Global Business Unit

Siemens AG
Medical Solutions
Angiography, Fluoroscopic and
Radiographic Systems
Siemensstr. 1
DE-91301 Forchheim
Germany
Phone: +49 9191 18-0
www.siemens.com/healthcare

Global Siemens Headquarters Global Siemens Healthcare Headquarters Legal Manufacturer

Siemens AG Siemens AG Siemens AG Ysio
Operator Manual
Wittelsbacherplatz 2 Healthcare Sector Wittelsbacherplatz 2
80333 Muenchen Henkestrasse 127 DE-80333 Muenchen
Germany 91052 Erlangen
Germany
Germany Operator Manual
Phone: +49 9131 84-0
www.siemens.com/healthcare
Ysio

www.siemens.com/healthcare

Order No.: AXB7-020.620.03.01.02 | Printed in Germany | © 03.2010, Siemens AG

 Global Business Unit
Siemens AG
Medical Solutions
Angiography, Fluoroscopic and
Radiographic Systems
Siemensstr. 1
DE-91301 Forchheim
Germany
Phone: +49 9191 18-0
www.siemens.com/healthcare

Global Siemens Headquarters Global Siemens Healthcare Headquarters Legal Manufacturer

Siemens AG Siemens AG Siemens AG Ysio
Operator Manual
Wittelsbacherplatz 2 Healthcare Sector Wittelsbacherplatz 2
80333 Muenchen Henkestrasse 127 DE-80333 Muenchen
Germany 91052 Erlangen
Germany
Germany Operator Manual
Phone: +49 9131 84-0
www.siemens.com/healthcare
Ysio

www.siemens.com/healthcare

Order No.: AXB7-020.620.03.01.02 | Printed in Germany | © 03.2010, Siemens AG

 Global Business Unit
Siemens AG
Medical Solutions
Angiography, Fluoroscopic and
Radiographic Systems
Siemensstr. 1
DE-91301 Forchheim
Germany
Phone: +49 9191 18-0
www.siemens.com/healthcare

Global Siemens Headquarters Global Siemens Healthcare Headquarters Legal Manufacturer

Siemens AG Siemens AG Siemens AG Ysio
Wittelsbacherplatz 2 Healthcare Sector Wittelsbacherplatz 2
80333 Muenchen Henkestrasse 127 DE-80333 Muenchen
Germany 91052 Erlangen Germany Operator Manual
Operator Manual

Germany
Phone: +49 9131 84-0
www.siemens.com/healthcare

www.siemens.com/healthcare
Ysio

Order No.: AXB7-020.620.03.01.02 | Printed in Germany | © 03.2010, Siemens AG

 Operator Manual
Global Business Unit
Siemens AG
Medical Solutions
Angiography, Fluoroscopic and
Radiographic Systems
Siemensstr. 1
DE-91301 Forchheim
Germany
Phone: +49 9191 18-0
www.siemens.com/healthcare

Global Siemens Headquarters Global Siemens Healthcare Headquarters Legal Manufacturer

Siemens AG Siemens AG Siemens AG Ysio
Wittelsbacherplatz 2 Healthcare Sector Wittelsbacherplatz 2
80333 Muenchen Henkestrasse 127 DE-80333 Muenchen
Germany 91052 Erlangen
Germany
Germany Operator Manual
Phone: +49 9131 84-0
www.siemens.com/healthcare

www.siemens.com/healthcare
Ysio

Order No.: AXB7-020.620.03.01.02 | Printed in Germany | © 03.2010, Siemens AG

Ysio
Operator Manual

www.siemens.com/healthcare
 Legend 9 Prerequisites

‹ Instructions

„ Text lists

Î Cross reference

Caution/ Cause
Warning Possible consequences
‹ Precautions or remedies

Usability BEFORE USING THIS SYSTEM

This system should be used only by employees adequately trained in the use of
this equipment.
Before using this system, the operator should be thoroughly acquainted with the
instructions for use and safety recommendations provided in this manual.
Failure to follow the instructions for use and safety recommendations provided in
this manual can cause serious injury to the patient, to the operator or to other per-
sons.

CE marking This product is provided with a CE marking in accordance with the regulations stat-
ed in Appendix II of the Directive 93/42/EEC of June 14th, 1993 concerning medi-
cal devices. In accordance with Appendix IX of the Directive 93/42/EEC, this device
is assigned to class II b.
The CE marking applies only to medical devices which have been put on the mar-
ket according to the above-mentioned EC Directive.
Unauthorized changes to this product invalidate this declaration.
Whenever the hardware necessary to run the software is supplied, the CE Mark is
provided in accordance with, if applicable, Electro Magnetic Compatibility Direc-
tive 2004/108/EC and / or Low-Voltage Directive 2006/95/EC.

Original language This Operator Manual was originally written in English.

Version This Operator Manual applies to system/software version VB10 and higher.

2 / 248 AXB7-020.620.03.01.02 Operator Manual

 Table of Contents

Part: Safety 13
Information about this Operator Manual 13
General information 13
Structure 15
Text layout 15
Structure of safety information 16
Pictograms 16
Information about the software 17
Data protection 17
Information about reporting 18
Correct image orientation - patient orientation 18
Visual contact to patient 18
Room lighting 18
Prerequisites for diagnosis and treatment planning 19
Monitor(s) 19
Use of hardcopy cameras 20
Cleaning and disinfection 20
Cleaning 20
Disinfecting 21
Sterilization 22
Information about unit movements 22
Red emergency STOP buttons 24
Where are the emergency STOP buttons? 24
Emergency SHUTDOWN button (installed on-site) 26
Emergency Procedures 27
Maximum weight 27
Damage to the tabletop 27
Warning signs 28
Danger zones / danger points ... 28
Radiation protection 31
Important information 31
Laws and regulations 32
Regulations in the EU 32
Additional national regulations 32
Regulations in the U.S.A. 32
Protective measures 33
Protection against electric shock 33
Combination with other products/components 33
Fire protection 34
Explosion protection 35
Installation, repair, or modifications 35
Maintenance 36

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Table of Contents

Use of the full-field light localizer 37

Product service life 37
Disposal 37

Part: System Overview 39

Components 39
Application capabilities 39
Examples 40
Intended use 41

Chapter: Configuration 43
System configurations 43
System components in the examination room 43
System components in the control room 44

Part: System Components 45

Chapter: Overhead support with X-ray tube and multileaf colli-
mator 45
Overview 45
Movement control elements 46
Touch User Interface (MaxTouch) 47
Multileaf collimator 52
Movement of overhead support 57
Directions for moving and rotating the tube 57
Positioning the 3D overhead support with tube unit 58

Chapter: Table with Mobile Detector 63

Overview 63
Emergency STOP pushbuttons 63
Detector tray with wireless detector 64
Inserting mobile detector 64
Positioning the detector tray 66
Hand-held tableside control 67
Foot kick switches in the table base 69
Table movements 70
Adjusting table height 70

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 Table of Contents

Scattered radiation grid 71

Removing the grid 72
Inserting the grid 73

Chapter: Wall Stand 75

Description 75
Application 75
Safety information 76
Information about holding facilities 76
Information about system movements 76
Operating elements 77
Wall stand with integrated detector 77
Wall stand with wireless mobile detector 78
Front panel markings 79
Hand-held BWS remote control 80
Detector movements 81
Adjusting the detector unit in height 81
Tilting the detector unit 82
Preparing for acquisition 83
Inserting the detector into the receptor stand 83
Removing the detector 84
IONTOMAT automatic exposure control 84
Scattered radiation grid 85
Positioning patients for acquisition at the wall stand 87
Exposure with horizontal beam projection 87
Exposure with vertical beam projection 88
Positioning the tube unit 88
Centering the tube unit 89

Chapter: Wireless Mobile Detector 91

General safety information 91
Important notes on handling the detector 92
Description 93
General Description 93
Detector front-end description 93
When to use the backup cable 94
Charging the detector 94
Docking Station 95
Operation 95
Switching on 96
Front-end indicators 96
Operation and setting of WLAN 97
Status messages/system messages 99

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Table of Contents

Maintenance 99
Recommendations 100
Temperature 100
EMC compliance 100
Warm-up time from a cold start 100
Battery change 101
Attaching the clip-on grid 102

Part: System Operation 103

System operating status 103
Switching on the system 103
Switching on a switched-off system 103
Switching on after power failure or after an emergency SHUTDOWN
switch is activated 104
Switching off the system 105
Emergency SHUTDOWN switch activation 106
Rebooting the system 106

Chapter: Function and Safety Checkout 107

Performing function and safety checkout 107
Daily checks 107
During the examination 109
Monthly checks 109

Chapter: Collimation - Grid - Exposure Control 111

Light localizer and collimation 111
Automatic switching on and off of the light localizer 111
Restoring the last collimation 112
Collimation / Automatic Collimation Size Selection 113
Scattered radiation grid 114
Additional filters 114
IONTOMAT automatic exposure control 116

Chapter: Patient Transfer and Positioning on or at the Patient

Table 117
Information about positioning on the patient table 117
Preparing positioning 119
Positioning the patient 119
Important notes 119
Centered exposure with vertical beam path 120

6 / 248 AXB7-020.620.03.01.02 Operator Manual

 Table of Contents

Free exposure with vertical beam path onto the pulled out detector
121
Free exposure onto the mobile detector 123

Chapter: Patient Positioning at the Wall Stand 127

Preparing positioning at the wall stand 127
Positioning the patient at the wall stand 128

Chapter: Detector Calibration 133

Reasons for a detector calibration 133
Calibration procedure 134
Calibrating the mobile wi-D detector in the table 134
Calibrating the integrated detector in the wallstand 136

Chapter: Emergency Operation 139

Emergency operation (cassette) 139
Procedure 139
Storing the cassette tray 140
Extended Emergency operation (cassette) 141

Part: ORTHO 143

Description of theOrtho support 143
Overview 143
Brake levers 145
Operation 145
Accessories 146
Holding device for the ruler 146
Compression belt 148
Roll up the belt completely with the hand screw (3) on the clamping part.
152
Technical Data 153
Dimensions 153

Chapter: Positioning the patient for Ortho imaging 155

Positioning the patient 155

Chapter: Automatic ORTHO 157

Automatic Ortho imaging 157

Chapter: Manual ORTHO 159

Manual Ortho imaging 159

Ysio VB10 AXB7-020.620.03.01.02 7 / 248

Table of Contents

Part: Accessories and Auxiliary Devices

163
Patient Table 164
Technical data 164
Patient table Prognost XP 165
Handling 165
Technical data 166
Mobile Patient Tables Prognost XPE and XPE-Akku 167
Intended use 167
Features 167
Components 168
Control elements and indicators 168
Table top UP and Down movement 173
Column synchronization 174
Adjustment and storage of preferred table heights 174
Energy-saving mode 175
Accumulator box1 175

Exposures with Prognost XPE/XPE-Akku 179

Danger points 181
Cleaning 182
Disinfection 182
Daily checks 182
Disposal Remarks 183
Technical data 183
Symbols 185
Labeling 186
Detector tray for Prognost tables 189
Safety information 189
Intended use 189
Features 189
Detector tray positions 189
Operation 191
Cleaning 194
Disinfection 194
Regular checks 194
Technical data 195
Labels 196
Symbols 196
Patient positioning mattress 197
Application 197
Attachment 197

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 Table of Contents

Handgrips, lateral 197

Application 197
Attaching the handgrip 198
Removing the handgrip 198
Overhead patient handgrip 199
Application 199
Inserting 199
Moving / Removing 200
Adjustment 200
Compression belt 200
Application 200
Using the compression belt at the table 201
Immobilizing strap 204
Utilization 204
Detector holder, mobile 204
Detector holder, lateral 205
Application 205
Misuse 206
Attaching detector holder 206
Inserting the detector 207
Removing detector and detector holder 207
Clip-on grid 208
Application 208
Attaching the clip-on grid 208
Removing the clip-on grid 210
FD protector (patient support) 211
Grid holder 211
Compensation filters 212
Utilization 212
Attaching a filter 213
Removing a filter 214
Filter holder for 8 filters 215
Application 215
Fastening the wall holder 215
Equipping the wall holder with compensation filters 215
Storing the compensation filter in the wall holder 215
Three-field template, set 216
Application 216
Using the three-field templates 216
Storing the three-field templates 216
AEC templates 217
Application 217

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Table of Contents

Using the AEC templates 217

Storing the AEC templates 217
Laser light localizer 218
BABIX holder 219
Application 219
Trolley for BABIX cradle 221
Application 221
Operating sequence 221
BABIX cradle, U-shaped, 700 mm 224
Application 224
Attachment 224
Removal 225
Information on the possibility of wear 225
Cleaning 226
BABIX retainer, for U-shaped BABIX cradle 226
Application 226
Fastening the BABIX retainer 226
Removing the BABIX cradle 226
Storing the BABIX cradle 227
Wireless Remote Control 227
Important information 227
Operation 228
Charging Station 233
Exchange of batteries 233
Technical Data 234
Footswitch 234
UPS 235
UPS for the imaging system 235

Part: Technical Data 237

System 237
Patient table 237
X-ray tube support 238
Wallstand 239
Collimator 240
Detectors 240
X-ray generators 241
X-ray tube 242
FLUOROSPOT Compact imaging system 242

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 Table of Contents

Computer system 242

Monitor system 243
Archiving and documentation 243
Dimensions and weights 243
Electrical data 243
Installation data 244

Ysio VB10 AXB7-020.620.03.01.02 11 / 248

Table of Contents

12 / 248 AXB7-020.620.03.01.02 Operator Manual

 Part: Safety

Information about this Operator Manual

General information
Scope of applicability This Operator Manual describes all system features.

Note The complete system is described with all options and components that have been
released. Possible options have not been specially marked.
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.
‹ Particular options or components may not be available for specific systems.

‹ If your system does not have a specific feature, please contact your local sales
representative.

Installed system com- When reading this Operator Manual please remember that some system compo-
ponents nents described herein may not be installed in your system configuration.
On the other hand, you will find further information in separate operator manuals
for some components and options installed in your system, if these are not de-
scribed in the following chapters.

Third party Please take information about description, operation, construction and technical
components data of third party components from the documents of the supplier.

System Owner Manual You have received a System Owner Manual folder with your system. In this you
may find additional manuals and documents. Also you can file protocols, certifi-
cates and other documents there.

Ysio VB10 AXB7-020.620.03.01.02 13 / 248

Safety

Usability The systems must only be used by persons with the necessary specialist knowl-
edge after training e.g. physicians, radiologists, cardiologists and medical special-
ists.
„ Patient population: newborn to geriatric.

„ Operator profile: The usage of the system described in this Operator Manual re-
quires specific technical and medical knowledge and skills regarding, at a min-
imum, radiation protection, safety procedures and patient safety.
People using, moving, working with the system must have acquired such
knowledge and skills during their curriculum.
„ Language understanding: Users must understand the language of the Opera-
tor Manual before touching the system.
„ Equipment training: Application training is delivered with the equipment ac-
coring to the hand over contract. It is mandatory to follow such application
training delivered by Siemens Representative before any use of the system.
The follow-up training, which is necessary due to change of personell, is in the
responsibility of the operator of the system. Any additional training can be re-
quested from Siemens.
„ Operator Manual and precautions: Read and understand all the instructions in
the Operator Manual before attempting to use the system and request addi-
tional training from Siemens, if needed.
Keep the Operator Manual with the equipment at all times and periodically re-
view the procedures and safety precautions.
Failure to follow the operating instructions and safety precautions could
result in serious injury to the patient, others or yourself.
„ Patient safety: Provide assistance for getting the patient on and off the table.
Be sure all patient health lines (IV, oxygen, etc.) are positioned so they will not
be caught when moving the equipment. Never leave the patient unattended
while in the system room.
An unattended patient could fall from the table, activate a motion control, or
encounter other problems which could be hazardous.
„ Radiation safety: Always use proper technique factors for each procedure to
minimize x-ray exposure and to produce the best diagnostic results.
„ Establish emergency procedures: It is not always possible to determine when
some components, such as x-ray tubes, are nearing the end of their operating
lives. These components could stop operating during a patient examination.
Establish procedures for handling the patient in case of the loss of fluoro-
scopic imaging or other system functions during an examination.

14 / 248 AXB7-020.620.03.01.02 Operator Manual

 Safety

Operation of the system by non-trained users

Caution Risk of incorrect diagnosis or treatment due to misinterpretation of image in-
formation.
‹ The system must only be used by persons with the necessary specialist knowl-
edge, e.g., physicians, trained radiologists, or trained technologists, after an
appropriate application training.

Safety Always pay attention to the relevant safety information.

Disregarding the information on safety is considered as abnormal use.

Statutory regulations If legally binding regulations govern the installation and/or operation of the sys-
tem, it is the responsibility of the installer and/or the operator to observe these
regulations.

Structure
Parts This Operator Manual comprises of different parts. The part title is stated in the
first header line.

Chapters Each part may contain one or more chapters. The chapter title is stated in the se-
cond header line.

Page numbers The footer contains the page numbers and the overall number of pages. The page
numbering is continuous within the complete manual.

Text layout
Note A note emphasizes important information without there being direct danger and
helps you to operate the system properly and to avoid errors. It also provides ad-
ditional useful explanations about a subject.

Note Example for Note

Ysio VB10 AXB7-020.620.03.01.02 15 / 248

Safety

Structure of safety information

Warning/Caution
Caution Cause/Source of danger
Possible consequences
Precautions or remedies

Warning indicates a hazardous situation which, if not avoided, could result in

death or serious injury.
Caution indicates a hazardous situation which, if not avoided, may result in mi-
nor or moderate injury or property damage.

Pictograms
The following are pictograms and their meanings as they may apply to your sys-
tem (IEC standard).

Alternating current
Equipotential bonding

Caution: read Operator Manual

Caution: Laser

Off (disconnection from line power supply)

On (connection to line voltage)

Degree of protection type B

Illustrations All illustrations of the equipment and of the user interface shown in this Operator
Manual are examples only.
Differences in detail may occur in your system due to the installed options, config-
uration and constant development of the system.
Reproduction of images can cause loss of detail. Pictures in this Operator Manual
do not therefore provide any indication of image quality.
All names of patients shown in images or illustrations are purely fictional. Any sim-
ilarities with existing persons are entirely coincidental.

16 / 248 AXB7-020.620.03.01.02 Operator Manual

 Safety

Value statements All technical data are typical values unless specific tolerances are stated.
Values shown in pictures of the software user interface have no clinical meaning.
‹ Please only set the values preset in the exam sets provided or the values recom-
mended by experienced application specialists.

Information about the software

Language
Incorrect image processing due to wrong configured system language
Caution Incorrect basis for diagnosis
‹ Configure the system only in one of the following languages: German, English,
French, Spanish, Japanese.

Copyright The system and user software used in this product is protected by copyright.

DICOM conformity The imaging system software is conforming to the DICOM standard. A DICOM con-
formance statement is available from Siemens.

Third-party software Only software authorized by Siemens for use with this product may be used.

Use of non-approved or manipulated software or hardware components

Caution Risk of malfunctions posing a hazard to patients and equipment
‹ Only use software or hardware components approved by Siemens.

Impermissible or faulty manipulations/changes of the software or connection of

Caution the system to a network
Risk of unauthorized access
‹ Make sure all necessary precautions with respect to the existing level of secu-
rity are considered when adding a functionality or altering the shipped config-
uration.

Virus scanner Refer to the FLUOROSPOT Compact operator manual for further information.

Data protection
Personal data are subject to data protection.
‹ Please observe the relevant legal provisions.

Ysio VB10 AXB7-020.620.03.01.02 17 / 248

Safety

Information about reporting

Correct image orientation - patient orientation

It is the responsibility of the operator to ensure correct image orientation on the
monitor/film.

Image flipped
Warning Confusion between up/down/left/right can cause incorrect diagnosis
The examiner is responsible for using the functions and interpreting the images
correctly and the consequences resulting from it.
‹ Check patient position with the anatomic view of the current image.

Incorrect right/left labelling

Warning Risk of incorrect diagnosis
The examiner is responsible for correct right/left labelling.
‹ Make sure that the R/L labels have been placed correctly.

‹ If necessary, use lead letters or similar devices during acquisition.

Visual contact to patient

The operator of the X-ray system must ensure that there is visual and acoustic con-
tact with the patient, thus making it possible to remain informed about the condi-
tion of the patient at all times.

Room lighting
According to DIN 68 68-571 the lighting in rooms in which diagnoses are made on
image display devices (monitors) must fulfill the following requirements:
„ The lighting must be adjustable and glare-free.

„ The setting of the illuminance must be reproducible (e.g., dimmer with scale).

„ No mirroring or reflections of windows, lights, view boxes, etc. must occur in

the operating position of the monitors.

1 valid in Germany

18 / 248 AXB7-020.620.03.01.02 Operator Manual

 Safety

Prerequisites for diagnosis and treatment planning

The Fluorospot Compact Imaging System software has been designed and tested
for use in diagnosis and treatment planning based on digital radiographic and flu-
oroscopic X-ray images and series. To ensure that the imaging system produces
monitor images suitable for these purposes, the monitor must meet certain crite-
ria for image quality.

Checks Since image quality can deteriorate over time because of ageing and normal wear
and tear of the monitor and other components, the image quality must be
checked at regular intervals (once per month) after installation to ensure that the
system is still suitable for use in diagnosis and treatment planning.
These checks and the intervals required are described in the System Owner Man-
ual.

Note The operator must ensure that qualified personnel are chosen and that the criteria
for image quality described in the installation and maintenance instructions are
fulfilled.

Test images Test images for use in calibration of the monitor and/or to test the laser camera
quality output are stored in the system. A certain button is available in Patient
mode to visualize the Test images in Postprocessing mode.
Printing of test images will be provided in Documentation mode.
Selection of the Patient mode will return the system to normal operation.
Refer to the FLUOROSPOT Compact operator manual for further information.

Monitor(s)
Please observe the following information:
„ The operating indicator must light up.

„ Please keep the ventilation slots of the monitors unobstructed at all times.

Note Monitors are suitable for medical on-line diagnosis only if special measures to as-
sure image quality are adopted (especially determining the brightness and con-
trast values).
‹ In case of doubt, film images on a hardcopy camera if you want to make a di-
agnosis.
Siemens undertakes no liability for diagnoses which are performed on non-Sie-
mens monitors or on monitors not calibrated by Siemens.

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Safety

Use of hardcopy cameras

Only hardcopy cameras approved by Siemens may be used. Approvals by Siemens
refer to DICOM image type XA. Siemens does not accept any liability for diagnoses
made on the basis of images from non-approved hardcopy cameras.

Cleaning and disinfection

Use of harsh cleaning agents, liquids or sprays.

Caution Risk of electrical hazard or damage to the system
‹ Use only substances for cleaning and disinfection, which are recommended.

‹ Do not let cleaning liquids seep into the openings of the system (e.g. air open-
ings, gaps between covers).
‹ Observe the cleaning and disinfection instructions.

Inadequate cleaning and/or desinfection

Caution Risk of infection
‹ Clean and disinfect all contaminated surfaces/parts and all parts which may (or
have come) into contact with patient after each examination.
‹ For cleaning use water or a lukewarm diluted household cleaning agent solu-
tion.
‹ For disinfection use common surface disinfectants (aldehyde and/or ampho-
tenic-based).
Recommendation:
‹ Protect the portable detector with a single use plastic bag.

Cleaning
‹ Before cleaning the system, shut the system down properly.

Note ‹ When cleaning and disinfecting, use suitable gloves for your own protection.

‹ Clean all contaminated parts and all parts that may or have come into contact
with the patient directly or indirectly.

20 / 248 AXB7-020.620.03.01.02 Operator Manual

 Safety

Equipment ‹ Only use water or a lukewarm diluted household cleaning agent solution.

Note The use of other than the recommended cleaning agents can result in damage to
the equipment.

‹ Wipe system parts with a damp cloth (squeeze out wet cloth before using it)
until all contaminations are removed.
‹ Remove any watery residues immediately.

Ventilation slots ‹ Keep the ventilation slots of all components unobstructed.

Touch User Interface You must clean the MaxTouch regularly because it becomes dirty with finger-
(MaxTouch) prints:
‹ Do not spray the MaxTouch directly.

‹ Wipe the MaxTouch only with a clean, damp cloth

Monitors and keyboard When cleaning the monitor screens or displays use only a water damp cloth with-
out any cleaning agents.
‹ Wipe the screen.

‹ Dry it with a soft cotton cloth.

‹ Remove any contamination (such as contrast medium stains) immediately.

Note Liquid-crystal displays (LCD) are very sensitive to mechanical damage.

‹ Avoid scratches and shocks.

‹ Remove drops of water immediately, longer contact with water discolors the
surface.

Accessory parts Please note that for some accessory parts special instructions on cleaning are giv-
en in the corresponding chapters.
See Accessories and Auxiliary Devices.
Unless special instructions are given there, the equipment cleaning instructions
are valid.

Disinfecting
‹ Disinfect all parts that may or have come into contact with the patient directly
or indirectly.

Ysio VB10 AXB7-020.620.03.01.02 21 / 248

Safety

‹ In addition, observe the hygiene plan of your hospital.

‹ Disinfection the system by wiping only.

For the disinfection of surfaces we recommend the following active ingredients:

„ Quaternary compounds

„ Guanidine derivatives

Note ‹ Follow the manufacturer's instructions for use for these disinfectants.

The use of disinfectants other than those recommended can cause health impair-
ments to the user and damage to the system.

Sterilization
The system does not require sterilization.

Information about unit movements

Because of the possible speed of movement of the Ysio, this system must be op-
erated with particular care.

Manual or motorized movements

Caution Risks of injury by crushing or collision for persons and objects in the vicinity
of moving parts.

‹ Ensure that with units that can be raised, tilted, lowered or moved, neither you
nor any third parties are in the system’s path.
‹ Ensure that anybody is outside the hazardous zone.

Surrounding persons or parts are not in the collision calculation.

Caution Mechanical or personal damage

‹ Check if no persons or additional objects (accessories) are in the moving area

of stands or table before any motorized movement will be released.

22 / 248 AXB7-020.620.03.01.02 Operator Manual

 Safety

Defect of system components

Caution Any defect of a component in the system may lead to a reduced level of safe-
ty of the resulting system
‹ Terminate the operation of the system.

‹ Notify the customer service.

Note Unit movements should be started only if neither a patient nor a third party may
be endangered and if no object may hinder unit movements.
However, if an object (e.g., during a down movement) was hindering a movement
direction (e.g. seat) or the height of the detector unit or the X-ray tube was man-
ually readjusted, the alignment control must be re-adjusted.
Also refer to Tube tracking in table mode Î61.
If this alignment is not performed, no acquisitions are possible!

Dead man's grip All unit movements are controlled with a dead man's grip (DMG), that is, move-
ments are performed only while the operating element is being actuated. In the
event of danger, the movement can be stopped immediately by releasing the
dead man's grip.

Danger of crushing The patient and operating personnel must grip only the handles which are intend-
ed for the proper handling of the equipment or positioning of the patient. Where
this is not possible, attention must be paid to possible risks of injury by crushing
in the vicinity of moving parts.
‹ Pay special attention to the risks of crushing fingers/hands between moving
parts and their guide openings.
‹ Before performing unit movements make certain that the patients do not grasp
the frame of the tabletop.

Abnormal movements If any part of the system moves although that movement was not released, for ex-
ample, if the monitor suspension system moves downward by itself, there might
be a fault.
‹ Shut down your system and call Siemens Service.

Collision protection The Ysio has a collision control device comprising all motor driven moving compo-
nents like tube support, detector support, tabletop and wall stand.

Note Attention: When organ programs are used in which the tube was programmed in
the collision zone of the table, collisions of the tube and the table are possible.
Never leave the system unattended during system movements.

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Safety

Red emergency STOP buttons

Movement without intentional activation of control elements.

Caution Risk of collision, risk of injury to patient or operator, risk of damage to unit
parts.
‹ If movement does not stop press the nearest emergency STOP button.

Triggering STOP If a malfunction of a unit movement causes an emergency situation, danger to the
patient, to operating personnel, or to the unit:

‹ Press one of the red emergency STOP buttons immediately.

STOP – All system drives are shut down and movements are stopped immediately.
Movement can only be resumed when STOP is canceled.
– Radiation, fluoroscopy and acquisition are interrupted, but can be released
again if you press the fluoroscopy/exposure release pedal again, even with-
out canceling STOP.
– Injections are interrupted, but can be continued without canceling STOP.

Canceling STOP Only when the cause of the danger has been unequivocally identified and reme-
died, can the emergency STOP button be disengaged.
‹ To do so, pull the red emergency STOP button

Note
In the event of a system failure:
‹ Press the emergency STOP button and unlock it again.

This will reinitialize the system.

Where are the emergency STOP buttons?

STOP You will find emergency STOP buttons in the following locations:

24 / 248 AXB7-020.620.03.01.02 Operator Manual

 Safety

... at the table

... at the generator ON/

OFF console

STOP

... at the wall stand

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Safety

Emergency SHUTDOWN button (installed on-site)

Use this shutdown method only in an extreme emergency because it is an uncon-
trolled process!
Data could be lost, e.g. unsaved images, exporting and filming jobs, etc. The tube
cooling system is also disconnected from the power supply, and the tube can over-
heat.
If a flat detector is used, it is also disconnected from the power supply. After the
power has been switched on again, an additional waiting time is required to en-
sure optimum image quality.

Shutdown using the emergency SHUTDOWN button

Caution Risk of data loss and/or
Damage to tube due to lack of cooling
‹ Operate the emergency SHUTDOWN button only in case of emergency or if the
system cannot be switched off normally.

Note An emergency power supply, if one is connected, will not be activated when
emergency SHUTDOWN is pressed.

Switching off in an emergency

Only exclusively, if there is danger for patients, operators, third parties or the unit:
‹ Press the on-site emergency SHUTDOWN button.
– The entire system is disconnected from the power supply.
This means that:
„ all unit movements will be interrupted

„ radiation will be turned off

„ the current system program will be interrupted

„ current operating sequences will be interrupted and cleared

„ all current acquisition data will be cleared, unless they have been saved to non-
volatile memory

Switching on again
Only if the cause of the danger has been unequivocally identified and remedied,
the emergency SHUTDOWN button can be released and the system operated
again.

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 Safety

‹ In all other cases, for example system malfunction, contact Siemens Customer
Service.

Emergency Procedures

Due to the complexity of the system or line voltage below the specified threshold,
Caution the loss of radiographic X-ray imaging or other system functions during an exam
cannot be completely excluded.
Delayed or no diagnosis, possibly suboptimal treatment
‹ Consider the need to establish emergency procedures.

Maximum weight
The permissible patient weight with which you can load your tabletop is stated on
the label on the tabletop and in the technical data.
It is important that the load is distributed uniformly over the tabletop. Otherwise
there is a risk of material deformation and system malfunction. The patient weight
includes any parts permanently or loosely connected with the patient, such as
equipment, prostheses, implants, plaster casts.
Example of incorrect use with uneven weight distribution:
A patient with a maximum weight sitting at the end of a fully extended tabletop.

Maximum load
The component, e.g. tabletop or accessory, must not be loaded with more than
XX the weight indicated.

Damage to the tabletop

A damaged tabletop is a potential hazard to the patient!
When the patient tabletop collides with an obstacle such as a bed or instrument
table, hairline cracks can result.
‹ Call Siemens Service and have the tabletop checked immediately if it is possible
that it might have been damaged (e.g. accidental collision with the patient's
bed)!

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Safety

Warning signs
Special danger points are marked on the unit with a warning sign:

Danger of crushing

This warning sign indicates possible danger of crushing for the patient and/or ex-
aminer.

Risk of collision However, under certain circumstances, additionally installed components, e.g.
lead protective screens, lamps, auxiliary equipment etc. can cause collision with
the system.
red
To protect these components and also to protect the patient, such components
black
are provided with the warning sign shown on the left.
We can provide you with these warning signs. Siemens Service will also attach
them to additionally installed components on request.

Danger zones / danger points ...

The positions marked in the following illustrations indicate danger zones in which
patients or operating personnel could suffer injury by crushing or colliding:
„ Due to the mobility of the stands there is a danger of injury in certain areas dur-
ing unit movements.
„ Make sure that there are neither persons or objects in the swivel or rotation
range of the stands or the lifting and rotation range of the patient table.
„ Make sure that the knees of seated staff members are not located in an area
under a stand or the patient table.

Risk of injury by crushing or collision

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 Safety

... at the patient table

... at the overhead sup-

port

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Safety

... at the wallstand

Note Downward movement stops at 12 cm distance to floor.

Movement can be continued manually.

...at the wallstand with

pulled out detector
tray

Risk of injury by crushing or collision

30 / 248 AXB7-020.620.03.01.02 Operator Manual

 Safety

... at the lateral detec-

tor holder

Radiation protection
The X-ray equipment Ysiowith radiation protection complies with IEC 60 601-1-3
:1994.

Important information
The automatic format collimation system for acquisition helps reduce the radia-
tion dose to the patient and examiner considerably.
Please observe the following:

Radiation protection ‹ If possible, ensure the best possible protection of the patient during acquisi-
for the patient tions in the vicinity of his or her reproductive organs (use gonadal shields, lead-
lined rubber covers).
‹ Keep the radiation field as small as possible without reducing the active mea-
suring field.
‹ Remove all radiopaque parts from the radiographic field, if possible.

‹ Set the X-ray tube voltage as high as possible (not forgetting the image quality;
the optimum is 63 kV for iodine contrast).
‹ Set the X-ray tube to skin distance as large as is reasonable for each examina-
tion.

Radiation protection ‹ If possible, release the acquisition series in the control room.
for the examiner
‹ The duration of your stay in the control area should be as short as possible.

‹ Wear protective clothing in the control area during examinations.

‹ Maintain the maximum possible distance from the source of radiation.

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Safety

‹ Check your personal dose by wearing a radiation monitoring badge or a pen

dosimeter.
‹ If possible, use mechanical protective shields (protection for upper and lower
body). These contribute greatly to your personal radiation protection.

Laws and regulations

The statutory regulations of the respective country must be followed.

Regulations in the EU
Due to the Medical Device Directive 93/42/EWG, Ysio complies with the standards
of the EN 60 601-1 series.

Additional national regulations

To ensure safety for operators, patients, and third parties, we recommend compli-
ance with the regulations listed here to the extent that local national laws allow.

Germany RöV (X-Ray Ordinance) - Legally required tests according to §16:

Before start-up
„ Acceptance test

„ Expert inspection

During operation according to the time intervals specified

„ Constancy test

MedBetreibV (ordinance for system owners of medical equipment)

„ Safety check for technical construction at least every 2 years

Regulations in the U.S.A.

Corresponding to the Medical Device Directive in the EU, Ysio complies in the
U.S.A. with the standards of UL 60 601-1.
Federal law stipulates that this system may only be sold to a physician or by order
of a physician.
This system is intended for use in radiographic examinations and under the guid-
ance of a trained health care professional.

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 Safety

Protective measures

Protection against electric shock

Power supply For all products that are operated within an X-ray system, the power supply must
be made through a contactor or other multipole circuit breaker installed on-site.
The room installation must comply with DIN VDE 0100-710 or the corresponding
national regulations.

Power outlet The country-specific multipurpose power outlet on the patient table is not
switched off and on with the system.
Only devices which accord to IEC 60 601-1 must be connected.

Covers If socket covers (especially those of the operating modules) are damaged, they
must be replaced.
In the event of defects, for example, if a covering cap has broken off:
‹ Call Siemens Service.

Protection class
The system belongs to protection class I with a type B applied part according to
IEC 60 601-1.
Protection against ingress of water:
„ IPx4: control modules, patient table

„ IPx8: footswitches

„ IPx0: rest of the system

Equipotential bonding Systems for which equipotential bonding is recommended must only be operated
in medical facilities where supplemental equipotential bonding has been installed
and tested according to the specifications in DIN 57107/VDE 0107/6.81 section 5
(Federal Republic of Germany) or the relevant local and federal regulations.

Opening the units Only authorized service personnel are permitted to open the units.

Combination with other products/components

To ensure the necessary safety, only products/components expressly approved by
Siemens AG, Medical Solutions may be used in combination with the system.

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Safety

To find out about the current state of the equipment and the combinations and
upgrades currently approved:
‹ Please contact your authorized local sales representative.

Interfaces Accessory equipment connected to the analog or digital interfaces must be certi-
fied according to the respective IEC standards (e.g. IEC 950 for data processing
equipment and IEC 60 601-1 for medical equipment).
Furthermore all configurations shall comply with the valid version of the system
standard IEC 60 601-1-1.
Everybody who connects additional equipment to the signal input part configures
a medical system, and is therefore responsible that the system complies with the
requirements of the valid version of the system standard IEC 60 601-1-1.
‹ If in doubt, consult the technical service department or your local representa-
tive.

Fire protection
In the event of a fire shut down the entire system immediately, that is, disconnect
the system from the main power supply.
‹ Press the emergency SHUTDOWN button or actuate the main or disconnecting
switch.
‹ Use a CO2 fire extinguisher.

Note Do not use water!

Fire inside or in the vicinity of the system

Caution Risk of injury of patient and personnel and damage to the property.
Risk of gas poisoning caused by burning plastics.
‹ Switch off the system in the event of fire.

‹ Make sure that you and the patient know where the escape routes are.

‹ Make sure that you know where the fire extinguishers are located and familiar-
ize yourself with the use of them.

‹ Contact Siemens Customer Service before performing any refurbishing work

and before starting the system up again.

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 Safety

Explosion protection
An Ysio is not designed for operation in explosion-endangered
areas.

The system is not designed for operation in explosion-endangered areas. It does

Caution not fulfill the requirements for AP/APG classification.
Danger of explosion!
‹ Do not use the system where explosive atmospheres can arise.

Note Only products with the AP mark (AP = anesthetics test) may be used in explosion-
AP endangered areas.

Installation, repair, or modifications

Modifications of or additions to the product must be made in accordance with the
legal regulations and generally accepted engineering standards.
Siemens cannot accept responsibility for the safety features and for the reliability
and performance of the equipment as the manufacturer, assembler, installer or
importer, if:
„ installation, equipment expansions, readjustments, modifications or repairs
are not carried out by persons authorized by us to do so,
„ components affecting safe operation of the product are not replaced by origi-
nal spare parts in the event of a malfunction,
„ the electrical installation of the room does not meet the requirements of the
VDE regulation or the corresponding national regulations, or
„ the product is not used in accordance with the Operator Manual.

Technical documents On request we can provide you with technical documents for the product for a
charge.
This does not imply authorization to undertake repairs.

Note We recommend that you obtain a report indicating the nature and the extent of
the work performed from the persons carrying out such work. The report should
include all changes in rated parameters or operating ranges as well as the date,
the name of the company and a signature.

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Safety

Note We accept no responsibility for repairs performed without our express written ap-
proval.

Maintenance
Legally required tests All legally required tests must be performed at the specified time intervals.
In Germany: constancy test, stipulated under §16 of the RöV

Regular maintenance To ensure the safety of the patient, operating personnel and others, tests must be
performed regularly to maintain the safety and proper functioning of the pro-
duct.
The maintenance information is specified in the Maintenance Plan in the System
Owner Manual.

Abrasion of wear
Caution Injury of patient, operating personnel and others.
Permanent damage to the system.
‹ Consider the maintenance guidelines to maintain safety and proper function of
the system.

If more frequent inspections and/or maintenance are required by national regula-

tions, compliance with these regulations is essential.
All parts of this system in which wear could lead to a hazard must be inspected by
trained technical personnel and replaced if necessary.
Maintenance work can be performed by Siemens Customer Service for a charge.

Service contract Regular inspections should be part of the annual maintenance performed by Sie-
mens Service under a service contract. We therefore recommend that you take out
a service contract.
It is also possible to take out a service contract based on system usage.
‹ Please contact your authorized local sales engineer in this matter.

Safety-related parts The safety-related parts subject to wear and the measures to be taken are listed in
subject to wear the Maintenance Plan in the System Owner Manual.

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 Safety

Use of the full-field light localizer

Photobiological effect of ultraviolet radiation

Caution Eye injury
‹ Do not look into the light beam for longer than 15 seconds.

‹ Always keep enough distance to the collimator.

Product service life

Our medical engineering products are designed for operation under average con-
ditions in accordance with the Operator Manual for a useful life of 8 (eight) years.
If the products are operated for longer than this time, additional checks and pos-
sibly repairs beyond the usual maintenance procedures may be necessary in order
to ensure the functional integrity and operating safety of these products. Please
talk to us about these measures early enough!

Disposal
Refer to the System Owner Manual.

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Safety

38 / 248 AXB7-020.620.03.01.02 Operator Manual

 Part: System Overview
Introduction

Components
The Ysio system is equipped with either a
„ Fully automated overhead support
– The X-ray tube is attached to a fully automatic ceiling stand and can be
freely positioned in the examination room.
– Preprogrammed imaging positions enable quick and informative examina-
tion results.
or a
„ Fully synchronized overhead support
– Motorized adjustment of the ceiling suspended X-ray tube which provides
free travel z-axis.

Further components can be:

„ Patient table with wireless mobile detector

„ Wall stand with wireless mobile detector

„ Wall stand with integrated detector

„ Wireless mobile detector

Scatter Radiation Grid The table and the wall stand are equipped with a stationary scatter radiation grid.
For free exposures the mobile wireless detector can be equipped with a clip-on
grid.

Application capabilities
An Ysio system may be used for projection of radiographic examinations of both
adults and children (removable scattered radiation grid).
„ On the patient table, X-rays can be taken on the recumbent or sitting patient
from head to foot. Exposures in the region of the skull, of the spine, of thorax,
lungs and abdomen as well as of the extremities are possible.
„ On the wall stand, X-rays can be taken on the standing or sitting patient (chest
etc.).
„ In addition exposures onto detector in the form of free exposures are possible.

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System Overview

Examples

40 / 248 AXB7-020.620.03.01.02 Operator Manual

 Introduction

Intended use
The digital systems are used for making X-ray exposures of the head, spinal col-
umn, abdomen, thorax (lungs), internal organs and extremities with/without us-
ing conventional film/screen and CR -systems.
The digital image is displayed and checked on the display of the image station and
then transferred to
„ a diagnostic workstation for reporting,

„ a viewing station for diagnostics

„ a laser camera for printout

The Trauma Solution Concept is used to examine trauma-patients.

Depending on the configuration, the systems must be suitable for all possible ex-
aminations in an examination room today.
This includes:
„ under-table exposures (detector or cassette in ,Bucky"),

„ onto-table exposures (detector or cassette on the table; important: small ob-

ject-detector distance,
„ exposures with/without grid, today with free exposure, cassette or detector
can be placed on the table diagonally),
„ bi-lateral exposures (cassette or detector upright and angulated against pa-
tient), exposures with the wall stand.
„ A portable detector /cassette, e.g. for examinations in bed.

The technologist must have unobstructed access to the standing, sitting (on bed
or stool/chair) and lying patient. The average adult patient itself is ~ 190cm tall,
weight is ~100kg. The condition depends on the health: could be e.g. walking pa-
tient in good condition or emergency patient, with tubus, in lying position, etc.
Weight tendency is growing up the last years: 200 to 250kg patients are more of-
ten.

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System Overview

42 / 248 AXB7-020.620.03.01.02 Operator Manual

 System Overview
Configuration

System configurations
The following system configurations are available:

Fully automated over- „ Wall stand with integrated detector

head support with
„ Wall stand with integrated detector, and optional wireless mobile detector

„ Patient table and wall stand to be used with one wireless mobile detector

„ Patient table with wireless mobile detector, and wall stand with integrated de-
tector

Fully synchronized „ Wall stand with integrated detector

overhead support with
„ Wall stand with integrated detector, and optional wireless mobile detector

„ Wall stand with wireless mobile detector

„ Wireless mobile detector only

„ Patient table and wall stand to be used with one wireless mobile detector

„ Patient table with wireless mobile detector, and wall stand with integrated de-
tector

System components in the examination

room

(1)
(3)

(2)

(1) Fully automated or fully synchronized overhead support with control panel,
tube assembly, MaxTouch (Touch User Interface) and collimator
(2) Patient table with mobile wireless detector
(3) Wall stand with wireless mobile or integrated detector

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System Overview

System components in the control room

(2)

(4)

(5)
(6) (3)

(1) Imaging System PC (not shown)

(2) Monitor (color or B/W TFT)
(3) Keyboard and mouse
(4) Wireless Remote Control
(5) Generator ON/OFF console with radiation release button
(6) Manual radiation release

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 Part: System Components
Overhead support with X-ray tube and multileaf col-
limator

Heavy items (such as lead aprons) hung on ceiling-mounted devices.

Caution Parts could be damaged or fall down
‹ Do not place any additional load on the ceiling mounted devices.

Overview

(1)

(3)
(2)

(4) (6)
(5) (5)

The 3D overhead support consists of the following components:

(1) Lifting column
(2) X-ray tube unit
(3) Touch User Interface (MaxTouch)
(4) Multileaf collimator
(5) Handles with buttons
– Use the handles if you want to bring the tube unit manually into another
position (vertical, longitudinal, transverse or rotation).
(6) Collimator control panel
You control the movements of the 3D overhead support with the aid of the han-
dles and the MaxTouch.
The display on the MaxTouch informs you about the position of the support (SID,
tube angle), the generator settings, patient name, organ programs, etc.

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System Components

Movement control elements

(1) (5)

(2) (6)

(3) (7)

(4) (8)

Button Icon Description

No.
(1) Tube rotation about the vertical axis

(2) Vertical tube movement up and down

(3) Vertical tube movement up (motorized)

(4) Vertical tube movement down (motorized)

(5) Longitudinal tube movement

Centering display

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 Overhead support with X-ray tube and multileaf collimator

Button Icon Description

No.
(6) Transverse tube movement

Centering display

(7) Tube rotation about the horizontal axis

(8) Floating tube movement (longitudinal, transverse,

vertical)

Touch User Interface (MaxTouch)

The MaxTouch is a color touchscreen user interface for control of multiple func-
tions. The touchscreen corrects its display orientation from portrait to landscape,
when the X-ray tube is tilted by 90°.

MaxTouch portrait orientation (left) MaxTouch landscape orientation (right)

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System Components

General functions

Icon Short description

Round buttons start an action immediately

Square buttons toggle a function or open a popup

menu

Help button

Important message with confirmation

Tape Measure tab card

Icon Short description

Select SID measurement (Source-Image Distance)

SID display (value in cm or inch)

Select SOD measurement (Source-Object Dis-

tance)

SOD display (value in cm or inch)

Magnification display
– calculated magnification result of SID and
SOD Mag = SID/SOD

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 Overhead support with X-ray tube and multileaf collimator

Device position tab card

Icon Short description

Tube rotation horizontally

Tube rotation vertically

Detector rotation horizontally

Detector rotation vertically

Detector tilt on wallstand

Detector height on wallstand

Table height

Generator tab card

Refer to the FLUOROSPOT Compact operator manual for further information.

Ysio VB10 AXB7-020.620.03.01.02 49 / 248

System Components

Ortho tab card

Icon Short description

Select TOD (Table-Object Distance)

Confirm Ortho start position.

A check mark is displayed when the position has
been confirmed.
Confirm Ortho end position.
A check mark is displayed when the position has
been confirmed.

Directly accessible functions

Icon Short description

Organ program list (popup menu)

Alternative organ programs if available (popup

menu) or just display

Tracking tube/detector on/off;

In state on “tracking not possible” is indicated in
red
SID tracking on/off;
In state off “SID tracking not possible” is indicated
in red
Top alignment

Store collimator

Page wireless remote control buttton

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 Overhead support with X-ray tube and multileaf collimator

Directly accessible displays

Icon Short description

Patient name and additional configurable filing
parameter

Patient position

Status Ready

Status Not ready

SID display in cm or inch

Centering display
– red, if not centered

Grid status
– grid SID in cm or inch

Collimator width
– in cm or inch
Collimator height
– in cm or inch

Collimator mode
– ACSS or Manual

Collimator rotation

Detector or cassette orientation portrait mode

Detector or cassette orientation landscape mode

No detector or cassette available in the detector

tray

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System Components

Multileaf collimator

(1) (2)

(3)

(4)
(6) CAUTION LASER
APERTURE

(5)
(6)

(7)

(1) Manual vertical collimation

– (turning to the left closes the collimator, to the right opens the collimator)
(2) Manual horizontal collimation
– (turning to the left closes the collimator, to the right opens the collimator)
(3) Button for full-field light localizer and laser line light localizer
– switches off automatically after 10 - 90 s (configurable)
(4) Tape measure for SID/SOD measurement
(5) Line light localizer with sliding cover.
(6) Accessory rails
(7) Crosshairs in the light localizer window

Tape measure for SID/SOD measurement (4)

Note
The measuring tape (4) has two scales:
Inches (left-hand scale) and cm (right-hand scale).

Laser line light localizer (5)

The laser line light localizer projects the axis mark for longitudinal centering,
which is aligned with the centering mark on the receptor.

Note The line light localizer is switched on and off jointly with the full field light locali-
zer.

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 Overhead support with X-ray tube and multileaf collimator

Note Laser light

‹ Do not use optical lenses, mirrors and similar instruments if working with laser
light. The optical instruments within the laser beam may amplify the laser in-
tensity to dangerous values for eyes and skin.

‹ Switch off the laser light when optical instruments are used.

Note To protect the eyes of the patient or any other person, the LASER radiation exit (5)
of the LASER line light localizer can be closed with the sliding cover (5a).

(5a)
(5a)
(5)

Laser light
Caution Eye injury
‹ Do not look into the beam!

‹ Take care that neither you nor any other person look directly into the light
beam.
‹ Close the Laser radiation exit of the Laser light localizer with the sliding cover
to protect the eyes of the patient or any other person.

If the halogen lamp of the light localizer burns for a long time the lamp housing
Caution can heat up.
Danger of burns
‹ Avoid contact with the lamp housing to avoid burns.

‹ To switch the laser line light localizer on, press the button at the front of the
collimator.
‹ To switch the laser line light localizer off, press the button again.
– The laser line light localizer can also be switched off automatically by an
internal time switch.

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System Components

Accessory rails (6)

Note The accessory rails may be loaded with maximum 70N (7kp).

Crosshairs (7)
„ The crosshairs project the longitudinal and transverse axis of the radiation field
onto the cassette or directly onto the patient.

‹ The full field light localizer for projecting the crosshairs is switched on with the
button at the front of the collimator.
‹ To switch it off press the button again.
– The full field light localizer can also be switched off automatically by an
internal time switch.
„ The laser line light localizer and the full field light localizer cannot be
switched independently of one another.

Locking spring
The locking spring is located on the left guide rail at the underside of the
collimator.
The locking spring locks the compensating filters, templates etc. inserted in the
accessory rails of the collimator, thus securing them against falling out.
‹ To remove the accessories, press the locking spring to the left until the com-
pensating filter, template etc. can be removed from the collimator.

Changing the bulb of the laser light localizer

Note This section does not apply to systems equipped with LEDs.

As soon as the lamp brightness decreases, this symbol is shown in the collimator
display. It recommends changing the bulb.
Although you can continue working with less brightness, we recommend chang-
ing the bulb as soon as possible.
To change the bulb proceed as follows:
‹ Switch the system off at the generator control console.

‹ If necessary, turn the collimator to get better access.

Refer to Rotating the multileaf collimator Î62.

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 Overhead support with X-ray tube and multileaf collimator

Lamp cover at the backside of the collimator

‹ Loosen the 3 screws on the lamp cover using a conventional slotted screwdri-
ver.
‹ Remove the lamp cover.

(1)

(2)

Heat shield

Note Heat shield might be very hot! Let it cool down before removing it.

‹ Loosen (single turn) the two heat shield screws (1) on the lamp.

‹ Remove the heat shield (2).

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System Components

(1)

(2)
(3)

‹ Remove the defective bulb (2).

– Do not touch the bulb with your bare fingers - it can be very hot!
‹ Insert the new bulb using a cloth and make sure both contacts (3) are touching
the frame stop position.
– Do not touch the bulb with your bare fingers!
‹ Insert the heat shield to the stop position and tighten the screws (1).

‹ Attach the lamp cover.

Lamp breaks
Caution Patient and/or user injured by glass splinters
‹ Use only OEM Siemens spare parts

Testing the fit of the new bulb

An incorrect position of the new bulb is visible by a mismatch of crosshairs and la-
ser line.

Correct position Incorrect position

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 Overhead support with X-ray tube and multileaf collimator

Movement of overhead support

Directions for moving and rotating the tube

+ -
z RHA
RVA + -

Directions for moving The 3D overhead support can be moved in the following directions:
„ x direction: longitudinal movement

„ y direction: transverse movement

„ z direction: height movement (SID)

Directions for rotating The X-ray tube unit can be rotated in the following directions:
„ about the horizontal axis (RHA = rotation horizontal axis)

„ about the vertical axis (RVA = rotation vertical axis)

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System Components

Positioning the 3D overhead support with tube unit

Adjusting height (z direction)

Defects on the carrying ropes or spring might be broken inside the lifting column.
Caution Injury of persons
‹ Do not exert strong force.

‹ Call the Siemens Service.

If the vertical movement of the lifting column is only blocked downwards there
might be defects on the carrying ropes or spring might be broken. In this case a
movement upwards is possible with a continuous sound.

Manually
‹ Grasp the handles of the 3D overhead support with both hands

‹ Press the button to release the brake for vertical movement.

– Releasing the button will stop the movement.
‹ Pull the overhead support into the required position.

Motor driven

‹ Press one of the buttons on the 3D overhead support control panel for up or
down movement.

Adjusting longitudinal position (x direction)

Manually
‹ Grasp the handles of the 3D overhead support with both hands

‹ Press the button to release the brake for longitudinal movement.

– Releasing the button will stop the movement.
‹ Pull the overhead support into the required position.

Note Stops are provided in the longitudinal and transverse direction of the 3D overhead
support, i.e. the support can be moved only by applying increased force or by re-
leasing the button and pressing it again to go through certain positions (e.g. table
center in longitudinal and transverse direction or defined SID values in longitudi-
nal direction).

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 Overhead support with X-ray tube and multileaf collimator

Adjusting transverse position (y direction)

Manually
‹ Grasp the handles of the 3D overhead support with both hands

‹ Press the button to release the brake for transverse movement.

– Releasing the button will stop the movement.
‹ Pull the overhead support into the required position.

Note Stops are provided in the longitudinal and transverse direction of the 3D overhead
support, i.e. the support can be moved only by applying increased force or by re-
leasing the button and pressing it again to go through certain positions (e.g. table
center in longitudinal and transverse direction or defined SID values in longitudi-
nal direction).

“Floating” support movement

If you want to move the support in longitudinal, transverse and vertical direction
simultaneously, press one of the buttons on the handles or the button on the sup-
port control panel for ’floating’ support movement.

Rotating the tube unit (RHA/RVA)

The tube unit (with multileaf collimator) can be rotated manually about two axes:
„ about the horizontal axis (RHA)

„ about the vertical axis (RVA)

Rotation of tube
Caution Risk of crushing
‹ Pay special attention to all crushing hazards between the system’s moving
parts and their guide openings.

In extreme operating mode the temperature of the X-ray tube assembly can heat
Caution up.
Danger of burns
‹ Avoid contact with the tube housing to avoid burns.

RHA ‹ Grasp the handles of the 3D overhead support with both hands.

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System Components

‹ Press the button for the brake for rotating the tube unit about the horizontal
(support arm) axis with your right thumb.

‹ Turn the tube unit into the required position.

– The angle of rotation is displayed in degrees on the Device Position tab
card of the MaxTouch.

Note The tube unit can be rotated about the horizontal axis continuously, at a maxi-
mum by ±120°. There are stop positions at 0° and at ±90°.

Note The accuracy of the stop positions of the tube unit might decrease to ±3°, due to
hard wear for example. Lateral image information might be “cut”.
‹ Always check the alignment of the tube unit with the light localizer.

Note The tube unit is rotated automatically by motor drive in tomography.

RVA The tube unit can be rotated about the vertical axis from -182° to +154° with stop
positions at -180°, -90°, 0° and +90° (see drawing).

Rotation of the tube unit about the vertical axis (view from above: from the ceiling to the floor)

‹ Grasp the handles of the 3D overhead support with both hands.

‹ Press the brake button for for rotating the tube unit about the vertical (over-
head support) axis with your left thumb

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 Overhead support with X-ray tube and multileaf collimator

‹ Turn the tube unit into the required position.

– The angle of rotation is displayed in degrees on the Device Position tab
card of the MaxTouch.

Tube tracking in table mode

Prerequisite: 9 System is in table mode and centered

9 Tracking is selected

With rotation of the tube up to 45° in both directions, the detector inside the table
follows the tube rotation; the central beam is locked on the detector.

Tube tracking in wall mode

Prerequisite: 9 System is in wall mode and centered

9 Tracking is selected

When rotating the tube about the horizontal axis outside the 90° position, the
tube support follows vertically; the central beam is locked on the detector.
This works in both directions up to 45°.

SID tracking
In addition to the tracking control perpendicular to the beam direction (in x direc-
tion), a further tracking control (in z direction) can be activated for keeping the SID
(source-image distance) constant:

‹ Touch the SID tracking button at the MaxTouch.

Deactivation of a tracking control

If the state of the system is changed so that one or several of the conditions for
active tracking control are not fulfilled, then the tracking control is automatically
switched off.

SID display
The SID (source-image distance) is displayed (in cm or inch according to configu-
ration) at the MaxTouch (tab card Tape Measure).

Checking the SID The SID display = source-image distance must be checked for agreement in case
of angulated tube or detector with the tape measure in the multileaf collimator.
‹ Use the tape measure to check the SID.

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System Components

Rotating the multileaf collimator

If collimation not parallel to the table edges is required, the multileaf collimator
can be rotated by ± 45° about the vertical axis.

(1)

(2)

Rotating the collimator

(1) Lock-in lever

(2) Lamp housing

If the collimator is NOT in the 0° position, it will be indicated at the display of the
MaxTouch with this symbol.

Rotating the collimator

‹ Press the lock-in lever (1) on the multileaf collimator in the direction of the
front panel.
– The 0° lock of the multileaf collimator is released.
‹ Grasp the collimator and turn it by the required angle in the intended direction.

Rotating back into the 0° lock-in position

‹ Grasp the collimator and turn it into the centered 0° lock-in position.

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 System Components
Table with Mobile Detector

Overview

(4)

(1)
(5)
(2)
(6)
(7)
(3)

(8)
Patient table with mobile detector

(1) Tabletop
(2) Accessory rails
(3) Handheld tableside control
(4) Detector tray, movable to the left or right and withdrawable
(5) Emergency STOP pushbutton
(6) Brake knob to move the detector tray
(7) Table centering button
(8) Foot kick switch for tabletop movements and table lift

Detector tray The detector tray can be moved manually to the left or right. The detector tray also
follows the tube unit by motor drive within a certain range (pull-in range).

Withdraw of detector To ensure better accessibility to an organ (e.g. for acquisitions of the forearm) the
tray detector tray can be pulled out like a drawer. In this case only free exposures
(2 point technique) are possible (without grid and automatic exposure control).

Note The maximum load of the opened detector tray must not exceed 10 kg.

Emergency STOP pushbuttons

One red emergency STOP pushbutton is located at the front and one at the back
STOP of the patient table.

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System Components

It interrupts all motor driven system movements.

For more details, please refer to Chapter Safety.

Detector tray with wireless detector

(3)

(3) (3)
(1)

(3) (2)

(1) Detector
See Chapter Wireless Mobile Detector
(2) Handle of the detector tray, mid-centering mark
(3) Stops

Inserting mobile detector

‹ Pull out the detector tray.

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 Table with Mobile Detector

Incorrect insertion of detector or cassette tray.

Caution Injury by squeezing or falling down of parts or damage of detector or
cables.
‹ Insert only portable detector or approved cassettes with an adequate tray in the
bucky tray.

‹ Carefully place the rear edge of the detector onto the detector tray, push the
rear edge of the detector against the stops (3) and lower the detector onto the
tray between the lateral stops (3).
‹ Carefully and slowly slide the detector tray into the patient table.

Note Be careful not to damage the detector when sliding it into the tray as the tray does
not have a mechanism to absorb the shock.

Detector cover broken

Caution Toxic contamination in case that detector panel is broken by mechanical
shock
‹ Handle portable detector with care!

‹ If the detector is broken do not use it.

‹ Inspect if any particles are spilled.

‹ Leaked particles could be toxic - do not touch them!

‹ Use protective gloves to collect and keep them in a sealed container.

‹ Return spilled particles to Siemens.

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System Components

Too heavy patient on detector, detector cover broken

Caution Possible injury of patient or personnel by carbon splinters or glass splinters.
‹ Handle portable detector with care!

‹ It the detector is broken do not use it.

Positioning the detector tray

Longitudinally „ For normal exposures on the patient table, the detector tray can be moved lon-
gitudinally to the left or right using the break knob (6). To unlock the the
brakes you have to pull the knob.
„ When the tracking function is active, the detector tray follows the longitudinal
movement of the 3D overhead support.

Centering To center the tube to the detector (tray) push the centering button (7) on the right
side of the detector tray.

Free exposures For free exposures (without grid and without automatic exposure control) and for
better accessibility, e.g. in exposures of the extremities, the detector tray can be
pulled out like a drawer.

Note Do not pull the detector tray out of the patient table until 3 seconds after an ex-
posure on the mobile detector.

‹ Pull the detector tray out to the front up to the stop.

– The detector tray is locked in the end position.

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 Table with Mobile Detector

Note Gently let slide the detector tray into the end positions, because strong vibrations
may lead to impact on image quality.

Note Do not load the withdrawn detector tray with more weight than the label on the
detector tray states.

Pushing the detector tray back in

‹ Push the detector tray back in until it locks into position.

Hand-held tableside control

(3) (1)

(2) (4)

(5)

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System Components

Button Icon Description

No.
(1) Parking position
Switching over the function of the OGP button to
parking position
– Green LED is on.

Note: With the fully synchronized overhead

support automatic parking position only in ver-
tical direction.
After having reached the parking position, immedi-
ately switch off this function again.
– Green LED is off.
(2) Table down

(3) Table up

(4) Floating table top on/off or toggle mode

(5) OGP button*

* no function with fully synchronized overhead support

Unintentional activation of motorized movement by the patient

Caution Injury of patient
‹ Take care that the hand-held tableside control is inside the associated holder
during patient transfer.

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 Table with Mobile Detector

Foot kick switches in the table base

(1) (2) (3) (1)

Foot kick switches

Standard functions The function and the mode of operation of the foot kick switches can be config-
ured by the Customer Service. As a standard the following functions are pro-
grammed:
(1) Releasing the table brakes (in longitudinal and transverse direction)
(2) Table downwards movement, “Pushbutton mode”
(3) Table upwards movement, “Pushbutton mode”

Alternative operation The following modes of operation can be configured for both switches (1):
modes switch (1)

Push button mode „ The foot kick switch operates like a push button.
(dead man function) – The corresponding function is enabled only as long as the foot kick switch is
actuated.

Sensor mode „ The foot kick switch operates like a switch.

(toggle function) – If the foot kick switch is actuated once, then the function is switched on
(brakes released).
– The function is switched off again at the second actuation.
– If this second actuation does not occur within a certain time, then the func-
tion is switched off again automatically after this time.

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System Components

Table movements
The table can be moved either with the tableside control or the foot kick switches
in the table base.
Optionally, there is also a footswitch.

Collision protection The table has a collision detection that stops downward motorized movements in
case the tabletop collides with an obstacle.
In case of a collision there is a collision signal and a collision information at the
MaxTouch.
The tabletop can nevertheless be moved upwards.

Adjusting table height

Moving the table up

‹ Actuate

„ this button on the tableside control

or
„ the second foot kick switch from the right at the foot of the patient table

or
„ the middle foot switch for table up movement.

Moving the table down

‹ Actuate

„ this button on the tableside control

or
„ the second foot kick switch from the left at the foot of the patient table

or
„ the left foot switch for table down movement.

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 Table with Mobile Detector

Note The table stops automatically at a certain height which can be programmed by
Service.
‹ To continue movement, release the control and actuate it new.

Positioning the tabletop

Patients hands not placed on the hand grips.

Caution Risk of crushing
‹ Make sure that patient always places his hands on the hand grips.

‹ Whenever this is not possible, pay special attention to all crushing hazards be-
tween the system’s moving parts and their guide openings.

‹ Actuate

„ this button on the tableside control

or
„ one of the two outer foot kick switches on the foot of the patient table (two
function modes can be configured)
or
„ the right foot switch to release the brakes for table top floating.
– The tabletop brakes are released.
‹ Push the tabletop manually into the required position.

Note Putting a strain on the extended tabletop may activate the collision control device.

Scattered radiation grid

If necessary for pediatric exposures, the grid can be removed from or inserted into
the beam path.

Note The responsibility for selecting and inserting the scattered radiation grid to be
used for an exposure lies with the examiner.

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System Components

If the grid falls down or is not handled properly, it usually gets damaged even if
Caution the damage is not visible.
Risk of invisible damage and impaired quality
‹ Handle the grid with special care.

‹ Be careful especially if the detector is rotated -90° during changing the grid.

Incorrect grid status: inserted, removed

Caution Non-imaging radiation leads to unnecessary X-ray exposure
‹ Manually remove or insert the grid into the detector tray as required.
– It is indicated at the imaging system whether the grid is inserted or with-
drawn.

Changing the grid

Caution Crushing between the housings of the detector case.
‹ Pay attention to danger zones / danger points of crushing between the housing
of the detector case.

Removing the grid

‹ Push the tabletop away from you.

‹ Press the locking lever at the left side of the grip and, keeping it straight, pull
the grid out towards the front.
‹ Remove the grid.

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 Table with Mobile Detector

Inserting the grid

Note Please pay attention to the label which indicates the correct focus side and
attach the grid correctly.

‹ Hold the grid horizontally, labels facing up.

Note Please take care that the SID range of the grid is compatible to the selected SID.

Top of grid (facing the tube unit)

‹ Insert the grid into the accessory rails.

‹ Holding it horizontally and straight, push the grid all the way in.
– When the grid has reached the end position, the locking lever engages.

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System Components

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 System Components
Wall Stand

Description
Basic configuration „ The wall stand contains a detector unit with grid.

„ The detector unit is fully counterbalanced and features continuous vertical ad-
justment.
„ The brake handle enables the operator to release the brake and simultaneously
move the detector unit with a single hand.
„ The detector unit can be continuously tilted from the vertical into the horizon-
tal position (+90°) and up to -20° with a detent at 0° and 90°.
„ Automatic synchronisation (detector height adjustment)
– x-ray tube follows synchronized and keeps centering on middle of detector
or its upper edge
„ The wall stand has a centering function
– fully automatic centering of x-ray tube on middle of detector or its upper
edge
– FDD adjusted to type of grid used
„ The wall stand can be mounted on the floor.

Application
The stands can be used as examination units for universal medical applications
performed on standing, sitting or recumbent patients and involving exposures of
the abdominal, pelvic, skull and vertebral regions as well as radiography of the ex-
tremities.

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System Components

Safety information

Information about holding facilities

Mechanical load exceeds maximum

Caution Risk of patient injury and/or damage to the unit
‹ Pay attention to the fact that the load must not exceed the maximum load (see
labeling).

Insufficiently mounted handhold

Caution Risk of patient injury due to insecure hold
‹ Pay attention to the secure installation of the patient handhold facility.

Information about system movements

Breaking of driving chain in wall stand

Caution Risks of injury when moving front unit up or down
‹ Do not activate vertical movements when a breaking driving chain is indicated
on the MaxTouch.

Note When the patient uses the stretch grips during exposures onto the wall stand, take
care to ensure that the detector unit is fixed in the 0° position.

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 Wall Stand

Operating elements

Wall stand with integrated detector

(7)

(6)

(5) (8) (3)

(4)
(2)

(1)

(1) Stand column

(2) Profile rails for accessories (both sides)
(3) Front panel with imprint for measuring fields
(4) Lever for unlocking the tilt mechanism
(5) Handle for unlocking the height adjustment brakes
(6) Patient handgrips (both sides)
(7) Patient stretch grip (to be attached on the left or right side)
(8) Hand-held remote control for light localizer, tube centering, tube positioning,
etc. (not shown)

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System Components

Wall stand with wireless mobile detector

(3) (6) (5)

(7)

(4)
(2)

(1)

(1) Stand column

(2) Profile rails for accessories (both sides)
(3) Front panel with imprint for detector position and measuring fields
(4) Lever for unlocking the tilt mechanism
(5) Handle for unlocking the height adjustment brakes
(6) Patient handgrips (both sides)
(7) Hand-held remote control for light localizer, tube centering, tube positioning,
and so on.

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 Wall Stand

Front panel markings

Detector unit with integrated detector

(2) (2)
(2)

(1)

(1) Center crosshair

(2) Position of IONTOMAT ionization chambers

Detector unit with mobile detector

(2) (2)
(5)
(2)
(4)
(1)
(3)

(1) Center crosshair

(2) Position of IONTOMAT ionization chambers
(3) Detector field for portrait format
(4) Detector field for landscape format
(5) Center marking for landscape format

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System Components

Hand-held BWS remote control

The hand-held BWS remote control can be mounted either on the left or right side
of the wallstand column.

(3) (1)

(2) (4)

(5)

Button Icon Description

No.
(1) Parking position
Switching over the function of the OGP button to park-
ing position
– Green LED is on.

Note: With the fully synchronized overhead support

automatic parking position only in vertical direction.
After having reached the parking position, immediately
switch off this function again.
– Green LED is off.
(2) Centering button (tube to detector)

Note: With the fully synchronized overhead support

automatic centering only in vertical direction.
(3) Tracking button (tube to detector)

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 Wall Stand

Button Icon Description

No.
(4) Light localizer switch

(5) OGP button*

* no function with fully synchronized overhead support

Detector movements

Adjusting the detector unit in height

The detector unit can be adjusted in height manually with the brake handle or mo-
torized using the buttons on the back of the detector housing.

(5)

Example: with integrated detector

‹ Pull the brake handle (5) and move the detector unit up or down to the required
working height.
or

‹ Press one of these buttons on the back of the detector housing to move the de-
tector motorized up and down.

Note Downward movement stops at 12 cm distance to floor.

You can continue movement manually.

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System Components

User overrides the collision calculator

Caution Mechanical or personal damage
‹ Execute unit movements with override with special care.

Tilting the detector unit

The detector unit can be continuously tilted to the required position between 0°/
vertical and +90°/horizontal or up to -20°.

(4)

Example: with integrated detector

‹ Push the two levers (4) for unlocking the tilt mechanism together and tilt the
detector tray.

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 Wall Stand

Preparing for acquisition

Inserting the detector into the receptor stand1

The detector can be inserted into the detector tray in portrait or landscape format.
‹ Move the detector unit to a convenient working height.

Adjusting the detector unit in height Î81

‹ Bring the detector unit in 0° position.

(B)

(A)

‹ Press the brake handle (A) and pull out the detector tray (B) until it reaches the
stop position.

(B)

1 with wireless mobile detector only

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System Components

‹ Insert the detector from above into the holders as shown in above figure (with
the centering cross facing toward the front).
– When you insert the detector in landscape format (see above figure on the
left) you might have the feeling that the detector is not fixed properly. But
be assured that the detector is fixed by the clamp (B) top right.
‹ Press the brake handle.

‹ Carefully and slowly slide in the detector tray with the detector.

Note Be careful not to damage the detector when sliding it into the tray as the tray does
not have a mechanism to absorb the shock.

Removing the detector

‹ Move the detector unit to a convenient working height.

Adjusting the detector unit in height Î81

‹ Bring the bucky unit in 0° position.

‹ Use the brake handle (A) to pull out the detector tray with the detector.

‹ Remove the detector pulling it upwards.

‹ Carefully and slowly insert the detector tray again.

IONTOMAT automatic exposure control

The detector tray is equipped with IONTOMAT ionization chambers for automatic
exposure control.
All exposures at the wall stand can be taken with the IONTOMAT automatic expo-
sure control. Exposures thus triggered are automatically timed and switched off
by the IONTOMAT automatic exposure control.

Note When selecting a IONTOMAT measuring field, make sure the patient is positioned
anatomically correctly and according to the measuring field in order to avoid
faulty exposures.

For this purpose, three-field templates are available, which can be inserted in the
accessory rails of the multileaf collimator to project the IONTOMAT measuring
fields onto the object.
Refer to Three-field template, set Î216
‹ Select the IONTOMAT measuring field according to the object to be imaged.

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 Wall Stand

The most important part of the object must be located exactly above the measur-
ing field.
Direct irradiation of the area near the measuring field must be avoided, since this
would cause premature cutoff resulting in an underexposure.
(Remedy: good collimation or covering with lead)

Scattered radiation grid

Note The responsibility for selecting and inserting the scattered radiation grid to be
used for an exposure lies with the examiner.

Removing the grid

‹ Move the detector unit to the 0° position.

(A)

Example: with wireless mobile detector

‹ Press the locking lever (A) and, keeping it straight, pull the grid out towards the
front.
‹ Remove the grid with both hands.

Inserting the grid

Note When inserting the scattered radiation grid, make sure that the grid being inserted
is correctly assigned to the intended source-image distance (SID) on which the
grid is focused.

‹ Move the detector unit to the 0° position.

‹ Hold the grid vertically, labels facing the tube unit.

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System Components

Note The label with the tube symbol on the grid must point toward the tube unit.

‹ Place the grid against the top and bottom guide rail.

‹ Holding it vertically and straight, push the grid all the way in.
– When the grid has reached the end position, the locking lever engages.

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 Wall Stand

Positioning patients for acquisition at the

wall stand
Detector unit overloaded because patient is sitting on it or falling/leaning
Caution against it.
Risk of damage to the detector and injury of the patient
‹ Make sure that the detector is not mechanically overloaded as for example by
patient sitting on it.

Exposure with horizontal beam projection

Workstation "Wall
stand horizontal"

‹ Select a suitable organ program at the Fluorospot Compact imaging system or

the MaxTouch for an exposure onto the receptor stand.

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System Components

Exposure with vertical beam projection

Workstation "Wall
stand vertical"

‹ Select a suitable organ program at the Fluorospot Compact imaging system or

at the MaxTouch for an exposure onto the wall stand.

Positioning the tube unit

‹ Select a suitable organ program at the Fluorospot Compact imaging system or
at the MaxTouch for an exposure onto the wall stand.

Automatically1 ‹ Press the OGP button at the hand-held remote control.

– The tube unit moves to the position provided in the selected organ pro-
gram.

Manually Manual movement of the tube unit to the required position:

‹ Position the tube unit manually as required for the exposure using the move-
ment buttons at the MaxTouch and/or the buttons on the handles.
See Movement control elements Î46

1 only with fully automated overhead support

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 Wall Stand

Centering the tube unit

‹ Select a suitable organ program at the Fluorospot Compact imaging system or
at the MaxTouch for an exposure onto the wall stand.

Automatically1

‹ Use the centering button on the hand-held remote control of the wall stand.

Manually

Centering in longitudinal
and transverse direction
‹ Position the tube unit manually using the buttons for longitudinal and trans-
verse movement at the MaxTouch.
– When the tube unit has reached the correct longitudinal and transverse cen-
tering detents, the centering displays (white ring) at the movement buttons
light up.

Centering in vertical di- ‹ Press the centering button on the hand-held remote control of the wall stand.
rection:
or
‹ Move the tube unit to the vertical center position with the help of the Light lo-
calizer.

Light localizer

‹ Press the button for the light localizer / linear light localizer on the collimator or
on the hand-held remote control.

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Wireless Mobile Detector

General safety information

Note Do not install the detector close to facilities where water is used.
Do not spill liquid or chemicals onto the detector or, in cases where the patient is
injured, allow it to become wet with blood or other body fluids, as doing so may
result in fire or electric shock.
‹ In such situation, protect the detector with a single use plastic bag.

Note ‹ Do not spray the detector directly for cleaning and disinfection purposes.

Note Interference with other devices

The Ysio portable wireless detector (wi-D) may be interfered with by other equip-
ment, including portable and fixed RF communication equipment, even if such
equipment meets the applicable emissions requirements.

Image transfer may be interrupted sporadically.

„ The operator must ensure that other wireless devices in the 2.4 GHz or 5 GHz
ISM band should not be operated in the vicinity of the Ysio Radiography X-ray
system.
„ Please observe and verify normal operation of the portable wireless detector
(wi-D) prior to using it.
The settings of WLAN standards and channel are documented in the technical in-
formation AXB7-020.815.01.xx at the customer site.

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Important notes on handling the detector

Handle the detector carefully, as it may be damaged if something is hit against it,
dropped, or receives a strong jolt.

Be sure to use the detector unit on a flat place so it will not bend. Otherwise, the
detector may be damaged.

Do not hit the detector surface in any way.

Too heavy patient on detector, detector cover broken

Caution Possible injury of patient or personnel by carbon splinters or glass splinters.
‹ Handle portable detector with care!

‹ It the detector is broken do not use it.

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Description
(1)

(2)

(1) Front-end indicators

(2) Interface for the backup cable

General Description
The Mobile Detector is part of a digital image acquisition chain in an overall Radio-
logical System. It features a portable equipement designed for mobile applica-
tions.
The Mobile Detector package is split into two devices: the "Detector Front-End"
and the "Docking Station". The customer interface and the customer power supply
are connected to the docking station. The communication between detector
front-end and docking station (both for data and control) are managed through a
WiFi link, or using an optional back-up cable.
Present manual only applies to front-end installation and operation.

Used portable detector is part of another system (cross-over swapping)

Caution Image data will be transferred to another system
‹ Take care that the used portable detector and the system have the same
colored label.

Detector front-end description

The detector front-end consists of a metal housing with a carbon fiber composite
window for X-ray input, and internal lead shielding to protect the electronics
against X-rays (not intended for user protection against X-rays). It also integrates

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a handler within the housing for easy manipulation, LED indicators for internal sta-
tus, and connector for a dedicated backup cable. The back side (with respect to the
active sensitive array) includes electrical contacts to recharge the internal
battery.

When to use the backup cable

This section describes when to use the backup cable.

Lost preview image „ A preview image disappears, and the following message is displayed:

“An image could not be stored. Please attach wi-D backup cable and confirm
with ok”
‹ Put the detector into the docking station.

or
‹ Connect the backup cable to the connector on the detector front-end.

‹ Confirm the message

‹ Wait up to 5 minutes.
– The image is available.

Note Do not restart the system.

Charging the detector

You can charge the detector either
„ in the closed detector tray of the table, or

„ in the closed detector tray of the Bucky wall stand, or

„ in the docking station, or

„ using the back-up cable

Note If the battery of the detector is completely empty, charge it and wait at least 60
minutes. The detector needs a warm-up time between 60 and 120 minutes to
achieve good image quality, depending on environmental temperature and
switch-off time.

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Docking Station

Note ‹ Do not remove the detector from the docking station, after the system has
been switched off with the emergency SHUTDOWN button (installed on-site)
or the main fuse switch in the generator cabinet.
In this case the docking station is disconnected and the charging pins cannot be
retracted while removing the detector. This may cause damage to the detector
and/or the charging pins.
‹ Do not remove the detector until the system has been switched on again.

Operation
Note When you use the mobile detector with backup cable at the wallstand, take care
not to crush the cable while inserting the detector tray. Otherwise, you may da-
mage the backup cable.

Wireless Remote Control or portable detector generate an electromagnetic field

Caution too high that disturbs life supporting device.
Interference with life supporting device resulting in possible malfunction
‹ Make sure to keep a safety separation distance of larger than 90 cm between
the Wireless Remote Control or portable detector or docking station and the life
supporting device.
‹ In case of interference with other equipment increase the distance between
the interfering devices.

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Connection to portable detector corrupted

Caution Wireless transmission of acquired images may be not possible
‹ Remove any parts which may shadow the radiotransmission between detector
and docking station.
‹ Use temporarily the backup cable instead of the wireless link.

Operator or patient does not recognize the backup cable to the detector
Caution Injuries by stumbling over the backup cable
‹ Pay attention to the backup cable when using the detector with the backup ca-
ble.

Switching on
There is no switch to be activated to start operating the detector front-end, pro-
vided the battery is connected and charged, or the backup cable is used.

Front-end indicators

(3)

(3)
(2)
(2) (1)
(1)

Note It may be possible that even when the Wi-Fi Status LED and the detector front-end
Status LED of the detector are green, the release of radiation is blocked by the sys-
tem.
‹ Please check information at the user interface (MaxTouch).

LED's are provided on the detector front end (close to handling), to give basic in-
formation on the detector behavior.

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Front-end Status LED (1) Wi-Fi Status LED (2) Battery Status LED (3)

Status
OFF Image in progress with backup cable Wi-Fi disabled Battery disconnected or
or Wi-Fi or front end switched off switched OFF
completely.
green Front-end ready to do an image with Wi-Fi OK Battery OK
backup cable or Wi-Fi
green - blinking n.a. n.a. Battery getting low
orange Front-end not ready to do an image Wi-Fi not OK Battery low
with backup cable or Wi-Fi

Operation and setting of WLAN

Introduction

X-ray detector
Wireless connection (called front end)

Base station
(called docking/charging station)

PACS

Wired connection

FLC (imaging system)

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The wireless connection of the mobile detector is established between the X-ray
detector (called front end) and a base station (called docking/charging station).
Further image and data transfer from this stage is all enabled via the wired con-
nection.
Therefore, the phase of wireless connection and transfer does not utilize the ex-
isting wireless network that may be installed in the clinic. However, some precau-
tions should be taken that both can coexist without interferences.

Properties of wireless connection

The base station (docking/ charging station) is configured as an access point and
the X-ray detector (front end) as its sole client.
The communication is based on the WLAN standard 802.11. Within this standard
in most countries, there is the choice between the 11g standard (operating at 2,5
GHz) and the 11a standard (operation between 5 and 6 GHz).
Within these two standards, 11g and 11a, several channels (fr equencies) are
available. A specific channel (frequency) can be selected by the site for use.
However, the available channels depend on legal regulations and requirements of
the country with the installed system (wireless detector of Ysio). The wireless con-
nection is encrypted. For this the widely used and very secure WPA2 is applied.
The standard (11a or 11g) and the channel can be set by a Siemens service tech-
nician via the service SW installed on the FLC (imaging system). For a list of avail-
able channels in your country please contact your Siemens project manager or
sales representative.
The docking station as well as the front end utilise a power of 31 mW in the 11g
standard and 25 mW in the 11a standard. As the emission is not purely isotropic,
more power is emitted in some directions and less in other directions. The maxi-
mum power emitted in a direction (max. EIRP) is 150 mW. This is defined based on
the assumption that power would be emitted in all directions.

Coexistence with other wireless connection

Wireless devices (e.g. your wireless hospital network and the mobile detector of
the Ysio system) can influence each other if they are operated at the same fre-
quency.
For the mobile detector, this can lead to a slowdown or disruption of the wireless
connection. Although the back-up cable can be used to provide a reliable connec-
tion of the mobile detector in such a situation, it should be minimized and avoid-
ed.

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To avoid such a situation, it is necessary to enquire about wireless devices that are
used in or within the vicinity of the installed Ysio system. The contact person for
enquiries regarding wireless network and devices inside your hospital regarding is
probably your network or IT expert.
In case a WLAN-network is present in your work environment, the channels of the
access points can be detected in the room where Ysio will be installed. The fre-
quencies in use (channels if you have WLAN) should be communicated to the Sie-
mens project manager.
Alternatively, select the channel to be utilized by the mobile detector of Ysio and
inform the service technician/project manager of the channel (frequency) accord-
ingly.

Note It is important to ensure that this channel (frequency) will not be used at a later
stage by other wireless devices.

Status messages/system messages

If the wireless detector
„ has been accidentally left outside one of the charging locations for too long,
for example over night, or
„ is outside the room,

the battery will probably be empty or the voltage will be too low.
‹ In order to solve the problem, proceed as indicated in the system messages.

Maintenance
No other maintenance action is required except the calibration needed for image
quality, whose frequency is defined by the system program.
There are no parts that need to be replaced due to limited lifetime, except for the
battery. In case of malfunction, the detector will be returned to the manufacturer
for repair.

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Recommendations

Temperature

Note If one of the following messages appears:

“Detector temperature below valid range” or
“Detector temperature above valid range”
please check if the warm-up time from a cold start (120 minutes) is respected. If
yes, we recommend a recalibration.

EMC compliance
Portable and mobile RF communication equipment can affect the detector opera-
tion.

Warm-up time from a cold start

After a cold start (battery completely empty), it is possible to operate the detector,
but with reduced image quality. Therefore, avoid the battery getting empty.
The detector reaches good image quality again after a maximum of 120 minutes
(typically 60 minutes).

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Battery change
The battery of the detector must be changed by a technician.
The procedure is as follows:
9 Let the battery run down completely.

(1)

Fig. 1

‹ Loosen the allen screws of the battery cover (1).

(1)

Fig. 2

‹ Cautiously lift the battery cover (1) with the integrated battery.

Fig. 3

‹ Disconnect the battery connection at the connector (plug and receptacle).

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Fig. 4

‹ Connect the replacement battery.

Fig. 5

‹ Cautiously replace the battery.

Note Take care not to crush the cable while inserting the battery.

– Fig. 5 shows where to place the connector.

‹ Fasten all allen screws of the battery cover.

Attaching the clip-on grid

Refer to Attaching the clip-on grid Î208.

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 Part: System Operation
Switch On and Off

System operating status

An Ysio system may be in one of the following operating status:

Off „ All the system’s components and the imaging station are turned off except for
the detectors which remain in standby mode.

On „ All the system’s components are turned on and may be supplied from the pow-
er line. When the start-up phase is completed, examinations and post-process-
ings may be performed.

Emergency „ All the units and the display station are disconnected from the mains using the
SHUTDOWN main breaker.

Switching on the system

9 Perform a visual inspection on the system.

9 Make sure that there is nothing to hinder stand movements.

Note If the following message appears directly after the system is switched on:

“Wireless Remote Control not reachable”

it may be that during the switching on of the system, a button on the Wireless Re-
mote Control has been actuated permanently by accident (e.g. something lying
on it or button jammed).

Switching on a switched-off system

No indicators on the generator ON/OFF console are lit.

‹ Press the ON button.

– The ON indicator switches on.
– All components are supplied with power; the start process begins.
– The system performs a self-test.

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Note If the battery of the detector is completely empty, charge it and wait at least 60
minutes. The detector needs a warm-up time between 60 and 120 minutes to
achieve good image quality, depending on environmental temperature and
switch-off time.
During warm-up time acquisitions are possible but reduced image quality may oc-
cur.
(This is the case if the system has been turned off completely via the mains
switch and has not been in standby mode. If it has been turned off at the On-
Off control consol, no warm-up time is necessary.)

Start of the Fluorospot Compact imaging system

The Fluorospot Compact imaging system starts when the whole system is
switched on.

Switching on after power failure or after an emergency

SHUTDOWN switch is activated
When the on-site emergency SHUTDOWN switch is activated, the whole system is
cut-off from the power supply.
Unstored images of the patient currently being examined may be lost. Images and
data of terminated examinations of previous patients are stored to the image pro-
cessor’s hard disk.
‹ After a power failure or an emergency SHUTDOWN switch is activated, check
the images of the last examined patient!
‹ After removing the reason for activating the emergency SHUTDOWN switch,
deactivate the emergency SHUTDOWN switch and then switch on the system.
If the imaging system does not start any more or if a serious error is indicated,
‹ call Siemens Customer Service.

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 Switch On and Off

Switching off the system

If no more acquisitions are required, you can switch the system off completely.

Note Do not press the keys Ctrl+Alt+Del.

Pressing this key combination is on your own risk.
If you do so, problems may occur.

The imaging system is also powered off some minutes after the system has been
Caution switched off.
Risk of data loss
‹ Shut down the imaging system before switching off the system

Refer to the FLUOROSPOT Compact operator manual for further information.

– The Ysio system and the imaging system automatically shut down.
– If the the ON button is pressed again within 10 seconds, only the Ysio sys-
tem shuts down, not the Fluorospot Compact.

Switching off the system using the main switch before the operating system of the
Caution computer has been shut down.
Irreversible damage to the system hard disk may occur
‹ Wait until the imaging system has been shut down (dark monitor).

‹ Switch off the main switch of the x-ray unit (or room), if necessary.

Technical error
Caution Unwanted radiation release
‹ In the case that unwanted radiation cannot be stopped by Emergency Stop,
press the switch-off button to switch off the whole system.

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Emergency SHUTDOWN switch activation

Only (exclusively) if patients, operators, third parties, or the unit are in danger,
‹ press (activate) the on-site emergency SHUTDOWN switch.

Rebooting the system

We recommend a daily reboot of the system or at least one reboot a week.
‹ Press the OFF button an the console.

‹ When the Fluorospot Compact imaging system has shut down (dark monitor),
press the ON button again.

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Function and Safety Checkout

Performing function and safety checkout

Daily checks
You should perform the following checks before carrying out the examination:

General checks
‹ Visually inspect all the unit components.

‹ Clean the unit components to eliminate any sign of contamination.

‹ Check patient hand grips for secure attachment.

‹ Check out radiation protection accessories.

‹ Remove objects that could hinder movements (e.g. chair beneath patient table
or overhead support).

Checking the emergency STOP function

Functional control of the red emergency STOP pushbutton:

‹ Actuate a button for motor driven movement, e.g. table lift.

STOP ‹ Press the emergency STOP pushbutton.

The movement must stop immediately.

Checking system movements

3D overhead support See also Positioning the 3D overhead support with tube unit Î58.

Abnormal sinking of the tube support

Caution Injury of persons
‹ Perform tests in regular intervals - at least every 12 months - to maintain the
safety and proper funtioning of the product.

‹ Check manual longitudinal, transverse and vertical movements of the over-

head support.

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‹ Check ’floating’ overhead support movement.

‹ Check tube unit rotation.

‹ Check motor driven overhead support height adjustment.

‹ Observe the indications in the display.

Patient table See also Table movements Î70.

‹ Check manual longitudinal and transverse movement of the tabletop.

‹ Check motor driven table height adjustment.

Wall stand Verify up and down movement of the detector unit at the wall stand:

‹ Press the detector unit’s up and down buttons.

See also Detector movements Î81.

Checking the light localizer and centering/collimation

Check the center position of radiation unit and detector unit with the light loca-
lizer and check the collimation.

Light on
‹ Press the multileaf collimator’s button.
– The light beam for collimation appears (time limited).

Centering ‹ Check the centering of the light cone at the markers at the detector unit.

Collimation

‹ Open and close diaphragm.

– The light beam changes its height or width.

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Light off ‹ Press the button again if light is on.

– The light beam is turned off.

Checking the automatic collimation (ACSS)

When ACSS lights up at the display of the MaxTouch, the automatic collimation is
active.

During the examination

Watching radiation indicators

‹ Pay attention to the radiation indicators.

– These may light up or sound only (radiation) if the radiation release switch
is pressed.

Watching system movements

‹ Take special care during system movements that neither the patient nor third
persons can be endangered and no objects can obstruct the system move-
ments.

No reaction ‹ If the system does not react to inputs, switch it off and switch it on again at the
generator ON/OFF console (if necessary also at the room’s main switch in-
stalled on-site).
Refer tothe chapter Switch On and Off.

Monthly checks
Make the following checks in addition to the daily checks:

SID The three-digit digital SID display = source-image distance can be checked for
agreement with the tape measure in the multileaf collimator.
We recommend you to make this check at regular intervals - approximately
monthly.

Note Incorrect SID values can cause overframing.

‹ In this case please call the Siemens Service.

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 System Operation
Collimation - Grid - Exposure Control

Light localizer and collimation

Note Ensure that the procedures described in this chapter are performed only by quali-
fied operating personnel.

Note Collimation close to the object reduces the scattered radiation and thus improves
image quality.
The radiation exposure to the patient is also reduced.
To protect the patient from unnecessary radiation, always check the collimatior
position with the light localizer.

If the halogen lamp of the light localizer burns for a long time, the lamp housing
Caution can heat up.
Danger of burns
‹ Avoid contact with the lamp housing to avoid burns.

Automatic switching on and off of the light localizer

Automatic switching The light localizer / line light localizer is switched on automatically if
on
„ the collimation size (in the image receptor plane) is changed in width or in
height,
„ one or both tabletop brakes are released,

„ the overhead support is moved in longitudinal and transverse direction or in

height,
„ the detector unit in the patient table is moved,

„ the detector unit on the wall stand is moved in height,

The Siemens Customer Service can configure when which function is activated in-
dividually or together.

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Laser light
Caution Eye injury
‹ Do not look into the beam!

‹ Take care that neither you nor any other person look directly into the light
beam.
‹ Close the Laser radiation exit of the Laser light localizer with the sliding cover
to protect the eyes of the patient or any other person.

Note To protect the eyes of the patient or any other person, the LASER radiation exit of
the LASER line light localizer can be closed with the sliding cover.
Multileaf collimator Î52

Automatic switching The light localizer is switched off, independently of how it was switched on, after
off a configurable time. This time is maximum 100 s.

Switching on/off manually

You can switch the light localizer on or off at any time independent of automatic
switching on and off:

‹ Press the button.

Restoring the last collimation

This button on the MaxTouch serves for memory recall of the last used format. If
you touch this button, then the collimation set for the last exposure is restored.

Note Please note that the memory recall can take place only if the preceding exposure
was actually released.

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 Collimation - Grid - Exposure Control

Collimation / Automatic Collimation Size Selection

Ysio supports ACSS (Automatic Collimation Size Selection).
ACSS limits the maximum opening of the collimator to the borders of the selected
detector or cassette in the table and bucky wall stand. ACSS is indicated by the let-
ters ACSS in the collimator display. In case ACSS is not possible, "Manual" will be
displayed. In this case you have to take care that the X-ray field will not go beyond
the FD detectors’ border (Î114).
The collimation format can be set in the OGP. If the selected OGP requires a new
position of the tube and/or the detector, the collimation is set when the detector
and the tube have reached the final position stored in the OGP.

In the case of fully automated systems:

‹ Press the OGP position button until the message "Final position reached" is dis-
played.
– A sound will be played on the TUI, and the collimation is set to the one
stored in the OGP.

In the case of fully synchronized systems:

‹ Manually move the detector and the tube to its final positions.

Even when the SID is changed, the collimator position in the multileaf collimator
is adapted with active ACSS so that the collimation of the organ remains the same.

Prerequisites Conditions for ACSS:

„ All system components (collimator, generator, tube stand, imaging system,
detector) are ready for use.
„ A detector or cassette is inserted in the tray of the table or wall stand (ACSS is
not supported for free mobile detectors or free cassette operation).
„ The central beam is perpendicular to the solid state detector/cassette with a
tolerance of not more than +/- 3 degrees..
„ The collimator is not rotated.
– The respective icon in the collimator status bar is not visible.

Additional conditions for fully automated systems:

„ The SID is between 90 cm and 300 cm.

Additional conditions for fully synchronized systems:

„ The SID is between 90 cm and 300 cm, and the tube stand is in detent.

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System Operation

Manual collimation is always active if the above conditions are not fulfilled.

ACSS indication The type of collimation is displayed on the MaxTouch.

ACSS „ ACSS is displayed: Automatic Collimation Size Selection (ACSS) is active.

Manual „ Manual is displayed: Manual collimation is active.

‹ Make sure the X-ray beam does not extend the dimensions of the detector/cas-
sette.

Note If Manual is active, the user is responsible for the adjustment of the multileaf col-
limator.

Note If Manual is active, but the image is very flat (low contrast), auto cropping may
not work properly. In this case, disable auto cropping at the imaging system, and
use use the manual shutter after acquisition to crop the imagage manually.

Scattered radiation grid

See description of corresponding table or wall stand.

Additional filters
There are four possibilities of selecting internal additional Cu filters:
„ 0.0 mm (no) Cu

„ 0.1 mm Cu

„ 0.2 mm Cu

„ 0.3 mm Cu

Selecting additional filters

The selection of additional filters is specified in the organ program. However, you
can change this setting at the imaging station or on the generator tabcard of the
MaxTouch.

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 Collimation - Grid - Exposure Control

Incorrect filter selection

Warning Risk of increased radiation dose for the patient
‹ Select the filter carefully.

‹ Touch this button on the generator tabcard of the MaxTouch.

– A popup menu appears where you can select the required filter
– The additional filter which is selected is displayed at the imaging station.
– When changing the additional filters with respect to the organ program
selected, this is marked with a star * at the imaging station, denoting the
change.
Or
‹ Select the filter at the imaging station.

Refer to the FLUOROSPOT Compact operator manual for further information.

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System Operation

IONTOMAT automatic exposure control

The patient table and the wall stand are each equipped with an IONTOMAT mea-
suring chamber for automatic exposure measurement.
All exposures which are taken on the patient table with inserted detector or on
the wall stand can be exposed with the IONTOMAT automatic exposure control.
The released exposure is then switched off automatically by the IONTOMAT auto-
matic exposure control (1-point technique).
With pulled out detector, the IONTOMAT cannot be used, exposure must be man-
ually controlled (2-point or 3-point technique).
When selecting a IONTOMAT dominant, take care that the patient is positioned an-
atomically correct in relation to the IONTOMAT dominant to avoid faulty expo-
sures.
„ Three-field templates, which can be introduced into the accessory rails of the
multileaf collimator for projecting the IONTOMAT dominants onto the object
are available for this purpose.
Refer to the Three-field template, set Î216.
‹ Select the IONTOMAT dominant corresponding to the object to be exposed.

„ The part of the object which is most important for the image must lie exactly
over the dominant.
„ When collimated narrowly in width, the system switches automatically to the
center measuring chamber.
„ When collimated narrowly in height, no automatic switch-over of the measur-
ing chamber is done. In this case, a smaller amount of imaging radiation will
target the lateral measuring chambers.
‹ If necessary, switch to the center measuring chamber.

„ No direct radiation may occur close to the measuring field, because the prema-
ture shut-off caused by this would lead to underexposure.
‹ Pay attention to good collimation.

Note Take care that the correct dominant is selected before the exposure.
For selection of the measuring chamber refer to the FLUOROSPOT Compact op-
erator manual.

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 System Operation
Patient Transfer and Positioning on or at the Patient
Table

Information about positioning on the

patient table
‹ When positioning the patient please observe the following points:

Information about unit movements Î22

„ All devices serving for safety must be attached and functional, especially the
hand grips.
„ The arms and legs of the patient must not project beyond the tabletop.

„ Let the patient get on or off the patient table only in the central area.

Patient and/or equipment transfer

Table top is floating unintended!

Caution Cuts and other injuries to the patient.
‹ Execute patient transfer with special care.

Collision override

User overrides the collision calculator.

Caution Mechanical or personal damage.
‹ Execute unit movements with override with special care.

Collision calculation

Surrounding persons or parts are not in the collision calculation!

Caution Mechanical or personal damage.
‹ Check if no persons or additional objects (accessories) are in the movement
area of stands or table before any motorized movement will be released.

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System Operation

Damaged grid

If the grid falls down or is not handled properly, it usually gets damaged even if
Caution the damage is not visible.
Risk of invisible damage and impaired quality
‹ Handle the grid with special care.

‹ Be careful especially if the detector is rotated -90° during changing the grid.

Handgrips

The handgrips may loosen because they cannot support the patient’s full weight!
Caution Injuries by squeezing.
‹ Use other positioning aids for immobilizing weak or very unstable patients.

‹ Ensure that handgrips are tightened prior to use.

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 Patient Transfer and Positioning on or at the Patient Table

Preparing positioning
Table position Adjust the patient table approximately to the required working height:

‹ Check the longitudinal and transverse position of the tabletop.

‹ Adjust the table height.

See Table movements Î70

Tube unit position Check that the correct workstation is selected:

‹ Position the tube unit and if necessary set it vertical.

See Positioning the 3D overhead support with tube unit Î58.

‹ Observe messages on the display and possibly on the patient display.

Hygiene ‹ Check the unit for cleanliness.

If necessary
‹ Cover the tabletop with fresh paper.

Radiation protection ‹ Apply the necessary radiation protection to the patient.

Positioning the patient

Important notes
3D overhead support If the tube unit has been rotated about the vertical axis (RVA), the image cut-out
rotation RVA may not be performed correctly.
‹ If necessary, correct the image collimation on the Pre-Processing task card.

Grid and SID The grid focus (f0) and the source image distance SID must always be identical.
‹ Check the correct grid focus (f0) on the grid label before making acquisitions.

Manual SID In cases when the system cannot determine the SID (e.g. for oblique projections),
the SID must be measured manually using the Measure SID function on the Tape
Measure tabcard at the MaxTouch.

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System Operation

‹ If necessary, correct the image collimation on the Pre-Processing task card.

Organ program with An organ program with detector inside the patient table has been selected, for ex-
detector pulled-out ample, acquisition parameters have been changed. Afterwards the detector has
been pulled-out and pushed-in again by mistake. Then the parameters will be re-
set to their original values.
‹ Adjust the detector position before selecting an organ program, if possible.

‹ Once more check the acquisition parameters set, before releasing acquisitions.

Collimation and grid In ACSS mode, collimation is automatically restricted to its maximum possible
size. This is not the case in Manual mode.
‹ Please make sure, not to open the collimator beyond the grid range in
“manual” mode (e.g. with oblique projection).

Centered exposure with vertical beam path

Workstation “Detector inside the table”

Centering the tube unit Using the handles bring the X-ray tube unit into mid-position corresponding to the
stop and into vertical beam path (RHA=0° and RVA=0°):

‹ Release the brakes with the pushbuttons on the control panel or with the but-
tons on the handles and position the tube unit.

‹ Bring the tube unit into the centered mid-position.

– The indicator (LED) on the button lights up.
‹ Press the centering button at the table to center the detector to the tube.

SID Adjust SID by tube unit or vertical table movement:

‹ Press button on the tube unit control panel.

or

‹ Actuate the table height adjustment.

If required, switch on the tracking control for SID:

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 Patient Transfer and Positioning on or at the Patient Table

‹ Press the SID tracking button.

Light localizer Switch the light localizer on the multileaf collimator on if required:

‹ Press the button, if necessary.

Positioning the patient Push the patient with the floating tabletop into the required position:

‹ Actuate the foot kick switch or button on tableside control or foot switch.

Collimation

automatic
„ Automatic Collimation Size Selection (ACSS) controls the collimation by the
ACSS multileaf collimator for constant collimation onto the format determined in the
organ program with variable SID within the SID range.

manually
„ You can collimate further close to the object additionally if required with the
Manual control knobs for format collimation on the multileaf collimator:

‹ Rotate the diaphragm knob to adjust the format height.

‹ Rotate the diaphragm knob to adjust the format width.

Acquisition Refer to the FLUOROSPOT Compact operator manual for further information.

Free exposure with vertical beam path onto the pulled

out detector

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System Operation

Workstation “Detector pulled-out”

Note The automatic exposure control and the grid are not available for free exposures
with the detector tray pulled out.
You must therefore expose in 2-point and 3-point technique.

‹ Select at the MaxTouch or the imaging system an organ program for an expo-
sure on the pulled-out detector unit (table).

‹ Pull the detector tray out up to the stop.

– The workstation is switched over automatically.

Positioning the tube Using the handles, bring the X-ray tube unit to the corresponding stop position
unit above the detector and into vertical beam path (0°):

‹ Loosen the brakes with the pushbuttons on the control panel or with the but-
tons on the handles and position the tube unit.

Positioning the tube unit (left), axis marking on the handle (right)

SID Adjust the SID by tube unit or table vertical movement:

‹ Press button on the tube unit control panel.

or

‹ Actuate the table height adjustment.

If required, switch on the SID tracking control:

‹ Press the SID tracking button.

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 Patient Transfer and Positioning on or at the Patient Table

Light localizer Switch on the light localizer / line light localizer on the multileaf collimator if re-
quired:

‹ Press the button, if necessary.

‹ Bring the axis marking on the handle of the detector tray into centered mid-po-
sition with the aid of the line light localizer of the multileaf collimator.

Collimation

‹ Rotate the diaphragm knob to adjust the format height.

‹ Rotate the diaphragm knob to adjust the format width.

Acquisition Refer to the FLUOROSPOT Compact operator manual for further information.

Free exposure onto the mobile detector

Workstation “Detector”

Note For free exposures onto detector, Automatic Collimation Size Selection (ACSS)
and automatic exposure control are not available.
You must therefore collimate manually and expose in 2-point or 3-point tech-
nique. If necessary, the clip-on grid must be attached to the detector.

Manual ‹ At the MaxTouch or on the imaging system select an organ program for a free
exposure onto mobile detector or for an exposure onto the bed.

Positioning the tube Using the handles, bring the X-ray tube unit into position:
unit

‹ Release the brakes with the pushbuttons on the control panel or with the but-
tons on the handles and position the tube unit.
Positioning for vertical projection Î124
Positioning for oblique projection Î125

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System Operation

SID Set the SID by tube unit or table vertical movement:

‹ Press the button on the tube unit control panel.

or

‹ Actuate the table height adjustment.

‹ Measure the SID with the tape measure: Distance up to the detector.

Light localizer Switch on the light localizer at the multileaf collimator if necessary:

‹ Press the button, if necessary.

Collimation Only manual collimation is possible in free exposure.

Set the format with the control knobs on the multileaf collimator according to il-
lumination with the light localizer and collimate close to the object.

‹ Rotate the diaphragm knob to adjust the format height.

‹ Rotate the diaphragm knob to adjust the format width.

– The format which results in the exposure plane corresponding to the prede-
termined SID appears in the indication for the radiation field size in the dis-
play of the multileaf collimator.
‹ Check illumination of the format and collimate as close as possible to the ob-
ject.

Acquisition Refer to the FLUOROSPOT Compact operator manual for further information.

Positioning for vertical projection

If necessary set the tube unit vertical:

‹ Release the brakes with the pushbuttons on the control panel or with the but-
tons on the handles and position the tube unit.

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 Patient Transfer and Positioning on or at the Patient Table

Example for emergency exposure on patient transport table

Positioning for oblique projection

Rotate the tube unit about the horizontal axis (RHA) and about the vertical axis
(RVA) into the required direction:

‹ Release the brakes with the pushbuttons on the control panel or with the but-
tons on the handles and position the tube unit.
– The angle of the rotation about the horizontal axis (RHA) is displayed in
degrees in the display of the MaxTouch.
– You can read off the angle of the rotation about the vertical axis (RVA) at
the MaxTouch, too.

Free oblique exposure

Note Pay special attention in the diagnosis to distortions of the image geometry due to
the oblique projection!

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System Operation

Distortion due to exposure geometry

Caution Incorrect basis for diagnosis
‹ Pay special attention in the diagnosis to distortions of the image geometry
when using oblique projections.

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 System Operation
Patient Positioning at the Wall Stand

Preparing positioning at the wall stand

Tube unit position Check that the correct workstation is selected:

‹ Position the tube unit.

Refer to Positioning the 3D overhead support with tube unit Î58

‹ Observe messages on the display and if necessary on the patient display.

Operating Height

‹ Adjust the detector unit on the wall stand approximately to the required
operating height by pressing the up/down buttons.
Refer to the Detector movements Î81

Overhead patient ‹ Swing the overhead patient handgrip to the required position or to the side if
handgrip it is not needed.
Refer to Overhead patient handgrip Î199.

Grid If necessary,
‹ remove or insert the grid.

Hygiene ‹ Check the unit for cleanliness.

If necessary,
‹ cover the detector unit with fresh paper from the roll.

Radiation Protection ‹ Lay the required radiation protection on the patient.

Prerequisites for Automatic Collimation Size Selection (ACSS) is active when the central beam is
exposure vertical to the detector.
‹ To achive this, position the tube using the centering button.

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System Operation

Positioning the patient at the wall stand

Workstation “Detector at the wall stand”

‹ Insert the wireless mobile detector in the detector tray.1

‹ Guide the patient to the wall stand.

Positioning the tube Using the handles bring the X-ray tube unit into position, if necessary into the pull-
unit in range of the tracking control.

Detector stand is floating even if brakes are not released

Caution Patient can slip or fall down
‹ Brief patient that it is not allowed to lean against detector cover.

Light localizer Switch on the light localizer / line light localizer if necessary on the multileaf colli-
mator:

‹ Press the button.

Laser light
Caution Eye injury
‹ Do not look into the beam!

‹ Take care that neither you nor any other person look directly into the light
beam.
‹ Close the Laser radiation exit of the Laser light localizer with the sliding cover
to protect the eyes of the patient or any other person.

Note To protect the eyes of the patient or any other person, the LASER radiation exit of
the LASER line light localizer can be closed with the sliding cover.
Multileaf collimator Î52

Auto Exposure Timer ‹ Pay attention to the positioning with respect to the Iontomat measuring
chambers.

1 With wireless mobile detector only

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 Patient Positioning at the Wall Stand

Position of the Iontomat measuring chambers (example: wall stand with integrated detector)

Note When the left and/or right chamber is/are selected and one or both of them is
covered during collimation, the system automatically switches to the middle
chamber.
An incorrect selection of measuring chambers by the user or by communication
network disturbances leads to unnecessary X-ray exposure.
‹ Always select the measurement chambers carefully.

‹ Always check the selection of the measurement chambers before starting the
measurement.
‹ If several measuring chambers were selected simultaneously, check the selec-
tion carefully.

Collimation Collimate the desired acquisition field:

automatic
„ Automatic Collimation Size Selection (ACSS) controls the collimation by the
ACSS multileaf collimator for constant collimation onto the format determined in the
organ program with variable SID within the SID range.

manually
„ You can collimate additionally further close to the object if required with the
Manual control knobs for format collimation on the multileaf collimator:

‹ Rotate the diaphragm knob to adjust the format height.

‹ Rotate the diaphragm knob to adjust the format width.

Radiation Protection ‹ Check the radiation protection.

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System Operation

Acquisition Refer to the Fluorospot Compact operator manual

Positioning for horizontal projection

‹ Select a suitable organ program at the Fluorospot Compact imaging system or
at the MaxTouch for an exposure onto the wall stand.

Automatically1 ‹ Press the OGP button at the hand-held remote control.

– The tube unit moves to the position provided in the selected organ pro-
gram.

Manually Manual movement of the tube unit to the required position:

‹ Position the tube unit manually as required for the exposure using the move-
ment buttons at the MaxTouch and/or the buttons on the handles.
See Movement control elements Î46

Note Please take care especially for Bucky exposures on the wall stand to exact fixation
of the 3D overhead support in one of the predetermined SID stop positions.
You avoid image quality defects due to grid shadows if the set SID agrees with the
focusing of the grid.

Tube unit position for exposures on the wall stand with horizontal projection

‹ Center the tube unit to the detector.

See Centering the tube unit Î89

Note The tube unit automatically follows the detector in height adjustment within a
certain range (tracking control).

1 only with fully automated overhead support

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 Patient Positioning at the Wall Stand

Example for a thorax acquisition

Wallstand is overloaded because patient handgrip is mechanically overloaded.

Caution Risk of damage to the wallstand and injury of the patient
‹ Brief patient that it is not allowed to hang on the patient handgrip with more
than 25 kg.

Positioning for vertical projection

‹ Select a suitable organ program at the Fluorospot Compact imaging system or
at the MaxTouch for an exposure onto the wall stand.

Automatically1 ‹ Press the OGP button at the hand-held remote control.

– The tube unit moves to the position provided in the selected organ pro-
gram.

Manually Manual movement of the tube unit to the required position:

‹ Position the tube unit manually as required for the exposure using the move-
ment buttons at the MaxTouch and/or the buttons on the handles.
See Movement control elements Î46

‹ Set the SID by using either

– the buttons on the tube unit control panel

1 only with fully automated overhead support

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System Operation

or

– the buttons on the detector unit.

‹ Make an exposure.

Note Attention: No SID tracking is possible for this mode.

Positioning for oblique projection

‹ Tilt the detector unit into the horizontal position.
– The mechanism locks automatically into place.
Refer to Tilting the detector unit Î82

‹ Rotate tube unit about the horizontal axis (RHA) and then about the vertical
axis (RVA) into the required direction.

‹ Press the buttons for the longitudinal, transverse brake and the vertical brake
or for the ’floating’ movement and bring the tube unit into the required posi-
tion.

‹ Release the brakes with the pushbuttons on the control panel or with the but-
tons on the handles and position the tube unit.
– The angle in degrees is displayed in the display of the tube unit control
panel.

Note In the case of oblique projection, the angle in degrees is displayed in the display
of the overhead support control panel instead of the SID.
You must therefore absolutely measure the SID with the tape measure.

Note
Manual Automatic Collimation Size Selection (ACSS) is not effective in the oblique pro-
jection.
‹ You must collimate manually.

‹ Make an exposure.

Note Pay especial care in the diagnosis to distortions of the image geometry due to the
oblique projection!

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 System Operation
Detector Calibration

Reasons for a detector calibration

The detector (mobile or integrated) has to be calibrated:
„ after implementation in the system

„ after modification of detector software

„ after loss of image quality

„ every 12 months to maintain the image quality

The detector calibration should be done by a technician.

Calibration procedure is started although there is somebody in the exam room.

Caution Unwanted radiation
‹ Control if there is somebody in the exam room before starting the calibration.
The calibration procedure can easily be stopped via the user interface.

Incorrect calibration parameters.

Caution Reduced image quality
Risk of unnecessary X-ray exposure due to wrong calibration parameters
‹ Re-calibrate the detector every 12 months to maintain the image quality.

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System Operation

Calibration procedure
Prerequisite The detector should be thermalized and charged before calibration.
‹ Keep the detector in the detector tray for approx. one hour to heat it up
to operating temperature.
‹ Call the Service subtask card in Patient Mode at the imaging system.

‹ Click on the Service icon.

‹ Fill in the password (default: admin21)

‹ Click on the button Tune up.

– The Tune up window appears.
‹ Select FD calibration.

‹ Select which detector you want to calibrate2:

„ The mobile wi-D detector in the table, or

„ the integrated detector in the wallstand.

Calibrating the mobile wi-D detector in the table

‹ Select wi-D in Table.
– The system checks the detector parameters and, if necessary, orders to
change certain settings (for example, SID).
The following prerequisites must be fulfilled prior to starting the calibration:
9 Tube and detector must be centered .
– When it is centered, this symbol lights up green at the MaxTouch.
9 The detector must be inserted in Portrait format.

9 The detector tray must be pulled out.

9 The SID must be 130 cm.

‹ Click on Next.

‹ Select the calibration mode.(s)

‹ Click on Go.
– The following message appears:

“Is the 0.6 mm Cu filter inserted?” Click Cancel to abort the calibration
‹ Insert the required filter.

‹ Confirm with OK.

1
Can be changed by customer/technician
2 Only if more than one detector is available

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 Detector Calibration

The following message appears:

Caution: X-ray will be automatically released during calibration! You can stop
the calibration at any time by clicking “Abort”

‹ Confirm this message with OK.

‹ Click Next.
– The following message appears:

“Are the following switch(es) turned on? Calibration switch on console”

‹ Turn on the switch).

Note The calibration switch can be found at the back side of the generator ON/OFF con-
sole.

‹ Click OK.
– The calibration is started. It may take up to approx. 15 minutes.

Note The progress and the current status are displayed next to the selected calibration
mode.
Do not switch the calibration switch when the calibration is in progress!

‹ Follow the instructions on the screen.

Note It is very important to turn off the calibration switch for normal operation, other-
wise, no radiation is possible!

Note If the calibration has not succeeded, the previous calibration remains valid.

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System Operation

Calibrating the integrated detector in the wallstand

‹ Select FD in bucky wall stand.
– The system checks the detector parameters and, if necessary, orders to
change certain settings (for example, SID).
The following prerequisites must be fulfilled prior to starting the calibration:
9 Tube and detector must be centered .
– When it is centered, this symbol lights up green at the MaxTouch.
9 The SID must be 180 cm.

The following message may appear:

“SID room restriction is ignored.”

‹ Confirm this message with OK.

‹ Click on GO.

‹ Select the calibration mode.

‹ Click on GO.
– The following message appears:

“Caution: X-ray will be automatically released during calibration!”

‹ Confirm this message with OK.
– The following message may appear:

“Please remove all filters!”

Confirm with OK.

‹ Click Next.
– The following message appears:

“Are the following switch(es) turned on? Calibration switch on console”

‹ Turn on the switch).

Note The calibration switch can be found at the back side of the generator ON/OFF con-
sole.

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 Detector Calibration

‹ Click OK.

Now, calibration starts. It may take up to approx. 45 minutes.

Note The progress display always shows 0% until the last series is finished.
The current status is displayed in the bottom left corner of the monitor.
Do not switch the calibration switch when the calibration is in progress.

‹ Follow the instructions on the screen.

Note It is very important to turn off the calibration switch for normal operation, other-
wise, no radiation is possible!

Note If the calibration has not succeeded, the previous calibration remains valid.

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System Operation

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 System Operation
Emergency Operation

Emergency operation (cassette)

For emergency operation (e.g., if the detector not working) you can also insert
normal cassettes (CR systems only) into the detector tray.

Procedure

‹ First, insert the corresponding cassette tray into the detector tray on the table.

Examples

‹ Then insert the corresponding cassette.

‹ Select Free Exposure Cassette.

Note Please be aware that with emergency operation on cassette no image will be dis-
played on the monitor

‹ Measure the SID/SOD with the tape measure: Distance to the cassette

‹ Release the exposure at the generator ON/OFF console.

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System Operation

Storing the cassette tray

The cassette tray, which is necessary for using the normal cassettes in the detector
tray, can be conveniently stored in a space-saving wall holder.

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 Emergency operation

Extended Emergency operation (cassette)

CR support with Automatic Exposure Control (table and Bucky wall stand)
‹ Insert the respective cassette tray into the detector tray on the Bucky wall stand
or on the table (for information how to insert the detector tray into the table,
please refer to Î139).

Detector tray for

Bucky wall stand

(1)

(1) Mounting slides to fix the cassette in the tray

‹ Insert the cassette in the required format (landscape or portrait).

‹ Move the mounting slides against each other until they snap into place.

Cassette in Bucky wall

stand

Examples for landscape and portrait format

‹ Select the appropriate cassette organ program.

‹ Change the settings for exposure values, if necessary.

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System Operation

‹ Change the sensitivity class value, if necessary.

Touchscreen ‹ Press the sc button (Sensitivity Class).

‹ Select the appropriate value for the cassette that is being used.

Console Select the appropriate sc value from the sc drop-down list.

For free exposures ‹ Measure the SID/SOD with the tape measure.

‹ Release the exposure at the radiation release button.

Note Please be aware that with emergency operation on cassette no image will be dis-
played on the monitor

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 Part: ORTHO
ORTHO support

Description of theOrtho support

The Ortho support is necessary to position the patient correctly for Ortho imaging.

Overview

(1) (3)

(2)

(4)
(5)

(9)

(7)

(7)
(8) (8)

(1) Transparent protection plate (acrylic glass)

(2) Guide rails for height adjustment of handgrips and plugging holder for the rul-
er
(3) Guide rails for plugging the compression belt (part-no. 14401930; please refer
to the accessories catalog)
(4) Manually height adjustable rail for the detector positioning stop (not used with
Ysio systems)
(5) Handgrips
(6) Additional platform for smaller patients (e.g. children) and to make sure that
the whole patient body can be mapped - removable
(7) Patient standing platform
(8) Brake levers on both sides of the standing platform

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ORTHO

(9) Holding device for the ruler

(5b)

(5)

(5a)

(2)

„ The handgrips (5) are intended to support the patient during the examination.

„ The handgrips are height-adjustable.

Adjusting the hangrips The handgrips can be moved up and down in the guide rails (2).
‹ Release the handgrips by turning the locking screw (5a) counterclockwise.

‹ Move the handgrips to the desired position.

‹ Fix the handgrips by turning the locking screw (5a) clockwise.

Note Check that the locking screws on both handgrips are properly fixed.
Thus, you prevent the handgrips from disengaging while the patient is leaning on
them.
Disengaging handgrips might cause injuries to the patient and/or damage
to the support!

This label (5b) is placed on the handgrips.

The maximum load of the handgrips is 70 kg.

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 ORTHO support

Brake levers
The Ortho Support is equipped with brakes to enable the secure stand of the sup-
port. For transport of the support you have to release the brake.

(A) (B)

Releasing the brakes

‹ To release the brakes push the lever down towards this symbol (A).

Locking the brakes

‹ To lock the brakes push the lever down towards this symbol (B).

Operation
The user will correct the position by mounting the Ortho Support.
Caution Danger of squeezing fingers, hands or legs
‹ Pay attention to your fingers, hands and legs, that they are not squeezed.

Unintentional Ortho-step-movement!
Caution Injury of the patient.
‹ Press emergency STOP push button.

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ORTHO

Accessories

Holding device for the ruler

The holding device is used to position the ruler on the image.

(2)
(B)

(A)
(C)

(D)

(A) Locking screw

(B) Ruler
(C) Positioning slots
(D) Movable holding arm
(2) Guide rail

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 ORTHO support

How to use the holder for the ruler:

(2)

(A)

‹ Attach the holding device to one of the guide rails (2) and fix it by turning the
locking screw (A) clockwise.
‹ To move the holder vertically, release the locking screw (A).

(D)

‹ The holding arm (D) can be moved horizontally as shown above.

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ORTHO

‹ To position the ruler in one of the two holding slots first of all open the fixing
clamp as shown above left.
‹ Position the ruler in the slot and fix it with the fixing clamp as shown above
right.

Compression belt

(1) Clamping part

(2) Holding part

Application
Used for patient compression during thoracic or abdominal examinations as well
as for immobilizing restless or frail patients.

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 ORTHO support

Note Remove all traces of contrast agent from the compression belt. Otherwise, the X-
ray image shows artifacts.
The compression belt is made of transparent plastic. You can clean it with a damp
cloth.

Note Make sure that the patient cannot slip through the belt.
Make sure that the patient cannot be injured.

Attachment
‹ Position the patient at the Ortho Support.

‹ Attach the clamping part of the compression device to the required position at
the rail of the Ortho Support.

(1)

(2)

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ORTHO

‹ Push both clamping levers (2) outwards.

Attachment of the compression belt not correctly done.

Caution Compression belt falls down.
Injury of persons.
‹ Make sure that the clamping part is attached firmly by pulling and pushing it.

‹ Push the ratchet lever (1) to the back.

– The belt is loosened.

Note Especially with very corpulent patients, the holding part can be fastened more
easily if you stand at the back of the Ortho Support.
IFor obese patients, and for restless or frail patients, we recommend that someone
assist you in attaching the compression belt.

‹ Pull the holding part with belt on the other side of the Ortho Support.

‹ Push the holding part on the right or left rail. Take care that the belt runs at
right angles to the Ortho Support and is not applied obliquely.

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 ORTHO support

1
4

‹ Push the clamping levers (4) outwards.

‹ Check that the holding part is securely fastened by pushing and pulling it.

‹ Turn the hand screw (3) on the clamping part clockwise.

– The belt is tensioned.
‹ Push the ratchet lever (1) forward and pull it back until the belt is optimally ten-
sioned.
‹ Check the belt tension that is reached once again on the patient.

Loosening the compression belt

‹ Push the ratchet lever (1) to the back.

‹ Turn the hand screw (3) on the clamping part counterclockwise.

– The belt is relaxed.
‹ Set a reduced belt tension once again with the ratchet lever.

Removal
‹ Push the ratchet lever (1) to the back.

‹ Turn the hand screw (3) on the clamping part counterclockwise.

– The belt is relaxed.

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ORTHO

4
4

‹ Push both clamping levers (4) on the holding part of the belt compression de-
vice inwards.
‹ Pull the holding part off the right or left rail.

‹ Take the holding part on the other side of the Ortho Support.

‹ While doing this, roll the belt halfway up with the hand screw.

‹ Place the holding part next to the clamping part.

2
2

‹ Push both levers (2) on the clamping part inwards.

‹ Pull the clamping part off the rail of the Ortho Support.

Roll up the belt completely with the hand screw (3) on the clamping part.

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 ORTHO support

Technical Data

Dimensions

Heigth 202 cm
Depth 75 cm
Width 75 cm
Weight 85 kg
Max. patient weight: 180 kg
Max. usable height 26 - 173 cm central beam
Max. patient size 184 cm

Attenuation equivalent of the transparent protection plate acc. to EN 60601-1-3:

≤ 1.70 mm Al equal - 100 kV 3.7 HWS

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ORTHO

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 ORTHO
Positioning the patient for Ortho imaging

Positioning the patient

This section applies to both automatic and manual Ortho imaging.

Use of Ortho functionality without Ortho Support.

Caution Risk of injury to patient

‹ Always use the Ortho Support if you are doing an ortho study.

Proceed as follows to position the patient at the Ortho support.

‹ Carefully position the Ortho support as close as possible to the detector tray.

Note Check that the detector tray does not grind on the semi-transparent stripes of the
complete relevant area.

‹ Position the patient in a way that the longitudinal axis of the object runs paral-
lel to the image receptor.

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ORTHO

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 ORTHO
Automatic ORTHO

Automatic Ortho imaging

Automatic Ortho imaging is available for fully automated configurations.
Automatic Ortho acquisitions can be performed with long SID (3 m) and short SID
(1.8 m).

Acquisition position 1 Acquisition position 2 Acquisition position 3

Example

An Ortho automated acquisition is done by tilting the X-ray tube unit and moving
the detector unit. The X-ray tube unit is positioned in the middle of the Ortho cov-
er range. When an Ortho sequence is started, the detector moves, and the tube
automatically rotates to the next postion.
For the detailed description of the automatic ORTHO imaging workflow, please re-
fer to the FLUOROSPOT Compact operator manual.

Note Always use the backup cable for Ortho acquisitions with the portable detector.

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 ORTHO
Manual ORTHO

Manual Ortho imaging

Note Always use the backup cable for Ortho acquisitions with the portable detector.

‹ Remove all accessories from the wallstand.

‹ Insert the 3m grid into the wallstand.

‹ Select the patient.

‹ Select an organ program

Note Always select the first organ program from the list.

‹ Position the tube assembly in a distance of 3m from the wallstand and center
it horizontally.

‹ Check that tube/detector tracking is active.

‹ Position the Ortho Support in front of the wallstand.

‹ Position the patient according to the region you want to map.

‹ Position the ruler in the holding device (Holding device for the ruler Î146)

‹ Align the ruler to the longitudinal axis of the object and to the complete acqui-
sition area (the acquisition direction for manual Ortho is always from “feet to
head”).
‹ Make sure the complete acquisition area is covered by the detector travel
range.
‹ Measure the TOD.

‹ Determine the system start position.

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ORTHO

‹ Determine the lateral collimation.

‹ Verify that vertical collimation is set to the maximum possible value.

‹ Give the respective respiration command.

‹ Release the first exposure.

Note Do not change the collimation settings until all exposures are done!

‹ Bring the detector manually to the next position.

Note An overlapping of 5cm is required between the individual exposures.

‹ Release the second exposure.

‹ Repeat the last two steps, if necessary (the maximum number of exposures is
four).

Note If the SID values are not equal for all images of an Ortho series, Composing will not
be possible on the syngo Workplace.

After an Ortho series is done the single images are assembled to one image at the
syngo workstation.

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 Manual ORTHO

Note Do not perform image cropping with acquired images as cropped images cannot
be processed on the syngo workstation.
Other post-processing functions such as changing of lookup tables or windowing
are possible.

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ORTHO

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 Part: Accessories and Auxiliary Devices

Redundant accessories and auxiliary devices within the path of X-ray

Caution Limited image quality
‹ Remove all accessories and auxiliary devices which will not be used for the ex-
amination.
‹ Remove all radiopaque parts from the radiographic field, if possible.

‹ Make sure that all accessory parts (e.g. foot switch) are firmly attached.

Inappropriate accessory
Caution The use of ACCESSORY equipment not complying with the equivalent safety
requirements of this equipment may lead to a reduced level of safety of the
resulting system
‹ Use only original Siemens accessories or accessories approved by Siemens.

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Accessories and Auxiliary Devices

Patient Table
This patient table is a patient transport trolley with fixed table height. It is de-
signed for in-hospital transport, as well as preliminary treatment and X-ray exa-
minations of emergency patients.
It is easy to move and steer by 1 person.

(1)

(2)

(3)

(3) (2)
(1) Accessory rails
(2) Wheels without brakes
(3) Wheels with brakes

Technical data
Dimensions (cm):

Length: 200 cm

Width: 66.2 cm

Height: 67 cm

Max. permissible pa- max. 135 kg

tient weight

Radiation absorption < 0.6 mm Al according to FDA

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 Accessories and Auxiliary Devices

< 0.7 mm Al according to DIN

Patient table Prognost XP

This patient table is a mobile easy to move patient table with floating table top for
digital or conventional exposures with U/L-arm units.
The open table frame allows fast positioning of the table with the patient on top
directly above the corresponding image receptor.

(1)
(6)

(5)

(3) (5)

(2) (3)

(3)
(2)
(3)
(4)

(1) Accessory rails

(2) Parking brakes
(3) Castors
(4) Foot pedal for release of mechanical table brake
(5) Handgrips, short (at user side, 2 pieces recommended)
(6) Handgrip, long (at receptor side)

Handling
Prepositioning of the table is performed through castors (3).
Parking brakes (2) are operating on 2 castors and their vertical axis for a sturdy po-
sition of the table.

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Accessories and Auxiliary Devices

‹ For exact centering of the patient to the exposure field, release the mechanical
brake of the floating table top by foot pedal (4).
‹ Then, move the table top with patient to the desired position.

Technical data
Table top Carbon fiber with low attenuation (typical 0.7 mm Al)

Thickness 2.5 cm

Length 200 cm

Width 75.5 cm
65.5 cm

Table height 73.8 cm

Usable width between 112 cm

the columns

Table top movement

longitudinal ± 33 cm

transverse ± 10 cm

Table weight 92 kg

Max. permissible pa- 150 kg

tient weight

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 Accessories and Auxiliary Devices

Mobile Patient Tables Prognost XPE and

XPE-Akku

Intended use
The Prognost XPE/XPE-Akku is a patient table for examinations with X-ray units for
general radiography in diagnostic human medicine use. It must only be used in
medically rooms.

Note The Prognost XPE/XPE-Akku is not suitable for patient transportation.

Features
„ Wide range of application

„ Motor driven elevation table for heights from 575 up to 840 mm with smooth
start and stop and convenient patient access
„ Automatic stop at pre programmed working heights

„ High reliability

„ Easy movement

„ Floating flat table top, carbon fiber type, high transparency with high rigidity

„ Hand grip, long (at rear side)

„ Hand grips, short (at user side)

„ Large range of table top displacement for convenient patient positioning

„ Minimized table top thickness for short image receptor to object distance

„ Control elements are arranged for easy access

„ Power line independently battery powered usage with 2 exchangeable accu-

mulator-boxes1.
„ Separate accumulator-box charging station1.

1 For XPE Akku only

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Accessories and Auxiliary Devices

Components
„ Hand grip, long, (ID: 03010600), mounted on the long side of the table top in
order to ease the patients getting on and off
„ Hand grips, short, (ID: 03031100), mounted on the long side of the table top
in order to ease shifting of the table or of the table top
„ Fixing mechanism (ID: 03031450), left or right mountable, for moving the ta-
ble around the corresponding elevating column axis
„ Deflector (ID: 03030190), for easier positioning of the table over the digital
detector
„ Side edge guard (ID: 03030182), for protection of the detector

„ Bumper profile (ID: 03030187), for rear accessory rail of table top

„ Protection foil (ID: 03030184), for internal covers

„ Center stop (ID: 05190000), for transverse table top movement

Control elements and indicators

(3) (1)
(2) (2)

(5)
(4)
(6)

(7)
(10)
(8)

(11) (9)

(12)
(11)

(12)

(13)

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 Accessories and Auxiliary Devices

(1) Handgrip, long (at rear side)

(2) Handgrips, short (at user side, 2 pieces recommended)
(3) Table top
(4) Protection foil
(5) Bumper profile
(6) Side edge guard
(7) Hand-held control including holding device

(8) Indicator lamp (Ready for use)

(9) Emergency stop button
(10) Power supply1
(11) Parking brakes for front castors
(12) Front castors (fixable)
(13) Foot pedal for release of mechanical table brake

Handgrips (1)(2)
The following handgrips are available:
„ Handgrip, long, for attachment at the rear side of the table top
– Used for the patient to get On and OFF the table top easier.
„ Handgrips, short, for attachment at user side
– For easier movement of table and table top

Protection foil (3)

The protection foil on internal covers increases the slippage at contact with the de-
tector housing.

Bumper profile (5)

The bumper profile avoids a direct contact of the rear accessory rail of the table
with the stand or the detector support.

Side edge guard (6)

The side edge guards avoid direct contact of the detector housing with the
z-angle.

1 For XPE-Akku only

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Accessories and Auxiliary Devices

Hand-held control (7)

(1) Table top upwards movement, fast, together with pushbutton (6)
(2) Table top downwards movement, fast, together with pushbutton (6)
(3) Memory 1, 2 and 3, for stored heights
(4) Store, intermediate height
(5) Pushbutton to drive the table down, used in combination with pushbutton (4)
for column synchronization
(6) Up/down motion-release
(7) Table top downwards movement, slow, together with pushbutton (6)
(8) Table top upwards movement, slow, together with pushbutton (6)
(9) Special function: error and error log reset (for service only)
LED flashes if a button is pressed.

Note To move the table top up/down, it is necessary to press the motion-release push-
button (6) before any other motion pushbutton.
To stop movement it is necessary to release the motion pushbutton before the
motion-release pushbutton (6).
Place the hand-held control in the holding device when you do not use it.

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 Accessories and Auxiliary Devices

Emergency stop button (9) and Power On indicator lamp (8)

Note Attention: If the emergency stop button is activated and the Power On indicator is
off, the table input power line connector can still be under line voltage. The table
is disconnected from the power line only by disconnecting the power cord from
power line receptacle connector.

Emergency stop button Press the emergency stop button to switch off the controller and the motor for the
height adjustment of the table top.
Release the emergency stop button by turning it clockwise.

Power On indicator The 3-color indicator lamp is placed near the emergency stop button.
lamp
It indicates
„ that the table elevation controller is ready for use.

„ the actual status of the table.

Visual status of indicator Status low green: Energy-saving mode1

lamp
‹ Press the motion-release pushbutton to activate full power mode.

Status bright green: Ready for operation

Status orange: Accumulator discharged to first level, normal operation possible1.
Status red: Accumulator discharged, only slow movements possible1.
– After low-power mode is reached, it is not possible to switch to full power
mode.
‹ Replace discharged accumulator with a charged one.

Further status messages are displayed with red blinking cycles

Status Red blinking cycle Description Action

1 1x Overtemperature of power ‹ Cool down unit in standby until the
amplifier caused by to fre- red blinking cycle is finished and indi-
quent up and down moving cator lamp is bright green again.
or too heavy patient load.
‹ Reduce the patient load
2 2x Drive blocked ‹ Remove the blockage reason.

‹ Reset status message by pressing the

motion-release pushbutton (6)
‹ Call service if the failure status is indi-
cated again during next movement.

1 For XPE-Akku only

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Accessories and Auxiliary Devices

Status Red blinking cycle Description Action

*
3 3x Drive blocked ‹ Cool down unit in standby.

Drive overload† ‹ Reduce the patient load.

‹ Reset the status message by pressing

the motion-release pushbutton (6).
4 4x Unintentional moving ‹ Reduce the patient load.
down
‹ Reset status message by pressing the
motion-release pushbutton (6)
‹ Call service if the failure status is indi-
cated again during next movement.
5 5x Internal voltage breakdown ‹ Call service if the failure status is indi-
cated again during next movement.
6 6x Discharged accumulator ‹ Change accumulator.

7 7x Internal limit switch error ‹ Call service

*
For XPE only
†
For XPE-Akku only

Acoustic status message With all visual indicator lamp messages, an acoustic beeper message is generated.

Beep cycle Description

2x General warning

3x Accumulator nearly discharged

6x Accumulator discharged

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 Accessories and Auxiliary Devices

Parking brakes for castors

Foot pedal for release of mechanical table top brakes

‹ Press the foot pedal to release the mechanical table top brakes.

Now, you can move the floating table top manually.

Table top UP and Down movement

Moving table in lowest position to Bucky wall stand

Caution Possible collision between table and detector of the Bucky wall stand; dam-
age to the detector
To avoid a collision, move the FD detector at the Bucky wall stand to the lowest
position observing following steps:
‹ Tilt the detector unit 90° to face the ceiling.

‹ Keep pressing the down button on the detector housing to move it down.

‹ If movement stops, press the down button again until it is impossible to move
down further.
‹ Keep FD detector position.

‹ Set correct SID and organ.

‹ Adjust the XPE table top to the lowest position (patient is on the table top al-
ready).
‹ Move the XPE table (patient) slowly and carefully to the Bucky wall stand.

‹ Make the selected exposure.

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Accessories and Auxiliary Devices

Note You can adjust the table top to the preferred height.
However, move the FD detector carefully about 4 cm under the table top.

To move the table top up or down, press the corresponding pushbuttons in com-
bination with the motion-release pushbutton.

Column synchronization
Synchronize the controller, if
„ the table is used for the first time or

„ the table is used after a long time without operation or

„ heights differences between the columns are visible.

Otherwise, the 2 columns can have different heights. As a consequence, if the ta-
ble top brakes are released, the table top can move automatically to the lower
side.

Note Never synchronize the controller with a patient on the table!

To synchronize the controller, use the hand-held control:

‹ Press pushbutton „S“ (4) thrice.

‹ Then press pushbutton (5) in combination with the motion-release pushbutton

(6) to move the table down until both columns stop.
– The columns elevation controllers are now synchronized.

Adjustment and storage of preferred table heights

It is possible to store and memorize 3 different intermediate table heights to push-
buttons 1, 2 and 3 on the hand-held control.
‹ Move table height to desired position.

‹ Press pushbutton “S” (4) thrice.

‹ Then press the memory pushbuttons 1, 2, or 3.

– The current height is now memorized to the selected pushbutton.
– A beep confirms the Storage.

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 Accessories and Auxiliary Devices

We recommended to memorize the table heights sequentially as for example

„ for pushbutton 1 the lower height

„ for pushbutton 2 the medium height and

„ for pushbutton 3 the highest table position.

‹ To select a memorized position, press memory pushbuttons 1, 2 or 3 in combi-

nation with the motion-release pushbutton (6) until the table top stops.

Energy-saving mode1
To reduce discharging of accumulator in standby, the Prognost XPE-Akku switches
into energy-saving mode 20 seconds after last table top height adjustment.
– The indicator lamp switches from bright green to low green.
The Prognost XPE-Akku switches from energy-saving mode back to normal oper-
ating mode by pressing the motion-release pushbutton again.
– The indicator lamp switches back to bright green or to the status before
energy-saving mode.
If the Prognost XPE-Akku is not in operation over a longer period (for example on
weekends), we recommend switching it OFF via emergency stop button.

Accumulator box1
2 accumulator boxes are delivered with the XPE-Akku.

For the operation of the Prognost XPE-Akku, insert a charged accumulator box into
the power supply box of the table.

1 For XPE-Akku only

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Accessories and Auxiliary Devices

Note ‹ Before replacement of accumulator box, switch OFF Prognost XPE-Akku with
emergency stop button.
‹ After insertion of new charged accumulator box, switch ON again.

Charger

Note Do not place the charger in the patient area!

Note When you charge lead-acid storage batteries, explosive gases may develop.
‹ Ensure sufficient ventilation and avoid open fire or the formation of sparks.

The charger is for indoor use only.

‹ In order to avoid the risk of fire and/or electric shock, protect the charger
against high humidity and water.
‹ To clean the charger, disconnect it from the mains supply.

‹ Use only a dry cloth.

‹ Do not plug in the charger if there are signs of damage to the housing or power
cable.
‹ Call the service in such cases.

‹ Always disconnect charger from mains supply before you connect or remove
the accumulator box.

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 Accessories and Auxiliary Devices

(1) Charger
(2) Power cord with connector
(3) Charger connector
(4) Charging status LED
(5) Socket for charger connector at the accumulator box

Charging the accumulator

Note Charging of accumulator boxes is only allowed with chargers that are released by
Provotec.

Note At the bottom, the accumulator box has 2 contacts for connection to the 12-Vdc
voltage of the inside mounted accumulator.
Never short-circuit these contacts!
To prevent the accumulator from short-circuiting, never place an accumulator box
on metal plates, metal parts or conductive parts!

‹ Place accumulator box on a non conductive stable underground.

‹ Make sure that charger is disconnected from mains supply, before you connect
the charger with the accumulator box.
‹ Insert the charge connector into the corresponding socket at the accumulator
box.
Refer to Charger Î176

‹ Connect the charger with the mains supply.

‹ When the accumulator is charged, first of all, disconnect charger from mains
supply.
‹ Wait until control LED is off.

‹ Then disconnect charge connector from the corresponding socket at the accu-
mulator box.

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Accessories and Auxiliary Devices

Charging state at the charger

Note Even if you ignore the acoustic and visual discharge limit tone, the XPE controller
allows up and down movement of the table.
You can continue table movements until the discharge safety limit of the accumu-
lator box is reached.
If the discharge safety limit is reached, all movements are disabled to prevent the
accumulator from complete discharging.
‹ Insert a new charged accumulator into the power supply box, to set the Prog-
nost XPE Akku into correct operation again.
When the Prognost XPE-Akku is not used over a longer period, the accumulator
box can discharge. To prevent discharging, we recommend switching the table
OFF with the emergency stop button.

Note As known as characteristic of accumulators, the maximum charging capacity is

reached after several cycles of discharging and charging.
The accumulator boxes are charged when delivered with the table.
In any case we recommend charging the accumulator boxes with the charger be-
fore the first use of Prognost XPE-Akku.

LED orange Mode boost charging:

Maximum and constant charging current until the load voltage is reached.
The status LED changes from orange to yellow. The charge timer is switched on.

LED yellow Mode charge timer:

The charger is for 2 hours in time-controlled mode.
Charge voltage is constant and charge current decreases. At this time, battery ca-
pacity is between 80-95% of maximum.
The charger remains in this mode until the time interval is completed.

LED green Mode trickle charge (standby):

The battery is fully charged.
If the accumulator box is not removed after fully charged, the charger switches
over to trickle charge.

Note ‹ Remove the charge connector from accumulator box, after charger is discon-
nected from mains supply, to prevent discharging of accumulator to low ener-
gy level.

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 Accessories and Auxiliary Devices

Accumulator box charging station

(1) Charging station

(2) Charger
(3) Charge connector
(4) Accumulator box
(5) Wall holder
The charging station is used for positioning of a discharged accumulator box.
You can mount the charging station at the wall using the wall holder.

Note Do not place the charger in the patient area!

‹ Place the accumulator box inside the charging station.

‹ At first, connect the charge connector.

‹ Then connect charger to mains supply.

For further steps refer to Charging the accumulator Î177.

‹ Disconnect charger from mains supply.

‹ Then remove the charge connector from the corresponding socket at the accu-
mulator box.
‹ Then remove the accumulator box.

Exposures with Prognost XPE/XPE-Akku

‹ Insert the power plug into the corresponding wall socket1.
1 For XPE only

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Accessories and Auxiliary Devices

‹ Lay the power cord in such a way that you cannot damage it by the wheels run-
ning over it during table movement.1

‹ Insert a charged accumulator box into the power supply box.1

‹ Switch power supply ON with emergency stop button.2

– A short acoustic signal sounds from the controller box.
– The green (Ready for use) indicator lamp must light up.

Note If the green (Ready for use) indicator lamp is not lit:
‹ Check the correct insertion of accumulator box into the power supply box.

‹ Make sure that the emergency stop button is switched on.

‹ Make sure that the accumulator box is charged.

‹ If it is not possible to solve the problem, call service.

If the green (Ready for use) indicator lamp flashes only for approx. 5 seconds
after the power supply is switched ON with emergency stop button:
‹ Switch OFF the power supply with the emergency stop button.

‹ Remove the accumulator box from the power supply box

‹ Call service to check function of electronic inside controller .box

Note ‹ Before you remove a discharged accumulator box, switch OFF power supply
with emergency stop button.
– A short acoustic signal sounds from the controller box.
– The green (Ready for use) indicator lamp does not light up.

In order to avoid collision with the system or the image receptor, the following se-
quence is necessary.
‹ Move the X-ray system to the necessary position.

‹ Adjust the height of the image receptor according to table top height or adjust
height of mobile table according to height of image receptor.

Note Attention: The table elevating system is designed for short time rating, only.

‹ Move table carefully to desired exposure position.

‹ Check that there is no collision between table top, table, and image receptor.

‹ Move table to the best position for the patient to get ON the table top.

‹ Lock the parking brakes of the front castors and check that brakes are fixed.
1 For XPE-Akku only

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 Accessories and Auxiliary Devices

‹ Assist patient to get ON the table top.

‹ Unlock the parking brakes.

‹ Move table to previous desired exposure position.

‹ Lock the parking brakes.

‹ Switch ON the collimator light.

‹ Move floating table top with patient to final exposure position.

‹ Collimate the organ and take an exposure.

‹ Unlock parking brakes.

‹ Move table to the best position for the patient to get OFF the table top easily.

‹ Lock parking brakes and check that brakes are fixed.

‹ Assist patient to get OFF the table top.

Note Attention: The Prognost XPE is not suitable for patient transport. Only use it as a
support for the patient during examination.
Let patients get ON or OFF the table top only
„ if the brakes are fixed;

„ under supervision and assistance from the examining personnel.

Otherwise, the whole table may tilt.

Danger points
The positions marked in the following illustration indicate danger zones in which
patients or operating personnel could suffer injury by crushing or colliding.
Be sure that during movement of the table and the table top patients or personnel
are not within the uncontrolled movement area.

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Accessories and Auxiliary Devices

Note ‹ Take care that nobody is within the movement areas of the table and the X-ray
system.
‹ Remove objects, as for example, chairs, out of the collision area, before using
the table.
Be aware that careless movements of the Prognost XPE table and table top may
injure patients, users, or other persons.
It may also cause damages to the X-ray tube assembly or the X-ray image receptor.

Cleaning

Note ‹ Do not use water for cleaning.

– Water causes short circuits in the electrical system, and corrosion in the
mechanical components.
‹ Do not use corrosives, solvents, or abrasive cleaning materials.

‹ Clean painted and plastic surfaces only with a cloth and common household
cleaners.
‹ Wipe surfaces with a clean, dry, lint-free cloth.

‹ Wipe chrome-plated parts with a clean, dry, lint-free cloth.

Disinfection
Disinfect all components, including accessories and connecting cables only by
wiping with a disinfectant solution.
Cover the equipment with plastic sheets during room disinfection.
For safety reasons, do not spray.
For further information, refer to the chapter Safety.

Daily checks
‹ Check that the front castors are locked, when the parking brakes are turned
into locking position.
‹ Check fixing and easy movement of table top by using the brake foot pedal.

‹ Check if there are visible height differences of elevation columns for table top.
If yes, perform synchronization according to Column synchronization Î174

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 Accessories and Auxiliary Devices

‹ Check that the power cord shows no damages.

If there are visible damages, do not insert the power plug into the wall socket
and inform the service.

Checking the motion- ‹ Press the motion-release pushbutton without pressing any other motion push-
release pushbutton button or the other way round.
– Height adjustment must not start.
If table height adjustment starts during this check, put the table out of operation
and call service.

Disposal Remarks
The Prognost XPE does not contain any toxic materials.
Dispose of all mechanical, electrical, and plastic components according to local or
national regulations.

Technical data
The table top consists of carbon fiber with low attenuation (typical 0.7 mm Al)

Dimensions and
weights

Table top thickness 2.5 cm

Length 200 cm - 226 cm

Width 65.5 cm - 75.5 cm

Height 59.5 cm - 86.5 cm

Usable width between 112 cm

the columns

Table weight 120 kg (without patient)

Max. permissible patient 150 kg - 230 kg

weight

Table top movement

longitudinal ± 33 cm to ± 46 cm

transverse ± 10 cm

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Accessories and Auxiliary Devices

Electrical characteris-
tics

Line voltage1 230 V / 50 Hz or 115 V / 60 Hz

Power supply2 12-Vdc accumulator box

Classification Class I, type B (according to EN 60601-1)1

Internally powered equipment, type B (according to EN 60601-1)2

Environmental condi-
tions (operation)

Temperature range +10° C to +40° C

Relative humidity 30 % to 70%, non-condensing

Air pressure 700 hPa to 1060 hPa

Environmental condi-
tions (transport and
storage)

Temperature Range -10°C to +70°C

Relative Humidity 10% to 95%, non-condensing

Air Pressure 500 hPa to 1060 hPa

1
For XPE only
2 For XPE-Akku only

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Symbols

Parking brake unlocked

Parking brake locked

Attention, read accompanying documents!

Attention, High Voltage!

CE-marking

Earth conductor1

Classification according to EN 60601-1, Class 1 Equipment, Type B

EMC interference

Danger of violent pressure to hands and fingers etc.

Do not exceed maximum weight, risk of breakage

Do not exceed maximum weight, danger of tilting

Examination position

Longitudinal positioning

Transverse positioning

Special disposal, separate collection2

No smoking2

Warning against battery risk2

1
For XPE only
2 For XPE-Akku only

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Do not touch electric contacts!2

Labeling

Prognost XPE

STOP

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Prognost XPE-Akku

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Accessories and Auxiliary Devices

STOP

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 Accessories and Auxiliary Devices

Detector tray for Prognost tables

Safety information
The user and the personnel have to follow the warnings and safety information
placed on the device, disregarding may lead to injury.
In the event of malfunction, do no longer use the unit and Siemens Customer Ser-
vice.

Intended use
This detector tray for portable flat panel detectors is an option for the Prognost ta-
bles XP, XPE, and XPE Akku. It can be used for examinations with X-ray units for
general radiography in diagnostic human medicine use. It has to be used in
medical rooms only.

Features
„ Easy insertion and removal of the detector tray as well as longitudinal move-
ment
„ Easy insertion and removal of the flat panel detector

„ Usable for flat panel detectors with or without grid

„ Rotatable for portrait or landscape exposures

„ Longitudinal detector movement in rails

Detector tray positions

Detector tray in load position

In this position the detector can be inserted and removed from the tray. It can also
be rotated by 90° for landscape or portrait exposures.

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Detector tray in load position:

Detector tray in exposure positions

Position of the flat panel detector for landscape exposures:

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Position of the flat panel detector for portrait exposures:

Operation

Overview

Note For further information regarding the detector operation, refer to Wireless Mobile
Detector Î91.

Note Never exceed the indicated maximum weight of 10 kg indicated on the detector
tray.

Detector tray with inserted detector:

3 4 1 2

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Accessories and Auxiliary Devices

(1) Hand grip for detector tray in and out and longitudinal movement
(2) Detector hand grip for rotation
(3) Flat panel detector
(4) Detector handle.

Inserting the detector into the detector tray

Note The detector tray must be in load position before inserting the detector.

„ Move the table top to its rear position.

„ Move the detector tray into load position using the hand grip.

„ Insert the detector, and make sure the positioner is inside the handle.

„ If required, rotate the detector tray from landscape to portrait position using
the hand grip for rotation.
„ Use the hand grip to move the detector tray into exposure position until a slight
resistance can be sensed.
– The detector tray then automatically moves to the exposure position.

Removing the detector from the detector tray

Note The detector tray must be in load position before removing the detector.

„ Move the table top to its rear position.

„ Move the detector tray into load position using the hand grip.

„ If the detector is in portrait position, rotate the detector tray to landscape po-
sition using the hand grip for rotation.
„ Slightly lift the detector with its handle until it can be pulled over the position-
er.
„ Remove the detector.

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Flat panel detector rotation and longitudinal movement

Note Take care for pinch points of hands and fingers during flat panel detector rotation
and longitudinal movement.

Only rotate the flat panel detector if the detector tray is in the load position.

Rotate the flat panel detector from landscape to portrait position and vice versa.

Click stops are provided for both positions.

1 2

(1) Center mark

(2) Hand grip for detector rotation

Exposures
„ Insert the detector.

„ Rotate the detector as required.

„ Release the table top brake, and move the table top in transverse direction to
the center the stop position. Either a mechanical center stop is provided al-
ready or is available as an option.
„ Center the detector tray to the X-ray beam using the center mark on the hand
grip of the detector tray for longitudinal direction as well as the labels on head
and foot end of table top. The line and arrow on these labels indicate the trans-
verse center of the table top. Transverse centering should be done in conjunc-
tion with the collimators’ light beam.
„ Release the exposure.

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Cleaning

Note Prior to cleaning or disinfecting, remove the power cord and actuate the emergen-
cy OFF switch or safety switch (if existing). Make sure that no liquids can penetrate
into the equipment.

Note Do not use water for cleaning.

Water causes short circuits in the electrical portion of the system, and corrosion in
the mechanical components.
Do not use corrosives, solvents or abrasive cleaning materials.
Clean painted and plastic surfaces only with a cloth and common household
cleaners and wipe surfaces with a clean, dry, lint-free cloth. Clean chrome plated
parts by wiping with a clean, dry, lint-free cloth.

Disinfection
All components, including accessories and connecting cables, may be disinfected
only by wiping with a disinfectant solution.
The equipment must be well covered with plastic sheets during room disinfection.

Note For safety reasons, no spray disinfectant may be used.

Recommendations and instructions regarding the use of disinfectants and meth-

ods of disinfection may be derived from the most recent rules and guidelines con-
cerning disinfection and explosion safety.

Regular checks

Quality control
X-ray equipment should be quality-controlled at regular intervals or as required by
applicable regulations to determine that the image quality remains in accordance
to national regulations, e.g. by a monthly consistency testing.

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Technical data

Dimensions
Longitudinal move- 56 cm for table models Prognost XP, XPE, and XPE-Akku
ment (LM)

Table top to detector 45 mm for a standard table.

entrance distance (D)

Transverse movement Transverse movement from park to load position 459 mm.

Total weight 19 kg including longitudinal rails (less detector).

Environmental data

Temperature range +10°C to +40°C

Relative humidity range 30 % to 70 %, not condensing
Atmospheric pressure 700 hPa to 1060 hPa
range

Transport and stock environment

Temperature range -10°C to +70°C

Relative humidity range 10 % too 95 %, not condensing
Atmospheric pressure 500 hPa to 1060 hPa
range

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Labels

Symbols

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 Accessories and Auxiliary Devices

Patient positioning mattress

Application
The mattress is used for comfortable patient positioning and is attached to the
protection strip of the tabletop.

Attachment
‹ Attach the protection strip at the head end of the tabletop.

‹ Place the mattress on the tabletop and pull the loops over the hand screws of
the protection strip.

Radiation protection The attenuation equivalent is < 0.5-mm Al.

value

Handgrips, lateral

Application
The handgrips serve for stable and safe patient positioning.

Note They are provided for the safety of the patient.

To avoid injuries to the patient's hands when moving the tabletop, please ensure
that
„ the patient uses the grips and

„ does not grasp the ends or sides of the tabletop.

The handgrips may loosen because they cannot support the patient’s full weight.
Caution Injuries by squeezing
‹ Use other positioning aids for immobilizing weak or very unstable patients.

‹ Ensure that handgrips are tightened prior to use.

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Attaching the handgrip

The handgrip is attached to either of the 2 lateral accessory rails of the patient ta-
ble.

Handgrip

Base of handgrip

‹ Hold the base of the handgrip and loosen it by turning it counterclockwise.

‹ Insert the handgrip into the groove of the accessory rail and slide it into the de-
sired position.
‹ Tighten the handgrip by turning it clockwise.

Note Please make sure that the handgrips are securely fastened.

Removing the handgrip

‹ Proceed in reverse order.

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Overhead patient handgrip

Application
The overhead patient handgrip serves to stretch the patient during chest exami-
nations.
Insert the overhead patient handgrip on the left or right side of the Bucky unit/de-
tector tray. Once in position, you can swivel it 0° and 180° parallel to the detector
or 90° vertically in front of the detector. The overhead patient handgrip engages
in the 0°, 90º, and 180° positions.
For easy storage of the overhead patient handgrip, a wall holder is provided.

Note The overhead patient handgrip has no locking mechanism to prevent it from being
pulled out from the top.
Please pay special attention when patients use the grip!
The maximum load on the overhead patient handgrip must not exceed the stated
value (see label).

Inserting
‹ Move the detector tray until its upper edge is approx. at eye level.

‹ Push it straight down into the holder on the left or right at the top of the detec-
tor tray until the bolt is completely inside the duct.
– In this position, you cannot swivel it about its vertical axis.

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Moving / Removing
‹ When moving or removing the overhead patient handgrip, pull it vertically up-
wards out of its holder.

Adjustment
You can swivel the overhead patient handgrip about its lower center of rotation
through 360°. The exception is the position parallel in front of the detector. In this
position, you can swivel the handgrip only by 100°.
‹ Pull the overhead patient handgrip axially approx. 1 cm against the spring force
to the front.
‹ Swivel it by the required angle.

‹ Then let it snap back again into its axial rest position.

Compression belt

Application
Used for patient compression during thoracic or abdominal examinations as well
as for immobilizing restless or frail patients.

Note Remove all traces of contrast agent from the compression belt. Otherwise, the X-
ray image shows artifacts.
The compression belt is made of transparent plastic. You can clean it with a damp
cloth.

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Using the compression belt at the table

Attachment
‹ Move the patient table to the horizontal position.

‹ Position the patient on the table.

‹ Push the tensioning part of the compression belt into the required position
over the front accessory rail.

(1)

(3)

(2) (2)

‹ Press both tension levers (2) outward.

‹ Check that the tensioning roller is firmly seated by pulling on it.

‹ Press the ratchet handle (1) downward.

– The belt is released.

Note For obese patients, the belt holder is easier to secure if you are standing at the
back of the patient table. In this case, and for restless or frail patients, we recom-
mend that someone assist you in attaching the compression belt.

‹ Lift the holder with the belt across the patient.

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Accessories and Auxiliary Devices

‹ Push the holder over the back accessory rail. Make sure that the compression
belt attaches straight across the tabletop and not at an angle.

(1)
(3)

(4) (4)

‹ Press the tension lever (4) outward.

‹ Check that the holder is seated firmly by pulling on it.

‹ Turn the cap screws (3) on the tensioning roller toward the right to tighten the
belt.
‹ Push and pull back on the ratchet handle (1), until the belt tension is optimal.

‹ Check the belt tension on the patient once again.

Loosening the compression belt

‹ Move the patient table to the horizontal position.

‹ Press the ratchet handle (1) back.

‹ Turn the cap screw (3) on the tensioning roller towards the left.
– The compression belt unclenches.
‹ Use the ratchet handle to set a lower belt tension.

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Removal
‹ Move the patient table to the horizontal position.

‹ Press the ratchet handle (1) back.

‹ Turn the cap screw (3) on the tensioning roller toward the left.
– The compression belt unclenches.

(4)

‹ Press both tension levers (4) on the belt holder inward.

‹ Pull the belt holder backward off the accessory rail.

‹ Lift the belt holder over the patient.

‹ Roll up the compression belt halfway using the cap screw.

‹ Place the belt holder next to the tensioning roller.

(1)

(3)

(2)

‹ Press both levers (2) inward on the tensioning roller.

‹ Pull the tensioning roller from the front accessory rail.

‹ Assist the patient in stepping down from the patient table.

‹ Use the cap screw (3) to roll up the belt on the tensioning roller.

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Radiation protection The attenuation equivalent of the compression belt is ≤ 0.8-mm Al.
value

Immobilizing strap

Example showing how to use the immobilizing strap

Utilization
An immobilizing strap is available to secure the patient at the wallstand. The vel-
cro strap is shaped in such a way that a retaining force of 500 N (50 kp) min. is
guaranteed. The holding belt is designed to support the patient in the waist re-
gion.
‹ Pull the velcro strap through the patient handgrips on both sides of the detec-
tor unit, and wrap it round so that the velcro and fleece strap adhere to one an-
other.
‹ Position the patient and attach the straps with each other.

Detector holder, mobile

Refer to the original operator manual of the manufacturer.

Lifting the table top

Caution Risk of squeezing
‹ Be careful when lifting the table top while the detector holder is positioned
above table top.

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Detector holder, lateral

Application
Lateral exposures with the X-ray tube onto the upright detector

Examples of application

The detector holder is to be used only on or above the table top or directly at the
side of the table top (see examples above).
If the backup cable is connected, pay attention when moving the detector holder.

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Accessories and Auxiliary Devices

Misuse

‹ Do not use the detector holder as shown above.

‹ Do not lean on it, you might damage the table top.

Attaching detector holder

The detector holder can be attached to either of the two lateral accessory rails of
the patient table.
‹ Take the detector holder with both hands (high weight!) and insert it into the
groove of the accessory rail.
‹ Slide it into the desired position.

‹ Tighten the detector holder.

Note Note
If the detector holder is not securely fastened, it can fall down. This may lead to
injury of persons or damage to the detector holder.
‹ Make sure the detector holder is securely fastened.

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(1)

‹ To move the detector holder vertically use the crank (1).

Inserting the detector

(A)

‹ Insert the detector into the detector holder from above.

There are two grooves (A) that can be used to insert the detector:
„ In the front groove only the detector can be inserted.

„ In the back groove the detector with the optional grid attached can be inserted.

Removing detector and detector holder

‹ Take the detector out of the detector holder from above.

‹ Place the detector in a safe location.

‹ Dismantle the detector holder with both hands from the lateral accessory rail
of the patient table.

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Clip-on grid
(1)

(2)

(1) Locks to fix the grid to the detector

(2) Line that indicates the direction of the grid strips

Application
The clip-on grid is used for free exposures on the mobile detector.
For exposures on the patient table or on the wallstand, absolutely use the corre-
sponding internal.

Note When the clip-on grid is not in use, remove it from the detector and store it in a
safe place where it cannot fall.
Even if it is not extremely damaged, maybe its characteristics are changed, which
may cause a problem in image quality.

Attaching the clip-on grid

‹ Place the detector horizontally on a table.

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‹ Hold the grid with both hands and engage it at the bottom of the detector.

(1)

‹ Gently set the grid over the detector unit.

‹ Close the locks (1) to fix the grid to the detector

Detector with clipped-on grid

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Note Ensure that the grid unit is locked before lifting the detector unit. Otherwise, the
grid unit can fall and be damaged.

Note Pay attention to focusing of the grid (115 cm).

Position the grid (including detector) centered in the beam field.
Avoid oblique projections.

Removing the clip-on grid

(1)

‹ Open the locks (1) on top of the grid.

‹ Lift and remove the grid as shown above.

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FD protector (patient support)

FD Protector (patient support)

Application The FD Protector is a protective cover for the detector. It is used for examinations
where the patient has to stand on the detector if the patient body weight exceeds
100 kg.

Note The FD protector may only be used without clip-on grids.

It is made of acrylic glass.

If the detector back-up cable is used, make sure the cable runs through the intend-
ed cable slots.

Note The maximum load on the FD Protector must not exceed the specified value on the
label.

Al equivalent The Al equivalent value is 1.39 (for 3.7 mm Al).

Grid holder
This holder is used for storage of exchangeable grids or cassette trays. You can
mount it to the wall.

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Compensation filters

Utilization
Absorption compensation for acquisitions of
„ Pelvis

„ Foot

„ Infant skull

„ Adult skull

„ Shoulder

„ T-spine, L-spine

SIEMENS SIEMENS

Compensation filter for pelvis (left) / for foot (right)

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SIEMENS SIEMENS

Pädiatrie

Compensation filter for infant skull (left) / for adult skull (right)

SIEMENS

Compensation filter for shoulder

SIEMENS BWS, lateral SIEMENS BWS, lateral

BWS, a.p.

Compensation filter for thoracic spine, lat. (left) / for thoracic or lumbar spine, lat. (right)

Attaching a filter

Note The operating personnel has to take care that the filters are attached appropriate-
ly.

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Accessories and Auxiliary Devices

‹ Push the filter with the aluminum part downwards into the 2 accessory rails of
the multileaf collimator.
– The safety spring in the left rail is pushed beside in this case.
‹ Push the filter up to the stop.

The load on accessory rails should not exceed 70 N (7 kp).

Caution Rails could be damaged by too strong a pressure and proper seating of the ac-
cessory or auxiliary device can no longer be guaranteed.
‹ Do not exert any torque on the multileaf collimator or its rails when inserting
the accessory or auxiliary device.

Note If you exert too strong a pressure on the accessory rails, the position of the tube
assembly can change.
‹ As a consequence, you will have to change the settings of the RHA.

Removing a filter

‹ Push the safety spring in the left rail beside.

‹ Pull the filter out of the accessory rails of the multileaf collimator.

‹ Keep the filter secured in the holder.

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Note Please be careful when handling the compensation filter and three-field tem-
plates. They are thin, scratch-sensitive, and may become unusable due to rough
handling.

Filter holder for 8 filters

Application
For storing a maximum of 8 compensation filters.

Fastening the wall holder

‹ Have the holder fastened to the wall at working height at a suitable place with
the enclosed wall plugs and screws.

Equipping the wall holder with compensation filters

‹ Remove compensation filters from the packaging.

‹ Turn the filter so that you can read the designation on the filters reading nor-
mally from above.
‹ Place the filters in the upwards angled compartments.

Storing the compensation filter in the wall holder

‹ Place the filter in a free compartment of the wall holder.

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Accessories and Auxiliary Devices

‹ Turn the filter so that you can read the designation on the filter reading normal-
ly from above.

Three-field template, set

Application
For exposing the IONTOMAT ionization chambers on the object that you want to
expose.

The three-field templates are available as a complete set or individually for the fol-
lowing SIDs:
SID: 90 cm - 110 cm
SID: 110 cm - 130 cm
SID: 130 cm - 175 cm
SID: 175 cm - 220 cm

Incorrect patient orientation

Caution Image without diagnostic value
‹ Make sure that you use the correct three-field template for the SID used.

‹ Ensure that the three-field template is correctly attached.

Using the three-field templates

‹ Push the locking lever on the left accessory rail to the left.

‹ Slide the template into the collimator accessory rail in the correct direction for
exposing the ionization chamber.
– The locking lever on the accessory rail springs to the right.
‹ Check that the template sits firmly in the collimator.

‹ Expose the ionization chambers. To do so, switch on the light of the collimator.

Storing the three-field templates

‹ Push the locking lever on the left accessory rail to the left.

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‹ Pull the template out of the accessory rails.

– The locking lever on the accessory rail springs to the right.
Store the three-field templates in a suitable location.

Note Please be very careful with the three-field templates. They are thin and sensitive
to scratching. If handled carelessly, they can become useless.

AEC templates

Application
The AEC templates are used for exposing the IONTOMAT ionization chambers on
the object you want to expose.

The AEC templates are available for the following SIDs:

SID: 90 cm - 110 cm
SID: 110 cm - 130 cm
SID: 130 cm - 175 cm
SID: 175 cm - 220 cm

Using the AEC templates

‹ Push the locking lever on the left accessory rail to the left.

‹ Slide the template into the collimator accessory rail in the correct direction for
exposing the ionization chamber.
– The locking lever on the accessory rail springs to the right.
‹ Check that the template sits firmly in the collimator.

‹ Expose the ionization chambers. To do so, switch on the light of the collimator.

Storing the AEC templates

‹ Push the locking lever on the left accessory rail to the left.

‹ Pull the template out of the accessory rails.

– The locking lever on the accessory rail springs to the right.

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Accessories and Auxiliary Devices

Store the AEC templates in a suitable location.

Note Please be very careful with the AEC templates. They are thin and sensitive to
scratching. If handled carelessly, they can become useless.

Laser light localizer

An additional localizer template can be used to generate a 90° offset laser light.
This ensures a radiation-free adjustment of the exposure projection and patient
positioning.

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BABIX holder

(2)

(1)

(1) BABIX holder

(2) Support arm
The BABIX holder is mounted with the support arm on the Vertix stand column.
You can be park it either on the left or on the right.

Application
The BABIX holder is used to fasten the BABIX cradle during pediatric examinations
of small children. To park the holder, swivel it 180° around its fastening point. The
fastening hook slides lengthwise in the support arm. This action makes it possible
to position the BABIX cradle at different locations up to right in front of the front
panel of the Vertix stand.

BABIX holder swiveled in

Caution Collision hazard
‹ Swivel the BABIX holder to the lateral parking position when it is no longer
needed after the examination.

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Assembly of babix holder not correctly done

Caution Injury of persons
‹ Follow the instructions in the operator manual.

‹ Swing the support arm (2) of the BABIX holder (1) in front of the center of the
cassette/detector tray.
– The BABIX holder is now ready to hook up the BABIX cradle.
‹ Check the BABIX holder (1) for firm attachment at the support arm (2) by pull-
ing or pushing it.
‹ Check the tractive force as well as screws and other fixing devices of the BABIX
holder (1) at the support arm (2) for their stability and loading capacity.

‹ Hook the bow of the BABIX cradle in the hook of the BABIX holder.

Note Do not load the BABIX holder at the point of suspension with more than 10 kg.

Park position Swivel the BABIX holder to the park position when it is no longer needed after ex-
amination. The park position is parallel to the detector 180° ±3° or 0° ±3°

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Trolley for BABIX cradle

Application
The trolley is an aid for X-raying infants in upright position. The BABIX cradle is sus-
pended in this case on a hook on the trolley. It can thus be brought simply and
quickly into the exposure position.
You can use it with the wall stand.

Note Use the BABIX trolley exclusively for moving and positioning the BABIX cradle.
Incorrect use of the trolley can lead to damage and injuries!

Collision of tilted detector with Babix trolley

Caution Damage of the detector!
‹ Leave the detector in the wall position. Tilting or turning the detector is not
necessary for this examination.

Operating sequence
‹ Position the Ysio wi-D in the so-called "wall position".
– The detector of the wall stand is aligned horizontally (like for chest X-ray, for
instance).
There are 2 versions of the operating sequence:
1. Suspending the BABIX cradle with infant after positioning the empty trolley.
2. Positioning the trolley with the BABIX cradle already suspended.

Version 1: Suspending the BABIX cradle after positioning the empty trolley
‹ You position the empty trolley in front of the detector of the wall stand.

‹ Fix the trolley with the locking brakes.

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Arm loops

Fixing belt

‹ Place the infant in the BABIX cradle, fix it with the corresponding cushions and
wedges and strap is firmly with the belts provided for this purpose.
Refer to the corresponding literature or hospital regulations.

(1)

‹ Suspend the BABIX cradle with the infant in the spring hook (1).

‹ Turn the hook as required for lateral or a.p. exposures.

(1)
(2)

(2)

Spring hook unlocked (left); spring hook locked (right)

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‹ Lock the spring hook (1) against unintended opening by turning down the
knurled screw (2) to the stop.

‹ Fix the BABIX cradle with the infant in the exposure position with belts drawn
through the loops on the sides of the trolley.
‹ Take the exposures as required.

‹ Unhook the BABIX cradle and free the infant from the BABIX cradle.

‹ Remove the trolley and move it to its storage place.

Version 2: Positioning with the BABIX cradle already suspended

This version differs from version 1 only in that the trolley is positioned in front of
the detector with the BABIX cradle incl. infant already suspended.
Please note the following when moving and positioning the trolley with already
suspended BABIX cradle:

Fixing the cradle

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Accessories and Auxiliary Devices

‹ Before moving and positioning, fix the BABIX cradle with the infant in the ex-
posure position with belts.
‹ Draw these belts through the loops on the sides of the trolley.
– In this way, you avoid the infant swinging to and fro and thus being injured
during moving and positioning.

BABIX cradle, U-shaped, 700 mm

Application
Pediatric examinations with the table and the wallstand in which you must firmly
envelop the child's body in a straight posture.
The BABIX cradle is made of translucent and radiolucent plastic.

Restriction The BABIX cradle is not suitable for use in magnetic resonance tomography.
B

There is a danger of rolling away when placed down on the table.

Warning

Attachment
‹ Position the BABIX holder.

‹ Check that the BABIX holder is securely attached.

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 Accessories and Auxiliary Devices

‹ Hook the BABIX cradle on the hook of the holder and align it for the exposure.

Insufficient attachment of BABIX straps

Caution Injury to the infant by falling out
‹ Make sure that the infant is secured properly with the straps of the BABIX cra-
dle.

Insufficient fastening of the Babix harness belts

Caution Risk of injury of the infant due to falling or dropping down
‹ Pay attention to the correct and secure fastening of the belts.

Removal
‹ Remove the BABIX cradle from the holder;

‹ Take the BABIX cradle with the infant out of the examination room and attend
to the infant;
‹ Hang the BABIX cradle on the corresponding BABIX retainer and store appropri-
ately.

Radiation protection The attenuation equivalent of the BABIX cradle is ≤ 1.6-mm Al.
value

Permissible load „ Size 600 mm: 6 kg

„ Size 700/800 mm: 10 kg

„ Size 1000 mm: 15 kg

Information on the possibility of wear

In addition to “Accessories and Auxiliary Devices", please note the following in-
formation concerning the possibility of wear on BABIX cradles and their immobi-
lizing straps.
„ After prolonged use, cracks may form in the PVC plastic material.

„ The immobilizing straps may show wear.

‹ Following a visual check, replace the defective parts, if necessary, or dispose of

the entire BABIX cradle.
„ The tensile/shear strength of the welded chains, brackets, and fittings is de-
signed to ensure a safety factor of 20.

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Accessories and Auxiliary Devices

‹ If you see any external damage on these parts, replace them.

Cleaning
Clean the BABIX cradle using commercially available detergents and disinfectants.

Note Do not use chemical-based solvents!

BABIX retainer, for U-shaped BABIX cradle

Application
Storage and stretching of BABIX cradle

Fastening the BABIX retainer

Have the wooden holder fastened to the wall with the attached screws and wall
plugs at a suitable location and the correct working height.

Removing the BABIX cradle

‹ Carefully pull the BABIX cradle out of the groove of the BABIX retainer.

‹ Hold the BABIX cradle securely.

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 Accessories and Auxiliary Devices

‹ Lift the BABIX cradle off the wooden hook of the retainer.

‹ Place the BABIX cradle on a safe supporting surface.

‹ Carefully place the child in the BABIX cradle in a comfortable position.

‹ Secure the child in the BABIX cradle.

‹ Check to make sure that the child is correctly and safely positioned in the BABIX
cradle.
‹ Take the child into the prepared X-ray room.

Storing the BABIX cradle

‹ Remove the child from the BABIX cradle and attend to its needs.

‹ Hang the BABIX cradle on the wooden hook with the opening in the BABIX
cradle facing the retainer.
‹ Press the 2 longitudinal sides of the BABIX cradle into the grooves of the
retainer.
‹ Check to make sure that the BABIX cradle is securely seated in the retainer.

Wireless Remote Control

Important information
The functions of the Wireless Remote Control are activated via an RF transmitter.
p

Note The Wireless Remote Control may be interfered by other equipment, including
portable and fixed RF communication equipment, even if such equipment meets
the applicable emission requirements.
The operator must assure that other wireless devices in the 2.4-GHz ISM band are
not operated in the vicinity of appr. 5 m around the Ysio wi-D system. System
movements can interrupt sporadically.
Please observe and verify normal operation of the Wireless Remote Control prior
to using it.

‹ Operate the Wireless Remote Control only in close vicinity to the patient table
and with full visibility to the patient on the table.
‹ Take care that the batteries are always sufficiently charged.

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Accessories and Auxiliary Devices

Wireless Remote control or portable detector generate an electromagnetic field

Caution too high that disturbs life supporting device.
Interference with life supporting device resulting in possible malfunction
‹ Make sure to keep a safety separation distance of larger than 90 cm between
the Wireless Remote Control or portable detector or docking station and the life
supporting device.
‹ In case of interference with other equipment increase the distance between
the interfering devices.

Collision with operator or patient

Caution Mechanical or personal damage
‹ Take care that the used remote control and the system have the same colored
label.
‹ Use the remote control only when there is visual and acoustic contact with the
patient.
‹ If unintended movement occurs, press the nearest emergency STOP button.

Changes or modifications not expressly approved by the party responsible for

compliance could void the user´s authority to operate the equipment.
The Wireless Remote Control may be interfered with by other equipment, includ-
ing portable and mobile RF communication equipment, even if this equipment
meets the applicable emissions requirements.
In order to perform its intended function, the Wireless Remote Control must emit
electromagnetic energy. Maybe, nearby electronic equipment is affected.

Note Use the remote control only inside the examination room.

Operation
The remote control is active in a range of appr. 5 m around the table/stand, where
the receiver is mounted. If the remote control is in a wider range of the table, it
may lose contact with the receiver. It then turns into an inactive mode.

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Display area

Operation area

Selection area

Wireless Remote Control (example)

Display area
There are 3 LEDs showing the status of the remote control.

„ Green LED on: Remote control is on and is in active mode.

„ Green LED off: Remote control is inactive.

– It is too far away from the table
– The Ysio wi-D is switched off
– The batteries are discharged
– The remote control is in “sleep mode”. Press a button swiftly to activate it
again.

Orange LED on: An operation button is being pressed.

„ LED off: battery sufficiently charged, remote control not connected to the
Charging Station
„ LED flashing red: battery needs charging, remaining capacity < 4 h

„ LED on red: remote control connected to Charging Station and batteries are be-
ing charged
„ LED on green: remote control connected to Charging Station and batteries are
fully charged

This symbol marks an RF transmitting component.

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Accessories and Auxiliary Devices

Selection area
In the selection area, you can select which part of the system you want to operate.
The green LED on the selected button is on.

Selection of tube unit

Selection of detector

Selection of patient table

Selection of collimator

Operation area

Dead-man
switch

Note On the backside of the remote control, there is a dead-man switch. To execute an
operation with a button of the operation area you have to press the dead-man
switch simultaneously.
As soon as you release the dead-man switch, the current operation is stopped.

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Note All following operating directions only apply if you are standing in front of the
tube unit.

Angular movement of tube unit and detector

Angular movement of tube unit and detector clockwise about the α-axis

Angular movement of tube unit and detector counter-clockwise about the α-axis

Angular movement of tube unit and detector clockwise about the β-axis

Angular movement of tube unit and detector counter-clockwise about the β-axis

Opening/closing the collimator; moving tube unit and detector in x and y di-
rection (orange and green)

Opening the collimator in transverse direction

Moving tube unit and detector in x direction (orange)

Closing the collimator in transverse direction

Moving tube unit and detector in x direction (orange)

Opening the collimator in longitudinal direction

Moving tube unit and detector in y direction (green)

Closing the collimator in longitudinal direction

Moving tube unit and detector in y direction (green)

OGP position of patient table or parking position

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Accessories and Auxiliary Devices

Moving the patient table to OGP position;

Moving the system in parking position

Moving detector, tube unit, and patient table

Moving up and down detector, tube unit, and patient table.

’Center lock’ tracking

Disable/enable ’center lock’ tracking

– Press the ’center lock’ tracking button just for a short time (< 3 s) to activate
or deactivate center-lock tracking at the current position.
When an OGP with centered tracking is selected press the tracking button
longer than 3 s and keep it pressed (dead-man switch). Detector and tube
unit are then centered as programmed.
– LED at tube support control panel lights up when tracking is active
– LED at tube support control panel flashes when tracking is not possible or
being in progress

SID tracking
Disable/enable SID tracking control
– Press: The tracking control is switched off(on).
– LED at tube support control panel lights up when tracking is active
– LED at tube support control panel flashes when tracking is not possible or
being in progress

Parking position
Switching over the function of the OGP button to parking position
– Green LED is on.
After the parking position is reached, immediately switch off this function again.
– Green LED is off.

Marking signs
The Wireless Remote Control is marked with a colored sign of different shape. So
you can avoid a mix up for installations with a multitude of Wireless Remote Con-
trols. The same marks are attached to the respective table and room during instal-
lation.

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 Accessories and Auxiliary Devices

These signs are 2 examples of colored signs of different shape to mark the remote
control to a Ysio wi-D system.

Charging Station
The Wireless Remote Control is plugged in the Charging Station for charging the
batteries. We recommend charging the batteries every day after deployment.

Charging Station

If the Wireless Remote Control needs charging during a patient procedure, simply
plug it in the Charging Station.
Never use another charging device than the Charging Station delivered with the
Wireless Remote Control.

Note For safety reasons, never touch the charging contacts and the patient simulta-
neously when the charging station is connected to a socket (charging contacts are
permanently energized).

Installation You can install the Charging Station either at the wall or on the table.

Exchange of batteries
Let authorized and trained staff exchange the batteries of the Wireless Remote
Control once a year. Please call Siemens Service. Unauthorized exchange may
cause severe damage.

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Accessories and Auxiliary Devices

Technical Data
Active range Approximately 5 m around the receiver mounted to the stand.

Charging time Approx. 2 h

Operating time with Approx. 12 h

full batteries

Frequency range 2402 MHz - 2480 MHz

Modulation GFSK

RF Power 0 dBm

RF emissions CISPR 11 Compliance: Group 2

The deployment of Wireless Remote Control in combination with Ysio wi-D chan-
ges the classification of Ysio wi-D from compliance group 1 to compliance
group 2.

Footswitch

„ Left foot switch for table down movement.

„ Middle foot switch for table up movement.

„ Right foot switch to release the brakes for table top floating.

Operator or patient does not recognize the cable of the foot switch or the foot
Caution switch itself.
Injuries by stumbling
‹ Take special care to the location of the foot switch and the associated cable on
the floor.

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 Accessories and Auxiliary Devices

UPS
UPS = Uninterruptible Power Supply
A UPS is a battery-backed system which provides emergency power in the event
of a mains power supply failure.

UPS for the imaging system

To prevent data/image loss, your system may have a UPS which shuts down the
imaging system in a controlled way in the event of a power failure.

UPS operation

Inappropriate device connected to UPS

Caution Risk of electrical hazard or damage to the system
‹ Do not connect any additional device to the UPS power outlets.

In the event of power failure, all indicators and displays are dark. Only the imaging
system as well as the monitors is still being powered by the UPS.
‹ Stop the examination.

‹ Do not press any keys.

After a configurable time (typically 2 minutes), the imaging system will shut down
to prevent the backup battery to be exhausted.

Power recovers during this time

‹ Power on the system using the on-site room ON (or emergency SHUTDOWN)
button, if necessary1.
The system will be switched on again by the (still running) imaging system and it
will be operable again after a short time.

Power does not recover

The imaging system will shut down when the recovery time has been elapsed. The
shutdown needs a few minutes.
‹ Let the imaging system shut down.

1 mandatory in Germany

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Accessories and Auxiliary Devices

After recovery of the power supply

‹ Power on the system using the on-site room ON (or emergency SHUTDOWN)
button, if necessary.
‹ Switch the system on.
Switching on in part On/Off, Safety Check (Volume 1)
‹ Pay attention to any error messages.

‹ Check if all data/images are present.

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 Part: Technical Data

All technical data represent typical values unless specific tolerances are given.
Siemens reserves the right to change the design and specifications without notice.

System
Ambient conditions
(Operation)

Temperature +10°C to +35°C, or

Systems with portable 18°C to +28°C

detector

Relative humidity 20% to 75%, non-condensing

Barometric pressure 700 hPa to 1060 hPa

Ambient conditions
(Transport
and storage):

Temperature -20°C to +70°C

Relative humidity 10% to 95%, non-condensing

Barometric pressure 500 hPa to 1060 hPa

Patient table
Dimensions

Width 80 cm

Length 240 cm

Height 51.5 cm ± 0.5 cm to 95.5 cm ± 0.5 cm; total lift 44.0 cm (tabletop)

Weight Approx. 440 kg

X-ray absorption ≤ 0.65 mm Al (with 100 kV / 3.7 mm Al HVL; EN/IEC 60601-1-3)

Tabletop travel

Longitudinal ± 48 cm (± 4 mm tolerance)

Transverse ± 14 cm (± 4 mm tolerance)

Tabletop material Composite material

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Technical Data

Max. patient weight 300 kg

Detector travel range Longitudinal ≥ 60 cm

Object-detector dis-
tance

portable detector ≤ 55 mm

integrated detector ≤ 55 mm

Automatic synchroni-
zation functions

System longitudinal ad-

justment Detector follows synchronized

System tilt Fixed centering

Centering functions To the right of the detector tray; fully automatic system centering to the wireless
detector in the detector tray

Maximum radiation Maximum symmetrical radiation field at a distance of 1150 mm from the focus:
field
430 mm x 341 mm

X-ray tube support

Fully automated, ceiling mounted support for X-ray tube

Horizontal travel range

Longitudinal 346 cm

Transverse „ With 3 m trolley: 220 cm

„ With 4 m trolley: 355 cm

Vertical travel range 180 cm, manual or motorized adjustment

Minimum focus-ceiling
distance 83 cm

Tube rotation

Around vertical axis „ +182° to -154° manual

„ +180° to -150° motorized, SW stops every 90°

Around horizontal axis „ ±137° manual

„ ±135° ± 2° motorized, SW stops -90°, 0°; +90°

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 Technical Data

Speed

Around vertical axis Max. 25°/s

Around horizontal axis Max. 40°/s

Travel in X and Y axis Up to max. 0.6 m/s

Travel in Z axis Up to max. 0.3 m/s

Wallstand
Weight Approx. 290 kg including detector

Minimum travel range „ From 27 cm to 172 cm, manual (BWS with integrated detector)
(central beam-floor)
„ From 31 cm to 172 cm, manual (BWS with portable detector)

Scatter radiation grid Transparent grid, stationary, Pb 15/80; f0 = 180 cm, f0 = 150 cm, f0 = 115 cm

Detector tray Tiltable from -20° to +90° with 0° and 90° detent

Object-detector dis-
tance

Portable detector Front panel - active detector ≤ 42 mm / chin rest - active detector ≤ 50 mm

Integrated detector Front panel - active detector ≤ 45 mm / chin rest - active detector ≤ 42mm

Automatic synchroni-
zation

Detector height adjust- X-ray tube follows synchronized and keeps centering on middle of detector or its
ment: upper edge

Centering function Integrated into remote control of wall stand; fully automatic centering of X-ray
tube on middle of detector or its upper edge; FDD adjusted to type of grid used.

Maximum radiation Maximum symmetrical radiation field at a distance of 1150 mm from the focus:
field

Integrated detector 426 mm x 426 mm

Portable detector 430 mm x 341 mm

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Technical Data

Collimator
Inherent filtration 1 mm Al at 70 kV

Full field light localizer 150 W halogen lamp, timer, laser slot light localizer (coverable)

Copper prefilter 0.1 mm; 0.2 mm; 0.3 mm; motorized and positionable via organ programs

Rotation Up to a maximum of ±45°

Collimation control Manual and motorized, pre-set via organ programs

Detectors
Detector Pixium
FE 4343R

Dimensions 42.0 cm x 42.6 cm active detector size

Active detector matrix 2840 x 2874

Pixel size 148 µm

Semiconductor material Amorphous silicon, a-Si

Scintillator Cesium iodide (CsI)

Acquisition depth 16-bit

Detector
PaxScan 4343R
Dimensions min. 42.2 cm x 42.2 cm active detector size

Resolution min. 3040 x 3040

Pixel size 139 µm

Semiconductor material Amorphous silicon, a-Si

Scintillator Cesium iodide (CsI)

Acquisition depth 14 bit with 8-fold oversampling

Detector Pixium
FE 3543pR (wi-D)

Dimensions Detector area 35.0 cm x 43.2 cm

Active detector size 34.0 cm x 43.0 cm

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 Technical Data

With detector housing 46.6 cm x 48.9 cm x 2.5 cm

Active detector matrix 3000 x 2364 (7 million pixels)

Pixel size 144 µm

Semiconductor material Amorphous silicon, a-Si

Scintillator Cesium iodide (CsI)

Acquisition depth 16-bit

Data transmission W-LAN: 5 s preview; 10 s full image

Thickness Max. 25 mm

Weight < 4.8 kg

Max. load capacity „ 135 kg with patient lying on it

„ 100 kg with patient standing on it

Battery Rechargeable; Lithium ion

Load time 90 minutes for 80% of battery capacity

Detector use Approx. 2.5 h

Charging site wi-D charging station, table (detector tray)

Detachable grids Pb 15/80, f0 = 115 cm

Pb 5/31, f0 = 115 cm

Backup cable for connection between wi-D and charging station, 7 m long

X-ray generators
Type POLYDOROS R 65 or R 80
Multipulse X-ray generator with tube load computer and fully automatic exposure
control

Maximum power according to EN/IEC 60601-2-7

Nominal power POLYDOROS R 65: 65 kW (100 kV, 650 mA, 0.1 sec.)
POLYDOROS R 80: 80 kW (100 kV, 800 mA, 0.1 sec.)

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Technical Data

Exposure
POLYDOROS R 65: POLYDOROS R 80:
150 kV, 430 mA 150 kV, 530 mA
100 kV, 650 mA 100 kV, 800 mA
79 kV, 800 mA 79 kV, 1000 mA

Automatic exposure POLYDOROS R 65: 40 kV - 150 kV, 1 mA - 800 mA

control range
POLYDOROS R 80: 40 kV - 150 kV, 1 mA - 1000 mA

Minimum current-time 0.5 mAs

product

Minimum exposure time „ 1-point technique: 1 ms at 100 kV

„ 2-point technique: 2 ms at 100 kV

„ 3-point technique: 20 ms at 100 kV

kV tolerance ±5%

mAs tolerance ±10% (Minimum: ±0.5 mAs)

mA tolerance ±10% (Minimum: ±0.1 mA)

Weight Approx. 428 kg

X-ray tube
Tolerances for the focus „ x / y direction: +/- 0.5 mm each
position
„ z direction: 80mm (+2.0/-0.5mm)

For further information refer to the operator manual of the X-ray tube.

FLUOROSPOT Compact imaging system

Computer system
Equipment Personal Computer, Ethernet network interface, interface card for X-ray system,
CD/DVD drive

Noise level ≤ 50 dBA

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 Technical Data

Monitor system
Monitors 19” flat panel color display or black/white diagnostic display

Resolution 1280 x 1024 pixels

Archiving and documentation

System storage 10,000 images
capacity

Background functions Preprocessing and data transfer is done in the background.

Archiving DVD/CD-R read/write in DICOM 3.0 format (or packed format)

CD-R storage capacity „ DICOM 3.0 format: approx. 300 images

„ packed format: approx. 450 images

„ DICOM send; DICOM query/retrieve

Export in TIFF or AVI format via CD-R

Documentation DICOM Print

Virtual Film Sheet

DICOM Worklist, MPPS Data exchange via HIS/RIS

Paper printing Printing of lists and images to a network paper printer

Dimensions and weights

Container

Dimensions approx. W=445 mm; D= 600 mm; H=585 mm;

Weight approx. 80 kg (176 lbs)

Electrical data
Power supply Powered by system power supply

Nominal frequency 50; 60 Hz

Power < 900 VA (incl. 2 monitors)

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Technical Data

Installation data
The entire system is powered via a single voltage connection.

Power connection 3-phase, 380 V, 400 V (440/480 V with additional transformer for the generator)
±10% at 50 or 60 Hz

Power consumption 105 kVA (R 65); 135 kVA (R80)

Standby 0.5 kVA

Ambient conditions
(operation) in exami-
nation room

Temperature range + 18°C to + 28°C

Relative humidity 20% to 75%, not condensing

Air pressure 700 hPa to 1060 hPa

Ambient conditions
(operation) for Ima-
ging station (climatic
Class S)

Temperature range + 10°C to + 35°C

Relative humidity 20% to 75%, not condensing

Air pressure 700 hPa to 1060 hPa

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 Index

- D Free exposure 121

onto film or storage phosphor 123
3D overhead support Danger of crushing 23 Front panel markings
directions 57 warning sign 28 Bucky wall stand 79
overview 45 Danger points 28 Full-field light localizer
positioning 58 Danger zones 28 use of 37
Data protection 17
Dead man's grip (DMG) 23
A Degree of protection G
Acquisition pictogram 16
Germany
at the receptor stand 87 Detector regulations 32
ACSS 113 receptor stand 83
Grid 85, 114
Indication 114 Detector tray 63 patient table 63
Additional filter 114 adjusting the height 81
Alternating current positioning 64
pictogram 16 DICOM H
AP mark 35 conformity 17
Dimensions 243 Handgrips 197
Application 39
Height
Archiving Disposal 37
detector tray 81
formats 243 Documents
Aristos MX technical 35
overview 43
Automatic exposure control 84, 116
I
AXIOM Vertix MT E Illustrations 16
overview 77 Image display
Electrical data 243
correct orientation 18
emergency operation
Injector
with cassette 139, 141
B Emergency SHUTDOWN 26
connector 33
Installation 35
BABIX holder 219 Emergency STOP button 24
IONTOMAT 84, 116
BABIX rack 226 locations 24
Belt compression device 148 Emergency STOP pushbutton
safety check 109
Bucky wall stand
front panel markings 79 Equipment 242
L
Button Equipment training 14 Language
emergency SHUTDOWN 26 Equipotential bonding 33 user interface 17
emergency STOP 24 pictogram 16 Language understanding 14
Establish emergency procedures 14 Laser
EU pictogram 16
C regulations 32 Laws 32
Examiner Light localizer
Cassette
emergency operation 139, 141 radiation protection 31 automatic switching on/off 111
Explosion protection 35 safety check 108
Caution
highlighting 16 Export
pictogram 16 formats 243
Chapter 15
M
Collimation 113 Maintenance 36
safety check 108 F Monitor
Combination FD 211 notes 19
with other products/components 33 FD imaging system Monitor resolution 243
Computer system 242 start-up 104 Monitors 243
Copper filter 114 Film 123 Movements
Copyright 17 Filter 114 abnormal 23
Covers 33 Fire Multileaf collimator
Cross reference how to respond 34 overview 52
text layout 15 Format preselection 113 rotating 62
Cu prefiltration 114

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Index

N Prognost tables
detector tray 189
Switching off
in an emergency 26
National regulations 32 Protection class 33 Switching on
Noise level after emergency SHUTDOWN 26
computer 242 System components
Note R installed 13
text layout 15 System movements
Radiation protection
general 31 receptor stand 81
System Owner Manual 13
O Radiation safety 14
Receptor stand
Off 103 acquisition 87
pictogram 16 detector 83 T
On 103 operating elements 77 Table top
pictogram 16 safety information 76 positioning 71
Operating elements system movements 81 Tabletop
receptor stand 77 Reference damage 27
Operator Manual text layout 15 Technical documents 35
scope of applicability 13 Regulations 32 Test images 19
Operator profile 14 Repair 35 Text layout 15
ORTHO Requirements Third party components 13
Automatic Ortho 157 for diagnosis 19 Third-party software 17
Manual Ortho 159 Resolution Touchscreen
Ortho support 143 monitor 243
Positioning the patient 155 cleaning 21
Response Tracking controls 61
Other products/components 33 in case of fire 34
Overview RHA 57
AXIOM Vertix MT 77 performing rotation 59 U
Risk of collision
U.S.A.
warning sign 28
P Room lighting 18
regulations 32
Unit movements
Page numbers 15 RVA 57
notes 22
Parts 15 performing rotation 60
performing 58
Patient
Units
at the receptor stand 128
positioning 119 S Use
opening 33
radiation protection 31
Safety checkout proper use 39
visual contact 18
daily 107 User interface
Patient population 14 during examination 109 languages 17
Patient position 18 monthly 109
Patient safety 14 Safety information
Patient table
control lamps 63
receptor stand 76 V
Scattered radiation grid 71, 85, 114
emergency STOP 63 Value statements 17
Scope of applicability 13
foot kick switches 69 Visual contact 18
Service contract 36
overview 63
Service life
tracking controls 61
Patient weight
SID
of products 37
W
maximum 27 Warning
display 61
Pictograms 16 highlighting 16
tracking 61
Positioning Warning signs 28
Software
at the receptor stand 128 Weights 243
language 17
on the patient table 119 Wireless remote control
Statutory regulations 15
Power outlet 33 important information 227
STOP button 24
Power supply 33, 243
Storage capacity 243
Precautions 14
Storage phosphor 123

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 Index

Workstation
“cassette” 123
“detector inside the table” 120
“detector pulled-out” 122

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Index

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