image modes are simultaneously available from the C-Arm, X-ray
footswitch and handswitch. By pressing the MODE key on the X-ray
switches or C-Arm control panel, you can change from one pair of
imaging modes to another, without adjusting controls on the
WorkStation.

Page 5-1
 Imaging

To Image a Patient
How you choose to make exposures depends on the specific clinical
situation. However, an exam usually includes these steps:

1. Enter patient information.

Entering patient information is described in Chapter 4, "Patient
Information."

2. Position the patient.

Verify FLUORO is displayed on the Status Bar. Press the left ( )
X-ray switch to produce a Fluoro image while positioning the
patient.

3. Select an imaging mode.

Imaging modes available:
Standard Fluoroscopy Group: Fluoro and HLF or Fluoro and
Digital Spot.
Vascular Group: Roadmap and Subtract or Fluoro and Subtract.

Use the FILM key on the C-Arm control panel to select Film
mode. Producing radiographic X-ray film is described in the Mobile
C-Arm Operator's Guide.

Page 5-2
 Imaging

4. Adjust C-Arm controls.

Default settings are applied to the C-Arm controls each time you
start the WorkStation. If you want different settings you can change
any of the following:

• Field Size
• Image Orientation
• Collimation
• Contrast/Brightness
• Technique
• Pulse
• Low Dose

These controls are described in detail in the Mobile C-Arm

Operator's Guide.

5. Take X-rays.
6. Apply image processing options.
The image processing keys located on the WorkStation keyboard
allow you to enhance images. For example, you can adjust contrast
and brightness, display a negative image, or zoom on a region of
interest. These controls are described in Chapter 3, "Using the 1k x
1k WorkStation Controls."

7. Save the image.

Page 5-3
 Imaging

X-Ray Switch Setup

Use the Mode screen to:
• Set up the imaging mode pairs that will be available from
the X-ray switches during a procedure.

• Select pulse rates.

Page 5-4
 Imaging

To display the Mode screen, touch the MODE button on the Main screen .

Main Screen

Page 5-5
 Imaging

Mode Screen

There are two available Mode groups:

• Standard Fluoroscopy
• Vascular
A mode pair can be selected from each button group. Only one mode
pair is active at a time. The active mode pair is displayed on the status
bar.

Page 5-6
 Imaging

Continuous X-ray is the default. Use the mode screen to choose pulsed
operation. See "Selecting Continuous or Pulsed X-rays" later in this
chapter.

NOTE: The 1k x 1k WorkStation may be ordered with HLF mode disabled. If

HLF is disabled, the HLF button is "ghosted" and Fluoro and Digital
Spot are the standard fluoroscopy modes.

Page 5-7
 Imaging

Switching Mode Pairs

FLUORO/HLF are immediately available when the machine is turned
on. Pressing the left ( ) X-ray switch initiates a Fluoro shot. Pressing
the right ( + ) X-ray switch initiates an HLF shot.
Press the MODE switch to change between Standard Fluoroscopy and
Vascular modes.

Mode
+

Figure 5-1 . Mode Switch on handswitch and footswitch.

The default setting for Vascular is ROADMAP/SUBTRACT.

• Pressing the left ( ) X-ray switch initiates a Roadmap shot.
• Pressing the right ( + ) initiates a Subtraction.

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 Imaging

Status Bar
While imaging, the active mode pair is displayed on the status bar.

Example 1:

A Fluoro shot can be initiated by pressing the left ( ) X-ray switch.

A High Level Fluoro (HLF) can be initiated by pressing the right ( +)
X-ray switch.

Example 2:

A Roadmap shot can be teken by pressing the left ( ) X-ray switch.

A Subtraction can be taken by pressing the right ( + ) X-ray switch.

Example 3:

If FILM is selected on the C-Arm control panel, the film icon is

displayed in the status bar.

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 Imaging

To set up imaging modes available during the exam

1. Select the MODE button on the Main screen.

Pre-Select the modes needed for the exam.
In this example, a Digital Spot image and a Subtraction need to be
taken.

A. The default setting for Standard Fluoroscopy is FLUORO/HLF.

To switch to FLUORO/DIGITAL SPOT:
Select DIG. SPOT. The highlighted center bar moves next to
the DIG. SPOT button.

Mode Screen

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 Imaging

B. The default setting for Vascular is ROADMAP/SUBTRACT.

To switch to FLUORO/SUBTRACT:
Select FLUORO. The highlighted bar moves next to the
FLUORO button.

Once chosen, these are the mode pairs available during the exam until
you change them or begin a new exam.

3. Verify the modes available on the status bar.

4. Complete the Digital Spot portion of the exam.

5. Press the MODE switch to display Fluoro and Subtract on the status
bar.

6. Complete the Subtraction procedure.

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 Imaging

Selecting Continuous or
Pulsed X-rays

You can select continuous or pulsed generator operation for Fluoro,

HLF, Roadmap and Subtract modes. Digital Spot mode is a non-pulsed
mode.
Continuous mode provides continuous X-ray generation. Continuous X-
rays are the default.

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 Imaging

Pulsed mode generates a preset number of X-ray pulses each second

while the X-ray switch is pressed. Pulsed X-rays can be used to reduce
total radiation. If you enable pulse, the default pulse rate is 8 PPS (6 PPS
on 50 Hz systems).
On Cardiac and Neuro-Vascular WorkStations, 15 or 30 (PPS) (12 or 25
PPS on a 50 Hz system) provides Digital Cine operation. On Vascular
WorkStations, 15 PPS (12 PPS on 50 Hz systems) provides Digital Cine
operation.
Digital Cine combines shorter pulsed widths with higher mA values to
reduce image motion artifacts. To provide optimum images, camera
gain is reduced and the mA increases to as much as 150 mA. There is no
dose reduction. The exposure is limited to 15 seconds. Averaging is
turned off and noise reduction cannot be used.

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 Imaging

To select pulsed X-rays

1. Select the PULSE button on the Mode screen, or press the PULSE
key on the C-Arm to enable pulsed operation at the currently
selected pulse rate.

The default pulse rate is 8 PPS (6 PPS for 50 Hz). To change that
rate, follow steps 2-4.

2. Select the RATE button from the Mode screen to set a pulse rate and
enable pulsed operation. The Pulse Rate pop-up screen displays.

Pulse Rates 50 Hz System Pulse Rates 60 Hz System

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 Imaging

When pulse is enabled, the pulse rate is displayed on the Status Bar.

3. Select a pulse rate from the Pulse Rate pop-up screen.

Available pulse rates:
•60 Hz system: 1, 2, 4, 8 (Standard Fluoroscopy)
Digital Cine: 15 and 30 PPS (Cardiac and Neuro-Vascular
only).

•50Hz system: 1, 2, 4, 6 (Standard Fluoroscopy)

Digital Cine: 12 and 25 PPS (Cardiac and Neuro-Vascular
only).

The selected pulse rate will automatically display on the status bar.
Pressing the footswitch to image will invoke the current pulse rate
without exiting the screen.

4. Select OK to close the Pulse Rate pop-up screen.

5. Select the EXIT button on the Mode screen to return to the Main
screen.

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 Imaging

Selecting Cine Options

The 1k x 1k WorkStation is equipped with a Cine disk that allows you to
record a series of dynamic images. The Cine Setup screen allows you to
enable and disable Cine acquisition for the image modes and set Cine
acquisition rates.

WARNING
Use Caution while WorkStation is in use. The Cine disk is
always running during operation of the WorkStation. Any
sudden, intense impact can damage the Cine disk and could
result in loss of previously recorded Cine runs and prevent
further imaging.

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 Imaging

To display the Cine Setup screen

1. Select the CINE button from the Main screen.

Main Screen

The Cine screen displays.

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 Imaging

2. Select the CINE SETUP button from the Cine screen.

Cine Screen

The Cine Setup screen displays.

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 Imaging

Cine Setup Screen

3. Use the checkboxes and buttons on the Cine Setup screen to turn
Cine Acquisition on for each mode and set the acquisition rate.

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 Imaging

Acquire ON/OFF
Touch the box next to the corresponding image mode to enable and
disable Cine acquisition. Acquire is ON if the box is checked.

Cine Setup Screen-Acquire ON/OFF

If the shot type is Digital Cine, acquisition is automatically enabled

and cannot be turned off.

By default, acquisition is enabled for Subtract mode.

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 Imaging

RATE
The current acquisition rate is displayed adjacent to the RATE button
for the corresponding mode.

To set the acquisition rate, select the RATE button next to the mode.

Cine Setup Screen-Rate

The Acquisition Rate pop-up screen will display.

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 Imaging

Cine Acquisition Rate Pop-up Screen

The acquisition rate options are:

• 60 Hz Systems with a 15 FPS disk: 1, 2, 4, 8, and 15 FPS

• 50 Hz Systems with a 12 FPS disk: 1, 2, 4, 6, and 12 FPS
• 60 Hz Systems with a 30 FPS disk: 1, 2, 4, 8, 15, and 30 FPS
• 50 Hz Systems with a 25 FPS disk: 1, 2, 4, 6, 12, and 25 FPS

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 Imaging

The acquisition rate for continuous imaging defaults to 8 FPS (6 FPS

on 50 Hz systems) for Fluoro, HLF, and Roadmap modes and 30
FPS (25 FPS for 50 Hz systems) for continuous Subtract mode. If
pulse is enabled, the acquisition rate equals the pulse rate. The
default pulse rate is 8 PPS (6 PPS for 50 Hz systems) for all systems.
The available acquisition time varies according to the acquisition
rate. Select a lower rate to increase the amount of acquisition time.
4. Select the OK button on the Acquisition Rate pop-up screen to return
to the Cine Setup screen.

The Status Bar shows the acquisition rate (fps) when Cine Acquire is
on.

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 Imaging

The Cine Setup screen displays the storage time remaining in

number of seconds. This number is displayed adjacent to the RATE
button for each mode and on the left monitor.
During acquisition, images are recorded to the Cine disk until the
available storage area is full. When 30 seconds of acquisition time
remains before the disk is full, a warning message will display on the
right monitor.
When the disk is full, or when a New Patient exam begins:
Time is automatically reset to the full amount and the existing
Cine runs begin to be overwritten.
When a single run fills all available time:
X-rays will continue to be taken as long as you are pressing the
switch, but the acquisition of shots will discontinue.
5. To close the Cine Setup screen, select the OK button.

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 Imaging

Fluoro Imaging
Fluoro mode displays live fluoroscopic images on the left monitor. After
the image has been obtained, image attributes such as Edge Enhance-
ment, and Contrast or Brightness can be modified.

To produce a Fluoro image

1. Verify FLUORO is dispayed on the Status Bar. Fluoro is a default

mode selected for each new exam. If ROADMAP is displayed, press
MODE on the footswitch, handswitch, or C-Arm to activate Fluoro
mode.

2. Select continuous or pulsed X-ray generation. Use the Mode screen

to switch between continuous and pulsed X-rays.

3. Press the left ( ) X-ray switch on the footswitch, handswitch or the

X-ray ON button on the C-Arm.

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 Imaging

NOTE: If Auto Save is enabled on your system, the image will be automatically
saved and the image number will be displayed on the left monitor. This
number corresponds to the image number of the preview image in Image
Directory.

If AutoSave is not enabled, press the SAVE key prior to exposure of

next image. See Chapter 9, "Customizing Operation" for details.

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 Imaging

High Level Fluoro Imaging

High Level Fluoro (HLF) mode decreases noise and improves image
quality by increasing fluoroscopic mA.
Continuous HLF uses mA levels up to 20 mA.
Pulsed HLF ranging from 1-8 PPS (1-6 PPS on a 50Hz system) provides
pulsed fluorography. mA can be increased up to 40 mA. Pulsed HLF at
15 or 30 PPS (12 or 25 PPS on a 50Hz system) provides Digital Cine
imaging. Digital Cine imaging uses short pulses at up to 150 mA. Digital
Cine is used to image moving anatomy while reducing motion blur.

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 Imaging

WARNING!
HLF should not be used for general purpose imaging.

During Continuous HLF, the mA can increase to as much as

20 mA. During Pulsed HLF the mA can increase to as much
as 40 mA (150 mA during Digital Cine). This can subject the
patient and those working around the X-ray field to a
significantly larger dose of radiation than they would receive
during normal pulsed fluoro operation. To minimize X-ray
exposure hazards, use HLF with discretion.

Automatic termination of HLF and pulsed HLF exposure occurs after

each 30-second interval of continuous use. Automatic termination of
Digital Cine exposure occurs after each 15-second interval of continuous
use. Automatic exposure termination reduces unnecessary X-ray expo-
sure and was designed to comply with X-ray tube ratings.

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 Imaging

Standard HLF
To produce a standard HLF image

1. Verify HLF is displayed on the Status Bar. HLF is a default mode

for each new exam.
• If SUBTRACT is displayed, press the MODE key on the
footswitch, handswitch, or C-Arm to activate HLF mode.
• If DIG. SPOT is displayed, use the Mode screen to select HLF.

2. Select pulsed or continuous X-ray generation from the Mode screen.

Verify the chosen rate is displayed on the status bar.

3. Press the left ( ) X-ray switch on the footswitch or handswitch to

observe patient anatomy while positioning the patient.

4. Press the right ( + ) X-ray switch on the footswitch or handswitch

to make HLF exposures.

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 Imaging

Digital Cine HLF

To create an HLF Digital Cine image

1. Verify HLF is displayed on the Status Bar.

• If SUBTRACT is displayed, press the MODE key on the
footswitch, handswitch, or C-Arm to activate HLF mode.
• If DIG. SPOT is displayed, use the Mode screen to select HLF.

2. Select a pulse rate of 15 or 30 PPS on 60 Hz systems (12 or 25 on

50 Hz systems) from the Mode screen.

3. Press the right ( + ) X-ray switch. The Digital Cine image is

automatically acquired to the Cine disk.

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 Imaging

Digital Spot Imaging

Digital Spot mode creates short duration, high mA, single-exposure
X-rays to produce the highest quality single exposure possible. The
image is automatically saved to hard disk after each exposure.
After an image has been obtained, image attributes such as Edge En-
hancement, Contrast, or Brightness can be modified. Pulsed operation is
not allowed in Digital Spot mode.

To produce a Digital Spot image

1. Select the DIG. SPOT button from the Mode screen.

2. Press the left ( ) X-ray switch on the footswitch, handswitch or

the X-ray ON button on the C-Arm to begin the exposure and
position the anatomical area.

3. When the desired image appears on the monitor, release the left ( )
X-ray switch and then press and hold the right ( + ) X-ray switch
to obtain the Digital Spot image.

The system automatically terminates the exposure and saves the Digital
Spot image on the hard disk.
NOTE: If you release the footswitch early, the exposure will prematurely
terminate. Continue pressing the switch until the system automatically
terminates the exposure.

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 Imaging

Subtraction Imaging
Real time subtraction provides images that are the difference between
current fluoroscopic images and a mask image obtained at the start of the
subtraction process. The result is displayed on the left monitor. The live,
unsubtracted fluoro image is displayed on the right monitor. By default,
subtracted images are acquired to the Cine disk. Real-time subtraction is
primarily used for contrast studies, such as angiography.
The Noise Filtering level can be modified during the subtraction phase.
Peak opacification can be applied during post-processing.

NOTE: The Noise Filtering level may only be modified during playback of a 30
FPS (25 FPS on 50 Hz) Cine run.

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 Imaging

Sequence of Events During Subtraction

The software automatically performs several steps during real-time
subtraction. To illustrate the process, a timeline diagram of a typical
subtraction is illustrated in the following figure.

X-RAY TECHNIQUE

MASK SUBTRACTION

1 2 3 4 5 6 7
TIME

CONTRAST
CONCENTRATION

Figure 5-1. Event Sequence During Subtraction.

Page 5-33
 Imaging

The sequence of events shown on the timeline includes:

1. The right ( + ) X-ray switch is depressed to begin the

exposure. The X-ray Technique adjusts.

2. The mask is being acquired, and Technique is locked.

NOTE: Any movement results in a blurred mask.

3. Mask image has been acquired and the subtraction process

begins.

The left monitor displays a uniform gray result and the system
begins subtracting images. As long as the subtraction continues,
new images are subtracted from the mask obtained at the
beginning of the Cine run.

Page 5-34
 Imaging

4. Contrast is injected, and the subtracted images are displayed on

the left monitor. Vessels are outlined with contrast.

5. The contrast concentration peaks.

6. Contrast concentration then decreases to a minimum.

7. When the footswitch is released, the last subtracted image is

displayed on the left monitor.

NOTE: Releasing the X-ray switch at any time during this entire procedure will
terminate the subtraction process.

Page 5-35
 Imaging

Subtraction Procedure
1. Verify FLUORO is displayed on the status bar.

2. Press the left ( ) X-ray switch to create a Fluoro image while

positioning the patient.

3. Press the MODE key on the footswitch, handswitch, or C-Arm to

activate Vascular mode.

4. Verify SUBTRACT is displayed on the Status Bar.

5. Press the MODE button from the Main screen to select pulsed or
continuous X-ray generation.

A pulse rate of 15 or 30 PPS (12 or 25 PPS) produces a Digital Cine

Subtraction. The subtraction is automatically acquired to the Cine
disk.

Page 5-36
 Imaging

6. Cine is automatically set. To change Cine parameters, use the Cine

Setup screen. Refer to "Selecting Cine Options" earlier in this
chapter.

7. Press the right ( + ) X-ray switch to begin the subtraction process

and create a mask. After the mask is acquired, continue pressing the
right ( + ) X-ray switch to subtract subsequent images from the
mask.

8. Inject contrast when the Inject icon appears on the left monitor.

9. View the results on the left monitor. The contrast concentration will
peak and then decrease to a minimum.

10. Release the X-ray switch to end the subtraction.

The Cine run will automatically play back on the left monitor unless
Auto Cine Playback has been disabled.
See Chapter 9, "Customizing Operation" for details on Auto Playback.
Refer to "Reviewing a Cine Run" in Chapter 6, for a description of the
Cine Playback screen.

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 Imaging

Roadmap Imaging
Roadmap mode provides a subtracted image on the left monitor that is
the difference between the current fluoroscopic image and a mask image.
The result on the left monitor is a roadmap of the vasculature showing
the catheter or contrast as it moves. During roadmapping, the right
monitor displays the live, unsubtracted image.

Peak opacification is automatically enabled during the first phase of

Roadmapping (mask acquisition). When peak opacification is applied,
each pixel is compared, as it is acquired, to its counterpart in the
previous image. If the new pixel is darker than in the previous image, the
old pixel is replaced. When this process is complete, the resulting image
contains the darkest pixels acquired for each point. Opacification is
turned off during the second phase of roadmapping.

Roadmapping can be used in both continuous and pulsed X-ray modes.

Page 5-38
 Imaging

Sequence of Events During Roadmapping

The software automatically performs several steps during Roadmapping.
The following timeline illustrates the Roadmap process.

1st Phase 2nd Phase

X-RAY TECHNIQUE

MASK SUBTRACTION

TIME
1 2 4 5 7 8
3 6
PEAK OPACIFY
CONTRAST
CONCENTRATION

Figure 5-2. The Roadmapping Process.

Page 5-39
 Imaging

Roadmap 1st Phase

1. When the left ( ) footswitch is pressed, the X-ray Technique
adjusts and stabilizes.

2. The Inject icon diplays on the left monitor. The contrast injection
should begin, after which the contrast concentration in the image
increases.

3. An image of the vessels and contrast is displayed on the left monitor

at or near peak concentration.

4. The footswitch is released. (The footswitch can be released anytime

during step four. Peak opacification is automatically applied.)

5. The last image is automatically saved as the mask, and the X-ray
Technique is frozen.

6. Peak Opacification causes the areas darkened by the contrast to

retain their darkest values in the mask image.

Page 5-40
 Imaging

Roadmap 2nd Phase

7. The roadmap subtraction begins when the left ( ) X-ray switch is
pressed again.

8. The X-ray Technique remains the same as it was during the Mask
acquisition. Pressing the left ( ) X-ray switch continues
Roadmapping. As Roadmapping continues, the mask image is
subtracted from the new Fluoro images and the result is displayed on
the left monitor.

Page 5-41
 Imaging

Roadmap Procedure
1. Verify FLUORO is displayed on the status bar.

2. Press the left ( ) X-ray switch to create a Fluoro image while

positioning the patient.

3. Press the MODE key on the footswitch, handswitch, or C-Arm to

activate Roadmap mode.

4. Verify ROADMAP is displayed on the Status Bar.

5. Optional: Use the Cine setup screen to enable Cine acquisition.

Refer to "Selecting Cine Options" earlier in this chapter for details.

6. Press the left ( ) X-ray switch to initiate the first phase of

roadmapping.

A fluoro image is displayed on the left monitor.

Page 5-42
 Imaging

7. Inject contrast media when the Inject icon is displayed on the left
monitor.

8. Release the left ( ) X-ray switch when a satisfactory image is

displayed on the left monitor and the contrast is at, or near, peak
concentration in the area of interest.

The Roadmap mask is automatically created and displayed on the

left monitor for phase 2.

9. Press the left ( ) X-ray switch again to begin Roadmapping. The

saved mask is subtracted from the new fluoro images. The resulting
roadmap is displayed on the left monitor. The X-ray Technique is
locked.

10. Continue the roadmap subtractions as many times as necessary by

pressing the left switch. The original contrast image is used as the
mask for each subtraction.

11. To exit Roadmap mode, press the MODE key.

Page 5-43
 Imaging

Sharpening a Roadmap Mask

You can change the level of edge enhancement applied to a mask and
then use the modified mask in a roadmap procedure.

To Sharpen a Roadmap Mask

1. Acquire the opacified mask.

2. Sharpen the mask by pressing the EDGE ENHANCEMENT key.

3. Touch the SAVE MASK button on the Roadmap Mask screen to save
the mask.

4. Choose USE MASK from the Roadmap Mask screen.

5. Continue with the roadmapping subtraction.

Page 5-44
 Imaging

Adjusting the Mask

Registration
If the patient moves during the procedure, misalignment of the mask and
incoming images could cause a poor Roadmap image. Registration
allows you to move the mask image to produce an accurate registration.
You can realign the mask during the procedure, or during playback if the
images are saved.

Page 5-45
 Imaging

To register the roadmap mask

1. Select the ADJUST MASK button on the Main screen or the Cine
Playback screen. The Mask screen is displayed.

2. Use the Mask Registration buttons to align the mask

image with the incoming images.

Select (reset) onscreen to restore the mask to its original

position.

Adjust Mask Screen

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 Imaging

Landmarking
In some subtracted images, it may be necessary to see the position of
vessels in relation to certain background anatomies. Landmarking allows
you to vary the percentage of background anatomy that is displayed on a
subtracted image. This function is available for Subtraction and
Roadmapping.
To vary the percentage of background anatomy:
1. Select the Landmarking buttons.

2. Touch the EXIT button to close the Adjust Mask screen.

Each press of the landmark button will adjust in 5% increments.

Page 5-47
 Imaging

Selecting and Clearing a Roadmap Mask

The Roadmap Mask screen allows you to save and use up two roadmap
mask images.
To eliminate additional contrast injection, use a mask saved from:
• The current Roadmap procedure
• A previous Cine run
• A Subtraction procedure

To create and save a mask from a previous procedure, see Chapter 6,

"Image Review, Hardcopy and Archive."

Page 5-48
 Imaging

Roadmap Mask Screen

Page 5-49
 Imaging

Using a Saved Mask

The two most recent mask images from the current patient exam are
automatically saved to disk and displayed on the Roadmap screen under
the SAVE MASK buttons.
To perform a Roadmap procedure using a saved mask:
1. Select ROADMAP MASK from the Main screen.

2. Select USE MASK beneath the image of the mask you want to
use. The saved mask will be recalled when the second phase of
the roadmap shot is started.

3. When ROADMAP-2 is displayed on the status bar, indicating

that the second phase of roadmapping is occuring, the chosen
mask will be displayed on the left monitor.

4. Press the left ( ) X-ray switch. The technique will stabilize and
subtraction will begin using the recalled image as the mask.

5. If necessary, select ADJUST MASK from the Main screen to adjust

registration.

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 Imaging

Clearing the Current Mask

To clear the left monitor and begin a new Roadmap procedure:
1. Select the NEW MASK button on the Roadmap Mask screen.

2. Repeat the roadmap procedure.

The current mask can also be cleared using the footswitch:

1. Press the MODE key on the footswitch to select Fluoro mode.

2. Press the left ( ) X-ray switch to take a brief exposure.

3. Press the MODE key again to reselect Roadmap mode.

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 Imaging

Page 5-52
Chapter 6

Image Review, Hardcopy

and Archive

Overview
Image Directory allows you to review, hardcopy, and archive images,
patient summaries, and dose information.

Page 6-1
 Image Review, Hardcopy, and Archive

Accessing Image Directory

To display the Image Directory screen, press the IMAGE DIRECTORY
key on the WorkStation keyboard.

Image Directory Screen

Page 6-2
 Image Review, Hardcopy, and Archive

The Image Directory screen displays up to nine preview images at a time

for the currently selected exam.
From the Image Directory screen you can:
• Display static images and Cine runs for review or modification.
• Display and print patient and dose summaries.
• Archive images.
• Retrieve a different patient exam from the Saved Exams.
• Retrieve an archived exam.
Use the up and down arrow buttons to scroll through all preview
images. You may also use the keyboard to enter the image number, then
press ENTER to display the preview image.

Page 6-3
 Image Review, Hardcopy, and Archive

Reviewing Static Images

To display a saved image on the left monitor, touch the preview image
on the Image Directory screen. The following information is displayed
with the left monitor image:

A Information entered on the Patient Information screen.

B Technique used during the exposure.

C Number assigned to image in image directory.

D Dose Information.

E Hospital name and exposure date and time if these have been
selected in Customize Options. (See Chapter 9, "Customizing
Operation," for details.)

F Brightness and contrast values.

Page 6-4
 Image Review, Hardcopy, and Archive

Sample Image

Once an image is displayed, you can use any of the following post
processing functions:
• Contrast and Brightness
• Edge Enhancement
• Zoom
• Negate
• Markers & Comments
• Crop

Page 6-5
 Image Review, Hardcopy, and Archive

Reviewing Cine Runs

The preview image of a Cine run includes the letter C next to the image
number. Cine runs display the same exam information as static images
and you can apply any of the post-processing functions to a single frame
of a Cine run.

Page 6-6
 Image Review, Hardcopy, and Archive

To Review a Cine Run

1. Touch the preview image of the Cine run. Cine playback occurs on
the left monitor and the Cine screen is displayed on the right
monitor.

Cine Screen

The Cine screen allows you to review a Cine run, set cues, adjust
landmark and registration, and digitally create a Roadmap mask.
You can select a mask at any point in the run to reprocess a
Subtraction.

Page 6-7
 Image Review, Hardcopy, and Archive

2. As playback progresses through the acquired images, the frame

number (D) changes to indicate the position of the frame within the
run.

Figure 6-1. Cine Playback and Mask Indicator Bar

A Playback progresses through images (horizontal grey bar)

B Position of Mask (vertical white bar)
C Amount of time (in seconds) elapsed from start of Cine run
D Frame number display

Page 6-8
 Image Review, Hardcopy, and Archive

3. Replay continues to loop until you select the (play/pause) button

to pause the run and view a single frame.

Figure 6-2. Cine Playback buttons

• Select to move forward by a single frame.

• Select to move back by a single frame.
• Select to move forward by 10 frames.
• Select to move back by 10 frames.
• Select to begin or pause Cine playback.

Page 6-9
 Image Review, Hardcopy, and Archive

Choosing Cine Runs from the Cine

Screen
You can use the Cine screen to view each Cine run for a single patient.

Figure 6-3. Cine Run selection buttons

• Select < to review the previous Cine run for the current patient
session.

• Select > to review the next Cine run for the current patient session.

Page 6-10
 Image Review, Hardcopy, and Archive

Setting Cues
The cues function allows you to select a portion of a Cine run for play-
back.

To set cues

1. Select the SET CUES button.

The Set Cues pop-up is displayed on the Cine screen.

Set Cues Pop-up Screen

Page 6-11
 Image Review, Hardcopy, and Archive

2. Pause the run. Use the playback buttons to display the frame in the
Cine run that will be the beginning cue.

Figure 6-4. Mask Indicator Bar with Set Cues (A and B)

A Select SET LEFT to set the beginning cue.

B Advance to the chosen ending frame. Select SET RIGHT to set

the ending cue.

Page 6-12
 Image Review, Hardcopy, and Archive

Playback will display the images located between the cues.

• If only the Left cue is set, the advancement of frames will

begin at the cued frame, proceed to the end of the Cine run
and begin again at the left cue.

• If only the Right cue is set, the advancement of frames will

begin at the original first frame, advance to the cue, then
return to the first frame and run again.

3. To delete the cues, select CLEAR LEFT or CLEAR RIGHT.

4. Select the OK button to close the pop-up screen.

NOTE: The cues remain set on the Cine run until they are deleted. If you save
the run with the cues set, only the portion of the session between the set
cues will save.

Page 6-13
 Image Review, Hardcopy, and Archive

Viewing Options
The Cine screen offers the following options:

• View a Cine run in subtracted or unsubtracted form.

• Apply peak opacification to a Subtraction.

• Perform a post-processing subtraction from a Fluoro or HLF run.

• Create a post-processing subtraction mask.

• Produce a Roadmap mask from a Subtraction run.

Page 6-14
 Image Review, Hardcopy, and Archive

Viewing in Subtracted and Unsubtracted

Form
If the VIEW SUBTRACTED button is highlighted, the Cine run is displayed
in subtracted form.

To view the run in unsubtracted form, select the VIEW SUBTRACTED

button. The button is no longer highlighted and the Cine run is displayed
unsubtracted.

Enable and disable subtracted view by selecting the VIEW SUBTRACTED

button.

NOTE: You cannot display a Roadmap unsubtracted.

Page 6-15
 Image Review, Hardcopy, and Archive

Applying Peak Opacification to a

Subtraction
Peak opacification is a process automatically applied in Roadmap mode
during mask acquisition. Each pixel of a new frame is compared with its
counterpart in the previous frame. If the new pixel is darker than in the
previous image the old pixel is replaced. The resulting image contains
the darkest pixels acquired for each point.

In Subtract mode, peak opacification is not applied automatically. You

can use the PEAK OPACIFY button during post-processing to view a
Subtraction run with opacification. The areas darkened by the contrast
media will remain dark in the playback of the run, providing maximum
vessel display.

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 Image Review, Hardcopy, and Archive

Performing a Post-processing Subtraction

If contrast has been injected during acquisition of Fluoro or HLF images,
you can playback the run, select a mask, and use the SET MASK and VIEW
SUBTRACTED buttons to display a post-processing Subtraction on the left
monitor.

To perform a post-processing Subtraction using a Fluoro or

HLF run

1. Display the run you want to use as the mask on the left monitor.

2. Touch the SET MASK button.

3. Touch the VIEW SUBTRACTED button.

The Fluoro or HLF run is displayed as a Subtraction on the left monitor.

Use the Cine playback buttons to review the run.

NOTE: If you stop the run to capture a frame, the run will return to the
unsubtracted image when you review.

Page 6-17
 Image Review, Hardcopy, and Archive

Creating a Post-Processing Subtraction

Mask
During post-processing you can select a specific frame of a Subtraction
run to be used as the mask:

1. Use the playback buttons to display the frame you want to use as
the mask on the left monitor.

2. Touch the SET MASK button.

Use the playback buttons to review the run.

Page 6-18
 Image Review, Hardcopy, and Archive

Producing a Roadmap Mask from a

Subtraction Cine Run
You can create a Roadmap mask from a stored subtraction run. Once the
mask is created, save it on the Roadmap Mask screen and retrieve it as
the mask for the Roadmap procedure. This method avoids additional
contrast injection and reduces patient exposure.

Patient positioning must be the same as it was when the recalled mask
was created. However, slight movement can be compensated for by
using the Adjust Mask screen to register the image. (See "Adjusting the
Mask" in this chapter for information about mask registration.)

Page 6-19
 Image Review, Hardcopy, and Archive

To prepare a Roadmap Mask from a stored subtraction run

1. Touch the preview image representing the subtraction Cine run on

the Image Directory screen. The Cine run begins playback on the left
monitor. The Cine screen displays on the right monitor.

2. Select the VIEW SUBTRACTED button on the Cine screen to display

the run in its unsubtracted form. (VIEW SUBTRACTED will not be
highlighted.)

3. Select PEAK OPACIFY to enable peak opacification.

4. Use the playback buttons to display the frame you want to use as
the mask on the left monitor.

Page 6-20
 Image Review, Hardcopy, and Archive

5. Select ROADMAP MASK from the Cine screen.

6. Select SAVE MASK.

7. Select USE MASK beneath the image of the mask you just created.
The mask will be recalled to the left monitor and the system will
enter the second phase of roadmapping.

8. Depress the left ( ) X-Ray switch. The technique will stabilize

and subtraction will begin using the recalled image as the mask.

Page 6-21
 Image Review, Hardcopy, and Archive

Reviewing Dose Information

The Dose Summary screen contains X-ray exposure data.
To display the Dose Summary screen on the left monitor, select the
DOSE SUMMARY button from the Image Directory screen.

The Dose Summary Screen

Page 6-22
 Image Review, Hardcopy, and Archive

The Dose Summary screen contains the following information about the
patient session:
A Patient information.

B Calculated dose.

The Calculated Dose is a measure of what is emitted by the X-

ray tube and does not represent the radiation absorbed by the
patient. Actual dosage a patient receives may be smaller.

C Percentage of total exposure in each mode or field of view.

D Total time of exposure for each imaging mode.

Page 6-23
 Image Review, Hardcopy, and Archive

Hardcopying Images
The 1k x 1k WorkStation supports a variety of optional hardcopy de-
vices. You can send images, patient information, and the dose summary
to these hardcopy devices:
• Instant Film/Paper Printer
• DICOM Printer
• Direct Digital Printer Interface
• Thermal Printer
• Digital Hardcopy Camera (2 on 1)

Detailed instructions for using each optional device are provided in the
documentation supplements for the device. This section explains, in
general, how to select and send to a device.
For more information on any of these devices, please call the Communi-
cations Center. Refer to Chapter 1, "Introduction and Safety" for dis-
patch center telephone numbers.

Page 6-24
 Image Review, Hardcopy, and Archive

Selecting a Hardcopy Device

Use the Copy To screen to select a hardcopy device.
1. Select the COPY TO button on the image directory screen.

The Copy To screen lists the available print and storage devices.

Image Directory and Copy To Screens

2. Select the name of the print device.

3. Select the OK button to confirm your selection and return to the

Image Directory screen. The icon and default layout will display
under the COPY TO button.

Page 6-25
 Image Review, Hardcopy, and Archive

Selecting a Layout for Hardcopy

You can choose a print layout from one of four layouts. Layouts avail-
able are determined by the device selected. For DICOM layout selec-
tion and setup, refer to the DICOM supplement, Print Server configura-
tion.

Page 6-26
 Image Review, Hardcopy, and Archive

To select a layout

1. Select the LAYOUT button on the Image Directory screen. The Layout
pop-up screen is displayed.

Layout Pop-up Screen

2. Select the icon representing the layout you want to use.

3. Select the OK button to close the Layout Pop-up screen. The layout
selected will display on the Image Directory screen.

Page 6-27
 Image Review, Hardcopy, and Archive

Making a Hardcopy
For printing from the thermal printer, or hardcopy camera, please refer to
the supplement.

To print on the Instant Film/Paper printer or a DICOM printer

1. Select the Instant Film/Paper or DICOM printer from the Copy To

screen. Press OK to exit.

2. Choose a layout format. (See "Selecting a layout," earlier in this

chapter.)

3. If the image you want to hardcopy is already displayed on the left

monitor, go to Step 4. Otherwise, select the preview image. The
image is displayed on the left monitor.

Page 6-28
 Image Review, Hardcopy, and Archive

4. Select a box in the copy queue to send the image to the queue. The
boxes represent the hardcopy layout and location of images on the
media. You can place images into the boxes in any order.

5. Select the COPY button.

Print Queue and Preview Image

Page 6-29
 Image Review, Hardcopy, and Archive

The number of images you hardcopy at one time depends on the device
type and print format selected. The sample print queue shows a 4 (2)-
image queue. You can continue to select images and load them into the
queue until all available positions are filled.

If you select a preview image and then touch a box already containing an
image, you will replace the existing image with the preview image you
touched most recently.

As images are sent to the hardcopy device, the message PLEASE WAIT
is displayed. To cancel the copy process, touch the CANCEL button on the
Please Wait screen. Once the process has been cancelled, a PLEASE
WAIT message with no CANCEL button will display until it has com-
pleted the cancel command.

NOTE: When the codonics printer produces a blank piece of film, it may be
reused.

Page 6-30
 Image Review, Hardcopy, and Archive

To Hardcopy the Dose Summary

1. Select DOSE SUMMARY on the Image Directory screen.

The Dose Summary is displayed on the left monitor.

2. Select a box in the copy queue to send the Dose Summary to the
queue.

3. Select the COPY button.

Page 6-31
 Image Review, Hardcopy, and Archive

To Hardcopy Patient Information

1. Select the box containing Patient Information at the top of the Image
Directory screen.

Patient information is displayed on the left monitor.

2. Select a box in the copy queue to send the patient summary to the
queue.

3. Select the COPY button.

Page 6-32
 Image Review, Hardcopy, and Archive

To Clear the Copy Queue

You can clear the copy queue using any of the following methods:

• Select a different destination device from the Copy To screen.

• Select a different print layout from the Layout Pop-up screen.

• Exit the Image Directory screen.

Page 6-33
 Image Review, Hardcopy, and Archive

Archiving Images
The 1k x 1k WorkStation supports a variety of archive options. You can
archive images, patient information, and the dose summary.
Available storage options include:
• Jaz® Disk (Removable Dynamic Digital Disk)
• Floppy Disk
• DICOM Storage

Detailed instructions for DICOM storage is provided in the documenta-

tion supplement. This section explains, in general, how to select and
send to a device.
Please refer to the warnings and cautions in this chapter and the JAZ
supplement for more information on the care and use of the optional JAZ
drive.
For more information on available storage options, please call the
Communications Center. Refer to Chapter 1, "Introduction and Safety"
for dispatch center telephone numbers.

Page 6-34
 Image Review, Hardcopy, and Archive

Archiving Images
You can archive static images saved on the system disk and Cine runs
saved on the Cine disk.

If a static image you want to archive is displayed on the left monitor, but
not saved, press the SAVE key. The image will be added to the
Image Directory for that patient.

NOTE: If the Image Directory is open when the image is saved, you must exit the
directory and reopen it to see the image added.

The storage device button displayed on the Image Directory screen is

unique for each available storage device. The following example shows
the button displayed for a 3.5-inch diskette.

Page 6-35
 Image Review, Hardcopy, and Archive

Device Queue and Preview Images

The number of images you can archive on the device media depends on
the selected file format and storage capacity of the media.
A 1.44 MB floppy disk can store one static image. A 2GB removable
dynamic digital disk (Jaz™) can store an approximate minimum of 1,100
static images.

Page 6-36
 Image Review, Hardcopy, and Archive

You can continue to copy images to a media until the message DISK
FULL is displayed. To continue copying images, insert another disk and
touch the OK button.
When archiving images, patient and dose summary information are
automatically archived with the images.
As images are sent to the storage device, the message PLEASE WAIT is
displayed. To cancel the copy process, touch the CANCEL button on the
Please Wait screen. Once the process has been cancelled, a PLEASE
WAIT message with no CANCEL button will display until it has com-
pleted the cancel command.

Page 6-37
 Image Review, Hardcopy, and Archive

Selecting a Storage Device

Use the Copy To screen to select an archive device.
1. Select the COPY TO button on the Image Directory screen.

The Copy To screen lists the available print and storage devices.

Image Directory and Copy To Screens

2. Select the name of the storage device.

NOTE: When selecting JAZ storage, please follow the guidelines in the JAZ
supplement and the warnings and cautions on the next page.

Page 6-38
 Image Review, Hardcopy, and Archive

3. Select the OK button to confirm your selection and return to the

Image Directory screen.

WARNING
NEVER insert a disk in the JAZ drive when power is off.
Before turning power off or moving the WorkStation,
ALWAYS eject the JAZ disk. Completely remove it from the
drive after ejection.
NEVER leave a JAZ disk partially inserted. ALWAYS insert or
eject completely.

CAUTION
Leaving a fully inserted disk in the drive for extended idle
time can result in damage to the disk or drive.

Page 6-39
 Image Review, Hardcopy, and Archive

Selecting a Copy Format for Archiving

There are two formats for archiving to choose from: OEC and bitmap
(BMP).

• Select OEC to store the chosen images in OEC file format. OEC
file formats can be read, saved, and enhanced by a 1k x 1k
WorkStation.

• Select BMP and a file size of .5k or 1k to store the queued

images in bitmap file format. Bitmap images cannot be read by a
1k x 1k WorkStation. This file format (.bmp) is provided for use
with PC software programs that use bitmap format. An image
copied in bitmap format cannot be copied back to the
WorkStation.

Page 6-40
 Image Review, Hardcopy, and Archive

To choose a Copy Format

1. Select the COPY FORMAT button to choose a file format.

The Copy Format pop-up is displayed.

Copy Format Pop-up Screen

Page 6-41
 Image Review, Hardcopy, and Archive

2. Choose OEC or BMP. If choosing BMP, choose a file size.

3. Select the REFORMAT button on the Copy Format Pop-up if you want
to format the storage media. Reformatting erases all images stored
on the media.

NOTE: Jaz® disk storage must be formatted before images or patient data can
be copied to it.

4. Select the OK button to close the Copy Format Pop-up screen.

Page 6-42
 Image Review, Hardcopy, and Archive

Archiving Static Images

To archive static images

1. Select a storage device from the Copy To screen.

2. Select the COPY FORMAT button to choose a file format. (See

"Selecting Copy Format for Archiving," earlier in this chapter.)

3. Select a format: OEC or BMP.

For BMP, choose a format size: .5k or 1k.

4. If necessary, select REFORMAT to reformat the disk being used.

NOTE: Jaz® disk storage must be formatted before images or patient data can
be copied to it.

5. Select the OK button to close the Copy Format Pop-up screen.

Page 6-43
 Image Review, Hardcopy, and Archive

6. Select the preview image you want to archive, and then touch the
device button to send the image to the queue. As you queue images,
the image number is added to the copy queue.

7. Repeat step six for each image you want to archive until each box in
the queue contains a number. When the queue is full, the device
button becomes inactive.

8. Select COPY on the Image Directory screen to copy the queued

images.

Page 6-44
 Image Review, Hardcopy, and Archive

Archiving a Cine Run

The preview image of a Cine run contains an image number and the
letter C.

To archive a Cine run

1. Select the preview image of the Cine run. The Cine run plays on the
left monitor and the Cine screen is displayed on the right monitor.

2. Select the EXIT button on the Cine screen to close the Cine screen.

3. Select the device button on the Image Directory screen.

4. Select the COPY button.

NOTE: If cues are set, only the active portion of the Cine run between the cues
will be archived.

Page 6-45
 Image Review, Hardcopy, and Archive

Clearing the Storage Device Queue

You can clear the copy queue using any of the following methods:

• Select a different destination device from the Copy To screen.

• Select a different print layout from the Copy Format Pop-up

screen.

• Exit the Image Directory screen.

Page 6-46
 Image Review, Hardcopy, and Archive

Retrieving a Saved Exam

Patient exams are indexed by the patient name, doctor name, or date the
image was saved.

To retrieve an exam for a patient

1. Select SAVED EXAMS from the Image Directory screen.

An alphabetic list of patients for the currently selected device is

displayed.

The Saved Exams Screen

• To view the list of patients by date, select the BY DATE button.

• To view the list of patients by physician, select the BY PHYSICIAN
button.

Page 6-47
 Image Review, Hardcopy, and Archive

Use PAGE UP and PAGE DOWN buttons to page through

the patient list.
2. Select the patient name.
3. Select OK to exit the Saved Exams screen. The patient information
will be displayed on the Image Directory.

NOTE: When you access the Saved Exams list from Image Directory and select
a patient, the current patient does not change. If you make and save an
exposure while a saved exam is displayed on the Image Directory screen,
the exposure will be saved with the current patient's exam, not with the
saved exam displayed on the Image Directory screen.

Page 6-48
 Image Review, Hardcopy, and Archive

Retrieving an Archived Exam

Patient exams can be located on the system disk, Jaz® disk, or 3.5-inch
diskette. You can display archived exams on the 1k x 1k WorkStation,
and then copy images to a different storage device or make hard copies.

To display a list of archived patient exams

1. Select COPY FROM... on the Image Directory screen.

The Copy From screen displays a list of available source devices.

Copy From Screen

Page 6-49
 Image Review, Hardcopy, and Archive

2. Select the name of the device containing the patient exam.

3. Select the OK button to confirm your choice.

The Saved Exams list for the selected device is displayed.

4. Select the patient name for the exam you want to display.

5. Select OK to confirm your choice and close the Copy From screen.

The Image Directory screen is displayed for the selected patient.

You can copy images to the available destination devices, however, the
source and destination device must be different.

NOTE: When the high capacity disk drive (Jaz™) is chosen as the COPY FROM
device, you cannot eject the disk. To eject the disk, you must exit the
Image Directory or select another source device first.

Page 6-50
Chapter 7

Annotating Images

Overview
This chapter explains how to use Image Annotation to place markers,
add comments, and crop images. To use Image Annotation features with
the IR Remote, please refer to Chapter 3 in this manual.
To display the Image Annotation screen, select the IMAGE ANNOTA-
TION A key from the WorkStation keyboard.

Image Annotation Screen

Page 7-1
 Annotating Images

Using Markers
To place markers on an image

1. Select the MARKERS... button on the Image Annotation screen to

display the Markers screen.

Markers Screen

The markers object bar includes four directional arrows and L (left)
and R (right) markers.

Page 7-2
 Annotating Images

2. Touch a button in the object bar to select a marker. The marker is

displayed on both the left and right monitors.

3. To position a marker, touch the marker displayed on the right

monitor image, and then drag it into position.

4. To add additional markers, repeat steps two and three. You can
place up to five markers.

• To delete a marker, touch it on the right monitor and press

DELETE on the keyboard.

• To save a copy of the image with the markers, press the

SAVE key.

5. Select the OK button onscreen to close the Markers screen. The

annotated image remains displayed on the left monitor until you
press an X-ray switch or recall a saved image.

Page 7-3
 Annotating Images

Using Comments
To add comments to an image

1. Select the COMMENT... button on the Main screen.

The Comment screen is displayed.

Comment Screen

2. Select the COMMENT button on the Comment screen.

The Comment box appears on the screen.

Page 7-4
 Annotating Images

3. Enter text in the comment box. You can enter 40 - 80 characters.

To position the comment box on the image, touch the comment box
on the right monitor and drag it.
To add additional comments, select the COMMENT button and enter
another comment. You can enter up to five comments per image.
To delete a comment: Select it and then press the WorkStation
DELETE key .
To save a copy of the image with the comment: Press the SAVE
key.

4. Touch the OK button to close the Comment screen. The commented

image remains displayed on the left monitor until you press an X-ray
switch or recall a saved image.

Page 7-5
 Annotating Images

Using Crop
Crop allows you to select a portion of an image to be displayed on the
left monitor.

To crop an image

1. Select the CROP... button from the Image Annotation screen.

The Crop screen displays four arrows attached to crop shutters.

The Crop Screen

Page 7-6
 Annotating Images

2. Touch and drag the crop arrows to crop the image. As you move the
arrows, the cropped area of the left monitor image is hidden from
view.

The following illustration shows an example of a cropped image as it is

displayed on the left and right monitors.

Cropped Image on Left and Right Monitor

3. To save a copy of the cropped image, press the SAVE key.

4. Select the OK button to close the Crop screen. The left monitor
image remains cropped until you press the X-ray switch or display a
saved image.

Page 7-7
 Annotating Images

Page 7-8
Chapter 8

Special Applications
Use this tab divider to insert Special Applications documentation when
special applications become available.

Page 8-1
 Special Applications

Page 8-2
Chapter 9

Customizing Operation

Overview
This chapter explains how to use the Customize function to tailor 1k x 1k
WorkStation operation to your specific requirements. In general, these
functions should not be changed for each exam. They should be set once
to meet the needs of your facility.

Page 9-1
 Customizing Operation

Customize Screen
To set Customize features

1. Press the CUSTOMIZE key on the 1k x 1k WorkStation

keyboard.

Customize Screen

2. Select the button for the function(s) you want to customize.

Page 9-2
 Customizing Operation

WorkStation Options
Use the Customize WorkStation screen to:

1. Enter the hospital name.

2. Choose:
• How dose units are displayed (Rad or mGy).
• How decimals are displayed (US or International).
• Automatic swap feature.
• Automatic save feature.
• Autoplayback when Cine is acquired.
3. Set screensaver delay time.

Page 9-3
 Customizing Operation

To set customized WorkStation options

1. Select the WORKSTATION... button on the Customize screen.

Workstation Options Screen

Page 9-4
 Customizing Operation

2. Select the Hospital Name field to highlight it. Enter the hospital or
facility name in alphanumeric characters.

3. Select the box next to Rad or mGy to display radiation dose units in
rads or grays.

4. Select the box next to the decimal format you want to use.

5. Select the box next to AUTO SWAP if you want to swap the left
monitor image to the right monitor each time you make a new
exposure.

6. Select the box next to AUTO SAVE AT END OF EXPOSURE if

you want the WorkStation to automatically save the left monitor
image when the exposure terminates.

Page 9-5
 Customizing Operation

7. If the WorkStation is equipped with a Cine disk, touch the box

next to AUTO PLAYBACK WHEN CINE ACQUIRED to
automatically display Cine runs on the left monitor as soon as
acquisition is complete.

8. Use the up and down arrows on-screen to specify the

number of minutes of system inactivity before the screen saver is
displayed. Select 0 (zero) to disable the screen saver.

9. Select the OK button to save the settings and return to the

Customize screen.

Page 9-6
 Customizing Operation

Miscellaneous Options
Use the Customize Miscellaneous screen to:

• Adjust the generator alarm tone.

• Set the default boot-up and new patient position for:

• Camera rotation
• Collimator rotation
• Collimator iris
• Collimator leaves
• Magnification (Field Size)

Page 9-7
 Customizing Operation

To set alarm tone and default settings

Select the MISCELLANEOUS . . . button to display the Customize

Miscellaneous screen.

The Customize Miscellaneous Screen

Page 9-8
 Customizing Operation

To adjust the alarm tone:

1. Select TEST to play the generator alarm.

2. Use PITCH UP and PITCH DOWN to adjust the pitch of the alarm.

3. Select OK to close the Customize Miscellaneous screen and

return to the Customize screen.

4. Select EXIT to close the Customize screen.

Page 9-9
 Customizing Operation

To set the default position for camera rotation, collimator rotation,

collimator iris and leaf position and magnification:
1. Select HOME or RETAIN LAST for the default position.

HOME returns the camera and collimator to the HOME position,

opens the collimator iris and leaves to a fully open position, and
returns magnification to normal.
RETAIN LAST keeps the same settings for the next patient exam
or at start-up.
2. Select OK to close the Customize Miscellaneous screen and
return to the Customize screen.

3. Select EXIT to close the Customize screen.

Page 9-10
 Customizing Operation

Time and Date

Select the TIME / DATE button to enter the current date and time, and to
specify the format of the date display.

To set the time and date

1. Touch TIME/DATE... on the Customize screen.

Time / Date Screen

The Time/Date screen will display.

Page 9-11
 Customizing Operation

2. Enter the current time in hours, minutes and seconds using the
keyboard, and then select the SET button on the screen.

3. Enter the current date in numeric characters for month, day, and year
and then select the SET button.

4. Select either the MM/DD/YYYY button or the DD:MM:YYYY button to

choose a format for the date display.

5. Select the OK button to close the Customize Time/Date screen and

return to the Customize screen.

NOTE: System default is MM/DD/YYYY.

Page 9-12
 Customizing Operation

Patient Information
You can define which data entry fields are active on the Patient
Information screen and what information is displayed on images.

When an X is displayed in the box next to a patient information

category, then that field is active on the Patient Information screen. By
default, all fields are active. Data can be entered only in active fields.
Patient information entered in active fields is displayed on left monitor
images.

Page 9-13
 Customizing Operation

To customize patient information

1. Select the PATIENT INFORMATION... button from the Customize

screen.

Customize Patient Information Screen

The Customize Patient Information screen is displayed.

Page 9-14
 Customizing Operation

2. To make a data-entry field inactive, touch the box next to it. The X is
removed.

3. To disable display of the hospital name or date and time of the

exposure on left monitor images, touch the corresponding box in the
second column. The X should be removed.

NOTE: The hospital name is entered on the Customize WorkStation screen.

4. Select the OK button to close the Customize Patient Information

screen and return to the Customize screen.

Page 9-15
 Customizing Operation

Page 9-16
Chapter 10

Maintenance

Overview
This section describes routine performance checks that you can perform
to ensure that the 1k x 1k WorkStation is operating correctly. The
performance checks listed are not intended to substitute for scheduled
periodic maintenance. If problems are found during these checks,
contact a qualified service technician to troubleshoot and repair the
system.

In addition to performance checks, safe cleaning practices are described,

and a semi-annual periodic maintenance schedule has been provided. All
periodic maintenance should be performed by an OEC Medical Systems,
Inc. representative or a qualified service technician.

Prior to performing any of the performance checks in this section, it is

important that potential hazards associated with these tasks are
understood.

Review Chapter 1, "Introduction and Safety" of this manual before

proceeding.

Page 10-1
Maintenance

WARNING
Circuits inside the equipment use voltages which are capable
of causing serious injury or death from electrical shock. Do
not remove the covers or perform any type of service task,
except as specifically instructed here.

Move the system into a safe operating area prior to beginning the
performance checks, and observe all radiation safety precautions. These
checks should be performed as often as equipment use and circumstances
warrant.

Extensive use warrants increasing the frequency of performance checks.

In addition, circumstances such as accidents during transport, or
exposure to excessive fluids, may warrant that performance checks be
performed to verify safe operation of the equipment.

Page 10-2
 Maintenance

Performance Checks
Check Mechanical Performance
1. Check for proper control of the WorkStation wheels. Check for ease
of movement without excessive play.

2. Check the brake pedal for ease of movement and proper control of
the wheels without excessive play.

Check Electrical Performance

1. Inspect the WorkStation's AC power cable and high voltage cable.
Look for signs of wear or abrasion to the cable jackets.

2. Inspect the interconnect cable for sign of wear or abrasion, loose or

missing connector pins, and worn strain reliefs.

3. Turn the system ON and verify that the system successfully

completes the power-up sequence.

4. Check that the fans l ocated at the back of the WorkStation are
functioning.

Page 10-3
Maintenance

Cleaning
Make sure the system is turned off and unplugged before cleaning.

• Clean the covers and panels periodically with a damp cloth.

• Keep the dark plastic bezel surrounding the touchscreen free from
dirt. Use a mild detergent, if necessary, to remove scuffs and stains.

• Do not use any solvents which may damage or discolor paint

finishes or plastic components.

• Be careful not to drip liquids where they can enter electronic

assemblies through panel or cover seams.

WARNING
Do not spray the WorkStation monitors with cleaner or liquid.
Use a damp cloth to clean, and do not allow liquid to drip
under the monitor cover.

Page 10-4
 Maintenance

Replacing the IR Remote

Battery
Replace the IR remote control battery when the IR REMOTE BAT-
TERY LOW message displays on the Workstation. The remote control
uses three alkaline AAA batteries.

NOTE: There are no user serviceable parts inside the main body of the IR
remote control. Opening that compartment voids the warranty.

To replace the batteries

1. Remove the screw that secures the battery cover on the back of the
IR remote control.
2. Insert three AAA batteries. (Use care to observe the correct polarity
as indicated by the + symbols.)
3. Replace the cover.
4. Insert the battery cover screw, but avoid over-tightening.

!
+

+ +

Figure 10-1. IR Remote battery cover.

Page 10-5

Long-Term Storage or
Maintenance

Shipment
To prepare the system for long-term storage (60 days or more) or
shipment, observe the following recommendations:

1. Set all locks and brakes and remove all power. Coil the interconnect
cable and store it on its hanger. Coil the power cable and store it on
the 1k x 1k WorkStation handle.

2. Wrap the monitors with bubble wrap.

3. Cover the 1k x 1k WorkStation. Attach it to a solid supportive

shipping base and enclose it in a protective container adequate for
shipment or storage.

Page 10-6
 Maintenance

Periodic Maintenance Schedule

Routine periodic maintenance should be performed semi-annually. This
maintenance should be performed by an OEC Medical Systems, Inc.
certified service technician. The following periodic maintenance
schedule is recommended.

Semi-Annual Maintenance
Semi-annual maintenance should be performed as described in the
Periodic Maintenance Procedure. This procedure covers the following
maintenance items:

Inspect Static Drag Wire

Perform WorkStation Steering & Brake Test
Inspect and Clean WorkStation Air Filters
Inspect AC Power Cable
Inspect Interconnect Cable and Connector
Measure Ground Continuity
Measure Line Voltage Regulation
Inspect /Adjust WorkStation Power Supply Voltages
Perform WorkStation Panel Diagnostics
Perform WorkStation Functional Test
Perform IR Remote Functional Test
Perform Accessory Functional Test

Page 10-7
Maintenance

Page 10-8
Chapter 11

Messages

Overview
This chapter describes messages that appear on the right WorkStation
monitor when the system fails the start-up sequence or fails during
system operation. WorkStation failures may result in impaired system
operation or automatic system shut-down. The messages are listed in
alphabetical order on the following pages.

Page 11-1
Messages

Error Recovery Steps

Perform the following error recovery procedure if you encounter
problems during start-up or operation:

1. If a message occurs, place the WorkStation power switch in the

OFF position; wait five seconds, then place the power switch in
the ON position. If this fails to restore normal operation, then
proceed with step 2.

2. Turn the power switch OFF, disconnect the power cord, and call
for service. Refer to Chapter 1, "Introduction and Safety" for
service dispatch telephone numbers. Do not continue using the
system.

WARNING
Ignoring error and warning messages may result in
equipment damage and personal injury.

Page 11-2
 Messages

Messages
The following messages may be displayed on the right monitor. To
close the message display, touch the OK button.

CANNOT MAKE NETWORK CONNECTION. Verify that the

WorkStation is connected to the network.

COPY OR PRINT IN PROGRESS. Please wait.

DICOM SERVER IS OUT OF RESOURCES—TRY AGAIN LATER.

This is a temporary condition caused by currently high usage of the
server.

DISK FORMAT IS IN PROGRESS. The currently selected "Copy To"

device is being reformatted.

DISK FULL. Insert another floppydisk and copy remaining images.

FORMATTING ERASES ALL DATA ON THE DISK. Select Yes to

continue formatting, select No to cancel. Continue Formatting?

Page 11-3
Messages

HIGH CAPACITY DISK FAILURE. Drive has failed or is not properly

installed. The Jaz disk has not properly initialized.

INVALID YEAR. Enter a value from 1976 to 2075.

KEYBOARD FAILURE. Turn the WorkStation off, wait five seconds,

then restart the WorkStation.

NO DISK IN DRIVE. Insert disk.

PLEASE WAIT. System is busy performing a function. Time varies for

the accomplishment of each function.

PRINT FORMAT NOT SUPPORTED. Use Customize to select a format

supported by this printer or contact the network administrator.

PRINTER ERROR. Check the printer error display and refer to the
operating instructions provided for the printer for more information.

Page 11-4
 Messages

PRINTER IS OUT OF FILM OR PAPER. Replace film or paper.

PRINTER OFF-LINE. Place printer on-line and resubmit the print job.

REMOTE CONTROL BATTERY IS LOW. Replace battery.

SYSTEM ERROR DETECTED. Turn the WorkStation off, wait five

seconds, and then restart the WorkStation. If this message persists, call
Service.

SYSTEM FAILED TO CONNECT TO DICOM SERVER. Verify the

target server is on line and is configured properly through the Customize
utility.

THE CINE DISK IS NOT AVAILABLE. Call Service.

Page 11-5
Messages

THE CURRENT CINE RUN WILL FILL THE CINE DISK IN

APPROXIMATELY 30 SECONDS. Cine acquisition will stop when the
current run has filled the disk. This message appears when 30 seconds
remain on a single run that has filled the time available for Cine
acquisition.

THE CURRENT SESSION CINE RUNS WILL BE OVERWRITTEN

IN 30 SECONDS. The oldest previous runs of the current session will be
overwritten first. This message appears when several Cine runs for a
single patient have been run and filled the time available for Cine
acquisition.

TOUCH SCREEN FAILURE.. Turn the WorkStation off, wait five

seconds, then restart the WorkStation. If this message persists, call
Service.

TOUCH SCREEN OBSTRUCTION. Remove any object touching the

touch screen. Turn the WorkStation off, wait five seconds, then restart
the WorkStation. If this message persists call Service.

Page 11-6
 Messages

UNKNOWN PRINTER MODEL. Use Customize to verify the printer

definition or contact the network administrator.

VCR COMMUNICATION FAILURE. Turn the WorkStation off, wait

five seconds, and then restart the WorkStation. If this message persists,
call Service.

WORKSTATION AND GENERATOR ARE NOT COMPATIBLE.

Connect the WorkStation to a compatible generator or use it as an
independent workstation. Call Service for assistance.

WORKSTATION KEYBOARD ERROR. Turn the WorkStation off,

wait five seconds, and then restart the WorkStation. If this message
persists, call Service.

Page 11-7
Messages

Page 11-8
Chapter 12

Labels and Symbols

Overview
This chapter describes labels and symbols located on the 1k x 1k
WorkStation that are not described elsewhere.

Two types of labels are described: warning labels and regulatory

certification labels.

• Warning labels define potential hazards and advise against misuse

that might result in personal injury. Familiarize yourself with these
labels and their meaning in order to ensure a safe environment for
both the patient and yourself.

• Regulatory labels indicate that the system meets the requirements of

specific governmental, medical and industrial organizations.

Symbols are provided to represent concepts such as locked and unlocked

brake positions, or the proper transport position of the 1k x 1k
WorkStation. Many of the symbols described here are listed in IEC 417
and ISO 7000. Those that are not were developed by OEC Medical
Systems, Inc.

Page 12-1
 Labels and Symbols

Labels

The system has been tested and certified

by the VDE Testing and Certification
Institute.

The system is not designed for operation

in the presence of flammable
A P anesthetics, or other flammable or
explosive liquids, vapors, or gases.
Vapors and gases can be ignited by
electrical arcs that can occur during the
normal operation of switches, circuit
breakers, pushbuttons, and other circuit
components.

THIS EQUIPMENT IS CERTIFIED TO BE IN COMPLIANCE WITH THE APPLICABLE

STANDARDS OF THE CODE OF FEDERAL REGULATIONS, TITLE 21,
These labels (for the system and
SUBCHAPTER J, AS OF THE DATE OF MANUFACTURE certified components) certify that the
Date of Mfr. system meets applicable federal
Model No.
standards and regulations for X-ray
Serial No.
OEC MEDICAL SYSTEMS, INC.
3 8 4 Wr i g h t B r o t h e r s D r i v e / S a l t L a k e C i t y / U t a h 8 4 11 6
equipment as of the date of
manufacture.

Page 12-2
 Labels and Symbols

The system has been tested and certified

X-RAY by the Canadian Standards Association
R
EQUIPMENT
LR XXXX to comply with applicable U.S. and
NRTL/C
Canadian Standards.
IEC XXX-X-X:XXXX

This symbol indicates the system was

tested by a Notified Body and was
0366 found to be in compliance with the
requirements of all relevant directives
and standards in effect within the
European Union at the time of
manufacture.

384 Wright Brothers Drive

Salt Lake City, Utah 84116
USA (801) 328-9300
System nameplate/rating label. Indicates
MODEL manufacturer information and input
Date of Mfg.
power requirements.
Serial No.

V
˜
A

Hz

U.S AND FOREIGN PATENTS PENDING. MADE IN THE USA.

Page 12-3
 Labels and Symbols

DIE IN DIESEM GERAT ENTSTEHENDE

RONTGENSTRAHLUNG IST
AUSREICHEND ABGESCHIRMT,
BESCHLEUNIGUNGSSPANNUNG MAXIMAL 20kV.

The system monitors are shielded to

prevent exposure to X-ray radiation.
(Label applied on European systems
only.)

Symbols

Attention.

Near the power cord this symbol means

that you must read the Operator's Guide
prior to turning the system ON to
familiarize yourself with proper
operating procedures.

Near the I/O connectors on the

WorkStation this symbol means that all
peripheral equipment must be approved
by OEC Medical Systems, Inc.

Page 12-4
 Labels and Symbols

Circuit breaker: push to reset circuit

CB 1
breaker for power to the system.

Circuit Breaker: push to reset circuit

CB 2
breaker for power to the system.
(120 VAC systems only.)

Circuit Breaker: push to reset circuit

CB 3 breaker for power to the Mobile C-Arm.

Circuit Breaker: push to reset circuit

CB 34
breaker for power to the 1k x 1k
WorkStation.

An Equipotential terminal is provided

on the WorkStation. This allows
connection between equipment and a
potential equalization busbar of the
facility.

The electrical switching mechanism

IP68 within the footswitch is protected from
exposure to dust and the effects of
continuous immersion in water.
However, placement inside a protective
cover is recommended.

Page 12-5
 Labels and Symbols

Standby. Identifies the switch or switch

position by which part of the equipment
is switched on in order to place it in the
standby position.

Contrast Adjustment

Brightness Adjustment

Alternating Current

Indicates locked position of brake

handle or pedal.

Indicates unlocked position of brake

handle or pedal.

Page 12-6
Chapter 13

Technical Reference

Overview
The policy of OEC Medical Systems, Inc. is one of continual product
development and improvement. For this reason, OEC Medical Systems,
Inc. reserves the right to change the operating characteristics and
specifications of newer products at any time, without prior notice, and
without incurring any obligation relating to previously manufactured
items.

The specifications listed are limited to general performance and physical

data. Specifications of optional equipment provided by other manufac-
turers are given in the applicable manuals provided with those options.
OEC Medical Systems, Inc. will make available, on request, circuit
diagrams, component part lists, descriptions, calibration instructions, or
other information which will assist properly trained and qualified
technicians to repair those parts of the system which are designated as
repairable.

Page 13-1
 Technical Reference

WorkStation Classification
Class I Equipment (as defined by IEC 60601-1)
Ordinary protection against ingress of water
Non AP (Non-anesthetic proof)

Page 13-2
 Technical Reference

Dimensions
412 mm
16.25 inches

250 mm
9.88 inches
64.25 inches
1632 mm

692 mm 692 mm
27.25 inches 27.25 inches

WorkStation: 64 1/4" H x 27 1/4" W x 27 1/4" D

(163 cm x 69 cm x 69 cm)

WorkStation weight: 424 lbs. (192.77 kg.)

Page 13-3
 Technical Reference

Dose Area Product

The calculated Dose Area Product is a measure of radiation emitted by
the X-ray tube. This does not represent the radiation absorbed by the
patient. The table below shows a measure of accuracy for field size.

DAP Accuracy: Typically +/- 15%

Overall Accuracy: See table below.

Accuracy Iris Field Shutter Field

+/- 25% >16 cm >5 cm
+/- 40% >5 cm >5 cm

Iris and shutter collimated fields are at the image receptor plane (scatter
grid surface). Collimated fields less than 5 cm at the surface of the image
receptor may result in significantly greater error.

Page 13-4
 Technical Reference

Electromagnetic Compatibility
Statement
This equipment generates and uses radio frequency energy and must be
installed and used according to the manufacturer’s instructions in order
to avoid receiving radio frequency interference.

If this equipment generates or receives interference, do the following to

correct the problem:

• Verify that the equipment is the cause by turning the system ON

and OFF.
• Re-orient the equipment until the interference stops.
• Relocate the equipment with respect to other equipment in the
room.
• Plug the equipment into a different outlet so that the equipment
and the receiver are on different branch circuits.

NOTE: All cables that are used to connect to the D-Sub connector I/O ports of
the 1k x 1k WorkStation must be shielded cables or cables supplied by
OEC Medical Systems, Inc.

Page 13-5
 Technical Reference

Environmental Requirements
Ambient Operating: 10 to 35 degrees C
Temperature 50 to 95 degrees F

Extended 0 to +40 degrees C (> 2 days)

Storage and 32 to100 degrees F
Transportation

Short-term -10 to +55 degrees C (< 2 days)

Storage and 32 to 104 degrees F
Transportation

Altitude 10,000 ft. (3048 meters) maximum

Humidity Operating: 20 to 80%, non-condensing

Storage and transport: 10%-90%, condensing

Shock and Vibration 1G at 5-200 Hz for 2 hours

Page 13-6
 Technical Reference

External Connections
1 2 3

5
4

RS-232

7 9

ARCNET ETHERNET

Item Description
1 Left Monitor Standard Video EIA 170 or CCIR output (stan-
dard resolution)
2 Left Monitor Fast Scan Video (high resolution)
3 Right Monitor Fast Scan Video (high resolution)
4 RS-232 serial communication (standard 9-pin D-type
connector)
5 Direct Digital Printer Interface (DDPI) (37-pin D type)
(not used)
6 Parallel printer port (standard 25-pin D type connector)
7 ARCNET connection
8 Ethernet connection
9 Input/Output - Switch/relay control for Injector, Room, Door,
Control 1, Control 2

Page 13-7
 Technical Reference

Material Safety Data Sheets

Manufacturer’s Material Safety Data Sheets are available from the
manufacturer upon request. Contact the following manufacturer's with
regard to the materials listed:

Dow Corning R 5 Compound (Silicone) - Dow Corning Corporation,

South Saginaw Road, Midland MI 48686, (517) 496-8306.

Shell Diala R Oil Ax (Oil MSDS No. 60030-5) - Shell, Inc., Product
Safety and Compliance, P.O. Box 4320, Houston, TX 77210, (713) 473-
9461.

Panasonic Sealed Lead Acid Battery - Matsushita Industrial Battery Co.,

Ltd, Battery Storage Division, 11-66 Honsyuku-Cho, Chigasaki,
Kanagawa, Japan, (0467) 51-1121.

Sealed Lead Acid Battery - Hawker Energy Products, Inc., 1050 South
Broadway, P.O. Box 5887, Denver, CO., 80217, (303) 744-4806.

Page 13-8
 Technical Reference

Optional Equipment
The following accessories have been tested with, and are known to work
with the 1k x 1k WorkStation:

• Instant Film/Paper Printer

• Thermal Printers
• VCR
• Laser Camera Interface
• DICOM 3.0 Interface
• Digital Hardcopy Camera (2 on 1)

Page 13-9
 Technical Reference

Power Requirements
System Input Power
The system operating voltage is changeable. If the operating voltage
requires changing, this change must be made by an OEC Medical
Systems, Inc. field service technician, or by qualified technical service
personnel.

Line Frequency: 60/50 Hz

120 VAC (+/- 10%): 15 Amps
200/220/230/240 VAC (+/- 10%): 10 Amps

Maximum non-destructive voltages that can be connected to signal I/

O ports: 7 Volts DC

ROOM I/O Port: +24V relay closures, +5V TTL logic levels

Page 13-10
 Technical Reference

Technique Factors at Maximum Line Current Condition:

Peak current demand is independent of technique load factors.
Depending on previous loading to the battery, peak demand is
determined by the battery charger current limit.

Line Regulation (Percent): 15% at maximum radiographic exposure.

Line regulation is based on measurements made at the input (primary
winding) of the isolation transformer under standby conditions and at
maximum radiographic exposure by the following equation:

Line regulation = 100 (Vn - V1)/V1

Where Vn = no load voltage (standby), and V1 = loaded voltage
(maximum radiographic exposure).

Maximum Continuous Power Dissipation: 4,253 BTUs (Based on a

maximum real power value of 1,245 watts.)

Page 13-11
 Technical Reference

Connector Output Voltages

Standard Video: 2 VAC point to point (p-p)
Fast Scan Video 2 VAC p-p
Printer: centronix interface
Direct Digital Printer Interface: centronix interface
RS-232 (COM1): 9-pin connector
DICOM: ethernet interface
ARCNET: +/- 5VAC

Given for three-phase, full-wave rectification, a reasonable approxi-

mation to the high frequency generator with minimal ripple.

Page 13-12
 Technical Reference

Replacement Items
The following replacement items can be ordered by calling the OEC
Medical Systems, Inc. dispatch office:

• Film
• Printer paper
• Sterile drapes and covers

To receive more information on optional equipment or replacement

items, please call the Communications Center. Refer to Chapter 1,
"Introduction and Safety" for dispatch office telephone numbers.

Page 13-13
 Technical Reference

Video Signal
Composite video, EIA RS170A 60 Hz, 525 line, [International CCIR 50
Hz, 625 line] TTL Logic.

Page 13-14
 Index

B
Index BACKSPACE key 3-7
brake pedal 2-6
brightness 3-19
button, touchscreen
Symbols
selecting 3-3
no entries
C
A
C-Arm 2-7
acquisition rate 5-21 operating 3-1
defaults 5-23 C-Arm Operator's Guide 5-2, 5-3
options 5-22 cable hanger 2-2
pop-up screen 5-21, 5-23 calculated dose 6-23
adjust camera position
brightness 3-19 selecting default 9-7
contrast 3-18 cancel copy process 6-30, 6-37
edge enhancement 3-10 caster locks 7
mask 6-19 certification
noise filter 3-12 system 4
Adjust Mask screen 5-46 Cine
Adjusting the Mask 5-44 options 5-16, 5-19
alarm tone acquire 5-20
selecting 9-7 rate 5-21
archive playback 6-9
Cine Run 6-45 Playback buttons 6-9
format 6-41 Playback screen 5-37, 5-46
images 6-34 setup 5-16
archived exam setup screen 5-17
retrieving and displaying 6-49 CINE button 5-17
ARCNET connection 13-7 Cine run 5-37
arrow archiving 6-45
keys 3-7 display 6-3
auto preview image 6-45
contrast/brightness 3-20 reviewing 6-6
playback 9-6 Selecting from Cine screen 6-10
save 9-5
swap 9-5

Page i
Index

Cine Screen system 2

Choosing 6-10 Connecting the WorkStation 2-7
Playback 6-8 continuous X-rays 5-12, 5-12–5-51, 5-
Replay 6-9 27
Setting Cues 6-11 contrast 3-18
Cine screen contrast and brightness 3-18, 3-19, 6-5
move back 6-9 contrast image 5-43
move forward 6-9 CONTRAST key 3-18
next Cine run 6-10 Copy Format
play/pause 6-9 pop-up screen 6-46
previous Cine run 6-10 COPY FORMAT button 6-41, 6-43
SET CUES button 6-11 Copy From
view unsubtracted 6-14 screen 6-49
viewing options 6-14 copy from 6-49
CINE SETUP button 5-18 archived exam 6-49
Cine Setup screen 5-23, 5-24 device 6-50
exiting 5-24 device list 6-24
Circuit breakers 2-3 copy queue
cleaning 10-4 clearing 6-33
clearing Copy To
roadmap mask 5-51 screen 6-25, 6-33, 6-38, 6-43, 6-46
storage device queue 6-46 copying
collimation. See also C-Arm Operator's canceling 6-30
Manual from system to archive 6-34–6-46
comment to floppy 6-42
delete a 7-5 to Jaz disk 6-42
save a 7-5 to print 6-30
COMMENT button 7-4, 7-5 to VCR
Comment screen 7-4 Cine Run 6-45
closing 7-5 Crop 6-5
comments screen 7-6
deleting 7-5 closing 7-7
saving 7-5 crop
using 7-4 using 7-6
compatibility CRT Implosion 8

Page ii
 Index

Cursor Movement Ring 3-25 E

customize
function 3-23, 9-1 edge enhancement 6-5
miscellaneous options 9-8 EDGE ENHANCEMENT key 3-10
patient information display 9-14 editing
time and date 9-11 patient information 4-1, 4-14
CUSTOMIZE key 9-2 electrical checks 10-3
Customize screen 9-2 electrical fire
emergency procedure 9
D ENTER key 3-6
equipment malfunction 14
decimal format error recovery steps 11-2
selecting 9-5 exam
default settings 5-1, 5-3 completing 5-1
DELETE key 3-7 overview 5-1
device queue 6-36
clearing 6-46 F
devices 14
approved 14 field size. See also C-Arm Operator's
external 14 Manual
Diacritic Keys 3-8 file formats 6-40
DICOM Printer 6-24. See DICOM film. See also C-Arm Operator's Manual
Supplement mode 5-2
DICOM Storage 6-34. See DICOM status bar display 5-9
Supplement floppy disk 6-34
Digital Cine 5-13, 5-27, 5-30 Fluoro
digital hardcopy camera 6-24 Cine setup 5-23
DIGITAL SPOT button 5-31 mode 5-25–5-26
digital spot imaging 5-31 Fluoro imaging
Direct Digital Printer Interface 13-7 applying image enhancements 5-25
Dose Summary procedure 5-25–5-26
screen 6-22 footswitch 3-1, 3-34, 5-1
dose summary 6-22 Four-button Handswitch 3-35
patient information 6-23 function keys 3-22

G
no entries

Page iii
Index

H screen 7-1
image annotation 3-23, 7-1
handles 2-4 image directory 3-22, 6-1, 6-46
handswitch 3-1, 3-34, 5-1 displaying 6-2
hardcopy 6-24, 6-28 IMAGE DIRECTORY key 6-2
devices Image Directory screen 6-20, 6-33, 6-
selecting 6-25, 6-38 50
dose summary 6-31 SAVED EXAMS button 6-47
layout 6-26 using 6-2
patient information 6-32 image processing 5-3. See also
hazards 6 brightness; contrast; edge
CRT Implosion 8 enhancement; negate; noise
gases 13 filter; zoom
liquids 11 keys 3-9
HELP key 3-23 Image Processing Screen 3-26
High Level Fluoro (HLF). See HLF imaging 5-1
HLF imaging modes 5-8
Cine setup 5-23 selecting 5-2
Digital Cine 5-30 Switch Setup 5-4
disabled 5-7 infrared (IR) remote control 3-1, 3-24
precaution 5-28 input power 13-10
procedure 5-27 input/output - switch/relay control 13-7
standard 5-29 instant film/paper printer 6-24. See
hospital name Instant Film/Paper Printer Supple-
entering 9-5 ment
interconnect cable 2-2, 2-4, 2-7
I IR Remote Control
image Cursor Movement Ring 3-25
archive 6-35, 6-49 Remote Image Processing Screen 3-
hardcopy 6-30 26
review 6-4, 6-47 Zoom 3-28
IMAGE ANNOTATION
key 7-1
J
Image Annotation Jaz disk 6-34, 6-50
JAZ drive
warning/caution 6-39

Page iv
 Index

K M
keyboard 3-4 mA/mAs key. See also C-Arm
controls 3-4–3-23 Operator's Manual
layouts 3-5 Main screen 4-4, 5-5, 5-46
Keyboard Layout 3-5 maintenance schedule 10-7
keys making images 5-1–5-51
ARROWS 3-7 markers 6-5
BACKSPACE 3-7 deleting 7-3
CUSTOMIZE 3-23 object bar 7-2
DELETE 3-7 positioning 7-3
ENTER 3-6 saving 7-3
HELP 3-23 using 7-2
IMAGE ANNOTATION 3-23 Markers screen 7-2
IMAGE DIRECTORY 3-22 closing 7-3
PATIENT INFORMATION 3-22 mask 5-34
SPECIAL APPLICATIONS 3-23 adjusting 6-19
TAB 3-6 clearing 5-51
kVp. See also C-Arm Operator's Manual new 5-51
sharpening 5-44
L Using a Saved 5-50
labels 12-2 mechanical checks 10-3
Labels and Symbols 12-1 messages 11-1, 11-3–11-7
landmarking 5-47 miscellaneous options 9-7
layout Mobile C-Arm 1. See also C-Arm
pop-up screen 6-33 Operator's Manual
selecting 6-26 MODE
LAYOUT button 6-27 key 5-1, 5-43, 5-51
left fast scan video 13-7 mode
left standard video 13-7 Switch Setup 5-4
left X-ray switch 3-34 MODE button 5-5
mode pair 5-4, 5-6
Mode screen 5-5
DIGITAL SPOT button 5-31
using 5-4
Mode Switch Setup 5-4
MOVE MASK
button 6-17, 6-18
Moving the WorkStation 2-4

Page v
Index

N PATIENT INFORMATION key 3-22

patient name 4-1
navigation keys 3-6–3-7 patient positioning 5-2
negate 6-5 Peak Opacification
NEGATE key 3-16 Applying to a Subtraction 6-16
new exam 4-4 peak opacification 5-38, 6-16, 6-20
creating 4-4, 4-13 pedal brakes 2-4
noise filter 3-12 performance checks 10-1
NOISE FILTER key 3-12 periodic maintenance schedule 10-7
noise filtering 5-32 play/pause 6-9
during Cine playback 5-32 positioning 2-1–2-10
post processing functions 6-5
O post-processing Subtraction 6-17
OFF, turning 2-10 power button 2-4
ON, turning 2-9 power cable 2-2
operator qualifications 2 power cord 2-4
output voltages 13-12 power requirements 3
owner responsibilities 4 input power 13-10–13-11
compliance 3 output voltages 13-12
power switch 2-2
P preview image 6-29
preview images 6-36
parallel printer port 13-7 print queue 6-29, 6-30
parking the WorkStation. See Brake producing images 5-1–5-51
Pedal PULSE
patient environment 17 button 5-14
patient information pulse rate 5-4, 5-14
dose summary 6-23 status bar display 5-15
editing 4-1, 4-14–4-16 pulsed X-rays 5-12
entering 4-1, 4-4–4-16, 5-2
purpose 4-1 Q
retrieving from Saved Exams 4-12
Saved Exams 4-1 no entries
Scheduled Exams 4-1
screen 4-2, 4-14, 4-15, 4-16
R
clearing 4-4 radiation dose units
customizing display 9-13 selecting 9-5
Saved Exams 4-16 radiographic X-ray film 5-2
Scheduled Exams 4-15 rate 5-21

Page vi
 Index

rebooting system 2-9 practices 4

reformat 6-42 users 4
registration 5-45, 5-50 SAVE key 3-21, 5-26, 6-35
regulatory labels 12-1 SAVE MASK 6-21
remote control 3-24 saved exams 4-1, 4-16
battery replacement 10-5 displaying 6-47
using 3-24 edit patient information 4-12
Remote Control Screen 3-26 editing patient information for 4-16
Remote Image Processing Screen 3-26 selecting a patient 4-10–4-13
replacement items 13-13 sorting
restart system 2-9 by date 4-11
retrieve by doctor 4-11
patient images 4-10 by patient 4-11
reviewing images 6-4 viewing 4-10
right fast scan video 13-7 Saved Exams screen 4-11, 6-47
right X-ray switch 3-34 Scheduled Exams
roadmap List by Physician 4-8
1st phase 5-40 scheduled exams 4-1
2nd phase 5-41 editing patient information for 4-15
Cine setup 5-23, 5-42 list 4-4
contrast 5-43 selecting a patient from 4-6–4-9
procedure 5-42 SCHEDULED EXAMS button 4-15
pulsed 5-38 Scheduled Exams screen 4-8
sequence of events 5-39 screen saver
using a saved mask 5-50 setting 9-6
roadmap imaging 5-38 semi-annual maintenance 10-7
roadmap mask 5-43, 6-21 Set Cues 6-11
from a Subtraction 6-19 Pop-Up screen 6-11
RS-232 serial communication 13-7 set cues
pop-up screen 6-11
S SET CUES button 6-11
safety 1–18 setting cues 6-11
CRT implosion 8 Setting up 2-7
equipment malfunction 14 setup 2-1–2-10
moving the WorkStation 2-4 sharpen mask 5-51
source device

Page vii
Index

archiving and retrieving from 6-49 sequence of events 5-33

source devices Subtraction Mask
list of 6-34 Creating a Post-Processing 6-18
SPECIAL APPLICATIONS key 3-23 subtraction mask
standard fluoroscopy modes 3-34, 5-6 changing 6-18
standard HLF 5-29 SWAP key 3-21
Standards symbols 12-4
IEC 417 12-1 IEC 417 12-1
IEC 601-1. 14 ISO 7000 12-1
IEC 60601-1 14, 13-2 system alarm
IEC 60601-1-1 17 pitch 9-9
ISO 7000 12-1 testing 9-9
NFPA 99 16 system input power 13-10
UL 2601-01 16
static images T
archiving 6-43 TAB key 3-6
display 6-3, 6-4 text entry keys 3-6
storage 10-5 thermal printer 6-24
storage device time and date
selecting 6-43 screen 9-11
storage devices 6-24 setting 9-11
list of 6-24 touchscreen
subtract using 3-2–3-3
Cine setup 5-23 touchscreen controls 3-2, 3-24
Subtracted Form turning the WorkStation OFF 2-10
Viewing 6-15 turning the WorkStation ON 2-9
Subtraction Two on One Hardcopy Camera 6-24
Post-Processing 6-17
Producing a Roadmap Mask 6-19 U
subtraction 5-32
Cine run 5-37 unnamed patients 4-1, 4-10
contrast 5-35, 5-37 Unsubtracted Form
mask 5-34 Viewing 6-15
noise filtering 5-32 use mask 6-21
post-processing 6-17
preparing roadmap mask 6-20
V
procedure 5-36 vascular modes 3-34, 5-6
View Subtracted 6-15–6-21

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 Index

W X-ray switch
setup 5-4
warning labels 12-1 X-rays
wheel lock pedal 2-2 automatic termination 5-28
WorkStation
component identification 2-2 Y
components 2-2–2-3, 3-1
connecting C-Arm 2-7–2-8 no entries
controls 3-1 Z
failures 11-1
handle 2-2 Zoom 3-28
introduction 1 zoom 6-5
keyboard 3-1 ZOOM key 3-14
moving 7, 2-4 Zoom screen 3-14, 3-15
power button 2-10
power off 2-10
storing 2-10
temporary storage 2-10
WorkStation components
back panel 2-3
cable hanger 2-2
handle 2-2
interconnect cable 2-2
power cable 2-2
power switch 2-2
wheel lock pedal 2-2
Workstation options
AUTO PLAYBACK 9-6
AUTO SAVE 9-5
AUTO SWAP 9-5
decimal format 9-5
dose units 9-5
hospital name 9-5
screen saver 9-6

X
X-Ray mode 5-4
X-ray On button 3-1

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Index

Page x