Instructions for

Use

English
4598 013 57506

Digitally signed by
CÔNG TY TRÁCH
NHIỆM HỮU HẠN
PHILIPS VIỆT NAM
Date: 2023.11.13
16:02:19 +07'00'

Philips Zenition 50
Release 1.1
 Contents
1 Introduction 12
1.1 About the System 12

1.2 About These Instructions for Use 12

1.3 Intended Use 13

1.4 Contra-indications 14

1.5 Compatibility 14

1.6 Compliance 15

1.7 Training 15

1.8 Other Manuals 15

1.9 Contacting the Manufacturer 15

2 Safety 16
2.1 Important Safety Directions 16

2.2 Emergency Procedures 17

2.2.1 Emergency Power Off 17

2.2.2 Recovery Procedure 17

2.3 Electrical Safety 18

2.3.1 Equipotential Ground Connection 18

2.4 Transportation Safety 19

2.5 Mechanical Safety 19

2.6 Explosion Safety 19

2.7 Fire Safety 20

2.8 Mobile Telephones and Similar Products 20

2.9 Electromagnetic Compatibility 20

2.10 Radiation Safety 21

2.10.1 Skin Dose Management 24

2.10.2 Radiation Guidelines 24

2.10.3 Pediatric Radiation Guidelines 24

2.11 Laser Light Radiation Safety 25

2.12 Labels and Symbols 26

2.12.1 Labels 26

2.12.2 Symbols 31

2.13 Information Regarding Substances in the System 34

3 Installation 36
3.1 User Interface 36

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3.1.1 Mobile View Station 36

3.1.2 C-arm Stand 39

3.2 System Setup 40

3.2.1 Modifying the Physician List 42

3.2.2 Modifying the Date and Time 43

3.2.3 Displaying the IQ Test Image 43

3.2.4 Changing the User Interface Language 45

3.2.5 Changing the Instructions for Use Language 45

3.2.6 Changing the Default Examination Type 45

3.3 Customizing 46

4 System Overview 48
4.1 About the Zenition 50 System 48

4.2 Configuration 48

4.2.1 The C-arm Stand 48

4.2.2 The Mobile View Station 55

4.2.3 Mobile View Station Connector Panel 56

4.2.4 Remote Control 58

4.2.5 Laser Aiming Devices 59

4.2.6 Spacers 59

4.3 Options 60

4.3.1 DICOM/IHE Interface 60

4.3.2 Tube Laser Aiming Device 60

4.3.3 Extended Rotation 60

4.3.4 Touch Screen Functionality on the Examination Monitor 61

4.3.5 High-brightness LCD Monitors 61

4.3.6 Paper/Transparency Printer 61

4.3.7 Vascular Extension 62

4.3.8 Pain Extension 62

4.3.9 Cardiac Extension 63

4.3.10 Cardiovascular Extension 63

4.3.11 Wireless LAN 64

4.3.12 Image Viewer 64

4.3.13 External Video 64

4.3.14 iApp software interface 64

4.3.15 Collaboration Live 64

4.4 Accessories 65

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4.4.1 Image Intensifier Laser Aiming Device 65

4.4.2 Wired Foot Switch 65

4.4.3 Wireless Foot Switch 66

4.4.4 Spring Bow 66

4.4.5 Remote Control 66

5 Operation 67
5.1 Safety 67

5.2 Transportation 67

5.2.1 Putting the C-arm in the Transport Position 67

5.2.2 Moving the C-arm Stand 68

5.2.3 Moving the Mobile View Station 69

5.2.4 Putting the Monitors in the Transport Position 70

5.3 Positioning 71

5.3.1 C-arm Repositioning 72

5.4 C-arm Brakes and Movements 73

5.4.1 Rotation 74

5.4.2 Angulation 74

5.4.3 Longitudinal Movement 75

5.4.4 Swivel (Wig-Wag) Movement 76

5.4.5 Height Movement 77

5.5 System On/Off 78

5.5.1 Connecting the System 78

5.5.2 Switching the System On 80

5.5.3 Switching Users 84

5.5.4 Changing Your Password 84

5.5.5 Switching the System Off 84

5.5.6 Emergency Power Off 85

5.5.7 Mains Failure 85

5.5.8 Battery Management 86

5.6 Monitors 87

5.7 Information and Help 89

5.7.1 Information and Help on the C-arm Stand 89

5.7.2 Information and Help on the Mobile View Station 90

5.8 Managing Patients and Examinations 91

5.8.1 The Schedule List 93

5.8.2 The Review List 93

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5.8.3 Querying the Worklist Management Server (Option) 94

5.8.4 Importing External Data 95

5.8.5 Adding a New Examination 96

5.8.6 Modifying an Examination 98

5.8.7 Deleting an Examination 98

5.8.8 Selecting a Patient for Acquisition 99

5.8.9 Closing the Current Acquisition Examination 99

5.8.10 DICOM Radiation Dose Structured Report 100

5.9 System Readiness 100

5.10 Acquiring Images 100

5.11 Heat Indications 102

5.12 Acquisition Modes 104

5.13 Making Fluoroscopy Images 106

5.13.1 Fluoroscopy Grab of a Live Image 107

5.14 Making Exposure Images 108

5.15 Making Single Shot Images 109

5.16 Making Vascular Images 110

5.16.1 Performing Subtraction 110

5.16.2 Performing Roadmap after Subtraction 111

5.16.3 Performing Roadmap with Trace (Peak Opacification) 112

5.16.4 CO2 Acquisition Modes 113

5.16.5 Remasking 113

5.16.6 Bolus Chase 114

5.17 Imaging Essentials 114

5.17.1 Detector Zoom 115

5.17.2 Contrast and Brightness 116

5.17.3 Rotating Images 116

5.17.4 Mirroring and Flipping Images 117

5.17.5 Automatic Shutter Positioning 117

5.17.6 Collimator and Shutter Adjustments in Last Image Hold 118

5.17.7 Automatic kV/mA control 119

5.17.8 Manual kV/mA Control 120

5.17.9 Pulse Rate 120

5.17.10 Dose Level 121

5.17.11 Storage Rate 122

5.17.12 ClearGuide 122

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5.18 Image Review 126

5.18.1 Selecting an Examination for Review 126

5.18.2 Accessing Review Functions at the C-arm Stand 126

5.18.3 Single Image Screen 127

5.18.4 Overview Screen 133

5.18.5 Run Cycle Review 135

5.18.6 Dose Report 137

5.18.7 Reviewing Other Examinations During Acquisition 138

5.19 Protection and Image Storage Management 138

5.19.1 Protecting Images 139

5.19.2 Parking an Image to the Reference Monitor 140

5.20 Image Processing 141

5.20.1 Adjusting Contrast and Brightness 142

5.20.2 Enhancing Edges 142

5.20.3 Video Invert 143

5.20.4 Adding Annotations and Remarks 143

5.20.5 Zooming 144

5.20.6 Measure 145

5.20.7 Pixelshift 150

5.20.8 Landmarking 151

5.20.9 View Trace Using the MVS 151

5.20.10 View Trace Using the C-arm Stand 152

5.20.11 Manual Electronic Blanking 152

5.20.12 Automatic Electronic Blanking (AEB) 153

5.21 Exporting, Saving, and Printing 153

5.21.1 Selecting Images to Export, Save, or Print 154

5.21.2 Exporting Images to a Network Location 155

5.21.3 Saving Images to Local Media 157

5.21.4 Printing Images (Option) 159

5.21.5 Viewing Transfer Jobs in the Job Viewer 160

5.21.6 Printing the Examination Monitor Screen (Option) 162

5.21.7 Saving a Snapshot of the Examination Monitor Screen to USB 163

5.21.8 Saving Images for Service 163

5.21.9 Save Log File for Service 164

5.22 Options 164

5.22.1 Laser Aiming Devices 164

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5.22.2 Outline Tool 165

5.22.3 Wireless Network Option 167

5.22.4 Viewing External Video 171

5.22.5 Collaboration Live Overwiew 172

5.23 Accessories 181

5.23.1 Image Intensifier Laser Aiming Device 181

5.23.2 Connecting the Wired Foot Switch 183

5.23.3 Wireless Foot Switch 183

5.23.4 Spring Bow 187

5.23.5 Remote Control 191

5.24 External Connected Equipment 192

6 System and Error Messages 193

6.1 C-arm Stand 193

6.1.1 Viewing Messages on the C-arm Stand 193

6.2 Mobile View Station 193

6.3 Printer (Option) 193

6.4 Image Viewer (Option) 193

7 Maintenance 194
7.1 Planned Maintenance Program 194

7.1.1 General Checks 194

7.1.2 Mechanical Checks 194

7.1.3 Functional Checks 195

7.1.4 Radiation Safety Checks 195

7.1.5 Image Quality Checks 195

7.1.6 Electrical Safety Checks 195

7.2 Remote Assistance 195

7.2.1 Enabling and Disabling Remote Assistance 196

7.3 Field Service 197

7.3.1 Starting Field Service 197

7.4 User Routine Checks Program 198

7.4.1 Buzzer Test C-arm Stand 199

7.4.2 Light Test on the Mobile View Station 199

7.4.3 X-ray Control Function Check 199

7.4.4 Collimator Check 200

7.4.5 Image Intensifier Laser Alignment Device Check 200

7.4.6 Tube Laser Alignment Device Check 200

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7.5 Cleaning and Disinfecting 201

7.5.1 Cleaning 201

7.5.2 Disinfecting 201

7.6 Replacing and Charging Batteries 202

8 Product Disposal 204

8.1 Passing the System on to Another Responsible Organization 204

8.2 Final Disposal of the System 205

8.3 Disposing of Batteries 205

8.3.1 Remote Control Batteries 205

8.3.2 Image Intensifier Laser Aiming Device Battery (optional) 205

8.3.3 Wireless Foot Switch Battery 205

8.3.4 Energy Storage Unit 206

8.3.5 Mobile View Station PC Battery 206

9 Technical Data 207

9.1 Standards and Regulations 207

9.1.1 Electromagnetic Compatibility 207

9.2 Main Components 211

9.2.1 X-ray Generator 211

9.2.2 X-ray Tube 211

9.2.3 X-ray Tube Assembly 213

9.2.4 X-ray Source Assembly 215

9.2.5 Beam Limiting Device (BLD) 216

9.2.6 Energy Storage Unit 217

9.2.7 Image Detection Subsystem 217

9.2.8 Digital Image Processor 218

9.2.9 Monitors 219

9.3 System Data 220

9.3.1 Environmental Conditions 220

9.3.2 System Loading Data 220

9.3.3 Maximum Loading Factors 222

9.3.4 Display Accuracy 222

9.3.5 Measurement Basis for Approval Tests 223

9.3.6 Acquisition Parameter Settings 223

9.3.7 Patient Dose Information - Dose Rate With Grid 223

9.3.8 Patient Dose Information - Dose Rate Without Grid 239

9.3.9 Designated Significant Zone of Occupancy 256

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9.3.10 Scattered Radiation (Isokerma Data) 258

9.3.11 C-arm Stand Dimensions 261

9.3.12 Mobile View Station Dimensions 264

9.3.13 Material Safety Data Sheet 265

9.3.14 Certifiable Items 267

9.3.15 Open Source Software 267

9.3.16 Options 267

9.3.17 Accessories 271

9.3.18 Connectivity 271

9.3.19 Power Supply 271

10 Glossary 274
10.1 Abbreviations 274

10.2 Definitions and Terms 275

11 Appendix 278
11.1 Special Characters 278

11.2 Menu and Function Selection Tree 278

11.3 Quantitative Data 280

11.4 Security and Privacy Provisions 281

11.4.1 Risks Related to Hospital Network Connectivity 282

11.4.2 Access Control 282

11.4.3 Screen Blanking and Automatic Log-Off 282

11.4.4 De-identification of Patient Data 282

11.4.5 Backing Up Patient Data 283

11.4.6 Archiving Patient Data 283

11.4.7 Disaster Recovery 283

11.4.8 Network Security 284

11.4.9 Patient Data Storage 284

11.4.10 Patient Data Transmission 284

11.4.11 Service Data Transmission 284

11.4.12 Malware Protection 284

11.4.13 Audit Trail 285

12 Legends 286
12.1 Mobile View Station Console 286

12.2 C-arm Stand Console 287

12.3 C-arm Stand Touch Screen 288

12.4 C-arm Stand Height Movement 289

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Contents

12.5 Hand Switch 290

12.6 Foot Switch 290

12.7 Remote Control 292

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Introduction About the System

1 Introduction
This section introduces the equipment and the manual, plus related topics such as intended use,
contra-indications, compatibility, compliance, training and other manuals.

1.1 About the System

Zenition 50 is a mobile, diagnostic X-ray imaging and viewing system.

It is designed for medical use in healthcare facilities where X-ray imaging is needed.

Figure 1 System overview: C-arm stand (left) and mobile view station (right)

1.2 About These Instructions for Use

This manual is intended to assist responsible users, operators, and organizations in the safe and
effective operation of the equipment described.

These Instructions for Use may describe some products or features that are not available in all
countries. Please contact your local sales representative for the availability of products and features in
your region.

The “users” and “operators” are those persons who actually handle the equipment, and the
“responsible organization” is considered to be the entity accountable for the use and maintenance of
the equipment.

Before attempting to operate the equipment, you must read, note, and strictly observe all DANGER
notices and SAFETY markings on the system.

Before attempting to operate the equipment, you must read this manual thoroughly, paying particular
attention to all WARNINGS, CAUTIONS, and NOTES incorporated in it. You must pay special attention
to all the information given and procedures described in Safety (page 16).

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Introduction Intended Use

WARNING
A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to
observe a warning may result in death or serious injury to the user or patient.

CAUTION
A caution alerts you to where special care is necessary for the safe and effective use of the product.
Failure to observe a caution may result in minor or moderate personal injury or damage to the
product or other property, and possibly in a remote risk of more serious injury, and/or cause
environmental pollution.

NOTE A note highlights unusual points as an aid to a user.

These Instructions for Use describe the most extensive configuration of the system, with the maximum
number of options and accessories. Not every function described may be available on your system.

NOTE The images present in "Instructions for Use" are only for indicative purposes.

The English language version of the Instructions for Use was originally drafted, approved and supplied
by Philips Medical Systems under the product part code (document number) 4598 013 5750X, which is
indicated on the rear of the title page of the English language version.

1.3 Intended Use

The Zenition 50 with image intensifier is a mobile X-ray imaging and viewing system. It is designed for
medical use in healthcare facilities where X-ray imaging is needed.

The system comprises two main components: the C-arm stand and a mobile view station.

Indications for Use / Medical Purpose

The Zenition 50 device is intended to be used and operated by: adequately trained, qualified and
authorized health care professionals who have full understanding of the safety information and
emergency procedures as well as the capabilities and functions of the device.

The device is used for radiological guidance and visualization during diagnostic, interventional and
surgical procedures on all patients, except neonates (birth to one month), within the limits of the device.
The device is to be used in health care facilities both inside and outside the operating room, sterile as
well as non-sterile environment in a variety of procedures.

Applications:
• Orthopedic
• Neuro
• Abdominal
• Vascular
• Thoracic
• Cardiac

Intended Operator Profile

The Zenition 50 device is intended to be used and operated by: adequately trained, qualified and
authorized health care professionals who have full understanding of the safety information and
emergency procedures as well as the capabilities and functions of the device.

Patient Population
Patients can be any human, except neonates (birth to one month), of whom any part of the body (from
head to toe) can be subject of examination.

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Introduction Contra-indications

Clinical Environment
The device is to be used in health care facilities both inside and outside the operating room, sterile as
well as non-sterile environment.

General Safety and Effectiveness

To facilitate safe and efficacious operation of the system by a trained healthcare professional,
instructions for use are provided as part of the device labeling, as well as training at system handover.

Operating Principle
The system uses X-ray generation, detection and image processing for medical imaging, and in addition
displays images from other sources (e.g. ultrasound). The systems provides feedback by audible and
visual means.

CAUTION
In the United States, Federal law restricts this device to sale, distribution, and use by, or on the order
of, a physician.

1.4 Contra-indications
The system should not be used if any of the following contra-indications exist or are thought to exist:
• Acute skin burns (patients)
• Acute hair loss (patients)
• Chronic radiation injury (staff).

Special consideration must be given in the following situations:

• Protection of the embryo or fetus during radiological examination or treatment of women known to
be pregnant
• Sensitive body organs (for example: lens of eye, gonads) must be shielded whenever they are likely
to be exposed to the working beam.

1.5 Compatibility
Equipment described in this manual should not be used in combination with other equipment or
components unless such other equipment or components are expressly recognized as compatible by
Philips Medical Systems.

A list of such equipment and components is available on request from the contact address given under
the following heading Compliance.

Changes and/or additions to the equipment should only be carried out by Philips Medical Systems or
by third parties expressly authorized by Philips Medical Systems to do so. Such changes and/or
additions must comply with all applicable laws and regulations that have the force of law within the
jurisdiction(s) concerned, and with best engineering practice.

Changes and/or additions to the equipment that are carried out by persons without the appropriate
training and/or using unapproved spare parts may lead to the Philips Medical Systems warranty being
voided. As with all complex technical equipment, maintenance by persons not appropriately qualified
and/or using unapproved spare parts carries serious risks of damage to the equipment and of personal
injury.

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Introduction Compliance

1.6 Compliance
The system complies with relevant international and national standards and laws.

Information on compliance will be supplied on request by your local Philips Medical Systems
representative. Alternatively, contact the manufacturer.

For more information, see Contacting the Manufacturer (page 15).

NOTE The system does not contain any patient applied parts.

1.7 Training
Users and operators of the system must have received adequate training on its safe and effective use
before attempting to operate the equipment described in this manual.

Training requirements for this type of device will vary from country to country. It is for responsible
organizations to make sure that users and operators receive adequate training in accordance with local
laws or regulations which have the force of law.

If you require further information about training in the use of this equipment, please contact your local
Philips Medical Systems representative. Alternatively, contact the manufacturer. For more information,
see Contacting the Manufacturer (page 15).

1.8 Other Manuals

This manual describes the Zenition 50 system.

Other pieces of equipment may be used with the system. These units are supplied with their own
manuals.

1.9 Contacting the Manufacturer

You can contact the manufacturer by post or by email.

Manufacturer's Address
Postal address Philips Medical Systems Nederland B.V.
Veenpluis 6
5684 PC Best
The Netherlands
Email address healthcare@philips.com

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Safety Important Safety Directions

2 Safety
This section provides important safety-related information about the system.

2.1 Important Safety Directions

Philips Medical Systems products are all designed to meet stringent safety standards.

However, all medical electrical equipment requires proper operation and maintenance, particularly with
regard to human safety.

It is vital that you read, note, and where applicable strictly observe all DANGER notices and safety
markings on the system.

It is vital that you strictly follow all safety directions under the heading SAFETY and all WARNINGS and
CAUTIONS throughout this manual, to help ensure the safety of both patients and operators.

In particular, you must read, understand and know the Emergency procedures described in this SAFETY
section before attempting to use the equipment for any patient examination.

You should also note the following information given in the Introduction section of this manual:
• Intended Use (page 13)
• Contra-indications (page 14)
• Compatibility (page 14)
• Training (page 15)

Maintenance and Faults

WARNING
Do not use the system for any application until you are sure that the user routine checks program
has been satisfactorily completed, and that the planned maintenance program is up-to-date.

WARNING
If any part of the equipment or system is known (or suspected) to be defective or wrongly-adjusted,
DO NOT USE the system until a repair has been made. Operation of the equipment or system with
defective or wrongly-adjusted components could expose the operator or the patient to radiation or
other safety hazards. This could lead to fatal or other serious personal injury, or to clinical
misdiagnosis/mistreatment.

You can find information about the user routine checks program and the planned maintenance program
in Maintenance (page 194).

Safety Awareness
WARNING
Do not use the system for any application until you have read and understood and know all the
safety information, safety procedures and emergency procedures contained in these Instructions for
Use. Operation of the system without proper awareness of how to use it safely could lead to fatal or
other serious personal injury. It could also lead to clinical misdiagnosis/mistreatment.

Adequate Training
WARNING
Do not use the system for any application until you have received adequate and proper training in its
safe and effective operation. If you are unsure of your ability to operate this equipment safely and
effectively DO NOT USE IT. Operation of this equipment without proper and adequate training could

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Safety Emergency Procedures

lead to fatal or other serious personal injury. It could also lead to clinical misdiagnosis/
mistreatment.

For information about training, please refer to Training (page 15).

Intended Use and Compatibility

WARNING
Do not use the system for any purpose other than those for which it is intended.

WARNING
Do not use the system with any products other than those which Philips Medical Systems recognizes
as compatible.

WARNING
Operation of the system for unintended purposes, or with incompatible equipment, could lead to
fatal or other serious injury. It could also lead to clinical misdiagnosis/mistreatment.

2.2 Emergency Procedures

This section provides important information about emergency procedures when operating the system.

2.2.1 Emergency Power Off

In case of emergency, switch the system off.

1 To switch off only the C-arm stand in an emergency, press the Emergency off button on the C-arm
stand console.

X-ray generation and height movements are no longer available.

2 To switch off the system, press System off on the mobile view station.

3 Remove the mobile view station mains power plug from the socket outlet.

WARNING
When the Emergency off button is pressed, mains power is still applied to some circuits in the
system until the mobile view station mains power plug is removed from the socket outlet.

2.2.2 Recovery Procedure

Use this procedure if the system does not respond.

1 Press the System off button on the mobile view station.

The system switches off (the shutdown time is less than 100 seconds).

NOTE For time critical situations, you can switch the system off faster by pressing the System
off button for at least 3 seconds (shutdown time in this case is 3 seconds). This may
cause data to be lost and may increase the system startup time (up to 5 minutes) for the
next start.

2 Wait 5 seconds.

3 Press the System on button on the mobile view station.

The startup time for radioscopy imaging is less than 80 seconds. If a password protection is
enabled, see Switching the System On (page 80).

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Safety Electrical Safety

The system starts with default settings and a new patient.

NOTE The startup time may increase ( up to maximum 10 seconds) if the disk is under maximum
utilization.

4 To continue the procedure, select the previously used examination type and acquisition mode.

When the procedure is finished, you can modify the patient name and other administration items for
the current acquisition patient. You cannot continue the previous examination.

2.3 Electrical Safety

System covers or cables should only be removed by the qualified and authorized service personnel.

In this context, qualified means ‘those legally permitted to work on this type of medical electrical
equipment in the jurisdiction(s) where the equipment is being used’, and authorized means ‘those
authorized by the responsible organization’.

WARNING
Do not remove system covers or cables from this equipment, unless expressly instructed to do so in
this manual. High electrical voltages are present within this equipment. Removing system covers or
cables could lead to serious or fatal personal injury.

WARNING
Do not touch the pins of the mobile view station C-arm cable or the central pin of the video/USB
connectors when touching the patient.

WARNING
Do not touch the pins of the mobile view station C-arm cable plug directly after the system is
powered off, some residual voltage may remain.

WARNING
In case of changing the X-ray on indicator light on the mobile view station, do not touch the
electrical contacts and the patient simultaneously.

WARNING
Only use this equipment in rooms or areas that comply with all applicable laws (or regulations
having the force of law) concerning electrical safety for this type of equipment.

WARNING
Always electrically isolate this equipment from the mains electrical supply before cleaning,
disinfecting or sterilizing it.

2.3.1 Equipotential Ground Connection

An equipotential ground (earth) connection point and a connection cable are provided for the safety of
the patient.

WARNING
This equipment may only be used in areas meeting local standards for electrical safety in rooms
used for medical purposes, for example the US National Electrical Code. IEC 60601 also gives
guidance about an equipotential ground (earth) connection point.

The system is provided with a yellow-green cable for equipotential earth connection between the C-
arm stand and the patient support table. The connection point is indicated by the equipotential earth
symbol.

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Safety Transportation Safety

Alternatively, both the C-arm stand and the patient support table may be connected to an earth
(ground) bus bar provided for this purpose by the hospital.

2.4 Transportation Safety

When moving mobile or transportable devices, make sure you do not collide with/or run over objects
and/or persons.

The user must be familiar with the brake system and all controls for steering before moving the
equipment.

Before moving the system, ensure that the system is in the transport position. For more information, see
Putting the C-arm in the Transport Position (page 67). Cross ramps, thresholds and obstacles as slowly
as possible. Take extra care on steep slopes. Wheel brakes must always be applied when the device is
stationary.

2.5 Mechanical Safety

System covers should only be removed by qualified and authorized service personnel.

In this context, qualified means ‘those legally permitted to work on this type of medical electrical
equipment in the jurisdiction(s) in which the equipment is being used’, and authorized means ‘those
authorized by the organization responsible for the equipment’. Ordinary users and operators should
NEVER remove the system covers themselves.

WARNING
Make sure that, when the system is parked and connected to the mains for recharging, the system
lock is in 0 (disabled) position and the system lock key is removed to prevent accidental motorized
movements or radiation emission.

Figure 2 System lock (system disabled)

2.6 Explosion Safety

This equipment must not be used in the presence of explosive gases or vapors, such as certain
anaesthetic gases.

Use of electrical equipment in an environment for which it was not designed can lead to fire or
explosion.

WARNING
Do not use flammable or potentially explosive disinfecting sprays. Such sprays create vapors which
can ignite, causing fatal or other serious personal injury, and/or damage to the equipment.

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Safety Fire Safety

2.7 Fire Safety

Use of electrical equipment in an environment for which it was not designed can lead to fire or
explosion.

Fire regulations for the type of medical area being used should be fully applied, observed and enforced.
Fire extinguishers should be provided for both electrical and non-electrical fires. All operators of this
medical electrical equipment should be fully aware of, and trained in, the use of fire extinguishers and
other fire-fighting equipment, and in local fire procedures.

WARNING
Only use extinguishers on electrical or chemical fires which are specifically labeled for those
purposes. Using water or other liquids on an electrical fire can lead to fatal or other serious personal
injury.

If it is safe to do so, attempt to isolate the equipment from electrical and other supplies before
attempting to fight a fire. This will reduce the risk of electric shocks.

2.8 Mobile Telephones and Similar Products

The system complies with the requirements of applicable electromagnetic compatibility (EMC)
standards.

Other electronic equipment exceeding the limits defined in such EMC standards, such as certain mobile
telephones, could, under unusual circumstances, affect the operation of the system.

WARNING
You should not allow any portable radio transmitting devices (such as mobile telephones) into the
examination room - whether the device is switched on or off. Such devices could exceed EMC
radiation standards and, under unusual conditions, interfere with the proper functioning of the
system. This could, in extreme cases, lead to fatal or other serious personal injury or to clinical
mistreatment.

2.9 Electromagnetic Compatibility

The system is classified as Class A equipment, suitable for use in all establishments other than domestic
and those directly connected to the public low-voltage power supply network that supplies buildings
used for domestic purposes.

The system complies with relevant international and national laws and standards on EMC for this type
of product when used as intended. Such laws and standards define both the permissible
electromagnetic emission levels from the product and its required immunity to electromagnetic
interference from external sources.

The system needs special precautions regarding EMC, and needs to be installed and put into service
according to EMC information provided in Electromagnetic Compatibility (page 207).

All staff that could touch connectors identified with the ESD warning symbol should receive training in
ESD precautionary procedures. This training should at least include an introduction to ESD physics, the
voltage levels that can occur in normal practice and the damage that can be done to electronic
components. Further methods of preventing the build-up of electrostatic charge and methods for safe
discharge, should be included.

WARNING
Medical Electrical Equipment need special precautions regarding EMC and need to be installed and
put into service according to the EMC information provided in the accompanying documents.

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Safety Radiation Safety

WARNING
Use of this equipment adjacent to or stacked with other equipment should be avoided because it
could result in improper operation. If such use is necessary, this equipment and the other equipment
should be observed to verify that they are operating normally. Additional measures may be
necessary, such as re-orienting or relocating the system.

WARNING
Use of accessories and cables other than those specified or provided by the manufacturer of this
equipment could result in increased electromagnetic emissions or decreased electromagnetic
immunity of this equipment and result in improper operation. See also the tables of electromagnetic
emissions and immunity in.

WARNING
Class A equipment is intended for use in all establishments other than domestic; therefore there may
be potential difficulties in ensuring electromagnetic compatibility in domestic environments, due to
conducted as well as radiated disturbances.

WARNING
Portable RF communications equipment (including peripherals such as antenna cables and external
antennas) should be used no closer than 30 cm (12 inches) to any part of the system, including cables
specified by the manufacturer. Otherwise, degradation of the performance of this equipment could
result.

WARNING
This equipment is intended for use in a hospital environment. Operation in other than hospital
environments may compromise electromagnetic compatibility.

2.10 Radiation Safety

Only qualified and authorized personnel may operate this equipment.

In this context, qualified means ‘those legally permitted to operate this type of medical electrical
equipment in the jurisdiction(s) in which the equipment is being used’, and authorized means ‘those
authorized by the organization responsible for the equipment’.

Personnel operating the equipment and personnel within the examination room must observe all laws
and regulations which have the force of law within the jurisdiction(s) concerned. If there is any doubt
about these laws and regulations, do not use it.

In addition, the responsible organization is strongly urged to become acquainted with the current
recommendations of the International Commission on Radiological Protection, and in the United States,
with those of the US National Council for Radiological Protection.
• ICRP, Pergamon Press, Oxford, New York, Beijing, Frankfurt, São Paulo, Sydney, Tokyo, Toronto
• NCRP, Suite 800, 7910 Woodmont Avenue, Bethesda, Maryland 20814, USA.

Full use must be made of all radiation protection features on the equipment, and of all radiation
protection devices, accessories, systems and procedures available to you as the operator.

WARNING
Make sure that, when the system is parked and connected to the mains for recharging, the system
lock is in 0 (disabled) position and the system lock key is removed to prevent accidental motorized
movements or radiation emission.

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Safety Radiation Safety

Figure 3 System lock (system disabled)

Use only the prescribed dose necessary to perform a particular examination or treatment.

You should restrict access to the system in accordance with local regulations for radiation protection.

WARNING
When the system is powered up for use with system lock key in position 1, the system is in X-ray
enabled state. It is recommended to keep the system in X-ray disabled state at all times, except
when a procedure is in progress; to prevent the possibility of RADIATION being emitted through the
accidental actuation of a foot switch/hand switch.

To switch the system to X-ray disabled state and back to X-ray enable state, perform following steps

1 On the C-arm stand touch screen/Touch Screen Monitor, tap on System menu. A pop-up screen is
displayed with following toggle button options - Disable X-ray, Test Buzzer, Auto Run Cycle and
Close.

Figure 4 System menu pop-up

Legend
1 System menu 4 System status OK message
2 A pop-up with toggle buttons 5 System ready icon status
3 Disable x-ray toggle button inactive

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Figure 5 MVS - system ready icon

2 Tap Disable X-ray toggle button to disable the x-ray.

3 X-ray is disabled, Go to the system menu to enable warning message will be displayed. Click OK to
confirm x-ray is disabled.

4 Now again Tap System menu on C-arm stand touch screen/Touch Screen Monitor. Disable X-ray
button is active and checked on the C-arm stand touch screen/Touch Screen Monitor. In addition,
on the MVS, system not ready icon is displayed.

Figure 6 Active Disable X-ray toggle button

Legend
1 System menu 4 X-ray disabled message
2 A pop-up with toggle buttons 5 System and irradiation icons are displayed
3 Disable x-ray toggle button active

Figure 7 MVS - system not ready icon

5 To enable X-ray state, go to the System menu and tap on active Disable X-ray toggle button.

6 Click Close to close the pop-up screen.

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Safety Radiation Safety

NOTE X-ray disabled toggle button is not accessible, if the system lock key is in 0 position.

WARNING
Interventional Procedures: this equipment is intended for procedures in which skin dose levels can be
high enough in normal use to cause a risk of deterministic effects. It is vital that you strictly follow all
safety directions for this type of procedure.

2.10.1 Skin Dose Management

During prolonged interventional procedures skin dose levels can be high enough in normal use to cause
a risk of deterministic effects.

Risk management should be used to determine the risks and benefits for any given procedure.

This system has several different selectable acquisition modes, each producing different image quality
by using different dose rates. The best acquisition mode for the procedure should be used.

2.10.2 Radiation Guidelines

When performing radiation, the following rules should be followed:
• Do not radiate when not necessary.
• Radiate for as short a time as possible.
• Use automatic dose rate control whenever possible.
• Stay as far away as possible from the radiated object/X-ray source.
• Wear aprons and other protective clothing as appropriate.
• Use badges to monitor the radiation levels received in accordance with local regulations.
• Use the laser aiming devices to determine the region of interest instead of using fluoroscopy.
• Use fluoroscopy (or roadmap) with low dose or normal dose as much as possible instead of higher
dose levels and instead of other acquisition modes to reduce dose.
• Collimate as much as possible using the pre-indicators (on the LIH image). For more information,
see Collimator and Shutter Adjustments in Last Image Hold (page 118).
• Focal spot to skin (object) distance should be kept as large as possible to reduce the absorbed
dose.
• Remove all supplementary obscuring objects from the primary beam, including your hands.
• In principle, the X-ray source should be placed under the table to reduce exposure to scattered
radiation.
• Take into account any adverse effects that may arise due to materials located in the X-ray beam, for
example, the operating table.
• The mobile view station should be positioned so that the X-ray on indicator light on the mobile view
station is visible to all persons at all positions in the room.

2.10.3 Pediatric Radiation Guidelines

Use special care when imaging patients outside the typical adult size range. When performing pediatric
radiation, the following rules should be followed:
• All rules mentioned in Radiation Safety (page 21).
• Do not radiate when it is not necessary. Use non-X-ray equipment when possible (e.g. ultrasound).
• Remove any objects in the beam that are either not necessary to execute the procedure (e.g.
mattresses, pillows, tubes, etc.) or that are not radiolucent.
• For small or thin objects, remove the detachable grid (see The C-arm Stand (page 48)).
• Select the correct procedure and anatomy or detailed procedure for the anatomy (e.g. Skeleton -
Arm).
• Choose the lowest dose (fluoroscopy with low dose) and lowest pulse rate possible.

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Safety Laser Light Radiation Safety

• Place the image intensifier as close as possible to the patient.

• Use collimation as much as possible to protect areas outside the region of interest. Exclude eyes,
thyroid, breast, and gonads when possible. When possible, perform collimation on the LIH. Combine
independent shutters together with the iris to expose the smallest area possible on the body part.
• Use automatic dose rate control whenever possible (Auto kV). When selecting manual kV, it is
possible to override the automatic dose rate control and lock the kV at the current value.
• Use the laser aiming device to determine your region of interest instead of using fluoroscopy.
• Instead of the right button, use the left (grey) button on the hand switch or left pedal on the foot
switch. When storage is needed, this can be enabled via the user interface.
• Radiate for the shortest time possible, use the LIH to review the anatomy rather than live
fluoroscopy.

Design Features Important to Pediatric Imaging Reference

Procedure selection Changing the Default Examination Type (page 45)
Dose level selection Making Fluoroscopy Images (page 106)
Pulse rate selection Making Fluoroscopy Images (page 106)
Removable grid The C-arm Stand (page 48)
Automatic dose control Automatic kV/mA control (page 119)
Laser aiming devices Laser Aiming Devices (page 59)

Testing Information Reference

Estimated patient dosimetry • Patient Dose Information - Dose Rate With
Grid (page 223)
• Patient Dose Information - Dose Rate Without
Grid (page 239)
Quality control instructions Maintenance (page 194)

Philips recommends reviewing generally available resources on pediatric imaging before using the
equipment for pediatric cases, such as the following:
• The U.S. Food and Drug Administration, Pediatric X-ray Imaging:
www.fda.gov/Radiation-EmittingProducts/RadiationEmittingProductsandProcedures/
MedicalImaging/ucm298899.htm
• The Alliance for Radiation Safety in Pediatric Imaging, Image Gently:
www.imagegently.org
• The Society for Pediatric Radiology:
www.pedrad.org

2.11 Laser Light Radiation Safety

The laser light in the laser aiming devices should only be used under supervision of a medically trained
person with knowledge of the hazards implied by the use of laser light.

It is the responsible organization's responsibility to fulfill the local safety regulations regarding laser
light radiation.

WARNING
The lasers must not be switched on without purpose, and unnecessary exposure must be avoided.

WARNING
Use of controls, adjustments, or procedures other than those specified in this Instruction for Use may
result in hazardous radiation exposure.

The lasers comply with FDA performance standards for laser products except for the deviations
pursuant to laser notice 50, dated June 24, 2007.

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Safety Labels and Symbols

Image Intensifier Laser Aiming Device

The image intensifier laser aiming device consists of two, Class 1M lasers which are integrated in an
accessory which can be mounted on the image intensifier unit.

WARNING
Laser radiation. Do not view directly with optical instruments. Class 1M laser product. Viewing laser
output with certain optical instruments (for example eye loupes, magnifiers and microscopes) within
a distance of 100 mm may pose an eye hazard.

Tube Laser Aiming Device

WARNING
Laser radiation. Do not view directly with optical instruments. Class 1M laser product. Viewing laser
output with certain optical instruments (for example eye loupes, magnifiers and microscopes) within
a distance of 100 mm may pose an eye hazard.

Complies with IEC60825-1 and with FDA performance standards for laser products except for the
deviations pursuant to laser notice 50, dated June 24, 2007.

2.12 Labels and Symbols

This section describes the labels and symbols used on the equipment.

2.12.1 Labels
The system has the following labels located as shown below.

Figure 8 System overview

Legend
1 C-arm stand console
2 X-ray tank
3 C-arm stand back cover
4 Central labeling station

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Safety Labels and Symbols

Legend
5 Rear side of the mobile view station

Warnings on the C-arm Stand Console (1)

The following warning is displayed on the C-arm stand console. It is only applicable to the USA, China,
Japan, and Canada.

Label Text
This X-ray unit may be dangerous to patient and operator unless safe exposure factors, operating instructions and mainte-
nance schedules are observed.

Warnings on the X-ray Tank (2)

The following warning is displayed on the X-ray tank and is only applicable to USA, Canada, and
Taiwan.

Label on the Front Cover of the C-arm Stand (3)

The following label is displayed on the front cover of the C-arm stand and shows the position of the
central labelling station.

Central Labeling Station (4)

The central labeling station contains the FDA certification labels of the following components:
• X-ray control
• X-ray control (XTV)
• Tank housing assembly / X-ray tube
• Image intensifier
• X-ray generator
• Beam limiting device
• Laser product

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Safety Labels and Symbols

Figure 9 Certification label

The central labeling station also contains the complete system configuration.

NOTE The appropriate labels on this panel must be updated when replacing certified components.

Warnings and Labels on the Rear Side of the Mobile View Station (5)
The following labels are displayed on the rear side of the mobile view station.

Label Text
Philips
Philips Medical Systems NL B.V. This box displays the manufacturing address of your
Veenpluis 6, 5684 PC Best system
The Netherlands
Mains Rating Momentary Long Time Max. (Ω)
100 / 110 V~ 20 A 10 A 0.1
120 / 130 V~ 20 A 10 A 0.2
200 / 210 / 220 / 230 / 240 V~ 10 A 6A 0.6
Frequency - 50 / 60 Hz Single phase

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Safety Labels and Symbols

Label Text
Medical Electrical Equipment
Certified according to CAN/CSA-C22.2 No. 60601-1-08 and ANSI/AAMI ES60601-1:2005

The following warning is only applicable to the USA, Canada, and China.

Label Text
Grounding reliability can only be achieved when the equipment is connected to a sufficiently grounded power socket.

Foot Switch Label

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Safety Labels and Symbols

Wireless Foot Switch Label

Wireless Foot Switch Base Station

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Safety Labels and Symbols

Remote Control Label

Legend
1 Manufacturer 4 Serial number and viewpad type
2 Date of manufacture 5 Battery requirements
3 Part number

Your system may have additional labels as a result of local requirements.

2.12.2 Symbols
The system has the following symbols.

For more information, refer to the following Philips website:

www.symbols.philips.com

Danger Voltage
Dangerous voltages are present within the cabinet marked with this symbol. Only trained personnel
may remove the system cover, or otherwise obtain access to system components. There are no user
serviceable parts and never attempt to repair this unit.

Refer to the Instruction Manual

This symbol indicates that the accompanying documents must be consulted.

Presence of Radio Frequency Transmitters

This symbol indicates the presence of radio frequency transmitters.

Information
This symbol indicates information.

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Safety Labels and Symbols

Crushing Hazard: Hand

This symbol indicates a warning that a hand crushing hazard exists.

Alternating Current
This symbol indicates alternating current.

Equipotential Earth
This symbol indicates the equipotential earth connector. This connector allows a connection between
the C-arm stand and the patient support table or the earth (ground) bus bar provided by the hospital.

Protective Earth (Ground)

This symbol indicates the potential earth terminal, which is connected to conductive parts of Class 1
equipment for safety purposes. This terminal should be connected to an external earthing system by a
protective earth connector.

On
This symbol indicates an on switch for part of the equipment.

Off
This symbol indicates an Off switch for part of the equipment.

Emergency Off
This symbol indicates an emergency off switch for the C-arm stand.

Canadian Standards Association

This symbol indicates that the system has been tested and certified by the Canadian Standards
Association to comply with the applicable U.S. and Canadian Standards.

Small Focal Spot

The value next to the symbol indicates the size of the small focal spot.

Large Focal Spot

The value next to the symbol indicates the size of the large focal spot.

Direction of Grid
This symbol indicates the direction of the grid lamella.

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Laser
This symbol indicates the presence of laser equipment.

Radiation
This symbol indicates the presence of radiation (X-ray) equipment.

Transport
This symbol indicates that the C-arm stand must be put in the transport position before transporting it.
For more information, see Transportation (page 67).

Do Not Push
This symbol indicates that you must not attempt to push the equipment at the point where the label is
situated, or at any point above.

Product Disposal
This symbol indicates that the equipment contains material(s) that are harmful to the environment if
disposed of incorrectly.

Ingress Protection
The IP code (International Protection code) indicates the degree of protection provided by an
enclosure.
• IPX0: Protection against ingress of solid foreign objects is not specified, and no protection against
ingress of water with harmful effects
• IPX1: Protection against ingress of solid foreign objects is not specified, and protection against
ingress of water with harmful effects from drips from above
• IPX3: Protection against ingress of solid foreign objects is not specified, and protection against
ingress of water with harmful effects from spraying
• IP27: Protection against ingress of solid foreign objects greater than 12.5 mm in diameter, and
protection against ingress of water with harmful effects from temporary immersion
• IPX8: Protection against ingress of solid foreign objects is not specified, and protection against
ingress of water with harmful effects from immersion.

Manufacturer
This symbol identifies the medical device manufacturer. The date of manufacture, as well as the name
and address of the manufacturer, can be combined in one symbol.

Date of Manufacture
This symbol indicates the date when the medical device was manufactured.

Catalog Number
This symbol indicates the manufacturer's catalog number so that the medical device can be identified.
This symbol may be shown without the enclosure.

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Safety Information Regarding Substances in the System

Serial Number
This symbol indicates the manufacturer's serial number so that a specific medical device can be
identified. This symbol may be shown without the enclosure.

Consult the Instructions for Use

This symbol instructs the user to consult the Instructions for Use.

Caution
This symbol indicates that you should use caution and consult the accompanying documents.

Battery
This symbol indicates the number and type of batteries used for the device.

FCC Declaration of Conformity

This symbol indicates that the product conforms to Federal Communications Commission limits on
electromagnetic interference.

KCC Declaration of Conformity

This symbol indicates that the product conforms to the requirements of the Korea Certification
Standard.

Cardiac Extension
This symbol indicates that the cardiac extension is installed on your system.

Vascular Extension
This symbol indicates that the vascular extension is installed on your system.

2.13 Information Regarding Substances in the System

REACH Declaration
REACH requires that Philips Medical Systems provides chemical content information for Substances of
Very High Concern (SVHC) if they are present in amounts above 0.1% of the product weight.
Components with electric or electronic equipment may contain phthalates above the threshold (for
example, bis(2-ethyl(hexyl)phthalate), CAS nr.: 117-81-7). Philips Medical Systems is still in the process
of investigating its supply chain to further establish which components contain phthalates. The SVHC

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list is updated on a regular basis. For the latest list of products that contain SVHC above the threshold,
go to the following website:

www.philips.com/about/sustainability/reach

Perchlorate
Perchlorate material is present in lithium coin cells or batteries that are used in the system. Special
handling may apply. For information, go to the following website:

www.dtsc.ca.gov/hazardouswaste/perchlorate

Product Recycling Passport

Detailed information on product recycling is available in the Product Recycling Passport:

www.healthcare.philips.com/main/about/sustainability/recycling

California proposition 65 requires Philips Medical Systems (PH) to provide reasonable safety warning
Information when substance released is above safer harbor level. For information, go to the following
website:

www.philips.com/about/sustainability

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Installation User Interface

3 Installation
This section describes how to interact with the system's user interface, and how to configure system
parameters.

3.1 User Interface

The following provides a basic introduction to the user interface on the mobile view station and the C-
arm stand.

More advanced controls are described in detail later in this manual.

Tooltips provide help and information about buttons and other items in the user interface. When
enabled, tooltips appear after positioning the pointer over an item in the user interface.

3.1.1 Mobile View Station

This section describes navigation and the common user interface elements of the mobile view station.

Navigation
Use the touch pad and left button on the mobile view station console to control the pointer on the
screen of the examination monitor and the reference monitor (see About the Zenition 50
System (page 48)).

Figure 10 Touch pad

Legend
1 Touch pad
2 Left button

Use the pointer to click buttons or select items on the screen:

• Move the pointer over a control or item.
• Press the left button on the mobile view station console to activate the control or select the item.

To assist you, the appearance of a button changes to indicate it is being clicked, and a selected item is
highlighted (if appropriate).

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Dragging
Items on the screen, like sliders or controls, can be dragged when appropriate. To drag an item on the
screen, position the pointer over the item and drag it by moving it with the pointer while keeping the left
button pressed.

Touch Screen Functionality

The examination monitor has optional touch screen functionality. If installed, this allows you to perform
actions normally requiring the touch pad (clicking buttons, selecting items, dragging items) by touching
the screen directly.

Using the touch screen functionality, items on the screen can be dragged by touching them and
dragging. The item is released when the screen is no longer touched.

CAUTION
Using excessive force and/or sharp objects to operate a touch screen is likely to result in damage to
the screen.

Touch screen functionality is not available for the reference monitor.

Entering Text
When a text field is selected, text can be entered using the keyboard on the mobile view station
console. To make a correction when entering text use the Backspace or Delete key on the keyboard.

When several text fields are available, press the Tab key on the mobile view station console after
completing a field to automatically select the next field in the dialog box.

Accept
Pressing the Accept button on the mobile view station console is the same as clicking the highlighted
(active) button on the examination monitor. Highlighted (active) buttons are displayed with a yellow
outline. It is useful as a shortcut to perform the associated action.

Undo
Some actions can be undone using the Undo button on the mobile view station console. Pressing the
Undo button undoes the previous action, removes a selected graphical element (such as an
annotation), or resets the text of a field to the original value before editing.

Only one previous action is undone when the Undo button is pressed. A series of several actions can be
undone by pressing the Undo button repeatedly.

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Common User Interface Elements

Figure 11 Mobile view station interface (administration screen) on the examination monitor

Legend
1 List selection panel 6 Column headings
2 Control panel 7 Notification area
3 Status indicator 8 Global tools (Review task only)
4 Patient list 9 Top bar menu
5 Selected patient

List Selection Panel

The task navigation panel allows you to move between the two available lists:
• To see the scheduled patient list, click Schedule.
• To see the patient list for review, click Review.

Control Panel
The task control panel allows you to select a function to perform within each task.

Patient List
Each line in the patient list represents a patient examination. When selected, an examination is
highlighted.

The patient list includes all patients available for type of examination: Schedule or Review.

The Schedule and Review lists have independent patient lists.

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Status Indicator
The status indicator displays status information about a patient examination. For more information, see
Managing Patients and Examinations (page 91)

Column Headings
Clicking on a column heading sorts the patient list on that field. Click on the field again to reverse the
sort order. The order in which columns are sorted is indicated by an arrow in the sorted column header.

Notification Area
The notification area displays warning and messages.

Global Tools
In the Review task, additional tools are available. These tools are available whenever images are
displayed, except when live images are displayed.

Tool Description
Use this tool to export data to another location. For example, exporting data to a
Export PACS. For more information, see Exporting Images to a Network Loca-
tion (page 155).

Use this tool to save data to USB, DVD or CD. For more information, see Saving Im-
Save
ages to Local Media (page 157).

Use this tool to print data on a DICOM network printer. For more information, see
Print
Printing Images (Option) (page 159).

The job viewer contains a list of queued transfer jobs. Use this tool to open the job
viewer, where you can see the status of export, save, or print jobs.
Job Viewer
The icon displayed in the global tools changes to indicate the status of transfer jobs.
For more information, see Viewing Transfer Jobs in the Job Viewer (page 160).

Top Bar Menu

The top bar menu provides access to additional functions like the job viewer, wireless network
information, password management, system setup, remote assistance, and help information.

3.1.2 C-arm Stand

This section describes the user interface elements of the C-arm stand.

C-arm Stand Controls

You can switch the C-arm stand on and off using buttons on the C-arm stand console.

You can also adjust the height of the C-arm using the height movement buttons on the C-arm stand. For
more information, see System On/Off (page 78) and Height Movement (page 77).

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Installation System Setup

For an overview of all the buttons available on the C-arm stand, see C-arm Stand Console (page 287)
and C-arm Stand Height Movement (page 289).

C-arm Stand Touch Screen

The C-arm stand is controlled using a touch screen.

The C-arm stand touch screen allows you to tap buttons, and select and drag items by touching the
screen directly. For more information, see Operation (page 67).

For an overview of all the functions available on the C-arm stand touch screen, see C-arm Stand Touch
Screen (page 288).

CAUTION
Using excessive force and/or sharp objects to operate a touch screen is likely to result in damage to
the screen.

Functions on the C-arm stand touch screen activate when your finger is released from the touch screen.
The amount of force used to tap controls on the C-arm stand touch screen is irrelevant.

3.2 System Setup

You can change some system parameters using the System Setup dialog box.

The System Setup dialog box allows you to change several system parameters.

These functions are described in the following pages. All changes made using the System Setup dialog
box take effect immediately.

The System Setup dialog box is opened from the administration screen. You can open the
administration screen by pressing the Administration button.

To open the System Setup dialog box from the administration screen, click System in the top bar menu
and select System Setup.

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Installation System Setup

Figure 12 System Setup dialog box

Legend
1 Physician list 6 Language
2 Current date 7 Instructions for Use language
3 Current time 8 Default procedure/examination type
4 IP addresses 9 Default anatomy/detailed procedure
5 IQ test image 10 External video input type (optional)

Physician List
The physician list allows you to view a list of all physicians listed in the system. You can add or delete
physicians from the list. For more information, see Modifying the Physician List (page 42).

Current Date
The current date is recorded with all acquired images. You can change the current date. For more
information, see Modifying the Date and Time (page 43).

Current Time
The current time is recorded with the current date for all acquired images. The current time is set either
manually or by a time server. For more information, see Modifying the Date and Time (page 43).

IP Addresses
These are the IP addresses assigned to the system.

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NOTE The IP addresses are set during system installation and cannot be modified using the System
Setup dialog box.

IQ Test Image
This allows you to choose the IQ test image to display. For more information, see Displaying the IQ Test
Image (page 43).

Language
This is the language used for the system user interface. For more information, see Changing the User
Interface Language (page 45).

Instructions for Use Language

This is the language used when displaying the electronic Instructions for Use. For more information, see
Electronic Instructions for Use (page 90) and Changing the Instructions for Use Language (page 45).

Default Procedure/Examination Type

This is the default procedure, used in conjunction with the default anatomy/detailed procedure. For
more information, see Changing the Default Examination Type (page 45).

Default Anatomy/Detailed Procedure

This is the default anatomy/detailed procedure, used in conjunction with the default procedure/
examination type. For more information, see Changing the Default Examination Type (page 45).

External Video Input

This is the selected type of external video input signal. External video viewing is an optional function.
For more information, see External Video (page 64)

3.2.1 Modifying the Physician List

You can modify the physician list to edit, add, or delete physician names.

You can store up to 100 physician names in the list. A warning message is displayed when this limit is
reached.

When the list is full, you cannot add new physicians, but you can delete physicians from the list to
create space.

1 In the administration screen, click System and select System Setup.

The System Setup dialog box is displayed, including the physician list.

2 To add a new physician, do the following:

a click Edit.

The Physician dialog box is displayed.

b Enter the new physician's name in the Physician field.

c To close the Physician dialog box without adding the new physician, click Cancel.

d To save the new physician in the list, click Add physician.

The new physician's name is added to the list and the Physician dialog box is closed.

3 To edit an existing physician's name, do the following:

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a Select the physician in the physician list.

b click Edit.

The Physician dialog box is displayed.

c Edit the physician's name in the Physician field.

d To close the Physician dialog box without saving your changes, click Cancel.

e To save the change, click Edit.

The selected physician's name is changed in the physician list and the Physician dialog box is
closed.

4 To delete a physician, do the following:

a Select the physician in the physician list.

b click Edit.

The Physician dialog box is displayed.

c To close the Physician dialog box without deleting the selected physician, click Cancel.

d To delete the selected physician, click Delete.

The selected physician is deleted from the list and the Physician dialog box is closed.

3.2.2 Modifying the Date and Time

You can change the date and time in the system if they are incorrect for any reason.

The dates and times stored with existing examinations and images are not affected when you change
the date and time in the system.

1 In the administration screen, click System and select System Setup.

The System Setup dialog box is displayed.

2 Click the calendar icon beside the Date field, and select the desired date.

3 In the Time box, enter the correct time using the 24-hour format (hh:mm).

If the time server is enabled at system installation, the date and time are automatically
synchronized after startup when a connection with the time server is established.

The time and date is synchronized hourly when the system is connected to the time server. Any
manually entered date and time is overwritten when the date and time are automatically
synchronized.

4 To close the System Setup dialog box without changing the date and time, click Cancel.

5 To save your changes, click Apply.

The date and time are changed and the System Setup dialog box is closed.

3.2.3 Displaying the IQ Test Image

You can use the IQ test image to check the monitor settings and to set up the printer.

If you are using external video on the reference monitor, the IQ test image is not displayed on this
monitor.

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1 In the administration screen, click System and select System Setup.

The System Setup dialog box is displayed.

2 In the System Setup dialog box, select the desired IQ Test Image to use.

3 Select the desired Position for the IQ test image on the screens.

Three positions are available.

Figure 13 IQ test image positions

Legend
1 Full Screen (1280 x 1024 pixels)
2 Clinical (1024 x 1024 pixels)
3 Centered (1024 x 1024 pixels)

4 To display the IQ test image, click Share.

The selected IQ test image is displayed on both the examination and reference monitors.

5 To display other available IQ test images, press Previous or Next on the mobile view station.

The previous or next image in the IQ Test Image list is displayed.

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6 To stop displaying the IQ test image, press Undo on the mobile view station.

7 To close the System Setup dialog box, do one of the following:

• To close the dialog box without saving any changes made to other settings, click Cancel.
• To close the dialog box and save changes made to other settings, click Apply.

If an image was parked on the reference monitor, the parked image is displayed again when the IQ
test image is removed.

3.2.4 Changing the User Interface Language

You can change the language used on the system.

1 In the administration screen, click System and select System Setup.

The System Setup dialog box is displayed.

2 In the Language list in the System Setup dialog box, select the desired language.

The Language list displays all available languages. The language that you select is used on the
mobile view station and C-arm stand for the rest of the session.

NOTE When the system is restarted, the user interface is displayed in the default language,
which is configured during installation. To change the default language, contact Service
or your hospital administrator.

After changing the language, the following items are not translated:
• Information received from the HIS/RIS.
• Text entered by the operator.

3.2.5 Changing the Instructions for Use Language

You can change the language used to display the Instructions for Use on the system.

1 In the administration screen, click System and select System Setup.

The System Setup dialog box is displayed.

2 Select the desired IFU Language.

3 To close the System Setup dialog box without changing the Instructions for Use language, click
Cancel.

4 To change the Instructions for Use language, click Apply.

The electronic Instructions for Use will be displayed in the selected language when opened.

The new language setting is not saved.

NOTE When the system is restarted, the user interface is displayed in the default language,
which is configured by the Service engineer during installation. To change the default
language, contact Service.

3.2.6 Changing the Default Examination Type

You can change the default examination type by selecting the default procedure and default anatomy/
detailed procedure.

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1 In the administration screen, click System and select System Setup.

The System Setup dialog box is displayed.

2 Select the desired procedure in the Default exam type list.

The list displays all available procedures. The selected procedure becomes the default setting for
new examinations, and it remains the default setting after the system is restarted.

3 Select the desired anatomy/detailed procedure in the default anatomy list.

The list displays all available anatomies/detailed procedures. The selected anatomy/detailed
procedure becomes the default setting for new examinations, and it remains the default setting
after the system is restarted.

3.3 Customizing
Some system parameters can be changed during installation to optimize performance during special
applications or to meet personal preferences. To change these parameters ask the local Service
Organization.

General system parameters Settings

Hospital name Maximum 30 characters
Language Allows you to select the language of the user interface
IFU Language Allows you to select the language of the electronic Instructions for Use
Date format yyyy-Mmm-dd, dd-Mmm-yyyy, or Mmm-dd-yyyy
Units of measurement 0.1 mm or 0.01 inch
Units of weight kg or lb
Displayed identification Patient ID (default) or Accession number
Accession number Read-only (default) or Editable
Contrast step 1 120%, range 50% - 150%
Contrast step 2 135%, range 50% - 150%
Contrast step 3 150%, range 50% - 150%
Brightness step 1 106%, range 50% - 150%
Brightness step 2 113%, range 50% - 150%
Brightness step 3 120%, range 50% - 150%
Image rotation angle 0, 90, 180, 270 degrees only
Default Shutters positioning angle 0, 90 degrees
Couple Shutters button Hidden, Visible
Auto Shutter Positioning Enable, Disable
CO2 (trace white) selection Disable, Enable
Auto Electronic Blanking On, Off
Audible signal normal dose Off, Low level beep, One beep at start
Audible signal Single Shot At begin, At end
Dose warning threshold 1000 mGy, range 1 - 9999 mGy
Auto high level reset No, Yes
Dose selection RC Mode Key Disable, Enable
Collimator lines visible No, Yes
Close examination Hidden, Visible
Export to Media Disable, Enable

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Examination types Settings

Anatomy / detailed procedure name Anatomy and detailed procedure names can be changed, but parameters
stay the same.

Procedure/anatomy parameters Settings

Automatic contrast brightness On, Off
View trace on the C-arm stand Visible, Hidden
Start kV 40 to 120 kV

Examination parameters Settings

Image measuring field Auto, 1, 2, 3,4, 5, 6, 7
Middle foot switch Off, Toggle
Acquisition mode on UI Visible, Hidden
Default pulse rates 30, 15, 8, 4, 2, 1 (max. 3 pulse rates)
Default Dose Low, Normal, Medium, High

Storage 1 All, off

Store LIH True, False

Trace Black/White Black, White
Subtraction gain 0 to 8
Landmarking gain 0 to 3
Contrast -49 to +49
Brightness -49 to +49
Harmonization 0 to 1 (step size 0.01)
Edge enhancement Off, 1 to 15

1
The default setting can be configured for the left button on the hand switch (the foot switch pedal uses
the same settings).

Printer settings (option) Settings

Brightness selection (gamma curve) for pa- Variable, see printer manual
per/transparency
Auto cut paper/transparency On or off

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System Overview About the Zenition 50 System

4 System Overview
This section provides an overview of the system, its main components, configurations, and optional
accessories.

4.1 About the Zenition 50 System

The system comprises two main components: the C-arm stand and mobile view station.

Figure 14 System components

Legend
1 Mobile view station 6 C-arm stand
2 Examination monitor 7 C-arm
3 Reference monitor 8 Collimator
4 Image intensifier (detector) 9 X-ray tank
5 C-arm stand touch screen

4.2 Configuration
This section covers configuration of the C-arm stand and mobile view station.

4.2.1 The C-arm Stand

X-ray Tank
The X-ray tank houses the X-ray tube, which has a rotating anode for increased X-ray penetration and
longer X-ray times. A built-in, additional, beam filter (0.1 mm Cu and 1 mm Al) reduces patient skin dose.
Active oil cooling is used in the X-ray tank, for longer X-ray times.

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For Germany only:

The X-ray tank houses the X-ray tube, which has a rotating anode for increased X-ray penetration and
longer X-ray times. A built-in, additional, beam filter (0.1 mm Cu and 2 mm Al) reduces patient skin dose.
Active oil cooling is used in the X-ray tank, for longer X-ray times.

Collimator
The collimator limits the X-ray beam to the actual field of view of the image intensifier. Lead shutters
can be independently moved and rotated to avoid direct radiation on the image intensifier and reduce
scattered radiation.

Image Intensifier
Your system is fitted with one of two, triple-mode image, intensifiers:
• 23/17/14 cm (9/7/5 inch)
• 31/23/17 cm (12/9/7 inch)

The image intensifier has a compact CCD TV camera and a detachable X-ray grid. The grid removes part
of the scattered radiation, improving the contrast in the image. Removing the grid may negatively affect
the image quality. In some cases, such as small or thin objects where there is less scatter radiation, the
influence of the grid is limited. Removing the grid in this situation reduces the radiation dose for the
patient and may provide a small degree of contrast improvement.

NOTE The grid is attached with screws which can be tightened by hand. To prevent the grid from
being detached, you can replace these screws with the standard screws that are supplied
with the system.

The presence or absence of the grid is clearly visible to the operator.

WARNING
Do not use the system if there is no specific reason that the X-ray grid is not mounted (for example, if
an operator removed the grid during a previous procedure, but forgot to replace it after the
procedure).

Figure 15 X-ray grid

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WARNING
Do not use the system if there is no specific reason that the X-ray grid is not mounted (for example, if
an operator removed the grid during a previous procedure, but forgot to replace it after the
procedure).

Hand Switch
The hand switch, which can be stored on either side of the C-arm stand, is used to activate a range of
X-ray and acquisition modes, such as fluoroscopy, roadmap, subtract, trace, run, and single shot.

Figure 16 Hand switch

You can also use the system with foot switches. For more information, see Wireless Foot
Switch (page 66) and Wired Foot Switch (page 65).

Movements and Brakes

The C-arm is fully counterbalanced and the brakes are manually controlled. The height movement is
motor-driven.

The steering handles are coupled and control the rear wheels. The front wheels swivel freely. All wheels
are provided with cable deflectors. The C-arm stand is equipped with a brake. See
Transportation (page 67) for more information about steering and braking with the C-arm stand.

The C-arm movement brakes are color-coded for identification. See C-arm Brakes and
Movements (page 73) for details.

An overview of C-arm movements is provided in the following figures.

Figure 17 C-arm rotation (left) and angulation (right)

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Figure 18 C-arm height (left) and longitudinal (right) movement

Figure 19 C-arm swivel

The C-arm Stand Console

The C-arm stand console contains the C-arm stand off, C-arm stand on / System on, and Emergency
off buttons.

The motorized height movement is controlled using buttons on either side of the C-arm console. For
more information, see C-arm Stand Height Movement (page 289).

For an overview of the C-arm stand console buttons see, C-arm Stand Console (page 287).

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The C-arm Stand Touch Screen

Figure 20 C-arm stand touch screen

The C-arm stand touch screen controls all functions related to performing fluoroscopy and exposure.

For more information on the functions available on the C-arm stand touch screen see
Operation (page 67). For an overview of the C-arm stand touch screen controls see C-arm Stand
Touch Screen (page 288).

Figure 21 C-arm stand touch screen layout

Legend
1 Function area 4 Header area
2 Image area 5 Image review toolbar
3 Image toolbar area 6 Status area

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Function Area
System settings, displayed in the Function area can be changed using the expanders or by tapping
buttons to toggle functions on or off.

This area contains buttons and drop-down lists to control settings for:
• Examination type
• Fluoroscopy
– Mode
– Pulse rate
– Storage
– Reducing blur and noise
• Exposure
– Mode
– Pulse rate
– Storage
• Zoom
• ClearGuide
• Tube laser (if installed)
• kV manual/auto

Image Area
The image area displays a monochrome copy of the live image displayed on the examination monitor,
scaled to fit in the available space on the C-arm stand touch screen including appropriate text,
indicators, positioning and rotation controls, and shutter and collimator positions.

Image Toolbar Area

The image toolbar area displays image manipulation tool buttons appropriate to the task being carried
out.

Header Area
The header area provides access to system tasks, system help and tooltips.

Status Area
This part of the display shows information about:

• The acquisition patient

• Warnings and system messages
• The radiation status
• Heat indication
• kV value
• Average mA value
– Value for both the left and right button/pedal on the hand switch and foot switch is displayed.
• Dose display:
– Total Cumulative Dose is displayed before and after X-ray and during Single Shot. Units: mGy.
– The current average dose rate is displayed during X-ray on. Units: mGy/min.
– The values represent the dose at 30 cm from the image intensifier entrance surface.
• Cumulative time display. The format for the cumulative time depends on the selected display mode:
– If IEC display mode is selected then minutes and seconds are displayed using the minutes/
seconds format/range: 0:00-999:59.
– If HHS display mode is selected then minutes are displayed using the minutes/decimal minutes
format/range: 0.0-999.9.

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System Messages
Warnings and system messages are displayed in the status area on the C-arm stand touch screen.

For more information about Warnings and system messages, see System and Error
Messages (page 193).

The C-arm Stand Connector Panel

The C-arm stand connector panel is located on the front left-hand side of the C-arm stand.

Figure 22 C-arm stand connector panel

Legend
1 Foot switch connector 4 System lock
2 Equipotential earth connection 5 Mobile view station connector
3 Energy storage unit indicator

For more information, see the following sections:

• Connecting the Wired Foot Switch (page 183)
• Equipotential Ground Connection (page 18)
• Connecting the System (page 78)

Energy Storage Unit

The system has an energy storage unit located in the C-arm stand to provide the additional power
required during X-ray pulses. The system requires mains power to operate and cannot operate using
the energy storage unit alone.

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When the C-arm stand is switched off, the charge indicator light on the C-arm stand connector panel
indicates the charge level of the energy storage unit; the light flashes slowly when the charge is low,
and flashes faster as the energy storage unit is charged. When the energy storage unit is fully charged,
the indicator light is continuously lit.

When the system is switched on, the charge indicator light is continuously lit.

System Lock
The system lock prevents operation of the C-arm stand by unauthorized personnel and during
transportation. The lock is controlled by a key. The key can be removed when in the 0 position.

When locked using the key, the system will:

• Stop and disable X-ray
• Stop and disable motorized height movement
• Switch off the laser aiming devices
• Disable the C-arm stand touch screen
• Remove patient information from the status area on the C-arm stand touch screen
• Display a warning on the C-arm stand touch screen.

4.2.2 The Mobile View Station

Monitors
Depending on the configuration of your system, the mobile view station is equipped with either two
standard monitors or two high-brightness monitors.

Examination monitor:
• Live imaging
• Roadmaps
• Outlining (optional)
• Dose display
• Last image hold (LIH) images
• Scheduling examinations
• Reviewing examinations
• Worklist
• Dose report
• System setup screen
• IQ test image
• Touch-screen functionality (optional)

CAUTION
Using excessive force and/or sharp objects to operate a touch screen is likely to result in damage to
the screen.

Reference monitor:
• Reference images
• External video source
• Image Viewer application
• IQ test image
• Field service application

The monitors can be swivelled by 180 degrees for ease of viewing, either for the operator at the mobile
view station console, or for the physician at the tableside, and to allow the mobile view station to be
positioned with the rear (open side) pointing away from the patient. You can also adjust the height of
the monitors. For more information, see Monitors (page 87).

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Password Protection
Patient data on the mobile view station can be protected from unauthorized access with a password.
Patient data cannot be viewed or accessed until the user name and correct password is entered.

NOTE It is always possible to create an emergency examination and make acquisitions for a new
patient without entering the user name and password.

User names and passwords are set by the hospital administrator during installation with support from
Service. After installation, Service or a hospital administrator, can change the user name and password
or disable password protection altogether (it can be enabled again at a later date). For more
information about system security, see Security and Privacy Provisions (page 281).

Using the Mobile View Station as a Stand-alone Unit

The mobile view station can be used as a stand-alone unit, i.e. without the C-arm stand connected, for
viewing, archiving and post-processing purposes.

You can also prepare for the next intervention by selecting the examination type for the acquisition
patient while the mobile view station is disconnected from the C-arm stand.

Steering
The mobile view station brake has release/apply positions and a wheel swivel locked position for easy
transportation. All wheels are provided with cable deflectors.

Controls, Displays and Indicators

The mobile view station controls all functions for managing patients, examinations and images. The
console consists of a keyboard and button controls.

The functions of the controls are described in Operation (page 67). For an overview of the console,
see Mobile View Station Console (page 286).

X-ray On Indicator Light

The X-ray on indicator light is on when the system is emitting X-rays. It is located above the monitors at
the top of the monitor support column.

Infrared Receiver Indicator

The infrared receiver is located just above the monitors. A green indicator light flashes when a
command is received from the remote control.

Storage Compartment
The mobile view station includes an open storage compartment on the rear side. The maximum
permitted load for the storage compartment is 5 kg.

4.2.3 Mobile View Station Connector Panel

The mobile view station connector panel is located on the rear of the mobile view station.

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Figure 23 Mobile view station connector panel

Available Connectors
The mobile view station connector panel provides the following connectors:

Figure 24 Mobile view station connector panel - available connectors

Legend
1 Hospital network port 5 Video input connectors (optional)
2 Service connection port 6 DVI out (examination monitor)
3 Mains connection indicator 7 DVI out (reference monitor)
4 USB connectors 8 Warning light connector

The warning light connector allows the system to be connected to indicators inside or outside the
examination room. These external indicators are not part of the Zenition 50 system.

WARNING
Do not touch the pins of the mobile view station C-arm cable or the central pin of the video/USB
connectors when touching the patient.

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WARNING
All connections made to external equipment that has a connection to the mains network shall be
made in compliance with IEC60601-1 edition 3.1.

CAUTION
Do not connect the system to network outputs that provide Power over Ethernet (PoE).

Connecting External Equipment

You can connect additional monitors (not supplied) to the mobile view station using the DVI outputs on
the connector panel. Additional monitors should be connected according to IEC 60601-1 table I.1.

When placing additional monitors inside the operating theater:

• It is preferable to use monitors of the same type as those that are used in the system, and that
comply to IEC 60601-1. When such monitors are used in the same room as the system, a normal DVI
cable can be used.
• If another type of monitor is used, which does not comply with IEC 60601-1 but does comply with
IEC 60950, then a galvanic separation device is mandatory.
• When the additionally placed monitors are used for diagnostic purposes, their performance should
be validated for that use.

When placing additional monitors outside the operating theater, a galvanic separation device is
mandatory.

When connecting equipment to the USB or Video in connection, a galvanic separation device is
mandatory if the external equipment is connected to the supply mains network.

The DVI interface can be connected to the DVI interface of devices that comply with IEC 60601-1.

4.2.4 Remote Control

The remote control is a device using infrared light. It allows some image handling functions to be
controlled from the operating position.

The IR transmitter is located on the front end of the remote control and, if obstructed, no signals are
transmitted. The IR receiver is located on top of the mobile view station, between the examination
monitor and the reference monitor. A light on the receiver indicates that the selected command has
been received. For a description of the buttons, see Remote Control (page 191).

The operation of the remote control is not affected, when placed in a transparent sterile cover. It is
battery-powered and the batteries must be replaced regularly. For more information, see Replacing
and Charging Batteries (page 202).

Figure 25 Remote control

WARNING
Infrared signals from the remote control may interfere with other infrared-controlled equipment in
the same room, causing uncontrolled behavior. Before using the remote control in a procedure, check
that no interference can be caused to other equipment.

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WARNING
Identical remote controls are interchangeable. Therefore, do not use the remote control when more
than one system is in use in the same room. If several systems are in the same room, remote control
commands for one system may initiate actions on another system, causing uncontrolled behavior.

CAUTION
Always remove the batteries if the remote control will not be used for some time.

4.2.5 Laser Aiming Devices

Your system can have up to two laser aiming devices:
• Image intensifier laser aiming device (option)
• Tube laser aiming device (option)

Using laser light, the laser aiming device projects a cross on the patient. The center of the projected
cross corresponds with the center of the X-ray beam. It is used to:
• Position the C-arm, minimizing the amount of radiation for the patient and staff.
• Quickly and precisely align objects with the center of the X-ray beam.
• Mark the center of the X-ray beam on the skin of the patient, for incisions and foreign body
removal.

The minimum working distance is about 20 cm from the image intensifier. For more information about
the tube laser aiming device and the image intensifier laser aiming device, see Tube Laser Aiming
Device (page 60) and Image Intensifier Laser Aiming Device (page 65).

4.2.6 Spacers
The minimum source-skin distance is 20 cm. The spacer safeguards a minimum source-skin distance.

In some countries a 30 cm spacer is required. For those countries where it is applicable, the appropriate
spacer is delivered with the system.

WARNING
There must always be a spacer installed to safeguard the minimum statutory source-skin distance.

The 30 cm spacer must be re-installed when the surgical application has been completed.

Figure 26 Spacers for minimum source-skin distance

Legend
1 30 cm spacer

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Legend
2 20 cm spacer

4.3 Options
This section provides information about optional aspects of the system. Not every function described
here may be installed on your system.

WARNING
Only the options and equipment delivered by Philips Medical Systems may be used in conjunction
with the Philips. The use of accessory equipment not complying with the equivalent safety
requirements of this equipment may lead to a reduced level of safety in the resulting system.
Consideration relating to the choice shall include the following:
• Use of the accessory in the patient vicinity.
• Evidence that the safety certification of the accessory has been performed in accordance with
the IEC 60601-1.

4.3.1 DICOM/IHE Interface

There is an interface between the mobile view station and the hospital/departmental network. It
complies with the DICOM 3.0 standard.

The DICOM interface allows images of a completed examination to be exported to a network storage
device or sent to a network printer for output. Available formats are:
• DICOM SC (Secondary capture, with and without text)
• DICOM XA (X-ray Angiographic, Unprocessed, processed without Mask and Processed with Mask)

Images can be selected for export or print while the system is not connected to the network. These
images will be held in a queue and sent when the system is reconnected to the network.

NOTE The examination dose report can also be exported or printed (see Exporting, Saving, and
Printing (page 153)). For more details, refer to the DICOM conformance statement.

The DICOM package also provides the following functionality for the DICOM interface:
• Worklist management (WLM): allows the mobile view station to receive scheduled patient data from
a WLM server on the hospital/departmental network.
• Modality Performed Procedure Step (MPPS): provides examination progress, dose report and status
information that can be used for reporting purposes.
• Storage commit: provides confirmation that images have been safely archived after exporting to a
network storage device.
• IHE profiles: compliant with IHE-SWF (Scheduled Workflow profile).

4.3.2 Tube Laser Aiming Device

The laser aiming device is built into the X-ray tank. It projects a cross hair on to the detector entrance
screen. It is switched on and off with the Tube Laser toggle button on the C-arm stand touch screen.

For more information, see Laser Aiming Devices (page 164).

4.3.3 Extended Rotation

The C-arm can be equipped with extended rotation providing extended projection flexibility.

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Figure 27 Extended rotation of the C-arm and the extended rotation fitting (1)

4.3.4 Touch Screen Functionality on the Examination Monitor

Touch screen functionality is available as an option for the examination monitor.

This option allows the operator to move the mouse cursor, click buttons and control functions on the
examination monitor by touching the screen directly. The touch screen option is not available for the
reference monitor.

4.3.5 High-brightness LCD Monitors

Two high-brightness LCD monitors are available as an option, replacing the two standard LCD monitors.

High-brightness LCD monitors feature a 60 Hz non-interlaced display, ensuring flicker-free, bright

images with excellent contrast and detail visibility.

Adjustment of contrast and brightness is configurable by a service engineer only.

4.3.6 Paper/Transparency Printer

There are two possibilities for printing video images:
• Sony UP-971AD for printing on paper
• Sony UP-991AD for printing on paper or transparency film.

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Figure 28 Printer

4.3.7 Vascular Extension

If the vascular extension is installed, the vascular extension label is present on the C-arm stand console.

Figure 29 Vascular extension label on the C-arm stand console

The vascular extension offers the optimal support for vascular cases, by providing an extensive range of
vascular imaging tools:
• Subtraction mode displays digitally subtracted images, for clear visualization of contrast media.
• Live Trace-mode (peak opacification) shows the maximum opacification of the vessels.
• View Trace (peak opacification) shows the maximum opacification of the vessels in a trace image in
post processing.
• Roadmap functionality supports catheter guidance.
• Remask to reselect the best image in a run as a mask image for contrast runs.
• Smart Mask reduces the X-ray dose and contrast medium usage by reusing previously acquired
mask images for roadmapping.
• Landmarking provides a non-subtracted background image for anatomical reference. The visibility
of the background can be adjusted to meet user preferences.
• Pixel shift compensates for movement artifacts.
• Subtraction on/off simplifies the orientation for subtracted images during roadmap procedures
(controlled by remote control or the user interface on the mobile view station).
• CO2 subtraction mode.
• CO2 trace mode (live trace white).
• CO2 roadmap with Smart Mask (reuse of previously acquired image).

4.3.8 Pain Extension

The pain examination consists of fluoroscopy, single shot, and digital subtract functionality to enable
clear visualization of contrast injections.

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The subtract functionality also makes it possible to image the exact vasculature in delicate regions of
the spine to potentially reduce accidental injection in the vessels.

4.3.9 Cardiac Extension

If the cardiac extension is installed, the cardiac extension label is present on the C-arm stand console.

Figure 30 Cardiac extension label on the C-arm stand console

This extension provides the optimal support to perform cardiac procedures. This extension includes
dedicated parameters for electrophysiology procedures, advanced pacemaker placements, and cardiac
procedures such as heart valve replacements. The optimized high pulse rate of maximal 30 frames per
second with a maximum of 60 mA enables sharp imaging of fast moving anatomy in the field of interest.

Subtract mode helps to perform renal artery subtract run post coronary angiogram.

4.3.10 Cardiovascular Extension

If the cardiovascular extension is installed, the cardiac and vascular extension labels is present on the
C-arm stand console.

Figure 31 Cardiac and Vascular extension labels on the C-arm stand console

The cardiovascular extension offers all the features needed to optimally support cardiovascular cases. It
provides an extensive range of vascular imaging tools, high pulse speeds and dedicated cardiac
programs.

Vascular processing includes the following:

• Subtraction mode displays digitally subtracted images, for clear visualization of contrast media.
• Trace-mode shows the maximum opacification of the vessels (peak opacification).
• Roadmap functionality supports catheter guidance.
• Remask to reselect the best image in a run as a mask image for contrast runs.
• Smart Mask reduces the X-ray dose and contrast medium usage by reusing previously acquired
mask images for roadmapping.
• Landmarking provides a non-subtracted background image for anatomical reference. The visibility
of the background can be set stepwise.
• Pixel shift compensates for movement artefacts.
• Subtraction on/off simplifies the orientation for subtracted images during roadmap procedures
(controlled by remote control or user interface on the mobile view station).

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• View Trace creates a trace image in post processing.

• CO2 subtraction mode.
• CO2 trace mode (live trace white).
• CO2 roadmap with Smart Mask (reuse of previously acquired image).

This extension also includes dedicated parameters for electrophysiology procedures, advanced
pacemaker placements, and cardiac procedures such as heart valve replacements. The optimized high
pulse rate of maximal 30 frames per second with a maximum of 60 mA enables sharp imaging of fast
moving anatomy in the field of interest.

4.3.11 Wireless LAN

The Wireless LAN option provides the ability to maintain a network connection with your facility’s
RIS/HIS without requiring a physical connection (network cable).

This increases the flexibility and mobility of the system when transferring patient data between the
system and networked archives such as a PACS.

4.3.12 Image Viewer

You can import previously acquired images and pre-operative images to the system from a PACS, USB
flash memory drive, or DVD, using the optional Image Viewer.

To open or close Image Viewer, press the Image Viewer button on the mobile view station console.

For a complete reference for effective and safe use of the Image Viewer product, refer to the Image
Viewer Instructions for Use.

For more information on importing images, see Importing External Data (page 95).

4.3.13 External Video

You can view external video on the reference monitor using the optional external video viewing
function.

If your system has the optional external video viewing function, additional connectors are available on
the mobile view station connector panel, and an additional selection are available in the system setup
dialog box.

For more information, see the following sections:

• System Setup (page 40)
• Mobile View Station Connector Panel (page 56)
• Viewing External Video (page 171)

4.3.14 iApp software interface

This is an optional feature that enables the system to work with third party software medical devices/
iApps. For more details, refer third party software medical device / iApp Instructions For Use.

4.3.15 Collaboration Live

Collaboration Live feature can be used to communicate with Philips Zenition system user for support.

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With Collaboration Live, you can perform following:

• Get real-time remote technical support from Philips.

• Share your screen with technical support from Philips.
• Activate remote takeover of the screen.

For more information, see Collaboration Live Overwiew (page 172)

4.4 Accessories
WARNING
Only the options and equipment delivered by Philips Medical Systems may be used in conjunction
with the Philips. The use of accessory equipment not complying with the equivalent safety
requirements of this equipment may lead to a reduced level of safety in the resulting system.
Consideration relating to the choice shall include the following:
• Use of the accessory in the patient vicinity.
• Evidence that the safety certification of the accessory has been performed in accordance with
the IEC 60601-1.

4.4.1 Image Intensifier Laser Aiming Device

The image intensifier laser aiming device option is a circular fitting attached to the image intensifier.

It projects a cross hair onto the patient to assist in positioning the C-arm. It is switched on and off using
the power button on the laser aiming device.

Figure 32 Image intensifier laser aiming device

4.4.2 Wired Foot Switch

The wired foot switch is used to activate a range of X-ray and acquisition modes, such as fluoroscopy,
roadmap, subtract, trace, run, and single shot.

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Figure 33 Wired foot switch

A wireless foot switch option is also available. For more information, see Wireless Foot
Switch (page 66).

4.4.3 Wireless Foot Switch

A wireless foot switch option is available and can be installed by Service.

The wireless foot switch provides the same functions as the wired foot switch.

4.4.4 Spring Bow

A spring bow option is available and can be used to hold the sterile cover of the C-arm in position,
while allowing free movement of the C-arm.

Some sterile covers do not require you to use the spring bow. You should check which sterile covers are
in use in your hospital and whether you need to use the spring bow.

For more information, see Spring Bow (page 187) and Fitting the Spring Bow (page 188).

4.4.5 Remote Control

The remote control option is available. It is a handheld device that you can use to control viewing and
processing functions from anywhere in the examination room.

A laser pointer is located on the front of the remote control. You activate the laser pointer using the
laser pointer button on the remote control. The quality of the laser pointer is affected when using a
sterile cover.

NOTE Do not point the laser into people’s eyes, as there is a risk of injury.

For more information, see Remote Control (page 191)

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5 Operation
This section describes the procedures required to operate the system.

5.1 Safety
It is mandatory for the operator to be familiar with the safety procedures as described in
Safety (page 16).

WARNING
Do not use the system for any application until you have read and understood and know all the
safety information, safety procedures and emergency procedures contained in these Instructions for
Use. Operation of the system without proper awareness of how to use it safely could lead to fatal or
other serious personal injury. It could also lead to clinical misdiagnosis/mistreatment.

WARNING
Do not use the system for any application until you are sure that the user routine checks program
has been satisfactorily completed, and that the planned maintenance program is up-to-date.

WARNING
If any part of the equipment or system is known (or suspected) to be defective or wrongly-adjusted,
DO NOT USE the system until a repair has been made. Operation of the equipment or system with
defective or wrongly-adjusted components could expose the operator or the patient to radiation or
other safety hazards. This could lead to fatal or other serious personal injury, or to clinical
misdiagnosis/mistreatment.

For information about the user routine checks program and the planned maintenance program see
Maintenance (page 194).

WARNING
Do not operate the system with patients unless you have a good understanding of its capabilities
and functions. Using this equipment without such an understanding may compromise its
effectiveness and/or reduce the safety of the patient, user and others.

It is important to read this manual before using the system.

5.2 Transportation
WARNING
Limit the direction of transport across ramps (do not cross a ramp sideways).

WARNING
Do not park on ramps with an angle greater than 5 degrees.

WARNING
The effectiveness of the brakes strongly depends on the surface characteristics of the floor or
ramp.

5.2.1 Putting the C-arm in the Transport Position

You should position the C-arm stand in the following positions for transportation:
• Longitudinal travel 0 cm position
• Swivel movement 0 degrees position
• Height movement 6 cm position (8 cm position with extended rotation option)

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• Rotation in 0 degrees position

• Angulation in 0 degrees position

NOTE Lock all the C-arm movements, whilst the system is in transport position.

5.2.2 Moving the C-arm Stand

1 Release the brake.

The C-arm stand has two brake pedals: one on each side.

Figure 34 Releasing the C-arm stand brake

When releasing the brake, place your whole foot on the pedal and gently tilt the pedal towards the
release position.

2 Control movement of the stand using the push bar and steering handles.

With the steering handles in either the left or right position, the C-arm stand can be moved
sideways.

NOTE Steering handles are only intended for positioning the C-arm at the acquisition location.
Steering handles should not be used during transportation except where difficult or tight
corners are encountered.

Both steering handles are coupled and control the rear wheels. They have three pre-defined (‘click’)
positions, straight-ahead, left and right. In addition, all wheeled positions in between the pre-
defined positions can be used to move the stand in the corresponding direction. The front wheels
are free swiveling.

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Figure 35 Moving the C-arm stand

Legend
1 Steering handle
2 Push bar
3 Brake pedal

3 When the stand is in the required location, position it exactly using the steering handles.

4 Apply the brake by pressing the pedal towards the locked position indicated by the symbol.

5.2.3 Moving the Mobile View Station

The mobile view station can be moved using the push bar. A brake can be applied or two wheels can be
locked for transport over long distances.

The mobile view station has dual pedals at each rear wheel.

Using the Dual Pedals

The mobile view station has dual pedals (red and gray) that can be used to lock and brake the rear
wheels.

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Figure 36 Dual pedals for locking and braking the mobile view station.

1 Lock the wheels in parallel for transport by pressing both gray pedals only.

Figure 37 Wheels unlocked, locked for transportation with brakes not applied, and braked.

2 Apply the brake by pressing the red pedals of both wheels down.

3 Release the brake without releasing the wheel lock by pressing the upper part of the red pedal only
on both wheels.

4 Release the wheels after transport by pushing the upper part of the gray pedals.

5.2.4 Putting the Monitors in the Transport Position

WARNING
Ensure that the monitors are placed in the transport position before transporting the mobile view
station.

During transportation of the mobile view station, the monitors should be closed and locked, using the
two locking bolts at the back of the monitors.

1 If applicable, lower the monitors to the lowest position.

2 Fold the monitors together.

3 Stow the cables using the cable brackets at the side of the mobile view station.

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Figure 38 Putting the monitors in the transport position

4 To lock the monitors, pull the locking bolt out, turn it 90 degrees, and then let it slide back into the
locked position.

Figure 39 Monitors: locking bolts for transport

5 To unlock the monitors, pull the locking bolt out, turn it 90 degrees, and then let it slide back into
the unlocked position.

5.3 Positioning
NOTE Do not position the system such that it makes it difficult in a case of emergency to remove
the mains power plug from the socket outlet.

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C-arm
If appropriate, fit sterile covers before using the system with a patient. For details, see
Accessories (page 181).

Mobile View Station

WARNING
Do not position the mobile view station with the rear (open) side next to the patient. The rear of the
mobile view station has a fan which could adversely affect the sterile air flow.

The mobile view station should always be positioned so that the front (closed) side is closest to the
patient (see the figure below).

Figure 40 Mobile view station: Front side (left) and rear side (right)

5.3.1 C-arm Repositioning

During examinations, the surgeon may request that the C-arm is repositioned. The ClearGuide function
supports communication between the surgeon and the operator in such cases.

For more information about ClearGuide and about using ClearGuide, see ClearGuide (page 122).

After seeing an X-ray image, the surgeon may ask the operator to reposition the C-arm. For example,
the surgeon may ask the operator to reposition the C-arm so that the 6 marker on the detector is closer
to the middle of the patient.

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Figure 41 ClearGuide - C-arm in initial position (left) and repositioned (right)

The operator would reposition the C-arm to move the detector to the new position.

5.4 C-arm Brakes and Movements

Figure 42 C-arm overview

Brake Color code

1 Rotation brake handle Orange
2 Angulation brake handle Blue
3 Longitudinal brake handle Pink
4 Swivel (wig-wag) brake handles Black

The brake for each C-arm movement is color-coded for identification at the brake handle and at the
movement axis.

NOTE Although the movements are balanced it is strongly recommended to apply the C-arm
brakes when the C-arm is in position.

The rotation, angulation, longitudinal, and swivel (wig-wag) brakes have symbols to indicate their
movements and status. When the brake is released, the handle points to the ‘unlocked’ symbol. When
the brake is applied, the handle points to the ‘locked’ symbol.

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Brake unlocked

Brake locked

5.4.1 Rotation
To release the rotation brake (orange handle), move the brake handle to the unlocked position. To re-
apply the brake, return the brake handle to the locked position. The degree of rotation is indicated on
the scale.

The range of rotation with the safety stop on is -135 degrees to +135 degrees. To extend the rotation
beyond this range, press the safety stop release (located on the underside of the C-arm).

Figure 43 Rotation brake handle and degrees of rotation markers

Legend
1 Rotation brake handle
2 Degrees of rotation markers
3 Rotation safety stop

5.4.2 Angulation
To release the angulation brake (blue handle), move the handle to the unlocked position. To re-apply
the brake, return the handle to the locked position. The degree of angulation is shown on the scale.

The angulation range is +90 degrees to -25 degrees (-45 degrees for extended rotation).

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Figure 44 Angulation brake handle

NOTE For systems with extended rotation, the extended rotation fitting must be pushed down to
avoid a mismatch at the ‘0’ position.

Figure 45 Extended rotation '0' position

5.4.3 Longitudinal Movement

To release the longitudinal brake (pink handle), move the handle to the unlocked position. To re-apply
the brake, return the handle to the locked position. The longitudinal movement is shown on the scale.
The longitudinal movement range is 20 cm.

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Figure 46 Longitudinal brake handle (1)

5.4.4 Swivel (Wig-Wag) Movement

To release the swivel movement brake (black handles), move the two handles upwards. To re- apply the
brake, return the handles to the locked position. The swivel range is -10 degrees to +10 degrees.

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Figure 47 Swivel (wig-wag) brake handle (1), one handle on each side

5.4.5 Height Movement

The adjustment of the height is controlled by buttons next to the C-arm column on both sides of the C-
arm stand.

Figure 48 Height movement buttons

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1 Switch on the C-arm stand.

2 Make sure the system lock key is in the enabled (1) position.

3 Press the Up button to move the C-arm upwards. The upwards movement will continue until the
button is released or when the up limit is reached.

The C-arm stand has a height movement range of 49 cm.

4 Press the Down button to move the C-arm downwards. The downwards movement will continue
until the button is released or when the transport position is reached.

5 At the transport position, the movement stops and the indicator light beside the buttons is on.

6 To continue the downwards movement into the extended range, press the Down button again. An
audible signal is given at the beginning of this movement and the indicator light remains lit.

NOTE Toggle the lock key to enable the height movement. When using the system, if the
movement gets disabled without flashing the indicator; then you can resume movement
automatically by repressing up/down button.

NOTE If an error "501 or 502 " related to height movement is displayed on the user interface on
system startup, then restart the system to recover from the error.

NOTE If an error "502" related to height movement is displayed on the user interface while
using the system, then press OK on error message dialogue box, toggle the lock key ON-
OFF-ON and then continue to use height movement.

WARNING
If any irregularities occur in either direction of the height movement during use, switch off the
system as described in Emergency procedures section.

CAUTION
If the rotation safety stop is released in the 12-inch image intensifier version and it is being used
in the under table position, it could collide with the stand. Both 9-inch and 12-inch versions could
also collide with the floor. Therefore take extra care when the rotation range is increased.

CAUTION
When the indicator flashes, the central circuit has detected a failure and the height movement is
disabled.

5.5 System On/Off

This section describes connecting the system, using the system lock and earthing.

5.5.1 Connecting the System

WARNING
Optional equipment is only to be used if it is certified for the applicable standards and fully
compatible with the system in use. The use of accessory equipment not complying with the
equivalent safety requirements of the system may lead to a reduced level of safety in the resulting
system. Any patient environment equipment connected to the system must comply with ANSI/AAMI
ES60601-1 and IEC 60601-1 requirements. Equipment outside the patient environment may only be
connected to the system if it complies with the relevant UL/ANSI/AAMI and EN/IEC standards.

WARNING
To avoid risk of electric shock, this equipment must only be connected to supply mains with
protective earth.

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CAUTION
Make sure that the socket outlet is provided with proper ground connection accepting grounding
cord plugs. The resistance in the socket outlet must conform to the mains supply specifications as
described in these Instructions for Use.

When the C-arm stand and the mobile view station are in the desired position, make the following
electrical connections.

1 Connect the mobile view station cable to the C-arm stand and turn the fastener clockwise until it
clicks into place.

Figure 49 C-arm stand connector panel with cable connections

Legend
1 Foot switch connector 2 Equipotential earth connection
3 Energy storage unit indicator 4 System lock
5 Mobile view station connector

2 Connect the mains power cable of the mobile view station to a suitable mains power outlet socket.

3 If applicable, connect the foot switch to the C-arm stand connector panel.

System Lock
When the system lock is set to 0, all X-ray functions are disabled and a message appears on the C-arm
display. The height movement is also blocked.

Before the system is switched on the system lock should be set to 0 to prevent unwanted X-ray
emission. The system lock should only be set to 1 during radiation procedures and for positioning the
height movement.

Equipotential Earth (Ground) Connection

WARNING
An equipotential earth (ground) connection is required for the safety of patient and user (IEC and
VDE regulations).

The system is provided with a yellow-green cable for equipotential earth connection between the C-
arm stand and the patient support table. The connection point is indicated by the equipotential earth
symbol.

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Alternatively, both the C-arm stand and the patient support table may be connected to an earth
(ground) bus bar provided for this purpose by the hospital.

5.5.2 Switching the System On

1 Press the System on button on the C-arm stand or press the System on button on the mobile view
station.

If password protection is not enabled, the system starts.

If password protection is enabled, the log on screen is displayed. The password protection function
protects patient data from unauthorized access.

2 To start an emergency examination without logging on, click Emergency Use.

The system starts, but you cannot perform the following functions:
• Review existing examinations
• Start scheduled examinations
• Export, save, and print data

3 To log on, enter your user name and password, and click Log On.

The system performs a system initialization and a self-test. A startup screen is displayed on the
examination monitor of the mobile view station and on the C-arm stand touch screen.

NOTE In rare cases, if you power ON the system and if the system starts up with an improperly
scaled image on the reference monitor, then system restart will resolve the issue.

CAUTION
To prevent malfunction, do not touch any controls during the startup process (except the height
movement buttons).

The system is ready for use when:

• The examination monitor displays the administration screen
• The C-arm stand touch screen displays status and settings
• No error messages are given

For more information about starting a procedure, see Selecting a Patient for Acquisition (page 99).

Figure 50 Mobile view station administration screen

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Figure 51 C-arm stand touch screen after start-up

NOTE To avoid casual or deliberate viewing of patient data by unauthorized persons, do not
leave the system unattended while it is switched on. If the system is not required, you
should switch it off.

If images are queued for transfer from a previous session, a panel is displayed on the examination
monitor to remind you that images are queued.

If disk space is becoming low, the reminder panel also displays an information message, reminding
you to delete examinations that are no longer needed, to avoid automatic overwriting of older
examinations.

4 Click the OK button to close the reminder panel.

NOTE If the password protection function is enabled, the reminder panel is not displayed if a
valid user name password is not entered.

WARNING
When the system is powered up for use with system lock key in position 1, the system is in X-ray
enabled state. It is recommended to keep the system in X-ray disabled state at all times, except
when a procedure is in progress; to prevent the possibility of RADIATION being emitted through
the accidental actuation of a foot switch/hand switch.

To switch the system to X-ray disabled state and back to X-ray enable state, perform following
steps

a On the C-arm stand touch screen, tap on System menu. A pop-up screen is displayed with
following toggle button options - Disable X-ray, Test Buzzer, Auto Run Cycle and Close.

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Figure 52 System menu pop-up

Legend
1 System menu 4 System status OK message
2 A pop-up with toggle buttons 5 System ready icon status
3 Disable x-ray toggle button inactive

Figure 53 MVS - system ready icon

b Tap Disable X-ray toggle button to disable the x-ray.

c X-ray is disabled. Go to system menu to enable, warning message is displayed. Click OK to

confirm x-ray is disabled.

d Now again Tap System menu on C-arm stand touch screen. Disable X-ray button is active and
checked on the C-arm stand touch screen. In addition, on the MVS, system not ready icon is
displayed.

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Figure 54 Active Disable X-ray toggle button

Legend
1 System menu 4 X-ray disabled message
2 A pop-up with toggle buttons 5 System and irradiation icons are displayed
3 Disable x-ray toggle button active

Figure 55 MVS - system not ready icon

e To enable X-ray state, go to the System menu and tap on active Disable X-ray toggle button.

f Click Close to close the pop-up screen.

NOTE X-ray disabled toggle button is not accessible, if the system lock key is in 0 position.

Tips
Stand alone mode mobile view station The mobile view station can be used in stand alone mode (without the
C-arm stand connected) for viewing and post-processing. The system is
designed so that no patient mix up is possible. One of the prevention
measures is that each time the mobile view station is switched on, a new
Patient file is created. However there are times during an operation when
the C-arm stand needs to be repositioned or temporarily removed, and
then new images should be added to the same patient file. To allow for
this situation the system is designed so that while the mobile view sta-
tion remains switched on, the C-arm stand can be switched off and dis-
connected. It can then be reconnected and switched on. In this situation
the new images are added to the open Patient file.
System lock To perform X-ray and use the height movement the system lock must be
enabled (with the key in the I position).

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Tips
Height movement Height movement can be used a few seconds after pressing one of the
System on buttons if the system lock key is in the I position.

5.5.3 Switching Users

You can switch users without logging the original user off.

You may want to switch users temporarily to perform specific tasks. For example, specific parts of the
clinical procedure, or system tasks that require an administrator's account.

Switching users maintains the audit trail for the procedure by recording the correct responsible user.

1 Open the administration screen by pressing the Administration button.

2 Click System and select Switch Users.

A dialog box is displayed requesting the new user name and password.

3 Enter the User name and Password for the user you are switching to.

4 To close the dialog box without switching users, click Cancel.

5 To switch users, click Switch.

The system switches to the new user and continues.

5.5.4 Changing Your Password

You can change your password once you are logged in.

If your system has password complexity enabled at installation, your password must have:
• A minimum number of characters (consult with your hospital administrator)
• At least one uppercase character
• At least one number character
• At least one symbol character

1 Open the administration screen by pressing the Administration button.

2 Click System and select Change Password.

A dialog box is displayed requesting your existing and new passwords.

3 Enter your Current password.

4 Enter your New password.

5 Re-enter your new password in the Confirm new password box.

6 To close the dialog box without changing your password, click Cancel.

7 To change your password, click Change.

5.5.5 Switching the System Off

1 Switch off the complete system by pressing the System off button on the mobile view station.

On the C-arm stand, the following functions are switched off immediately:

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• Radiation
• Motorized height movement

Remaining functions on the C-arm stand and mobile view station are switched off automatically in a
controlled way to avoid data loss.

The controlled shut down process may take several seconds to complete. When the shut down
process is complete, wait 5 seconds before switching the system on again.

2 Only unplug the system when the display indicates that the shutdown procedure is complete.

CAUTION
After switching off, the system must be connected to the mains supply to ensure recharge of the
energy storage unit.

NOTE Pressing the System off button for more than 3 seconds immediately removes power to
the entire system.

NOTE Pressing the C-arm stand off button on the C-arm stand switches off only the C-arm
stand.

5.5.6 Emergency Power Off

In case of emergency, switch the system off.

1 To switch off only the C-arm stand in an emergency, press the Emergency off button on the C-arm
stand console.

X-ray generation and height movements are no longer available.

2 To switch off the system, press System off on the mobile view station.

3 Remove the mobile view station mains power plug from the socket outlet.

WARNING
When the Emergency off button is pressed, mains power is still applied to some circuits in the
system until the mobile view station mains power plug is removed from the socket outlet.

5.5.7 Mains Failure

If mains power fails during an acquisition, all images from the current acquisition run are lost and the
dose report for the lost acquisition run is not updated.

The network connection is also lost and transfer jobs are aborted. Transfer jobs aborted during the
selection for transfer queuing are lost and need to be selected and queued again.

When main power is restored, you should switch the system on again. The time for the system to restart
for imaging is approximately 3 minutes. The system starts with the default settings selected and a new
patient.

Reference images and subtraction masks should be remade for the current patient.

Transfer jobs aborted while being transferred to the DICOM network, or when queued, are not lost and
are automatically transferred again. You can resume or check aborted transfer jobs in the transfer queue
by opening the job viewer. For more information, see Viewing Transfer Jobs in the Job
Viewer (page 160).

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5.5.8 Battery Management

During periods of extensive use, the battery charge level of the energy storage unit may fall.

If the battery charge level falls below a certain percentage, a warning message is displayed on the C-
arm stand touch screen. Both the C-arm stand and the mobile view station must remain connected, and
the mobile view station must remain connected to the mains power outlet socket. This allows the
energy storage unit to recharge, which is indicated by an orange light on the connector panel on the
side of the C-arm stand.

Figure 56 Energy storage unit charge indication light and system lock

Legend
1 Charge indication light
2 System lock

It is not necessary for the C-arm stand or the mobile view station to be switched on during recharging.

When the C-arm stand is switched off and the energy storage unit is recharging, the charge indication
light on the C-arm stand connector panel indicates the battery charge level; as the battery charge level
increases, the charge indication light flashes more frequently. The energy storage unit is fully charged
when the charge indication light is lit continuously (when the C-arm stand is switched off and
connected to the mains power outlet socket).

When the system is switched on, the charge indicator light is on continuously.

You should charge the battery fully before use.

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CAUTION
If the system has been left connected to the mains power outlet socket for recharging, do not forget
to disconnect it before transporting it to another location.

Battery Undercharge
If the battery charge level falls below 60%, a warning message is displayed on the C-arm stand touch
screen.

If the battery charge level falls below 30%, X-ray may be limited by the system. Fluoroscopy with low
dose is still available.

If the battery charge level falls to 0%, X-ray is disabled. The battery must be recharged to at least 15% in
order to perform X-ray again. Recharging the battery to 15% takes approximately 20 minutes.

WARNING
When the system is switched off and parked, and it is connected to the mains power outlet socket for
recharging, ensure that the system lock is in the disabled position “O” and that the system lock key is
removed to prevent accidental radiation or movement.

5.6 Monitors
The factory settings of the monitors on the mobile view station are set for optimal image quality. The
brightness and contrast settings of the monitors cannot be adjusted directly.

The monitors are hinged and can swing through 180 degrees for ease of viewing, either for the
physician at the tableside or for the operator at the mobile view station console, and to allow the
mobile view station to be positioned with the rear (open side) pointing away from the patient.

WARNING
Ensure that the X-ray on indicator light is visible for all persons present in and entering the operating
room.

NOTE To avoid casual or deliberate viewing of patient data by unauthorized persons, position the
system’s monitors so that they face away from doorways, hallways, and other traffic areas.

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Figure 57 Monitors: height (left) and swing (right) movements

Height Movement
The monitors can be raised and lowered for increased flexibility of positioning.

CAUTION
Raise or lower the monitors with the monitors open and using both hands: hold the monitors next to
the swivel axis, with two hands on top (position 1, either side) or two hands below (position 2, either
side).

Figure 58 Hand positions for raising and lowering the monitors

Legend
1 Hand positions to lower the monitors
2 Hand positions to raise the monitors

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Touch Screen Functionality

For more information about touch screen functionality on the examination monitor and the C-arm
stand touch screen, see User Interface (page 36).

5.7 Information and Help

This section covers information and help for the C-arm stand and mobile view station.

5.7.1 Information and Help on the C-arm Stand

This section covers warnings, messages and tooltips for the C-arm stand.

Warnings and Messages

If an error code or a warning is displayed in the status area on the C-arm stand touch screen, tap the
text displayed in the status area to see the full warning or error message.

For more information, see System and Error Messages (page 193).

Tooltips
The C-arm stand touch screen features a tooltip help mode.

1 Tap ? in the header area.

The screen is dimmed and question mark icons appear at each button on the displayed screen.

Figure 59 Tooltips

2 Tap a button on the C-arm stand touch screen.

A text box appears, explaining the function of the button.

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Tapping another button closes the existing text box and a new text box is displayed relating to the
button most recently tapped.

3 Tap Close Tooltips in the header area.

Tooltip mode is switched off. All tooltips and tooltip icons are removed from the screen.

NOTE If the C-arm stand touch screen is not touched for 60 seconds when tooltip mode is
active, tooltip mode switches off and all tooltips and tooltip icons are removed from the
screen.

Help Information
You can find additional help information using the C-arm stand touch screen.

1 To display the help information, tap Help in the header area of the C-arm stand touch screen.

A dialog box is displayed, allowing you to select a subject and view additional help.

2 Select a subject by tapping the subject title.

3 To scroll through the displayed page, swipe up or down on the screen.

4 To close the dialog box, click Close in the top right corner of the dialog box.

5.7.2 Information and Help on the Mobile View Station

You can access the electronic Instructions for Use from the mobile view station.

For more information, see Electronic Instructions for Use (page 90).

If your system has the Image Viewer option installed, you should refer to the Image Viewer Instructions
for Use for more information about using the option.

Electronic Instructions for Use

These Instructions for Use are available to view on the screen while you are using the system.

• To open the electronic Instructions for Use, do one of the following:

– Press the Help button on the mobile view station.

– Click Help in the top bar menu and select Instructions for Use
• To browse topic headings, use the table of contents in the left pane of the viewing window.
• To expand and collapse topic headings, click the arrow next to the heading. If a heading does not
have an arrow next to it, it cannot be expanded further.
• To go directly to a topic, click the corresponding heading in the table of contents. The topic is
displayed in the right pane of the viewing window.
• To move sequentially between topics, click Back or Forward.
• To close the electronic Instructions for Use, click Close.

The electronic Instructions for Use are available in several languages. To change the language, see
Changing the Instructions for Use Language (page 45).

Searching the Electronic Instructions for Use

You can search the electronic Instructions for Use using keywords to help you find what you are looking
for more quickly.

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1 Click inside the search box and enter the keywords that you want to search for.

2 Click Search or press Enter to display the search results in the search window.

3 To view a topic, click it in the search results.

5.8 Managing Patients and Examinations

Patients and examinations are managed in the Administration screen on the mobile view station.

The Administration screen is displayed after the system starts up. It can be displayed at any time during
an examination or processing by pressing the Administration button.

The patients, and the associated examination, are stored in two patients lists:
• The Schedule list contains patients who are scheduled for an examination. Scheduled examinations
are entered on the system directly, or retrieved from the RIS/HIS.
• The Review list contains all acquired examinations stored on the system. Examinations on the
Review list can be opened for viewing or postprocessing. They can also be printed or exported to
targets such as PACS, or stored on different media, depending on installed options.

Figure 60 Administration screen on the examination monitor

Legend
1 Task navigation panel 6 Column headings
2 Task control panel 7 Notification area
3 Status indicator 8 Global tools (Review task only)

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Legend
4 Patient list 9 Top bar menu
5 Selected patient

NOTE If the password protection function is enabled, but no valid password is entered, access to
the Schedule and Review lists is enabled, but the lists are empty. This is to allow emergency
examinations to be acquired and reviewed.

You can store a maximum of 249 examinations on the system. Once this limit is reached, the system
deletes the oldest examinations to make space for new examinations. To ensure that data is not
deleted inadvertently, consider deleting examinations which you no longer need to store on the system.
For more information, see the following sections:
• Deleting an Examination (page 98)
• Backing Up Patient Data (page 283)
• Archiving Patient Data (page 283)

Tip
Examination monitor touch screen The touch screen can be used to perform the actions described in the following sec-
tions. The operator can touch the screen directly to click buttons, and select and
drag items.

WARNING
The system is not intended for long-term storage of patient data, and should only be used to store
patient data that you are currently investigating. To ensure data security, patient data should only
be stored on a secure storage device, i.e. a PACS.

NOTE The data of an examination imported from a worklist management server (option) may be
truncated for display on the mobile view station. The remaining characters are retained, and
the full data will still be available if the examination is archived to a PACS, for example.

Examination Status
The status indicator displays status information about an examination of a patient. The following list
shows possible status indications.

If none of the following indications apply to an examination, no status indicator is displayed.

An examination may be valid for more than one status. In this case, the status indicator found highest in
the following list is displayed.

Icon Description

Current acquisition examination.

Current review examination.

If the review examination is also the acquisition examination, acquisition status is shown instead.

MPPS is performed and images of this examination have been queued for DICOM transfer.
This does not necessarily mean that the images have been transferred

MPPS is performed and no images are queued for DICOM transfer

Images of this examination have been queued for DICOM transfer.

This does not necessarily mean that the images have been transferred

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Icon Description

Examination has been imported from the RIS/HIS using the worklist manager (WLM)

5.8.1 The Schedule List

The Schedule list contains all scheduled examinations. By default, the list is displayed in the order in
which the examinations are added, but the list can be ordered on any field by clicking on the desired
field heading.

NOTE To remove all the examinations currently in the list, refer to the Customization Manual in the
Service documentation.

Each line in the Schedule list represents one examination, and contains several fields to store
information about the examination:

Field Comment
Name This field may not be fully displayed if the characters do not fit in the available space.
Gender Male, Female or Unknown.
Date of birth The format for this field is configured by Service during installation.
Patient ID The display of Patient ID (or Accession number) is configured by Service or by a hospital
administrator.
This field may not be fully displayed if the characters do not fit in the available space.
Exam Type Acquisition for the patient will be started using the selected examination type. To change
the default examination type, System Setup (page 40).
Physician This field may not be fully displayed if the characters do not fit in the available space. To
edit the list of physicians, see System Setup (page 40).

5.8.2 The Review List

The Review list contains all completed examinations acquired on the system (including the current
acquisition examination). By default, the list is displayed by examination date order, but the list can be
ordered on any field by clicking on the desired field heading.

NOTE There may be several pages of examinations in the Review list. Use the scroll bar, or the
Page up or Page down buttons to view more pages.

Each line in the Review list represents one examination, and contains several fields to store information
about the examination:

Field Comment
Name This field may not be fully displayed if the characters do not fit in the available
space.
Gender Male, Female or Unknown.
Date of birth The format for this field is configured by Service during installation.
Patient ID The display of Patient ID (or Accession number) is configured by Service or by a
hospital administrator.
This field may not be fully displayed if the characters do not fit in the available
space.
Exam Date The date of the first acquisition.
The format for this field is configured by Service during installation.
Exam Type The last examination type used for this examination is displayed, even if some im-
ages were previously acquired with a different examination type.

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Field Comment
Physician This field may not be fully displayed if the characters do not fit in the available
space.
To edit the list of physicians, see System Setup (page 40).
Images The number of images stored with the examination.

5.8.3 Querying the Worklist Management Server (Option)

If your system has the advanced DICOM software option installed, you can search for details of
scheduled patients on the hospital network.

Querying the worklist management server on the hospital network allows you to receive details of
scheduled patients stored on the server.

The connection settings to the worklist management server are configured at installation and can be
changed by a hospital administrator.

1 From the administration screen, click Schedule.

2 Click Get Worklist.

Figure 61 Get Worklist dialog box

Number Description
1 Read-only broad query
2 Patient-based query

The broad-query fields in the Get Worklist dialog box are defined during installation and are read-
only. If any of the patient-based query fields are filled in, the Scheduled Station AE-Title and
Scheduled Station Name fields are displayed blank.

Tip
Worklist Query If any patient data is known use the patient-based query. If the patient is still not shown
in the list, use the broad query function.

3 Enter a value in one or more of the patient-based fields, if known. Otherwise a broad query is
selected.

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You can enter all or the first part of a name, or use a wildcard in the Patient Name field. Use * as a
wildcard for multiple characters or ? as a wildcard for a single character.

4 Click Get.

Scheduled patients are received from the worklist management server and are displayed in the
Schedule list. The worklist management status indicator is displayed next to each received entry.

NOTE The system must be online to receive scheduled patient data from the worklist
management server.

If an examination received from the worklist management server is already present in the Schedule
list, the system checks and updates the information received for the examination.

5 To view complete details of a scheduled patient received from the worklist management server,
select the patient in the Schedule list and click Exam Information.

The Examination Information dialog box is displayed, showing all available information for the
examination from the worklist management server. You can use this dialog box to view a patient’s
special needs or allergies, or to confirm the patient's identity in cases of similarity. The Examination
Information dialog box is only available for examinations received from the worklist management
server.

You cannot change patient data from the worklist management server.

6 To close the Examination Information dialog box, click Close.

5.8.4 Importing External Data

You can import images and data from remote systems and sources such as a PACS or a removable
storage device.

Importing data is done in conjunction with the Image Viewer application. You can only import images if
the optional Image Viewer application is installed on your system.

For more information, see Image Viewer (page 64).

NOTE The information presented in this section is only a quick reference. For a complete reference
for effective and safe use of the Image Viewer product, refer to the Image Viewer
Instructions for Use.

Retrieving Images from a PACS

You can retrieve acquired images from the hospital network to assist with activities including:
• Pre-operative planning before acquiring runs with the system
• Intra-operative side-by-side comparison with live images as they are acquired with the system

To retrieve images from the network, refer to the Image Viewer product Instructions for Use.

Images that have been imported from a PACS, and that are no longer needed, should be removed to
protect privacy of personal data.

NOTE Export to the PACS is not possible since images imported are generally retrieved from a
PACS, and are therefore already stored.

Overview of Workflow
The combination of the system and the Image Viewer product is suited to the following workflow:

Pre-operative
Get worklist and patient data See Querying the Worklist Management Server (Option) (page 94).

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Pre-operative
Get pre-operative images for surgi- Refer to the Image Viewer Instructions for Use.
cal planning

Intra-operative
Acquire images Acquire images using the system. See Acquiring Images (page 100).
Compare acquired images with Use Image Viewer on the reference monitor to view acquired images and pre-opera-
pre-operative images tive reference images side-by-side

Post-operative
Send acquired images to HIS/RIS See Exporting Images to a Network Location (page 155).
(PACS)
Print acquired images See Printing Images (Option) (page 159).
Personal archive or transfer See Saving Images to Local Media (page 157).

5.8.5 Adding a New Examination

If the patient to be examined is not already displayed in the Schedule list, you can add the patient.

These steps describe how to add the patient manually. For more information about adding patients
from the hospital worklist, see Querying the Worklist Management Server (Option) (page 94).

NOTE You can store a maximum of 249 examinations on the system. Once this limit is reached, the
system deletes the oldest examinations to make space for new examinations. For more
information, see Backing Up Patient Data (page 283) and Archiving Patient
Data (page 283).

1 From the administration screen, click Schedule.

2 Click Add to display the Add Patient dialog box.

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Figure 62 Add Patient dialog box

When you enter information in the Add Patient dialog box, you can use the Tab key on the
keyboard to move the input focus to the next item.

3 Enter the patient's name in the Patient Name box.

4 Enter the patient's date of birth in the Date of birth boxes.

5 Enter the patient's weight in the Webcam Sharing Disabled box.

The patient's weight should be entered in either kilograms or pounds, depending on what units
have been configured in the system. The units to be used are shown beside the Webcam Sharing
Disabled box.

6 Select Male, Female or Unknown for the patient's Gender.

7 Enter the patient's ID in the Patient identification box.

8 Select the desired Examination type from the drop down lists.

9 In the Physician list, select the physician's name.

10 Enter the Accession number.

NOTE The Accession number is configured as editable or read only during installation.

11 Do one of the following:

• To add the new examination, click Add to list.
• To start the examination immediately, click Start Examination.

The Add Patient dialog box closes and the new examination is added to the Schedule list or starts
immediately.

Tip
Enter data afterwards It is not mandatory to enter patient data before the examination. The patient data
can be modified afterwards.

You cannot change patient data from the worklist management server.

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Tip
Navigate Instead of pressing the Tab key, you can select another field for input by using the
touch screen or the pointer.
Select from a list Press the Up or Down buttons to step through the items in a list.
Making corrections To correct text in a text box, use the Previous and the Next buttons to position
the insertion point next to the character that you want to remove, and then use
the Backspace or Delete keys to remove the character.

The Backspace key removes the character before the insertion point, and the De-
lete key removes the character after the insertion point.

Use the Undo button to undo edits in a text box and return to the original value.
Special characters For a list of special characters that you can use, see Special Charac-
ters (page 278).

To insert a special character, press and hold the Compose button and enter the
first character, then release the Compose button and enter the second character.

5.8.6 Modifying an Examination

Examinations in either the Schedule or Review lists can be modified. Select the appropriate list in the
Administration screen.

1 Select the desired examination in the list.

2 Click Modify in the Administration screen.

The Modify panel is displayed. This panel contains the same items as the Add Patient panel.

3 Modify the items as required.

If the examination has been received from a worklist management server, only the following items
can be changed:
• Weight
• Procedure and anatomy/detailed procedure
• Physician

4 Click OK to confirm the changes to the examination.

The Modify panel closes and the examination is updated.

5.8.7 Deleting an Examination

CAUTION
Deleting an examination cannot be undone.

You can delete examinations using the Schedule list or the Review list. Select the appropriate list in the
Administration screen. The Delete function is enabled only when at least one examination is selected.

1 Select the examination (or examinations) in the Schedule list or the Review list.

You can select more than one examination by holding down the Shift or Ctrl keys and clicking on the
desired examinations.

2 Click Delete to display the Delete Examination panel.

3 Check that the examination indicated in the Delete Examination panel is the examination that you
want to delete.

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When only one entry is selected, the Delete Examination panel displays the details of the entry. If
two or more entries are selected, the Delete Examination panel indicates the number of entries
selected.

4 Click Delete to delete the examination or examinations.

5.8.8 Selecting a Patient for Acquisition

Use this procedure to start a new examination. If you do not use this procedure, new acquired images
may be saved to the wrong patient folder.

1 Click Schedule in the Administration screen to display the Schedule list.

2 Select an examination of a patient for acquisition.

3 Click Start examination.

The selected examination becomes the acquisition examination.

The Administration screen is replaced by a blank screen on the examination monitor. The hospital,
patient and physician data is displayed in the top left of the screen, ready for acquisition. The
patient's name is also displayed in the center of the screen. Image data is displayed in the bottom
right of the screen. All newly acquired images are added to this examination.

Tips
Status Only examinations of patients in the Schedule list can be selected for acquisition.
Examination type When no examination type is selected, the default type is used. During the ex-
amination, the examination type can be changed on the C-arm stand.

Tap the Examination Type selection button on the C-arm stand touch screen, se-
lect the desired procedure and anatomy/detailed procedure, and accept the se-
lection.

You can select the examination type for the acquisition patient on the mobile
view station while the mobile view station is disconnected from the C-arm stand.
Acquire It is possible to acquire images without using the Start examination button.

If acquisition is started while another patient has been selected for acquisition,
new images are stored for that patient.

If acquisition is started without selecting an examination of a patient, all acquired

images are stored under the “No name” examination.
Reviewing examinations For details about selecting an examination for review, see Image re-
view (page 126).

For more information about processing images after acquisition, see Image pro-
cessing (page 141).

5.8.9 Closing the Current Acquisition Examination

You can close the current acquisition examination from the administration screen.

If the current acquisition examination is not selected, the Close button is disabled. The Close button is
not available if the function was disabled at system installation.

An examination is automatically closed if you start an examination for a new patient.

1 Ensure the current acquisition examination is selected.

2 Click Close.

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A confirmation dialog is displayed, requiring the operator to select whether to close the current
acquisition examination.

3 Click Yes to close the current acquisition examination.

No more images can be added for this examination

4 Click No to keep the current acquisition examination selected for acquisition

NOTE If DICOM Structured Dose Reporting is enabled, the job viewer is displayed and transfer
of the DICOM Structured Dose Report is started automatically. For more information see
Viewing Transfer Jobs in the Job Viewer (page 160).

5.8.10 DICOM Radiation Dose Structured Report

The DICOM Radiation Dose Structured Report is a format for dose reporting that meets the DICOM
conformance statement. The report and its content are not visible on the system, but the report is sent
through the DICOM network. When enabled at installation (or by the hospital administrator), the DICOM
Radiation Dose Structured Report provides the following functions:
• The system automatically sends the report to the transfer queue when an examination is closed or
removed from the Review list.
• At startup the system displays the reminder panel if there are DICOM radiation dose structured
reports in the transfer queue.

NOTE A separate radiation dose structured report task is created for each configured target.

The DICOM radiation dose structured report can be enabled at installation. For more details of the
DICOM Radiation Dose Structured Report, refer to the DICOM conformance statement.

5.9 System Readiness

The readiness of the system to perform procedures is indicated using symbols.

The system readiness is indicated on the live monitor on the mobile view station and in the status area
of the C-arm touch screen using the following symbols:

Symbol Status

The system is ready for acquisition.

The system is not ready for acquisition.

There can be several reasons why the system may not be ready for acquisition, for example:
• The system may be locked (see System Lock (page 55).)
• The system may be too hot (see Heat Indications (page 102).)
• The C-arm stand is not connected to the mobile view station and the mobile view station is being
used in stand-alone mode.

5.10 Acquiring Images

For optimal use, perform the following steps.

1 Select the correct examination type by selecting the desired procedure and the desired anatomy/
detailed procedure.

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The correct examination type presets the system parameters automatically and minimizes the need
for manual adjustments. The table below gives an overview of the examination types and their use.

NOTE Anatomy and detailed procedure names can be changed by a service technician, but the
technical parameters remain as specified.

Examination Type
Procedure Anatomy / Detailed Procedure Use
Skeleton Skull Fracture repair in skull, fracture repair/fusion in cervical
spine (dense shoulder, C6/C7)
Skeleton Thorax For inserting catheters in the thorax region
Skeleton Spine Fracture repair/fusion in spine (thoracic, lumbar), Scoliose
- Lordose correction
Skeleton Pelvis Fracture repair in pelvis area
Skeleton Arm Fracture repair in upper extremities (hand, arm)
Skeleton Hip/Leg Fracture repair in lower extremities (foot, leg, hip)
Vascular Cerebral Control of intercranial aneurysms
Vascular Aortic Arch Vascular procedures in the aortic arch
Vascular Abdominal Abdominal aortic aneurysm procedures (AAA/EVAR), and
all other vascular procedures in the abdomen
Vascular Arm Subclavian/Axillary/Brachial/Radial/Ulnar artery, Endar-
terectomy, control of bypasses
Vascular Leg Femoral/Popliteal/Tibial artery, Endarterectomy, control
of bypasses
Vascular Bolus Chase Tracking progress of contrast medium in peripheral an-
giography
Vascular Abdominal CO2 Abdominal aortic aneurysm procedures (AAA/EVAR), and
all other vascular procedures in the abdomen, with CO2
as contrast medium
Vascular Arm CO2 Subclavian/Axillary/Brachial/Radial/Ulnar artery, Endar-
terectomy, control of bypasses, with CO2 as contrast me-
dium
Vascular Leg CO2 Femoral/Popliteal/Tibial artery, Endarterectomy, control
of bypasses, with CO2 as contrast medium
Cardio Coronaries Left/right coronary arteries
Cardio Ventricle/TAVI Ventriculography and heart valve replacement.
Cardio Pacemaker For pacemaker and resuscitation implants
Cardio Electrophysiology Electrophysiology, standard imaging quality for proce-
dures with a lot of movement and very long procedure
times
Pain Head Pain treatment in head, neuromodulation, laser nucleoly-
sis
Pain Neck Pain treatment in neck/cervical spine
Pain Spine Pain treatment in spine (thoracic, lumbar)
Pain Pelvis Pain treatment in pelvis area
Pain Arm Pain treatment in upper extremities (hand, arm)
Pain Hip/Leg Pain treatment in lower extremities (foot, leg, hip)
Endoscopy ERCP Endoscopic Retrograde Cholangio Pancreatic procedure
(observation of the gallbladder, pancreas and liver) and
other soft tissue imaging in the abdomen, where there is
a lot of movement and where high contrast is important
Endoscopy Esophagus Barium swallow
Endoscopy Bronchus Bronchoscopy, transbronchial biopsy

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Examination Type
Procedure Anatomy / Detailed Procedure Use
Urology Kidney Kidney procedures, intravenous pyelogram (IVP), urologic
procedures in the abdomen with high contrast and mini-
mal movement
Urology Lithotripsy Breaking of a calculus (by shock waves or by crushing
with a surgical instrument) in the urinary system into
pieces small enough to be voided or washed out
Urology Bladder Cystoscopy
Urology Ureterography Radiography of the ureter after injection of a contrast
medium

2 Start acquisition by pressing the left or right hand/foot switch.

• Press the left hand/foot switch for fluoroscopy or roadmap.
• Press the right hand/foot switch for exposure, which can be single shot, run, subtract, or trace.

WARNING
Misinterpreting still images as live images could lead to serious patient injury. When images are
live, the fluoroscopy or exposure icon is displayed on the examination monitor, the X-ray on
indicator light is on, and the X-ray indication icon is displayed on the C-arm stand touch screen.

NOTE The default acquisition mode for left and right hand/foot switches is set at installation
but can be changed by a service technician. See the Zenition 50 Examination Settings
addendum to these Instructions for Use for more information.

5.11 Heat Indications

Heat indications are displayed on the mobile view station and on the C-arm stand.

WARNING
The surface temperature of the X-ray tank can reach 60 degrees (Celsius) during prolonged X-Ray
activation. Take care to avoid contact between the patient and the x-ray tank, especially when the
tank is above the patient table. Placing protective covers or drapes over the X-Ray tank will further
reduce the risk of direct contact between the X-Ray tank and the patient.

NOTE Heat indication icons are displayed in the status area of the C-arm stand and the mobile
view station. An increased anode or oil temperature can result in restricted use or blockage
of high dose acquisition modes. Under such restricted conditions, only emergency
fluoroscopy can be used or run time may be restricted.

The system limits or disables the use of X-ray to prevent damage to the system as a result of
overheating, and preventing the system becoming a danger to patients or hospital staff.

Anode heat is limited to prevent the X-ray generator from being damaged. Oil is used to cool the tube
housing. This temperature is limited to prevent the tube housing becoming too hot.

The system displays warnings if the system performance is degraded as a result of overheating.

The time taken for the system to cool is dependent upon the level of operation previously undertaken
and whether the anode or the X-ray tank oil needs to cool. The anode cools quickly, for example, in less
than one minute, but the X-ray tank oil can take longer, for example, as much as 60 minutes.

If the system is too hot to allow the system to be used, the system readiness icon in the status area
indicates that the system is not ready to perform X-ray. For more information about the system
readiness icons, see System Readiness (page 100). A message is displayed on the C-arm stand touch
screen and on the mobile view station, telling you the cause.

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If the anode is too hot to allow the system to be used, a countdown is displayed above the system
readiness icon showing the number of seconds you must wait before the system is ready to perform X-
ray.

If the X-ray tank oil is too hot to allow the system to be used, a message is displayed in the status area
indicating the approximate time until the X-ray tank oil is cool enough to allow the system to be used
again. A countdown is not displayed beside the system readiness icon.

If the anode heat indication is displayed as orange for more than 20 minutes or as red for more than 15
minutes, the system is temporarily blocked and cannot be used. If the system is blocked due to a high
anode temperature, a countdown timer is displayed with the heat indication icon, showing the number
of seconds left until the system can be used again.

If the oil temperature continues to rise, the system is temporarily blocked and cannot be used until the
oil has cooled sufficiently. A message is displayed in the status area showing an estimate of the cooling
time required before the system can be used again.

Tip
Preventing the system from You can prevent the system from overheating or increase the time it takes for the system to
overheating become hot by making some changes to the way that you acquire images, for example, by
increasing the amount of time allowed for the system to cool between series, reducing the
pulse rate, reducing the dose, and by not using detector zoom.

Heat Indications on the Mobile View Station

On the mobile view station, separate heat indications are displayed for anode and X-ray tank (oil)
temperatures.

The following heat indications are displayed in the status area for the anode temperature.

Indication Description

Green: The anode temperature is within the normal working range. The system can be used for all
acquisition modes.

Orange: The anode is warm, but the system can be used for all acquisition modes.

Red: The anode is hot. The system is not available for high dose level modes.

When a high dose mode is selected, it is indicated on the Fluoroscopy expander on the C-arm stand
touch screen by a + symbol. For more information, see Dose Level (page 121).

The system also monitors the X-ray tank oil temperature and provides indications in the status area.
The following heat indications are displayed for the tank oil temperature.

Indication Description

Green: The X-ray tank oil temperature is within the normal working range. The system can be used
for all acquisition modes.

Orange: The X-ray tank oil is warm, but the system can be used for all acquisition modes.

Red: The X-ray tank oil is hot. The system is only available for very low dose fluoroscopy proce-
dures.

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Heat Indications on the C-arm Stand

On the C-arm stand, a combined anode and oil temperature indication is displayed in the status area.
Messages are displayed in the status area to indicate whether the anode or oil temperature is causing
the indication.

Indication Description

Green: The anode and the tank oil temperatures are within the normal working range. The system
can be used for all acquisition modes.

Orange: Either the anode or the X-ray tank oil is warm, but the system can be used for all acquisi-
tion modes.

Red: Either the anode or the X-ray tank oil is hot. A message is displayed in the status area of the C-
arm stand touch screen to indicate whether this is due to anode heat or X-ray tank oil heat, and to
indicate whether the system is blocked from use. You can also check the heat indication displayed
on the mobile view station to determine if the anode or X-ray tank oil is hot.

5.12 Acquisition Modes

Default acquisition modes are automatically selected when you select an examination type. The
acquisition modes indicate the modes programmed under the hand and foot switches.

Figure 63 Hand switch

Figure 64 Foot switch

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You can select an alternative acquisition mode by tapping the Fluoroscopy expander or the Exposure
expander on the C-arm stand touch screen and selecting an acquisition mode from the Mode drop-
down list in each.

If configured to do so at installation, you can also use the Mode button on the remote control or the
middle pedal of the foot switch, to cycle through the available acquisition modes.

Figure 65 Fluoroscopy and Exposure expanders on the C-arm touch screen

Legend
1 Fluoroscopy expander
2 Exposure expander

The selected acquisition mode combination determines the functions of the left and right hand/foot
switches for the next live images. The following tables shows the combinations available for the left and
right hand/foot switches if all acquisition modes are enabled. The combinations with Roadmap are
configured when the system is installed.

Roadmap-Trace Combination

Left Hand/Foot Switch Right Hand/Foot Switch

Single Shot
Run
Fluoroscopy
Subtract
Subtract (CO2)
Roadmap Trace
Roadmap CO2 Trace (CO2)

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Roadmap-Subtract Combination

Left Hand/Foot Switch Right Hand/Foot Switch

Single Shot
Run
Fluoroscopy
Subtract
Subtract (CO2)
Roadmap Subtract
Roadmap CO2 Subtract (CO2)

The selected acquisition mode combination is also displayed on the mobile view station.

Possible acquisition mode selections depend on the selected examination type and selection of CO2 in
the examination type menu.

If Roadmap is selected in the Fluoroscopy expander Mode drop-down list, Trace (CO2) or Subtract
(CO2) is automatically selected for the right hand/foot switch. If Roadmap is changed to Fluoroscopy in
the Fluoroscopy expander Mode drop-down list, Single Shot is automatically selected for the right
hand/foot switch.

If Trace is selected in the Exposure expander Mode drop-down list, Roadmap is automatically selected
for the left hand/foot switch. If Trace is changed to any other mode, Fluoroscopy is automatically
selected for the left hand/foot switch.

If the roadmap-subtract combination was configured when the system was installed, then any other
selection in the mode list in the Exposure expander will automatically result in Fluoroscopy being
selected for the left hand/foot switch.

NOTE Different options will be available depending on the examination type or installed
examination data set.

5.13 Making Fluoroscopy Images

Fluoroscopy imaging is recommended for C-arm (re)positioning and guiding purposes during surgical
and interventional procedures.

1 To perform fluoroscopy, press either the left hand switch button or the left pedal of the foot switch.

The hour glass icon is shown when the system is preparing for acquisition.

The live icon indicates that X-ray is active and live images are being shown.

When the left button of the hand switch or the foot switch is released, X-ray is stopped and the last
image hold (LIH) image is displayed.

2 To stop performing fluoroscopy, release the left hand switch button or the left pedal of the foot
switch.

WARNING
Misinterpreting still images as live images could lead to serious patient injury. When images are
live, the fluoroscopy or exposure icon is displayed on the examination monitor, the X-ray on
indicator light is on, and the X-ray indication icon is displayed on the C-arm stand touch screen.

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Tips
X-ray alarm timer When fluoroscopy is performed for more than five minutes a buzzer starts. Tap the OK
button on the C-arm stand touch screen to confirm the warning displayed and to switch
off the buzzer. Fluoroscopy can continue.

If the signal is not reset within 5 more minutes of fluoroscopy or exposure, X-ray is disa-
bled.
Pulse rate To change the pulse rate, tap the Fluoroscopy expander on the C-arm stand touch
screen and select the desired frequency from the Pulse Rate drop-down list.
Dose level To change the dose level, tap the Fluoroscopy expander on the C-arm stand touch
screen and select the desired dose level from the Dose drop-down list.

If configured to do so at installation, you can also use the Mode button on the remote
control to change the dose level.
Storage To change the storage setting, tap the Fluoroscopy expander on the C-arm stand touch
screen and select the desired storage setting from the Store drop-down list.

• No storage: no images are stored.

• LIH: only the LIH image is stored.
• All: images are stored with a storage rate equal to the pulse rate.
• Storage rate: for example, ½, ¼, or ¹/8 of the selected pulse rate.

Noise and blur To reduce the noise level, tap the Fluoroscopy expander on the C-arm stand touch
screen and tap the Reduce Noise button.

To reduce blur, tap the Fluoroscopy expander on the C-arm stand touch screen and tap
the Reduce Blur button.

If the Reduce Blur toggle button is active, less noise reduction is applied to the image. If
the Reduce Noise toggle button is active, more noise reduction is applied to the image.

These are toggle buttons. If one of the buttons becomes active, the other becomes or
remains, inactive.

X-ray loading is disabled after 10 minutes continuous loading. To continue with X-ray, release the
hand switch or foot switch and then press it again.

The maximum continuous X-ray time depends on the selected examination type, acquisition mode,
pulse speed and dose level. It may vary from 10 minutes to 60 seconds to 30 seconds. The
applicable maximum continuous X-ray time is listed in the Zenition 50 Examination Settings
addendum to these Instructions for Use.

For dose awareness purposes, the system always generates high frequency repeating beeps for
modes that can exceed 88 mGy/min.

The system can be configured at installation to provide a single beep at the start of X-ray or low
frequency repeating beeps for modes that can not exceed 88 mGy/min.

NOTE High level mode is enabled by selecting the dose mode "High" on the C-arm stand touch
screen.

NOTE High level mode is indicated by a + symbol on the C-arm stand touch screen.

NOTE Due to specific regulations in some countries, selecting dose mode "High" will not enable
a High level mode, and will therefore not be indicated with a + symbol, nor be
accompanied by a High Level beep signal during x-ray.

5.13.1 Fluoroscopy Grab of a Live Image

1 To store and protect the currently displayed image during live fluoroscopy, do one of the following:

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• Press the Protect button on the mobile view station.

• Press the Protect button on the remote control.
• Tap Flag on the C-arm stand touch screen.

The ‘grabbed’ image is stored in a new series.

2 To store and protect the additional images during the same fluoroscopy acquisition, do one of the
following:

• Press the Protect button again on the mobile view station.

• Press the Protect button again on the remote control.
• Tap Flag again on the C-arm stand touch screen.

NOTE All images stored during the same fluoroscopy acquisition will be saved in the same
series.

NOTE If the fluoroscopy grab function is used, the last image hold image will also be stored
automatically as part of the saved series.

5.14 Making Exposure Images

Exposure is recommended when you want to store high quality images or when you want to use high
quality single shots, subtraction or trace.

1 To acquire exposure images, press either the right button of the hand switch or the right pedal of
the foot switch.

The hour glass icon is shown when the system is preparing for acquisition.

The live icon indicates that X-ray is active and live images are being shown.

When the right button of the hand switch or the foot switch is released, X-ray is stopped and the last
image hold (LIH) image is displayed.

If auto run cycle is selected, run cycle of the last acquired run starts automatically.

2 To stop acquiring exposure images, release the right button of the hand switch or the right pedal of
the foot switch.

WARNING
Misinterpreting still images as live images could lead to serious patient injury. When images are
live, the fluoroscopy or exposure icon is displayed on the examination monitor, the X-ray on
indicator light is on, and the X-ray indication icon is displayed on the C-arm stand touch screen.

WARNING
X-ray loading is disabled after 10 minutes continuous loading. To continue with X-ray, release
the hand switch or foot switch and then press it again.

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Tips
X-ray alarm timer When X-ray is performed for more than five minutes a buzzer starts. Tap OK on the C-
arm stand touch screen to confirm the warning displayed and to switch off the buzzer.
X-ray can continue.

If the signal is not reset within 5 more minutes of X-ray or exposure, X-ray is disabled.
Pulse rate To change the pulse rate, tap the Exposure expander on the C-arm stand touch screen
and select the desired frequency from the Pulse Rate drop-down list.

The maximum continuous X-ray time depends on the selected examination type, acquisition mode,
and pulse speed. It may vary from 10 minutes to 60 seconds to 30 seconds. The applicable
maximum continuous X-ray time is listed in the Zenition 50 Examination Settings addendum to
these Instructions for Use.

Images are stored in the (unprotected) working area of the image disk for high quality exposures.
However, they can be overwritten by new runs when they are not protected. For more information,
see Protection and Image Storage Management (page 138).

For mandatory dose awareness purposes, the system always generates high frequency repeating
beeps for modes that can exceed 88 mGy/min.

The system can be configured at installation to provide a single beep at the start of X-ray or low
frequency repeating beeps for modes that can not exceed 88 mGy/min.

NOTE Activation of high level mode depends on the selected acquisition mode.

NOTE High level mode is indicated by a + symbol on the C-arm stand touch screen.

NOTE Due to specific regulations in some countries, some acquisition modes in some cases will
not go to the high level mode, and will therefore not be indicated with a + symbol, nor be
accompanied by a High Level beep signal during x-ray.

5.15 Making Single Shot Images

Single shot exposure is used for high quality archiving. It is also suitable for moments in a procedure
when exceptional image quality is required (for example, to view catheter tips).

1 If the Single Shot acquisition mode has not been selected already, then tap the Exposure expander
on the C-arm stand touch screen and select Single Shot from the Mode drop-down list.

2 To ensure optimal image quality first make a scout image using fluoroscopy to set the correct kV
value by pressing the left button on the hand switch or the left pedal of the foot switch.

3 Then press either the right button of the hand switch or the right pedal of the foot switch to make a
single shot exposure.

NOTE Single Shot is not a real time imaging mode. The image display delay can be longer than
for fluoroscopy.

The hour glass icon is shown when the system is preparing for acquisition.

The live icon indicates that a newly acquired image is shown.

The exposure is ready when the audible signal is given and the last image hold (LIH) image is displayed.

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5.16 Making Vascular Images

Some examination types can be used for making vascular images. In vascular examination types, the
Mode drop-down lists in the fluoroscopy and exposure expanders allow you to select between:
• Fluoroscopy / Roadmap
• Run
• Subtract
• Trace
• Single Shot

For more information on the possible combinations of acquisition modes for the left and right hand and
foot switches, see Acquisition Modes (page 104).

WARNING
Misinterpreting still images as live images could lead to serious patient injury. When images are live,
the fluoroscopy or exposure icon is displayed on the examination monitor, the X-ray on indicator
light is on, and the X-ray indication icon is displayed on the C-arm stand touch screen.

5.16.1 Performing Subtraction

1 Use one of the following to change the mode to Subtract:

• Tap the Exposure expander on the C-arm stand touch screen and select Subtract from the
Mode drop-down list.
• Press the middle pedal of the foot switch to toggle to Fluoroscopy / Subtract mode.

• Press the Mode button on the remote control to toggle to Fluoroscopy / Subtract mode.

The mode is displayed in the lower-right corner of the examination monitor.

Tips
Motion artifacts Do not move the system or patient during the subtraction procedure. This will
result in motion artifacts.

2 Press either the right button of the hand switch or the right pedal of the foot switch.

After completion of the mask, the image is turned to grey and the message Inject appears on the
monitor.

NOTE Do not release the hand/foot switch until the subtraction run is completely finished.
When the hand/foot switch is released, a new mask is made immediately after
performing exposure again.

3 Start injecting the contrast medium when the Inject message appears on the monitor. Images of the
contrast bolus will appear on the monitor.

4 Release the hand switch button or the foot switch pedal as soon as the contrast bolus has faded
away.

5 To view the individual images of the run, tap the Previous and Next buttons on the C-arm stand
touch screen, or on the remote control, or the Previous and Next buttons on the mobile view
station.

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6 To check the acquired images dynamically, tap the Run cycle button on the C-arm stand touch
screen, or on the remote control, or Run cycle button on the mobile view station.

Tips
Making corrections To make corrections on a subtraction run, see Remasking (page 113) and Pixel-
shift (page 150).
Subtraction on/off It is possible to switch the subtraction on and off with the subtract on/off button
on the remote control or the mobile view station, either during the procedure or
during post-process.

Landmarking The amount of background (mask) information in a subtracted image is user se-
lectable out of four different values. For more information, see Landmark-
ing (page 151).
Auto run cycle For information on enabling disabling automatic run cycle, see Enabling and
Disabling Automatic Run Cycle (page 136).

5.16.2 Performing Roadmap after Subtraction

It is possible to use a subtracted image as a roadmap to help you navigate the catheter through the
vessels.

1 Select the image to be used as roadmap, from a previously acquired subtraction run.

For more information about navigating through the images, see Single Image Screen (page 127) and
Overview Screen (page 133).

2 Use one of the following to change the mode.

• Tap the Fluoroscopy expander on the C-arm stand touch screen and select Roadmap from the
Mode drop-down list.
• Press the middle pedal of the foot switch to toggle to Roadmap mode.
• Press the Mode button on the remote control to toggle to the Roadmap mode.

The mode is displayed in the lower-right corner of the examination monitor.

3 Press either the left button on the hand switch or the left pedal of the foot switch.

The system switches to roadmap. The mask image will be reversed so that the vessels are displayed
as white. The mask image is not reversed if Roadmap CO2 is selected.

The image can now be used for catheter guidance.

NOTE When using an image of a previous run, make sure that neither the system nor the
patient have moved since that previous run.

Tips
Use other images for roadmap Unsubtracted images with contrast medium can also be used for roadmap.
Recall An image displayed on the reference monitor can be made current on the ex-
amination monitor and can be used as the roadmap mask. To do this, tap the
Recall button on the C-arm stand touch screen or press the Recall button on the
remote control.

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Tips
Zooming For better visibility of fine guide wires when using roadmap, it is highly recom-
mended that you use one level of detector zoom (medium). For more informa-
tion on using detector zoom, see Detector Zoom (page 115).

5.16.3 Performing Roadmap with Trace (Peak Opacification)

Peak opacification can be used to view the vasculature of the area of interest completely opacified in
one image. As the contrast medium flows through the area of interest, the system traces all the
exposure images (trace black for iodine and trace white for CO2 injections). In this way a subtraction
image is created showing all the places the contrast medium flowed through. The traced image is then
available as a roadmap for catheter guidance.

1 Use one of the following to change the mode to Trace:

• Tap the Exposure expander on the C-arm stand touch screen and select Trace from the Mode
drop-down list.
• Press the middle pedal of the foot switch to toggle to Trace mode.

• Press the Mode button on the remote control to toggle to Trace mode.

The mode is displayed in the lower-right corner of the examination monitor.

Tips
Optimum image quality Stop immediately after building up the vessel image for optimum image quality.
Motion artifacts Do not move the system or patient during the procedure. This will result in motion arti-
facts.
Zooming For better visibility when using Roadmap, it is highly recommended that you use one
level of detector zoom (medium). For more information on using detector zoom, see De-
tector Zoom (page 115).

2 Press either the right button on the hand switch or the right pedal of the foot switch.

3 Start injecting the contrast medium when the Inject message appears on the monitor.

During trace, the vessels with contrast medium are displayed as black for iodine (optional white for
CO2) on a subtraction image.

NOTE If automatic run cycle is active, you must first select the image to be used for roadmap.
For more information about image navigation, see Single Image Screen (page 127) and
Overview Screen (page 133).

Tip
Park Park the traced image on the reference monitor for later use with Recall.
Performing roadmap with trace If you are performing roadmap with trace often, disable automatic run cycle to
avoid the need to select the image used for roadmap. See Enabling and Disa-
bling Automatic Run Cycle (page 136).

4 Press either the left button on the hand switch or the left pedal of the foot switch.

The image is inverted so that the vessels are displayed as white.

5 Guide the catheter (displayed as black) using Roadmap through the vessels.

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Tips
Recall If you change from Roadmap mode to Fluoroscopy, and obtain standard (non-
roadmap) fluoroscopy images, then return to Roadmap mode for additional
roadmap imaging in the same location, press the Recall button on the remote
control or tap Recall on the C-arm stand touch screen.

The Recall function copies the image from the reference monitor onto the exami-
nation monitor, to be used as a roadmap mask.

5.16.4 CO2 Acquisition Modes

Additional CO2 acquisition modes can be activated when selecting a vascular procedure if CO2 has
been enabled on the system.

When selecting a vascular procedure, CO2 and Iodine buttons are shown on the examination type
selection menu.

If aortic arch or cerebral anatomies have been selected, or if the Bolus Chase Leg toggle button is
active, the CO2 button is disabled and the Iodine button is active.

If the CO2 button is enabled and active, additional acquisition modes can be selected in the same way
as other acquisition modes using the Mode drop-down lists in the Fluoroscopy and Exposure
expanders on the C-arm stand touch screen.

The additional acquisition modes available are:

• Roadmap CO2
• Trace (CO2)
• Subtract (CO2)

If CO2 is active:
• Trace white is used if the Trace acquisition mode is selected.
• The Bolus Chase Leg toggle button is disabled if displayed.
• The Iodine button is not active.

If Iodine is active:
• Trace black is used if the Trace acquisition mode is selected.
• The Bolus Chase Leg toggle button is enabled if displayed.
• The CO2 button is not active.

For more information on acquisition mode combinations, see Acquisition Modes (page 104).

NOTE If the acquisition mode for the left hand/foot switch is changed from Roadmap CO2 to
Fluoroscopy, the right hand/foot switch mode will change to Single Shot.

5.16.5 Remasking
By default, the first image of a run is used as the mask. It is possible to use another image from the
same run as a mask (e.g. an image closer to the start of the injection) to provide better quality images
for the entire subtraction run.

1 Select the image to be the new mask (e.g. an image closer to the start of the injection).

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For more information about navigation through the images, see Single Image Screen (page 127) and
Overview Screen (page 133).

2 Remask by pressing the Remask button twice on the mobile view station.

Tips
Remote control Subtraction can be switched on and off without remask using the remote control (no
mask can or will be selected).
Remask Care should be taken not to confuse the Remask button with the Subtract on/off button.
The Remask button is only available on the mobile view station.

5.16.6 Bolus Chase

Bolus chasing is normally performed before, but sometimes after, a vascular leg examination and with
Bolus Chase selected on the C-arm stand touch screen. The settings of the right hand/foot switch in
this examination are optimized for bolus chase runs.

1 Tap the Examination Type button on the C-arm stand touch screen.

The Examination Type Selection menu is shown.

2 Tap Vascular as the selected procedure (step 1).

3 Tap Leg as the selected anatomy (step 2).

4 Tap the Iodine button.

The Bolus Chase Leg toggle button will appear.

NOTE If the CO2 option is not available, the Iodine button will not be shown but the Bolus
Chase Leg button will be shown.

5 Tap the Bolus Chase Leg toggle button to select the bolus chase function.

6 Make sure the default settings meet the requirements (pulse rate) for the bolus chase. If not, tap the
Exposure expander on the C-arm stand touch screen and select the desired frequency from the
Pulse Rate drop-down list.

7 Press either the left button of the hand switch or the left pedal of the foot switch and move the C-
arm (see Transportation (page 67)) or tabletop continuously during fluoroscopy to check the
covering of the bolus chase route.

8 Release the left button of the hand switch or the left pedal of the foot switch and position the C-
arm or tabletop to the start location of the bolus chase.

9 Press either the right button of the hand switch or the right pedal of the foot switch and follow the
injected contrast medium by moving the C-arm or tabletop continuously.

10 Release the right button of the hand switch or the right pedal of the foot switch to stop the
exposure run at the end of the bolus chase route.

5.17 Imaging Essentials

The following essential imaging functions can be applied during X-ray or when the last image hold
symbol is displayed on the examination monitor. These functions are available from the C-arm stand
touch screen.

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A setting which has been overridden is indicated by a * shown next to the altered setting in the
Fluoroscopy expander. When the default setting for the acquisition mode is selected, the * indicator is
not shown.

5.17.1 Detector Zoom

You can change the detector zoom size to fit the anatomical structure in the area of interest. The
following detector zoom selections are available:
• No zoom
• Zoom 1 (medium zoom)
• Zoom 2 (maximum zoom)

You can change the detector zoom during acquisition. Changing the zoom interrupts acquisition briefly
(less than one second).

Any images captured during a change of detector zoom are marked as not suitable for the measure
function.

After changing the detector zoom, the collimator is automatically adjusted to the appropriate size.

Detector zoom is set to the largest zoom mode (no zoom) if another examination becomes current for
acquisition.

You can change the detector zoom using the C-arm stand touch screen or using the remote control.

Changing the Detector Zoom Using the C-arm Stand Touch Screen

1 Tap the Detector Zoom toggle button on the C-arm stand touch screen.

detector zoom 1 (medium) is applied. The level of zoom being used is shown on the Detector Zoom
toggle button.

The currently selected detector zoom mode is also displayed on the examination monitor for a few
seconds.

2 Tap the Detector Zoom toggle button on the C-arm stand touch screen again to increase the level
of zoom to zoom 2 (maximum).

Maximum detector zoom is applied.

3 Tap the Detector Zoom toggle button on the C-arm stand touch screen again to switch off detector
zoom.

The detector is returned to no zoom.

Changing the Detector Zoom Using the Remote Control

1 Press the Detector Zoom button.

The currently selected detector zoom is displayed on the examination monitor for a few seconds.

2 While the detector zoom mode is displayed on the examination monitor, press the Detector Zoom
button repeatedly to cycle through no zoom, zoom 1 (medium), and zoom 2 (maximum) until the
desired detector zoom is selected.

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5.17.2 Contrast and Brightness

Contrast and brightness can be changed using the C-arm stand touch screen.

1 Tap the Contrast Brightness toggle button on the right toolbar.

A slider appears beside the Contrast Brightness toggle button.

Figure 66 Contrast Brightness slider

2 Slide the pointer up on the touch screen to increase the brightness and contrast.

Or
• Drag the slider down on the touch screen to decrease the brightness and contrast.

NOTE Changes made to contrast and brightness using the C-arm stand touch screen will also
affect the examination monitor. The effect of these changes may be more pronounced on
the examination monitor due to the differences in contrast and brightness between the
examination monitor and the C-arm stand touch screen.

3 Tap the Auto button to toggle the automatic brightness and contrast function, which displays
optimal image quality according to the image content.

The function does not affect the contrast and brightness slider position.

The Auto toggle button is shown as active (yellow outline) when this function is switched on. The
button is shown as inactive (no outline) when Auto is switched off.

The new contrast and brightness setting is applied to all images on the examination monitor. The
setting is not applied to an image already parked on the Reference monitor.

NOTE Do not use the C-arm stand touch screen as the leading display to evaluate image
quality. Instead use the mobile view station examination monitor.

You can also adjust contrast and brightness when post-processing images. For more information,
see Adjusting Contrast and Brightness (page 142).

5.17.3 Rotating Images

Image rotation can be performed during X-ray or when the last image hold symbol is displayed on the
examination monitor.

It is not possible to rotate an image if an outline drawing is present. If rotation is attempted while a
drawing is present, the image will not be rotated and a warning is displayed on the examination monitor
and the C-arm stand touch screen.

If the zoom, measure, annotation, or outline drawing post-processing functions have been applied to
the last image hold image, the image is not rotated.

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1 Rotate the image by dragging the image rotation control in a circular motion, clockwise or
counterclockwise, on the C-arm stand touch screen.

When an image is rotated, the shutter controls, shutter markers and ClearGuide indicators are also
rotated around the center of the image.

2 To reset the image to the original position, drag the image rotation icon back to its original position
on the C-arm stand touch screen.

The new setting is used for subsequent images in this examination.

The last selected image rotation is applied to all stored images in a run.

NOTE Starting a new examination resets the image rotation to the default setting.

5.17.4 Mirroring and Flipping Images

The live X-ray image or the last image hold image can be mirrored horizontally (left/right), or flipped
vertically (top/bottom).

It is not possible to mirror/flip an image if an outline drawing is present. If mirroring/flipping is

attempted while a drawing is present, the image will not be mirrored/flipped and a warning is displayed
on the examination monitor and the C-arm stand touch screen.

If the zoom, measure, annotation, or outline drawing post-processing functions have been applied to
the last image hold image, the image is not mirrored/flipped.

1 To mirror an image left or right, tap the Mirror toggle button on the C-arm stand touch screen.

The button will appear active (yellow outline) when the image is mirrored.

The new setting is used for subsequent images in this examination.

2 To restore the mirrored image to its original orientation, tap the Mirror toggle button again.

The button will appear inactive (no outline) and the image returns to its original orientation.

The new setting is used for subsequent images in this examination.

3 To flip an image (top/bottom), tap the Flip toggle button on the C-arm stand touch screen.

The button will appear active (yellow outline) when the image is flipped.

The new setting is used for subsequent images in this examination.

4 To restore the flipped image to its original orientation, tap the Flip toggle button again.

The button will appear inactive (no outline) and the image returns to its original orientation.

The new setting is used for subsequent images in this examination.

NOTE The last selected image mirroring/flipping is applied to all stored images in a run.

NOTE Starting a new examination resets the mirroring/flipping to the default setting.

5.17.5 Automatic Shutter Positioning

Automatic shutter positioning (ASP) allows the operator to rapidly position shutters with a single button
tap on the C-arm stand touch screen. This is effective in reducing direct radiation.

NOTE ASP will only position the shutters correctly when the image contains areas of direct
radiation.

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ASP When Shutters are Fully Open

Use the following procedure when the last image hold image is displayed and the shutters and
collimator are in the reset position (fully open).

1 To activate ASP, tap the Automatic Shutter Pos. button on the C-arm stand touch screen.

The shutters are shown in the display in the most applicable position for the last image hold image.

2 If required, fine-tune the final shutter positions manually (see Collimator and Shutter Adjustments in
Last Image Hold (page 118)).

3 Acquire images as desired. The new shutter positions are used for subsequent images.

ASP When Shutters are not Fully Open

Use this procedure when the last image hold image is displayed and the shutters or collimator are not
fully open.

1 Reset the shutter and collimator positions by tapping the Reset Shutters and Collimator button on
the C-arm stand touch screen.

The shutters and collimator are reset to their fully open positions.

2 Perform fluoroscopy to make an last image hold image.

3 To activate ASP, tap the Automatic Shutter Pos button on the C-arm stand touch screen.

The shutters are shown in the display in the most applicable position for the LIH image.

4 If required, fine-tune the final shutter positions manually (see Collimator and Shutter Adjustments in
Last Image Hold (page 118)).

5 Acquire images as desired. The new shutter positions are used for subsequent images.

NOTE If an optimum position cannot be found after activating ASP, the shutters remain in the
reset position and a warning message is displayed.

5.17.6 Collimator and Shutter Adjustments in Last Image Hold

The collimator and shutter positions are indicated on the image. When adjusted, the new position is
used for subsequent images.

If configured at installation, when you make collimator or shutter adjustments in last image hold using
the C-arm stand controls, the new positions of the collimator and shutters are displayed on the
examination monitor at the mobile view station.

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Figure 67 Collimator and shutter controls on the C-arm stand touch screen

Legend
1 Shutter controls
2 Collimator control

NOTE When a new examination of a patient is selected, collimator and shutter positions are reset.

1 Manually adjust the shutter positions by dragging the shutter controls on the C-arm stand touch
screen until the shutter is at the desired position and at the desired angle.

The shutter will automatically rotate around the center of the image area as the control is dragged.

2 Manually adjust the collimator position by dragging the collimator control towards, or away from,
the center of the image.

3 Reset the shutter and collimator positions by tapping the Reset Shutters and Collimator button on
the C-arm stand touch screen.

The shutters and collimator are reset to their fully open positions.

5.17.7 Automatic kV/mA control

By default the image brightness is controlled automatically by means of modifying the kV and mA
value. The unique patented BodySmart function instantly adapts the shape and size of the measuring
field to the patient’s relevant anatomy.

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5.17.8 Manual kV/mA Control

For some projections and/or image contents (e.g. a bladder filled with contrast medium) it may be
necessary to override the automatic kV/mA control with the manual kV/mA control function.

1 Tap kV Manual on the C-arm stand touch screen to change to manual control.

Figure 68 kV Manual button (1) on the C-arm stand touch screen

2 Tap the arrows to increase or decrease the kV value.

The mA value is coupled to the kV value.

3 To switch back to automatic control, tap kV Manual again.

5.17.9 Pulse Rate

You can change the pulse rate by tapping the Fluoroscopy expander or the Exposure expander on the
C-arm stand touch screen and selecting a pulse rate from the Pulses drop-down list.

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Legend
1 Fluoroscopy expander
2 Exposure expander

You can select between three different pulse rates. The pulse rates available depend on the selected
procedure or anatomy/detailed procedure.

5.17.10 Dose Level

You can change (override) the default dose level setting for the acquisition mode being used.

The dose level can be changed by tapping the Fluoroscopy expander on the C-arm stand touch screen
and selecting a dose level from the Dose drop-down list.

Figure 69 Fluoroscopy expander on the C-arm stand touch screen

The following dose levels can be selected:

• Low
• Normal
• Medium
• High

When high mode is selected, it is indicated on the Fluoroscopy expander by a + symbol.

NOTE The available selections and the default are defined by the current acquisition mode.

Changing the Dose Level Using the Remote Control

You can also override and select the dose level using the remote control if this has been enabled at
system installation.

1 Press the Mode button on the remote control to cycle through the available dose levels.

The dose level is changed to the next available dose level.

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The selected dose level is shown on the examination monitor.

Pressing the Mode button on the remote control changes the dose level in use in a predetermined
order:
• Low
• Normal
• Medium
• High

For example, if the Normal dose level is in use, pressing the Mode button on the remote control will
change the dose level to Medium. Pressing the Mode button again will change the dose level to
High.

NOTE Some dose levels may not be available to select depending upon the current acquisition
mode, or if they have been disabled at system installation. When a dose level is not
available, it is automatically skipped when cycling through the dose levels using the
remote control.

2 Continue pressing the Mode button until the desired dose level is selected.

When the highest available dose level is reached, pressing the Mode button again, cycles the
selection back to the beginning of the cycle, i.e the lowest available dose level.

5.17.11 Storage Rate

You can change the rate at which images are stored when performing live fluoroscopy.

To change the storage setting, tap the Fluoroscopy expander on the C-arm stand touch screen and
select the desired storage setting from the Store drop-down list.

• No storage: no images are stored.

• LIH: only the LIH image is stored.
• Storage rate: for example, 1, ½, ¼, or ⅛ of the selected pulse rate.

5.17.12 ClearGuide
The ClearGuide function provides information to the surgeon and the operator concerning image
orientation in relation to the detector position.

Direction indicators are displayed on the examination monitor and C-arm stand touch screen,
corresponding to markings on the detector, to support communications between the surgeon and
system operator when positioning the C-arm. The direction indicators allow the surgeon to give clear
instructions to the operator about which direction the C-arm should be moved in and which orientation
of the image is required on the examination monitor, before and after X-ray has been used.

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Figure 70 ClearGuide direction indicators on the detector

The direction indicators and markings (3, 6, 9, and 12) are intended to mimic the face of a clock for ease
of understanding and communication.

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Figure 71 Direction indicators on the examination monitor

Image Orientation
During examinations, the surgeon may request that the image orientation is changed. The ClearGuide
function supports communication between the surgeon and the operator in such cases.

If a scheduled patient is selected for acquisition with the patient name displayed in the middle of the
screen, the direction indicators appear on the examination monitor when ClearGuide is selected.

Examples of How ClearGuide Can Be Used

The surgeon may request that the image orientation is changed on the examination monitor. For
example, the surgeon may ask the operator to position the 9 at the bottom of the image with the 12 to
the right side of the image.

The operator would rotate the image clockwise through 90 degrees and flip the image (top/down) using
controls on the C-arm stand touch screen.

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Figure 72 Original direction indicators position (left) and changed orientation example (right)

These markings also assist the operator in setting up the system when a surgeon is not present.

For more information on repositioning the C-arm, see C-arm Repositioning (page 72).

Using ClearGuide
ClearGuide is only available for the examination patient during a procedure and is not available for
images reviewed from disk.

ClearGuide is deactivated if another acquisition examination becomes current.

1 Tap ClearGuide on the C-arm stand touch screen.

Figure 73 ClearGuide button on the C-arm stand touch screen

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The ClearGuide direction indicators appear on the examination monitor and the C-arm stand touch
screen.

2 Before first X-ray, rotate, mirror, and/or flip the image on the C-arm stand touch screen until the
direction indicators on the examination monitor are in the orientation requested by the surgeon.

The system repositions the direction indicators if the image is rotated, flipped or mirrored.

The direction indicators are not included in an image that is saved to local media. The direction
indicators are included in a screen snapshot that is made using the USB button or is printed (except
for a DICOM printer).

3 When ClearGuide is no longer required, tap ClearGuide on the C-arm stand touch screen.

The ClearGuide direction indicators are removed from the examination monitor and the C-arm
stand touch screen.

5.18 Image Review

You can review examinations on the mobile view station monitors. Controls for reviewing examinations
are available at the mobile view station. A subset of review controls is also available on the remote
control and at the C-arm stand touch screen.

For information about reviewing external data, see Importing External Data (page 95).

5.18.1 Selecting an Examination for Review

Examinations stored on the system can be opened for review on the mobile view station. All available
examinations are stored in the Review list, accessible from the administration screen. For more
information, see The Review List (page 93).

1 If the administration screen is not already displayed, press the Administration button.

The current review examination is highlighted.

2 If desired, select a different examination for review.

If the Review list contains more examinations than can be displayed on one screen, use the scroll
bar, Page up or Page down buttons to view examinations further down the list.

3 Click Show Examination.

The last image of the last run of the selected examination is displayed on the examination monitor
in single image mode.

When there are no stored images for the selected examination, the Show Examination function is
disabled.

When the Review list is displayed, the current review examination can also be opened by pressing
the Single image button or the Overview button on the mobile view station. When there is no
current review examination, the current acquisition examination is displayed.

5.18.2 Accessing Review Functions at the C-arm Stand

You can use the C-arm stand touch screen to access principal review functions at the C-arm stand. The
functions available at the C-arm stand are a subset of those available at the mobile view station, and

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they can be used to review the runs in the acquisition examination. A different review examination can
only be selected at the mobile view station. For more information, see Selecting an Examination for
Review (page 126).

The following review functions are available at the C-arm stand:

Icon Function
Previous image

Run cycle

Overview

Next image

Previous run

Pause

Next run

Previous overview screen

Next overview screen

Single image

5.18.3 Single Image Screen

The single image screen displays one image from the run. The image displayed from the run is
dependent on the function used.

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Figure 74 Single image screen (review) - C-arm stand

Legend
1 Patient and examination details 3 Run number (run start time)
2 Examination dose 4 Image number

Figure 75 Single image screen (review) - mobile view station

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Legend
1 Patient and examination details 4 Image number
2 Examination dose 5 Warning and message text
3 Run number (run start time), detector format

Figure 76 Single image screen - Live X-ray - C-arm stand

Legend
1 Patient and examination details 2 Dose rate

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Figure 77 Single image screen - Live X-ray - mobile view station

Legend
1 Patient and examination details 2 Examination dose

Examination dose is the cumulative patient entrance dose for the current patient in the current
procedure in mGy. This dose is always visible on LIH and also on stored or protected images. A dose
threshold is defined when the system is installed. If this threshold is exceeded, the cumulative dose
value is displayed on a red background.

The cumulative DAP is the cumulative dose area product for the current patient in Gy.cm2. The unit is
configurable by the hospital administrator.

Dose rate is the amount of dose per time unit, displayed in mGy/min. It is only displayed during live X-
ray (except Single shot).

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Figure 78 Single image screen - LIH - C-arm stand

Legend
1 Patient and examination details 2 Examination dose

Figure 79 Single image screen - LIH - mobile view station

Legend
1 Patient and examination details 2 Examination dose

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Examination dose is the cumulative patient entrance dose for the current examination in the current
procedure in mGy. This dose is always visible in last image hold and also on stored or protected images.

The cumulative DAP is the cumulative dose area product for the current patient.in Gy.cm2. The unit is
configurable by the hospital administrator.

1 To display the single image screen, do one of the following:

Click the Show Examination button in the administration screen (Review list).

Press the Single image button on the mobile view station.

Tap the Single image button on the C-arm stand touch screen to switch to ‘single image’ display.

Press the Overview button on the remote control to switch the display between the overview screen
and ‘single image’ display.

Press the Run cycle button on the remote control to switch the display between run cycle and ‘single
image’ display.

2 You can display other images using the following controls:

To Mobile view station C-arm stand touch Remote control

screen
Navigate through the images and Previous
runs one by one
Or
Previous Previous
Swipe from left
to right on the
touch screen.
Next

Or
Next Next
Swipe from right
to left on the
touch screen.
Display the first image in the exami-
nation (single image screen) Page up – –

Display the last image in the exami-

nation (single image screen) Page down – –

Display the last image of the previ-

ous run (single image screen) Up – –

Display the first image of the next run

(single image screen) Down – –

Switch to Run cycle review

Run cycle Run cycle Run cycle

Switch to Overview
Overview Overview Overview

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5.18.4 Overview Screen

The overview screen displays an overview of all the images (and all runs) of the selected examination in
a 4 x 4 matrix.

Figure 80 Overview screen on the C-arm stand

Legend
1 Patient and examination details (selected examina- 3 Current image
tion)
2 Examination dose (selected examination)

The examination dose is the cumulative total patient entrance dose for the current examination in the
current procedure in mGy.

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Figure 81 Overview screen on the mobile view station

Legend
1 Patient and examination details (selected examina- 3 Current image
tion)
2 Examination dose (selected examination) 4 Page selector

Examination dose is the cumulative total patient entrance dose for the current examination in the
current procedure in mGy.

The cumulative DAP is the cumulative dose area product for the current patient.in Gy.cm2. The unit is
configurable by the hospital administrator.

1 To display the overview screen of the selected examination, do one of the following:

Press the Overview button on the mobile view station.

Tap the Overview button on the C-arm stand touch screen to switch the display to the overview screen.

Press the Overview button on the remote control to switch the display between single image display
and the overview screen.

The current image is identified by a yellow outline.

2 Use the following controls to navigate the overview screen:

To Mobile view station C-arm stand touch Remote control

screen
View all images from all runs
Overview (Dou-
All images All images
ble-press)

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To Mobile view station C-arm stand touch Remote control

screen
View the middle image from each run
One image per Overview (Dou-
in the same overview One image per run
run ble-press)

Navigate through the images and

runs one by one Previous Previous Previous

Next Next Next

Up – –

Down – –

Display the previous overview page Previous over-

view page
Page up Swipe the touch –
screen from top
to bottom.
Display the next overview page Next overview
page
Page down Swipe the touch –
screen from bot-
tom to top.
Display a single image full size Double-click on the re-
Double-tap the re-
quired image on the Overview
quired image.
examination monitor.

NOTE On the remote control, ‘double-press’ means to press the button twice in rapid
succession.

3 To select or deselect images, do the following:

a To select a different image as the current image, click or tap the desired image thumbnail.

b To select more than one image, click the top left corner of the desired images.

A check box is displayed and the image is selected. Each selected image is identified by a
yellow outline. The current image has a thicker yellow outline.

You can also select multiple images by pressing Ctrl and clicking or tapping the desired images.

c To select all images in a range on screen, select the first image, then press shift and select the
last image.

All images between the two images are also selected.

d To deselect an already selected image, click on the image thumbnail.

If you have selected more than one image, press Ctrl while deselecting the desired image to
ensure all other images remain selected.

5.18.5 Run Cycle Review

1 To view the images of the run in a cycle, do one of the following:

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Press the Run cycle button on the mobile view station.

Tap the Run cycle button on the C-arm stand touch screen.

Press the Run cycle button on the remote control.

The run cycle symbol is displayed on the lower-right corner of the examination monitor, indicating
that the run cycle is active.

2 To stop the cycle press Run cycle again.

Alternatively, you can stop the run cycle by doing the one of the following:

Press the Single image button on the mobile view station.

Press the Overview button on the mobile view station.

Tap the Overview button on the C-arm stand touch screen.

Tap the Pause button on the C-arm stand touch screen.

(Double-)press the Overview button on the remote control.

Tips
Viewing runs During run cycle, you can view the previous or next run by pressing:
• The Previous or Next button on the mobile view station
• The Previous or Next run buttons on the C-arm stand touch screen
• Previous and Next buttons on the remote control.

You can also switch to the first or last run by pressing the Page up or Page down but-
tons.

The system can be set to show automatic run cycle review instead of last image hold.

Enabling and Disabling Automatic Run Cycle

1 Tap System in the header area of the C-arm stand touch screen.

The system menu appears.

2 To enable automatic run cycle, tap Auto Run Cycle in the system menu.

The Auto Run Cycle toggle button becomes active. Images will now automatically be shown in run
cycle after exposure instead of last image hold.

Auto run cycle remains enabled if a new examination is started, even after the system has been shut
down and restarted.

3 To disable automatic run cycle, tap Auto Run Cycle in the system menu.

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The Auto Run Cycle toggle button becomes inactive. Only single images will now be shown.

4 To close the system menu, tap Close on the system menu.

Tip
Performing roadmap with trace Disable automatic run cycle if you are performing roadmap with trace often, to
avoid the need to select the image used for roadmap. See Performing Roadmap
with Trace (Peak Opacification) (page 112).

5.18.6 Dose Report

The dose report displays information regarding the dose received during an examination, and includes
the cumulative time, cumulative dose and the number of single shot exposures.

The format for the cumulative time depends on the selected display mode:
• If IEC display mode is selected then minutes and seconds are displayed in the Duration column
using the minutes/seconds format/range: 0:00-999:59.
• If HHS display mode is selected then minutes are displayed in the Duration column using the
minutes/decimal minutes format/range: 0.0-999.9.

The cumulative dose is displayed in mGy, and the cumulative dose area product is displayed in Gy.cm².
The unit is configurable by the hospital administrator.

The values represent the dose at 30 cm from the detector entrance surface.

NOTE Dynamic acquisition refers to all X-ray except single shot. Details for dynamic acquisitions
are only displayed if dynamic acquisition has been performed. Details of single shot
acquisitions are only displayed if single shot mode has been used.

1 If the Administration screen is not already displayed, press the Administration button.

The current review examination is highlighted.

2 If desired, select a different examination.

3 Click Dose Report.

The Dose Report panel is displayed on the examination monitor.

Figure 82 Dose report panel

NOTE Some data may not be fully displayed if the characters do not fit in the available space.

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NOTE For HHS systems, an X-ray time less than 6 seconds is displayed as 0.0 minutes.

4 Click Close to close the Dose Report panel and return to the Administration screen.

Tips
Print If a printer is installed a copy of the report can be made by pressing the Print
button on the mobile view station.
Store to USB The report can be stored to USB by pressing the USB button on the mobile view
station.
Export dose report See Exporting, Saving, and Printing (page 153) for details about exporting or
printing the dose report.

5.18.7 Reviewing Other Examinations During Acquisition

During the current acquisition, images of a previous examination can be viewed.

1 If the administration screen is not already displayed, press the Administration button.

The current review examination is highlighted.

2 If desired, select a different examination for review.

A confirmation dialog box is displayed, requiring the operator to select whether to close the current
acquisition examination.

NOTE Clicking the Yes button in the confirmation dialog box closes the current acquisition
examination. No more images can be added for this examination.

3 Click No in the confirmation dialog box to keep the current acquisition examination selected for
acquisition.

The selected examination can now be reviewed. When X-ray is resumed, the system will return to
the current acquisition examination.

Click the Show Examination button. The last image of the last run of the selected examination is
displayed on the examination monitor in single image mode.

Tip
Displaying an examination Instead of clicking Show Examination, the selected examination can also be displayed
by pressing one of these buttons on the mobile view station:
Single image

Overview

Run cycle

5.19 Protection and Image Storage Management

Images are stored in accordance with the settings you are using for acquisition.

For more information about changing the storage settings, see Storage Rate (page 122).
• Storage for the left hand/foot switch is off by default.
• When Off is selected, there is no automatic image saving; images are only saved by pressing Flag,
Protect or Park.

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The default storage settings can be modified by Service.

A part of the system's storage capacity is always available for acquiring images. You can protect
acquired images to control when they can be deleted.

The protect flag can be attached to an image for storage management purposes. Protected images in
the current examination will not be overwritten during the examination.

5.19.1 Protecting Images

Images are stored on a disk in the system. It is possible to protect images from the current acquisition
examination against overwriting. The disk contains a preconfigured amount of space that cannot be
protected; this ensures a minimum working area. At the start of a new examination the working area is
available for new images. The differences between the two areas of the disk are explained in the table
below.

Working Area Protected Area

Unprotected images of Unprotected images of the Protected images of older ex- Protected images of the
older examinations can be current examination will be aminations can be overwritten current examination can-
overwritten without warn- overwritten after the clock without warning not be overwritten
ing symbol

CAUTION
When the disk is full with protected images, protected images of previous examinations will be
overwritten without warning.

A reminder panel is displayed on startup when the disk is almost full, allowing the operator to delete
examinations that are no longer required. This helps to ensure that sufficient storage space is available
and to avoid the automatic overwriting of older examinations.

When the unprotected working area is full with images from the current examination, the oldest of the
unprotected images from the current examination will be overwritten. Before this happens a clock
symbol appears on the screen together with the imaging time (seconds) before overwriting begins.

CAUTION
The clock symbol, displayed with an amount of time in seconds, indicates that images of the current
examination are going to be overwritten after this time has elapsed.

CAUTION
Unprotected images of previous examinations will be overwritten without warning.

We recommend that you delete examinations, and archive them to PACS if necessary, when they are
complete to avoid overwriting images unexpectedly and to protect privacy.

After new images are overwritten, the time (seconds) before another new run is overwritten is indicated.
When new images from the current examination are protected, they cannot be overwritten during the
current examination.

1 Select the image to be protected as described in the previous chapters.

2 To protect the image, do one of the following:

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• Press the Protect button on the mobile view station.

• Tap Flag on the C-arm stand touch screen.

• Press the Protect button on the remote control.

A protect indicator (a flag) is displayed on the lower-left corner of the protected image.

3 To protect the complete run, press the Protect button during the run cycle:

Tips
Protect images During the image acquisition, protected images of the current examination are
never overwritten.
Protect run If One image per run is selected in the overview screen, the whole run is protec-
ted if the image in the overview is protected.
Print and export Print or export images as soon as possible to ensure they are printed or exported
before they can be overwritten.
Delete reviewed examinations Delete reviewed examinations as soon as possible to avoid overwrites and the
exposure of patient information.
Image and mask protection If the protected image is a subtracted image, both mask and image are protected.
Unprotect images If images/runs are protected, press the Protect button again to remove the ‘Pro-
tect’ status.
Enlarging the working area direct- If the overwrite warning clock appears the working area can be enlarged immedi-
ly ately by protecting runs or images. Previous examinations will be deleted.
Enlarging the working area before The working area can be enlarged by deleting older (protected) examinations. It is
the examination good practice to delete examinations when they are no longer needed.
Maximum run size The maximum number of images in one run is 999. If this number is exceeded,
the first images will be overwritten. Before this happens the warning clock will ap-
pear, together with the remaining time before the overwriting begins.
Intended concept The preconfigured working area run buffer that cannot be protected (see Custom-
izing (page 46)), together with the image storage management method described
above, ensures that sufficient storage space is always available.

NOTE The maximum length of one run is 999, therefore the run time (before overwriting begins)
is also limited.

No indication of the available storage capacity is given before the start of a run. The complete
working area can be used to store images for each run.

Runs that require more than 999 images to be stored are considered outside the normal use of this
equipment.

5.19.2 Parking an Image to the Reference Monitor

1 To park an image to the reference monitor, do one of the following:

• Press the Park button on either the mobile view station or the remote control.

• Tap Park on the C-arm stand touch screen.

• Press the Park button on the remote control.

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The image on the examination monitor is copied to the reference monitor.

5.20 Image Processing

You can use post-processing functions on images displayed in single screen, overview and last image
hold mode.

1 With the image(s) to be processed displayed on the examination monitor, press the Image
processing button.

The image processing buttons are displayed in the image processing panel to left of the image.
Some image processing functions have controls associated with them. These controls are displayed
in the control panel below the image processing panel when the relevant function is selected.

Figure 83 Image processing panel

Each image processing function is described in detail in the following sections, along with details of
the associated control panel, if appropriate.

NOTE Some image processing functions are optional, and might not be available on your
system.

Tip
Touch screen (optional) The optional touch screen can be used to perform the actions described in the fol-
lowing sections. The operator can touch the screen directly to click buttons, and se-
lect and drag items.

NOTE Do not use the C-arm stand touch screen as the leading display to evaluate image
quality. Instead use the mobile view station examination monitor.

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5.20.1 Adjusting Contrast and Brightness

You can adjust the contrast and brightness levels of the X-ray image to assist in viewing.

The system has default contrast and brightness settings which are used for each new acquired image
run. Changes to contrast and brightness are only applied to images, including parked images, and do
not affect text, annotations, or control panels.

Adjusted contrast and brightness settings are stored with the image run that you have adjusted. If you
adjust the settings for subtracted images, the new settings are also stored for subtracted images.

1 Click Contrast Brightness in the image processing control panel.

Controls to adjust contrast and brightness are displayed in the control panel.

When you adjust contrast and brightness manually, Auto CB is switched off automatically.

2 To adjust brightness using the control panel, do the following:

• Click + to increase the brightness of the image.
• Click - to decrease the brightness of the image.

3 To adjust contrast using the control panel, do the following:

• Click + to increase the contrast in the image.
• Click - to decrease the contrast in the image.

4 To adjust contrast and brightness on the touch screen, do the following:

• Drag right to increase the contrast.
• Drag left to decrease the contrast.
• Drag up to increase the brightness.
• Drag down to decrease the brightness.

5 To reset contrast and brightness to the default settings, click Reset to Default.

5.20.2 Enhancing Edges

You can enhance edges in the X-ray image to assist in viewing.

The system has default edge enhancement settings which are used for each new acquired image run.
Changes to edge enhancement are only applied to images, including parked images, and do not affect
text, annotations, or control panels.

Adjusted edge enhancement settings are stored with the image run that you have adjusted. If you
adjust the settings for subtracted images, the new settings are also stored for subtracted images.

1 Click Edge Enhancement in the image processing control panel.

2 To adjust edge enhancement using the control panel, do the following:

• Click + to increase edge enhancement.
• Click - to decrease edge enhancement.

3 To adjust edge enhancement using the touchpad or touch screen, do the following:
• Drag up to increase edge enhancement.
• Drag down to decrease edge enhancement.

4 To reset edge enhancement to the default settings, click Reset to Default.

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5.20.3 Video Invert

Video invert reverses the displayed image.

1 Click Invert in the image processing control panel to invert the displayed image.

2 The displayed image is inverted concurrently with the active image processing task.

An indicator is displayed at the bottom left of the image, indicating that the displayed image has
been inverted. The setting is applied to all images in the run.

3 Click Invert again to stop inverting the image.

5.20.4 Adding Annotations and Remarks

You can add annotations to images and remarks to the current examination.

You can also select which color you want to use for annotations. Each image can contain only one
annotation.

Figure 84 Annotation control panel

Legend
1 Color list
2 Annotation text box
3 Examination remarks text box

1 To add an annotation to the image, do the following:

a Click Annotation in the image processing control panel.

The Annotation control panel is displayed.

b Enter text in the annotation text box.

c Click Accept.

The annotation is added to the image.

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d Drag the annotation text box to the desired position on the image.

e Drag the annotation arrow to the desired position on the image.

2 To modify an existing annotation, do the following:

a Click Annotation in the image processing control panel.

The Annotation control panel is displayed. The annotation text box contains the text for the
existing annotation.

b Edit the text in the annotation text box.

c To change the color of the annotation, select a new color in the color list.

d Click Accept.

The annotation text is changed.

e Drag the annotation text box to the desired position on the image.

f Drag the annotation arrow to the desired position on the image.

3 To delete an annotation click on the annotation and press the Delete button.

The annotation and any text contained in the annotation text box are deleted. The Annotation
control panel is closed.

4 To add a remark to the examination, do the following:

a Click Annotation in the image processing control panel.

The Annotation control panel is displayed.

b Enter text in the examination remarks text box.

c Click Accept.

The remark is added to the examination. The remark appears on all images in the examination.

5.20.5 Zooming
With the zoom function, any part of the image can be magnified by a factor of 2.

1 Click the Zoom button in the image processing panel.

The zoom square appears over the image (the zoom function does not have a control panel).

Zoom is applied to all images in the current run.

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Figure 85 Zoom

2 Drag the zoom square to the position of interest.

The zoom square remains visible if another image processing function is selected from the image
processing panel.

3 To remove the zoom square, do one of the following:

• Click on the zoom square to select it and press the Delete button.

• Click Zoom again.

NOTE A zoomed image cannot be zoomed again to provide more magnification.

Tips
Repositioning The zoom square can be repositioned by dragging.

The Zoom function does not need to be active to do this.

Undo The Undo button on the mobile view station console can be pressed to undo the last
dragging action of the zoomed square.

5.20.6 Measure
With the measure option, a distance in the current image can be measured. Additionally, the angle
between two lines can be calculated.

Measurements can also be performed on zoomed images.

Distance measurements and angle measurements are used in vascular and orthopedic procedures.
Accuracy of length measurements, when calibrated with an object of at least 8cm, is ±7% when no zoom
is applied and the measured object is in the Interventional Reference Point (30cm from detector) and
where the length of the object is at least 50 pixels on the monitor. The inaccuracy might be higher when
the calibration is performed in the zoom mode and measurement is done in normal mode.

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Accuracy of an angle measurement is within ± 4.0 degrees when the legs of the angle-measurement are
at least 50 pixels on the monitor.

For vascular procedures, measurements can provide:

• Distance measurement of arteries and veins.
• Occasional angle measurement.

In orthopedic procedures, measurements can provide:

• Bone length measurement to define the screw length.
• Length or thickness measurement of implants.
• Angle measurement in the spine (scoliosis measurements), in the pelvis area, or in the knee.

Before making a distance measurement, and sometimes also before an angle measurement (if the
length of the legs needs to be defined), calibration must be performed to set a reference value. For
calibration, an object with a known length must be placed at the same height as the object that is to be
measured.

1 In the image processing panel, click Measure to display the measure control panel.

Figure 86 Measure control panel

Legend
1 Calibrate 4 Distance measurement
2 Actual calibration measurement 5 Distance and angle measurement
3 Color list 6 Two distances and angle measurement

2 Click Calibrate to start calibration.

3 Draw a calibration line across a known distance in the image.

This can be done using a catheter with marks on it or with a lead ruler placed at the same height as
the object that is to be measured. To gain enough accuracy, the catheter or ruler must be placed
perpendicular in the X-ray beam. Calibrate a long distance to minimize the inaccuracy, for example
8-10 cm.

Place the cursor precisely on the edges of the bone or vessel. To increase the accuracy or cursor
placement, use the zoom function. For more information, see Zooming (page 144).

NOTE A calibration line can be drawn by dragging in the image display. Adjustments to the line
can be made by dragging either end of the line.

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You can use any of the images in a run for calibration. The calibration is valid for all images in that
run and you cannot store more than one calibration per run.

NOTE The inaccuracy might be higher when the calibration is performed in the zoom mode and
measurement is done in normal mode.

4 Enter the known length as the actual calibration measurement.

5 Press the Accept button to store the calibration value for the run.

NOTE Existing measurements are updated if a new calibration action is performed.

Tips
Delete Measurement lines can be deleted by pressing the Delete button on the mobile view
station.
Repositioning Measurement lines can be repositioned by dragging. The measure function does not
need to be active to do this.
Undo The Undo button can be pressed to undo the last dragging action.

6 To change the color used to display measurements, select a new color in the color list.

Distance Measurement
After calibration you can measure the length of an object by placing the cursor at the beginning and at
the end of the object. You can only do one measurement at a time. The measurement value is displayed
in the lower right part of the screen. When the measurement line is highlighted, you can delete it, and
then perform a new measurement.

WARNING
When the length of a line (or leg) needs to be measured, then calibration needs to be performed to
get an accurate result. It is the responsibility of the operator to perform calibration. For details, see
Measure (page 145)

1 In the Measure control panel, click Distance.

2 Draw a line on the image by dragging.

The length of the line is displayed. You can change the position and length of the line by dragging
either end of the line.

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Figure 87 Measurement of two points

Angle Measurements with Length

When you start the angle measurement function, a calibration factor is requested. If you are only
measuring an angle (three point angle measurement) the calibration factor is not needed and you can
continue with the measurement by placing the 2 lines in the image.

WARNING
When the length of a line (or leg) needs to be measured, then calibration needs to be performed to
get an accurate result. It is the responsibility of the operator to perform calibration. For details, see
Measure (page 145)

Angle measurement can be done in two ways; a measurement with closed lines or a measurement with
open lines. Normally an angle measurement with closed lines is used, but for measurements in the
spine, an angle measurement with open lines is used. Four measurements can be made in one image.
The angle and length measurement values are placed in the lower right part of the screen.

Three-Point and Angle Measurement

1 In the Measure control panel, click Distance and angle.

This function requires you to define two lines and an angle using three points in the image.

2 Draw a line on the image by dragging.

3 Create a second line and the angle by clicking in the display at the desired end point of the second
line.

The lengths of both lines and their angle are displayed. You can change the position and length of
the lines by dragging either end of the line.

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Figure 88 Measurement of two distances and angle (three points)

Measure Two Distances and Angle

This is a four-point measurement: two separate lines and an angle.

1 In the Measure control panel, click Two distances and angle.

This function requires you to define two unconnected lines and the angle using four points in the
image.

2 Draw a line on the image by dragging.

3 Draw a second line on the image by dragging.

The lengths of both lines and their angle are displayed. You can change the position and lengths of
the lines by dragging either end of the line.

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Figure 89 Measurement of two distances and angle (four points)

5.20.7 Pixelshift
The Pixelshift function can only be applied when the subtraction function is active. With this function
the mask is shifted with respect to the image.

1 Click Pixelshift in the image processing panel.

The Pixelshift control panel is displayed.

Figure 90 Pixelshift control panel

2 To adjust the mask, do one of the following:

• Click the shift direction arrows in the Pixelshift control panel (the amount of shift applied is
shown above the direction arrows).
• Drag the mask in the image.

NOTE Pixelshift is applied to all images in the current run.

Tips
Cancel pixelshift Press the Undo button. The pixelshift values from before changing pixelshift will be
restored.
Press the Undo button again to reset the pixel shift values to zero.

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5.20.8 Landmarking
The Landmark function displays the current subtracted run with a partial subtraction of the mask image.

1 Click the Landmark button in the image processing panel.

The Landmark control panel is displayed.

Figure 91 Landmark control panel

2 Select one of the four landmarking levels in the Landmark control panel by clicking + and -.
Landmarking can also be applied by dragging in the image.

The landmarking level is applied to all images in the run.

5.20.9 View Trace Using the MVS

View Trace uses acquired images to obtain a vascular-tree background in the display.

You can control the view trace function from the mobile view station and from the C-arm stand.

NOTE Minimum opacification is used if the run being traced is created using the iodine contrast
medium selection. Maximum opacification is used for CO2 contrast medium selection.

1 Select and display the first image to be traced.

Use the Previous and Next buttons to navigate the images and select the first image to start the
trace.

2 Click View Trace in the image processing panel.

The system starts tracing images at the same speed as the acquisition speed.

The View Trace control panel is displayed.

Zoom, measurements and annotations are removed from the display.

3 In the View Trace control panel, click Stop to stop tracing images.

If more images are available in the run after stopping tracing, use the Next button to add images to
the trace result.

Pressing and holding the Next button adds available images from the run at a rate of 2 per second.

Tracing stops automatically if the end of the run is reached before the Stop button is clicked.

4 In the View Trace control panel, click Save to save the trace image.

The trace image is stored in a new run.

The view trace indicator and the new run number are displayed.

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The View Trace control panel is closed and the View Trace button on the image processing panel is
disabled.

NOTE If a subtracted run is traced, the mask image and the trace image are stored in a new
run.

5.20.10 View Trace Using the C-arm Stand

View trace uses acquired images to obtain a vascular-tree background in the display.

You can control the view trace function from the MVS and from the C-arm stand.

NOTE Minimum opacification is used if the run being traced is created using the iodine contrast
medium selection. Maximum opacification is used for CO2 contrast medium selection.

1 If run cycle is not activated, tap Run cycle.

2 Select the run to be traced.

Use Previous run and Next run to navigate the runs.

3 Tap View Trace.

Tracing starts at the first image in the run. The system traces images at the same speed as the
acquisition speed.

4 To stop tracing before the end of the run, tap Stop Tracing.

The trace result achieved so far is displayed. This result is not yet saved.

Tracing will stop automatically if the end of the run is reached before Stop Tracing is tapped.

If View Trace is tapped again, tracing is cancelled and no result is saved.

5 To add the next image, tap Next image.

NOTE Touching and holding Next image adds available images from the run at a rate of 2 per
second.

6 To save the trace image, tap Save Trace Result.

The trace image is stored in a new run as the last run in the acquisition examination. The time when
you saved the trace is stored and displayed as the run start time.

The View trace indicator and the new run number are displayed.

NOTE If a subtracted run is traced, the mask image and the trace image are stored in a new
run.

5.20.11 Manual Electronic Blanking

Using the manual electronic blanking function, the operator can cover any irrelevant or distracting parts
of the image. The covering is applied to all the images in the current run.

1 Click Manual Electronic Blanking in the image processing panel.

The Manual Electronic Blanking control panel is displayed, and the shutters and diaphragm are
displayed in the image.

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Figure 92 Manual Electronic Blanking panel

2 To move a shutter, click the shutter at its midway point and drag it to a new position.

3 To rotate a shutter, click the shutter at either end and drag until the desired rotation is achieved.

4 To move the diaphragm, click it and drag it inward or outward to a new position.

5 To reset the blanking to fully open, click the Reset button in the Manual Electronic Blanking control
panel.

6 To store the adjusted electronic blanking positions, click Manual Electronic Blanking in the image
processing panel, or simply select another image processing function.

5.20.12 Automatic Electronic Blanking (AEB)

The areas covered by the shutters and collimator are automatically blanked (and shown as black) on
the images displayed.

Automatic electronic blanking can be switched on or off by Service at installation of the system.

If the shutters and/or collimator are moved in last image hold, blanking is not changed until the next
images are acquired (because the positions of the shutters and collimator in the displayed last image
hold image are not changed).

If a run of images is reviewed then no automatic electronic blanking is applied if the shutters and/or
collimator have been moved during acquisition of the images.

NOTE Automatic electronic blanking is not applied if the shutters and/or collimator are moved
during acquisition of the images. Automatic electronic blanking is applied again to the next
images acquired.

5.21 Exporting, Saving, and Printing

You can export, save, and print patient and image data to removable media (paper, transparency, DVD,
USB device) and to a network location.

The printing function is optional and may not be installed on your system. If export target locations are
not configured for your system, the export function is not be displayed. The ability to save to local
media is configured at installation. If your system is not configured to allow data to be saved to local
media, the function is not displayed.

NOTE Removable media that contains images and/or other medical information must be stored in
a secure area that is not accessible by unauthorized individuals.

NOTE When handling personal data, do so in accordance with the privacy policies that apply in
your healthcare environment and privacy laws that apply in your region.

Export, save and print jobs are processed in the background, allowing you to use the system normally
while the transfer jobs are processed. The status of individual transfer jobs is visible in the job viewer.

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The icon in the global tools indicates the overall status of transfer jobs. For more information, see
Viewing Transfer Jobs in the Job Viewer (page 160).

You can select each function in the global tools by clicking one of the following icons.

Icon Function

Export

Save to Media

Print (optional)

5.21.1 Selecting Images to Export, Save, or Print

Before exporting, saving, or printing images and series, you can select the specific images or series that
you want to use.

You can do this from either the Review list, the single image screen, or from the overview screen.

For more information about exporting, saving, or printing, see the following sections:
• Exporting Images to a Network Location (page 155)
• Saving Images to Local Media (page 157)
• Printing Images (Option) (page 159)

Selecting Images Using the Review List

You can select images to export, save, or print using the Review list.

1 Open the Review list.

For more information, see The Review List (page 93).

2 Select the desired examination.

3 Select the desired function in the global tools.

The relevant dialog box is displayed.

Selecting Images Using the Single Image Screen

When using the single image screen to select the image you want to export, save, or print, the single
image shown is the current image.

1 Open the single image review screen.

For more information, see Single Image Screen (page 127).

2 To select a single image, navigate to the image you want to use.

3 To select a series, perform run cycle review of the series you want to use.

For more information, see Run Cycle Review (page 135).

4 Select the desired function in the global tools.

The relevant dialog box is displayed and the current image is selected.

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If run cycle review was not active when you selected the desired function, then only the current
image is used. The Selected images radio button is automatically selected, indicating that only a
single image is selected.

If run cycle review was active when you selected the desired function, then Selected series is
automatically selected, indicating the number of images in the series.

Selecting Images Using the Overview Screen

When using the overview screen, you can select multiple images and series.

1 Open the overview screen.

For more information, see Overview Screen (page 133).

2 To select or deselect images, do the following:

a To select a different image as the current image, click or tap the desired image thumbnail.

b To select more than one image, click the top left corner of the desired images.

A check box is displayed and the image is selected. Each selected image is identified by a
yellow outline. The current image has a thicker yellow outline.

You can also select multiple images by pressing Ctrl and clicking or tapping the desired images.

c To select all images in a range on screen, select the first image, then press Shift and select the
last image.

All images between the two images are also selected.

d To deselect an already selected image, click on the image thumbnail.

If you have selected more than one image, press Ctrl while deselecting the desired image to
ensure all other images remain selected.

3 To select a series for exporting, saving, or printing, select One image per run.

4 Select the desired function in the global tools.

The relevant dialog box is displayed.

5.21.2 Exporting Images to a Network Location

You can export images to a DICOM network location.

1 If you are using the overview screen, select the images or series you want to export.

For more information, see Overview Screen (page 133).

2 From the single image screen or from the overview screen, click Export in the global tools.

The Export dialog box is displayed.

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Figure 93 Export dialog box

Legend
1 Images to be exported 3 DICOM format
2 Dose report selector 4 Destinations

3 Select the image or images to save.

If you are using the single image screen, the current image is the selected image.

You can change the images you want to save by selecting one of the following options:
• Selected images
• Flagged images
• Selected series
• All images
• No image (select this if you want to save only a dose report image)

4 To include a dose report image, select With dose report.

5 Select the desired DICOM format.

You can select one of the following DICOM formats:

Format Use
X-Ray Angiographic (XA, unprocessed) For viewing and post-processing on workstations (raw non-processed
images).
X-Ray Angiographic (XA, processed with- For viewing images on workstations (includes all image processing in-
out mask) cluding subtraction but without mask).
X-Ray Angiographic (XA, processed with For viewing images on workstations (includes all image processing in-
mask) cluding subtraction and mask image will be included as a separate image
under the series).
Secondary Capture (SC) For target devices which cannot handle patient data on the image.
Secondary Capture (SC) with text For printing and archiving.

6 Select the destination DICOM network drive.

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7 To close the dialog box without saving the images, click Cancel.

8 To export the images, click Export.

If a Modality Performed Procedure Step progress update is to be sent, the Modality Performed
Procedure Step dialog box is displayed. Enter the required details and click Apply. The export job is
queued and the Job Viewer dialog box is displayed. For more information, see Viewing Transfer
Jobs in the Job Viewer (page 160).

If you are using ClearGuide, the direction indicators are not included in the exported images.

5.21.3 Saving Images to Local Media

You can save images from the system to a local storage device.

NOTE Writing data to a USB drive or DVD should be considered as temporary storage only, and
should not be considered a long-term backup solution.

The following devices are supported:

• USB flash memory drive or other USB storage device, allowing you to save the following:
– Single images in PNG format
– Series in PNG and MP4 format
– Images/series in DICOM format
• DICOM DVD, allowing you to save series in a fully compliant DICOM format with images and a dose
report.

You can save data to a USB drive in several sessions, but you can only save data to a DVD in a single
session.

NOTE USB drives and DVDs containing patient data must be treated as confidential and must be
maintained in a secure environment. De-identification options are available when exporting
personal data.

Figure 94 USB ports

1 If you are using the overview screen, select the images or series you want to save.

For more information, see Overview Screen (page 133).

2 From the single image screen or from the overview screen, click Save to Media in the global tools.

The Save to Media dialog box is displayed.

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Figure 95 Save to Media dialog box

Legend
1 Images to be saved 4 Destinations
2 Dose report selector 5 De-identify selector
3 Format selector

3 Select the image or images to save.

If you are using the single image screen, the current image is the selected image.

You can change the images you want to save by selecting one of the following options:
• Selected images
• Flagged images
• Selected series
• All images
• No image (select this if you want to save only a dose report image)

4 To include a dose report image, select With dose report.

5 Select the desired format.

If you save the images in a DICOM format, you can include a DICOM viewer to allow the images to
be viewed on any computer by selecting With viewer.

6 Select the destination drive.

7 To de-identify the patient, select De-identify and enter an appropriate De-identified name.

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8 To close the dialog box without saving the images, click Cancel.

9 To save the images, click Save.

The save activity is queued as a job and the Job Viewer dialog box is displayed. For more
information, see Viewing Transfer Jobs in the Job Viewer (page 160).

If you are using ClearGuide, the direction indicators are not included in the images.

5.21.4 Printing Images (Option)

You can choose which images to print and which DICOM printer you want to use. You can also choose
to include a dose report with your print.

For more information about printing a copy of the examination monitor screen only, see Printing the
Examination Monitor Screen (Option) (page 162).

1 In the overview screen, select the images or series you want to print by selecting or flagging the
images or series.

For more information, see Overview Screen (page 133) and Protection and Image Storage
Management (page 138).

If you prefer to print all the images in the current examination, you do not need to select the images.

2 In the global tools, click Print.

The Print dialog box is displayed.

Figure 96 Print dialog box

Legend
1 Images to be exported 3 Format
2 Dose report selector 4 Printers

3 Select the combination of images you want to print:

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• Selected images
• Flagged images
• Selected series
• All images
• No image

4 To print a dose report with your print, select With dose report

5 Select the desired layout of images.

6 Select the printer you want to use.

7 To close the dialog box without printing, click Cancel.

8 To print your selection, click Print.

The print job is queued and the Job Viewer dialog box is displayed. For more information, see
Viewing Transfer Jobs in the Job Viewer (page 160).

If you are using ClearGuide, the direction indicators are not included in the printed images.

5.21.5 Viewing Transfer Jobs in the Job Viewer

The job viewer displays transfer jobs that are waiting or that resulted in errors, and allows you to see
what errors were encountered.

You can see the status of current jobs in the global tools and in the System menu. You can also delete,
abort, or repeat jobs.

The job viewer icon indicates the status using the following icons.

Icon Status Description

No jobs No jobs are being transferred, and no transfer jobs have failed.

Busy At least one job is being transferred, and no transfer jobs have failed.

Error No jobs are being transferred, and at least one transfer job has failed.

Error and busy At least one job is being transferred, and at least one transfer job has failed.

The job viewer opens automatically when you start an export job, a print job, or when you start to save
images to local media. You can also open the job viewer at any time to view the status of transfer jobs.

To select more than one job in the list, press Ctrl and select the desired jobs. To select all jobs in a range
in the list, select the first job, press Shift and select the last job. All jobs between the two jobs are
selected.

1 To open the job viewer, do one of the following:

• Click System and select Job Viewer.
• Click the Job Viewer status icon in the global tools.

The Job Viewer dialog box opens.

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Figure 97 Job Viewer dialog box

The Job Viewer dialog box displays each transfer job and its status. The following statuses for
transfer jobs are used:

Icon Status Description

The transfer job is complete and if applicable, a successful storage com-
Completed mitment reply has been received from the storage target.

Submitted The transfer job is queued, and has not started or been attempted yet.
The transfer job is in progress and the indicated image count shows the
Image count
number of images transferred and the total to be transferred.
Busy MPPS status data is being transferred.
The transfer job has completed but a storage commitment reply has not
yet been received from the storage target. The job remains in the list until
Not committed
the storage target commits the images to the archive. Although the job
remains in the list, the images are only sent once.
Cancelled The transfer job was cancelled.
Failed A failure was detected.
The system has detected a network connection, but a connection to the
No connection
storage target is not detected.

Storage commit provides feedback on the status of images sent to the hospital network. The Job
Viewer dialog box displays confirmation that images sent to a storage target have been archived.
The time taken for the commitment of storage to be confirmed is dependent upon the storage
commit server. The storage commit feature is enabled or disabled for each storage target by Service,
or by a hospital administrator.

2 For information about a specific transfer job, select the transfer job in the list.

More information about the selected transfer job is displayed below the list.

3 To cancel transfer jobs, do the following:

a Select the transfer jobs in the list.

b Click Cancel.

All of the selected transfer jobs are cancelled immediately. The transfer jobs remain in the list
and can be restarted if desired.

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4 To restart transfer jobs, do the following:

a Select the transfer jobs in the list.

b Click Redo.

All of the selected transfer jobs are restarted and queued.

5 To delete transfer jobs, do the following:

a Select the transfer jobs in the list.

b Click Delete.

A dialog box is displayed requesting you to confirm that you want to delete the selected transfer
jobs. Deletion cannot be undone.

c To close the dialog box without deleting the selected transfer jobs, click Cancel.

d To delete the selected transfer jobs, click Delete.

All of the selected transfer jobs are removed from the transfer queue and are no longer
displayed in the list.

6 To close the Job Viewer dialog box, click Close.

5.21.6 Printing the Examination Monitor Screen (Option)

If the printer option is installed, a print can be made of the examination monitor screen on paper or
transparency film.

1 Make sure the printer is switched on and contains paper/transparency film.

2 Display the desired image or dose report on the examination monitor.

3 Print the image by pressing the Print button on the mobile view station.

The use of printing paper/transparency film types other than those specified in the printer’s user
manual may result in diminished printer performance and poor print quality.

If you are using ClearGuide, the direction indicators are included in your print.

For full instructions on using printers, refer to the printer’s user manual.

NOTE Safeguard confidentiality of printed images in accordance with applicable internal

directives.

When working with printed media, you should observe the following guidelines:
• Do not leave unused or printed paper/transparency film in hot or humid places.
• Do not leave paper/transparency film in a place subject to direct sunlight or bright room light for
an extended period of time.
• Store unused or printed paper/transparency film in a cool, dark place (below 30°C / 86°F),
preferably in the manufacturer’s original, unopened packaging.
• Do not stack printed paper/transparency film on or under a freshly-developed diazo copy
sheet.
• Do not allow any volatile organic solvent or vinyl chloride to contact the paper/ transparency
film.
• Alcohol, plastic tape or film will fade the printout. Attach printed paper to other pieces of paper
with double sided plastic tape or water-based solid glue.

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5.21.7 Saving a Snapshot of the Examination Monitor Screen to USB

The mobile view station features a USB connection allowing the operator to store a snapshot of the
examination screen on a removable USB flash memory drive.

Images saved on a USB drive should not be used for diagnostic purposes.

Figure 98 Mobile view station USB connectors

NOTE You cannot save a snapshot when live images are displayed or when run cycle review is
active.

1 Insert a USB drive into one of the USB storage connections on the mobile view station connector
panel.

2 Ensure the required screen is displayed on the examination monitor.

3 Press the USB button on the mobile view station.

A snapshot of the examination screen is made and stored on the USB drive in a folder named
Philips_X-ray_images.

While the screen capture is being stored, the USB indicator light turns on and a message is
displayed on the examination monitor indicating that the snapshot image is being stored and
advising you to wait until this is completed before continuing.

Another snapshot cannot be made until the indicator light switches off, indicating that the store
action is complete.

The snapshot is stored on the USB drive as a 24-bit color bitmap, and is named according to the
patient, run number and image number. If there is insufficient space on the USB drive, an error
message is displayed.

NOTE Philips cannot guarantee that all USB drives function correctly with the system. If an
error message is displayed indicating that the storage action failed, please try an
alternative USB drive.

If you are using ClearGuide, the direction indicators are included in the snapshot.

4 After the store action has completed, another snapshot can be captured or the USB drive can be
removed.

CAUTION
Do not remove the USB drive until the USB button indicator light is off.

5.21.8 Saving Images for Service

If necessary, images can be saved to assist with system Service, for example, if you have observed
problems with images or have a specific question.

You can save a maximum of 15 images for Service.

1 On the mobile view station, press Ctrl+S when a static full screen image is displayed on the
examination monitor.

A message is displayed notifying you that health information will be disclosed to Service, and
requesting your confirmation.

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Patient identifying information is not stored with the image.

2 Click OK to confirm and to give your consent for the image to be saved.

The current image displayed is saved.

A message is displayed while the image is being captured, followed by a second message
confirming the image has been captured, with a reference number for the image. You should note
this reference number as it is required to allow Service to retrieve the correct image.

Images saved in this way can only be retrieved by Service.

5.21.9 Save Log File for Service

If necessary, the system logfile can be saved to assist with system Service, for example, if you have
observed problems with the system behavior or have a specific question.

1 On the mobile view station select the Save Log File for Service from the System menu. A popup will
appear where you can Save or Cancel the creation of the log file.

2 Click Save to create the log file. This can take several minutes.

The log file can be retrieved by Service as part of Remote Proactive Support.

5.22 Options
Some functions are optional and may not be installed on your system.

This section provides information about using optional functions.

5.22.1 Laser Aiming Devices

WARNING
The lasers must not be switched on without purpose, and unnecessary exposure must be avoided.

WARNING
Use of controls, adjustments, or procedures other than those specified in this Instruction for Use may
result in hazardous radiation exposure.

The optional tube laser aiming device is switched on and off by tapping the Tube Laser button on the
C-arm stand touch screen. If the tube laser aiming device option is not present, the Tube Laser button is
not visible.

There are no adjustments needed prior to the examination.

NOTE For maximum accuracy of the laser aiming devices, check their alignment as described in
User Routine Checks Program (page 198).

Tube Laser Aiming Device (optional)

WARNING
Laser radiation. Do not view directly with optical instruments. Class 1M laser product. Viewing laser
output with certain optical instruments (for example eye loupes, magnifiers and microscopes) within
a distance of 100 mm may pose an eye hazard.

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WARNING
The laser should not be used for target alignment when the light-cross center does not coincide with
the image center indicator on the detector. If this occurs do not use the system until the problem is
corrected by a Service technician.

NOTE When the C-arm is positioned other than in a vertical (tank-down) position, the laser
alignment accuracy decreases.

Complies with IEC60825-1 and with FDA performance standards for laser products except for the
deviations pursuant to laser notice 50, dated June 24, 2007.

5.22.2 Outline Tool

The optional outline tool can be used to draw markings on an image where it may be useful during a
procedure, for example, during vascular surgery to mark vessel branches and stent positioning on live
fluoroscopy images.

The outline tool is activated and used at the mobile view station.

Drawings can be created or changed using the mobile view station console touch pad or the
examination monitor touch screen.

The outline tool button is only visible if the outline tool option is installed.

Figure 99 Outline tool on the examination monitor

Legend
1 Outline drawing tools
2 Color selector
3 Outline drawing

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Only one drawing is kept by the system. If another examination becomes current or if another drawing
is made, the original drawing is lost.

It is not possible to rotate, flip or mirror an image if an outline drawing is present. If rotation, flipping or
mirroring is attempted while a drawing is present, the image will not be rotated, flipped or mirrored and
a warning is displayed on the examination monitor and the C-arm stand touch screen.

If an image is stored to USB, printed or copied to the reference monitor, the drawing is included. If an
image is exported (DICOM), the drawing is not included.

Drawing with the Outline Tool

1 Click on the outline tool button on the examination monitor on the mobile view station.

NOTE The outline tool button is disabled if the image is zoomed.

The outline drawing tools are displayed and the Draw function is selected by default.

2 To draw a dot on the image, click on the image where the dot is required.

A dot is drawn on the image.

CAUTION
To avoid damaging and scratching the examination monitor, use finger on touchscreen/touchpad
or use external mouse.

Figure 100 Example dots on an image

3 To draw a line on the image, use mouse or finger on the touch screen for best results.

NOTE The Draw button is disabled and a notification is displayed if a drawing contains the
maximum number of lines and dots. The maximum that can be stored by the system is 25
lines and 25 dots.

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Figure 101 Example lines on an image

4 To change the color of a drawing, select a new color using the color selector.

All new lines or dots that you add to this drawing will be displayed in the new color. If you delete
the drawing and start a new one, the color will change to the default color.

5 To hide a drawing without deleting it, do one of the following:

• Click on the outline tool button on the examination monitor on the mobile view station.

• Click Hide.

The drawing will be removed from view but is not deleted.

NOTE The drawing is hidden if the image is zoomed. The drawing is displayed again when the
image is no longer zoomed.

6 To re-display an existing drawing, click on the outline tool button on the examination monitor on
the mobile view station.

The drawing will be displayed.

7 To delete all lines or dots on the image, click Delete all on the outline dialog box.

Clicking Undo after clicking Delete all will undo the delete action.

8 To delete the last line or dot drawn, click Undo on the outline dialog box.

Clicking Undo can be repeated until all drawn lines or dots have been removed from the image.

5.22.3 Wireless Network Option

The wireless network option provides the ability to maintain a network connection with your facility’s
archiving system and a hospital network without requiring a physical connection (network cable). This
increases the flexibility and mobility to transfer patient data between the system and networked
archives such as a PACS.

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Figure 102 Wireless network infrastructure

Legend
1 Mobile view station 3 Access point
2 Wireless link 4 PACS/RIS/HIS

Maintenance of the wireless network infrastructure, including an appropriate security configuration, is

the responsibility of the healthcare facility.

The effectiveness of wireless networking is greatly dependent on environmental conditions in the

hospital. To obtain secure and efficient performance from the wireless network option, you should
follow the guidelines described here.

NOTE Switch the wireless networking off in areas within the facility where wireless transmission is
not allowed.

The wireless network option is implemented on the mobile view station. Antennas are mounted on the
back on the mobile view station monitors. This wireless network can be switched on or off. For more
information, see Switching the Wireless Network Connection On and Off (page 171).

Wireless connection strength is indicated by icons in the bottom right corner of the examination monitor
and in the System menu.

The following icons indicate the wireless network connection status and strength.

Icon Status
High signal strength

Medium signal strength

Low signal strength

Poor signal strength

Unusable signal strength

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Icon Status
Error

The wireless network option should only be switched on if you understand the risks involved with
wireless networking. We recommend that the wireless network option is switched off when not in use.

Network Security
The system is connected to the network whenever the wireless network option is operational and the
system is in range of an access point, whether the system is in use or not. This means that the system is
more exposed to security threats than when using a wired connection. For more information, see
Network Security (page 284).

Wireless Signal Integrity

The wireless network option uses a radio signal that may vary in strength depending on the proximity
and positioning of the wireless network devices and other objects. Interference from other devices that
also use radio signals may affect the signal strength of the wireless network option.

To avoid reduced connectivity through signal disturbance, it is advisable to use a wireless channel that
is not in use by other wireless networks in the area.

WARNING
Keep users or mobile devices at least 20 cm from the wireless antennas in the mobile view station
(FCC regulation). Philips Medical Systems positions the wireless antennas to comply with this
regulation, but it is your responsibility to maintain this regulation when the system is in use.

Figure 103 Wireless antennas on the mobile view station

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WARNING
All wireless equipment in use in the hospital should operate in the 2.4 GHz radio frequency. Philips
Medical Systems complies with this requirement, and to avoid interference with the Wireless LAN
option, it is also your responsibility to comply.

Access Point Roaming

Restrictions may apply to the configuration of the facility's wireless infrastructure and the system. To
avoid interruptions to wireless network functions, the following precautions are recommended.

Access point roaming should only be configured if it is supported by the hospital and the hospital’s IT
infrastructure. If roaming between access points is supported, consider using a single subnet across
access points that are used for roaming.

If roaming is not supported, use of the wireless network option is restricted to a single access point. The
wireless connection can only be used within the range of the designated access point. To maintain a
strong signal, keep the mobile view station as close to the access point as possible.

Alternative Network Connection

Even if your wireless network is configured as recommended here, it may become inoperable due to
problems beyond your control, such as:

• Radio interference
• Signal obstruction
• Wireless bandwidth congestion
• Insufficient access point coverage
• Inoperational access points as a result of maintenance or tampering
• High-frequency surgical knives
We recommend that a wired connection is available as an alternative in case of failure of the wireless
network. To change the network connection to a wired connection, do the following:
• Switch off the wireless network option. For more information, see Switching the Wireless Network
Connection On and Off (page 171).
• Connect the hospital's wired connection to the hospital network port.

Figure 104 Mobile view station connector panel - network ports

Legend
1 Hospital network port

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Legend
2 Service connection port

Training and Support

It is the hospital’s responsibility to train its staff.

• Hospital IT staff must be trained to configure network hardware to meet the network security
requirements described here.
• Clinical staff must be trained to understand the risks described here and how to avoid them.
To assist a hospital with meeting this responsibility, additional documentation (manuals) is provided
and IT support is available from Philips Medical Systems. Contact your local Philips representative for
details.

NOTE It is the hospital IT staff’s responsibility to maintain wireless LAN

settings.

Switching the Wireless Network Connection On and Off

You can switch the wireless network option on and off, to suit the environment you are working in.

1 Open the administration screen by pressing the Administration button.

2 Click System and select Wireless Network.

The Wi-Fi Networks dialog box is displayed.

3 To switch the wireless network option on, select Enabled.

4 If desired, select a network to connect to, from the Configured networks list.

5 To switch the wireless network option off, ensure Enabled is not selected.

6 To close the dialog box and save the changes you have made, click Close.

5.22.4 Viewing External Video

The optional external video function allows you to view images from an external video source
connected to the mobile view station, for example, ultrasound or endoscopy images.

1 Connect a video source to the video-in connector on the mobile view station connector panel.

This requires video input connection using DVI (digital and analog), SDI, or S-video, using two
synchronized signal and ground pairs (Y/C).
• Y = Intensity (luminance)
• C = Color (chrominance).

To connect an analog VGA input, you should use a VGA to DVI converter which is not provided with
the system.

NOTE When connecting an external video source for the first time, please connect the video
source only after system is powered up and ready for use.

2 To change the video source you want to display, do the following:

a Press the Administration button on the mobile view station.

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The System Setup dialog box is displayed.

b Select the desired External video input.

c Click Apply.

3 Press the External Video button on the mobile view station.

The external video source is displayed on the reference monitor. The external video indicator light
indicates that the images on the reference monitor are from an external source.

NOTE While switching among input video signal types, if the display does not show the
external video, then the output can be reset by toggling the External Video button.

NOTE While viewing external video if the external video cable is accidentally disconnected,
then toggle the External Video button to resume the external video display after
reconnecting the cable.

4 Press the External Video button again to stop viewing the external video source.

The external video indicator light switches off.

5.22.5 Collaboration Live Overwiew

Collaboration Live is a non-diagnostic feature that is powered by the Reacts technology of Philips
Innovative Imaging Technologies, Inc. (PIIT). This integrated collaborative solution allows you to
securely communicate with authorized Philips remote user by text, voice, and video between a
compatible Philips Zenition system and a remote destination.

The Collaboration Live server is a secure, web-hosted, enterprise solution that provides contact
management, secure connectivity, and streaming services for Collaboration Live text, voice, and video
features. The server is accessed from the Zenition system and remote-client end points over the
Internet, using an industry-standard TLS encrypted method of connectivity.

Please read the instructions in the following sections before connecting the web cameras.

Mobile View Station Connector Panel (page 56)

Mobile Telephones and Similar Products (page 20)

Electromagnetic Compatibility (page 20)

Electromagnetic Compatibility (page 207)

Warnings and Cautions

Before using the system, read these warnings.

WARNING
During a Collaboration Live session, an authorized user must be present at the system, even if the
remote user is properly trained and qualified.

WARNING
Use only headsets and web cameras that are compliant to all local regulations ( Headsets: CE, FCC
ID, IC ID KCC, RCM, NCC, TELEC, SRRC, EN 55024 immunity tested. Webcam: CE, FCC, EAC, KCC,
VCCI, IECEE, EMC, C-Tick, EN 55024 immunity tested.

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WARNING
Some web cameras are known to be unresponsive to MUTE/UNMUTE function from Collaboration
Live application. This shall result in users voice being audible to Philips remote user even when
muted.

WARNING
For any connected devices (web cameras etc.) that emit light, it is recommended to keep the devices
in such a manner that light does not distract the users.

WARNING
Images remotely streamed via Collaboration Live are intended only for reference and must not be
used for diagnostic purposes.

NOTE The performance of Collaboration Live depends on local connectivity and network
performance. Interruption in connectivity or poor network performance could adversely
affect aCollaboration Live session.

CAUTION
All Collaboration Live users should follow the applicable patient privacy and data security policies
required by their country and institution.

Prerequisites
Network Requirements

Before first use of Collaboration Live ensure that the Zenition system is connected to the site's network,
which provides access to the Internet.

NOTE During a conversation, If you do not get a response from Philips remote user (due to network
lag/connectivity issues), terminate the conversation and close the Collaboration Live
application.

For optimum performance, Philips recommends that the network connected to the Zenition system and
the network used by a remote user meet the following bandwidth specifications:

• Audio: 250 K bits/s

• Screen sharing: 0.5 M bits/s
• Video streaming:-
– Upload for webcam: 0.5 M bits/s
– Download for video stream being received: 0.5 M bits/s

NOTE If the site uses a proxy server to access the Internet, and if the network administrator
changes the proxy server location or password, you may need to reconfigure the Zenition
system's remote access for Collaboration Live.

Starting Collaboration Live on the Zenition System

You can launch Collaboration Live using the System menu.

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1 On the System menu, click Start Collaboration Live option.

2 Collaboration Live screen is displayed with System Account Name.

Figure 105 Collaboration Live screen

Legend
1 System Account Name is displayed which is recognized by the Reacts server.
2 User status options are displayed: Online, Busy and Log out.

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NOTE If status of the user is Busy, an authorized Philips remote user will not be able to call the
user.

Using Collaboration Live on the Zenition System

You can use following Collaboration Live controls and icons on the Zenition system.

Collaboration Live Controls

Control Description
Mutes or unmutes the microphone.

Mutes or unmutes the speaker.

Enables or disables webcam sharing.

Ends the current call.

Control Description
Give Control Enables system control for the remote user.
Resume Call Resumes a call.
Send Sends a message during a chat session.
Share Enables display sharing.
Stop Sharing Disables display sharing.
Take Control Disables system control for the remote user.

Collaboration Live Icons

Control Description
The microphone is unmuted.

The microphone is muted.

The speaker is unmuted.

The speaker is muted.

Webcam sharing is enabled.

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Control Description
Webcam sharing is disabled.

CAUTION
Images remotely streamed via Collaboration Live are intended only for reference and shall not be
used for diagnostic purposes. Whenever you share the screen or give control of the Zenition system
to a remote user, you must acknowledge the consent message that appears before you proceed.

Viewing a New Message or Answering a Call

An authorized Philips remote user can contact user via Instant Messaging or a call. When you receive a
call a notification is displayed on Confirm Call screen.

Figure 106 Confirm Call

Legend
1 An authorized Philips user's name is displayed in Call
from dialog box.
2 Click Accept to start the conversation.
3 Click Decline to close the conversation.

Making an Audio Call

To make an audio call, you have to connect headset to the USB port on the mobile view station (MVS).

1 Once an instant messaging session is started with Philips remote user, click Call.

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Figure 107 Conversation with screen

Legend
1 Chat
2 Share

2 You can also Chat with the authorized Philips remote user while call is ongoing.

3 To share the live monitor contents, click Share button. For more information, see Sharing the
Zenition Live Monitor (page 178)

CAUTION
Chat history is not saved. It is lost when the chat window is closed after the conversation is ended or
the system is restarted.

You can perform following functions:

To mute the microphone, click Microphone is muted symbol.

To unmute the microphone, click Microphone is unmuted symbol.

To mute the speaker, click Speaker is unmuted symbol.

To unmute the speaker, click Speaker is muted symbol.

To share video, click Sharing Video symbol.

To end the call, click End Call symbol.

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Sharing the Zenition Live Monitor

You can share the Zenition Live Monitor screen with Philips Remote service user thereby enabling
remote takeover of the Zenition system (live monitor only).

To share the Zenition Live Monitor, perform following:

1 During an instant messaging session or an audio call, click Share button on the reference monitor.
Consent message is displayed on the screen. Click Continue on the message screen.

2 The display border blinks to indicate that you are sharing the display on the live monitor screen.

Figure 108 Sharing Zenition Live Monitor

Legend
1 Give Control
2 Stop Sharing

3 To enable authorised Philips remote user to take control, click Give Control button on the live
monitor. Give Control button toggles to Take Control button which allows user to take the control
back.

4 To stop sharing, click Stop Sharing button on the live monitor.

5 To end the session, click End Call.

WARNING
During Collaboration Live session, an authorized user must be present at the system.

Sharing Video
You can share video with Philips Remote Service using a webcam connected to one of the USB ports on
the Zenition MVS.

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To share the video, perform the following:

1 During an audio call, click Sharing Disabled symbol on the Conversation with screen. Consent
message is displayed on the screen. Click Continue.

2 Video call options are displayed on Video Call Options screen. You can perform following:

Figure 109 Video Call Options

Legend
1 My Webcam.
2 Remote Webcam.
3 Bidirectional Webcam.
4 Cancel.

3 To share video from the webcam connected to the Zenition system, click My Webcam.

4 To view video from the remote user, click Remote Webcam.

5 To share both video from the webcam connected to the Zenition system and view video from the
remote user, click Bidirectional Webcam.

6 To cancel the video call, click Cancel.

During video call, you can perform following:

During video call, you can perform following functions:

To mute the microphone, click Microphone is muted symbol.

To unmute the microphone, click Microphone is unmuted symbol.

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To mute the speaker, click Speaker is unmuted symbol.

To unmute the speaker, click Speaker is muted symbol.

To continue sharing video, click Webcam Sharing Disabled symbol.

To stop sharing video from the system, click Webcam Sharing Enabled symbol.

To end the call, click End Call symbol.

Collaboration Live Settings

You can click Settings button to check collaboration live settings.

Figure 110

Legend
1 Settings button.

Collaboration Live has following connectivity settings:

• Server provides the server URL that the system is connected to.
• Proxy Settings provides the proxy mode, if used.

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5.23 Accessories
Before an examination is started, install the accessories as desired. Also if applicable:
• Position the remote control.
• Connect and position the foot switch.
• Check the presence of paper/transparency in the printer.

5.23.1 Image Intensifier Laser Aiming Device

The image intensifier laser aiming device consists of a ring unit that contains two laser markers. The ring
unit is attached to the image intensifier by four screws. The laser markers are maintenance-free.

Figure 111 Image intensifier laser aiming device

WARNING
Laser radiation. Do not view directly with optical instruments. Class 1M laser product. Viewing laser
output with certain optical instruments (for example eye loupes, magnifiers and microscopes) within
a distance of 100 mm may pose an eye hazard.

Complies with FDA performance standards for laser products except for the deviations pursuant to laser
notice 50, dated June 24, 2007.

NOTE The laser markers contain glass components. Improper handling (severe shocks, dropping, or
similar) can easily damage them.

NOTE Do not touch the optical window. A soiled optical window deteriorates the quality of the
laser beam.

Switching the Laser Markers On and Off

1 To switch the laser markers on, press the on/off switch on the ring unit at the front of the C-arm.

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Figure 112 Image intensifier laser aiming device on/off switch

When the laser markers are switched on, the laser cross intersection starts to be visible at least 20
cm from the image intensifier.

2 To switch the laser markers off, press the on/off switch again.

Switch the laser markers off when not in use to conserve battery power. The laser markers switch off
automatically after one hour.

Recharging the Battery

The laser cross created by the laser markers flashes when battery power is low. You should recharge the
battery before using the laser markers again. The battery is recharged in the ring unit, using a micros
USB power cable. You can recharge the battery from a powered USB port or from a power outlet.

1 Twist off the cover of the power adapter port on the ring unit using an appropriate tool.

The power adapter port cover is tethered to the ring unit to avoid loss. Do not pull the cover with
excessive force.

2 Insert the micro USB cable into the power adapter port.

3 To recharge the battery from a USB port, insert the other end of the micro USB cable into a powered
USB port.

4 To recharge the battery from a power outlet, insert the other end of the micro USB cable into the
supplied power adapter, and plug the power adapter into a power outlet.

WARNING

Do not charge the battery during procedures.

While the battery is charging, the red indicator light on the ring unit is illuminated. The laser cross is
always off while the battery is charging.

The charging time is approximately five hours. When the battery is fully charged, the indicator light
is off.

Adjusting the Laser Markers

Each laser marker has an adjustment screw located on the outer edge of the ring unit, near to the laser.

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1 Use a 2.5 mm hexagonal key to turn the adjustment screw to move the laser line to the center.

2 Repeat the adjustment on the other adjustment screw.

The laser markers are calibrated when the laser cross is centered on the X-ray tank.

5.23.2 Connecting the Wired Foot Switch

You can connect a wired foot switch to the system at the C-arm stand connector panel.

Figure 113 Connecting the wired foot switch to the C-arm stand

5.23.3 Wireless Foot Switch

The wireless foot switch is intended only for use with the system indicated in the model number. For
details, refer to Labels (page 26) and Symbols (page 31).

This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used
in accordance with the instruction manual, may cause harmful interference to radio communications.

However, there is no guarantee that interference will not occur in a particular installation. If this
equipment does cause harmful interference to radio or television reception, which can be determined
by turning the equipment off and on, please consult your Philips Service Engineer for help.

Before using the system, check that the wireless foot switch matches with the system. If identification
labels have been used, check that the labels attached to the system and to the foot switch match.

If the wireless foot switch is not available or is inoperable, use the wired foot switch.

The wireless foot switch must be positioned within 10 meters of the C-arm stand and may be put in
sterile plastic coverings if so desired.

Image display delay is up to 80 ms longer when the wireless foot switch is used, compared to using the
hand switch or the wired foot switch.

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CAUTION
Take care not to damage the cable of the charging unit when moving equipment around the room
(for example, the C-arm stand, the mobile view station, carts, or beds).

CAUTION
Do not burn, incinerate or subject to extreme heat at any time.

CAUTION
The pick up bar on the foot switch is designed to lift up the foot switch from the floor. Do not step on
it.

NOTE If the battery of the wireless foot switch is depleted during a procedure, the foot switch will
switch off. In this case, the hand switch should be used to continue the procedure. You
should ensure that the battery is properly charged prior to using the foot switch. Do not
charge the wireless foot switch while in use.

Figure 114 Wireless foot switch

Legend
1 Battery indicator
2 Wireless connection indicator
3 Identification label recess

Identification Labels
During installation, the wireless foot switch is paired with the X-ray system, so that the foot switch only
activates functions on the matching X-ray system.

A sheet of self-adhesive identification labels is supplied with the wireless foot switch, and we
recommend that you use these labels to identify the foot switch and the X-ray system.

The sheet of labels provides 6 pairs of printed numbers, so that you can attach matching labels to the
equipment. Additionally, 2 pairs of blank labels are provided, in case you want to use your own
identification marks.

Attach one of the identification labels to the recess in the upper-right corner of the foot switch, and
then attach the corresponding identification label to a clearly visible location on the X-ray system.

Indicator Light Status

The indicator lights on the wireless foot switch display the charge level of the battery and the status of
the wireless connection.

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Operation Accessories

Battery Indicator Description

Green Battery charge level should provide more than 40 hours of use.

Red Battery charge level should provide 20 to 40 hours of use.

Red, flashing every 0.5s Battery charge level will provide less than 20 hours of use.

Red, flashing rapidly Battery charge level is less than 1.5%.

Green, flashing Battery is charging.

Wireless Indicator Description

Off Wireless connection is operational.

Red Wireless connection is not available. Do not use the foot switch.
Wait for the wireless connection indicator to go out before using the foot
switch. If the red indicator light is on for longer than 10 seconds, switch the
foot switch off and then on again.
If the red indicator light is on and the battery indicator is red and green,
then a critical error has been detected during startup of the foot switch and
the foot switch is in safe mode.
Red, flashing rapidly Safe mode. A critical error has been detected during use.

Wireless Foot Switch Charging Unit

A charging unit is supplied to recharge the battery of the wireless foot switch.

NOTE You should ensure that the battery is properly charged prior to using the foot switch. Do not
charge the wireless foot switch while in use.

To recharge the battery, remove the cap from the charging port on the back of the wireless foot switch
(indicated in the following figure) and connect the charging unit to the charging port.

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Operation Accessories

Figure 115 Charging port

NOTE Use only the charging unit supplied with the wireless foot switch. Using any other charging
unit may cause damage to the foot switch and will void the warranty.

The battery indicator on the wireless foot switch flashes while the foot switch is connected to the
charger and is charging properly. When the foot switch is fully charged, the battery indicator is green
and continuously on.

A normal, complete charge cycle takes more than 12 hours. Charging the wireless foot switch for
between 6 to 8 hours charges the foot switch enough to allow up to 8 hours of continuous use. We
recommend that you charge the battery every week, or when the battery status indicator turns red
(indicating that the charge level is low). The battery has built-in safety devices to protect it from
overcharging, over discharging, and low voltage. The foot switch switches off automatically when the
battery is empty.

NOTE Place the cap back to the charging port after recharging of the battery is finished to prevent
ingress of fluids during use.

If the battery is depleted within 2 days after a complete charge, please contact Philips Service for a
replacement battery. The battery may only be replaced by a qualified Philips service engineer.

Storage
When not in use or when moving the system, store the wireless foot switch and the charger in the
storage cradle provided on the mobile view station.

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Operation Accessories

Figure 116 Wireless foot switch and charger storage on the mobile view station

Legend
1 Charger storage location
2 Wireless foot switch storage hook

Switching the Wireless Foot Switch On and Off

1 To turn the wireless foot switch on, switch the on/off switch on the back of the foot switch to 1.

Figure 117 Wireless foot switch on/off switch

2 Check the status of the indicator lights on the wireless foot switch to ensure that it has sufficient
charge and that the wireless connection is operational.

For details, see Wireless Foot Switch (page 183).

If the wireless foot switch is in sleep mode, it can be reactivated by moving it.

3 To turn the wireless foot switch off, switch the on/off switch to 0.

5.23.4 Spring Bow

You can fit sterile cloth or disposable covers to the system using the spring bow which can be fitted to
the C-arm.

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Operation Accessories

You should use sterile covers to prevent contamination of the system and maintain a sterile
environment. It is the responsibility of the hospital to supply and fit sterile covers when needed. For
information about fitting sterile covers to the C-arm, see Fitting the Spring Bow (page 188).

WARNING
Two persons must install the sterile covers. One must wear sterile clothes and gloves.

WARNING
Do not allow the sterile covers to touch the floor or non-sterile parts.

Sterile and non-sterile covers and sheets for the equipment can be purchased from Microtek. For
details, refer to the Microtek website:

www.microtekmed.com

Alternatively, you should contact your local dealer for information on where sterile covers can be
purchased.

Depending on the sterile covers you use, the spring bow may not be required. Check with the
manufacturer of your sterile covers for more information.

Detailed procedures for fitting sterile covers are the responsibility of the healthcare environment.

NOTE When using a sterile cover on the C-arm stand touch screen, ensure that the cover is fitted
tightly to avoid problems when using the touch screen for actions such as dragging.

Fitting the Spring Bow

The spring bow that holds the sterile covers in place on the C-arm is not symmetrical: one end fits the
detector and the other end fits the X-ray tank.

Figure 118 Fitting the spring bow

Observe local protocols and procedures when fitting covers.

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Sterile Cloth Covers

Figure 119 Sterile cloth covers

1 Position the C-arm to a suitable height (about middle height) and in the horizontal position.

2 Hold the spring bow and slide it into the open end of the spring bow cover.

Figure 120 Fitting the spring bow cover

3 Position one end of the spring bow at the image intensifier end of the C-arm, twist it slightly and clip
it on.

4 Position the other end at the X-ray tank end of the C-arm and clip it on.

5 Cover the image intensifier and the tank with additional sterile cloth covers, and fasten the draw-
cords.

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Operation Accessories

Disposable Sterile Covers

The system can also be fitted with disposable plastic sterile covers.

Figure 121 Disposable sterile covers

They are fitted the same way as sterile cloth covers. For more information, see Sterile Cloth
Covers (page 189).

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Operation Accessories

5.23.5 Remote Control

Figure 122 Remote control

Key Description
1 Park
2 Recall mask
3 Protect image
4 Previous run
5 Next run
6 Previous image
7 Next image
8 Overview
9 Run cycle
10 Subtract on/off
11 Not used
12 Detector zoom
13 Mode
14 Not used
15 Not used

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Operation External Connected Equipment

5.24 External Connected Equipment

CAUTION
External connected equipment is only to be used if it is certified for the applicable standards and
fully compatible with the system. The use of external connected equipment not complying with the
equivalent safety requirements of the systems may lead to a reduced level of safety in the resulting
system.

WARNING
Any patient environment equipment connected to the system must comply with ANSI/AAMI
ES60601-1 and IEC 60601-1 requirements. Equipment outside the patient environment may only be
connected to the system if it complies with the relevant ANSI/AAMI and EN/IEC standards.

For the video and USB connections, special precautions should be taken in accordance with the
following warning.

WARNING
The use of external connected equipment not complying with the equivalent safety requirements of
this equipment may lead to a reduced level of safety in the resulting system. Consideration relating
to the choice shall include the following:
• Use of the accessory in the patient vicinity
• Evidence that the safety certification of the external connected equipment has been performed
in accordance with IEC 60601-1.

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System and Error Messages C-arm Stand

6 System and Error Messages

This section describes the handling of system and error messages appearing on the system.

6.1 C-arm Stand

When an error occurs, a warning message is displayed on the C-arm stand touch screen.

Most messages and warnings can be confirmed by tapping the OK button in the message dialog box.
When OK is tapped, the dialog box disappears and the message is shown in the status area of the C-
arm stand touch screen.

Some messages or warnings cannot be confirmed and will remain displayed on the C-arm stand touch
screen until the issue has been resolved.

If more than one message or warning has been displayed, the status area of the C-arm stand touch
screen displays the message with the highest priority.

6.1.1 Viewing Messages on the C-arm Stand

Current messages or warnings can be viewed on the C-arm stand touch screen.

1 Tap the message displayed in the status area of the C-arm stand touch screen.

Current messages and warnings will be displayed in a dialog box. If more than one message is
displayed, the dialog box will allow the operator to scroll through the messages (swipe up or down).

If instructed to call Service, note the error code and the date and time.

2 Tap the OK button to close the dialog box.

6.2 Mobile View Station

Error and system messages are displayed on the examination monitor.

The system messages appear while performing an action and are self- explanatory.

The error messages appear on a black screen. Note the message and the date and time, and call
Service.

6.3 Printer (Option)

Error messages appear on the printer’s display.

For a complete list of the error messages and the possible cause and remedies see the printer’s
Instructions for Use.

6.4 Image Viewer (Option)

For a complete list of the error messages and the possible cause and remedies refer to the Image
Viewer Instructions for Use.

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Maintenance Planned Maintenance Program

7 Maintenance
This product requires proper operation, planned maintenance, and checks the responsible organization
must perform routinely, which are essential to keep the product operating safely, effectively and
reliably.

7.1 Planned Maintenance Program

Planned maintenance may only be carried out by qualified and authorized service technicians and is
comprehensively described in the service documentation.

In this context, qualified means those legally permitted to work on this type of medical electrical
equipment in the jurisdictions in which the equipment is being used, and authorized means those
authorized by the organization responsible for the equipment.

Philips provides a full planned maintenance and repair service on both a call basis and a contract basis.
Full details are available from your Philips Service Organization.

Although the operator does not carry out planned maintenance, always take all practical steps to make
sure that the planned maintenance program is fully up to date before using the equipment with a
patient.

7.1.1 General Checks

What to check Frequency

Visual inspection and cleaning system out- Check mains cable Yearly
side
Check mobile view station system outside Yearly
Check C-arm stand system outside Yearly
Check cables Yearly
Check connectors Yearly
Check key switch Yearly
Check labels Yearly

7.1.2 Mechanical Checks

What to check Frequency

Mobile view station movement Check wheels Yearly
Check grounding strip Yearly
Check brakes Yearly
Check steering function Yearly
C-arm stand movement Check C-arm movements Yearly
Check wheels Yearly
Check grounding strip Yearly
Check steering function Yearly
Check floor brake Yearly
Check monitor mechanism Yearly
Visual inspection and cleaning system in- Mobile view station system inside Yearly
side
C-arm stand system inside Yearly

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Maintenance Remote Assistance

What to check Frequency

Options and accessories Yearly

7.1.3 Functional Checks

What to check Frequency

Check Ethernet connection Yearly
Check Philips remote service connection Yearly
Check access controls and credentials on the system Yearly
Check log files Yearly
Check fan Yearly
Check controls and indicators Yearly
Check hand switch and foot switch Yearly
Check image intensifier laser aiming device Yearly
Check X-ray on indicator light on the mobile view station Yearly
Check C-arm stand height movement Yearly
X-ray control Yearly

7.1.4 Radiation Safety Checks

What to check Frequency

Dose limiting check Yearly
X-ray tube performance check Yearly
X-ray field check Yearly
Dose indication check Yearly

7.1.5 Image Quality Checks

What to check Frequency

Detector check Yearly
Cosmetics check Yearly
Dose rate check Yearly
kV stabilized check Yearly

7.1.6 Electrical Safety Checks

What to check Frequency

Measure protecting earth resistance Yearly
Measure equipment leakage current Yearly

7.2 Remote Assistance

The remote assistance function allows you to gain expert support and help from a Philips
representative in a remote location.

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Maintenance Remote Assistance

For more information about configuring your system to allow remote assistance, refer to your
documentation for the Philips Support Connect application.

Two types of remote assistance are available:

• Remote viewing: the remote operator can view your system screens but is unable to control inputs
to the system.
• Remote access: the remote operator can view your system screens and can control inputs to the
system.

7.2.1 Enabling and Disabling Remote Assistance

If your system is configured to allow remote assistance, you can enable and disable the function.

1 If you are not logged onto the system using an administrator's account, switch users.

2 Open the administration screen by pressing the Administration button.

3 Click System and select Remote Assistance.

A dialog box is displayed allowing you to reschedule the session for another date and time or to
select the type of remote assistance to use.

4 To enable a remote assistance session, do one of the following:

• Click Enable Remote View.
• Click Enable Remote Access.

The remote session is enabled and the available function buttons change. The function buttons
displayed allow you to disable the remote assistance session or to switch to the other type of
session.

5 To switch between remote assistance types, click the appropriate button:

• Switch to Remote View
• Switch to Remote Access

6 To disable the remote assistance session, click the appropriate button:

• Disable Remote View
• Disable Remote Access

The remote assistance session is disabled.

7 To reschedule the remote assistance session, do the following:

a Select Schedule Session Later.

b Select the desired Start Date and Start Time.

c Select an appropriate End Call and End Time.

d To allow the scheduled remote assistance session to start automatically at the specified time,
select Automatically accept incoming connections.

NOTE If you do not select Automatically accept incoming connections, you will need to
confirm that the remote assistance session can start, when the scheduled date and
time is reached.

e Select the type of remote assistance you want to schedule by clicking one of the following:

– Schedule Remote Access

– Schedule Remote View

The remote assistance session is scheduled.

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Maintenance Field Service

The status Remote Access Scheduled is displayed in the dialog box.

8 To close the dialog box, click Close.

7.3 Field Service

The field service function provides the capability for Philips to perform service actions on the system, or
to entirely or partly perform service actions from a remote location. The field service function is
provided by the Philips SupportConnect application installed on your system.

Field service is designed to reduce system down time and improve system performance through
proactive maintenance.

Field service features include the following:

• Improving corrective and planned maintenance by remote access to the system status and
configuration.
• Enabling proactive maintenance by means of automatic generation and uploading of log files.

To upload On demand log files (on the request of field service engineer), perform following steps

1 In the administration screen, click System drop-down menu and click Save Log File for Service
button.

2 Save Log File for Service dialog box is displayed. Click Save button.

Manually performed remote field service operations are only possible when you explicitly put the
system in service mode by starting field service.

When the system is in service mode, this is clearly indicated on the display of the system. System
functions that use the reference monitor are disabled, for example, viewing external video or using
Image Viewer.

It is not possible to remotely activate any safety-related functions, such as X-ray or mechanical
movements.

WARNING
The system may not be used for clinical purposes during a remote service session.

NOTE Always carry out the daily user routine checks after a remote service session. For more
information, see User Routine Checks Program (page 198).

For information about using the field service application, refer to your documentation for the Philips
SupportConnect application.

7.3.1 Starting Field Service

To allow local or remote servicing of the system, you can start a field service session.

To start field service, you must be logged on using an administrator's account. The system must be
switched on especially for field service actions and must not be used for normal operation. The system
must be connected to the network.

1 If you are not logged onto the system using an administrator's account, switch users.

For more information, see Switching Users (page 84).

2 Open the administration screen by pressing the Administration button.

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3 Click System and select Start Field Service.

Depending upon the logon and security configuration, a dialog box may be displayed requesting
that you confirm you want to continue. If a message is displayed, read the message and take the
appropriate suggested action.

A dialog box is displayed where you can log on to the field service application.

4 To close the dialog box without starting a field service session, click Cancel.

The dialog box is closed and the administration screen is displayed.

5 To continue with the field service session, do the following:

a Enter your Administrator name and Administrator password.

b Click Log On.

The Philips Support Connect application starts and Server is displayed in the upper left corner of
the examination monitor.

If you enter the wrong Administrator name or Administrator password three times, field service
mode is disabled and you should restart the system to enable it again.

7.4 User Routine Checks Program

The organization responsible for the system must create a user routine checks program as detailed in
the table below.

Normally, the responsible organization will instruct operators to perform these checks and any
corresponding actions. In any case, it is for the operator of the system to make sure that all checks and
actions have been satisfactorily completed before using the system for its intended purpose.

The following checks are visual or audible checks.

Check Description Frequency

Accessories Availability and integrity Daily
Cable deflectors Check for presence and damage Daily
Brakes, wheels, Ensure correct function Daily
steering
Cabling Inspect all cables for kinks and/or cracks Daily
Beep and light test Check for correct function 2 After start-up

Connectors Check correct connection and damage Daily

Power-on Check display and monitor for error messages 1 Before use
For more information, see Switching the System On (page 80).
X-ray Ensure correct function X-ray control 2 Daily

Check diaphragm settings and verify their position 2 Daily

Check the correct function of the system lock Daily

C-arm stand Ensure correct function of the buttons Daily
Energy storage unit Check for battery charge warning message After start-up
Hand switch Check for damage and correct function Daily
Foot switch Check for damage and correct function Daily
Wireless foot switch Check battery charge level Daily
The battery must be replaced if it discharges from fully charged to empty
within 2 days.
Height movement Check for correct function Daily

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Maintenance User Routine Checks Program

Check Description Frequency

Mobile view station Ensure correct function of the monitors Daily
Ensure correct function of the buttons and keys Daily
Ensure correct date and time setting Daily
Ensure all queued images are exported Daily
Remove patient data that is no longer needed on the system Daily
Wireless connection Check that a network connection is available Daily
Remote control Check for damage and correct function Daily
Laser aiming device Check for correct alignment 2 Daily

Printer Check for correct function and paper/ transparency presence Daily

1
Contact Service for advice on error messages which appear after start-up.
2
For detailed instructions see below.

7.4.1 Buzzer Test C-arm Stand

The buzzer test should be performed after start-up.

1 Tap System in the C-arm stand touch screen header area.

A system dialog is displayed.

2 Tap the Test Buzzer button.

The system will sound a three-tone buzzer.

3 Tap the Close button to close the system dialog.

7.4.2 Light Test on the Mobile View Station

1 Press the Previous and Next buttons simultaneously to activate the light test.

All indicator lights switch on.

NOTE The X-ray on indicator light is tested automatically when the system starts.

2 Release the buttons, or one of the buttons, to stop the light test.

7.4.3 X-ray Control Function Check

The X-ray control function check should be performed daily without any objects in the X-ray beam.

1 Tap the Manual kV button on the C-arm stand touch screen.

2 Set the kV value manually to 70 kV.

3 Tap the Manual kV button on the C-arm stand touch screen again to select automatic kV and
perform fluoro.

If the kV value drops to 42 - 50 kV the X-ray control function is working properly.

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7.4.4 Collimator Check

The collimator should be checked daily.

1 Perform fluoroscopy without any objects in the X-ray beam.

2 Rotate the image to approximately 45 degrees.

For more information about rotating images, see Rotating Images (page 116).

3 Perform fluoroscopy without any objects in the X-ray beam and close the collimator to about half
the size.

4 Fully open the collimator (see Collimator and Shutter Adjustments in Last Image Hold (page 118)).

When the circle covers the edge of the image the collimator setting is correct.

5 Perform this procedure again for each of the detector zoom selections.

7.4.5 Image Intensifier Laser Alignment Device Check

The image intensifier laser alignment device check should be performed daily.

1 Press the power button on the image intensifier laser aiming device to switch the device on.

Figure 123 Laser alignment device check

2 Measure the crossing point of the lasers on the X-ray tank to check that the lasers intersect at the
center point of the circle with an acceptable tolerance.

3 Press the power button again on the image intensifier laser aiming device to switch the device off.

For information about adjusting the laser markers, see Adjusting the Laser Markers (page 182).

7.4.6 Tube Laser Alignment Device Check

The tube laser aiming device alignment check should be performed daily.

1 Tap the Tube Laser button on the C-arm stand touch screen to switch the laser aiming device on.

2 Check if the laser cross coincides with the mark on the detector.

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Maintenance Cleaning and Disinfecting

7.5 Cleaning and Disinfecting

Insufficient cleaning of residues that remain on the equipment after procedures may lead to patient
infection from polluted parts. Ensure that the system is thoroughly and extensively cleaned and
disinfected after each procedure.

WARNING
Always electrically isolate this equipment from the mains electrical supply before cleaning,
disinfecting or sterilizing it.

When cleaning and disinfecting the system, follow these general guidelines:
• Use sterile covers to prevent pollution or contamination of the equipment.
• Do not allow liquids to enter the system. This may cause corrosion or electrical damage.
• Do not apply cleaning liquid or spray directly onto the system. Always use a cloth dampened with
the cleaning product.
• Switch the system off prior to cleaning and disinfecting to avoid electric shock or accidental
activation of X-ray. Be aware that even when the system is switched off, live voltages may still be
present on some interfaces.
• Do not use corrosive or abrasive agents or pads.
• Some cleaning agents or disinfection agents may cause discoloration.
• When cleaning scratched or worn painted surfaces, it is to be expected that some additional paint is
removed.

NOTE You should always comply with local instructions, regulations, and guidelines concerning
hygiene.

These cleaning and disinfecting instructions only apply to the X-ray system and do not apply to other
equipment in the room. Cleaning instructions for other equipment are described in the accompanying
documents of the equipment. If cleaning or disinfecting is needed at the interface of third-party
equipment with the X-ray system, dismount the equipment before cleaning or disinfecting. You should
also dismount third-party equipment if you need to clean or disinfect it with agents that are not
compatible with the X-ray system.

NOTE Always follow the manufacturer's instructions for the cleaning agents or disinfectants that
you use.

7.5.1 Cleaning
Clean the system as needed with a damp cloth and a detergent solution to remove all visible residues.

Scrubbing with a soft bristle brush, such as a toothbrush, may be necessary to reach corners or to
remove material that has dried onto the surface.

NOTE When cleaning in the procedure room of the X-ray equipment, you should leave the non-
sterile covers attached to x-ray equipment.

7.5.2 Disinfecting
Disinfection may not be effective if the surfaces are not thoroughly cleaned first. Ensure that all surfaces
are cleaned and residues of cleaning agents are removed with water.

To ensure the effectiveness of disinfection, always follow the instructions of the disinfection product
used. After disinfecting, ensure that no residue disinfection agent remains on the equipment. It is
recommended that any disinfection product is first tested on small areas of the system that are not
visible to verify compatibility. Suggestion is to use disinfectant agents with corrosion protector agents.

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Maintenance Replacing and Charging Batteries

Disinfectant Agents
You can disinfect the system parts and accessories in the examination room using disinfecting agents
consisting of the following disinfectant compounds (note the exceptions that follow this list). These
compounds have been tested for compatibility with the system:
• Ethyl or isopropyl alcohol (95%)
• Quaternary ammonium (300 ppm)
• Glutaraldehyde (2%)
• Ortho-phthalaldehyde (0.55%)
• Hydrogen peroxide (5%)
• Chlorhexidine (0.5%) in ethanol or isopropyl alcohol (70%)
• Sodium hypochlorite (500 ppm)

The following active compounds may not be used:

• Products containing phenol-based components, such as ortho-phenylphenol, ortho-benzyl-
parachlorophenol, or chloroxylenol.
• Products containing fluids such as ether, white spirit, turpentine, trichloroethylene, and
perchlorethylene.

The safety data sheets of a disinfectant product provide detailed information on its composition. These
data sheets can be obtained from the manufacturer of the product.

Using Disinfectant Sprays

Disinfecting a medical equipment room using disinfectant sprays is not recommended. Vapor can
penetrate the equipment causing corrosion or electrical damage. However, if you do use disinfectant
sprays in the vicinity of the X-ray equipment, follow this guidance:
• Do not use flammable or potentially explosive disinfectant sprays. The resulting vapor could ignite,
causing injury to staff or damage to equipment.
• If you intend to use non-flammable, non-explosive disinfectant sprays, first switch off the
equipment and allow it to cool down. This prevents convection currents drawing disinfectant vapor
into the equipment.
• You must cover the equipment thoroughly with plastic sheeting before using disinfectant sprays.
• When all traces of disinfectant vapor have dispersed, you can remove the plastic sheet and disinfect
the equipment in the recommended way.

7.6 Replacing and Charging Batteries

The system contains batteries which you must change or charge periodically.

Your product contains a built-in rechargeable battery covered by the European Directive 2006/66/EC,
which cannot be disposed of with normal household waste. To safeguard the functionality and safety of
your product, always ensure a qualified and authorized service technician removes or replaces the
battery. Inform yourself about the local regulations on separate collection of batteries. Correct disposal
of batteries helps prevent negative consequences for the environmental and human health.

Your product contains batteries covered by the European Directive 2006/66/EC, which cannot be
disposed of with normal household waste. Inform yourself about the local regulations on separate
collection of batteries. Correct disposal of batteries helps prevent negative consequences for the
environmental and human health.

NOTE Batteries harm the environment; dispose of the old batteries in an environmentally sound
way.

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Maintenance Replacing and Charging Batteries

Remote Control
For safe operation, the remote control batteries (type LR06 / AA) should be replaced at regular
intervals.

When the battery power is low and the batteries need to be replaced, the color of the battery indication
light on the remote control changes to orange and the indication light flashes when you release a
button on the remote control.

Wireless Foot Switch

The wireless foot switch contains a rechargeable battery.

For more information about charging the wireless foot switch battery, see Wireless Foot
Switch (page 183).

Energy Storage Unit

The energy storage unit contains rechargeable batteries. This unit is recharged during normal use of the
system.

For more information, see Energy Storage Unit (page 54).

Mobile View Station PC

For safe operation, the mobile view station PC battery (type CR2032) should be replaced at regular
intervals by a qualified and authorized service technician.

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Product Disposal Passing the System on to Another Responsible Organization

8 Product Disposal
Philips Medical Systems is concerned to help protect the natural environment, and to help ensure
continued safe and effective use of the system through proper support, maintenance and training.

Therefore Philips equipment is designed and manufactured to comply with relevant guidelines for
environmental protection. As long as the equipment is properly operated and maintained, it presents no
environmental risks. However, the equipment may contain material(s) which could be harmful to the
environment if disposed of incorrectly. Use of such material(s) is essential to performing the functions of
the equipment, and to meeting statutory and other requirements.

This section of this manual is directed mainly at the organization responsible for the equipment or
system - the body with legal authority over the equipment. Operators are not usually involved in
disposal, except in the case of certain batteries (see Disposing of Batteries (page 205)).

CAUTION
Before passing on the system, or taking it out of service, all patient data must be deleted from the
system to avoid unauthorized viewing.

For more information about recycling Philips Medical Systems products, refer to the following website:
www.medical.philips.com/main/about/sustainability/recycling/index.wpd

8.1 Passing the System on to Another Responsible Organization

If the system is to be passed on to another responsible organization that intends to use it for its
intended purpose, then it should be passed on in its complete state, with all site-specific (configuration)
data and patient data that was stored on the system carefully removed.

In particular, the existing responsible organization should make sure that all the product support
documentation - including this manual - is passed on to the new responsible organization.

Before passing on the product or taking it out of service, all patient data stored on the product must be
unrecoverably deleted and any removable storage media containing archived and/or exported patient
data must be removed and disposed of.

A new responsible organization should be made aware of the support services that Philips Medical
Systems provides for installing, commissioning and maintaining the equipment or system, and for the
comprehensive training of operators.

It must be remembered by the existing responsible organization that passing on medical electrical
equipment to a new responsible organization may create serious technical, medical and legal risks (for
example, breach of privacy). Such risks can arise even if the equipment is given away. The existing
responsible organization is strongly advised to seek advice from their local Philips Medical Systems
representative before committing themselves to passing on any equipment. Alternatively, contact the
manufacturer. For more information, see Contacting the Manufacturer (page 15).

Once the equipment has been passed on to a new responsible organization, a previous responsible
organization may still receive important safety-related information, such as bulletins and field change
orders. In many jurisdictions, there is a clear duty on the previous responsible organization to
communicate such safety-related information to the new responsible organization. A previous
responsible organization that is not able or prepared to do this should inform Philips Medical Systems
about the new responsible organization, so that Philips Medical Systems can provide the new
responsible organization with safety-related information.

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Product Disposal Final Disposal of the System

8.2 Final Disposal of the System

Final disposal is when the responsible organization disposes of the equipment or system in such a way
that it can no longer be used for its intended purposes.

CAUTION
Do not dispose of the system (or any parts of it) with industrial or domestic waste. This system
contains hazardous materials which require special disposal. Incorrect disposal of any of these
materials may lead to serious environmental pollution.

NOTE Incorrect disposal of data stored on the system may have serious privacy implications.

As an aid to the responsible organization, Philips provides support for the following procedures:

• Recovering reusable parts

• Recycling of useful materials by competent disposal companies
• Safe and effective disposal of equipment
For advice and information, contact your Philips Medical Systems representative, or contact the
manufacturer. For more information, see Contacting the Manufacturer (page 15).

8.3 Disposing of Batteries

This section provides information about the responsible disposal of batteries from the system.

Your product contains a built-in rechargeable battery covered by the European Directive 2006/66/EC,
which cannot be disposed of with normal household waste. To safeguard the functionality and safety of
your product, always ensure a qualified and authorized service technician removes or replaces the
battery. Inform yourself about the local regulations on separate collection of batteries. Correct disposal
of batteries helps prevent negative consequences for the environmental and human health.

Your product contains batteries covered by the European Directive 2006/66/EC, which cannot be
disposed of with normal household waste. Inform yourself about the local regulations on separate
collection of batteries. Correct disposal of batteries helps prevent negative consequences for the
environmental and human health.

The system's computer contains a lithium battery and must be disposed of according to local, state,
and federal laws regarding the disposal of lithium batteries. If you cannot dispose of this battery in your
area, return it to the manufacturer for disposal.

8.3.1 Remote Control Batteries

The remote control contains LR06 (AA) type batteries which must be disposed of responsibly and in
accordance with local regulations.

8.3.2 Image Intensifier Laser Aiming Device Battery (optional)

This laser aiming device contains a Lithium Polymer battery which must be disposed of responsibly and
in accordance with local regulations.

8.3.3 Wireless Foot Switch Battery

The wireless foot switch contains lithium ion batteries, and must be disposed of according to local,
state, and federal laws regarding the disposal of lithium ion batteries. If you cannot dispose of this
battery in your area, return it to the manufacturer for disposal.

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8.3.4 Energy Storage Unit

The energy storage unit contains a number of chemicals harmful to the environment. Removal and
disposal of this unit must always be carried out by qualified and authorized Service technicians.

8.3.5 Mobile View Station PC Battery

The mobile view station PC contains a lithium coin cell battery, and must be disposed of according to
local, state, and federal laws regarding the disposal of lithium batteries.

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Technical Data Standards and Regulations

9 Technical Data
This section provides detailed information about the system technical specification.

9.1 Standards and Regulations

The system is developed and manufactured with observance of a number of directives, regulations and
standards. Information regarding the compliance status with relevant national and international
standards, regulations and laws can be obtained - on request - from your Philips Medical Systems
representative or by contacting the manufacturer. For more information, see Contacting the
Manufacturer (page 15).

The system conforms to IEC 60601-1 Edition 3.1, ordinary equipment (enclosed without protection
against ingress of water). The mode of operation is continuous operation with intermittent loading, as
described in the sections dealing with the generators in the system.

The C-arm stand and mobile view station (including all options and accessories delivered by Philips
Medical Systems) are suitable for use within the patient environment.

The system is not suitable for use in the presence of a flammable anesthetic mixture.

Philips Medical Systems will make available on request circuit diagrams, component parts list,
descriptions, calibration instructions and any other information which will assist the appropriately
qualified technical personnel to repair those parts of the equipment that have been designated by the
manufacturer as repairable.

9.1.1 Electromagnetic Compatibility

IEC60601-1-2 Electromagnetic Emissions

Guidance and manufacturer’s declaration – electromagnetic emissions:
• The system is intended for use in the electromagnetic environment specified below. This ME
equipment is suitable for professional healthcare facility environment. The operator of the system
or the responsible organization should ensure that it is used in such an environment.

Emissions Test Compliance Electromagnetic Environment – Guidance

RF emissions Group 1 The system uses RF energy only for its inter-
CISPR 11 nal function. Therefore, its RF emissions are
very low and are not likely to cause any inter-
ference in nearby electronic equipment.
RF emissions Class A The system is suitable for use in all establish-
CISPR 11 ments other than domestic and those directly
connected to the public low-voltage power
Harmonic emissions Not applicable
supply network that supplies buildings used
IEC 61000-3-2
for domestic purposes.
Voltage fluctuations/flicker emissions Not applicable
IEC 61000-3-3

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IEC60601-1-2 Electromagnetic Immunity

Guidance and Manufacturer’s Declaration – Electromagnetic Immunity

Immunity Test IEC 60601-1-2 Test Level Compliance Level Electromagnetic Environ-
ment – Guidance
Electrostatic discharge ±8 kV contact ±8 kV contact Floors should be wood,
(ESD) ±15 kV air ±15 kV air concrete, or ceramic tile. If
IEC 61000-4-2 floors are covered with
synthetic material, the rela-
tive humidity should be at
least 30%.
Radiated RF 3 V/m 10 V/m Portable and mobile RF
IEC 61000-4-3 80 MHz - 2.7 GHz 80 MHz - 2.7 GHz communications equip-
ment should be used no
closer to any part of the
system, including cables,
than the recommended
separation distance calcu-
lated from the formula
d=[6/E] √P, where P is the
maximum power in watt, d
is the minimum separation
distance in m, and E is the
immunity test level in V/m.
Immunity to proximity fields from RF wireless communications equipment
IEC 61000-4-3 Refer to the table below Refer to the table below Portable and mobile RF
communications equip-
ment should not be used
closer to any part of the
system, including cables,
than 30 cm.
Electrical fast transient/ ±2 kV, 100 kHz for power ±2 kV, 100 kHz for power Mains power quality should
burst supply lines supply lines be that of a typical com-
IEC 61000-4-4 ±1 kV, 100 kHz for input/ ±1 kV, 100 kHz for input/ mercial or hospital environ-
output lines output lines ment.
Surge ±1 kV for each line to line ±1 kV for each line to line Mains power quality should
IEC 61000-4-5 ±2 kV for each line to earth ±2 kV for each line to earth be that of a typical com-
mercial or hospital environ-
ment.
Conducted RF 3 V, 0.15 MHz to 80 MHz 3 V, 0.15 MHz to 80 MHz
IEC 61000-4-6 6 V in ISM bands between 6 V in ISM bands between
0.15 MHz to 80 MHz 0.15 MHz to 80 MHz
Voltage dips, short inter- 0% UT (100% dip in UT) for 0% UT (100% dip in UT) for Mains power quality should
ruptions, and voltage varia- 0.5 cycles 0.5 cycles be that of a typical profes-
tions on power supply in- 0% UT (100% dip in UT) for 1 0% UT (100% dip in UT) for 1 sional healthcare facility. If
put lines cycle cycle the user of the system re-
IEC 61000-4-11 70% UT (30% dip in UT) for 70% UT (30% dip in UT) for quires continued operation
25/30 cycles 25/30 cycles during power mains inter-
0% UT (100% dip in UT) for 0% UT (100% dip in UT) for ruptions, it is recommen-
250/300 cycles 250/300 cycles ded that the system be
powered from an uninter-
ruptible power supply or a
battery.
Power frequency (50/60 30 A/m 30 A/m Power frequency magnetic
Hz) magnetic field fields should be at IEC lev-
IEC 61000-4-8 els characteristic of a typi-
cal location in a typical
commercial or hospital en-
vironment.

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IEC60601-1-2 Immunity to Proximity Fields from RF Wireless Communications Equipment

According to Table 9 of IEC 60601-1-2 Ed.4.0

Test Frequen- Maximum Immunity Test
cy (MHz) Band (MHz) Service Modulation Power (W) Distance (m) Level (V/m)
385 380 -390 TETRA 400 Pulse modula- 1.8 0.3 27
tion 18 Hz
450 430-470 GMRS 460 FM, ± 5 kHz 2 0.3 28
FRS 460 deviation 1
kHz sine
710 704-787 LTE Band 13, Pulse modula- 0.2 0.3 9
17 tion 217 Hz
745
780
810 800-960 GSM Pulse modula- 2 0.3 28
800/900 tion 18 Hz
870
TETRA 800
930 iDEN 820
CDMA 850
LTE Band 5
1720 1700-1990 GSM 1800 Pulse Modu- 2 0.3 28
CDMA 1900 lation 217 Hz
1845
GSM 1900
1970 DECT
LTE Band 1, 3,
4, 25
UMTS
2450 2400-2570 Bluetooth Pulse Modu- 2 0.3 28
WLAN lation 217 Hz
802.11 b/g/n
RFID 2450
LTE Band 7
5240 5100-5800 WLAN 802.11 Pulse Modu- 0.2 0.3 9
a/n lation 217 Hz
5500
5785

Equipment Frequencies and Modulations

Radio Equipment Frequency Power (dBm) Modulation

Wireless foot switch and 2400.0-2483.5 MHz <10 dBm The wireless foot switch has
base station a Bluetooth® short range
radio link that uses a Gaus-
sian Frequency Shift Keying
Modulation
Wireless network (WiFi) 2.400-2.4835 GHz <20 dBm The wireless network uses
5.150-5.725 GHz <23 dBm DSSS, OFDM, FHSS (2.4
5.725-5.875 GHz <14 dBm GHz), or OFDM (5 GHz)
modulation

OFDM: Orthogonal Frequency-division Mulitplexing

DSSS: Direct Sequence Spread Spectrum

FHSS: Frequency Hopping Spread Spectrum

NOTE Actual used frequencies and power may differ due to local
regulations.

Restrictions
The frequency range 5150 - 5350 MHz is limited to indoor use only in the following countries:

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• Austria (AT)
• Belgium (BE)
• Bulgaria (BG)
• Croatia (HR)
• Cyprus (CY)
• Czech Republic (CZ)
• Denmark (DK)
• Estonia (EE)
• Finland (FI)
• France (FR)
• Germany (DE)
• Greece (GR or EL)
• Hungary (HU)
• Ireland (IE)
• Italy (IT)
• Latvia (LV)
• Lithuania (LT)
• Luxembourg (LU)
• Malta (MT)
• Netherlands (NL)
• Poland (PL)
• Portugal (PT)
• Romania (RO)
• Slovakia (SK)
• Slovenia (SI)
• Spain (ES)
• Sweden (SE)
• United Kingdom (UK)

Figure 124 Frequency range restrictions

Cables and Accessories

List of cables and accessories:

• For USB storage, only storage devices should be connected that are not externally powered
devices.
• The hospital network cable, video in/out cable, or DVI out cable shall have a typical length of 3 m
and shall be shielded.

Performance
Essential performance for surgical C-arms is defined as maintaining live X-ray imaging once the
intervention has started. The system is compliant with the requirements of the IEC60601-1-2 4th edition
and the system is in compliance with the compliance criteria as defined in the standard.

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Surgical Knife Compatibility

WARNING
The use of high-frequency surgical equipment may interfere with the operation of other medical
systems. The use of surgical equipment that complies with the IEC60601-2-2 standard with a
maximum cut mode of 300 W, a maximum coagulation mode of 100 W, and a working frequency of
450 kHz ±100 kHz will not affect the essential performance or basic safety of the system. However,
concurrent use of high-frequency surgical equipment in close proximity to the system during X-ray
image acquisition may compromise image quality. The use of high-frequency surgical equipment in
close proximity to user interfaces may temporarily compromise their functional operation.

WARNING
Using a high-frequency surgical equipment tip in close proximity to the stand user interface may
cause unintended activation or deactivation of functions on the user interface, which may, in
extreme cases, affect the mode of the next image acquisition. To prevent acquisition using undesired
settings, check that the desired acquisition mode settings are still correct after usage of the high-
frequency surgical equipment in close proximity to the stand user interface and before performing
the next x-ray acquisition.

WARNING
The emissions of high-frequency surgical equipment strongly depend on the arrangement and length
of the active and neutral cords, on the operating mode (sparking or not), and on many other
application conditions. Consult the accompanying documentation of the high-frequency surgical
equipment for guidance related to electromagnetic interference.

9.2 Main Components

This section contains technical data for the main components of the system.

9.2.1 X-ray Generator

Definition Specification
Model identification 10359400
Rectification type Full wave
Maximum generator output 15 kW

9.2.2 X-ray Tube

Definition Specification
Manufacturer IAE SpA
Model identification RTM 780 H (Type RO-0306)
Tube type Rotating anode
Nominal X-ray tube voltage 120 kV
Nominal focal spot values (IEC60336/2005) 0.3 and 0.6 IEC
Nominal anode input power (100 kV and 0.1 s) 0.3 focus = 6.0 kW
0.6 focus = 25.0 kW
Maximum anode heat dissipation 54 kJ/min
= 75.6 kHU/min
= 900 W
Maximum anode heat content 225 kJ = 315 kHU

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Definition Specification
Target material RT-TZM (Rhenium-Tungsten-Titanium-Zirconium-Molyb-
denum)
Target angle 10 degrees
Quality equivalent filtration (IEC60522) ≥ 0.7 mm Al equivalent at 75 kV
Rotating anode supply Single phase 50/60 Hz

Anode Heating and Cooling Curves

Figure 125 Anode heating and cooling curves

Legend
X axis Time (min)
Y axis Anode heat content (kJ)

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Tube Filament Emission Characteristics

Figure 126 Emission characteristics small focus

Legend
X axis Filament current (A)
Y axis (left) Tube current (mA)
Y axis (right) Filament voltage (V)

Figure 127 Emission characteristics large focus

Legend
X axis Filament current (A)
Y axis (left) Tube current (mA)
Y axis (right) Filament voltage (V)

9.2.3 X-ray Tube Assembly

X-ray tube assembly without beam limiting device, console, and spacer.

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Definition Specification
Manufacturer Gilardoni SpA
Model name IXion5 Monoblock
Model identification 10454900
Nominal X-ray tube housing voltage 120 kV
Inherent filtration ≥0.7 mm Al equivalent at 75 kV
Additional filtration 1 mm Al + 0.1 mm Cu
Permanent filtration (IEC 60522) 4.73 mm Al equivalent at 75 kV
Leakage technique factors (maximum kV and continuous 120 kV at 300 W
heat dissipation for the tube)
Indication of focal spot position Red spot on side, front, and back of tank
Weight 27 kg, ±0.5 kg

For Germany Only

X-ray tube assembly without beam limiting device, console, and spacer.

Definition Specification
Total System Filtration Eq 5.73 mm Al equivalent @75 kV- IEC 60522/2020
Total System Filtration > 3 mm Al equivalent + 0.1 mm Cu equivalent

X-ray Tube Single Load Ratings

Figure 128 Single load rating small focus (40% anode heat content)

Legend
X axis Loading time (s)
Y axis Tube current (mA)

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Figure 129 Single load rating large focus (40% anode heat content)

Legend
X axis Loading time (s)
Y axis Tube current (mA)

9.2.4 X-ray Source Assembly

X-ray tube assembly with beam limiting device, console, and cover.

Definition Specification
Nominal Continuous Input Power (IEC60613:2010) 11.5 kJ/min = 16.1 kHU/min = 192 W
(Maximum continuous heat dissipation, IEC613:1989)
Continuous Anode Input Power (IEC60613:2010) 7.2 kJ/min = 10.1 kHU/min = 120 W
Average loads smaller than the maximum continuous heat
dissipation can be supplied infinitely to the system
Maximum X-ray tube assembly heat content 1350 kJ = 1890 kHU
Filtration spacer cover < 0.4 mm Al equivalent at 75 kV

X-ray Tank Surface Temperature Indication

Definition Specification
None Tank oil is within working range
X-ray tank warm Approx 49°C
X-ray tank very warm Approx 53°C
Hot tank! Low dose fluoroscopy still available Approx 55°C

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Tank Heating and Cooling Curves

Figure 130 Tank heating and cooling curves

Legend
X axis Time from start, continuous exposure @ 100 kV (min)
Y axis External surfaces average over temperature (°C)

9.2.5 Beam Limiting Device (BLD)

Definition Specification
Manufacturer Philips Medical Systems
Model identification 4598 012 0024x

Iris Collimator of BLD

Definition Specification
Iris adjustment Stepless
Maximum symmetrical radiation field (IEC 60806) 12 inch: 295 mm
9 inch: 220 mm
Minimum beam diameter at detector entrance (for all for- <50 mm at detector
mats)
Operation From C-arm stand console (remote controlled)

Shutters of BLD

Definition Specification
Type 2 independent shutters
Adjustment Stepless
Width adjustment Down to <50 mm slit at detector
Rotation 360 degrees

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Definition Specification
Operation From C-arm stand touch screen (remote controlled)
Indication On C-arm stand touch screen, also during Last Image Hold

9.2.6 Energy Storage Unit

Figure 131 Energy storage unit charging time

Legend
X axis Time (hours)
Y axis Charge (%)

9.2.7 Image Detection Subsystem

Zenition 50 uses either the 9-inch or 12-inch IDS-7 subsystem. The main specifications of IDS-7 are
shown below.

Image Intensifier / TV

Specification
Definition 9-inch 12-inch
Type 23HRC, Triple mode 31GG, Triple mode
Entrance field sizes Large: 213 mm Large: 278 mm
Middle: 159 mm Middle: 212 mm
Small: 134 mm Small: 158 mm
Input screen Caesium Iodine (CsI) Caesium Iodine (CsI)
Conversion factor (typical) 34.4 Cd/m2 / μGy/s 38.5 Cd/m2 / μGy/s
Typical DQE (0) 58% 65%
Loading factors test for residual radia- 120 kV and 2.4 mA 120 kV and 2.4 mA
tion

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Specification
Definition 9-inch 12-inch
Type E5830SD, Triple mode E5796SD, Triple mode
Entrance field sizes Large: 213 mm Large: 278 mm
Middle: 159 mm Middle: 212 mm
Small: 134 mm Small: 158 mm
Input screen Caesium Iodide (CsI) Caesium Iodide (CsI)
Conversion factor (typical) 35 Cd/m2 / μGy/s 42 Cd/m2 / μGy/s
Typical DQE (0) 65% 65%
Loading factors test for residual radia- 120 kV and 2.4 mA 120 kV and 2.4 mA
tion

Camera Lens Assembly

Definition Specification
Pixel matrix 1004 x 1004
Video output Camera link
Control interface RS232

Grid

Specification
Definition 9-inch 12-inch
Manufacturer Philips Medical Systems Philips Medical Systems
Type Circular Circular
Model name 9896 010 7275x 9896 010 7274x
Material Carbon fiber Carbon fiber
Lines/cm 60 60
Grid focus distance 100 cm 100 cm
Ratio 1:10 1:10
Attenuation ratio (B/K) 1.39 1.39
(grid exposure factor/contrast im-
provement ratio = 1/transmission of
primary radiation = 1/0.72)

9.2.8 Digital Image Processor

The image processing software is used as the image processor. The main specifications of this unit are
shown in the table below.

Definition Specification
Type Software-based 14-bit video pipeline processor with real-
time processing, storage, and overlay

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Definition Specification
Standard processing • Feed-forward gain control
• White compression
• Adaptive temporal recursive noise reduction
• Spatial noise reduction
• Adaptive multiresolution brightness / contrast / edge
enhancement
• Blanking
• Video invert
• Digital image rotation
• Mirroring
• Flipping
• Manual/auto contrast/brightness
Processing options • Subtraction
• Roadmapping
• Trace white
• Trace black
• View trace
• Zoom
• Measure
• Pixel shift
• Landmarking
Disk storage 140,000 images
Maximum storage speed Up to 30 images/s

External connections at the mobile view station 3 • 2 x DVI-out (1 x LMON and 1 x RMON) 1
• Video in (1 x S-video, 1 x SDI, 1 x DVI)
• Gigabit Ethernet (hospital network and service port)
• 3 USB (2 x USB2 and 1 x USB3) 2
Automatic shutter placement Yes
Image processing version Defined by the system release and software version
Note 1: Before using the external video for diagnostic purposes, the system on which this video is displayed should be vali-
dated using a representative sample set of videos.
Note 2: For USB storage, only storage devices should be connected that are not externally powered devices.
Note 3: The cables used shall have a typical length of 3 m.

9.2.9 Monitors

Mobile View Station

Definition Standard brightness High brightness

Type MLCD19-SL(T) MLCD19-HL(T)
Size 19 inch 19 inch
Display matrix 1280 x 1024 1280 x 1024
Nominal light output stabilized N/A 500 cd/m2
Nominal light output 330 cd/m2 650 cd/m2
Touch screen (optional) Left monitor only, near touch, infrared Left monitor only, near touch, infrared
Monitor LUT DICOM DICOM

NOTE Adjustment of contrast and brightness is only configurable by a service engineer.

C-arm Stand Touch Screen

Definition Specification
Type HL1530
Size 15.3 inch LCD

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Definition Specification
Position Rotate and tilt
Display matrix 1280 x 768

9.3 System Data

This section contains the system data.

9.3.1 Environmental Conditions

Condition Value
Operating temperature (without hardware options) 10°C to 40°C for safety
10°C to 35°C for performance
Storage/transport temperature -25°C to 70°C short term storage
-25°C to 40°C long term storage
Relative humidity during operation 20% - 93% for safety
20% - 80% for performance
Relative humidity during storage 5% - 95% (non-condensing)
Air pressure during operation and storage 70 kPa to 110 kPa
Operating altitude 0 to 3000 meters
Vibration 10 Hz to 150 Hz, 0.35 mm peak
Shock 25 g, 6-10 ms
Classification according IEC60529 Footswitch: IPX8
Wireless foot switch option: IPX8
Other user interfaces: IPX1
Image intensifier: IPX0
X-ray tank cover: IPX2
Material group classification according IEC60601-1 IIIb
Pollution degree classification according IEC60601-1 2: micro-environment where only non-conductive pollution
occurs except that occasionally a temporary conductivity
caused by condensation is to be expected.
Overvoltage category (IEC 60664-1) For the mains part mains: II
For all other circuits overvoltage category I is applicable

9.3.2 System Loading Data

Continuous Fluoroscopy

Definition Specification
Focus 0.3 IEC and 0.6 IEC
kV range 40 kV to 120 kV
mA peak range (minimum) • Normal: 0.10 to 2.4 mA
• High Contrast: 0.167 to 4.0 mA
• Super HC: 0.104 to 2.5 mA
• ISO Watt: 0.278 to 6.667 to 4 mA
mA peak range (maximum) • Normal: 0.5 to 12 mA
• High Contrast: 0.5 to 12 mA
• Super HC: 0.5 to 12 mA
• ISO Watt: 0.834 to 20 to 12 mA
Maximum peak power 120 kV x 12.0 mA = 1440 W
Maximum average power 120 kV x 12.0 mA = 1440 W

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Definition Specification
Maximum continuous loading time • 10 min (≤600 W average power)
• 60 sec (≤1200 W average power) 30 sec
• (>1200 W average power)
Pulse rate (Pulse Per Seconds) Continuous

Pulsed Fluoroscopy

Definition Specification
Focus 0.6 IEC
kV range 40 kV to 120 kV
mA peak range 0.50 mA to 60.0 mA
Maximum peak power 120 kV x 60.0 mA = 7200 W
Maximum average power 120 kV x 10.0 mA = 1200 W
Maximum continuous loading time • 10 min (≤600 W average power)
• 60 sec (≤1200 W average power)
• 30 sec (>1200 W average power)
Pulse rate (Pulse Per Seconds) Full, half, and quarter pulse rates are available
Pulsed: 12.5 / 6.5 / 3 pps
Pulse width 8 ms to 22.22 ms

Pulsed Exposure

Definition Specification
Focus 0.6 IEC
kV range 40 kV to 120 kV
mA peak range 1.0 mA to 60.0 mA
Maximum peak power 120 kV x 60.0 mA = 7200 W
Maximum average power 120 kV x 13.3 mA = 1600 W
Maximum continuous loading time • 10 min (≤600 W average power)
• 60 sec (≤1200 W average power)
• 30 sec (>1200 W average power)
Pulse rate (Pulse Per Seconds) Full, half, and quarter pulse rates are available:
• Pulse rate 4 ( ½ = 2, ¼ = 1)
• Pulse rate 7.5 ( ½ = 4, ¼ = 2)
• Pulse rate 15 ( ½ = 7.5, ¼ = 4)
• Pulse rate 30 ( ½ = 15, ¼ = 7.5)
Pulse width 7.407 ms to 31.111 ms

Single Shot

Definition Specification
Focus 0.6 IEC
kV range 40 kV to 120 kV
mA peak range • Normal: 2.5 to 60.0 mA (normal single shot)
• High Contrast: 2.5 to 60.0 mA (normal single shot)
• Super HC: 5.2 to 125 mA (high power single shot)
• ISO Watt: 4.17 to 100 to 60.0 mA (normal single shot)
Maximum peak power • Normal: 120 kV x 60 mA = 7200 W
• High Contrast: 120 kV x 60 mA = 7200 W
• Super HC: 120kV * 125 mA = 15000 W
• ISO Watt: 120 kV x 60 mA = 72 kV x 100 mA = 7200 W

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Definition Specification
Pulse width • Normal: 100, 166.66, and 300 ms (normal single shot)
• High Contrast: 100, 166.66, and 300 ms (normal single
shot)
• Super HC: 100 ms (high power single shot)
• ISO Watt: 100, 166.66, and 300 ms (normal single shot)
Waiting time between loads • Normal: 2 sec (normal single shot)
• High Contrast: 2 sec (normal single shot)
• Super HC: 30 sec (high power single shot)
• ISO Watt: 2 sec (normal single shot)

9.3.3 Maximum Loading Factors

Continuous Fluoroscopy

Definition Specification
Nominal X-ray tube voltage 120 kV (at 12 mA)
Highest X-ray tube current (peak) 12 mA (at 120 kV)
Highest electric power (average) 12 mA x 120 kV x 40 ms x 25/s = 1440 W

Pulsed

Definition Specification
Nominal X-ray tube voltage 120 kV (at 60 mA)
Highest X-ray tube current (peak) 60 mA (at 120 kV)
Highest electric power (average) 60 mA x 120 kV x 14.815 ms x 15/s = 1600W

Single Shot

Definition Specification
Nominal X-ray tube voltage 120 kV (at 125 mA)
Highest X-ray tube current (peak) 125 mA (at 120 kV)
Highest electric power (average) 125 mA x 120 kV = 15000 W
Nominal electric power (average) at 100 kV, 0.1s 122 mA x 100 kV = 12200 W
Lowest current time product 0.25 mAs (2.5 mA, 100 ms at 40 kV)

9.3.4 Display Accuracy

The display accuracies for all tube voltages greater than 45 kV are given in the following table. The dose
indications are calculated using the acquisition parameters, a calibrated lookup table, and a model of
the collimator position.

Definition Data
Tube voltage deviation ±(8% + 0.8 kV)
Equals ±10% at 40 kV according to IEC
Continuous fluoroscopy modes current deviation ±(8% + 0.01 mA)
Pulsed fluoroscopy modes average current deviation ±20%
Dose (rate) accuracy ±25% 1
Dose area product (rate) accuracy ±35% 1
Note 1: For X-ray field with beam diameter at detector entrance from 5 cm to maximum.

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9.3.5 Measurement Basis for Approval Tests

Parameter Description
Tube voltage (kV pk) Measured using a non invasive kV pk meter placed 20 cm from the focus.
Note that the meter should take filtration into account.
Tube current peak (mA pk) Measured using an oscilloscope connected to the tube current test pins of the generator.
Tube current average (mA) Calculated using mA pk, pulse width, and pulse frequency measurements.
Time The exposure time measured using a time function in the dose meter.
X-ray output Measured using a dose meter placed in the reference axis of the X-ray beam.
Leakage, residual, and scat- Use manual kV control and set to kV max.
tered radiation Read the displayed mA value and scale the radiation result for the test mA.

9.3.6 Acquisition Parameter Settings

Mode Specification
Automatic mode (used for fluoroscopy and exposure) 0.1 kV steps, -mA coupled to kV value
Manual mode (used for Fluoroscopy, exposure, and Single 1.0 kV steps, -mA coupled to kV value
shot)
Accuracy of automatic control system 10% of average gray level in measuring field

9.3.7 Patient Dose Information - Dose Rate With Grid

These are typical dose rates for the system with the grid. The actual dose rate displayed on the system
is calibrated and is slightly different from the values in the table.

To determine the expected dose (rate), first define the "Avg mA @ 120kV" from the selected procedure -
acquisition mode - pulse speed (frequency) combination in the examination setting tables.

Dynamic Modes for 9-inch Normal Curve, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
0.30 2.98 670 72 .275 0.72 2797
0.60 6.00 333 72 .551 1.40 1426
0.83 8.45 237 72 .762 1.96 1022
1.00 10.09 198 72 .918 2.30 871
1.20 12.01 167 72 1.10 2.73 732
1.67 16.67 120 72 1.53 3.75 534
2.00 19.69 102 72 1.84 4.45 449
2.40 23.55 85 72 2.20 5.39 371
3.33 32.74 61 72 3.06 7.25 276
4.00 39.00 51 72 3.67 8.65 231
6.67 64.82 31 72 6.12 14.12 142
7.00 67.87 29 72 6.42 14.96 134
8.00 77.27 26 72 7.34 16.70 120
9.60 95.45 21 72 8.81 19.66 102
10.00 97.48 21 72 9.18 20.30 99
12.00 115.53 17 72 11.0 25.14 80

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Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
13.33 129.77 15 72 12.2 27.49 73

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 9-inch Normal Curve, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
0.30 2.98 670 56 .091 0.11 9035
0.60 6.00 333 56 .182 0.23 4346
0.83 8.45 237 56 .251 0.34 2952
1.00 10.09 198 56 .303 0.40 2510
1.20 12.01 167 56 .363 0.47 2139
1.67 16.67 120 56 .505 0.65 1539
2.00 19.69 102 56 .605 0.77 1304
2.40 23.55 85 56 .726 0.92 1084
3.33 32.74 61 56 1.01 1.24 809
4.00 39.00 51 56 1.21 1.52 658
6.67 64.82 31 56 2.02 2.46 406
7.00 67.87 29 56 2.12 2.64 378
8.00 77.27 26 56 2.42 2.96 338
9.60 95.45 21 56 2.90 3.55 281
10.00 97.48 21 56 3.03 3.59 278
12.00 115.53 17 56 3.63 4.39 228
13.33 129.77 15 56 4.03 4.83 207

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 9-inch Normal Curve, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
0.30 2.98 670 51 .066 0.04 26485
0.60 6.00 333 51 .132 0.08 12859
0.83 8.45 237 51 .183 0.11 9329
1.00 10.09 198 51 .220 0.13 7434
1.20 12.01 167 51 .264 0.15 6663
1.67 16.67 120 51 .367 0.21 4826
2.00 19.69 102 51 .440 0.26 3876
2.40 23.55 85 51 .528 0.30 3287
3.33 32.74 61 51 .733 0.41 2440
4.00 39.00 51 51 .880 0.48 2098
6.67 64.82 31 51 1.47 0.83 1207

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Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
7.00 67.87 29 51 1.54 0.88 1142
8.00 77.27 26 51 1.76 0.96 1046
9.60 95.45 21 51 2.11 1.17 854
10.00 97.48 21 51 2.20 1.21 828
12.00 115.53 17 51 2.64 1.39 717
13.33 129.77 15 51 2.93 1.70 587

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 9-inch High Contrast, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
1.00 10.08 198 68 .918 1.58 1265
1.25 12.41 161 68 1.01 1.92 1039
1.67 16.29 123 68 1.35 2.52 792
2.00 19.80 101 68 1.62 3.18 628
2.50 24.55 81 68 2.02 3.76 532
3.33 32.12 62 68 2.69 4.99 401
4.00 39.12 51 68 3.23 6.22 321
5.00 48.40 41 68 4.04 8.18 244
6.67 62.58 32 68 5.39 9.99 200
7.00 69.07 29 68 5.65 10.88 184
8.00 78.22 26 68 6.46 11.85 169
9.60 90.59 22 68 7.75 14.37 139
10.00 97.50 21 68 8.08 15.13 132
12.00 115.64 17 68 9.69 18.90 106
13.33 123.36 16 68 10.8 20.42 98

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 9-inch High Contrast, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 3

1.00 10.08 198 54 .248 0.28 3525
1.25 12.41 161 54 .309 0.36 2796
1.67 16.29 123 54 .413 0.46 2153
2.00 19.80 101 54 .495 0.57 1751
2.50 24.55 81 54 .619 0.71 1408
3.33 32.12 62 54 .824 0.90 1106
4.00 39.12 51 54 .990 1.14 874
5.00 48.40 41 54 1.24 1.45 691

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Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
6.67 62.58 32 54 1.65 1.80 556
7.00 69.07 29 54 1.73 1.96 510
8.00 78.22 26 54 1.98 2.21 453
9.60 90.59 22 54 2.38 2.73 366
10.00 97.50 21 54 2.48 2.84 352
12.00 115.64 17 54 2.97 3.22 311
13.33 123.36 16 54 3.30 3.55 282

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 9-inch High Contrast, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 4

1.00 10.08 198 49 .167 0.11 9473
1.25 12.41 161 49 .208 0.13 7730
1.67 16.29 123 49 .278 0.16 6251
2.00 19.80 101 49 .334 0.21 4869
2.50 24.55 81 49 .417 0.26 3906
3.33 32.12 62 49 .555 0.32 3131
4.00 39.12 51 49 .667 0.39 2595
5.00 48.40 41 49 .834 0.44 2282
6.67 62.58 32 49 1.11 0.62 1601
7.00 69.07 29 49 1.17 0.70 1437
8.00 78.22 26 49 1.33 0.82 1214
9.60 90.59 22 49 1.60 0.93 1074
10.00 97.50 21 49 1.67 1.04 961
12.00 115.64 17 49 2.00 1.20 831
13.33 123.36 16 49 2.22 1.28 779

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 9-inch ISOWatt, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
4.00 38.88 51 62 4.56 7.05 284
5.00 52.05 38 62 5.69 9.55 209
6.67 64.73 31 62 7.60 11.83 169
12.00 115.57 17 62 13.7 21.42 93

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

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Dynamic Modes for 9-inch ISOWatt, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
4.00 38.88 51 50 1.18 1.15 871
5.00 52.05 38 50 1.57 1.55 646
6.67 64.73 31 50 1.96 1.91 524
12.00 115.57 17 50 3.53 3.33 300

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 9-inch ISOWatt, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
4.00 38.88 51 46 .856 0.40 2514
5.00 52.05 38 46 1.14 0.52 1926
6.67 64.73 31 46 1.43 0.63 1600
12.00 115.57 17 46 2.57 1.05 950

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 9-inch Super High Contrast, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
1.25 12.34 162 67 .944 1.80 1108
1.67 16.47 121 67 1.26 2.41 829
2.50 24.65 81 67 1.89 3.71 539
3.33 32.63 61 67 2.51 4.79 417
5.00 48.77 41 67 3.78 8.29 241
6.67 64.12 31 67 5.04 9.38 213
8.00 78.90 25 67 6.04 13.35 150
10.00 97.16 21 67 7.55 16.79 119
12.00 115.65 17 67 9.06 17.47 114

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 9-inch Super High Contrast, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 3

1.25 12.34 162 54 .309 0.29 3445
1.67 16.47 121 54 .413 0.41 2418

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Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
2.50 24.65 81 54 .619 0.63 1590
3.33 32.63 61 54 .824 0.82 1227
5.00 48.77 41 54 1.24 1.32 759
6.67 64.12 31 54 1.65 1.56 641
8.00 78.90 25 54 1.98 2.15 466
10.00 97.16 21 54 2.48 2.61 384
12.00 115.65 17 54 2.97 2.87 349

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 9-inch Super High Contrast, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 4

1.25 12.34 162 49 .208 0.11 8913
1.67 16.47 121 49 .278 0.16 6314
2.50 24.65 81 49 .417 0.23 4346
3.33 32.63 61 49 .555 0.33 3070
5.00 48.77 41 49 .834 0.49 2041
6.67 64.12 31 49 1.11 0.62 1615
8.00 78.90 25 49 1.33 0.78 1284
10.00 97.16 21 49 1.67 1.04 959
12.00 115.65 17 49 2.00 0.98 1021

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 12-inch Normal Curve, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
0.30 2.98 670 77 .278 0.92 2177
0.60 6.00 333 77 .557 1.93 1036
0.83 8.45 237 77 .770 2.65 755
1.00 10.09 198 77 .928 3.14 637
1.20 12.01 167 77 1.11 3.78 529
1.67 16.67 120 77 1.55 5.18 386
2.00 19.69 102 77 1.86 6.15 325
2.40 23.55 85 77 2.23 7.44 269
3.33 32.74 61 77 3.09 10.13 197
4.00 39.00 51 77 3.71 11.82 169
6.67 64.82 31 77 6.19 19.87 101
7.00 67.87 29 77 6.49 20.53 97
8.00 77.27 26 77 7.42 23.34 86
9.60 95.45 21 77 8.90 28.60 70

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Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
10.00 97.48 21 77 9.28 29.21 68
12.00 115.53 17 77 11.1 34.60 58
13.33 129.77 15 77 12.4 39.30 51

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 12-inch Normal Curve, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
0.30 2.98 670 60 .124 0.21 4769
0.60 6.00 333 60 .248 0.44 2272
0.83 8.45 237 60 .342 0.62 1603
1.00 10.09 198 60 .413 0.72 1380
1.20 12.01 167 60 .495 0.89 1126
1.67 16.67 120 60 .689 1.20 830
2.00 19.69 102 60 .825 1.42 706
2.40 23.55 85 60 .990 1.75 573
3.33 32.74 61 60 1.37 2.37 422
4.00 39.00 51 60 1.65 2.82 355
6.67 64.82 31 60 2.75 4.65 215
7.00 67.87 29 60 2.89 4.80 208
8.00 77.27 26 60 3.30 5.62 178
9.60 95.45 21 60 3.96 6.71 149
10.00 97.48 21 60 4.13 6.88 145
12.00 115.53 17 60 4.95 8.59 116
13.33 129.77 15 60 5.50 9.19 109

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 12-inch Normal Curve, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
0.30 2.98 670 53 .066 0.08 12390
0.60 6.00 333 53 .132 0.17 5840
0.83 8.45 237 53 .183 0.25 3962
1.00 10.09 198 53 .220 0.28 3599
1.20 12.01 167 53 .264 0.34 2980
1.67 16.67 120 53 .367 0.48 2067
2.00 19.69 102 53 .440 0.55 1805
2.40 23.55 85 53 .528 0.68 1465
3.33 32.74 61 53 .733 0.96 1047

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Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
4.00 39.00 51 53 .880 1.15 871
6.67 64.82 31 53 1.47 1.91 523
7.00 67.87 29 53 1.54 1.96 510
8.00 77.27 26 53 1.76 2.28 438
9.60 95.45 21 53 2.11 2.66 376
10.00 97.48 21 53 2.20 2.73 367
12.00 115.53 17 53 2.64 3.51 285
13.33 129.77 15 53 2.93 3.67 272

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 12-inch High Contrast, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
1.00 10.08 198 72 .918 2.48 807
1.25 12.41 161 72 1.15 3.01 664
1.67 16.29 123 72 1.53 3.99 501
2.00 19.80 101 72 1.84 4.84 414
2.50 24.55 81 72 2.29 5.84 342
3.33 32.12 62 72 3.06 7.93 252
4.00 39.12 51 72 3.67 9.52 210
5.00 48.40 41 72 4.59 11.57 173
6.67 62.58 32 72 6.12 15.66 128
7.00 69.07 29 72 6.42 16.91 118
8.00 78.22 26 72 7.34 19.25 104
9.60 90.59 22 72 8.81 23.13 86
10.00 97.50 21 72 9.18 23.93 84
12.00 115.64 17 72 11.0 28.28 71
13.33 123.36 16 72 12.2 31.69 63

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 12-inch High Contrast, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
1.00 10.08 198 58 .358 0.54 1865
1.25 12.41 161 58 .447 0.64 1560
1.67 16.29 123 58 .597 0.84 1192
2.00 19.80 101 58 .715 1.05 950
2.50 24.55 81 58 .894 1.22 821
3.33 32.12 62 58 1.19 1.66 601

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Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
4.00 39.12 51 58 1.43 2.09 479
5.00 48.40 41 58 1.79 2.58 387
6.67 62.58 32 58 2.38 3.34 299
7.00 69.07 29 58 2.50 3.58 279
8.00 78.22 26 58 2.86 4.16 241
9.60 90.59 22 58 3.43 5.06 198
10.00 97.50 21 58 3.58 5.26 190
12.00 115.64 17 58 4.29 6.02 166
13.33 123.36 16 58 4.77 6.92 145

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 12-inch High Contrast, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
1.00 10.08 198 52 .194 0.21 4664
1.25 12.41 161 52 .242 0.28 3602
1.67 16.29 123 52 .323 0.36 2768
2.00 19.80 101 52 .387 0.44 2249
2.50 24.55 81 52 .484 0.56 1780
3.33 32.12 62 52 .644 0.73 1365
4.00 39.12 51 52 .774 0.85 1170
5.00 48.40 41 52 .968 1.03 967
6.67 62.58 32 52 1.29 1.45 692
7.00 69.07 29 52 1.35 1.49 671
8.00 78.22 26 52 1.55 1.81 553
9.60 90.59 22 52 1.86 2.21 452
10.00 97.50 21 52 1.94 2.27 441
12.00 115.64 17 52 2.32 2.44 410
13.33 123.36 16 52 2.58 3.04 329

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 12-inch ISOWatt, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
4.00 38.88 51 64 5.18 10.78 186
5.00 52.05 38 64 6.47 14.33 140
6.67 64.73 31 64 8.63 18.13 110
12.00 115.57 17 64 15.5 32.87 61

1
Duration when deterministic effects are possible.

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2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 12-inch ISOWatt, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
4.00 38.88 51 53 1.76 1.92 522
5.00 52.05 38 53 2.35 2.56 391
6.67 64.73 31 53 2.94 3.40 294
12.00 115.57 17 53 5.29 5.66 177

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 12-inch ISOWatt, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
4.00 38.88 51 48 .856 0.76 1319
5.00 52.05 38 48 1.14 1.09 921
6.67 64.73 31 48 1.43 1.40 716
12.00 115.57 17 48 2.57 2.33 430

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 12-inch Super High Contrast, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 2 Gy in min 2

1.25 12.34 162 72 1.15 2.75 726
1.67 16.47 121 72 1.53 3.72 538
2.50 24.65 81 72 2.29 5.95 336
3.33 32.63 61 72 3.06 7.30 274
5.00 48.77 41 72 4.59 13.31 150
6.67 64.12 31 72 6.12 14.55 137
8.00 78.90 25 72 7.34 22.08 91
10.00 97.16 21 72 9.18 28.15 71
12.00 115.65 17 72 11.0 27.12 74

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

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Dynamic Modes for 12-inch Super High Contrast, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
1.25 12.34 162 57 .413 0.61 1649
1.67 16.47 121 57 .551 0.78 1274
2.50 24.65 81 57 .825 1.25 802
3.33 32.63 61 57 1.10 1.59 629
5.00 48.77 41 57 1.65 2.72 368
6.67 64.12 31 57 2.20 3.22 311
8.00 78.90 25 57 2.64 4.49 223
10.00 97.16 21 57 3.30 5.81 172
12.00 115.65 17 57 3.96 5.65 177

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 12-inch Super High Contrast, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
1.25 12.34 162 52 .242 0.21 4679
1.67 16.47 121 52 .323 0.29 3453
2.50 24.65 81 52 .484 0.47 2114
3.33 32.63 61 52 .644 0.60 1676
5.00 48.77 41 52 .968 0.98 1025
6.67 64.12 31 52 1.29 1.19 839
8.00 78.90 25 52 1.55 1.67 597
10.00 97.16 21 52 1.94 2.00 499
12.00 115.65 17 52 2.32 2.02 495

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 9-inch Normal, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .974 2054 72 55.1 .206 9699
167 ms 60.0 1.63 1230 72 55.1 .344 5808
300 ms 60.0 2.92 685 72 55.1 .619 3233

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

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Single Exposures 9-inch Normal, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .974 2054 56 18.2 .036 27570
167 ms 60.0 1.63 1230 56 18.2 .061 16509
300 ms 60.0 2.92 685 56 18.2 .109 9190

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 9-inch Normal, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .974 2054 51 13.2 .013 78221
167 ms 60.0 1.63 1230 51 13.2 .021 46839
300 ms 60.0 2.92 685 51 13.2 .038 26074

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 9-inch High Contrast, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .925 2161 68 48.5 .153 13056
167 ms 60.0 1.55 1294 68 48.5 .256 7818
300 ms 60.0 2.78 720 68 48.5 .460 4352

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 9-inch High Contrast, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .925 2161 54 14.9 .027 37557
167 ms 60.0 1.55 1294 54 14.9 .044 22490
300 ms 60.0 2.78 720 54 14.9 .080 12519

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

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Single Exposures 9-inch High Contrast, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .925 2161 49 10.0 .010 103796
167 ms 60.0 1.55 1294 49 10.0 .016 62153
300 ms 60.0 2.78 720 49 10.0 .029 34599

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 9-inch ISOWatt, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .963 2077 62 68.3 .178 11205
167 ms 60.0 1.61 1243 62 68.3 .298 6710
300 ms 60.0 2.89 692 62 68.3 .535 3735

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 9-inch ISOWatt, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .963 2077 50 17.7 .028 36026
167 ms 60.0 1.61 1243 50 17.7 .046 21572
300 ms 60.0 2.89 692 50 17.7 .083 12009

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 9-inch ISOWatt, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .963 2077 46 12.8 .009 113951
167 ms 60.0 1.61 1243 46 12.8 .015 68234
300 ms 60.0 2.89 692 46 12.8 .026 37984

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

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Single Exposures 9-inch Super High Contrast, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 125.0 2.01 996 67 94.4 .303 6594

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 9-inch Super High Contrast, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 125.0 2.01 996 54 30.9 .050 20090

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 9-inch Super High Contrast, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 125.0 2.01 996 49 20.8 .017 58805

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 12-inch Normal, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .974 2054 77 55.7 .295 6784
167 ms 60.0 1.63 1230 77 55.7 .492 4062
300 ms 60.0 2.92 685 77 55.7 .884 2261

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 12-inch Normal, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .974 2054 60 24.8 .069 14512
167 ms 60.0 1.63 1230 60 24.8 .115 8690
300 ms 60.0 2.92 685 60 24.8 .207 4837

1
Duration when deterministic effects are possible.

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3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 12-inch Normal, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .974 2054 53 13.2 .028 36293
167 ms 60.0 1.63 1230 53 13.2 .046 21732
300 ms 60.0 2.92 685 53 13.2 .083 12098

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 12-inch High Contrast, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .925 2161 72 55.1 .238 8414
167 ms 60.0 1.55 1294 72 55.1 .397 5038
300 ms 60.0 2.78 720 72 55.1 .713 2805

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 12-inch High Contrast, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .925 2161 58 21.5 .052 19274
167 ms 60.0 1.55 1294 58 21.5 .087 11541
300 ms 60.0 2.78 720 58 21.5 .156 6425

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 12-inch High Contrast, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .925 2161 52 11.6 .023 43822
167 ms 60.0 1.55 1294 52 11.6 .038 26241
300 ms 60.0 2.78 720 52 11.6 .068 14607

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

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Single Exposures 12-inch ISOWatt, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .963 2077 64 77.7 .274 7302
167 ms 60.0 1.61 1243 64 77.7 .457 4373
300 ms 60.0 2.89 692 64 77.7 .822 2434

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 12-inch ISOWatt, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .963 2077 53 26.5 .047 21197
167 ms 60.0 1.61 1243 53 26.5 .079 12693
300 ms 60.0 2.89 692 53 26.5 .142 7066

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 12-inch ISOWatt, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .963 2077 48 12.8 .019 51542
167 ms 60.0 1.61 1243 48 12.8 .032 30864
300 ms 60.0 2.89 692 48 12.8 .058 17181

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 12-inch Super High Contrast, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 2 Gy limit2
100 ms 125.0 2.01 996 72 114.7 .471 4247

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 12-inch Super High Contrast, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 125.0 2.01 996 57 41.3 .098 10200

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1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 12-inch Super High Contrast, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 125.0 2.01 996 52 24.2 .035 28530

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

NOTE 20 cm PMMA values are for large field size. The dose increases 30% and 60% for middle and
small field sizes respectively.

NOTE The normal dose - full speed acquisition modes are designated as the IEC normal mode (IEC
60601-2-43). The low dose - quarter speed acquisition modes are designated as the IEC low
mode.

NOTE The patient entrance reference point (interventional reference point) is intended to be
representative of the point of intersection of the X-ray beam axis and the patient. For this
type of system, normal use for interventional procedures is with the C-arm vertical or
horizontal and the patient as close as possible to the detector. This reference point is
defined at 30 cm from the detector entrance surface or 66.4 cm (12-inch) / 66.1 cm (9-inch)
from the focal spot (IEC 60601-2-43 and IEC60601-2-54). The reference air kerma (rate)
values are determined at the reference point.

NOTE For verification of the radiation data, place the 20 cm PMMA phantom on the detector. In
auto mode, let the system stabilize the kV. Switch over to hand mode and place the dose
probe in the middle of the beam at 30 cm from the detector (here the X-ray field area is half
of the field area at the detector).

NOTE The error in estimating the total absorbed dose to the skin introduced from the defined point
should average out if the procedure is composed of multiple views. Even under the worst-
case conditions, errors should be less than a factor of two (only at maximum kV and 20 cm
PMMA). Of course, assessing the position of the patient and calculating the appropriate
correction factor can eliminate most of this error (IEC 60601-2-43 and IEC60601-2-54).

9.3.8 Patient Dose Information - Dose Rate Without Grid

These are typical dose rates for the system without the grid. The actual dose rate displayed on the
system is calibrated and is slightly different from the values in the table.

To determine the expected dose (rate), first define the "Avg mA @ 120kV" from the selected procedure -
acquisition mode - pulse speed (frequency) combination in the examination setting tables.

Dynamic Modes for 9-inch Normal Curve, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
0.30 2.98 670 63 .164 0.27 7275
0.60 6.00 333 63 .327 0.58 3473
0.83 8.45 237 63 .452 0.82 2450
1.00 10.09 198 63 .545 0.95 2103

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Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
1.20 12.01 167 63 .654 1.16 1721
1.67 16.67 120 63 .910 1.63 1230
2.00 19.69 102 63 1.09 1.87 1068
2.40 23.55 85 63 1.31 2.35 850
3.33 32.74 61 63 1.81 3.21 623
4.00 39.00 51 63 2.18 3.78 529
6.67 64.82 31 63 3.64 6.20 322
7.00 67.87 29 63 3.82 6.78 295
8.00 77.27 26 63 4.36 7.43 269
9.60 95.45 21 63 5.23 9.15 219
10.00 97.48 21 63 5.45 9.56 209
12.00 115.53 17 63 6.54 11.55 173
13.33 129.77 15 63 7.26 12.67 158

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 9-inch Normal Curve, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
0.30 2.98 670 53 .066 0.06 15857
0.60 6.00 333 53 .132 0.12 8065
0.83 8.45 237 53 .183 0.18 5625
1.00 10.09 198 53 .220 0.20 4936
1.20 12.01 167 53 .264 0.26 3876
1.67 16.67 120 53 .367 0.34 2956
2.00 19.69 102 53 .440 0.39 2542
2.40 23.55 85 53 .528 0.49 2026
3.33 32.74 61 53 .733 0.68 1472
4.00 39.00 51 53 .880 0.80 1255
6.67 64.82 31 53 1.47 1.30 769
7.00 67.87 29 53 1.54 1.46 687
8.00 77.27 26 53 1.76 1.66 603
9.60 95.45 21 53 2.11 1.94 515
10.00 97.48 21 53 2.20 2.04 491
12.00 115.53 17 53 2.64 2.50 401
13.33 129.77 15 53 2.93 2.63 380

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

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Dynamic Modes for 9-inch Normal Curve, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
0.30 2.98 670 48 .032 0.03 37401
0.60 6.00 333 48 .064 0.05 18885
0.83 8.45 237 48 .089 0.07 13579
1.00 10.09 198 48 .107 0.09 10790
1.20 12.01 167 48 .128 0.11 9420
1.67 16.67 120 48 .178 0.14 6928
2.00 19.69 102 48 .214 0.18 5568
2.40 23.55 85 48 .256 0.24 4232
3.33 32.74 61 48 .355 0.29 3464
4.00 39.00 51 48 .427 0.33 3036
6.67 64.82 31 48 .712 0.58 1735
7.00 67.87 29 48 .747 0.58 1733
8.00 77.27 26 48 .854 0.69 1458
9.60 95.45 21 48 1.02 0.81 1234
10.00 97.48 21 48 1.07 0.86 1165
12.00 115.53 17 48 1.28 0.99 1011
13.33 129.77 15 48 1.42 1.11 897

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 9-inch High Contrast, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
1.00 10.08 198 60 .413 0.68 2950
1.25 12.41 161 60 .516 0.86 2334
1.67 16.29 123 60 .689 1.08 1852
2.00 19.80 101 60 .825 1.34 1491
2.50 24.55 81 60 1.03 1.66 1208
3.33 32.12 62 60 1.37 2.13 940
4.00 39.12 51 60 1.65 2.60 770
5.00 48.40 41 60 2.06 3.30 605
6.67 62.58 32 60 2.75 4.19 477
7.00 69.07 29 60 2.89 4.56 439
8.00 78.22 26 60 3.30 5.26 380
9.60 90.59 22 60 3.96 6.20 323
10.00 97.50 21 60 4.13 6.05 330
12.00 115.64 17 60 4.95 7.58 264
13.33 123.36 16 60 5.50 8.66 231

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

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Dynamic Modes for 9-inch High Contrast, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
1.00 10.08 198 51 .167 0.14 6997
1.25 12.41 161 51 .208 0.17 5835
1.67 16.29 123 51 .278 0.22 4560
2.00 19.80 101 51 .334 0.28 3597
2.50 24.55 81 51 .417 0.33 2997
3.33 32.12 62 51 .555 0.45 2234
4.00 39.12 51 51 .667 0.54 1863
5.00 48.40 41 51 .834 0.67 1500
6.67 62.58 32 51 1.11 0.89 1129
7.00 69.07 29 51 1.17 0.99 1010
8.00 78.22 26 51 1.33 1.12 893
9.60 90.59 22 51 1.60 1.33 755
10.00 97.50 21 51 1.67 1.27 785
12.00 115.64 17 51 2.00 1.53 653
13.33 123.36 16 51 2.22 1.93 518

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 9-inch High Contrast, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 4

1.00 10.08 198 47 .094 0.07 14525
1.25 12.41 161 47 .117 0.08 12139
1.67 16.29 123 47 .156 0.11 9344
2.00 19.80 101 47 .187 0.13 7453
2.50 24.55 81 47 .234 0.17 5808
3.33 32.12 62 47 .311 0.22 4570
4.00 39.12 51 47 .374 0.25 4052
5.00 48.40 41 47 .468 0.31 3247
6.67 62.58 32 47 .624 0.43 2333
7.00 69.07 29 47 .655 0.46 2188
8.00 78.22 26 47 .748 0.51 1953
9.60 90.59 22 47 .898 0.64 1560
10.00 97.50 21 47 .935 0.65 1546
12.00 115.64 17 47 1.12 0.71 1411
13.33 123.36 16 47 1.25 0.92 1083

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

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Dynamic Modes for 9-inch ISOWatt, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
4.00 38.88 51 55 2.38 2.81 713
5.00 48.83 41 55 2.97 3.51 570
6.67 64.73 31 55 3.97 4.67 428
12.00 115.57 17 55 7.14 8.09 247

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 9-inch ISOWatt, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 3

4.00 38.88 51 48 .856 0.59 1695
5.00 48.83 41 48 1.07 0.74 1358
6.67 64.73 31 48 1.43 0.91 1103
12.00 115.57 17 48 2.57 1.76 569

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 9-inch ISOWatt, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
4.00 38.88 51 44 .483 0.21 4839
5.00 48.83 41 44 .604 0.27 3696
6.67 64.73 31 44 .806 0.39 2564
12.00 115.57 17 44 1.45 0.68 1466

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 9-inch Super High Contrast, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
1.25 12.34 162 60 .516 0.80 2509
1.67 16.47 121 60 .689 1.04 1926
2.50 24.65 81 60 1.03 1.63 1229
3.33 32.63 61 60 1.37 2.01 995
5.00 48.77 41 60 2.06 3.38 592
6.67 64.12 31 60 2.75 3.97 503
8.00 78.90 25 60 3.30 5.33 375

Zenition 50 Release 1.1 Instructions for Use 243 Philips 4598 013 57506
Technical Data System Data

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
10.00 97.16 21 60 4.13 6.96 287
12.00 115.65 17 60 4.95 7.04 284

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 9-inch Super High Contrast, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
1.25 12.34 162 51 .208 0.17 5850
1.67 16.47 121 51 .278 0.21 4710
2.50 24.65 81 51 .417 0.34 2913
3.33 32.63 61 51 .555 0.43 2312
5.00 48.77 41 51 .834 0.72 1391
6.67 64.12 31 51 1.11 0.87 1145
8.00 78.90 25 51 1.33 1.16 862
10.00 97.16 21 51 1.67 1.47 678
12.00 115.65 17 51 2.00 1.53 653

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 9-inch Super High Contrast, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
1.25 12.34 162 47 .117 0.07 13592
1.67 16.47 121 47 .156 0.09 10949
2.50 24.65 81 47 .234 0.15 6796
3.33 32.63 61 47 .311 0.18 5490
5.00 48.77 41 47 .468 0.30 3322
6.67 64.12 31 47 .624 0.38 2620
8.00 78.90 25 47 .748 0.49 2028
10.00 97.16 21 47 .935 0.64 1573
12.00 115.65 17 47 1.12 0.64 1559

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 12-inch Normal Curve, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
0.30 2.98 670 65 .195 0.40 5006

Zenition 50 Release 1.1 Instructions for Use 244 Philips 4598 013 57506
Technical Data System Data

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
0.60 6.00 333 65 .390 0.85 2357
0.83 8.45 237 65 .540 1.22 1636
1.00 10.09 198 65 .650 1.44 1388
1.20 12.01 167 65 .780 1.71 1172
1.67 16.67 120 65 1.09 2.38 840
2.00 19.69 102 65 1.30 2.84 703
2.40 23.55 85 65 1.56 3.52 569
3.33 32.74 61 65 2.16 4.69 426
4.00 39.00 51 65 2.60 5.75 348
6.67 64.82 31 65 4.34 9.26 216
7.00 67.87 29 65 4.55 9.64 207
8.00 77.27 26 65 5.20 11.42 175
9.60 95.45 21 65 6.24 13.22 151
10.00 97.48 21 65 6.50 13.21 151
12.00 115.53 17 65 7.80 17.60 114
13.33 129.77 15 65 8.66 18.04 111

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 12-inch Normal Curve, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 3

0.30 2.98 670 54 .074 0.09 11363
0.60 6.00 333 54 .149 0.19 5172
0.83 8.45 237 54 .205 0.28 3596
1.00 10.09 198 54 .248 0.32 3149
1.20 12.01 167 54 .297 0.38 2634
1.67 16.67 120 54 .413 0.55 1818
2.00 19.69 102 54 .495 0.63 1595
2.40 23.55 85 54 .594 0.80 1253
3.33 32.74 61 54 .824 1.09 918
4.00 39.00 51 54 .990 1.30 772
6.67 64.82 31 54 1.65 2.17 461
7.00 67.87 29 54 1.73 2.30 435
8.00 77.27 26 54 1.98 2.51 398
9.60 95.45 21 54 2.38 3.02 331
10.00 97.48 21 54 2.48 3.34 300
12.00 115.53 17 54 2.97 4.03 248
13.33 129.77 15 54 3.30 4.28 234

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Zenition 50 Release 1.1 Instructions for Use 245 Philips 4598 013 57506
Technical Data System Data

Dynamic Modes for 12-inch Normal Curve, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
0.30 2.98 670 50 .044 0.05 21609
0.60 6.00 333 50 .088 0.09 11197
0.83 8.45 237 50 .122 0.12 8273
1.00 10.09 198 50 .147 0.15 6768
1.20 12.01 167 50 .176 0.18 5497
1.67 16.67 120 50 .245 0.24 4172
2.00 19.69 102 50 .294 0.29 3424
2.40 23.55 85 50 .352 0.44 2293
3.33 32.74 61 50 .489 0.48 2081
4.00 39.00 51 50 .587 0.58 1721
6.67 64.82 31 50 .979 0.96 1038
7.00 67.87 29 50 1.03 1.05 949
8.00 77.27 26 50 1.17 1.23 814
9.60 95.45 21 50 1.41 1.44 696
10.00 97.48 21 50 1.47 1.58 634
12.00 115.53 17 50 1.76 1.78 562
13.33 129.77 15 50 1.96 1.95 512

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 12-inch High Contrast, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
1.00 10.08 198 63 .545 1.01 1973
1.25 12.41 161 63 .681 1.21 1647
1.67 16.29 123 63 .910 1.57 1276
2.00 19.80 101 63 1.09 1.99 1007
2.50 24.55 81 63 1.36 2.34 856
3.33 32.12 62 63 1.81 3.11 644
4.00 39.12 51 63 2.18 4.01 499
5.00 48.40 41 63 2.73 5.05 396
6.67 62.58 32 63 3.64 6.07 330
7.00 69.07 29 63 3.82 7.25 276
8.00 78.22 26 63 4.36 7.99 250
9.60 90.59 22 63 5.23 9.49 211
10.00 97.50 21 63 5.45 9.67 207
12.00 115.64 17 63 6.54 12.25 163
13.33 123.36 16 63 7.26 13.11 153

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Zenition 50 Release 1.1 Instructions for Use 246 Philips 4598 013 57506
Technical Data System Data

Dynamic Modes for 12-inch High Contrast, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
1.00 10.08 198 53 .220 0.22 4509
1.25 12.41 161 53 .275 0.27 3704
1.67 16.29 123 53 .367 0.36 2772
2.00 19.80 101 53 .440 0.44 2289
2.50 24.55 81 53 .550 0.55 1818
3.33 32.12 62 53 .733 0.72 1382
4.00 39.12 51 53 .880 0.90 1116
5.00 48.40 41 53 1.10 1.19 842
6.67 62.58 32 53 1.47 1.43 699
7.00 69.07 29 53 1.54 1.66 604
8.00 78.22 26 53 1.76 1.83 548
9.60 90.59 22 53 2.11 2.18 460
10.00 97.50 21 53 2.20 2.13 470
12.00 115.64 17 53 2.64 2.53 395
13.33 123.36 16 53 2.93 3.03 330

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 12-inch High Contrast, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 4

1.00 10.08 198 49 .127 0.10 10185
1.25 12.41 161 49 .158 0.13 7921
1.67 16.29 123 49 .212 0.16 6333
2.00 19.80 101 49 .254 0.19 5189
2.50 24.55 81 49 .317 0.24 4097
3.33 32.12 62 49 .422 0.32 3148
4.00 39.12 51 49 .507 0.37 2713
5.00 48.40 41 49 .634 0.44 2281
6.67 62.58 32 49 .845 0.63 1577
7.00 69.07 29 49 .887 0.65 1538
8.00 78.22 26 49 1.01 0.79 1272
9.60 90.59 22 49 1.22 0.97 1032
10.00 97.50 21 49 1.27 0.98 1021
12.00 115.64 17 49 1.52 1.04 962
13.33 123.36 16 49 1.69 1.35 743

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Zenition 50 Release 1.1 Instructions for Use 247 Philips 4598 013 57506
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Dynamic Modes for 12-inch ISOWatt, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
4.00 38.88 51 57 3.00 3.94 508
5.00 48.83 41 57 3.75 5.36 373
6.67 64.73 31 57 5.01 6.61 302
12.00 115.57 17 57 9.01 12.04 166

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 12-inch ISOWatt, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min 1 kV mA mGy/min 70 cm 1 Gy in min 3

4.00 38.88 51 49 1.01 0.93 1080
5.00 48.83 41 49 1.27 1.11 899
6.67 64.73 31 49 1.69 1.56 640
12.00 115.57 17 49 3.04 2.68 373

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 12-inch ISOWatt, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
4.00 38.88 51 45 .534 0.38 2632
5.00 48.83 41 45 .668 0.48 2079
6.67 64.73 31 45 .891 0.61 1629
12.00 115.57 17 45 1.60 1.16 862

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Dynamic Modes for 12-inch Super High Contrast, 20 cm PMMA

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
1.25 12.34 162 63 .681 1.19 1686
1.67 16.47 121 63 .910 1.56 1281
2.50 24.65 81 63 1.36 2.39 837
3.33 32.63 61 63 1.81 3.07 652
5.00 48.77 41 63 2.73 5.00 400
6.67 64.12 31 63 3.64 6.29 318
8.00 78.90 25 63 4.36 8.21 244

Zenition 50 Release 1.1 Instructions for Use 248 Philips 4598 013 57506
Technical Data System Data

Max Output (120 kV) Object: 20 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 2 Gy in min 2
10.00 97.16 21 63 5.45 10.08 198
12.00 115.65 17 63 6.54 11.32 177

1
Duration when deterministic effects are possible.
2
Time (minutes) to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while maximum
output level is applicable for obese patients.

Dynamic Modes for 12-inch Super High Contrast, 10 cm PMMA

Max Output (120 kV) Object: 10 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 3
1.25 12.34 162 53 .275 0.27 3685
1.67 16.47 121 53 .367 0.35 2863
2.50 24.65 81 53 .550 0.56 1772
3.33 32.63 61 53 .733 0.70 1433
5.00 48.77 41 53 1.10 1.17 857
6.67 64.12 31 53 1.47 1.43 698
8.00 78.90 25 53 1.76 1.97 509
10.00 97.16 21 53 2.20 2.46 407
12.00 115.65 17 53 2.64 2.44 410

1
Duration when deterministic effects are possible.
3
Time (minutes) to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Dynamic Modes for 12-inch Super High Contrast, 5 cm PMMA

Max Output (120 kV) Object: 5 cm PMMA

1
Avg mA @ 120 kV mGy/min 70 cm 2 Gy in min kV mA mGy/min 70 cm 1 Gy in min 4
1.25 12.34 162 49 .158 0.12 8600
1.67 16.47 121 49 .212 0.15 6639
2.50 24.65 81 49 .317 0.24 4199
3.33 32.63 61 49 .422 0.30 3307
5.00 48.77 41 49 .634 0.50 1996
6.67 64.12 31 49 .845 0.60 1670
8.00 78.90 25 49 1.01 0.84 1193
10.00 97.16 21 49 1.27 1.06 941
12.00 115.65 17 49 1.52 1.00 996

1
Duration when deterministic effects are possible.
4
Time (minutes) to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 9-inch Normal, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .974 2054 63 32.7 .095 21050

Zenition 50 Release 1.1 Instructions for Use 249 Philips 4598 013 57506
Technical Data System Data

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
167 ms 60.0 1.63 1230 63 32.7 .159 12605
300 ms 60.0 2.92 685 63 32.7 .285 7017

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 9-inch Normal, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .974 2054 53 13.2 .020 50652
167 ms 60.0 1.63 1230 53 13.2 .033 30330
300 ms 60.0 2.92 685 53 13.2 .059 16884

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 9-inch Normal, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .974 2054 48 6.41 .008 119588
167 ms 60.0 1.63 1230 48 6.41 .014 71610
300 ms 60.0 2.92 685 48 6.41 .025 39863

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 9-inch High Contrast, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .925 2161 60 24.8 .065 30790
167 ms 60.0 1.55 1294 60 24.8 .108 18437
300 ms 60.0 2.78 720 60 24.8 .195 10263

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 9-inch High Contrast, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .925 2161 51 10.0 .014 69048

Zenition 50 Release 1.1 Instructions for Use 250 Philips 4598 013 57506
Technical Data System Data

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
167 ms 60.0 1.55 1294 51 10.0 .024 41346
300 ms 60.0 2.78 720 51 10.0 .043 23016

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 9-inch High Contrast, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .925 2161 47 5.61 .007 144391
167 ms 60.0 1.55 1294 47 5.61 .012 86462
300 ms 60.0 2.78 720 47 5.61 .021 48130

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 9-inch ISOWatt, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .963 2077 55 35.7 .067 29659
167 ms 60.0 1.61 1243 55 35.7 .113 17760
300 ms 60.0 2.89 692 55 35.7 .202 9886

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 9-inch ISOWatt, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .963 2077 48 12.8 .015 68224
167 ms 60.0 1.61 1243 48 12.8 .024 40852
300 ms 60.0 2.89 692 48 12.8 .044 22741

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 9-inch ISOWatt, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .963 2077 44 7.25 .006 175928
167 ms 60.0 1.61 1243 44 7.25 .009 105346

Zenition 50 Release 1.1 Instructions for Use 251 Philips 4598 013 57506
Technical Data System Data

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
300 ms 60.0 2.89 692 44 7.25 .017 58643

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 9-inch Super High Contrast, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 125 2.01 996 60 51.6 .122 16355

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 9-inch Super High Contrast, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 125 2.01 996 51 20.8 .027 37600

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 9-inch Super High Contrast, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 125 2.01 996 47 11.7 .011 89773

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 12-inch Normal, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .974 2054 65 39.0 .135 14776
167 ms 60.0 1.63 1230 65 39.0 .226 8848
300 ms 60.0 2.92 685 65 39.0 .406 4925

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Zenition 50 Release 1.1 Instructions for Use 252 Philips 4598 013 57506
Technical Data System Data

Single Exposures 12-inch Normal, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .974 2054 54 14.9 .032 31167
167 ms 60.0 1.63 1230 54 14.9 .054 18663
300 ms 60.0 2.92 685 54 14.9 .096 10389

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 12-inch Normal, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .974 2054 50 8.81 .015 68293
167 ms 60.0 1.63 1230 50 8.81 .024 40894
300 ms 60.0 2.92 685 50 8.81 .044 22764

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 12-inch High Contrast, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .925 2161 63 32.7 .098 20335
167 ms 60.0 1.55 1294 63 32.7 .164 12177
300 ms 60.0 2.78 720 63 32.7 .295 6778

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 12-inch High Contrast, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .925 2161 53 13.2 .023 44053
167 ms 60.0 1.55 1294 53 13.2 .038 26379
300 ms 60.0 2.78 720 53 13.2 .068 14684

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Zenition 50 Release 1.1 Instructions for Use 253 Philips 4598 013 57506
Technical Data System Data

Single Exposures 12-inch High Contrast, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .925 2161 49 7.61 .010 99006
167 ms 60.0 1.55 1294 49 7.61 .017 59285
300 ms 60.0 2.78 720 49 7.61 .030 33002

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

Single Exposures 12-inch ISOWatt, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 2 Gy limit2
100 ms 60.0 .963 2077 57 45.0 .100 19931
167 ms 60.0 1.61 1243 57 45.0 .168 11935
300 ms 60.0 2.89 692 57 45.0 .301 6644

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 12-inch ISOWatt, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 60.0 .963 2077 49 15.2 .022 44729
167 ms 60.0 1.61 1243 49 15.2 .037 26784
300 ms 60.0 2.89 692 49 15.2 .067 14910

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 12-inch ISOWatt, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit1 kV mA mGy 70 cm 1 Gy limit4
100 ms 60.0 .963 2077 45 8.02 .010 103436
167 ms 60.0 1.61 1243 45 8.02 .016 61938
300 ms 60.0 2.89 692 45 8.02 .029 34479

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

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Single Exposures 12-inch Super High Contrast, 20 cm PMMA

Exposure Maximum output (120 kV) Object: 20 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 2 Gy limit2
100 ms 125 2.01 996 63 68.1 .196 10180

1
Duration when deterministic effects are possible.
2
Number of exposures to reach 2 Gy. 20 cm PMMA levels are applicable to normal patients, while
maximum output level is applicable for obese patients.

Single Exposures 12-inch Super High Contrast, 10 cm PMMA

Exposure Maximum output (120 kV) Object: 10 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit3
100 ms 125 2.01 996 53 27.5 .042 23595

1
Duration when deterministic effects are possible.
3
Number of exposures to reach 1 Gy. 10 cm PMMA levels are applicable to small patients/pediatrics.

Single Exposures 12-inch Super High Contrast, 5 cm PMMA

Exposure Maximum output (120 kV) Object: 5 cm PMMA

mA mGy 70 cm 2 Gy limit 1 kV mA mGy 70 cm 1 Gy limit4
100 ms 125 2.01 996 49 15.8 .017 57398

1
Duration when deterministic effects are possible.
4
Number of exposures to reach 1 Gy. 5 cm PMMA levels are applicable to very small patients/pediatrics.

NOTE 20 cm PMMA values are for large field size. The dose increases 30% and 60% for middle and
small field sizes respectively.

NOTE The normal dose - full speed acquisition modes are designated as the IEC normal mode (IEC
60601-2-43). The low dose - quarter speed acquisition modes are designated as the IEC low
mode.

NOTE The patient entrance reference point (interventional reference point) is intended to be
representative of the point of intersection of the X-ray beam axis and the patient. For this
type of system, normal use for interventional procedures is with the C-arm vertical or
horizontal and the patient as close as possible to the detector. This reference point is
defined at 30 cm from the detector entrance surface or 66.4 cm (12-inch) / 66.1 cm (9-inch)
from the focal spot (IEC 60601-2-43 and IEC60601-2-54). The reference air kerma (rate)
values are determined at the reference point.

NOTE For verification of the radiation data, place the 20 cm PMMA phantom on the detector. In
auto mode, let the system stabilize the kV. Switch over to hand mode and place the dose
probe in the middle of the beam at 30 cm from the detector (here the X-ray field area is half
of the field area at the detector).

NOTE The error in estimating the total absorbed dose to the skin introduced from the defined point
should average out if the procedure is composed of multiple views. Even under the worst-
case conditions, errors should be less than a factor of two (only at maximum kV and 20 cm
PMMA). Of course, assessing the position of the patient and calculating the appropriate
correction factor can eliminate most of this error (IEC 60601-2-43 and IEC60601-2-54).

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9.3.9 Designated Significant Zone of Occupancy

The system is specified for radiological examinations needing the operator and/or staff to be close to
the patient during normal use.

The system itself has no provisions to protect against stray radiation caused by irradiation of the
patient. Therefore, it is not possible to give a specific zone of occupancy for the use of the operator and
staff.

Instead of this, the scatter diagrams below give an indication of the stray levels to be expected in the
vicinity of the patient.

In these diagrams, the patient is represented by a phantom of 25 × 25 × 15 cm as required by IEC

60601-1-3 and IEC60601-2-54. The X-ray tube voltage is set at maximum. The X-ray tube current
corresponds to the value for the leakage technique factor of the X-ray tube assembly.

The isokerma maps as given in this chapter show that the profile of the stray radiation is the same in a
circle around the reference axis.

Figure 132 Designated significant zone of occupancy: Zenition 50 9 inch

Legend
1 Detector
2 Phantom (25 cm x 25 cm x 15 cm PMMA)
3 X-ray source
X axis Dose (mGy/hour)
Y axis Height above floor (cm)
Technique factors:
• Fluoroscopy, normal, continuous, 120 kV / 300 W, no additional filtration
• Field entrance at the phantom is the maximum circle
• Dose is indicated for distances measured from the isocenter of the phantom

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Figure 133 Designated significant zone of occupancy: Zenition 50 12 inch

Legend
1 Detector
2 Phantom (25 cm x 25 cm x 15 cm PMMA)
3 X-ray source
X axis Dose (mGy/hour)
Y axis Height above floor (cm)
Technique factors:
• Fluoroscopy, normal, continuous, 120 kV / 300 W, no additional filtration
• Field entrance at the phantom is the maximum circle
• Dose is indicated for distances measured from the isocenter of the phantom

The diagrams show high stray radiation levels around the patient.

Therefore it is strongly recommend to wear aprons and other protective devices to reduce the dose
levels for operator and staff.

If possible, place the X-ray source under the table and collimate as much as possible to reduce
scattered radiation.

Furthermore it is strongly recommended to follow the other radiation guidelines as given in the
“Radiation safety” section in the Safety chapter.

Risk to Operators
The following table indicates the typical received radiation dose by the operator for several procedures
(collimator fully open, at a height of 1 m, and 30 cm from the reference axis).

Procedure Typical Loading Factors Received Received

Dose 9-inch Dose 12-inch
Voltage [kV] Current [mA] [mGy]
[mGy] [mGy]
Skeleton - Extremities 60 0.99 0.10 0.05 0.10
Skeleton - Spine 85 5.04 1.86 1.04 1.86

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Procedure Typical Loading Factors Received Received

Dose 9-inch Dose 12-inch
Voltage [kV] Current [mA] [mGy]
[mGy] [mGy]
Skeleton - Pelvis 75 3.70 1.25 0.69 1.25
Abdominal 75 8.02 1.33 0.74 1.33
Endoscopy 75 8.02 2.66 1.47 2.66
Biopsy 75 4.62 0.97 0.54 0.97
Foreign Body Removal 75 8.02 1.66 0.92 1.66
Pain Spine 85 5.04 0.93 0.39 0.93
2D Navigation 85 5.04 0.93 0.39 0.93
Vascular - Extremities 75 1.85 1.77 0.96 1.77
Vascular - Abdominal 80 1.87 4.39 2.40 4.39
Cardiac 90 1.91 3.81 2.09 3.81
Cardiac - Electrophysiology 90 1.15 4.37 2.41 4.37

9.3.10 Scattered Radiation (Isokerma Data)

Isokerma maps display measurements that describe the distribution of stray radiation around the
system.

Measurement Conditions
A 25 cm cube PMMA phantom was placed 5 cm in front of the detector input surface. The entrance
plane of the phantom was therefore at the patient entrance reference point 30 cm in front of the
detector. The maps are determined by applying an X-ray beam of 100 cm2 at the patient entrance
reference point.

The results are normalized to 1 (uGy/s)/(Gycm2/s).

For example, the dose area rate product for fluoroscopy, 2.4 mA at 120 kV and 100 cm2, is 0.040
Gycm²/s.

Then the actual dose rate for a normalized value of 1.0 is 40 nGy/s.

Measurements were taken in the horizontal position and in the lateral position. In horizontal position,
the table height was set to 94 cm, while in lateral position the table height was set to 100 cm.

The degree of uncertainty regarding the results is <±50%.

The following figures illustrate the measuring conditions for the system.

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Horizontal Position

Figure 134 Isokerma map measurement configuration (horizontal)

Lateral Position

Figure 135 Isokerma map measurement configuration (lateral)

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Isokerma Maps, Zenition 50 9-inch

Figure 136 9-inch II isokerma map (horizontal), (uGy/s)/(Gycm2/s), height: left 1.0 m, right 1.5 m

Figure 137 9-inch II -sokerma map (lateral), (uGy/s)/(Gycm2/s), height: left 1.0 m, right 1.5 m

NOTE When normalized to 1 µGym2 (IEC60601-2-43:2000) instead of 1 Gycm2

(IEC60601-2-43:2009), divide the figures of the table by 100.

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Isokerma Maps, Zenition 50 12-inch

Figure 138 12-inch II isokerma map (horizontal), (uGy/s)/(Gycm2/s), height: left 1.0 m, right 1.5 m

Figure 139 12-inch II isokerma map (lateral), (uGy/s)/(Gycm2/s), height: left 1.0 m, right 1.5 m

NOTE When normalized to 1 µGym2 (IEC60601-2-43:2000) instead of 1 Gycm2

(IEC60601-2-43:2009), divide the figures of the table by 100.

9.3.11 C-arm Stand Dimensions

Definition Specification
Motorized height movement 49 cm (range from +43 to -6 cm)
(+41 to -8 cm for extended rotation)
Longitudinal movement 200 mm
Panning movement (swivel) ±10 degrees
Rotation ±180 degrees with safety stop at ± 135 degrees
Angulation +90/-25 degrees
Angulation (extended rotation option) +90/-45 degrees

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Definition Specification
Source-to-image distance (SID) 9 in: 98.2 cm
12 in: 98.3 cm
Source-to-skin distance (SSD) IEC: minimal 20 cm
HHS: minimal 30 cm
Distance from image detector screen to X-ray tube output 77 cm
window (free space)
Distance from C-arm to X-ray beam 610 mm
Weight 9 in: 310 kg
12 in: 310 kg
Lowest lateral working positions (distance from the floor to 1079 mm (C-arc under table)
the center of the horizontal X-ray beam)

Figure 140 C-arm stand dimensions: longitudinal movement

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Figure 141 C-arm stand dimensions: height movement

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Figure 142 C-arm stand dimensions: angulation

Figure 143 C-arm stand dimensions: panning movement (swivel)

9.3.12 Mobile View Station Dimensions

Definition Value
Weight (including options) <140 kg
Paper / transparency printer (option) 8.5 kg

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Figure 144 Mobile view station dimensions

9.3.13 Material Safety Data Sheet

CAUTION
The supplier has issued the data on the following pages. The information and recommendations are
believed to be accurate. However, no guarantee or warranty, expressed or implied, is made.

Sealed Lead Battery

INFORMATION ONLY - Please read Section X

SECTION I - Product and Manufacturer Identity

Product Identity: Revision Date: June 1998
Sealed Lead Battery
Cyclon®, Genesis®, SBS, or Hawker XT™
Manufacturer’s Name and Address Emergency Telephone Number:
Hawker Energy Products Inc. (660) 429-2165 Customer Service Telephone Number:
617 North Ridgeview Drive 800-964-2837
Warrensburg, MO 64093-9301

SECTION II - Ingredients
Hazardous Components CAS# OSHA PEL-TWA % (By weight)
Lead 7439-92-1 50µg/m³ 45 - 60%
Lead Dioxide 1309-60-0 50µg/m³ 15 - 20%
Sulfuric Acid Electrolyte 7664-93-9 1.0 mg/m³ 15 - 20%
Non-Hazardous Materials N/A N/A 5 - 10%

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SECTION III - Physical/Chemical Characteristics

Boiling Point - N/A Specific Gravity (H 2 O=1) - N/A
Vapor Pressure (mm Hg.) - N/A Melting Point - N/A
Solubility in Water - N/A Appearance & Color - N/A

SECTION IV - Fire and Explosion Hazard Data

Flash Point (Method Used): N/A Flammable Limits: N/A LEL: N/A UEL: N/A
Extinguishing Media: Multipurpose Dry chemical, CO2 or water spray.
Special Fire Fighting Procedures: Cool Battery exterior to prevent rupture. Acid mists and vapors in a fire are toxic and cor-
rosive.
Unusual Fire and Explosion Hazards: Hydrogen gas may be produced and may explode if ignited. Remove all sources of
ignition.

SECTION V - Reactivity Data

Conditions to Avoid: Avoid shorting. Avoid over-charging. Use only approved charging methods. Do not charge in gas tight
containers.

SECTION VI - Health Hazard Data

Routes of Entry: N/A Health Hazards (Acute and Chronic): N/A
Emergency and First Aid Procedures: Battery contains acid electrolyte which is absorbed in the
separator material. If battery case is punctured, completely
flush any release material from skin or eyes with water.

SECTION VII - Precautions for Safe Handling & Use

Routes of Entry: N/A Health Hazards (Acute and Chronic): N/A
Steps to be taken in case material is released or spilled: Avoid contact with acid materials. Use soda ash or lime to
neutralize. Flush with water.
Waste Disposal Method: Dispose of in accordance with Federal, State, & Local Regu-
lations. Do not incinerate. Batteries should be shipped to a
reclamation facility for recovery of the metal and plastic
components as the proper method of waste management.
Contact distributor for appropriate product return proce-
dures.

SECTION VIII - Control Measures

Not Applicable

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SECTION IX - Transportation
Hawker Energy Products Inc. batteries are starved electrolyte batteries which means the electrolyte is absorbed in the sep-
arator material. The batteries are also sealed. As of September 30, 1995, Hawker Energy Products Inc. batteries were classi-
fied as “nonspillable batteries”, and as such are not subject to the full requirements of 49 CFR § 173.159. The previous ex-
empt classification, “Dry Batteries, Not Restricted” was discontinued effective September 30, 1995. “Nonspillable” batteries
are excepted from the regulation's comprehensive packaging requirements if the following conditions are satisfied: (1) The
battery is protected against short circuits and is securely packaged. (2) For batteries manufactured after September 30,
1995, the battery and outer packaging must be plainly and durably marked “NONSPILLABLE” or “NONSPILLABLE BAT-
TERY” and (3) The battery is capable of withstanding vibration and pressure differential tests specified in 49 CFR §
173.159(d). Hawker Energy Products Inc. batteries have been tested by WYLE Scientific Services & Systems Laboratories
Group and determined to be in compliance with the vibration and pressure differential tests contained in 49 CFR §
173.159(d), and therefore as of September 30, 1995, excepted from the DOT requirements set forth in 49 CFR § 173.159, oth-
er than paragraph (d). Battery shipments from Hawker Energy Products Inc. Warrensburg location, will be properly labeled
in accordance with applicable DOT regulations.
Packaging changes performed at other locations may require additional labeling, since in addition to the battery itself
containing the required marking, the outer packaging of the battery must also contain the required marking: “NONSPIL-
LABLE” OR “NONSPILLABLE BATTERY”.
Because the batteries are classified as “Nonspillable” and meet the three conditions above, [from § 173.159(d)] they do not
have an assigned UN number nor do they require additional DOT hazard labeling. The regulation change effective Septem-
ber, 1995, was to clarify and distinguish to shippers and transporters, all batteries that have been tested and determined to
be in compliance with the DOT Hazardous Material Regulations, the International Civil Aeronautics Organization (ICAO),
and the International Air Transport Association (IATA) Packing Instruction 806 and Special Provision A67, and therefore ex-
cepted from all other requirements of the regulations and classified as a “nonspillable battery”.

SECTION X - Additional Information

The Hawker sealed lead acid battery is determined to be an “article” according to the OSHA Hazard Communication Stand-
ard and is thereby excluded from any requirements of the standard. The Material Safety Data Sheet is therefore supplied
for informational purposes only. The information and recommendations contained herein have been compiled from sources
believed to be reliable and represent current opinion on the subject. No warranty, guarantee, or representation is made by
Hawker Energy Products Inc., as to the absolute correctness or sufficiency of any representation contained herein and
Hawker Energy Products Inc. assumes no responsibility in connection therewith, nor can it be assumed that all acceptable
safety measures are contained herein, or that additional measures may not be required under particular or exceptional
conditions or circumstances.
N/A or Not Applicable - Not applicable for finished product used in normal conditions.

9.3.14 Certifiable Items

Component type Model designation Labeling

X-ray control Stand rotating anode Central
Tube housing assembly iXion Monoblock (see the unit manual) Central
X-ray generator iXion HF generator (see the unit manual) Central
Beam limiting device Collimator Central
Image intensifier 9 in: FL II A23 Standard Sur Central
12 in: FL II A31 Standard Sur
Laser product Laser alignment tool Central

9.3.15 Open Source Software

Open source software is used in this product. See the Software Installation USB stick supplied with the
product for license information and source code.

9.3.16 Options

Tank Laser Aiming Device Description

Manufacturer Philips Medical Systems Nederland B.V.

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Tank Laser Aiming Device Description

Model name Laser unit rect. coll.
Model no 4598 008 4322x
Added filtration (mirror) <0.4 mm Al equivalent at 75 kV
Added filtration (laser reference plate) 0.98 mm Al equivalent @ 75 kV
Alignment accuracy <0.3% of SID in vertical beam direction
Location Integrated in X-ray source assembly
Operation Remote controlled
Manufacturer laser product LaserComponents GmbH
Laser product type FP-DOE-635-5-245-F700
Classification Class 1M
Laser product specification Wavelength: 635 nm
Maximum output: <5 mW
Beam divergence: 10 degrees

Image Intensifier Laser Aiming Device Description

Manufacturer Z-Laser Optoelektronik GmbH
Model name Z-LAD 9 inch
Z-LAD 12 inch
Classification Class 1M
Laser product specification Wavelength: 635 nm
Maximum output: <2 x 4 mW

Wireless LAN Option Specification

Frequency IEEE 802.11 a/b/g/n/ac/ax (2.4 GHz and 5 GHz band)
Authentication WPA and WPA2, 802.1X (EAP-TLS, PEAP)
Security AES, TKIP, WEP, FIPS 140-2 validated
Antennas 2
Effective radiated power (ERP) 8.09 mW (9.08dBm)

NOTE WPA and TKIP are not applicable for Windows 10.

Wireless Foot Type 1 Specification Type 2 Specification

Switch
Frequency range 2.4000 GHz to 2.4835 GHz 2402 MHz to 2480 MHz
Channel spacing 500 KHz 2 MHz
Modulation 2-FSK, MSK Gaussian Frequency Shift Keying (GFSK)
Adaptive frequency-hopping on 40 channels
Range 10 m in open field 10 m in open field
Conformity • Europe: EN 300440, EN 301489, EN • Europe: EN 301489, EN 300328 v2.1.1, EN
60950, EN 50371 60950-1, FCC 15.247
• USA: FCC Part 15C, single modular, FCC • USA: FCC, Part 15B, single Modular, FCC
identifier XK5-SW100AMBINT Identifier: XK5-SW24LE
• Canada: RSS-210 Issue 7, 5158A- • Canada: RSS-210 Issue 7, 5158A-SW24LE
SW100AMBINT
Effective radiated ≤10 mW ≤10 mW
power (ERP)

NOTE The system reaction time is up to 80 ms longer when the wireless foot switch is used,
compared to using the hand switch or the wired foot switch.

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Video Converter Specification

Video input • S-Video
• SDI
• DVI

Input Supported Format

S-Video • PAL Interlaced 720 x 576, 50 Hz
• NTSC Interlaced 720 x 480, 60 Hz
SDI See the table below
DVI-Digital • 640 x 480 60 Hz
• 720 x 480 60 Hz
• 720 x 576 50 Hz
• 1024 x 768 60 Hz
• 1280 x 720 50 Hz
• 1280 x 720 60 Hz
• 1280 x 1024 60 Hz
• 1920 x 1080 50 Hz
• 1920 x 1080 60 Hz
DVI-Analog (VGA) • VGA 640 x 480
• SVGA 800 x 600
• XGA 1024 x 768
• SXGA 1280 x 1024
• UXGA 1600 x 1200

SDI Video Input - Supported Formats

PbPr
NTSC / Frame Y Sam- Sample YCbCR YCbCr SMPTE
Video Aspect PAL / Rate ple Rate Rate Tx Rate Bus SDI Tx Stand-
Format Ratio HDTV [Hz] [MHz] [MHz [MHz} Width Rate ard
720 x 4:3 NTSC 30 / 13.5 6.75 27 10-bit 270 259M-C
480i 1.001 Mb/s SD-SDI
960 x 16:9 NTSC 30 / 18 9 36 10-bit 360 259M-C
480i 1.001 Mb/s SD-SDI
720 x 4:3 NTSC 60 / 27 13.5 54 10-bit 540 344M/
480p 1.001 Mb/s 347M
720 x 4:3 PAL 25 13.5 6.75 27 10-bit 270 259M-C
576i Mb/s SD-SDI
960 x 16:9 PAL 25 18 9 36 10-bit 360 259M-C
576i Mb/s SD-SDI
720 x 4:3 PAL 50 27 13.5 54 10-bit 540 344M/
576p Mb/s 347M
960 x 16:9 HDTV 60 74.25 37.125 74.25 20-bit 1.485 292M-C
720p Gb/s SD-SDI
1280 x 16:9 HDTV 60 / 74.25 / 37.125 / 74.25 / 20-bit 1.485 / 292M-C
720p 1.001 1.001 1.001 1.001 1.001 SD-SDI
Gb/s
1280 x 16:9 HDTV 50 74.25 37.125 74.25 20-bit 1.485 292M-C
720p Gb/s SD-SDI
1920 x 16:9 HDTV 30 74.25 37.125 74.25 20-bit 1.485 292M-C
1080i Gb/s SD-SDI
1920 x 16:9 HDTV 30 / 74.25 / 37.125 / 74.25 / 20-bit 1.485 / 292M-C
1080i 1.001 1.001 1.001 1.001 1.001 SD-SDI
Gb/s
1920 x 16:9 HDTV 25 74.25 37.125 74.25 20-bit 1.485 292M-C
1080i Gb/s SD-SDI

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SDI Video Input - Supported Formats

PbPr
NTSC / Frame Y Sam- Sample YCbCR YCbCr SMPTE
Video Aspect PAL / Rate ple Rate Rate Tx Rate Bus SDI Tx Stand-
Format Ratio HDTV [Hz] [MHz] [MHz [MHz} Width Rate ard
1920 x 16:9 HDTV 60 148.5 74.25 148.5 2 x 10-bit 2.97 372M
1080p 1 x 20-bit Gb/s Dual Link
SDI
424M /
425M
3G-SDI
1920 x 16:9 HDTV 60 / 148.5 / 74.25 / 148.5 / 2 x 10-bit 2.97 / 372M
1080p 1.001 1.001 1.001 1.001 1 x 20-bit 1.001 Dual Link
Gb/s SDI
424M /
425M
3G-SDI
1920 x 16:9 HDTV 50 148.5 74.25 148.5 2 x 10-bit 2.97 372M
1080p 1 x 20-bit Gb/s Dual Link
SDI
424M /
425M
3G-SDI
Note 1: In North America, the dominant broadcast HDTV standards are 720p60 and 1030i/30. In Europe, 720p50 and
1080i/25 have been adopted.
Note 2: Non-integer frame rates were introduced when color was incorporated into the NTSC monochrome signal in the
early 1950s. This new frame rate is obtained by dividing the even frame rate by 1.001.

DICOM CD/DVD Drive Specification

Media supported • DVD+R
• DVD+R DL
• DVD+RW
• DVD-R
• DVD-R DL
• DVD-RW
• DVD-RAM (Version 2)
• CD-R
• CD-RW (US+/US/HS/MS)

Remote Control Specification

Model name Viewpad MoS
Type 4598 011 2060x

Other Options Specification

Printer paper / transparency Refer to the manual supplied with the equipment
Spacer HHS Spacer HHS 30 cm
DVI-out Connection for external monitors using DVI
Spring bow for covers For C-arm cover

WARNING
Only the options and equipment delivered by Philips Medical Systems may be used in conjunction
with the Philips. The use of accessory equipment not complying with the equivalent safety
requirements of this equipment may lead to a reduced level of safety in the resulting system.
Consideration relating to the choice shall include the following:
• Use of the accessory in the patient vicinity.
• Evidence that the safety certification of the accessory has been performed in accordance with
the IEC 60601-1.

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Touch Screen Monitor Specification

Type HL1236VT-HR
Size 12.1 inch LCD
Position Rotate and tilt
Display matrix 1280 x 800
Weight 2.05 kg
Dimensions Width Depth Height
310.75 mm 53.84 mm 212.75mm
Cable Length 5 meters
IP Level 23

TSM Accessory Rails Specification

Dimensions Maximum Minimum
Size 30 mm X 10 mm 23 mm X 7 mm

9.3.17 Accessories

Accessory Description
Foot switch Wired foot switch

9.3.18 Connectivity

Connectivity Description
Network protocol TCP/IP network using DICOM v3.0 protocol
Network medium Ethernet 1000BaseT or Wireless (optional)
Exam based export Yes
DICOM conformance - as SCU Image storage 1
• Secondary Capture Image Storage (SC)
• X-ray Angiography Image Storage (XA)
Query/Retrieve
• Storage Commit
• Basic Worklist Management
• Modality Performed Procedure Step (MPPS)
Print Management
• Basic Gray Scale Print
• Radiation Dose Structured Report (RDSR)
Note 1: Before using the exported images for diagnostic purposes, the system on which these images are displayed needs
to be validated using a representative set of exported images.

9.3.19 Power Supply

Definition Specification
Mains type Single phase (live/neutral, separate earth)
Input voltage range 100, 110, 120, 130, 200, 210, 220, 230, or 240 V
Volt adjustable presets
Frequency 50 or 60 Hz
Maximum frequency deviation ±1 Hz

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Wall outlet sockets must be provided with a proper ground connection accepting grounding cord plugs.
The mains plug must be hospital-grade in the USA and Canada. In other countries, the plug must be
approved for use in this application by the relevant local safety regulations.

Definition Mains supply Stand-by Stator 2 Fluoroscopy 1

Current (maximum/typical) 100-130 V 7/6 A 20/18 A 8/7 A
200-240 V 4/3 A 10/8 A 5/4 A
Power (VA) 100-130 V 800 VA 2100 VA 900 VA
200-240 V 800 VA 2100 VA 900 VA
Power (Watt) 100-130 V 700 W 2000 W 800 W
200-240 V 700 W 2000 W 800 W
Total heat dissipation - 700 W - 1000 W
Note 1: Fluoroscopy at 120 kV 13.3 mA.
Note 2: Stator acceleration time is 0.3 or 0.9 seconds.

NOTE The mentioned values will not exceed the specified values by more than 10% (IEC 60601-1).

Mains rating Frequency Momentary Long term Max. Ω

100/110 V 50/60 Hz 20 A 10 A 0.1
120/130 V 50/60 Hz 20 A 10 A 0.2
200/210/220/230/24 50/60 Hz 10 A 6A 0.6
0V

Definition Specification
100/110/120/130 V
Frequency 50/60 Hz
Current (long term/momentary) 10/20 A
Maximum impedance See note 1
Mains voltage tolerance See note 1
Mains fuse Slow
120/130 V
Current (long term/momentary) 10/20 A
Maximum impedance See note 1
Mains voltage tolerance See note 1
Mains fuse Slow
Mains plug (USA/Japan only) NEMA 5-15p
200/210/220/230/240 V
Current (long term/momentary) 6/10 A
Maximum impedance 0.6 Ohm
Mains voltage tolerance 10%
Mains fuse Slow
Note 1: The maximum mains impedance is shown in figure below as a function of the voltage tolerances for 100 and 120
Volt. For example, at 100 V and 0.1 Ohm impedance the mains voltage tolerance is +10/-8 % or at 0.2 Ohm impedance the
tolerance has dropped to +10/-6 %. At 120 Volt and an impedance of 0.18 Ohm the tolerance dropped to ±10%.

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Technical Data System Data

Figure 145 Maximum mains resistance versus main voltage tolerance

Legend
X axis Maximum mains voltage drop (%)
Y axis Maximum permitted mains resistance (Ohm)

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Glossary Abbreviations

10 Glossary
This section provides definitions for specific terms and abbreviations used in these Instructions for Use.

10.1 Abbreviations
Abbreviation Explanation
Avg average
CB Contrast/Brightness
ASP Automatic Shutter Positioning
CBE Contrast, Brightness and Edge enhancement
CCIR Comité Consultatif International des Radio communications (International Radio Consultation
Committee)
CD Compact Disc
CE European Communities (regulation)
DHHS Department of Health and Human Services (US)
DICOM Digital Imaging and Communication in Medicine
DVD Digital Versatile Disc
EMC Electromagnetic Compatibility
ESD Electrostatic Discharge
FDA Food and Drug Administration (US)
HHS Health & Human Services (United States office for HHS)
HIPAA Health Insurance Portability and Accountability Act (US)
HIS Hospital Information System
IEC International Electrotechnical Commission
IHE Integrating the Healthcare Enterprise
IP IP address: Internet Protocol address
IP button/panel: Image Processing button/panel
IPXX: International Protection code according to IEC60529
IQ Image Quality
IR Infrared
LAD Laser Aiming Device
LCD Liquid Crystal Display
LED Light Emitting Diode
LIH Last Image Hold
Max Maximum
MPPS Modality Performed Procedure Step
MVS Mobile View Station
OS Operating System
PACS Picture Archiving and Communications System
PC Personal Computer
PMMA Polymethyl-methacrylate
RF Radio Frequency
RIS Radiology Information System
ROW Rest of World
RSN Remote Service Network
SC Secondary Capture

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Glossary Definitions and Terms

Abbreviation Explanation
SCU Service Class User
SSL Secure Socket Layer
USB Universal Serial Bus
VPN Virtual Private Network
XA X-ray Angiographic

10.2 Definitions and Terms

Acquisition
All X-ray techniques that acquire images.

Acquisition patient
Current patient of which images are acquired.

Acquisition status
The status of the acquisition patient. As long as the patient has this status, images can be acquired.
There is only one patient with this status.

Archiving
Copying the screen contents of the examination monitor to paper, transparency film, video, video DVD,
USB memory device or examinations/images to a DICOM PACS.

Current image
The current image displayed on the examination monitor or the image highlighted by the square cursor
in an overview display.

Dynamic viewing
Viewing with the run cycle function activated.

Examination monitor
This is the primary monitor for displaying live images, last image hold or post-processing.

Exposure
Acquisition technique using X-ray, a detector and imaging chain to produce a live image on a monitor.
The images can be viewed live and are stored in a patient file for future reference.

External video
Video from an external source can be replayed on the reference monitor by connecting a compatible
playback device to the mobile view station and using the external video function.

Fluoroscopy
Acquisition technique using continuous radiation and a detector and imaging chain to produce a live
image on a monitor. The images can be simply viewed live and not stored, or they can be stored in a
patient file for future reference.

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Glossary Definitions and Terms

Isokerma
A contour line on a scattered radiation diagram showing the boundary where a certain radiation level is
exceeded.

Last image hold (LIH)

The image of the last X-ray is displayed on the examination monitor and is labeled with the LIH symbol
in the upper right corner of the image.

Measurement
Determination of the angle and (relative) size of an object visible in the image.

Overview
Display of a 4 x 4 images matrix on the examination monitor.

Patient administration
Patients are administered on the system using the mobile view station administration screen. The
administration screen contains lists of patients. You can perform patient administration activities from
the administration screen. Administration activities include adding new patients and examinations,
viewing examination information, and importing scheduled examinations from the hospital network.

Patient entrance reference point

The patient entrance reference point is intended to be representative of the point of intersection of the
X-ray beam axis and the patient. The display of dose rate and cumulative dose is valid for this distance.
The patient entrance reference point is 30 cm from the detector entrance surface or 66.7 cm from the
focal spot for the 12-inch image intensifier, or 66.6 cm from the focal spot for the 9-inch image
intensifier. (Ref. IEC 60601-2-43.)

Patient file
A file where acquired images can be stored. Each stored image obtains an identification consisting of a
run and image number. Up to 140,000 images can be stored.

Phantom
An object used for calibration and verification purposes.

Pixelshift
The Pixelshift function allows you to move the mask image in relation to the live image. Pixelshift is only
available when you are using subtraction.

Post-processing
Performing activities to analyse and manipulate images after acquisition.

Reference monitor
This is the secondary monitor for displaying images, used as a reference.

Reviewing
Looking at and post-processing images after an examination is terminated.

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Glossary Definitions and Terms

Review status
The moment the images of a patient are reviewed, it will get the ‘review’ status. The patient will keep
this status until another patient is reviewed. There is only one patient with this status.

Roadmap
Display of fluoroscopy images on a vascular background.

Roadmap CO2
Display of fluoroscopy images on a vascular background when CO2 contrast medium is used for the
mask image.

Run cycle
Dynamic review of images within one run.

Scheduled status
A patient has the scheduled status prompt after input or retrieval of patient data from RIS/HIS. The
patient will retain this status until acquisition is performed.

Static viewing
Viewing with the run cycle function deactivated.

Subtraction
Display of exposure images to obtain a vascular-tree background.

Trace
Display of (live) mask-subtracted exposure images with maximum opacification.

USB storage
The mobile view station provides connectors to attach USB memory devices, such as flash memory
drives.

View trace (peak opacification)

View trace uses acquired images to obtain a vascular-tree background during post-processing.

Viewing
Looking at images during and/or just after the acquisition run.

Viewing patient
Patient of which images are viewed or post-processed.

Zoom
An optional post-processing feature to enlarge a part of the current run.

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Appendix Special Characters

11 Appendix
This section provides additional useful information, including quantitative and security related
information.

11.1 Special Characters

Sec- Sec- Sec- Sec-
First ond First ond First ond First ond
± + - È E ‘ Ü U “ ð d -
¢ c / É E ’ Ý Y ’ ñ n ~
£ L - Ê E ^ Þ I p ò o ‘
¤ o x Ë E “ ß s s ó o ’
¥ Y = Ì I ‘ à a ‘ ô o ^
© o c Í I ’ á a ’ õ o ~
« < < Î I ^ â a ^ ö o “
» > > Ï I “ ã a ~ ÷ : -
® o r Ð D - ä a “ ø o /
¼ 1 4 Ñ N ~ å a o ù u ‘
½ 1 2 Ò O ‘ æ a e ú u ’
¾ 3 4 Ó O ’ ç c , û u ^
À A ‘ Ô O ^ è e ‘ ü u “
Á A ’ Õ O ~ é e ’ ý y ’
 A ^ Ö O “ ê e ^ þ l o
à A ~ × / \ ë e “ ÿ y “
Ä A “ Ø O / ì i ‘
Å A o Ù U ‘ í i ’
Æ A E Ú U ’ î i ^
Ç C , Û U ^ ï i “

To create one of the special characters:

1 Hold down the Compose button and press the first required character for the special character.

2 Press the second required character and then release the Compose button to complete the special
character.

11.2 Menu and Function Selection Tree

This section provides an overview of the system’s modes of operation.

Examination Type Selection Tree

• Skeleton
– Skull
– Spine
– Thorax
– Arm

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Appendix Menu and Function Selection Tree

– Hip/Leg
– Pelvis
• Urology
– Kidney
– Lithotripsy
– Bladder
– Ureterography
• Endoscopy
– ERCP
– Esophagus
– Bronchus
• Vascular
– Cerebral
– Aortic Arch
– Abdominal
• Iodine
• CO2
– Arm
• Iodine
• CO2
– Leg
• Iodine
• CO2
• Bolus Chase (yes/no)
• Cardio
– Coronaries
– Ventricle/TAVI
– Pacemaker
– Electrophysiology
• Pain
– Head
– Neck
– Arm
– Spine
– Pelvis
– Hip/Leg

Fluoroscopy Selections
• Acquisition mode
– Fluoroscopy
– Roadmap
– Roadmap CO2
• Pulse rate
– Continuous
– 12.5 / s
– 6.5 / s
– 30 / s
– 15 / s
– 7.5 / s
• Storage
Full, half, quarter, and eighths of the selected pulse rate, with LIH and no storage options. For
example:

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Appendix Quantitative Data

– No storage
– LIH
– 25 /s
– 12.5 /s
– 6.5 /s
– 3 /s
• Dose level
– Low
– Normal
– Medium
– High
• Noise
– Reduce blur
– Default (both buttons inactive)
– Reduce noise

Exposure Selections
• Acquisition mode
– Single shot
– Run
– Subtract
– Trace
– Subtract CO2
– Trace CO2
• Pulse rate

Continuous 30 / s
12.5 / s or 15 / s
6.5 / s 7.5 / s

11.3 Quantitative Data

The table below contains an overview of quantitative data.

Variable Quantity
Maximum number of Exams in Exam Review list 249
Maximum number of Exams in Exam Schedule list 250
Maximum number of scheduled WLM Exams 248
Maximum number of Images per Run 999
Maximum number of Physician names 100
Maximum number of Technician names 100
Maximum number of Protocol names (MPPS) 100

Maximum number of characters for Patient name 1 64

Maximum number of characters for Remark text field 10

Maximum number of characters for Patient ID 1 64

Maximum number of characters for Hospital name 1 30

Maximum number of characters for Physician name 1, 2 30

Maximum number of characters for Technician name (MPPS) 30

Maximum number of characters for Protocol name (MPPS) 20

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Appendix Security and Privacy Provisions

Variable Quantity
Maximum number of characters for Accession number 16
Maximum number of characters for Requested procedure ID 16
Maximum number of characters for Procedure name 30
Maximum number of characters for Anatomy/Detailed procedure name 30
Maximum number of characters for annotation (including new line characters) 30
Maximum number of characters for user name 30
Maximum number of characters for password 14
Maximum number of lines in annotation 6
Maximum number of lines for draw outline 25
Maximum number of pixels per line for draw outline 2000
Maximum number of dots for draw outline 25
Maximum number of images in Transfer queue 5000
Maximum number of irradiation events in DICOM radiation dose structured report 1000
Maximum number of images 140,000
Display matrix size (maximum area used to display information) 1280 x 1024
Display image matrix size 1000 x 1000
Export Image size XA and SC without text 1024 x 1024 x 16 bits
Export Image size SC with text 1024 x 1024 x 8 bits

Note 1: Fields may not be fully displayed if the characters do not fit in the available space.

Note 2: Longer names can be imported and exported if DICOM worklist management is used.

11.4 Security and Privacy Provisions

It is the policy of Philips Medical Systems to adhere to all required standards and regulations. To assist
the hospital in fulfilling the Health Insurance Portability and Accountability Act (HIPAA) requirements,
introduced by the United States Department of Health and Human Services, you should be aware of the
following information and functionality when using the system.

Customer Role in the Product Security Partnership

We recognize that the security of Philips Medical Systems products is an important part of your facility's
security-indepth strategy. However, these benefits can only be realized if you implement a
comprehensive, multilayered strategy (including policies, processes, and technologies) to protect
information and systems from external and internal threats.

Following industry-standard practice; your strategy should address physical security, operational
security, procedural security, risk management, security policies, and contingency planning. The
practical implementation of technical security elements varies by site and may employ a number of
technologies, including firewalls, virus-scanning software, authentication technologies.

As with any computer-based system, protection must be provided such that firewalls and other security
devices are in place between the medical system and any externally accessible systems.

The USA Veterans Administration has developed a widely used Medical Device Isolation Architecture
for this purpose. Such perimeter and network defenses are essential elements in a comprehensive
medical device security strategy.

For the latest information, including the Product Security Policy Statement and recommended customer
actions, see the Philips Medical Systems product security website at:

http://www.healthcare.philips.com/main/support/productsecurity

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Appendix Security and Privacy Provisions

11.4.1 Risks Related to Hospital Network Connectivity

Connection to the hospital network or external equipment could result in previously unidentified risks to
patients, operators, or third parties. It is the customers responsibility to identify, analyze, evaluate, and
control these risks. Changes to the hospitals network could introduce new risks that require additional
analysis.

An assessment should be repeated whenever changes are made to the network. These changes
include:
• Changes in the network configuration
• Connection of additional items to the network
• Disconnection of items from the network
• Updates or upgrades to items that are connected to the network

11.4.2 Access Control

Access control lists (unique user names for each user of the system) are supported in this release. A
password protection function is available, which requires a user to enter a password before patient data
can be accessed. You are recommended to use this function to implement basic access control. Use
strong passwords to control access to the workstation.
• Emergency acquisition is still possible when the password protection function is used. Logging in
without a password provides access to acquisition functions, but prevents access to existing patient
data on the system.
• Consider using a predefined account to access patient data if you forget or lose your account
details. (This is known as a "break the glass" procedure.)
• The password protection function can be disabled by Service.

Store the site configuration data (password) securely. It is the administrator’s responsibility to change
the password regularly.

11.4.3 Screen Blanking and Automatic Log-Off

Screen blanking and automatic log-off are not supported in this release. To avoid casual or deliberate
viewing of patient data by unauthorized persons, do not leave the system unattended while it is
switched on.

You are recommended to use the following methods to avoid unauthorized viewing:
• Position the system’s monitors so that they face away from doorways, hallways, and other traffic
areas.
• Fold the system's monitors.
• Delete examinations after they have been archived (see Archiving Patient Data (page 283)).
• Switch the system off after use (see Switching the System Off (page 84)).

11.4.4 De-identification of Patient Data

The system does not currently provide a way to de-identify patient data prior to printing or DICOM
export.

If you wish to export de-identified patient data, the following options are available:

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Appendix Security and Privacy Provisions

• Click the Save button and check the De-identify checkbox in the Save to Media panel. Enter a de-
identified name in the text box.
• Rename the patient data using unrecognizable values before printing or exporting.
• If de-identification tools are available on a connected DICOM archive, use them to de-identify
patient data after archiving, and then print or export the data.

NOTE If the De-identify checkbox is checked, all DICOM attributes will be de-identified. If the dose
report is included all patient data and the accession number are removed (blanked) from the
dose report. The de-identify name text box can be used to enter a patient name to be used
for the de-identified images. This name is also included in the dose report if the dose report
is included.

NOTE If the De-identify checkbox is not checked then all text and the text box below the De-
identify checkbox are not displayed.

11.4.5 Backing Up Patient Data

The system is an interventional tool and not intended to provide a backup function. Writing patient data
to USB storage device or to DVD should be considered as temporary storage only, and should not be
considered a long-term backup solution.

NOTE You can store a maximum of 249 examinations on the system. Once this limit is reached, the
system deletes the oldest examinations to make space for new examinations.

To ensure patient data security after acquiring images using the system, you should send them to a
dedicated DICOM storage device that is intended to be used as an archive. For more information, see
Archiving Patient Data (page 283).

11.4.6 Archiving Patient Data

The system is an interventional tool and is not intended for long-term storage of patient data. It should
only be used to store patient data that you are currently investigating.

NOTE You can store a maximum of 249 examinations on the system. Once this limit is reached, the
system deletes the oldest examinations to make space for new examinations.

To ensure data security after acquiring images using the system, you should send them to a dedicated
DICOM storage device that is intended to be used as an archive. We recommend that you export images
to a PACS. For more information, see Exporting Images to a Network Location (page 155).

After archiving images, you can delete them from the system to ensure available space for future
acquisitions.

11.4.7 Disaster Recovery

To protect patient data against loss, you should include the system in your hospital’s disaster plan. You
are recommended to follow these guidelines when creating a procedure to safeguard patient data:
• Patient data should only be stored temporarily on the system.
• Transfer patient data to a dedicated DICOM archive as soon as possible after acquisition.
• Delete patient data from the system after they have been archived.
• Do not use removable media as long-term storage for patient data.

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Appendix Security and Privacy Provisions

11.4.8 Network Security

The system has an integrated firewall to protect against harmful intrusions. Further protection can be
provided by ensuring that the system is connected to a local network that uses appropriate network
security, such as firewalls and antivirus scanning at points of access. Philips Medical Systems supports
network security in the wireless network option by using wireless equipment with a strong and varied
feature set for wireless communication in enterprise networks.

NOTE Only a strong network security configuration can ensure that the system is protected against
malicious network attacks and that patient data is protected against unauthorized access.

NOTE It is recommended that the hospital IT uses an up-to-date, managed wireless infrastructure
that is enterprise grade and has strong security controls.

Security patches are also applied to the embedded operating system of the system (known as OS
hardening), which provide a further layer of protection against viruses, malware, and harmful intrusions.
Removable media (USB and DVD) could be used to create unauthorized copies of patient data.

Removable media drives and connectors cannot be disabled in this release. Therefore, to protect
against unauthorized copying, you are recommended to ensure the system is always attended by an
authorized person while in use.

Unauthorized Use
The wired and wireless network option allows you to park the mobile view station in any location and
maintain a network connection for performing routine tasks such as archiving examinations. To protect
patient data and prevent unauthorized transmission of data, you should use available security functions
to restrict access to the data by unauthorized persons and take precautions to restrict physical access to
the system whenever it is left unattended.

11.4.9 Patient Data Storage

Patient data on the system is stored encrypted on the system hard drive, which is compliant with FIPS
140-2. This protects the data should the hard drive be lost, removed, or reused.

11.4.10 Patient Data Transmission

Patient data exchanged via the network with the system is not encrypted. You may implement your own
policy of secure transmission to protect patient data across your network.

11.4.11 Service Data Transmission

Transfer of log files initiated by the system employs an encrypted end-to-end channel using SSL and
certificates. The log files transferred across the SSL connection do not contain personal data.

The Philips RSN VPN tunnel provides a secure channel across the internet for remote access to the
system when service has been enabled on the system. Contact service for details about RSN provisions.

11.4.12 Malware Protection

This equipment incorporates protection mechanisms against the intrusion of malware.

A whitelist approach to malware protection is applied. When whitelist protection software is installed,
any untrusted software not mentioned on the whitelist is blocked.

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Appendix Security and Privacy Provisions

Without proper cyber security maintenance, the effectiveness of these provisions may degrade over
time, since malware is continuously altered to target newly discovered vulnerabilities.

Philips Medical Systems systematically analyzes sources of information related to cyber security
vulnerabilities to assess the cyber security risk to its systems. To ensure the proper functioning of the
system, Philips Medical Systems may recommend specific customer or service actions, or issue service
recommendations to update, alter, or replace system protection mechanisms as described in this
document.

The latest information, including the Product Security Policy Statement and recommended customer
actions, can be found at:

www.philips.com/productsecurity

NOTE You should regularly check the system's published cyber security status at the link above.

Despite preventive measures already implemented, a remote possibility remains that the system may
become infected with malware. When malware is detected, or when you notice that unfamiliar behavior
or degraded performance occurs repeatedly, including after being switched off and on again, you
should call technical support for an inspection. When the inspection confirms the infection, be sure to
take measures to contain and remove the source of infection. Technical support will reinstall the system
software to bring the system back into specification. Technical support can also assist in accessing the
system's event log, which may provide information useful for the investigation.

11.4.13 Audit Trail

Audit trail events are logged by the system. These audit trail events contain user actions with patient
data and the system.

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Legends Mobile View Station Console

12 Legends
This section provides an overview of the main system controls. For more information regarding specific
functions, see Operation (page 67).

12.1 Mobile View Station Console

Figure 146 Mobile view station console

Key Description
1 USB (with indicator light)
2 External video (with indicator light)
3 Image Viewer (with indicator light)
4 Compose
5 System off
6 System on
7 Administration
8 Help (eIFU)
9 Delete 1
10 Page up
11 Contrast/brightness decrease
12 Contrast/brightness reset
13 Contrast/brightness increase

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Legends C-arm Stand Console

Key Description
14 Auto contrast/brightness (with indicator light)
15 Single image screen
16 Overview screen
17 Run cycle
18 Previous
19 Up
20 Next
21 Image processing
22 Remask
23 Subtract on/off (with indicator light)
24 Park
25 Protect (flag)
26 Accept 1
27 Down
28 Undo 1
29 Print (with indicator light)
30 Page down
31 Touch pad
32 Left button
33 Right button
34 Caps lock (with indicator light)

1
When using some applications on the reference monitor such as Image Viewer or a service interface,
these buttons have no defined behavior. When pressed, they may input an undefined character into a
text field. When using such applications on the reference monitor, you should use the main console
keyboard and the mouse.

12.2 C-arm Stand Console

Figure 147 C-arm stand console

Key Description
1 C-arm stand off
2 C-arm stand on / System on
3 Emergency off

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Legends C-arm Stand Touch Screen

12.3 C-arm Stand Touch Screen

Figure 148 C-arm stand touch screen

Button Description
1 Examination type selector
2 Fluoroscopy expander
3 Exposure expander
4 Diaphragm collimator control
5 Image rotation control
6 System menu
7 Help and tooltips
8 Last image hold indicator
9 Manual shutter positioning controls
10 Main image area
11 Image toolbar
12 Run cycle navigation controls
13 Detector zoom control
14 ClearGuide
15 Not used
16 Tube laser control
17 Manual kV control
18 Not used
19 Patient information
20 System messages
21 X-ray status and heat indication
22 Not used
23 Dose information

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Legends C-arm Stand Height Movement

Button Description
24 Fluoroscopy / exposure time

12.4 C-arm Stand Height Movement

Figure 149 C-arm stand height movement controls

Key/item Description
1 Up
2 Down
3 Indicator light

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Legends Hand Switch

12.5 Hand Switch

Figure 150 Hand switch

Key Function
1 Fluoroscopy
2 Exposure / Single shot

12.6 Foot Switch

Figure 151 Foot switch

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Legends Foot Switch

Figure 152 Wireless foot switch

Key Function
1 Fluoroscopy
2 Mode switch
3 Exposure / Single shot
4 Battery indicator
5 Wireless connection indicator
6 Identification label recess
7 Charging port
8 On/off switch

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Legends Remote Control

12.7 Remote Control

Figure 153 Remote control

Key Description
1 Park
2 Recall mask
3 Protect image
4 Previous run
5 Next run
6 Previous image
7 Next image
8 Overview
9 Run cycle
10 Subtract on/off
11 Not used
12 Detector zoom
13 Mode
14 Not used
15 Not used

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 Index
A C-arm stand height adjustment 77
– Legend 289
About the system 12, 48 C-arm stand touch screen 40
About these Instructions for Use 12 – Function area 53
Accessories 65 – Header area 53
Acquisition modes 104 – Image area 53
– CO2 113 – Image toolbar area 53
Adding a new examination 96 – Legend 288
Administration 91 – Status area 53
– Adding a new examination 96 – System messages 54
– Deleting an examination 98 Cardiac extension 63
– Modifying an examination 98 Cardiovascular extension 63
– Review list 91, 93 Changes to the equipment 14
– Scheduled list 91, 93 Charging the battery 86
– Starting an examination 99 Cleaning 201, 202
Angle measurement 148, 149 ClearGuide 72, 122
Angulation 74 – Using ClearGuide 125
Annotations 143 Closing the current acquisition examination 99
Anti-virus protection 284 CO2 113
Automatic electronic blanking 153 Collaboration Live 64, 172, 173
Automatic kV/mA control 119 Collimator 49
Automatic run cycle Collimator and shutter adjustments in LIH 118
– Disabling automatic run cycle 136 Compatibility with other equipment 14, 17, 60, 65,
– Enabling automatic run cycle 136 192
Automatic shutter positioning (ASP) 117 Compliance 15
Configuration
B – Customizing the system 46
Batteries Connecting the system 78
– Disposing of batteries 205 Contacting the manufacturer 15
– Replacing batteries 202 Contra-indications 14
Battery management 86 Contrast and brightness 142
Bolus chase 114 – automatic 116
Buzzer test 199 Customizing the system 46

C D

C-arm stand 48 Date and time 43

– Angulation 74 Deleting an examination 98
– Brakes 50, 73 Detector
– Buzzer test 199 – Detector zoom 115
– Connector panel 54, 78 Detector zoom 115
– Console 51 DICOM radiation dose structured report 100
– Height movement 77 DICOM/IHE package 60
– Information and help 89 – Worklist management 94
– Longitudinal movement 75 Disinfection 201, 202
– Messages 89, 193 Distance measurement 147
– Movements 50, 73, 76 Dose level
– Review functions 126 – Override 121
– Rotation 74 Dose report 137
– Spacer 59 Drawing
– Tooltips 89 – Drawing with the outline tool 166
– Touch screen 52 – Outline tool 165
– Transportation 68
– User interface 39, 40 E
C-arm stand console Edge enhancement 142
– Legend 287

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Index

Electrical safety 18 Image protection 139

Electromagnetic compatibility 20, 207–210 Image review 126
Electromagnetic compatibility (EMC) 20 Importing external data 95
Electronic blanking 152 Information and help 89
Electronic Instructions for Use – C-arm stand 89
– Changing the language 90 – Messages 89
– Searching 91 – Mobile view station 90
Emergency procedures 17 – Tooltips 89
– Emergency power off 17, 85 Instructions for Use
– Recovery procedure 17 – eIFU 90
Energy storage unit 54 Intended use 13, 17
Equipotential earth connection 79 Inverting video 143
Error messages 193 Iodine 113
Examination type IQ test image 43
– Changing the default examination type 46
Explosion safety 19 J
Export (DICOM) 155
Job viewer
– Selecting images 154
– Viewing transfer jobs 160
Exposure
– Making images 108
Extended rotation 61 K
External data kV/mA control
– Viewing 64, 95 – Automatic 119
External video 171 – Manual 120

F L
Field service 197 Labels (safety labels) 26
– Starting field service 197 Landmarking 151
Fire safety 20 Language
Flip image 117 – Instructions for Use 45
Fluoro grab 107 – User interface 45
Fluoroscopy Laser aiming devices 59, 164
– Fluoro grab 107 – Image intensifier 65
– Making images 106 Laser light radiation safety 25
Foot switch Last image hold (LIH)
– Legend 290 – Collimator and shutter adjustments 118
– Wired 66 Legend
– Wireless 66, 183 – C-arm stand console 287
– C-arm stand height adjustment 289
H – C-arm stand touch screen 288
– Foot switch 290
Hand switch 50
– Hand switch 290
– Legend 290
– Remote control 191, 292
Hazardous substances
– Wireless foot switch 290
– Perchlorate materials 35
Longitudinal movement 75
– REACH declaration 34
Heat indication 102
Height movement 77 M
Help 90 Mains failure 85
– Tooltips 89 Maintenance 16, 194
– Cleaning and disinfection 201, 202
I – Planned maintenance 194
– User routine checks program 198
iApp software interface 49
Making images 100, 106
Image intensifier
– exposure 108
– Laser aiming device 65
– Single shot 109
Image orientation
– Vascular images 110
– ClearGuide 122
Malware protection 284
Image processing 141
Managing patients and examinations 91

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Index

Manual kV/mA control 120 Printer 61

Manufacturer – Error messages 193
– Contacting 15 Printing images 153, 159, 162
Measurement – Selecting images 154
– Angle measurement 148, 149 Privacy and security 281
– Distance measurement 147 Processing image
Measuring 145 – Pixelshift 150
Mechanical safety 19 Processing images 141
Messages 89 – Angle measurement 148, 149
– C-arm stand 193 – Annotations 143
– Mobile view station 193 – Distance measurement 147
Mirror image 117 – Electronic blanking 152, 153
Mobile view station 55 – Landmarking 151
– Connector panel 56 – Video invert 143
– Messages 193 – View trace 151, 152
– Monitors 87 – Zoom 144
– Transportation 69 Product disposal 204
– User interface 36, 38 Protect 107
Modifying an examination 98 Protecting an image 139
Monitors 87 Pulse rate 120
– High-brightness LCD monitors 61
– Positioning 72 R
– Transportation 70
Radiation guidelines 24
Radiation safety 21
O
– Laser light radiation safety 25
Options 192 – Pediatric radiation guidelines 24
– Cardiac extension 63 – Radiation guidelines 24
– Cardiovascular extension 63 – Skin dose management 24
– Laser aiming device 60 Recording images on DVD 153
– Pain extension 63 Recovery procedure 17
– Printer 61 Remasking 113
– Sterile covers 188 Remote assistance 196
– Tube laser 164 – Enabling and disabling remote assistance 196
– Vascular extension 62 Remote control 58, 191, 292
– Wireless LAN 167 Review list 93
– X-ray tank laser aiming device 164 Reviewing images 126
Other manuals 15 – Dose report 137
Outline tool 165 – External video 171
– Deleting a drawing 166 – Overview screen 133
– Drawing with the outline tool 166 – Review functions on the C-arm stand 126
– Reviewing other examinations during review 138
P – Run cycle review 135
– Selecting an examination for review 126
Pain extension 63
– Single image screen 127
Parking an image 140
Roadmap after subtraction 111
Pediatric radiation guidelines 24
Roadmap with trace 112
Physician list 42
Rotate image 116
Pixelshift 150
Rotation 74
Planned maintenance 194
– Extended rotation 61
– Electrical safety checks 195
Run cycle review 135
– Functional checks 195
– Disabling automatic run cycle 136
– General checks 194
– Enabling automatic run cycle 136
– Image quality checks 195
– Mechanical checks 194
S
– Radiation safety checks 195
Positioning Safety 16, 67
– C-arm repositioning 72 – Electrical safety 18
Positioning the system 71 – Electromagnetic compatibility 20, 207–210
Precautions 14 – Explosion safety 19

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Index

– Fire safety 20 Transportation 67

– Important safety directions 16 – C-arm stand 68
– Laser light radiation safety 25 – Monitors 70
– Mechanical safety 19 Transportation safety 19
– Radiation safety 21 Transporting the system 67, 69
– Safety labels 26 Tube Laser 60
– Safety symbols 31
– Transportation safety 19 U
Safety awareness 16
User interface 36
Saving images 153
– Language 45
– for Service 163
Users
– Saving a snapshot 163
– Switching users 84
– Saving to local media 157
– Selecting images 154
Scheduled list 93 V
Security Vascular extension 62
– Malware protection 284 Vascular images 110
Security and privacy 281 – Bolus chase 114
Selecting a patient for acquisition 99 – CO2 113
Service – Remasking 113
– Saving images for Service 163 – Roadmap after subtraction 111
Setup 40 – Roadmap with trace 112
Single shot 109 – Subtraction 110
Skin dose management 24 Video invert 143
Snapshot 163 View trace
Software – C-arm stand 152
– Malware protection 284 – MVS 151
Spacer 59
Spring bow 66, 188 W
Starting an examination 99
Sterile covers 66, 72, 188 Warnings 16, 89
Subtraction 110 Wireless foot switch 66, 183, 187
Switching the system off 84 – Charging 185
Switching the system on 80 – Identification labels 184
Switching the wireless foot switch on and off 187 – Indicator light status 184
Switching users 84 – Legend 290
Swivel movement 76 – Storage 186
Symbols (safety symbols) 31 Wireless LAN option 64, 167
System and error messages 193 Worklist management (DICOM) 94
System connections 78
System lock 55, 79 X
System messages 54
X-ray grid 49
System readiness 100
X-ray tank 48
System setup 40
X-ray tank laser aiming device 60
System status 100

Z
T
Zoom 144
Test
– Buzzer test C-arm stand 199
Time and date 43
Tooltips 89
Touch pad 36
Touch screen
– C-arm stand touch screen 40
– functionality 37, 61, 89
Training 15, 16
Transfer jobs
– Viewing 160

Zenition 50 Release 1.1 Instructions for Use 296 Philips 4598 013 57506
© Koninklijke Philips N.V., 2021.
All rights are reserved. Reproduction in whole or in part in any form or by any means, electrical, mechanical or otherwise www.philips.com/healthcare
is prohibited without the written consent of the copyright holder. healthcare@philips.com

Manufacturer's address
Philips Medical Systems Nederland B.V.
Veenpluis 6
5684 PC Best
The Netherlands
Printed in The Netherlands / India
4598 013 57506 * 2021-12
Manufacturing location
Philips India Limited
Plot No. B-79, MIDC, Phase-II, Chakan
0344 Taluka - khed, Village - Savardari
District: Pune 410501
This Medical Device meets the provisions of the transposition of the Medical Device Directive 93/42/EEC within the Maharashtra
country of origin of the Notified Body concerned with the device. India