9900 C-Arm Op Manual
9900 C-Arm Op Manual
00-887377-01
Rev B
© 2005
GE OEC Medical Systems, Inc.
All Rights Reserved
Revision History
Rev Dash Date Change Description
1 -01 November 2004 Engineering Release
A -01 June 2005 Manufacturing Release
B -01 November 2005 Editorial Changes
CAUTION
US Federal law restricts this device to sale by, or on the order of, a physician.
IMPORTANT SAVE THESE INSTRUCTIONS. . PLEASE READ THIS MANUAL BEFORE USING EQUIPMENT.
The text of this manual was originally written, approved and published by the manufacturer in English.
This manual may not be reproduced, in whole or in part, without the written permission of GE Healthcare.
Other product and company names mentioned herein are the property of their respective owners.
The contents of this document are accurate at the time of publication. However, changes in design and additional features can, at
any time, be incorporated in the hardware and software and may not be reflected in this version of the document. Contact GE
Healthcare Technical Support for clarification, if discrepancies arise.
GE OEC Medical Systems, a General Electric company, going to market as GE Healthcare.
Page ii
Contents
Contents
1. Introduction and Safety...................................................................................................1-1
Overview ............................................................................................................................................................................................ 1-2
Owner Responsibilities ................................................................................................................................................................ 1-2
System Compatibility ......................................................................................................................................................... 1-2
Operator Qualifications...................................................................................................................................................... 1-2
Continued Compliance....................................................................................................................................................... 1-2
Unauthorized Modifications ............................................................................................................................................ 1-2
GE OEC Responsibilities............................................................................................................................................................... 1-3
X-ray Equipment Certification........................................................................................................................................ 1-3
After-sale Operating and Safety Practices............................................................................................................... 1-3
Communication Center Telephone Numbers................................................................................................................... 1-3
Ordering Consumable Items .................................................................................................................................................... 1-4
Phone ......................................................................................................................................................................................... 1-4
Fax .............................................................................................................................................................................................. 1-4
On-line........................................................................................................................................................................................ 1-4
Safety Hazards ............................................................................................................................................................................... 1-5
Safety Hazard Alerts ........................................................................................................................................................... 1-5
Explosion................................................................................................................................................................................... 1-6
Implosion .................................................................................................................................................................................. 1-6
Equipment Stability and Positioning............................................................................................................................ 1-7
Motorized Mechanical Movement ................................................................................................................................ 1-7
Improperly Attached Equipment................................................................................................................................... 1-7
Electrical Shock...................................................................................................................................................................... 1-8
Electrical Fire........................................................................................................................................................................... 1-8
Ground Fault ........................................................................................................................................................................... 1-8
Radiation Exposure....................................................................................................................................................................... 1-9
General Protection ............................................................................................................................................................... 1-9
Source-to-Skin Distance.................................................................................................................................................... 1-9
Ingress of Fluids...................................................................................................................................................................1-10
Cooling Efficiency ...............................................................................................................................................................1-10
Burns.........................................................................................................................................................................................1-10
Electromagnetic Compatibility Statement ......................................................................................................................1-10
Equipment Malfunction.............................................................................................................................................................1-11
External Devices...........................................................................................................................................................................1-11
Patient Environment...................................................................................................................................................................1-12
Within the United States .................................................................................................................................................1-12
Outside the United States...............................................................................................................................................1-12
Page iii
Contents
Page iv
Contents
Horizontal Cross-arm........................................................................................................................................................4-12
Horizontal Cross-arm Brake ..........................................................................................................................................4-12
Wig-Wag.................................................................................................................................................................................4-13
Wig-Wag Brake ...................................................................................................................................................................4-13
C-Arm Wheel Brakes .........................................................................................................................................................4-14
C-Arm Steering Handle ....................................................................................................................................................4-14
Moving the C-Arm........................................................................................................................................................................4-15
5. Radiographic Film .............................................................................................................5-1
Overview ............................................................................................................................................................................................ 5-2
Setup and Make a Film Exposure........................................................................................................................................... 5-2
Prearm for Film Exposure .......................................................................................................................................................... 5-4
6. Maintenance ......................................................................................................................6-1
Overview ............................................................................................................................................................................................ 6-2
Performance Checks.................................................................................................................................................................... 6-2
Mechanical Performance Check ................................................................................................................................... 6-2
Electrical Performance Check......................................................................................................................................... 6-3
Fast Stop Performance Check ........................................................................................................................................ 6-3
Fluoro Mode Performance Check ................................................................................................................................. 6-4
Film Mode Performance Check...................................................................................................................................... 6-4
Cleaning ............................................................................................................................................................................................. 6-5
Periodic Maintenance.................................................................................................................................................................. 6-5
7. Display Messages .............................................................................................................7-1
Overview ............................................................................................................................................................................................ 7-2
Error Recovery Steps.................................................................................................................................................................... 7-2
Messages........................................................................................................................................................................................... 7-2
8. Labels and Symbols..........................................................................................................8-1
Overview ............................................................................................................................................................................................ 8-2
Labels .................................................................................................................................................................................................. 8-2
Symbols.............................................................................................................................................................................................. 8-4
9. Technical Specifications ..................................................................................................9-1
Overview ............................................................................................................................................................................................ 9-2
Camera Output Video Signal.................................................................................................................................................... 9-2
Classification Type ........................................................................................................................................................................ 9-2
Electromagnetic Compatibility Statement ........................................................................................................................ 9-2
Environmental Requirements .................................................................................................................................................. 9-3
Power Requirements.................................................................................................................................................................... 9-3
X-ray Source Assembly .............................................................................................................................................................. 9-4
Collimation ........................................................................................................................................................................................ 9-5
Page v
Contents
Page vi
1.
Overview
This manual describes operation for the specified product only. It is intended for qualified medical
personnel who have been trained in the use of medical imaging equipment. It is not designed to
replace or substitute for certified training in the radiological or medical field.
Functional capabilities and operation of the equipment are described here which can be used in a
variety of diagnostic, therapeutic and surgical applications.
Owner Responsibilities
The owner has the responsibility to ensure system compatibility, operator qualifications and the
continued compliance of equipment and operating specifications. Systems should only be used in
designated use areas with approved AC receptacles. Unauthorized changes or modifications to any
part of the system could have hazardous consequences. Changes or modifications must not be
made unless specifically authorized by GE OEC Medical Systems, Inc.
System Compatibility
Damage may result to the system if incompatible components are connected. Read your operator
manual thoroughly prior to connecting components that you are not certain are compatible.
Operator Qualifications
It is the responsibility of the owner to ensure that only properly trained, qualified personnel who have
obtained credentials from the appropriate authorities operate the system.
Continued Compliance
The owner is responsible for verifying continued compliance with all applicable regulations and
standards. Consult local, state, federal and/or international agencies regarding specific requirements
and regulations applicable to the use of this type of medical electronic equipment.
Unauthorized Modifications
When properly assembled this equipment meets US Federal regulations and International standards.
Unauthorized modifications to the equipment may impact adherence to these standards and make
the equipment unsafe to operate. Never make any modifications or adjustments to the equipment
unless directed by a qualified GE OEC representative.
Page 1-2
Introduction and Safety
GE OEC Responsibilities
GE OEC Medical Systems, Inc. certifies each system and X-ray source assembly. After-sale operating
practices and safety are the responsibility of the owner/operator.
Page 1-3
Introduction and Safety
Phone
1. Call the number that corresponds to your geographical location.
US: 800 558-5102
Canada: 800 668-0732
China: 800 810-8188
All other locations: Contact your local sales representative.
2. Establish an account with the customer service representative.
3. Place your order.
Fax
If you have a catalog and a GE Fax Order form, complete the form and fax the form to the fax
number listed on the form. If you do not have a catalog or forms, you can obtain them by dialing the
number listed for your geographical location.
On-line
You can order consumables on the GE Medical System, Inc. web site from any geographical location
but prior to ordering you must register on-line to open an account. Registration is free.
1. Go to www.gemedicalsystems.com.
2. Register to open an account.
Note: Record your user name and password for future account access.
3. Login using the user name and password that you established when you registered.
4. Browse through the on-line catalog and locate the OEC Supplies that you want to
purchase.
Note: If you have difficulties, dial the telephone number listed previously for your geographical
location or contact your local sales representative.
Page 1-4
Introduction and Safety
Safety Hazards
Potential hazards exist in the use of medical electronic devices and X-ray systems. Operators using
the equipment should understand the safety issues, emergency procedures, and the operating
instructions provided.
Questions and comments regarding safety should be addressed to the GE OEC Medical Systems, Inc.
service organization nearest them. Unresolved problems should be referred to:
Vice President, Quality
GE OEC Medical Systems, Inc.
P.O. Box 25296
Salt Lake City, Utah 84125-0296
(801) 328-9300
GE OEC Medical Systems has designated the following entity to act as the European Union (EU)
representative in matters dealing with the Medical Devices Directive under Annexes I and II:
GE Medical Systems, SA
283, rue de la Minière
B.P. 34F 78533 Buc Cedex France
+33 (0) 1 30 70 40 40
The following pages describe hazardous and potentially hazardous conditions, and how to
adequately protect yourself and others from possible injury.
Page 1-5
Introduction and Safety
Explosion
If your system complies with the requirements of IEC 60601-1 regarding Anesthetic Proof (AP)
equipment, an AP label will be located on the equipment. An AP label means that under normal
conditions certain components may be operated safely in close proximity to flammable gases.
However, if an abnormal condition occurs, such as the room fills with flammable gas, steps must be
taken to prevent the gas from coming in contact with non AP rated components within the
equipment. Follow these guidelines:
• Do not turn the system off or unplug it from the AC receptacle.
• Do not operate any other electrically powered equipment.
• Evacuate all personnel from the area and ventilate with fresh air. Avoid operating any
automated (electrically operated) doors or windows.
• Contact your local fire department as soon as possible.
Implosion
If your equipment has a Cathode Ray Tube (CRT) do not locate objects so that they might fall and
strike the tube causing it to implode. Use caution when working around the tube. The coating on the
glass can also produce toxic dust and fumes. If a CRT implodes:
• Remove power immediately.
• Evacuate the area.
• Contact an appropriate staff member that is familiar with hazardous material disposal.
• Request service to replace the monitor.
Page 1-6
Introduction and Safety
Page 1-7
Introduction and Safety
Electrical Shock
Observe the following safety procedures to avoid electric shock or serious injury to operators and
patients and to avoid system malfunction.
• Make all electrical connections to equipment while outside the patient environment. Do
not touch a connector and the patient at the same time.
• Do not bypass, jumper or otherwise disable the safety interlocks.
• Do not remove any of the assembly covers. Only trained service representatives should
perform repairs.
• Do not place food or beverage containers on any part of the
equipment. If spilled they can cause short circuits.
• Always remove power to the equipment before cleaning. Use a slightly damp cloth or
sponge for cleaning.
• Only qualified service engineers are allowed to service or repair a system.
WARNING
Electrical circuits inside the equipment may use voltages which are capable of causing serious
injury or death from electric shock. To avoid this hazard, never remove any of the cabinet covers.
Electrical Fire
In the event of electrical fire perform the following emergency procedure:
Note: Any emergency procedure developed by the owner, for the area in which the system is used,
should include these safety measures:
• Remove electrical power to the system by placing the power switch in the off position.
• Unplug the power cord from the AC receptacle.
• Evacuate personnel from the area.
• Only use a fire extinguisher that is approved for use on electrical fires.
• Call your local fire department for help if necessary.
WARNING
The use of the wrong type of fire extinguisher presents electrical shock and burn hazards. To
avoid these hazards, a fire extinguisher which meets applicable regulations and standards must
be available in the room where the equipment is being used. Remember that equipment that is
equipped with batteries is a source of electrical current, even when AC power is disconnected.
Ground Fault
If the operating room has a ground fault alarm and the alarm is actuated:
• Do not operate the system.
• Call a qualified service technician.
Page 1-8
Introduction and Safety
Radiation Exposure
General Protection
WARNING
This equipment either produces or is used in the vicinity of ionizing radiation. Observe proper
safety practices during operation.
• The owner must designate areas suitable for safe operation and service of the equipment
and ensure they are only used in those areas.
• The owner must ensure that all personnel wear appropriate protective clothing and
radiation monitoring devices while using the equipment.
• Remain alert for visual indicators and audible alarms that are activated when ionizing
radiation is being produced by equipment in the work area.
Source-to-Skin Distance
International regulations specify that a minimum source-skin distance be maintained, except for
specific surgical applications. Some medical imaging equipment may have a skin spacer attached in
order to meet this requirement.
WARNING
Removing the skin spacer may result in increased radiation exposure to the patient. The rate of
exposure increases exponentially as the anatomy is positioned closer to the X-ray tube.
The skin spacer should only be removed on the instructions of a physician. The spacer should be
reattached to the collimator assembly immediately following the procedure.
Page 1-9
Introduction and Safety
Ingress of Fluids
WARNING
The X-ray system is not rated for water-tight operation. If liquids drip into the equipment,
disconnect the power cord and do not operate the system until it can be cleaned and inspected by
a qualified service engineer.
Excessive amounts of fluids such as antiseptics, cleaning solutions or bodily fluids may damage
internal components if they are allowed inside the equipment. Use drapes, if necessary, to protect
equipment when performing procedures and do not apply excessive amounts of fluid when cleaning.
Cooling Efficiency
Draping some X-ray equipment may restrict airflow to components that provide heat sinking and to
vents designed to cool the equipment. Drape equipment and cover vents only when exposure to
excessive fluids is unavoidable and extended use of the equipment is not required.
Burns
Extended use of imaging equipment may cause components such as X-ray tubes to reach
temperatures capable of inflicting burns. Use care when positioning equipment to avoid placing hot
components in close proximity to patients and personnel. An anesthetized or unconscious patient is
incapable of sensing and reacting to a hot component.
Page 1-10
Introduction and Safety
Equipment Malfunction
If either the hospital or equipment circuit breakers trip, an equipment malfunction may be indicated.
Do not attempt to operate the equipment until a qualified service engineer has checked it.
If any of the equipment controls fail to respond as indicated in this manual, you should:
1. Remove power to the equipment by placing the power switch in the off position and
unplugging the power cord from the AC receptacle.
2. Notify a qualified service engineer.
3. Do not operate the equipment until the service technician advises that it is operating
properly.
External Devices
To ensure patient safety, only connect external equipment that has been approved by GE OEC
Medical Systems, Inc. All equipment attached to the external interface connections must meet the
requirements of IEC 60601-1 when operated within the patient environment. When used outside of
the patient environment, each externally connected device must comply with the relevant IEC/ISO
requirements for that device. In any case, the combination of all externally connected equipment
shall not cause the leakage current of any device used within the patient environment to exceed the
limits stated in IEC 60601-1.
Page 1-11
Introduction and Safety
Patient Environment
Within the United States
Within the US the Patient Environment is defined by NFPA 99. In areas in which patients are normally
cared for, the patient environment is the space with surfaces likely to be contacted by the patient or
an attendant who can touch the patient.
This encloses a space within the room 6 ft. beyond the perimeter of the bed (examination table,
dental chair, treatment booth, etc.) in its intended location, and extending vertically 7.5 ft. above the
floor.
Page 1-12
2.
Overview
This chapter describes:
• Applying power
• Removing power
• Storing the C-arm
Power On
If you are starting the system after a period of long term storage it may be necessary to allow
the system to warm up or recharge the batteries before it can be used. The system clock will
sense how long the system has been in storage and display a message that describes the action
required. Refer to the "Display Messages" chapter for more information.
The C-arm receives power through an interconnect cable attached to the Workstation. The C-
arm must be connected to the Workstation and electrical power before operation.
CAUTION
The C-Arm should only be used in conjunction with a compatible and appropriately
configured OEC Workstation. The 9900 C-Arm is not compatible with Workstations sold as
part of a 9800 system. Damage may result to the system if incompatible components are
connected.
1. Insert the Workstation interconnect cable into the connector located on the right side
cover of the C-arm by aligning the index marks (red dots) on the connector and
pushing the connector in until it locks in place.
CAUTION
If the connector does not lock in place, unrelable system operation may result.
Page 2-2
Startup and Storage
2. Connect the footswitch and/or handswitch to the sockets on the C-arm interface
panel located on the left side cover. Verify that each connector locks in place.
B
- +
3. Plug the Workstation power plug into a properly rated AC receptacle. Refer to the
OEC Workstation Operator Manual for information about power requirements.
Note: Once the Workstation power cable has been plugged into an AC receptacle, the battery
charger indicator on the C-arm interface panel will illuminate indicating that the batteries
are charging.
4. Turn the key switch located on the C-arm interface panel clockwise to enable X-rays
and motorized mechanical movement.
5. Press the Workstation power switch. The light within the switch will turn on indicating
the power is turned on. Both the Workstation and the C-arm will begin their power up
sequence.
Note: The C-arm control panel will display a sequence of lighted segments indicating that it is
proceeding with the power up sequence.
Page 2-3
Startup and Storage
The system has completed the power on sequence when the Workstation displays the Patient
Information screen on the right monitor and the C-arm control panel displays the Auto Fluoro
technique.
The C-arm controls will default to the following settings at Power on:
Image Orientation: You may select either Retain Last or Reset to Home via the
Workstation's Customize Options. Refer to the OEC Workstation
Operator Manual for more information.
Field Size: NORM
Collimation: The iris is fully opened. The leaf/leaves are opened and rotated 180°
degrees from the stops.
Brightness/Contrast: Auto Brightness/Contrast is selected.
Generator: Auto Fluoro technique is selected along with the Standard ABS table.
Pulse and Film are off.
Note: If a problem is encountered during power up, the sequence of lights on the C-arm control
panel will be interrupted or an error message may be displayed. Refer to the "Display
Messages" chapter for more information about messages
Draping
If you are performing a procedure where draping is necessary, drape the C-arm using the
SteriQuick draping system. The draping system can be purchased from GE OEC Medical Systems.
To order any consumables such as steri-drapes, refer to Chapter 1, "Introduction and Safety" for
ordering information.
Note: Use of a footswitch cover is recommended during all medical procedures.
Draping the X-ray tube housing will inhibit air flow resulting in cooling inefficiencies. This may
result in the housing reaching its rated heat capacity sooner. You will receive messages
indicating the temperature of the housing. When the housing reaches its maximum rated heat
capacity, X-rays will be discontinued until the housing has cooled. Refer to the "Display
Messages" section for more information.
Note: Instructions for draping are contained in the drape packaging.
Page 2-4
Startup and Storage
Power Off
1. Place the Workstation power switch in the off position.
2. Unplug the Workstation power cord from the AC receptacle.
3. Disconnect the Workstation interconnect cable from the C-arm.
Note: Remove all power from the system before moving the system or if a problem occurs which
prevents normal operation. All power should also be removed when periodic maintenance
and cleaning is performed.
WARNING
All power to the system has not been removed until the Workstation is unplugged from the
electrical outlet. To make sure power is disconnected, verify that the green light on the lower
left back panel of the Workstation is off.
Page 2-5
Startup and Storage
C-Arm Storage
Temporary Storage (less than 60 days)
1. To prepare the C-arm for storage, move all mechanical assemblies into their most
compact position, set all locks and brakes and remove all power. Store any
accessories with the C-arm. For storage of the Workstation, please refer to your OEC
Workstation Operator Manual.
2. Cover the C-arm with a dust cover. Refer to the "Technical Reference" chapter for the
range of environmental conditions in which the C-arm can be safely stored.
Page 2-6
3.
Operating Controls
Operating Controls
Overview
This chapter describes the C-Arm’s operating controls. Before you begin imaging, familiarize yourself
with the following controls:
• Control Panel Housing Controls
• Footswitch
• Handswitch
5
4
3
Figure 3-1. Control locations on the Control Panel Housing.
Page 3-2
Operating Controls
Control Panel
The C-arm control panel allows you to adjust how images are generated and displayed. Two
different panels are available: text or icon. The keys on the control panel are grouped according to
their function. These groups of keys allow you to:
• Orient the image.
• Operate frequently used Workstation functions remotely.
• Select the image intensifier field size.
• Control the semitransparent leaf/leaves or iris collimator.
• Adjust contrast/brightness levels.
• Control generator functions.
• Reset the Fluoro alarm and timer.
NORM
ALARM
MAG 1 RESET
MAG 2 mA/
kVp mAs
AUTO
ORIENTATION
SAVE MODE
WORKSTATION COLLIMATION CONTRAST GENERATOR
TEXT VERSION
mA/
kVp mAs
ICON VERSION
Page 3-3
Operating Controls
Image Orientation
Use these keys to rotate or reverse the image produced once X-rays have been generated and live
video is present on the left Workstation monitor.
Image rotation and image reversal are not available to be used with cine playback, on a recalled or
swapped image, or when image annotation has been applied. Rotation and reversal are best used
with the most recent image held.
IMAGE ROTATION
Press the left portion of the key to rotate the image counterclockwise. Press the
right portion of the key to rotate the image clockwise.
A camera icon will display and move to indicate which part of the image will be
rotated to the top. Once camera movement has ceased, the image will display
rotated.
This feature is used with the most recent shot in order to aid setting optimal
camera orientation for the next live shot. The "last image hold" is used for a source
image while rotation and flip are applied.
Page 3-4
Operating Controls
SWAP
Use this function while generating live X-rays or after X-rays have been terminated.
While generating live X-rays - press the SWAP key to copy one frame of the live X-ray and
move it to the right monitor. Pressing SWAP again will discard the previously swapped image
and replace it with the new image.
After X-rays have been terminated -the last frame of the exposure is retained on the left
monitor (last image hold). Press the SWAP key to swap the images displayed on the left and
right monitors.
If the right monitor is blank, press the SWAP key to copy the image on the left monitor to the
right monitor.
MODE
Use the mode key to toggle between the standard fluoroscopy mode and the vascular
imaging mode when the C-arm is connected to a Vascular or Cardiac Workstation.
On nonvascular systems an audible beep will sound to signify that this function is not
available.
Page 3-5
Operating Controls
Collimator Control
The X-ray beam may be collimated by using either the iris collimator or the semitransparent leaf
collimator. The collimator leaves and iris can be positioned prior to generating X-rays. Press a
collimator leaf or iris key and a graphic icon representing the position and orientation of the real
collimator leaves (two lines) or iris (circle) will be displayed on the left monitor.
Note: Your C-arm may be equipped with one or two semitransparent collimator leaves. If your
collimator has one leaf the graphic icon will display only one line instead of two.
Press the key until the leaves or iris are in the position you desire and then press any X-ray switch.
An X-ray image, collimated according to the position and orientation of the graphic icon, will be
displayed on the left monitor. This feature helps reduce exposure to X-rays while collimating.
Page 3-6
Operating Controls
Contrast/Brightness/Metal Rejection
MANUAL CONTRAST/BRIGHTNESS
Pressing this key changes control to manual contrast/bright-ness mode and allows for
autohistogram levels to be adjusted to reduce the appearance of metal in the image. To
use each feature, follow the steps below:
1. Check the AutoHisto LED on the C-Arm. AutoHisto is enabled if the LED is a constant light.
2. With AutoHisto enabled, press the Contrast/Brightness key on the C-Arm panel.
3. The smart metal default level bar will display on the left monitor image on the
Workstation.
4. The AutoHisto LED will blink, indicating that smart metal values are applied to the image.
5. Adjust the level of metal rejection by pressing the up or down arrow as desired.
6. To exit smart metal mode, press the AutoHisto key. The LED will be off, indicating the
system is in manual contrast/ brightness mode.
7. Press the AutoHisto key to return to AutoHisto mode.
Generator Control
KVP
Manually adjusts kVp and overrides auto technique setting. Press the top portion of the key to
kVp
increase kVp or press the bottom portion of the key to decrease kVp.
MA/MAS
mA/ Manually adjusts mA/mAs for fluoroscopy/film respectively and overrides auto technique
mAs
setting. Press the top portion of the key to increase mA/mAs or press the bottom portion to
decrease mA/mAs.
Page 3-7
Operating Controls
PULSE PULSE
Press this key to enable pulsed imaging mode using the currently selected pulse rate. The
pulse LED lights when pulse is enabled. Press this key again to disable pulsed imaging.
A preset number of X-ray pulses are generated each second while the X-ray switch is
pressed. Pulsed X-rays can be used to reduce total radiation dose. Pulse mode cannot be
used with Film or Digital Spot mode.
Pulse rates are selected from the Workstation's MODE screen. Refer to your OEC
Workstation Operator Manual for details on pulse rate selection.
FILM
FILM
Press this key to enable Film operation. The Film LED illuminates when Film mode is
enabled. Press the Film key again to disable Film operation or select Auto Fluoro Mode.
Refer to the chapter "Radiographic Film" contained within this operator manual.
Page 3-8
Operating Controls
Systems sound an alarm and illuminate the Alarm Reset LED at the end of each 5 minute (default)
interval of accumulated Fluoro time. To silence the alarm or reset the accumulated Fluoro time:
Press ALARM RESET briefly to silence the alarm.
Press and hold ALARM RESET for approximately two seconds to reset the accumulated exposure time
to zero and silence the alarm.
In addition, when the accumulated fluoro time reaches a preset limit, default is 10 minutes
maximum, X-rays will be terminated. Thirty seconds prior to termination an alarm will sound. To
override X-ray termination and silence the alarm press the ALARM RESET key briefly.
If you are unable to reset the alarm before X-rays are terminated release the X-ray switch and then
press the X-ray switch again to enable X-rays.
Note: Your field service representative can adjust the time duration before X-rays are terminated.
Page 3-9
Operating Controls
WARNING
If pressing a Fast Stop switch fails to stop motor movement or X-rays, place the Workstation
power switch in the off position, or disconnect the power plug from the AC receptacle.
Figure 3-3. Fast Stop switches are located on each C-Arm Control Panel.
If the Fast Stop switch is pressed, on purpose or inadvertently, while an operator is pressing the
vertical column switch, vertical column operation will cease and X-rays will be disabled. After both
switches have been released it may be possible to operate the vertical column, however X-rays will
remain disabled until the system is rebooted.
If the Fast Stop switch is pressed when a run-away condition exists, vertical column motion will
cease and X-rays will be disabled. Under this condition it is not possible to operate the vertical
column or take X-rays. Call your service representative.
If the Fast Stop switch has been pressed to disable unintended X-rays do not reboot the system. Call
your service representative.
Page 3-10
Operating Controls
X-ray On Switch
The X-ray on switch is located on the C-arm control panel housing. The switch can be used to take a
film exposure, generate Fluoro images or initiate Roadmapping on Vascular systems. In essence, it
functions just like the left Footswitch or Handswitch and the function is dependant on the imaging
mode selected: standard fluoroscopy or vascular imaging.
When generating X-rays in Fluoro mode the image is displayed on the left Workstation monitor.
When the X-ray switch is released X-rays are terminated and the last image or frame of the
exposure is retained on the left monitor. This is referred to as "Last Image Hold."
Refer to your OEC Workstation Operator Manual for additional information about imaging modes.
Page 3-11
Operating Controls
CAUTION
Taking very rapid and short exposures repeatedly over an extended period of time may cause
errors to occur. Avoid continuous tapping on the X-ray switch over long periods of time.
• Press the switch labeled + to produce high-level Fluoro (HLF) images, digital spot (DIG.
SPOT) images, Digital Cine images, or a subtraction.
• Use the Mode switch to change between standard fluoroscopy and vascular imaging
modes. The Mode switch is inactive on nonvascular systems.
Page 3-12
Operating Controls
+ +
CAUTION
Do not stretch the hand control cord further than 3.048 m (10 feet). This may result in damage to
the cord. If the cord is damaged and touches the floor, it is a safety hazard. Call the
Communications Center for assistance.
• Press the left switch to generate standard fluoroscopic images or a roadmap.
• Press the switch labeled + to produce High-Level Fluoro (HLF) images, digital spot
(DIG. SPOT) images, Digital Cine images, or a subtraction.
• Use the Mode switch to change between standard fluoroscopy and vascular imaging
modes. The Mode switch is inactive in nonvascular systems.
• On four button hand switches, press the SAVE key on the hand switch to save an
image displayed on the left monitor.
Page 3-13
Operating Controls
Page 3-14
4.
Mechanical Positioning
Mechanical Positioning
Overview
This chapter describes:
• C-arm identification
• Component identification
• Positioning
• Moving the C-arm
C-arm Identification
There are three C-arm configurations available. The standard C-arm has a 23 cm (9-inch) image
intensifier (II) attached. A slightly larger C-arm is used to support a 31 cm (12-inch) image intensifier
and the Super C-arm is visibly larger than standard C-arms.
1. Standard C-arm with 23 cm (9-inch) II
2. C-arm with 31 cm (12-inch) II
3. Super C-arm with 23 cm (9-inch) II
1 2 3
Figure 4-1. C-Arms
Page 4-2
Mechanical Positioning
Component Identification
Standard C-Arms
Component identification is virtually identical for C-arms with 23 cm (9-inch) and 31 cm (12-inch)
image intensifiers. Therefore only the standard C-arm with a 23 cm (9-inch) II is illustrated. Refer to
the "Technical Reference" chapter for dimensional differences.
The items listed below identify the location of components used during setup and positioning and
correspond to the circled items in the following figure.
1. Horizontal cross-arm handle
2. Horizontal cross-arm brake handle
3. Vertical column lift switches
4. Control panel display
5. Wig-wag brake handle
6. L-arm handle (top)
7. L-arm rotation brake
8. Interface panel (left side cover)
9. Image intensifier handle
10. C-arm orbital rotation brake
11. Flip-flop brake
12. L-arm handle (bottom)
13. Rear wheel brake pedal
14. High voltage (HV) cable
15. Interconnect cable connector
16. Steering handle (right side only)
Mechanical Positioning
Page 4-3
Mechanical Positioning
3
2
4
9
1 6
7
5 8
16
10
15
14
13 12 11
Page 4-4
Mechanical Positioning
Super C-arms
The Super C-arm does not have an L-arm. The items listed below identify only the components on a
Super C-arm that differ from 23 or 31 cm (9 or 12-inch) C-arms.
1. Radial Rotation Brake
2. Orbital Rotation Brake
Positioning
Positioning controls are identical for systems with standard 23 cm (9inch) and optional 31 cm (12-
inch) image intensifiers. The Super C-arm does not have an L-arm and radial rotation and orbital
rotation operate differently than the 23 or 31 cm (9 or 12-inch) C-arm configurations.
Radial rotation on a 23 cm (9-inch) or 31 cm (12-inch) system are accomplished by rotating the L-
arm. Radial rotation on the Super C-arm is accomplished by rotating the C-arm about the horizontal
cross-arm. The Super C-arm's orbital rotation and radial rotation controls (brakes) are therefore in
different locations than C-arms with 23 or 31 cm (9 or 12-inch) IIs.
Refer to the "Technical Reference" chapter for differences in dimensions and degrees of rotation
between 23 cm (9-inch), 31 cm (12-inch) and Super C-arm configurations.
Page 4-5
Mechanical Positioning
CAUTION
Grasp one of the C-arm positioning handles to
prevent uncontrolled C-arm movement whenever
you release the brake.
Page 4-6
Mechanical Positioning
CAUTION
Grasp one of the C-arm positioning handles to
prevent uncontrolled C-arm movement whenever
you release the brake.
Note: When the orbital rotation brake is not applied,
Figure 4-7. Super C-arm Orbital Rotation a nonadjustable constant friction bearing in
Brake in the Unlocked Position the C-arm support minimizes C-arm
movement.
Page 4-7
Mechanical Positioning
Flip-Flop Rotation
This feature provides increased versatility in positioning the X-ray tube and image intensifier by
allowing them to reverse their positions laterally. The C-arm pivots from 0 -180° in one direction and
from 0 - 90° in the opposite direction.
To "Flip-Flop" the C-arm:
1. Unlock the Flip-Flop rotation brake and position the C-arm in the desired position by
rotating the C-arm around the pivot point.
2. When the C-arm is in position, lock the brake.
0°
90°
180°
180°
CAUTION
Guide the C-arm carefully with both hands until
the C-arm is in the position you want and then
lock the brake.
Page 4-8
Mechanical Positioning
L-arm Rotation
The L-arm on 23 or 31 cm (9 or 12-inch) C-arm configurations rotates 180° in either direction (for a
total of 360°). An L-arm rotation indicator, located on the back of the L-arm, indicates the degree of
L-arm rotation.
180°
180°
L-arm Brake
To position the L-arm:
1. Release the L-arm brake by moving the
brake handle into the position identified
by the "unlock" icon.
2. Position the L-arm.
3. Lock the L-arm brake by placing the
brake handle in the position identified by
the "lock" icon.
Page 4-9
Mechanical Positioning
0°
100°
280°
180°
Page 4-10
Mechanical Positioning
CAUTION
A possible pinch point exists between the C-arm and the tip of the front cover. Do not place your
foot on the tip of the front cover while operating the vertical column or while positioning the C-
arm.
Page 4-11
Mechanical Positioning
Horizontal Cross-arm
The horizontal cross-arm extends a maximum of 20 cm (8 inches).
Page 4-12
Mechanical Positioning
Wig-Wag
The mechanical assemblies attached to the horizontal cross-arm can "Wig-Wag," or move from side-
to-side. The total distance traveled from side-to-side is dependent on whether the horizontal cross-
arm is extended or retracted. The total distances traveled is listed in the following table for each
system:
Item Position 23 cm (9-inch) 31 cm (12-inch) Super C
1 extended 49.6 cm (19.5") 52 cm (20.5") 49.8 cm (19.6")
2 retracted 42.4 cm (16.7") 45 cm (17.7") 42.7 cm (16.8")
1 2
Wig-Wag Brake
1. Release the Wig-Wag Brake by placing the brake handle in the position indicated by the
"unlock" icon.
2. Move the horizontal cross-arm, C-arm and L-arm into position.
3. Lock the Wig Wag brake by placing the brake handle in the position indicated by the
"lock" icon.
Page 4-13
Mechanical Positioning
1 2 3
CAUTION
If the Wig-Wag brake is set to the extreme right, use caution not to injure your knuckles when
turning the steering handle 90° to the left.
Use the right steering handle to turn the rear wheels from 0
O
90°
- 90 to the right or left. Use this feature to position the C-arm
O
Page 4-14
Mechanical Positioning
CAUTION
Use the handles provided on the C-Arm to position mechanical assemblies. The handles are
provided for your safety.
1. Return all moving assemblies to their most compact positions. Lower the vertical column
and retract the cross-arm. On 23 or 31 cm (9 or 12-inch) systems orient the L-arm
vertically and down.
2. Lock all movable mechanical assembly brakes: the C-Arm orbital rotation brake, the Flip-
Flop rotation brake, the Wig-Wag brake, the L-arm brake and the horizontal cross-arm
brake.
3. Remove all power from the Workstation.
4. Disconnect the interconnect cable from the C-arm and coil and secure the cable around
the Workstation's handle/hangers.
5. Store the footswitch on the shelf located between the two C-arm steering handles and
store the handswitch in the holster located on the C-arm's left front cover.
6. Place the C-arm's right steering handle in the 0° position and unlock the wheel brakes.
7. Guide the C-arm by pushing with the steering handles, or by pulling with the image
intensifier positioning handles.
CAUTION
Do not move the C-arm over inclines greater than 10°. Do not move the C-Arm up or down stairs
or steps. Do not lock the C-Arm in place on an incline greater than 5°.
8. When you reach your destination place the C-Arm’s wheel brakes in the locked position.
Page 4-15
Mechanical Positioning
Page 4-16
5.
Radiographic Film
Radiographic Film
Overview
Use film mode to produce radiographic films. The film cassette holder described in this section is
available as an option and should be used if you use film mode.
This chapter describes how to:
Setup and make a film exposure.
Prearm for a film exposure.
Page 5-2
Radiographic Film
WARNING
Verify that the cassette holder is securely attached to the image intensifier. Unsecured cassette
holders may fall, injuring patients or personnel.
4. Insert a film cassette into the cassette holder and center it.
Note: The cassette holder uses friction to hold the cassette. Refer to the "Technical Reference"
chapter for film cassette sizes.
WARNING
Verify that the cassette is held securely within the cassette holder. Unsecured film cassettes may
fall, injuring patients or personnel.
5. Adjust the radiographic technique (kVp and mAs) to the desired levels.
6. Press and hold any X-ray switch.
Note: There is a 2-second delay after the switch is pressed while the rotating anode accelerates and
the filament is heated. The beginning of the exposure is signaled by a beep. The end of the
exposure is signaled by three quick beeps.
7. Release the X-ray switch at the end of the exposure (when you hear three quick beeps).
Note: If a film exposure is terminated prematurely, the message RELEASED EARLY will be displayed
briefly on the C-arm control panel. When the message is no longer displayed you can continue.
8. Remove the film cassette by pushing the cassette out of the cassette holder.
9. To remove the cassette holder, open the cassette holder handle and press firmly against
the side of the cassette holder.
Page 5-3
Radiographic Film
Page 5-4
6.
Maintenance
Maintenance
Overview
This section describes routine performance checks that you can perform to ensure that the system is
operating correctly. The performance checks listed are not intended to substitute for scheduled
periodic maintenance. If problems are found during these checks, contact a qualified service
engineer to troubleshoot and repair the system.
In addition to performance checks, safe cleaning practices are included and a description of periodic
maintenance that should be performed. All periodic maintenance should be performed by a GE OEC
Medical Systems, Inc. representative or a qualified service engineer.
Prior to performing any of the performance checks in this section, it is important that potential
hazards associated with these tasks are understood. Review the "Introduction and Safety" chapter of
this guide before proceeding.
WARNING
Circuits inside the equipment use voltages that are capable of causing serious injury or death
from electrical shock. Do not remove the covers or perform any type of service task, except as
specifically instructed here.
Move the system into a safe operating area prior to beginning these checks and observe all radiation
safety precautions. The performance checks should be performed as often as equipment use and
circumstances warrant. Extensive use warrants increasing the frequency of performance checks. In
addition, circumstances such as accidents during transport or exposure to excessive fluids may
warrant that performance checks be performed to verify operation of the equipment.
Performance Checks
Mechanical Performance Check
1. Check the Wig-Wag brake operation. Check Wig-Wag for ease of movement (side to side
swing) without excessive play.
2. Check the Horizontal Cross-arm brake operation. Extend and retract the Horizontal
Cross-arm. Check for ease of movement without excessive play.
3. Check the Flip-Flop brake operation. Check the Flip Flop for ease of movement without
excessive play.
4. Check the C-arm orbital rotation brake operation. Check orbital rotation of the C-arm for
ease of movement without excessive play.
Page 6-2
Maintenance
Page 6-3
Maintenance
Page 6-4
Maintenance
Cleaning
Make sure the system is turned off and unplugged before cleaning. Clean the covers and panels
periodically with a damp cloth. Use a mild detergent, if necessary, to remove scuffs and stains. Do
not use any solvents that may damage or discolor paint finishes or plastic components.
CAUTION
The C-arm is not waterproof. Be careful not to spill or splash liquids where they can enter
electronic assemblies.
Periodic Maintenance
Periodic maintenance should be performed by a GE OEC Medical Systems, Inc. field service engineer
or staff that have been trained by GE OEC. Periodic maintenance should be performed on a
semiannual basis. Periodic maintenance and service includes the following:
• Manual movement of mechanical assemblies and brakes.
• Electromechanical performance.
• Safety interlock performance (Fast Stop circuit).
• Electrical performance including exterior cabling inspection, ground continuity, line
voltage regulation, power supply operation, battery and static discharge component
performance.
• Ventilation including circuits and fans.
• Imaging chain performance including image resolution, beam alignment, auto technique
tracking, and entrance exposure calibration.
• Functional operation of any remaining features.
Page 6-5
Maintenance
Page 6-6
7.
Display Messages
Display Messages
Overview
This chapter describes messages that appear on the C-arm control panel during system operation.
The messages are listed in alphabetical order. Messages may indicate any of the following:
Status messages
Error messages
Warning messages
WARNING
Ignoring error and warning messages may result in equipment damage and personal injury.
Messages
Message Description
4 HOUR WARM-UP REQUIRED - If the system has been stored for more than 60 days, a warm-up
PRESS ANY KEY period is necessary for ion removal from the image intensifier tube.
Leave the system on with no operation for 4 hours. Press any C-arm
control panel key to continue.
24 HOUR RECHARGE REQUIRED - X- If the system has been in storage for more than six months, the
RAYS DISABLED batteries need recharging. X-rays are disabled. Leave the Workstation
power cord plugged in, make sure the interconnect cable is properly
connected, and wait 24 hours before use. The system does not need
to be turned on.
AD CHANNEL # FAIL The analog-to-digital channels are checked during system start-up. If
a fault in the data conversion process is detected in any of the
channels, the system will not operate. Perform the error recovery
steps at the beginning of this chapter.
Page 7-2
Display Messages
Message Description
ANODE IS HOT - XX% This message alternates with the technique displayed on the control
panel display and an alarm sounds. The anode temperature is at 80%
of its rated heat capacity or greater. The alarm may be disabled by
pressing the ALARM RESET key on the control panel. Continued use
without cooling may damage the X-ray tube. Although fluoroscopy is
not prevented, you should wait for the tube to cool before making
another exposure. HLF and film exposures are not allowed.
WARNING
When the ANODE IS HOT - XX% message displays, personnel should avoid bodily contact with the
X-ray tube. Do not allow the X-ray tube housing to contact the patient.
Message Description
ANODE IS WARM - XX% This message will alternate with the technique displayed on the
control panel display. Anode temperature is at 70% of its rated heat
capacity or greater. You may continue with fluoroscopy, but
discretion is advised.
WARNING
When the ANODE IS WARM - XX% message displays personnel should prevent all bodily contact
with the X-ray tube.
Message Description
ARMED This message is displayed as the system prepares the technique for a
film exposure. If the X-ray switch has not been pressed after 60
seconds the message will be removed from the display.
BATTERY CHARGE - XX% If the effective battery charge drops to between 70 to 40 percent, this
message will alternate with the technique displayed on the control
panel display. Fluoro, film and HLF exposures are still allowed. To
charge the batteries, leave the system plugged into an AC receptacle
with the interconnect cable in place between the C-arm and the
Workstation. The Workstation power switch should be turned to the
off position. Normally, a full battery recharge requires only a few
hours. If the batteries are further discharged without adequate
recharge time, the effective charge may drop below 70 percent.
BATTERY CHARGE - XX%/WAIT If the effective battery charge drops below 40 percent, this message
will alternate with the technique displayed on the control panel
display. The WAIT message appears in the center of the technique
display. Exposures are allowed in fluoro mode but film and HLF
exposures are not allowed until the battery has recharged. To charge
the batteries, leave the system plugged into an AC receptacle with the
interconnect cable in place between the C-arm and the Workstation.
The Workstation power switch should be turned to the off position.
Page 7-3
Display Messages
Message Description
CHARGER FAILED If the battery charger fails at boot-up this error is displayed and the
system will not operate. Perform the error recovery steps described at
the beginning of this chapter.
If the failure occurs during operation the message will alternate with
the technique displayed on the control panel. Continued use will result
in system failure. Call your service representative as soon as possible.
COLLIMATOR CAL REQUIRED - The software has determined that the current collimator iris or
PRESS ANY KEY leave position values do not match the reference values stored
in memory. Press any key to continue. Call your service
representative as soon as possible.
COL IRIS POTENTIOMETER ERROR - The software has sensed that the collimator iris potentiometer
PRESS ANY KEY is not working and therefore the iris position cannot be
determined. Press any key to continue. Call your service
representative as soon as possible.
COL IRIS TOO LARGE The collimator iris is larger than the control panel indicates. This
message will alternate with the technique displayed on the
control panel display.
CAUTION
Continuing system operation when the COL IRIS TOO LARGE message is displayed may result in
overexposing the patient due to a larger than indicated field size. Complete the current procedure
if necessary, then call for service.
Message Description
COL IRIS UNSTABLE The iris collimator motor control cannot maintain position tolerance.
This message alternates with the technique displayed on the control
panel display. You may continue to use the system, although the iris
instability may degrade the image at the edges of the X-ray field.
Complete the current procedure if necessary and then call your
service representative.
COLLIMATOR STUCK This message alternates with the technique displayed on the control
panel display. The collimator iris motor is unable to open or close the
collimator iris. You may continue to use the system, although you will
not be able to adjust the collimator iris. Complete the current
procedure if necessary and then call your service representative.
COMMUNICATION FAILED System communication has failed. The C-arm is not allowed to take X-
rays under these conditions. Wait for approximately one minute for
this condition to clear and if it does not, perform the error recovery
steps at the beginning of the chapter.
CONTROL PANEL ERROR Communication to the control panel has been lost, terminating
system operation. Perform the error recovery steps described at the
beginning of this chapter.
DATA ERROR Corrupted software or data has been detected. X-rays are disabled.
Perform the error recovery steps described at the beginning of this
chapter.
Page 7-4
Display Messages
Message Description
FAST STOP ACTIVATED This message will display after a FAST STOP key has been pressed.
You must cycle the Workstation power switch to off and then on to
restart the system.
If you did not press a FAST STOP key and this message is displayed a
hardware or software fault has occurred. Perform the error recovery
steps described at the beginning of this chapter.
FILAMENT CAL REQUIRED - PRESS The system has sensed that the filaments have not been calibrated. It
ANY KEY is possible to receive multiple mA errors if this condition exists. Call
your service representative as soon as possible to perform a
calibration.
WARNING
If the procedure is continued when the FILAMENT CAL REQUIRED message is displayed, the
patient may receive a higher dose than that indicated. Press any C-arm control panel key to
continue with the procedure if necessary, then call for service.
Message Description
FILAMENT REGULATOR FAILURE - The filament current has been sensed as out of tolerance. You may
PRESS ANY KEY press any C-arm control panel key to continue. However, the
resolution of future images may be degraded. Contact your service
representative as soon as possible.
WARNING
If the procedure is continued when the FILAMENT REG FAILURE message is displayed, the patient
may receive a higher dose than that indicated. Press any C-arm control panel key to continue
with the procedure if necessary, then call for service.
Message Description
FILAMENT SELECT ERROR - PRESS The filament size selected by software does not match the current
ANY KEY filament in the PIO hardware. Press any C-arm control panel key to
continue. X-rays are disabled while the message is displayed.
HLF OVERTIME The HLF (High Level Fluoro) or Digital Cine exposure has exceeded the
preset time interval and has been terminated. The time interval
parameters are dependant on the pulses per second selected. This
safety precaution discourages excessive continuous lengths of time in
HLF mode. This message remains displayed until the footswitch is
released.
HOUSING IS HOT - XX% This message alternates with the technique displayed on the control
panel display and an alarm sounds. The housing temperature is at
80% of its rated heat capacity or greater. The alarm may be disabled
by pressing the ALARM RESET key on the control panel. Although
fluoroscopy is not prevented, you should wait for the tube to cool
before making another exposure. HLF and film exposures are not
allowed at this temperature.
Page 7-5
Display Messages
CAUTION
Continued use without cooling may damage the X-ray tube. Although fluoroscopy is not
prevented, you should wait for the tube to cool before making another exposure.
WARNING
When the HOUSING IS HOT - XX% message displays, personnel should avoid bodily contact with
the X-ray tube housing. Do not allow the X-ray tube housing to contact the patient.
Message Description
HOUSING OVERHEATED The housing temperature has reached 100% of its rated capacity and
the thermal cutoff switch has activated (opened). Operation is
terminated. Let the housing cool.
CAUTION
When the HOUSING OVERHEATED message appears, the X-ray tube housing is extremely hot and
must be allowed to cool before taking more exposures.
Avoid bodily contact with the X-ray tube housing. Do not allow the X-ray tube housing to contact
the patient.
Message Description
HOUSING WARM - XX% The housing temperature is at 70% of its rated heat capacity or
greater. This message alternates with the technique displayed on the
control panel display. You may continue with fluoroscopy, but
discretion is advised.
WARNING
When the HOUSING WARM - XX% message displays, personnel should avoid bodily contact with
the X-ray tube. Do not allow the X-ray tube housing to contact the patient.
Message Description
HV GENERATOR ERROR Software has detected an error in the high voltage generator. The
system automatically shuts down, preventing operation. Perform the
error recovery steps described at the beginning of this chapter.
HV REGISTER FAIL Software has detected a failure in the high voltage register. The
system automatically shuts down, preventing operation. Perform the
error recovery steps described at the beginning of this chapter.
INTERLOCK FAILURE The interlock circuit has failed during system start-up. Reboot the
system and if the message is displayed again, call for service.
KEY STUCK - RELEASE, THEN PRESS A key press has been sensed on the control panel during boot-
ANY KEY TO CONTINUE up, possibly indicating a stuck control panel key. Verify that
there are not any objects pressing against the control panel.
After releasing the stuck key, press any C-arm control panel
key to continue.
A malfunctioning control panel key may interfere with operation if
you attempt to continue. Contact your field service representative as
soon as possible.
Page 7-6
Display Messages
Message Description
KEYSWITCH IN STANDBY - XRAYS This message will display whenever the X-ray keyswitch
AND MOTORS DISABLED located on the C-arm is turned to the standby position. Turn the
keyswitch to the on position to operate the system. If the
keyswitch is already in the on position there may be a fault in
the keyswitch or software. In this case perform the error
recovery steps described at the beginning of this chapter.
KV ON IN ERROR High voltage is being generated without an X-ray switch being
activated, indicating a fault with the high voltage generator.
The system will not operate with this error. Perform the error
recovery steps described at the beginning of this chapter.
LIFT SWITCH STUCK If the lift switch is pressed continuously for 30 seconds this
message will display briefly. This may indicate a foreign object
is pressing against the switch or a faulty switch or lift circuit. If
there is no object pressing against the switch perform the error
recovery steps described at the beginning of this chapter.
WARNING
In the event of uncommanded vertical column movement, immediately move the C-arm out of the
patient environment until the problem has been corrected.
Message Description
MA ON IN ERROR X-ray current (tube current) has been detected without an X-ray
switch being activated, indicating a fault with the X-ray generator.
The system will not operate with this error. Perform the error recovery
steps described at the beginning of this chapter.
MA SENSOR FAIL The system has detected a failure in one of the mA sensors. This
message will alternate with the technique displayed on the control
panel display. Perform the error recovery steps described at the
beginning of this chapter.
OVERLOAD FAULT This may indicate a fault in the high voltage regulator circuit. The first
time this fault is detected, the message appears only briefly after an
exposure. The second time this fault occurs, the system automatically
shuts down and the message remains on the display. Perform the
error recovery steps described at the beginning of this chapter.
OVERVOLTAGE FAULT This may indicate an X-ray generator failure. The first time this fault is
detected, the message appears only briefly after an exposure. The
second time this fault occurs, the system automatically shuts down
and the message remains on the display. Perform the error recovery
steps described at the beginning of this chapter.
PLEASE WAIT This message may be displayed briefly on the control panel when the
system is updating generator data or performing internal tests. The
message should clear within moments. If the message does not clear
within 30 seconds to a minute, perform the error recovery steps
described at the beginning of this chapter.
POWER OFF. WAIT 5 SECONDS. This message displays to remind the user to wait 5 seconds before
cycling power back on.
Page 7-7
Display Messages
CAUTION
To assure proper reboot and function of the system, wait 5 seconds before turning power back on.
If problem persists, call service.
Message Description
PRECHARGE CIRCUIT TIMEOUT The contact relay has failed to close during the start-up process. This
condition results in automatic system shutdown. Perform the error
recovery steps described at the beginning of this chapter.
PRECHARGE VOLTAGE ERROR The precharge voltage has been sensed as too high during the start -
up process. This condition results in automatic system shutdown.
Perform the error recovery steps described at the beginning of this
chapter.
RELEASED EARLY During a film exposure, the X-ray switch was released before the
desired mAs was reached. The exposure time may have been too
short for a good image. This message appears briefly at the end of
the terminated exposure. Using a new film in the cassette, press the
X-ray switch and allow enough time for the system to terminate the
exposure.
SATURATION FAULT Indicates a fault in the high voltage regulator circuit. The system will
not operate with this error. Perform the error recovery steps
described at the beginning of this chapter.
STATOR NOT ON The X-ray tube stator is not on, and the tube’s anode cannot rotate.
The system will not operate with this error. Perform the error recovery
steps described at the beginning of this chapter.
WARNING, HIGH KV - PRESS ANY An error has been detected in the kV loop. The actual kVp is higher
KEY than that indicated on the control panel display and is not within
specified tolerances.
WARNING
Continuing with the procedure when the WARNING, HIGH KV message has been displayed may
subject the patient to a higher dose than that indicated. Press any C-arm control panel key to
continue with the procedure.
Message Description
WARNING, HIGH MA - PRESS ANY A calibration error has been detected. The actual mA is higher than
KEY that indicated on the control panel display and is not within specified
tolerances.
Page 7-8
Display Messages
WARNING
Continuing with the procedure when the WARNING, HIGH MA message has been displayed may
subject the patient to a higher dose than that indicated. Press any C-arm control panel key to
continue with the procedure.
Message Description
WARNING, LOW KV - PRESS ANY An error has been detected in the kV loop. The actual kVp is lower
KEY than that indicated on the control panel display and is not within
specified tolerances. Lower kVp may result in poor image quality.
Press any C-arm control panel key to continue.
WARNING, LOW MA - PRESS ANY A calibration error has been detected. The actual mA is lower than
KEY that indicated on the control panel display and is not within specified
tolerances. Lower mA may result in poor image quality. Press any C-
arm control panel key to continue.
X-RAY OVERTIME - PRESS ANY KEY The film shot has continued beyond the time required to achieve the
correct exposure and software has terminated the exposure. Press
any control panel key to continue.
WARNING
When the X-RAY OVERTIME message is displayed the patient may have received a higher dose
than expected and continued film exposures may result in a higher than expected dose and
longer exposure times.
Message Description
X-RAY SWITCH SECURITY ERROR A mismatch between the handswitch or footswitch and a security line
has been sensed. System operation is terminated. Call your service
representative.
X-RAY SWITCH STUCK One of the X-ray exposure switches has been detected as enabled
during the boot sequence. Verify that switches are not being enabled
by a foreign object. Or disconnect the handswitch and/or footswitch
and attempt restarting the system. If the system restarts, the
disconnected device may contain a fault requiring service. If the
message persists, there is an internal fault that is preventing system
operation. Call your service representative.
X-RAY TUBE TEMPERATURE SENSOR The condition of the X-ray tube’s heat sensing element is tested
FAILURE - PRESS ANY KEY during start-up. This message appears if the test indicates that the
element is defective. You may continue using the system, but there is
a danger that the X-ray tube may overheat during use without further
warnings being given. Press any C-arm control panel key to
acknowledge the message and call your service representative.
Page 7-9
Display Messages
Page 7-10
8.
Overview
This chapter describes labels and symbols that are located on your C-Arm and that are not
described elsewhere.
Two types of labels are described: warning labels and regulatory certification labels. Warning
labels define potential hazards and advise against misuse that might result in personal injury.
Familiarize yourself with these labels and their meanings in order to ensure a safe environment
for both the patient and yourself. Regulatory labels indicate that the system meets the
requirements of specific governmental, medical and industrial organizations.
Symbols are provided to visually represent concepts such as locked and unlocked brake
positions or the proper transport position of the C-arm. Many of the symbols described here are
listed in IEC 417 and ISO 7000. Those that are not listed were developed by GE OEC Medical
Systems, Inc.
Labels
Indicates the location of certification labels.
Open the panel to view labels inside.
Located on the rear of the Control Panel
housing between the steering handles.
Page 8-2
Labels and Symbols
SN
V~
Hz Type B
Made in the U.S.A.
U.S.A. & International Patents:
Page 8-3
Labels and Symbols
Symbols
Indicates the Equipotential terminal on the C-
Arm. This terminal allows connection between
the C-arm and the equipotential bus of the
facility. Located on both sides of chassis
midway to front wheels.
Page 8-4
Labels and Symbols
Page 8-5
Labels and Symbols
Page 8-6
9.
Technical Specifications
Technical Specifications
Overview
The policy of GE OEC Medical Systems, Inc. is one of continual product development and
improvement. For this reason, GE OEC Medical Systems, Inc. reserves the right to change the
operating characteristics and specifications of newer products at any time, without prior notice, and
without incurring any obligation relating to previously manufactured items.
The specifications listed are limited to general performance and physical data. Specifications of
optional equipment provided by other manufacturers are given in the applicable manuals provided
with those options.
Classification Type
Class I Equipment ( as defined by IEC 60601-1) Type B protection against electric shock. Ordinary
protection against ingress of water. Anesthetic Proof Continuous Operation. ( Refer to the
fluoroscopic and film mode duty cycle specification contained in Generator Operating Parameters.)
Page 9-2
Technical Specifications
Environmental Requirements
Ambient Temperature Operating: 50° to 95° F ( + 10° to + 35° C)
Extended Storage and
> 2 days: 32° to 104° F ( 0° to + 40° C)
Transportation
Short-term Storage
< 2 days: 14° to 131° F ( - 10° to + 55° C)
and Transportation
Storage and
15,000 ft. ( 4572 meters) maximum
Transportation Altitude
Operating: 20 to 80 %, non-condensing
Humidity
Storage and transport: 10 %-80 %, condensing
Power Requirements
Interconnect Cable:
The C-arm obtains AC power from an interconnect cable attached to the Workstation. The power is
isolated single phase ( neither side at ground potential), 99-128 VAC, less than 8 Amps RMS
maximum, 60 or 50 Hz.
Maximum Continuous Power Dissipation: 3,280 BTU/Hr. ( This is based on a maximum real power
value of 960 watts).
Note: The interconnect cable provides video and communication signal interface, in addition to
power.
Connector Output Voltages:
Footswitch: 5 VDC 30 mA current source
Handswitch: 5 VDC 30 mA current source
Page 9-3
Technical Specifications
Page 9-4
Technical Specifications
Collimation
Fluoroscopy Nominal diameter circle for 9/6/4-inch II system:
23 cm ( 9-in.)
15 cm ( 6-in.)
11 cm ( 4.5-in.)
Nominal diameter circle for 12/9/6-inch II system:
31 cm ( 12-in.)
23 cm ( 9-in.)
15 cm ( 6-in.)
Continuously adjustable to an area less than 5 cm x 5 cm, measured
at the image receptor plane ( II input surface).
Radiography Nominal diameter circle 9-inch II system:
23 cm ( 9-in.)
Nominal diameter circle 12-inch II system:
31 cm ( 12-in.)
Continuously adjustable to an area
less than 5 cm x 5 cm, measured at the image
receptor plane ( II input surface).
Page 9-5
Technical Specifications
400
175
350
150
60kV
TUBE CURRENT (mA)
300
25 50
0 0
.01 .02 .03 .05 .1 .2 .3 .5 1 2 3 5 10 .01 .02 .03 .05 .1 .2 .3 .5 1 2 3 5 10
MAXIMUM EXPOSURE TIME IN SECONDS MAXIMUM EXPOSURE TIME IN SECONDS
175
400
TUBE CURRENT (mA)
150
TUBE CURRENT (mA)
60kV
60kV
125
300
50
100
25
0 0
.01 .02 .03 .05 .1 .2 .3 .5 1 2 3 5 10 .01 .02 .03 .05 .1 .2 .3 .5 1 2 3 5 10
MAXIMUM EXPOSURE TIME IN SECONDS MAXIMUM EXPOSURE TIME IN SECONDS
Page 9-6
Technical Specifications
200
0
0.00 0.30 1.00 1.30 2.00 2.30 3.00 3.30
Hours
A
1600
A B C
.
Sustained operation at 500 watts ( kV mA =
1400 total watts) reaches maximum heat units (
1200
1600 kHu) in 1 Hour.
Heat Units X 1000
200
0
0.00 0.30 1.00 1.30 2.00 2.30 3.00 3.30
Hours
Page 9-7
Technical Specifications
141 200
STORAGE X 1,000
106 150
71 100
COOLING
35 50
0 0
0 3 6 9 12 15 18 21 24 27 30
TIME (MINUTES)
Page 9-8
Technical Specifications
Generator Specifications
The following information is provided in accordance with IEC 60601-2-7 ( 1998).
Nominal kVp @ maximum mA
Film mode 57 kVp @ 75 mA
Normal Mode 120 kVp @ 10 mA
HLF Fluoro 120 kVp @ 20 mA
Pulsed Fluorography 99 kVp @ 40 mA
Digital Cine 100 kVp @ 150 mA
Page 9-9
Technical Specifications
Page 9-10
Technical Specifications
Note: In 0.3 mm mode ( < 100 mAs) the minimum exposure length is 200 mS. Low mAs selections,
mAs values smaller than "used mA" divided by 5, will result in lower mA than is shown in the
table. The mA value can be calculated by multiplying the mAs value by 5.
Page 9-11
Technical Specifications
83 to 87 1.0 to 90 50 0.3 mm
83 to 87 91 to 100 40 0.3 mm
83 to 87 110 to 300 50 0.6 mm
88 to 92 1.0 to 100 45 0.3 mm
88 to 92 110 to 300 45 0.6 mm
93 to 97 1.0 to 50 45 0.3 mm
93 to 97 51 to 100 40 0.3 mm
93 to 97 110 to 300 45 0.6 mm
98 to 102 1.0 to 35 42 0.3 mm
98 to 102 36 to 100 40 0.3 mm
98 to 102 110 to 300 42 0.6 mm
103 to 107 1.0 to 80 40 0.3 mm
103 to 107 81 to 100 30 0.3 mm
108 to 112 1.0 to 60 38 0.3 mm
108 to 112 61 to 100 30 0.3 mm
113 to 117 1.0 to 50 36 0.3 mm
113 to 117 51 to 100 30 0.3 mm
118 to 120 1.0 to 40 35 0.3 mm
118 to 120 41 to 100 30 0.3 mm
Page 9-12
Technical Specifications
Page 9-13
Technical Specifications
Scatter Radiation
9 Inch (22.8 cm) II
Conditions:
• MDH 1015 X-Ray Monitor
• 10 x 5-6 Ion Chamber (entrance exposure only)
• 10 x 5-180 Ion Chamber (scatter exposure only)
• ANSI Abdomen Phantom (30.5cm x 30.5cm x 17.78cm Lucite)
Horizontal Plane
The following illustration shows measurement points in a plane perpendicular to the beam axis at a
height indicated by reference point C1. C1 is the 30-inch SSD, and is illustrated in the Vertical Plane
illustration, below. The measurement points are 25 cm apart. The table following the illustration
shows expected scatter radiation at each point.
H4
H3
H2
H1
C1
S1 S2 S3 S4
Measurement
Entrance Exposure Rate Dose Rate
Point
H1 598 mR/hr 5.22 mGy/hr
H2 133 mR/hr 1.16 mGy/hr
H3 56 mR/hr 0.48 mGy/hr
H4 30 mR/hr 0.26 mGy/hr
S1 523 mR/hr 4.56 mGy/hr
S2 130 mR/hr 1.13 mGy/hr
S3 56 mR/hr 0.48 mGy/hr
S4 34 mR/hr 0.29 mGy/hr
Page 9-14
Technical Specifications
Vertical Plane
The following illustration shows measurement points in a plane through the beam axis at a height
indicated by reference point C1, which represents the 30-inch SSD. The measurement points are 25
cm apart. The table following the illustration shows expected scatter radiation at these points.
T3
T2
T1
C1
B1
B2
B3
Page 9-15
Technical Specifications
Horizontal Plane
The following illustration shows measurement points in a plane perpendicular to the beam axis at a
height indicated by reference point C1. C1 is the 30-inch SSD, and is illustrated in the Vertical Plane
illustration, below. The measurement points are 25 cm apart. The table following the illustration
shows expected scatter radiation at each point.
H4
H3
H2
H1
C1
S1 S2 S3 S4
Page 9-16
Technical Specifications
Vertical Plane
The following illustration shows measurement points in a plane through the beam axis at a height
indicated by reference point C1, which represents the 30-inch SSD. The measurement points are 25
cm apart. The table following the illustration shows expected scatter radiation at these points.
T3
T2
T1
C1
B1
B2
B3
Page 9-17
Technical Specifications
Dimensions
C-Arm ( 9-inch/23cm II)
1000 mm 39.4 in. 442 mm
17.4 in.
38 inches
965 mm
508 mm
20 in.
1928 mm 75.9 inches
33 inches
838 mm
496 mm 19.5 inches extended
1209 mm 47.6 inches 424 mm 16.7 inches retracted
Page 9-18
Technical Specifications
22.0 inches
559 mm
838.2 mm
33 inches
1209 mm 47.6 inches 520 mm 20.5 inches extended
450 mm 17.7 inches retracted
55°
Page 9-19
Technical Specifications
Super C-Arm
33 inches
838 mm
498 mm 19.6 inches extended
427 mm 16.8 inches retracted
55°
3°
Page 9-20
Technical Specifications
Optional Equipment
The following accessories have been tested with, and are known to work with the C-Arm. Call the
Communication Center to order optional equipment. Refer to Chapter 1, "Introduction and Safety" to
obtain the Communication Center phone numbers.
Laser Aimer
Film Cassette Holder
Consumables
To order GE OEC consumables such as steri-drapes and printer paper, please refer to the "Ordering
Information" provided in Chapter 1, "Introduction and Safety" in this manual.
Page 9-21
Technical Specifications
Page 9-22
I.
Index
Index
Index
Super C-arm, 9-20
SYMBOLS
C-arm Identification, 4-2
12 inch II
Scatter Radiation, 9-16 C-arm Positioning
Flip Flop Brake, 4-8
9 inch II
Scatter Radiation, 9-14 C-arm Positioning
Flip-flop Rotation, 4-8
A Orbital Rotation, 4-6
Orbital Rotation Brake, 4-6
After-sale Operating and Safety Practices, 1-3
C-arm Positioning
Air Kerma Scatter Rate L-arm Rotation, 4-9
Horizontal Plane 12 Inch II, 9-16
Horizontal Plane 9 Inch II, 9-14 C-arm Positioning
Vertical Plane 12 Inch II, 9-17 L-arm Brake, 4-9
Vertical Plane 9 Inch II, 9-15 C-arm Positioning
Alarm Reset Veritical Column, 4-11
Control Panel, 3-9 C-arm Positioning
Ambient Temperature, 9-3 Horizontal Cross-arm, 4-12
Page I-2
Index
Communication Center D
Phone, 1-3
Draping, 2-5
Communication Center Telephone Numbers, 1-5 Draping the X-ray Tube Cooling Kit Option, 2-5
Compatibility
E
Electromagnetic, 1-10
Electromagnetic Statement, 9-2 Electrical Check
Performance, 6-3
Component Identification
Standard C-Arms, 4-3 Electrical shock, 1-8
Super C-Arm, 4-5
Electromagnetic
Connector Socket Compatibility Statement, 9-2
Footswitch, 2-3
Electromagnetic Compatibility, 1-10
Handswitch, 2-3
Environmental Requirements
Consumables, 9-21
C-arm, 9-3
Ordering, 1-4
Equipment Malfunction
Continued Compliance, 1-2
Circuit breakers, 1-11
Contrast/Brightness
Error
Auto, 3-7
Recovery, 7-2
Manual, 3-7
Metal Rejection, 3-7 Error Messages, 7-2–7-9
Control Panel, 3-3 F
Alarm Reset, 3-9
Auto Contrast Brightness, 3-7 Fast Stop Check
Auto Technique, 3-8 Performance, 6-3
Collimator
Fast Stop Switches, 3-10
Leaf Control, 3-6
Fax
Collimator Control, 3-6 Ordering Consumables, 1-4
Collimator Iris Control, 3-6
Collimator Leaf Rotation, 3-6 Film
Film, 3-8 Cassette Holder, 5-2
Housing, 3-2 Film Cassette
II Field Size, 3-6 Inserting, 5-3
Image Orientation, 3-4
Image Reversal, 3-4 Film Cassette Dimensions
Image Rotation, 3-4 12-inch, 9-21
kVp Control, 3-7 9-inch, 9-21
Low Dose, 3-8 Film Cassette Holder
mA Control, 3-7 Improperly installed, 1-7
Manual Contrast/Brightness, 3-7 Removing, 5-4
Mode, 3-5
Pulse Mode, 3-8 Film Exposure, 5-2
Remote Workstation Operation, 3-5 Prearm, 5-4
Save, 3-5 Prearming, 5-4
Swap, 3-5 Setup, 5-2
Cooling Film Mode
Safety Hazards, 1-10 Control Panel, 3-8
Cross-arm. See Horizontal Cross-arm Film Mode Check
Performance, 6-4
Page 3
Index
Image Reversal
Flip Flop
Control Panel, 3-4
C-arm Positioning, 4-8
Image Rotation
Flip Flop Brake
Control Panel, 3-4
C-arm Positioning, 4-8
Ingress of Fluids, 1-9
Fluids
Safety Hazards, 1-10 Interconnect Cable
Attaching, 2-2
Fluoro Mode Check
Performance, 6-4 Interface Panel
Location, 2-3
Focal Spot Specification
0.3mm, 9-13 Introduction, 1-1
0.6mm, 9-13
K
Footswitch, 3-12
Conector socket, 2-3 kVp Control
Mode Control, 3-14 Manual, 3-7
G L
Generator Operating Parameters, 9-10 Labels, 8-2–8-3
Canadian Standards, 8-2
Generator Specifications, 9-9 CE, 8-2
Certified Components, 8-2
H
Location of certification labels, 8-3
Handswitch, 3-12 Safe Operating Practices, 8-3
Conector socket, 2-3 System Rating, 8-3
Mode Control, 3-14 VDE, 8-2
Hazard L-arm Brake
Electrical Fire, 1-8 C-arm Positioning, 4-9
Electrical Shock, 1-8 Super C-arm Positioning, 4-10
Equipment Malfunction, 1-10
L-arm Rotation
External Devices, 1-11
C-arm Positioning, 4-9
Motorized Mechanical Movement, 1-7
Radiation exposure, 1-9 Long-term Storage or Shipment
Unauthorized Modifications, 1-2 C-Arm Storage, 2-7
Heating and Cooling Charts Low Dose
Anode, 9-8 Control Panel, 3-8
X-ray Tube, 9-7
mA Control
Horizontal Cross-arm Manual
C-arm Positioning, 4-12 Control Panel, 3-7
Horizontal Cross-arm Brake
C-Arm Positioning, 4-12 M
Humidity, 9-3 Maintenance
Performance Checks, 6-2
I Periodic, 6-5
II Field Size Material Safety Data Sheets, 9-21
Control Panel, 3-6
Mechanical Check
Image Orientation Performance, 6-2
Control Panel, 3-4
Page 4
Index
Phone
Messages
Ordering Consumables, 1-4
Error Recovery, 7-2
Phone Number
Metal Rejection
Communication Center, 1-3
Contrast/Brightness, 3-7
Positioning
Mode
C-arm, 4-5
Control Panel, 3-5
Power Off, 2-6
Mode Pairs
Switching, 3-14 Power On, 2-2
default, 2-5
MSDS, 9-21
Power Requirements, 1-2
O C-arm, 9-3
OEC Medical Systems, Inc. Responsibilities, 1-3 Prearming
After-sale Operating and Safety Practices, 1-3 Film Exposure, 5-4
System Certification, 1-3
Pulse Mode
Operating Altitude, 9-3 Control Panel, 3-8
Operator Qualifications, 1-2
R
Optional Equipment, 9-21
Radial Rotation
Orbital Rotation Super C-arm Positioning, 4-10
C-arm Positioning, 4-6
Radiation Exposure, 1-9
Super C-arm Positioning, 4-7
General Protection, 1-9
Orbital Rotation Brake Source-to-Skin Distance, 1-9
C-arm Positioning, 4-6
Radiographic Film, 5-1
Super C-arm Positioning, 4-7
Radiographic mA as a Function of kV and mAs,
Ordering Consumables
9-11
Fax, 1-4
On-line, 1-4 Remote Workstation Controls
Phone, 1-4 Control Panel, 3-5
Owner Responsibilities, 1-2 Removing
Continued Compliance, 1-2 Film cassette holder, 5-4
Operator Qualifications, 1-2
Power Requirements, 1-2 S
System Compatibility, 1-2 Safety Hazards, 1-5
Unauthorized Modifications, 1-2 Burns, 1-10
Cooling, 1-10
P
Electrical Fire, 1-8
Patient Environment, 1-12 Electrical Shock, 1-8
Outside U.S., 1-12 Equipment Malfunction, 1-10
Within U.S., 1-12 External Devices, 1-11
Fluids, 1-10
Performance Checks
Improperly Installed Film Cassette Holder, 1-7
Electrical, 6-3
Motorized Mechanical Movement, 1-7
Fast Stop, 6-3
Patient Environment, 1-12
Film Mode, 6-4
Radiation exposure, 1-9
Fluoro Mode, 6-4
Source-to-Skin Distance, 1-9
Maintenance, 6-2
Mechanical, 6-2 Save
Control Panel, 3-5
Periodic Maintenance, 6-5
Page 5
Index
Swap X
Control Panel, 3-5
X-ray On Switch, 3-11
Symbols, 8-4–8-5
X-ray Source Assembly Certification, 1-3
Alternating Current, 8-4
Anesthetic Proof, 8-4 X-ray Source Assembly Specs, 9-4
Attention, 8-4
X-ray Tube
C-Arm Transport, 8-5
Heating and Cooling Charts, 9-7
Equipotential, 8-4
Fast Stop, 8-5 X-ray Tube Rating Charts
Focus, 8-5 50 Hertz, 9-6
Ionizing Radiation, 8-5 60 Hertz, 9-6
IP68, 8-4
Lock, 8-5 X-rays Off, 2-6
Page 6