MULTIX TOP Operator Manual Aug 2004

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Current Information / Safety

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System Overview / Operating Elements

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System Operation / Radiography

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Exposure Tables

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7 VERTIX PRO/TOP Bucky Wall Unit

Operator Manual

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MULTIX TOP Generator

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Accessories

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13 © Siemens AG 2004 All rights reserved Order No.: AXB1-150.620.01.01.02 08.2004 Contact information: Siemens AG Siemens AG, Medical Solutions, AX Wittelsbacher Platz 2 Siemensstraße 1 DE-80333 München DE-91301 Forchheim Germany Germany Phone: +49 9191 18-0 Internet: www.Medical.Siemens.com

Technical Description

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Please observe the Safety Instructions Order No.: RX0-000.621.01 These must be studied exactly before system start-up.

Important information from the manufacturer This product is provided with a CE marking in accordance with the regulations stated in Appendix II of the Directive 93/42/EC of June 14, 1993 concerning medical products. In accordance with Appendix IX of the Directive 93/42/EWG, this product is assigned to class II b. The CE marking applies only to medical products which have been put on the market according to the above-mentioned EC Directive. The product complies with the requirements of EMC classes B + 12dB. Unauthorized changes to this product invalidate this declaration. The original version of this manual was written in the German language.

Product description Table of Contents

Operator Manual

Product description Chapter: Description General information ... 5 Applications ... 5 Variants ... 5 System configuration ... 6 1. "Manual" system version ... 6 2. "Manual" system version with planigraphy ... 7 3. "ACSS" system version ... 8 4. "ACSS" system version with planigraphy ... 9 Possibilities of use ... 10

Chapter: Overview Standard Configuration ... 11 MULTIX TOP ... 11 MULTIX TOP P ... 11 MULTIX TOP ACSS ... 11 MULTIX TOP ACSS P ... 11 Extensions ... 12 Overall view ... 13 Edge protection on the patient table ... 14

Chapter: Safety Information General safety ... 15 Collision and crushing zones ... 15 Switching on the system on the generator ... 18 "Manual" system without ACSS automatic format collimation ... 18 Only if ACSS automatic format collimation is installed ... 18

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Product description Table of Contents

Red EMERGENCY STOP button ... 19 Red EMERGENCY SHUTDOWN button ... 19 Blockage and fault indicators ... 20 Daily Checks ... 21 Before examinations ... 21 During examinations ... 21 Monthly Checks ... 22 Legally required checks ... 22 Safety-relevant parts subject to wear ... 22 Maintenance intervals ... 23 Behavior in the case of functional disturbances ... 23 Cleaning the system ... 23 Disinfection of the system ... 23

Chapter: Operating Elements Operating elements for table movements ... 25 Foot kick switch in the table base ... 25 Operating Elements for 3D Ceiling Support ... 27 Operating elements and function displays on the control panel ... 29 Operating elements ... 29 Operating elements for 3D support and tube unit ... 29 Operating elements for moving the X-ray tube unit ... 30 Function displays ... 30 Operating elements for planigraphy (only with TOP P and TOP ACSS P) ... 32 Operating elements and function displays on the control panel with analog angle display (only with MULTIX TOP) ... 33 Operating elements ... 33 Operating elements for 3D support and tube unit ... 33 Operating elements for moving the X-ray tube unit ... 34 Function displays ... 34

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Product description Table of Contents

Manual collimator ... 35 Operating elements and displays ... 35 Front ... 35 Bottom side ... 36 Backside ... 39 Changing the lamp on the collimator ... 39 Operation ... 43 Setting the format collimation ... 43 Rotating the collimator about the central beam axis (up to ± 50°) ... 45 Rotating the collimator to the 0° stop position ... 47 Setting the prefiltration ... 48 ACSS Collimator ... 49 Operating elements and displays ... 49 Front ... 49 Display on the ACSS Collimator ... 50 Bottom ... 51 Backside ... 53 Changing the collimator lamp ... 54 Operation ... 55 Rotating the collimator about the central beam axis (max. up to ±45°) ... 55 Rotating the collimator into the 0° stop position ... 56 Indication of the collimator 0° stop position ... 56 Setting the prefiltration ... 57 Operating elements on the manual or ACSS cassette tray ... 59 Brake handle ... 60 Position of the brake handle ... 60 Function of the brake handle ... 60 Operating the brake handle ... 60 Operating and display elements of the follow-up control (only with ACSS and ACSS P) . 61 Overall view ... 61 Control panel and displays for ceiling support settings ... 62 Operating elements for motor-driven height adjustment (vertical) ... 62 Operating elements on the patient table ... 63 Operating elements for MULTIX constant SID ... 63

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Product description Table of Contents

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Product Description

Description

General information

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This Operator Manual describes all system features of all system variants. The complete system is described with all options and components that have been released. Possible options have not been marked specially. Particular options or components may not be available for specific systems. The quotation text of your order is the sole reference for the functional scope of your system.

Applications

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With your MULTIX TOP you have a Bucky table radiographic system with a 3D ceiling support at a high technical level for hospital and medical practice. The X-ray unit is a universal workstation with a motor driven table height adjustment device for all projection X-ray exposures or DLR cassettes for digital luminescence radiography. There are removable, changeable scattered radiation grids for examinations on children with special requirements with regard to radiation protection and additional filtration. Balanced ergonomics

Special attention has been paid in design to ergonomics with the objective of simple operation of the radiographic system.

Motor driven table height adjustment

The table height is adjustable by motor drive in the range from 59 cm to 89 cm.

Planigraphy ACSS

o Tomographic exposure technique o Automatic cassette size sensing to control the diaphragm leaves in the multileaf collimator for automatic precollimation to the current cassette format.

Variants MULTIX TOP MULTIX TOP ACSS MULTIX TOP ACSS-N MULTIX TOP P MULTIX TOP P ACSS MULTIX TOP P ACSS-N

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o Basic version, manual o with automatic format collimation o with automatic format collimation and follow-up control o Manual, with planigraphy (tomographic exposure technique) o with automatic format collimation and planigraphy o with automatic format collimation, planigraphy and follow-up control

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Product Description Description VERTIX PRO or VERTIX TOP or VERTIX S

o Bucky wall unit with catapult Bucky adjustable in height or catapult Bucky adjustable in height and capable of swivelling.

System configuration

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MULTIX TOP

VERTIX TOP,VERTIX PRO or VERTIX S

1. "Manual" system version

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consists of: MULTIX TOP patient table and 3D ceiling support with – Motor driven table height adjustment – "Manual" format collimation – "Manual" catapult Bucky – VERTIX TOP, VERTIX PRO or VERTIX S

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Product Description Description

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MULTIX TOP P

VERTIX TOP, VERTIX PRO or VERTIX S

2. "Manual" system version with planigraphy

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consists of. MULTIX TOP patient table and 3D ceiling support with: – Motor driven table height adjustment – "Manual" format collimation – "Manual" catapult Bucky – Tomographic attachment for planigraphy – Tomographic height light localizer – VERTIX TOP, VERTIX PRO or VERTIX S

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Product Description Description

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MULTIX TOP ACSS M

VERTIX TOP ACSS, VERTIX PRO ACSS or VERTIX S ACSS

3. "ACSS" system version

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consists of: MULTIX TOP patient table and 3D ceiling support with: – Motor driven table height adjustment – ACSS format collimation – Catapult Bucky with ACSS – VERTIX TOP ACSS, VERTIX PRO ACSS or VERTIX S ACSS

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Product Description Description

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MULTIX TOP ACSS P

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VERTIX TOP ACSS, VERTIX PRO ACSS or VERTIX S ACSS

4. "ACSS" system version with planigraphy

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consists of: MULTIX TOP patient table and 3D ceiling support with: – Motor driven table height adjustment – ACSS format collimation – Catapult Bucky with ACSS – Tomographic attachment for planigraphy – Tomographic height light localizer – VERTIX TOP ACSS, VERTIX PRO ACSS or VERTIX S ACSS

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Product Description Description

Possibilities of use

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Patients up to 190 cm tall can be examined from head to toe without repositioning by shifting the tabletop and moving the 3D ceiling support and the catapult Bucky.

X-ray exposures in the region of the skull, the spinal column (skeleton), the thorax, lungs and abdomen as well as of the extremities can be taken from the lying and sitting patient on a Bucky table with the MULTIX TOP radiographic system.

In addition, free onto-table exposures or bedside exposures as well as emergency station trolley exposures can be taken.

Exposures of the standing or sitting patient can be taken on the VERTIX PRO/TOP or VERTIX S Bucky wall stand.

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Product Description

Overview

Standard Configuration MULTIX TOP

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o MULTIX TOP – with manual collimator o Generator POLYDOROS IT o X-ray tube unit with double-focus X-ray tube o Standard accessories

MULTIX TOP P

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o MULTIX TOP P – "Planigraphy " version – with manual collimator o Generator POLYDOROS IT o X-ray tube unit with double-focus X-ray tube o Standard accessories

MULTIX TOP ACSS

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o MULTIX TOP ACSS – with ACSS automatic cassette size sensing collimator o Generator POLYDOROS IT o X-ray tube unit with double-focus X-ray tube o Standard accessories

MULTIX TOP ACSS P

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o MULTIX TOP ACSS P – "Planigraphy " version – with ACSS automatic cassette size sensing collimator o Generator POLYDOROS IT o X-ray tube unit with double-focus X-ray tube o Standard accessories

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Product Description Overview

Extensions

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o VERTIX PRO, VERTIX TOP or VERTIX S Bucky wall stand o Generator POLYDOROS LX o Generator POLYDOROS SX o CAREMAX o Collision protection o Optional accessories

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Product Description Overview

Overall view

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7 VERTIX TOP, VERTIX PRO or VERTIX S

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8 Components of the system

(1) Bucky table with positioning tabletop and catapult Bucky (2) 3D ceiling support with control panel, X-ray tube unit and collimator (3) X-ray tube unit (4) Collimator with control panel and displays (5) Handles for 3D ceiling support/tube unit movement (6) Table base (7) Catapult Bucky with cassette tray (8) Foot switch for tabletop movements and table vertical movement (9) EMERGENCY STOP button (10) Signal lamps (11) VERTIX TOP, VERTIX PRO or VERTIX S Bucky wall unit (12) Brake handle

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Product Description Overview (13) White light: EMERGENCY STOP button activated or security end switch has responded: 3D ceiling support longitudinal movement or tube rotation or catapult Bucky movement. (14) Green light: power supply ON, system operational

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Testing the signal lamps During the initialization phase the white lamp EMERGENCY STOP will temporarily light up for testing purposes without the EMERGENCY STOP button or security end switch being activated.

14 Signal lamps (10) at the left side of the patient table

Edge protection on the patient table

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o The edge protection at the four corners of the patient table securely closes off the profile rails. You can pull the edge protection forwards for attaching or removing accessories such as handles, hand switches or other accessories in order to insert the parts and remove them again.

Edge protection

u Pull the edge protection forwards against the spring tension to insert or remove accessories. u Subsequently insert again.

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Product Description

Safety Information

General safety

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Medical electrical equipment needs special precautions regarding Electromagnetic Compliance (EMC). EMC information provided in the accompanying documents must be followed where appropriate. Portable and mobile RF communications equipment can affect medical electrical equipment.

Collision and crushing zones

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Warning There is a risk of collision / crushing for patients, operating staff, unit and objects - caused by unit movements which could be released by inadmissible actuation of operating elements by patients.

--- possible collicion and crushing zones for patient and operating staff, especially with respect to extremities, in case of operation errors:

o between patient table and patient tabletop o between patient table and catapult Bucky o between patient tabletop and handle of the Bucky o between patient tabletop and base frame in tabletop movement o between tube unit and object/floor when moving the tube unit down o between tabletop and 3D ceiling support when raising or lowering the tabletop o between bottom edge of the tabletop and object in table downwards movement o between persons, MULTIX unit, VERTIX Bucky wall stand, wall or objects and 3D ceiling support during longitudinal or transverse movement or tube unit rotation about the vertical or horizontal axis. o when moving the 3D ceiling support outside the specified parking range o between persons and the 3D ceiling support during motor-operated movement of the patient table o risk of collision with the handle of the catapult Bucky for the patient when getting on or off the table.

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Product Description Safety Information o between handles of the 3D ceiling support and the collimator when rotating the collimator o at collimator accessory rails

Please take special care when the patient is getting onto or leaving the patient table that no unintentional activation of the operating elements occurs. If the patient slips, for instance, it is possible that the table brake may be activated unintentionally, or the active brakes are overridden and thus a system movement occurs.

Warning The patient and operating personnel may grip only the handles which are intended for this purpose. If this is not possible, please pay attention to posssible risks of injury by crushing between moving parts and their guide openings.

The operator is obliged to ensure that system movements are released only if it is assured that neither the patient nor third parties can be endangered by these movements.

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Product Description Safety Information

Risk of injury by crushing for operating staff and patients

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