JUMONG

Operation Manual

1
 IMPORTANT!...X-RAY

PROTECTION
X-Ray equipment if not properly used may cause injury. Accordingly the instructions herein contained

should be thoroughly read and understood before you attempt to place this equipment in operation.

The SG Healthcare Company, will be glad to assist and cooperate in placing this equipment in use.

Although this apparatus incorporates a high degree of protection against x-radiation other than the
useful beam, no practical design of equipment can provide complete protection. Nor can any practical
design compel the operator or his assistant to take adequate precautions to prevent the possibility of

authorized or unauthorized persons carelessly, unwisely, or unknowingly exposing themselves or others

to direct or secondary radiation.

It is important that everyone having anything to do with x-radiation be fully acquainted with the
recommendations of the National Council on Radiation Protection and Measurements as published in
NCRP Reports available from NCRP Publications, 7910 Woodmont Ave., Bethesda, MD 20814, and of the

International commission on Radiation Protection, and take adequate steps to insure protection against
injury.

It is assumed that all persons authorized to use the equipment are cognizant of the danger of
excessive exposure to x-radiation and the equipment is sold with the understanding that the SG

Healthcare Company, its agents, and representatives have no responsibility for injury or damage which

may result from exposure to x-radiation.

Various protective materials and devices are available. It is urged that such materials and devices be

used.

2
TABLE OF CONTENTS

CHAPTER 1 5

ABOUT THIS GUIDE 5

SAFETY INFORMATION 6
SAFETY NOTICES 7

CHAPTER 2 8

SAFETY AND REGULATORY 8

INDICATIONS FOR USE 9
SAFETY 9
KNOW THE EQUIPMENT 11
ELECTROMAGNETIC COMPATIBILITY 12
RADIATION SAFETY 13
EMERGENCY PROCEDURES 16
SAFE OPERATION PRECAUTIONS 16
SYMBOLS 19
REGULATORY REQUIREMENTS 22
MANUFACTURER’S RESPONSIBILITY 24

CHAPTER 3 25

RECORD OF REVISION 25
REVISION HISTORY 25

CHAPTER 4 26

QUICK STEP GUIDE 26

CURRENT WORKFLOW 26

3
CHAPTER 5 28

HARDWARE OVERVIEW 28
SYSTEM DESCRIPTIONS 29
SYSTEM POSITION 30
4-WAY TABLE 33
CONTROL CONSOLE 34
GRID INSTALLATION 38
TUBE WARM UP AND CONDITION 39

APPENDIX A 43

MAINTENANCE 43

4
Chapter 1

About This Guide

This chapter the purpose and design of this Learning and Reference Guide. It is an introduction to the
guide, providing information on the purpose, prerequisite skills, guide organization, chapter format, and

graphic conventions that identify the visual symbols used throughout the guide.

Topics covered include:

 Safety Information

 Safety Notice

5
Safety Information

Please refer to Chapter 2: Safety and Regulatory. in this Learning and Reference Guide. The Safety

chapter describes the safety information you and the physicians must understand thoroughly before you
begin to use the system. Note that you will find additional safety information throughout your Learning
and Reference Guide. Additional training is available, contact qualified SG Healthcare personnel for a
training. The equipment is intended for use by qualified personnel only. This guide should be kept with
the equipment and be readily available at all times. It is important for you to periodically review the

procedures and safety precautions. It is important for you to read and understand the contents of this

guide before attempting to use this product.

6
Safety Notices

The following safety notices are used to emphasize certain safety instructions. This guide uses the
international symbol along with the danger, warning, or caution message. This section also describes the

purpose of a Note.

DANGER

Danger is used to identify conditions or actions for which a

specific hazard is known to exist which will cause severe
personal injury, death, or substantial property damage if the

instructions are ignored.

WARNING

Warning is used to identify conditions or actions for which a

specific hazard is known to exist which may cause severe

personal injury, death, or substantial property damage if the

instructions are ignored.

CAUTION

Caution is used to identify conditions or actions for which a

potential hazard may exist which will or can cause minor

personal injury or property damage if the instructions are

ignored.

Failure to control, regulate or operate the device in compliance with

instructions and procedures described in this manual could result in
accidental and/or excessive radiation exposure.

A Note provides additional information that is helpful to you. It

may emphasize certain information regarding special tools or
NOTE?
techniques, items to check before proceeding, or factors to

consider about a concept or task.

7
Chapter 2

Safety and Regulatory

This chapter explains the safety considerations, general equipment and patient related precautions, and

the symbols used for the safe operation of your equipment. This chapter also includes information

about the emergency procedures.

This chapter presents the concepts necessary to successfully operate your system safely.

Topics covered include:

 Indications for Use  Emergency Procedures

 Safety  Safety Operation Precautions

 Know the Equipment  Symbols

 Electromagnetic Compatibility  Regulatory

 Radiation Safety  X-ray Source Assembly Filtration

8
Indications for Use

Medical Diagnostic Digital Radiography System Jumong is applicable for all the patients who need any
of these general purpose diagnostic procedures. This device is not intended for mammographic and

dental applications.

WARNING

It is forbidden to use this device to take exposure repeatly and

frequently for a same patient, especially a child.

WARNING

It is forbidden to use this device to take exposure for pregnant

woman.

Safety

The electrical wiring of the relevant rooms complies with all national and local codes, as well as the
Regulations for the electrical equipment of buildings published by the Institution of Electrical Engineers.

All assembly operations, extensions, re-adjustments, modifications, or repairs are carried out by SG
Healthcare authorized service representatives. The equipment must be used in accordance with the

instructions for use.

WARNING

This X-Ray unit may be dangerous to patient and operator,

unless safe exposure factors, operating instructions and

maintenance schedules are observed.

To be used by authorized personnel only.

9
WARNING

Electric Shock Hazard! Do not remove covers or panels. The

Acquisition Console and cabinets contain high voltage circuits
for generating and controlling X-rays. Prevent possible electric
shock by leaving covers or panels on the equipment. There are
no operator serviceable parts or adjustments inside the

cabinets. Only trained and qualified personnel should be

permitted access to the internal parts of this equipment.

WARNING

Only SG Healthcare validated equipment can be plugged into

the interface in any part of this system. Leakage current
requirements of non-validated equipment cannot be maintained

with high confidence.

WARNING

Never touch patient and any exposed extra low safety circuits

or connectors simultaneously. Electrical shock may occur.

WARNING

Only table, Detector Stand, digital detector, tube assembly,

collimator and system cabinet which are specified to be

installed in the examination room are suitable for use in patient

environment. any other equipment or component specified to
be installed in control room shall not be brought into and use

in patient environment.

WARNING

Radiographic equipment must be operated by qualified

personnel and only after sufficient training.

10
 CAUTION

Always be alert to safety when you operate this equipment. You

must be familiar enough with the equipment to recognize any
malfunctions that can be a hazard. If a malfunction occurs or a
safety problem is known to exist, do not use this equipment

until qualified personnel correct the problem.

CAUTION

It is the User’s responsibility to provide the means for audio

and visual communication between the operator and the

patient.

Know the Equipment

Read and understand all of the instructions in this Learning and Reference Guide before attempting to
use the product.

Equipment Classifications

The following equipment classifications are applicable to the Learning and Reference Guide before

attempting use the product.

 Equipment classification with respect to protection from electric shock: Class I

 Degree of protection from electric shock: Type B

 Equipment not suitable for use in the presence of a flammable anesthetic mixture with
air or with nitrous oxide

 Mode of operation: Continuous operation with intermittent loading

11
Electromagnetic Compatibility

WARNING

This system is intended for use by healthcare professionals only.

This system may cause radio interference or may disrupt the
operation of nearby equipment. It may be necessary to take

mitigation measures, such as re-orienting or relocating the

system or shielding the location.

WARNING

This medial electrical equipment / system needs special

precautions regarding EMC and needs to be installed and put

into service according to the EMC information provided in the

accompanying documents.

WARNING

Portable and mobile RF communications equipment can affect

this medical electrical system. Make sure those communication

equipment are powered off before they are taken near this

equipment / system

WARNING

Power line anomalies or electrostatic discharges in all

equipment areas may cause the monitor image to become

momentarily disrupted or to go to blank; the mouse and/or

keyboard may become inoperable or an error may be displayed

on the worklist or image viewer screens. The system may
recover by itself or you may need to reboot the system. the

system may shut itself down, and will require a reboot.

12
 WARNING

A power surge during image transmission to the workstation

after acquisition may cause the image to be lost. the system
will operate normally after the power surge, but the image

must be reacquired.

WARNING

Power line anomalies or electrostatic discharges to the system

cause a CD/DVD write failure error. A new CD/DVD should be

used and the image re-written.

Radiation Safety

Always use the proper technical factors for each procedure to minimize X-ray exposure and to produce

the best diagnostic results. In particular, you must be thoroughly familiar with the safety precautions
before operating this system. Default system techniques are recommended for AEC acquisition. Default

techniques are designed to optimize the image processing parameters.

CAUTION

Please protect the families and any other company of the

patients’ around this device from radiation. Please protect the

technologists who is around this device from radiation.

CAUTION

Always use the proper technical factors for each procedure to

minimize X-ray exposure and to produce the best diagnostic
results. In particular, you must be thoroughly familiar with the
safety precautions before operating this system. Default system

techniques are recommended for AEC acquisition. Default

techniques are designed to optimize the image processing

13
parameters.

CAUTION

There should be no persons other than the patient in the exam

room during x-ray exposure. If circumstances require another

person to enter the room while x-ray exposures are planned or

possible, that person should be well protected in accordance

with accepted safety practices.

CAUTION

Tube assembly and collimator used in this system are verified to

have a total filtration of 2.5 mmAl at least, whenever you

replace one of them, make sure total filtration for this X-ray

equipment is not less than 2.5 mmAl.

CAUTION

Make sure any other accessories or materials are not located in

the primary X-ray beam during exposure, that result in a bad

image quality.

CAUTION

Use the largest possible focal spot-to-skin distance appropriate

for the anatomy being imaged, to keep the patient absorbed

dose as small as possible.

CAUTION

Always use protective devices and protective clothing for the

patient, operator or even other persons as appropriate to the

workload and examination involved.

14
CAUTION

Hospital is responsible to provide means for audio and visual

communication between the operator and the patient.

15
Emergency Procedures

It is not always possible to determine when some components, such as the X-ray tubes, are nearing the
end of their operating lives. These components could stop operating during a patient examination.

WARNING

Do not use device should a safety problem occur and contact

authorized service immediately.

WARNING

If the radiation is still continuing, switch off the power to stop

the radiation.

Safe Operation Precautions

General Use Warnings

WARNING

Do not load non-system software onto the system computer. This may

cause system to crash.

WARNING

Use of operation methods other than those specified herein may result

in hazardous radiation exposure.

WARNING

For continued safe use of this equipment, follow the instructions

contained in this Learning and Reference Guide. Study this guide
carefully before using the equipment and keep it at hand for quick

16
reference. It may be desirable for the facility to print this manual from
a standard PC to have a hard copy available within the Radiology
department.

WARNING

It is the responsibility of the operator to ensure the safety of the

patient at all times. When the table is in use the patient should be
monitored by visual observation, use of proper patient positioning, and
use of the protective devices provided.

WARNING

Thoroughly check that there is no interference or possibility of collision

between the patient and other equipment.

WARNING

Perform periodic maintenance to ensure continued safe use of the

equipment. Follow recommended preventative maintenance schedule

as outlined in the SG Field Service Manual.

WARNING

Check the Collimator status before using this equipment, to prevent it

falling down.

WARNING

Never exceed the rated load of patient handling devices.

WARNING

If safety problem occurs, please contact Authorized service

immediately.

CAUTION

Alwary assist the patient during loading and unloading from table.Keep
the patient in full view at all times and never leaves the patient

17
 unattended while on the table.

CAUTION

Please carefully monitor all equipment motions to prevent collisions.

Attention shall be drawn during operation to prevent possible injuries
that could result from collision of the power-driven equipment parts
with other moving or stationary items likely to be in the environment.

CAUTION

Please check for obstructions before moving the equipment.

Patient Positioning Warnings

WARNING

During patient procedures, ensure the patient’s head, hands and feet
are completely within the tabletop area. If any portion of the patient’s
body extends over the edge of the tabletop, serious injury may result.

WARNING

The maximum supported weight, with the tabletop fully extended

toward the head or foot end of the table, is 300kg.Exceeding this limit
may cause equipment damage or injury to the patient.

WARNING

Always, watch all parts of the patient table to verify there is no

interference or possibility of collision with the patient or with other

equipment.When moving the table, cautiously put hand on table top.

Intravenous catheter or other lines connected with the patient must be

18
 monitored to avoid interference during patient positioning.

WARNING

When operate the Stand & Table, the operator shall always watch the

patient for the moving parts to avoid injury by collision.

Symbols

This section explains the symbols used on this system and in its accompanying documents.

X-ray Tube

Table describes the operational symbols for the system such as X-ray emissions and collimator locations.

Power ON and OFF

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POWER ON button is used to turn on the power to the system. The
button is located on the console.

POWER OFF button is used to turn off the system. The button is

located on the console.

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Electrical Type

Table describes the electrical protection rating based on system type.

Symbol Description

Type B Equipment indicates the equipment provides a particular

degree of protection against electrical shock regarding leakage current

and protective earthing per IEC60601-1.

Electrical Current

Table describes the symbols for the different types of electrical current that may be used on your

system.

Symbol Description

Alternating Current indicates the equipment is suitable for alternating

current only.

Direct Current indicates the equipment is suitable for direct current

only.

Both direct and alternating currents indicate the equipment is suitable

for both direct and alternating current.

Ground

Table describes the different types of grounding used in your system.

Symbol Description

Functional Earth (ground) Terminal indicates a terminal directly

connected to a point of a measuring supply or control circuit or to a
screening part , which is intended to be earthed for functional

21
 purposes.

Protective earth (ground) identifies any terminal which is intended for

connection of an external protective conductor to protect against
electrical shock in case of a fault.

Frame or chassis identify the frame or chassis terminal.

Collimator

Table describes the collimator controls and the radiation field.

Symbol Description

Control for indicating radiation field by using light.

Indicates the collimator blades are closed. The controlled blades are

shown in thicker lines.

Indicates the collimator blades are open. The controlled blades are

shown in thicker lines.

REgulatory Requirements

NOTE This equipment generates, uses, and can radiate radio frequency
energy. The equipment may cause radio frequency interference to
other medical and non-medical devices and radio communications. To

provide reasonable protection against such interference, this product

complies with emission limits for Group 1 Class A Medical Devices as
stated in EN 60601-1-2. However, there is no guarantee that

22
 interference will not occur in a particular installation.

NOTE If this equipment is found to cause interference (which may be

determined by switching the equipment on and off), you (or qualified
service personnel) should attempt to correct the problem using one or

more of the following measures:

–Reorient or relocate the affected devices.

–Increase the space separating the equipment and the affected device.

–Power the equipment from a source different from that of the

affected device.

–Consult the point of purchase or the service representative for

further suggestions.

NOTE The manufacturer is not responsible for any interference caused either

by the use of interconnect cables other than those recommended or

by unauthorized changes or modifications to this equipment.

Unauthorized changes or modifications could void the user’s authority

to operate the equipment.

NOTE To comply with the regulations applicable to an electromagnetic

interface for al Group 1 Class A Medical Device, all interconnect cables

to peripheral devices must be shielded and properly grounded. The

use of improperly shielded and grounded cables may result in the

equipment causing radio frequency interference in violation of the
European Union Medical Device directive and Federal Communications

Commission regulations.

NOTE Do not use devices which intentionally transmit radio frequency (RF)
signals (cellular phones, transceivers, or radio controlled products) in
the vicinity of this equipment, as it may cause performance outside

the published specifications.

Keep the power to these type devices turned off when near the equipment.

The medical staff in charge of this equipment is required to instruct technologists, patients, and other
23
 people who may be around this equipment, to fully comply with the above requirement.

Disposal of Waste

This symbol indicates that the waste of electrical and electronic equipment must not be disposed as
unsorted municipal waste and must be collected separately. Please contact an authorized representative

of the manufacturer for information concerning the decommissioning of your equipment.

Figure: Disposal of waste symbol

Manufacturer’s Responsibility

Allow only authorized, properly trained personnel to operate the equipment.

This equipment is sold with the understanding that the manufacturer, its agents, and representatives do
not accept any responsibility for overexposure of patients or personnel to X-Ray radiation. No
responsibility is assumed for any unit that has not been serviced by qualified authorized service

personnel.

24
Chapter 3

Record of Revision

Revision History

Rev Date Reason for Change

1.0 Jan-2016 Original

25
Chapter 4

Quick Step Guide

This section provides an overview of common tasks. Refer to the relevant chapters for detailed

information.

Current Workflow

This section outlines the common operation workflow.

1 Press the Power On button on the console .Login on the system after about 1 minutes.

2 If necessary, please insert grid. Refer to Chapter 5, >:Hardware Overview

3 Setting the x-ray condition by use the generator console.

26
4 Press the motion control keys on the operation panel(tube stand) and position the patient.
Refer to the Chapter

Tube Stand on rail movement

buttton

Tube Arm up&down movement

button

Tube stand rotate movement

button

Tube arm front/back movement

button.

All free movement

5 When all preparations for the exposure are completed, you can progress an exposure.

27
Chapter 5

Hardware Overview

This chapter explains the different hardware components of your system, such as the, strecher table,

Floor Rail Stand, Bucky Stand and 4-Way Table, collimator.

Topics covered include:

 System Descriptions  Grid Installation

 System position  Tube Warm Up and Conditioning

28
System Descriptions

System component

 Floor Mounted Tube Stand

 Bucky Stand

 4-Way Table

 Tube

 Collimator

 Generator

 X-Ray Conrtol Console

29
System position
Motion Component

Item Description

Tube Stand on rail

movement buttton

Tube Arm up&down

movement button

Operation Tube stand rotate movement

Panel button

Tube arm front/back

movement button.

Operator can use this button

in order to move tube stand

at any his/her desired

30
 position

The table top can be freely operated

Foot SW
when All Free Switch is pressed.

Tube Stand Vertical Motion

By pressing "Tube Arm Up/Down movement button", tube arm can make vertial movement. This allows
change of height of tube collimator assembly.

 To halt motion, release press button when desired point is reached.

SID adjustment between the detector and tube

By pressing "Tube Stand on rail movement button", tube collimator assemly can move along tube stand

rail and adjust SID between detector and tube.

 To halt motion, release press button when desired point is reached.

Tube Stand Rotating Motion

By pressing "Tube Stand Rotate movement button", tube stand can spin clock-wise and anti clock-wise.

Tube Collimator Assembly Rotation

The tube collimator assembly can rotate maximum clockwise 135° or counterclockwise 135° around the
axis of the tube support.

Detector Stand Vertical Motion

By pressing "Up/Down Push S/W" , detector assembly can make vertial movement. This allows change of
height of detector assembly.

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Collimator

The collimator limits patient radiation exposure to a desired area at a given distance from the x-ray tube

focal spot.

Item Description

1. Collimator Light Switch Turns the collimator light on and off. Cutout can also be performed

automatically via an internal time switch. The light-up time is 30 seconds.

2. Vertical Adjusts the vertical field size. Turning the dial to the left closes the

Collimator Field Size collimator, turning to the right opens the collimator.

3. Lateral Collimator Adjusts the lateral field size. Turning the dial to the left closes the

Field Size collimator, turning to the right opens the collimator.

Alignment Field Light

Press the field light button located on the collimator face to activate the high-intensity field lamp.

The field light is timed and automatically turns off 30 seconds after your release the switch. To activate

the field light for another 30 seconds, press the button again when the light goes out.

Note Do not frequently and continuously turn on the collimator light to avoid
overheating inside the collimator. It is recommended to use the collimator light
3 minute’s interval.

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Positioning

Position the collimator and tube using the field light and cross hair shadow as guides. The cross hair

shows the field center.

Collimate by adjusting the size of the field with the two control knobs located on the front of the

collimator.

Field sizes from 0x0 up to 17” x 17” at a 100 cm SID can be obtained. The knob selectors indicate the

field size for a selected SID. The maximum field size is 17” x 17”.

Collimator Rotation

1. Grasp the collimator

2. Turn the collimator to the desired position.

Note Check the Collimator status before using this equipment, to prevent it falling

down.

4-Way Table
The patient can lay over the 4-Way table to make exposure.

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 Control Console
Control Console controls the power and exposure functions for the system. The Control console has the
power on/off button, exposure button, indicator lights and, etc.

1. Power on Buttons, Ready/Exposure buttons and indicator LED

2. Radiography controls and display

3. APR display and control

RADIOGRAPHY CONTROLS AND DISPLAYS

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 No. Description No. Description

1 Over Indicator 10 mA Up/Down Buttons

2 ERROR Indicator 11 mAs/sec Display Window

3 Small Focus Indicator 12 mAs/sec Up/Down Buttons

4 Large Focus Indicator 13 mAs/sec Selection Indicator

5 READY Status Indicator 14 mAs/sec Selection Button

6 X-ray Status Indicator 15 Bucky Select Button/Indicators

7 kV Display Window 16 AEC Select Button/Indicator

8 kV Up/Down Buttons 17 Field Select Button/Indicators

9 mA Display Window 18 Film/Screen Select Button/Indicators

APR CONTROLS AND DISPLAYS

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 No. Description

1 Technique Select Button/Indicator

2 Technique Exposure Region Select Buttons/Indicators

3 Technique Exposure Direction Select Buttons/Indicators

4 Patient Size Select Buttons/Indicators

5 Backup Reset Button

6 Density Setting Buttons/Indicators

Setting APR

• Selection of APR mode

Choose APR mode with the APR selection button [1] and the LED displaying APR mode
will be lighted on the button.

• Selection of radiography regions

Choose the radiography regions with region select buttons [2] and you can move the LED

display with up/down buttons. The available option is 9.

• Selection of radiography directions

Choose the radiography directions with direction buttons [3] out of 4 options.

• Selection of radiography size

Choose the radiography size with patient size selection buttons [4] out of 6 options,

[LL], [L], [M], [S], [SS], [BABY].

• Memory of the changed radiography conditions

You can save the conditions changed above. The method for store is pressing the
selected patient size button for over 2 seconds until the buzzer sounds.

36
Hand Switch

Record exposures are made with the console Hand-switch. The Prep/Expose button on this switch has

three positions: OFF, PREPARE, and EXPOSE

Position Description

Off The OFF position is when no pressure is applied to the Prep/Expose button on top of the
Hand-switch.

Prepare PREPARE is the next position on the Hand-switch. When it is partially pressed, it brings
the rotor up to speed and heats the filament. PREPARE also checks the system interlocks

and verifies the system is ready to make an exposure. If you release the button, it returns

to OFF.

Exposure The EXPOSE position is when the button on the Hand-switch is fully depressed. This
produces X-rays that are recorded. Release the Prep/Expose button after the exposure is

completed.

Follow the procedure below to operate the console Hand-switch to prepare and record exposures

1. Make sure your patient and the console are set up for the procedure.

2. Press the prep/exposure button to the Prepare position.

3. Press the Prep/Exposure button to the Exposure position.

37
 Note A procedure must be selected prior to attempting an exposure or an error will occur

4. Release the Prep/Exposure button after the exposure is complete.

Environmental Constraints

CAUTION

Operation or storage outside of these constraints may cause

damage to the detector.

Item Operation Enviroment Constraints Non Operation Enviroment

Constraints

Ambient External ambient temperature range: +10 to Not applicable.

Temperature, +35°C
humidity,
Ambient humidity range: 30% to 75%,
Pressure

non condensing. Pressure: 700-1060h PA

Mechanical The detector assembly shall not be exposed Not applicable.

Stress & to operating vibration spectrum exceeding
Vibration the following parameters: Type: Random

Forces Magnitude: 0.1 Grms

Electromagnetic Compatibility

Suggest keepping IV pumps,Infusion pumps,patient monitoring, Air conditioners 1meter or more away

from any detector surface. More information for Electromagnetic Compatibility please refer to
Electromagnetic Compatibility

Grid Installation
Grid is used to reduce the imaging impact of scattered radiation. To use the grid for image acquisition
or not is up to your option.

38
 WARNING

PLease move the grid with care. Put it in the accessory box
while idle. Accidentally falling will damage the grid and reduce

the imaging quality.

Hold the grid handle to draw out the grid from the slot.

Face the surface with the label on the grid to the tube side and insert the grid in to the slot.

Note Faulty direction of grid insert will cause bad imaging.

Tube Warm Up and Condition

Tube Warm Up

it is essential that the x-ray tube be warmed up before allowing it to operate on full power to avoid
reducing its life cycle. Therefore, before starting the days examinations, condition the x-ray tube by

running a series of exposures at medium power.

When warming up the tube, always take the precautionary measures to protect personnel from X-ray

radiation.

The warming up must be done by the qualified service personnel when the below circumstances occurs:

 Before starting the examinations;

 After the trouble shooting and when the X-ray tube voltage seems unstable during cross

function running;

REQUIREMENTS

1. Use the larger focal spot of the tube.

2. The operating tube voltage and current should be monitored all exposures during this

seasoning operation.

39
 3. The anode rotation should be utilized at normal speed (3000 or 3600 min-1).

4. Do not exceed either the generator or the tube ratings

WARNING

ALL RADIATION SAFETY RULES MUST BE OBSERVED. IN ORDER

TO PROTECT HUMANBODY FROM HARMFUL X-RAY, CLOSE
THE COLLIMATOR OR BLOCK THE TUBE ASSEMBLY RADIATION
PORT WITH AT LEAST A SIX (6) MM THICK PIECE OF LEAD. NO
PATIENT OR PERSONNEL IS ALLOWED IN THE ROOM.

TUBE WARM-UP PROCEDURE

CAUTION

Effecting exposure at near peak potential and current without

prior tube warm up will damage the tube.

To maximize tube life, perform the following tube warm-up procedure.

1. 50kV, 100mA, 100ms - one exposure, then wait for 30s

2. 80kV, 100mA, 100ms - one exposure, then wait for 30s

3. 120kV, 100mA, 100ms - one exposure.

Note If discharge happened, re-warm up again under the previous condition. If the tube occurs
intense static charge repeatedly what will damage the sensitive part of electronic

component, please discontinue the operation and inform the service personnel.

After these seasoning operations are completed, the X-ray tube unit can be used in the usual way.

Tube conditioning

The X-ray tube assembly needs to be conditioned if it is idle for 7 days. Precautions before conditioning

check the following:

1. Any oil leak

40
 2. Air bubble in the oil through the window

3. Correct operation of rotation

4. Correct grounding connection

5. Good condition of HV receptacles—change grease if required.

This procedure establishes the proper relation to its new environment with the equipment in used. The

action establishes a favorable distribution of the electrical charges and Electrostatic stresses in the
insulation system of the tube and the associated equipment.

REQUIREMENTS

1. Use the large focal spot (LF) or the small focal spot (SF) as specified.

2. The operating tube voltage and current should be monitored all exposures during this

seasoning operation.

3. The anode rotation should be utilized at normal speed (3000 or 3600 min-1).

4. Do not exceed either the generator or the tube ratings.

CAUTION

ALL RADIATION SAFETY RULES MUST BE OBSERVED. IN ORDER

TO PROTECT HUMANBODY FROM HARMFUL X-RAY, CLOSE

THE COLLIMATOR OR BLOCK THE TUBE ASSEMBLY RADIATION
PORT WITH AT LEAST A SIX (6) MM THICK PIECE OF LEAD. NO

PATIENT OR PERSONNEL IS ALLOWED IN THE ROOM.

The conditioning procedure

To maximize tube life, perform the following tube conditioning procedure.

41
 1. Make sure that the X-ray tube assembly is at room temperature before starting the X-ray tube
assembly conditioning

2. Tube is not recommended to use in Anode up position

3. To avoid the risk of electrical shock, the equipment must only be connected to supply with

protective earth.

4. The Environment Conditions must be maintained for about 10 mins before use.

When the system is built first time or halt more than 1 week, please follow table shown below to do the

X-ray tube assembly conditioning protocols with sequence

Note If the X-ray tube assembly is unstable at high voltages reduce the kV until no high voltage

instability observed and then increase the kV at a slower rate than as shown in table.

After these seasoning operations are completed, the X-ray tube unit can be used in the usual way.

42
Appendix A

Maintenance

It is the owners responsibility to provide regular periodic maintenance and service. Only this type of

maintenance program can identify potential problems. Topics covered include:

 Periodic Maintenance

 Qualified Service

 Cleaning and Disinfecting

 Recycling

Periodic Maintenance

Periodic maintenance is required for continued SAFE operation. Periodic maintenance should be
performed as specified in the maintenance schedule of the service manual by qualified personnel.

Descriptions and scheduled frequency of the required periodic maintenance are provided in the Service

manual supplied with the equipment. Inspection intervals are based on average daily use of one eight
hour shift. These periodic maintenance procedures will be performed by SG service if contracted to do
so. Generally, most of the parts need maintenances once a year; general cleaning and painting as

required; Replace NonVolatile RAM on the kV Control Board every 10 years. More frequent inspection is

appropriate where equipment use is above average.

CAUTION

Failure to perform the periodic inspection and maintenance

could allow deteriorating conditions to develop without being
detected. This deterioration could result in equipment failures,

which could cause serious injury or equipment damage.

Qualified Service

Safe equipment performance requires the use of service personnel specially trained on medical X-ray
apparatus. SG Healthcare Medical Systems and its associates, maintain a world-wide organization of
stations from which to furnish periodic and/or emergency service on a contract basis. A SG

representative will be glad to discuss this plan. SG Healthcare Medical Systems X-ray equipment
contains operating safeguards designed to provide maximum safety. Before calling for service, be certain

proper operating procedures are being used.

Cleaning and Disinfecting

This equipment should be cleaned frequently, particularly if corroding chemicals are present. Use a cloth

moistened in warm soapy water (use mild soap) to clean the trim and nameplate of the Operator’s
Controls. Wipe with a cloth moistened in clean water. Do not use cleaners or solvents of any kind as
they may dull the finish or blur the lettering. Polish with a pure liquid or paste wax. Other surfaces of
the equipment can be cleaned using a clean cloth moistened slightly with a good mild cleaner and

polish acceptable for use on enameled metal surfaces. Before each use, equipment surfaces that contact

the patient should be cleaned with an EPA registered, low-level disinfection or sanitizing agent.

CAUTION

In the event of equipment contacting broken skin or

being used with infected or immune compromised
patients, the equipment should be cleaned using EPA
cleared and EPA registered high-level disinfecting
agents.

Note Be sure to follow the label instructions and pre-cautions for use,

storage, and disposal of all disinfecting agents.

Recycling

Packing Materials

The materials used to pack our equipment are recyclable. They must be collected and processed in

accordance with the regulations in force for the country where the machines or accessories are unpacked.

Machines or Accessories at end-of-life

The elimination of machines and accessories must be in accordance with national regulations for waste

processing. All materials and components that could pose a risk to the environment must be removed from

the machines at end-of-life and accessories (examples: dry and wet cell batteries, transformer oil, etc.).

Please consult your local SGHC representative before discarding these products.
SG Healthcare Co., Ltd.

10, Yangnyeong-ro, Yangpyeong-ri, Moga-myeon, Icheon-si, Gyeonggi-do, Republic

of Korea

Tel : +82-02-449-6908

FAX : +82-02-449-6909

Website : http://www.sghealthcare.com

European representative: AeMi World.

Bugenhagenstr.8, 10551 Berlin, Germany

Tel: +49 (030) 8620 3461

Fax: +49 (030) 86203789