Motion Mobile X-Ray System: Operator'S Manual

Motion Mobile X-Ray System
OPERATOR’S MANUAL
Motion Mobile X-Ray System OPERATOR’S MANUAL
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DBQ121-EN [Rev. 01] Page 2

CONTENTS
CHAPTER 1 EQUIPMENT DESCRIPTION ......................................................... 7
1.1 GRAPHIC SYMBOLS....................................................................................................................... 9
1.2 INDICATIONS FOR USE ............................................................................................................. 10

1.2.1 MONOBLOC SERVICE LIFE......................................................................................................... 10
1.3 TECHNICAL FEATURES............................................................................................................... 11

1.3.1 ELECTRICAL FEATURES.............................................................................................................. 11
1.3.2 OPERATION FEATURES .............................................................................................................. 11
1.3.3 RADIOGRAPHIC FEATURES ....................................................................................................... 11
1.3.4 LOADING FACTORS ACCURACY ................................................................................................ 12
1.3.5 MECHANICAL FEATURES ............................................................................................................ 12
1.3.6 COLLIMATOR ................................................................................................................................ 13
1.3.7 MONOBLOC ................................................................................................................................... 13
1.3.8 ENVIRONMENTAL DATA ............................................................................................................. 13
1.4 EQUIPMENT DESCRIPTION ..................................................................................................... 14

1.4.1 MAIN PARTS ................................................................................................................................. 14
1.4.2 CONTROL CONSOLE.................................................................................................................... 15
1.5 LABEL ................................................................................................................................................ 15
1.6 DIMENSION.................................................................................................................................... 17
1.7 REFERENCE STANDARD ............................................................................................................ 18
1.8 CLASSIFICATION ......................................................................................................................... 18
1.9 SAFETY ............................................................................................................................................. 18

1.9.1 INTRODUCTION ........................................................................................................................... 18
1.9.2 MECHANICAL SAFETY DEVICES ................................................................................................ 20
1.9.3 ELECTRICAL SAFETY DEVICES.................................................................................................. 20
1.9.4 PROTECTION FROM RADIATION.............................................................................................. 21
1.9.5 RESIDUAL RISKS ......................................................................................................................... 21
1.10 ELECTROMAGNETIC COMPATIBILITY (EMC) ................................................................... 23
1.11 DECLARATION OF RESPONSIBILITY ................................................................................... 26
CHAPTER 2 EQUIPMENT OPERATION .......................................................... 27
2.1 TRANSPORT OF THE EQUIPMENT ......................................................................................... 29
2.2 DAILY X-RAY TUBE WARM-UP PROCEDURE ..................................................................... 31
2.3 X-RAY TUBE FORMATION ......................................................................................................... 31

2.4 POWER ON THE EQUIPMENT................................................................................................... 32
2.5 ARM POSITIONING ..................................................................................................................... 34
2.6 MONOBLOC AND COLLIMATOR DISPLACEMENT ............................................................. 35
2.7 COLLIMATOR.................................................................................................................................. 36

2.7.1 SETTING THE X-RAY FIELD ON THE COLLIMATOR FRONT PANEL ................................... 37
2.8 RADIOGRAPHIC TECHNIQUES................................................................................................ 38

2.8.1 GRAPHICAL USER INTERFACE .................................................................................................. 41
2.8.2 TWO-POINT MANUAL TECHNIQUE RADIOGRAPHIC EXPOSURE ........................................ 42
2.8.3 THREE-POINT MANUAL TECHNIQUE RADIOGRAPHIC EXPOSURE..................................... 42
2.8.4 APR RADIOGRAPHIC EXPOSURE............................................................................................... 43
2.8.5 APR - ANATOMICAL PROGRAMMING CHART ......................................................................... 45
2.8.6 DIAGNOSTIC DUMMY PHANTOMS USED ................................................................................ 46
2.8.7 EXECUTION OF THE TESTS ....................................................................................................... 46
2.8.8 MEASUREMENT ............................................................................................................................ 46
2.8.9 MAKING CHANGES TO PRE-PROGRAMMED APR TECHNIQUES .......................................... 47
2.8.10 RESTORE PRE-PROGRAMMED APR TECHNIQUES TO THE FACTORY VALUE .............. 47
2.8.11 TAKING A RADIOGRAPHIC EXPOSURE ............................................................................... 48
2.9 WARNING MESSAGE ................................................................................................................... 50
2.10 LANGUAGE ...................................................................................................................................... 56
2.11 END OF OPERATION .................................................................................................................... 56
CHAPTER 3 PLANNED MAINTENANCE......................................................... 57
3.1 GENERAL RECOMMENDATIONS ............................................................................................. 59
3.2 ORDINARY PLANNED MAINTENANCE.................................................................................. 59
3.3 REPORTING UNUSUAL CONDITIONS................................................................................... 60
3.4 CLEANING AND DISINFECTION ............................................................................................. 61
3.5 DISPOSAL ........................................................................................................................................ 62

The Operator’s Manual should be read before using the equipment.
It is recommended to strictly follow the current instructions to avoid any

improper use of the unit. The unit is supposed to be used by qualified and
authorized people only.
The installation and maintenance must be carried out by people authorized by

the manufacturer.
The purchaser of the equipment does not buy the system software but only the
right to use the software license. This is not an exclusive right and it is not
transferable.
This version of the Operator's Manual, although originated in Italian, was

modified in English.
0051

Distributed by:
Carestream Health, Inc.

150 Verona Street
Rochester, NY 14608, U.S.A.
Manufacturer:
BMI Biomedical International

Via E. Fermi, 52Q/R - 24035 Curno (BG) - Italy
Phone: +39-0354376381
Fax: +39-0354376401
E-mail: info@bmibiomedical.it © 2016 BMI Biomedical International S.r.l.
Website: www.bmibiomedical.it All rights are reserved. Reproduction or
transmission in whole or in part, in any form or by
any means, electronic, mechanical, or otherwise, is
prohibited without the prior written consent of the
copyright owner.
Printed in Italy
REVISION RECORD
REVISION DATE DESCRIPTION
00 2015-16-07 First issue
01 2016-12-16 General Revision

CHAPTER 1
EQUIPMENT DESCRIPTION


1.1 GRAPHIC SYMBOLS
The following symbols are available in the technical manual, in the user manual, and on the
labels applied on the equipment:
Symbol Description
CE compliance mark
Type B applied part
Refer to the instruction booklet
Operating Instruction
Serial no.
Catalog no.
Date of manufacture
Manufacturer
Keep in a dry place
This way up
Fragile
Do not use towing devices
Alternating current
General warning symbol
Caution: dangerous voltage
Caution: radioactive material or ionizing radiation
Caution: non-ionizing electromagnetic radiation
Protective earth
Earth
Radiation filter or filtration
ON (power)
OFF (power)
Small focal spot
Medium focal spot
Large focal spot
X-ray tube
Device requiring special disposal arrangements

1.2 INDICATIONS FOR USE
The Motion Mobile X-Ray System is suitable for many medical applications and is intended to be
used only by qualified people who are duly trained and informed about the risks deriving from ionizing
radiation. This system is not included in the list of devices requiring continuity of operation. This
system does not come into contact with the patient. Only some parts of the device may accidentally
touch the patient. The primary operator is in contact with the equipment. Contact with the patient is
non-invasive. Contact with the operator is required depending on equipment use.
The equipment has been specifically designed for radiological examinations and diagnostic
investigations carried out in Hospitals and Medical Centers. It is suitable for operation in:
- Respiratory System studies
- Skeleton studies
- Sports Medicine
- Pediatrics Orthopedics
- First-Aid Stations
- Plaster Room
- Operating Room
- Traumatology
Typical usage is an estimated range of 20 to 50 exposures per day (1 day = 24 hours).
There are additional optional filters available.
1.2.1 MONOBLOC SERVICE LIFE
The main causes of early wear and damages to the X-ray tube are:
- Prolonged heating of the filament
- Discharges in the tube
- Tube overcurrent
- Cold anode overcharge, caused by excessive loads after a long period of inactivity,
resulting in cratering of the track
To limit untimely wear and damages to the monobloc:

1. The X-ray tube warm-up procedure avoids overheating by allowing the tube to slowly reach the
operating temperature.
THE ANODE COULD BE IRREPARABLY DAMAGED IF HIGH ENERGY EXPOSURES ARE TAKEN
WHEN THE X-RAY TUBE IS STILL COLD OR NOT USED FOR AN EXTENDED PERIOD OF TIME.
THE TUBE FORMATION PROCEDURE HELPS REDUCE THE PROBABILITIES OF DISCHARGE.

2. Software control on the preset kVp and mAs values prevents the X-ray tube from overcharging.
The system also prevents an exposure if these parameters exceed the maximum limits allowed by
the X-ray tube.
3. Filament temperature preparation. It is recommended to -use the preparation only when the
patient is positioned for the examination.
1.3 TECHNICAL FEATURES
1.3.1 ELECTRICAL FEATURES
Description Value
Main power supply Voltage: 230 Vac (115 Vac on demand)
Frequency: 50/60 Hz
Current at 230 Vac: 5 A Nominal current, 32 A Momentary current
Current at 115 Vac: 9.5 A Nominal current, 46 A Momentary current
Line compensation ± 10 % automatic
Total line resistance 0.4 Ω total
Insulating class IEC60601-1 Class I with applied parts type B
Conditions for use Continuous operation at intermittent load
Classification Directive 93/42/CEE according to annex IX: Class II b
1.3.2 OPERATION FEATURES
Description Value
 Microprocessor-controlled console
Control console
 Display touch screen 8 in. TFT LCD
 Remote control by wire
X-ray exposure control
 Hand switch with spiral cable extendable up to 3.8
meter length
Anatomical Programmed Radiography
2-point technique (kV and mAs)
(APR)
2-point technique (kV and mAs)
Free technique radiography
3-point technique (kV, mA, and s)
 Capacitors voltage
 Inverter overcurrent
 mA min and max safety device
 Monobloc working temperature
Safety and protections
 X-ray filament safety device
 X-ray overload safety device
 X-ray tube anode rotation
 X-ray tube Hu (thermal unit)
1.3.3 RADIOGRAPHIC FEATURES
Description Values
Max power 30 kW (300 mA - 100 kV at 100 ms)
H.T. control H. F. Inverter – Frequency 40 kHz
Max ripple  2 % at maximum power
kV value increasing time  3 ms

Description Values
1 ÷ 6300 ms (35 steps)
(1 • 2 • 3 • 6 • 8 • 10 • 12 • 15 • 20 • 25 • 30 • 40 • 50 • 63 • 80 • 100 •
Exposure time
125 • 150 • 200 • 250 • 300 • 350 • 400 • 500 • 630 • 800 • 1000 • 1250
• 1500 • 2000 • 2500 • 3000 • 4000 • 5000 • 6300)
kV value variation range 40 ÷ 125 (step 1 kV)
25 ÷ 400 mA (13 steps)
mA Range
(25 • 40 • 50 • 63 • 80 • 100 • 125 • 150 • 200 • 250 • 300 • 350 • 400)
0.3 ÷ 320 mAs (31 steps)
mAs range (0.3 • 0.4 • 0.5 • 0.6 • 0.8 • 1 • 1.2 • 1.6 • 2 • 2.5 • 3.2 • 4 • 5 • 6.3 • 8
2-point technique • 10 • 12.5 • 16 • 20 • 25 • 32 • 40 • 50 • 63 • 80 • 100 • 125 • 160 •
200 • 250 • 320)
In compliance with clause 10.4.4 of NOM-229-SSA1-2002 (Mexican
Performance of X-Ray Standard)
equipment µGy/mAs > 70
mR/mAs >7 with HVL= 2.3 mm Al
1.3.4 LOADING FACTORS ACCURACY
Parameter Accuracy
kV ± 10 % of nominal value
mA ± 10 % of nominal value
mAs ± (10 % + 0.2) of nominal value
Time ± 5 % of nominal value
Linearity and Reproducibility
Standard deviation of the average (average 10 exposures) < 10%
Performance
1.3.5 MECHANICAL FEATURES
Feature Value
Width 680 mm
Length 1095 mm
Height with locked arm 1580 mm
Focus-floor distance - variable from 450 to 2000 mm
Monobloc rotation in the yoke -45 ° / +167 °
Monobloc yoke support rotation ± 90 °
Collimator rotation ± 90 °
Antistatic pivoting wheels diameter 80 mm
Rear wheels diameter 250 mm
Weight - net  180 kg
Unit displacement Manual
Radiographic cassettes holder Up to Approximately 6 radiographic cassettes format 35 x 43 cm
(14 x 17 in.)

1.3.6 COLLIMATOR
The Device is equipped with the same collimator:
Description Data
Mobile blades Square field - single layer
Blades displacement Manual
Size of irradiated square radiographic field Minimum 0 x 0 cm / Maximum 43 x 43 cm
Focus / film distance indication Retractable tape measure
Collimator LED Automatic switch Off after 30 sec
Inherent filtration 2.5 mm Al at 75 kV
Collimator rotation angle ± 90 °
ADDITIONAL INFORMATION CAN BE FOUND IN THE COLLIMATOR MANUAL, SUPPLIED WITH THE
EQUIPMENT.
1.3.7 MONOBLOC
Monobloc Features
Anode type Rotating 3000 r.p.m.
Focus small and large 0.6 - 1.3 mm
Anode target angle 15 °
Anode material RTM
Anode maximum heat storage capacity 80 kJ (107 kHU)
Anode maximum continuous heat dissipation 300 W
Monobloc maximum power Small focus 10 kW / Large Focus 30 kW
kV - monobloc maximum voltage 130 kV
Monobloc thermal capacity 600 kJ (800 kHU)
Monobloc continuous thermal capacity 55 W
FURTHER TECHNICAL INFORMATION ABOUT THE MONOBLOC CAN BE FOUND IN THE

COMPONENT TECHNICAL MANUAL, SUPPLIED WITH THE EQUIPMENT.
1.3.8 ENVIRONMENTAL DATA
Description Transport and Storage Operating Ambient

Maximum temperature From -15 °C to +70 °C From +10 °C to +40 °C
Relative humidity non-condensing From 5 % to 95 % From 20 % to 80 %
3000 meters maximum 3000 meters maximum
Altitude pressure range
700 hPa / 525 mm Hg 700 hPa / 525 mm Hg
LONG-TERM STORAGE OVER 40 °C WILL REDUCE THE SERVICE LIFE OF ELECTROLYTIC

CAPACITORS.
TRANSPORT AND STORAGE ARE LIMITED TO A MAXIMUM DURATION OF 120 HOURS BETWEEN
50 AND 70 °C.
1.4 EQUIPMENT DESCRIPTION
1.4.1 MAIN PARTS
11
9
1
10
2
3
4
8
6
5
16
12
13
14
15
Legend
1. Control console 9. Arm
2. Transport handles and parking brakes control 10. Arm retainer
3. Supply cable support 11. Arm handles
4. Radiographic cassettes holder 12. Monobloc covers
5. Bracket to tilt the unit and avoid small obstacles 13. Goniometer
6. Rear wheels diameter 250 mm 14. X-ray collimator
7. Pivoting front wheels 15. Handgrip
8. Column 16. Hand switch for radiographic exposure
1.4.2 CONTROL CONSOLE
The figure below describes the control console:
Legend:
1. Control console
2. Backlighted color touch screen display size 8 in.
1.5 LABEL
The following figure illustrates the position of the equipment’s adhesive label.
The label is an example.
The following figure shows the monobloc label placed inside the covers.
The following figure shows the position of the collimator label.
The following figure shows the DAP (optional: KX4300 KERMAX PLUS 120-131 MICROHS) label
placed under the collimator.
DAP
1.6 DIMENSION
The following figure shows the overall dimensions.

1.7 REFERENCE STANDARD
The equipment complies with the following rules and directives:
Number Title
ISO 9001 Quality management systems – Requirements
93/42/EEC Directive concerning medical devices
ISO 14971 Medical devices – Application of risk management to medical devices
Medical devices – Symbols to be used with medical device labels,
ISO 15223-1
labeling and information to be supplied – Part 1: General requirements
EN 1041 Information supplied by the manufacturer of medical devices
Medical devices – Quality management system – Requirements for
ISO 13485
regulatory purposes
Medical electrical equipment. Part 1: General requirements for basic
IEC 60601-1
safety and essential performance
Medical electrical equipment. Part 1: General requirements for safety 2 –
IEC 60601-1-2 Collateral Standard: Electromagnetic compatibility – Requirements and
tests.
IEC 60601-1-3 safety and essential performance – Collateral Standard: Radiation
protection in diagnostic X-ray equipment.
IEC 60601-1-6
safety and essential performance – Collateral standard: Usability
Medical electrical equipment. Part 2: Particular requirements for the
IEC 60601-2-28 safety of X-ray source assemblies and X-ray tube assemblies for medical
diagnosis
Particular requirements for the basic safety and essential performance of
IEC 60601-2-54
X-ray equipment for radiography and radioscopy
NOM-229-SSA1-2002 Mexican Standard
IEC 62304 Medical device software – Software life-cycle process
1.8 CLASSIFICATION
The Device is classified as follows:

 Protection against electric shocks: Class I with type B applied parts.
 Protection against harmful water infiltration: Standard.
 Level of safety in the presence of inflammable anesthetic mixtures with air or oxygen and
with nitrous oxide. Not suitable for use in the presence of these mixtures.
1.9 SAFETY
1.9.1 INTRODUCTION
Before operating the equipment, be sure to read these instructions carefully so that you
understand how to operate the equipment correctly and avoid the consequences of improper
operation.
The X-ray equipment must only be used by skilled, qualified personnel, suitably trained and
informed with regard to protection against radiation and the use of X-ray equipment.
The manufacturer is ready to provide the after-sale servicing and, if required, to take care of the
installation.
The end user is responsible for ensuring compliance with applicable standards.

Safety devices and circuits must not be moved, modified, or excluded. The plug on the
equipment's power supply cable must only be inserted by authorized personnel and only when the
equipment is to be used.
The equipment must also not be used if any of the warning or alarm devices malfunction. If the
equipment is used along with other apparatus, components, or modules that could be incompatible, it
must be ensured that this poses no risk to patients or operators. In this event, consult BMI Biomedical
International S.r.l.
As with any technical apparatus, this X-ray equipment must be used appropriately and be
checked and serviced regularly in accordance with instructions in the Maintenance chapter in this
manual.
BMI BIOMEDICAL INTERNATIONAL S.r.l. can only be liable for the safety of its products if
maintenance, repairs, and/or modifications are carried out by the manufacturer or third-parties
authorized by BMI Biomedical International in writing.
THE JURIDICAL BINDING VERSION OF THIS DOCUMENT IS THE ITALIAN LANGUAGE ONE.
ANY TRANSLATION, EVEN IF VERIFIED AND APPROVED BY THE MANUFACTURER, IS ONLY
SUPPLIED TO FACILITATE THE USER.
The equipment designed and manufactured by BMI Biomedical International is equipped with
advanced radiological systems to safeguard safety and environment.
The equipment is not dangerous to people and the environment if used in the way described in
this manual.
The equipment is sold with the following clause: the manufacturer, its agents and representatives
decline all responsibility for any damage or injury deriving from improper use of this equipment or due
to lack of maintenance or to the use of non-original spare parts.
Regarding the disposal of substances like the dielectric oil contained in the monobloc, the anti-X
protective lead, the electronic boards, and the electronic components, the provisions of the law in
force both in the national territory and in the territory where the equipment is installed require
compliance.
BMI is a leading company in its field and continuously upgrades the equipment according to
progressive technological knowledge.
Since this equipment emits X-rays, it must be exclusively used in compliance with the safety
instructions included in this manual and must not be used for other purposes than the diagnostic
ones.
Improper use of the equipment can cause temporary or permanent injuries.
IT IS NECESSARY TO BE FAMILIAR WITH THE EQUIPMENT TO BE AWARE OF POSSIBLE

DANGEROUS ANOMALIES. IN CASE OF ANOMALOUS OPERATION OR IF THERE IS ANY SAFETY
PROBLEM, ISOLATE THE EQUIPMENT TO AVOID ANY UNAUTHORIZED USE AND DO NOT USE IT
UNTIL THE PROBLEM HAS BEEN SOLVED BY QUALIFIED PERSONNEL.
AS THIS EQUIPMENT PRODUCES X-RAYS, IT MUST ONLY BE USED IN ACCORDANCE WITH THE
SAFETY INSTRUCTIONS CONTAINED IN THIS MANUAL AND IN COMPLIANCE WITH EXISTING

LEGISLATION IN THE COUNTRY WHERE IT IS INSTALLED.

THIS X-RAY DIAGNOSTIC SYSTEM MUST NOT BE USED FOR PURPOSES OTHER THAN THOSE
OUTLINED IN THIS MANUAL.
AFTER THE EQUIPMENT IS INSTALLED, COMPLIANCE WITH ESSENTIAL REQUIREMENTS
STIPULATED BY DIRECTIVE 93/42/EEC MUST BE VERIFIED AND RESPONSIBILITY ACCEPTED
FOR COMPLIANCE WITH APPLICABLE STANDARDS BOTH IN TERMS OF INITIAL START-UP AND
SUBSEQUENT USE OF THE EQUIPMENT.
THIS EQUIPMENT MUST NOT BE USED IF INFLAMMABLE GASES ARE PRESENT.
ONLY DOCTORS OR PEOPLE HAVING AUTHORIZATION ACCORDING TO THE LAW ARE AUTHORIZED
TO USE THIS EQUIPMENT.
1.9.2 MECHANICAL SAFETY DEVICES
Position the equipment and apply the brakes.

 Transport the equipment using the transportation handle.
 Avoid any obstacle or structure.
 Remove the equipment’s guards only for maintenance operations provided and described
in the technical manual.
1.9.3 ELECTRICAL SAFETY DEVICES
The buyer is supposed to use only qualified people (specialized engineers of the manufacturer or
equivalent personnel of a servicing company) to carry out any maintenance intervention on the
equipment. Connections among the different parts of the device, calibration, and testing must be
carried out by qualified people, authorized by the manufacturer.
Only duly trained and qualified people have access to the internal parts of this device or to the
disassembled parts.
WARNING: TO AVOID THE RISK OF ELECTRICAL SHOCK, THIS EQUIPMENT MUST ONLY BE
CONNECTED TO A SUPPLY MAINS WITH PROTECTIVE EARTH.
DANGER OF ELECTRICAL SHOCK. ALWAYS CHECK THE CONDITION OF THE DIFFERENTIAL

SWITCH AND OF THE EQUIPMENT SUPPLY CABLE.
THE SYSTEM MUST NOT BE USED IN THE PRESENCE OF ANY ELECTRICAL, MECHANICAL, OR
RADIOLOGICAL FAULTS.
THE EQUIPMENT MUST ALSO NOT BE USED IF ANY WARNING OR ALARM DEVICES
MALFUNCTION.
THIS DEVICE IS CONNECTED WITH A PROTECTIVE GROUND DURING OPERATION FOR THE
PATIENT’S AND THE OPERATOR’S SAFETY. ONLY DEVICES COMPLYING WITH THE SAFETY
STANDARDS, SUITABLE FOR DEVICES IN PERFECT OPERATING CONDITIONS, MUST BE USED.
THIS SYSTEM HAS NOT BEEN DESIGNED TO WORK NEAR A DEFIBRILLATOR.

NEVER USE A DEFIBRILLATOR ON A PATIENT IN CONTACT WITH THE MOBILE RADIOGRAPHIC
EQUIPMENT. THIS SYSTEM MUST BE HANDLED AS A CONDUCTIVE SURFACE AND POSITIONED AS
FAR AS POSSIBLE FROM THE PATIENT BEFORE EFFECTING A DEFIBRILLATION. IF ANY PART OF
THE DEVICE IS IN CONTACT WITH THE PATIENT WHEN USING THE DEFIBRILLATOR, THE
TENSION CAN GO THROUGH THE PATIENT’S BODY AND REACH THE SYSTEM. THIS CAN

ENDANGER ANYBODY COMING INTO CONTACT WITH THE SYSTEM AND ALSO DAMAGE THE
EQUIPMENT. ALWAYS REFER TO THE OPERATION INSTRUCTIONS FOR ANY DEFIBRILLATOR USED
ON A PATIENT BEING RADIOGRAPHED WITH THIS DEVICE.
1.9.4 PROTECTION FROM RADIATION
IT IS NECESSARY TO COMPLY WITH ALL SAFETY PRECAUTIONS AND RADIATION PROTECTION

STANDARDS OF EACH SINGLE COUNTRY, SINCE RADIATION HAS A HARMFUL EFFECT ON THE
HUMAN BODY.
SINCE THE EQUIPMENT EMITS X-RAYS, IT CAN ENDANGER THE OPERATOR AND THE PATIENT IF
THE EXPOSURE PARAMETERS ARE NOT FOLLOWED.
 During the performance of diagnostic examinations, scatter radiation is always present.

For this reason, it is absolutely necessary to use X-ray protection. The operator must
inquire if the patient is pregnant. Should the presence of a third person be required, this
person must also wear anti-X protection, like the operator and the patient.
 It is possible to have additional protection against radiation using a two-step push-button
connected to the control console using an extension cable of about 4 meters.
 Even if this equipment gives a high level of protection against X-rays, no device can
ensure a complete protection.
 It is the operator’s task to take all the safety measures required to avoid any personal
and other people’s risk, coming from improper or excessive exposure to Ionizing
radiation.
 All operators must receive sufficient training and take the suitable safety measures to
avoid any injury.
 It is highly recommended to use all the protection devices available on the market.
 The X-ray beam can go beyond the main protective shielding. Use radiographic cassettes
or digital receptors with leaded support.
 Do not stand behind the receptor or on the X-ray beam line.
 Only the patient can stay in the examination room during the X-ray exposure. The
operator or another person, if present, must wear a leaded apron according to the safety
rules.
 Use the greatest possible distance between the focal spot and the skin to give the patient
the minimum dose.
1.9.5 RESIDUAL RISKS
BMI produces advanced radiographic systems for safety and protection of the environment.
Therefore, if the unit is used correctly, there is no risk to people and environment. Concerning the
risks due to incorrect use of the unit, please refer to the directions and the recommendations given
above. We point out that the unit has been designed to prevent overturning up to 10 ° tilting with
respect to the horizontal in transport position.
The following are recommended:

 Do not stop, do not move, and do not park the unit on planes having an inclination
greater than 10 °.
 Do not try to move the unit without operating the special brakes release handle.
 When moving the unit, be careful of any obstacle on the floor (cables, steps, small drops,
or rises). To avoid the potential risk of electrical shock, ensure that the metal parts are
connected to an earth ground.
 It is therefore necessary to check periodically the correct operation of the whole earth
circuit, according to the planned maintenance schedule described in this manual.
TO IGNORE AND NOT TO COMPLY WITH THE UNIT ALARMS COULD CAUSE AN OVERHEATING
OF THE X-RAY MONOBLOC. THIS CONDITION COULD RESULT IN THE LOSS OF THE MONOBLOC
INSULATION AND IN DAMAGE TO THE X-RAY TUBE. WHEN MOVING THE UNIT, BE CAREFUL
NOT TO HIT THE PATIENT OR THE OPERATOR. DO NOT MOVE THE UNIT TOO QUICKLY; THE
ACCUMULATED KINETIC ENERGY COULD BE HAZARDOUS TO THE PERSONNEL NEXT TO THE
EQUIPMENT.
IN CASE OF ANY ELECTROMAGNETIC EQUIPMENT, ASK FOR ASSISTANCE. THE PORTABLE RF

EQUIPMENT MAY ALTER THE ELECTRO-MEDICAL EQUIPMENT.

1.10 ELECTROMAGNETIC COMPATIBILITY (EMC)
This electronic equipment complies with EMC 2014/30/EU Directive, defining the maximum
emission levels allowed for the electronic equipment and the required immunity against
electromagnetic field.
This, however, does not exclude that signals coming from transmitters, like mobile phones or
similar mobile radio transmitters, even if complying with EMC standards, can affect the correct
operation of the electro medical equipment if used nearby and with high transmitting power. It is
therefore necessary to avoid using these radio transmitters near electronically controlled medical
systems, to exclude any interference.
Electronic unit complying with EMC standards has been designed to avoid any risk of
malfunctioning caused by electromagnetic interferences, when working in standard conditions.
However, radio signals coming from high-frequency transmitters at a high transmitting power, if used
near the electronic equipment, may cause electromagnetic incompatibility. Any transmission with a
mobile radio transmitter must be avoided.
Mobile phones must be off in the area near the unit. These rules must be complied with when the
unit is operating.
In the following pages, please find the EMC Certificate issued by the Italian notified body IMQ.
Manufacturer's declaration - Electromagnetic emissions (table 1)

The Device is designed to operate in the electromagnetic environment outlined below. The customer or
user of the Device should ensure it is used in this environment.
Emission tests Compliance Electromagnetic environment
This group only uses RF energy for internal
RF Emissions operation. As a result, the RF emissions are very low
Group 1
CISPR 11 and unlikely to cause any interference in electronic
apparatus nearby.
RF Emissions The Device is suitable for use in all environments,
Class B
CISPR 11 including domestic settings and environments
Harmonic emissions directly connected to a public low voltage electricity
Class A
IEC 61000-3-2 supply which powers buildings used for domestic
Voltage purposes.
fluctuations/flicker Compliant
IEC 61000-3-3

Manufacturer's declaration - Electromagnetic immunity (table 2)

The Device is designed to operate in the electromagnetic environment outlined below. The customer
or user of the Device should ensure it is used in this environment.
IEC 60601-1-2 test Level of
Immunity tests Electromagnetic environment
level compliance
Flooring must be made of wood,
Electrostatic ± 6 kV contact ± 6 kV
concrete, or ceramic tiles and
discharge (ESD)
± 8 kV air ± 8 kV
covered with synthetic material;
IEC 61000-4-2
relative humidity must be at least
30 %.
The quality of the mains supply must
Transients/seque ± 2 kV for power ± 2 kV
be similar to that of a typical
nces of rapid supply lines
business or health care environment.
electric pulses
± 1 kV for
± 1 kV
IEC 61000-4-4 input/output lines
Overvoltages ± 1 kV between the ± 1 kV
phases
IEC 61000-4-5 ± 2 kV
± 2 kV between the
phase(s) and earth
Voltage dips, <5% UT (>95 % dip >95 % in 10 ms
short in UT) for a cycle of
>60 % in 100
interruptions and 0.5
ms
If the user of the Device requires
variations in
40 % UT (6 0% dip in
>30 % in 500 continuous operation during a mains
voltage on power
UT) for a cycle of 5
ms power cut it is advisable for the
supply input
70 % UT (30 % dip in Device to be powered from a UPS
lines. >95 % in 5000
UT) for a cycle of 25 system.
ms
IEC61000-4-11
5 % UT (>95 % dip in
UT) for 5 s
The magnetic fields at mains
Magnetic field at 3A/m 3A/m
frequency must be at levels
mains frequency
characteristic of a typical business or
(50-60Hz)
health care environment.
IEC61000-4-8
NOTE: UT is the AC mains voltage prior to application of the test level.

Manufacturer's declaration - Electromagnetic immunity

The Device is designed to operate in the electromagnetic environment outlined below. The customer
or user of the Device should ensure it is used in this environment.
IEC 60601-1-2 test Level of Electromagnetic environment -
Immunity tests
level compliance Guide
Mobile/portable RF communication
Irradiated RF 3 Vrms 3 V (V1)
devices should not be used close to
IEC 61000-4-3 150 kHz to 80 MHz
any part of the Device, cables
included, if nearer than the
recommended separation distance
calculated with the equation
applicable to the transmitter
Conducted RF 3 V/m 3 V/m (E1) frequency.
Recommended separation distance:
IEC 61000-4-6 80 MHz to 2.5 GHz
Where P is the maximum rated

power output of the transmitter in
Watts (W) according to the
transmitter manufacturer, and d is
the recommended separation
distance in meters (m).
The field intensities of the fixed RF
transmitters determined by
electromagnetic analysis on sitea
should be lower than the compliance
level for each frequency range.b
Interference may transpire in the
vicinity of equipment marked with
the following symbol:

Note 1: At 80 MHz, the upper frequency range applies.
Note 2: These guidelines may not be applicable in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
a
The intensities of fixed transmitters, as well as base stations for telephones (mobiles/cordless), land mobile radios,
amateur radios, AM/FM radio transmissions and TV transmissions cannot in theory be forecast with accuracy. To assess the
electromagnetic environment generated by fixed RF transmitters, an electromagnetic analysis of the site must be considered. If
the intensity of the field measured in the location where the Device is used exceeds the aforementioned applicable level of RF
compliance, the Device should be monitored to check for normal operation. If irregularities in performance transpire, additional
measures may be required, such as moving or changing the position of the Device.
b
In the 150 kHz to 80 MHz frequency range the field intensity must be less than 3 V/m.
Recommended distances between

mobile RF communication devices and the Device
The Device is designed to operate in an electromagnetic environment in which RF interference is
under control. The customer or user of the Device can help to prevent electromagnetic interference by
ensuring there is a minimum distance between portable/mobile RF communication devices
(transmitters) and the Device, as outlined below in relation to the maximum power output of the radio
communication devices.
Maximum rated From 150 kHz to 80 From 80 MHz to 800 From 800 MHz to
power output of the MHz MHz 2.5 GHz
transmitter (P)
0.01 0.12 m 0.12 m 0.23 m
0.1 0.37 m 0.37 m 0.74 m
1 1.2 m 1.2 m 2.3 m
10 3.7 m 3.7 m 7.4 m
100 12 m 12 m 23 m
For transmitters specified for a maximum power output not included above, the recommended
distance d in meters (m) can be calculated using the equation for the transmitter frequency, where P
is the maximum rated power output of the transmitter in Watts (W) according to the transmitter
manufacturer.
1.11 DECLARATION OF RESPONSIBILITY

BMI BIOMEDICAL INTERNATIONAL S.r.l. is responsible for the safety of its products only
if their maintenance, repair, and/or modification are carried out by its own personnel or by expressly
authorized personnel.
BMI BIOMEDICAL INTERNATIONAL S.r.l. does not assume any responsibility for any
malfunctioning, damage, and/or hazard coming from an illegitimate use of the system or non-
compliance with the maintenance standards.
THE PERSON RESPONSIBLE for the facility in which the system is used must ensure the
equipment is only installed by qualified technical personnel trained by the manufacturer, that regular
routine maintenance is carried out, in addition to special maintenance as and when required.
CHAPTER 2
EQUIPMENT OPERATION


2.1 TRANSPORT OF THE EQUIPMENT
The following figures illustrate the Device in transport position:
e
f
a c
LEGEND
Rotation direction of the transportation
a
handle to release the brakes
Transport handle for parking brakes
b
(dead-man brakes) control
c Supply cable support
Bracket to tilt the unit for overcoming
d
small obstacles
e Arm
f Arm retainer
To move the equipment, the operator must:

 Disconnect the unit supply cable from the socket and wind it on its support (see part c
on the figure).
 Put the arm in parking position and make sure that it is correctly connector to its
retainer (see part f on the figure),
 Push down on the transport handles (see part b on the figure below) to unlock the
parking brakes (see graphic symbol on the figure a). To move the equipment, keep
the handle turned clockwise. The equipment is very convenient due to its low
barycenter, its light weight, and its pivoting front wheels. Should the operator
accidentally let go of the transport handle, the provided dead-man mechanical brakes
will immediately stop the unit. To avoid small obstacles easily (for instance, the
elevator door), hold the transportation handle tightly, pressing your foot on the
bracket (see part d on the figure below) on the rear side of the unit basement. The
unit front side will lift, thus avoiding obstacles.
This figure shows how to lift up the equipment to avoid small obstacles.
DO NOT USE THE EQUIPMENT'S FRONT BUMPER TO PUSH THROUGH DOORS.

2.2 DAILY X-RAY TUBE WARM-UP PROCEDURE
THE IONIZING RADIATION PRODUCED BY THIS EQUIPMENT CAN BE DANGEROUS TO THE

PATIENT AND THE OPERATOR. STRICTLY COMPLY WITH THE SAFETY RULES IN FORCE.
REMEMBER TO PRE-SET THE LARGE FOCUS FOR ALL RADIOGRAPHIC EXPOSURES AND TO CLOSE
COMPLETELY THE X-RAY COLLIMATOR LEAD BLADES, IN ORDER TO INCREASE THE SAFETY LEVEL
AGAINST IONIZING RADIATION.
This procedure will reduce the possibility of damaging the X-ray tube anode and the high
voltage components in the monobloc. BMI suggests using this procedure when the equipment is first
turned ON for the day, or when it has not been used for more than 24 hours. No test setup is
required.
For maximum stability and reliability, use the following techniques at startup, performing 6
exposures in the sequence indicated below:
kVp mA ms No. of exposures Interval

60 50 500 1 20 seconds
60 50 500 1 20 seconds
80 50 100 1 20 seconds
80 50 100 1 20 seconds
100 25 500 1 20 seconds
100 25 500 1 20 seconds
2.3 X-RAY TUBE FORMATION
This procedure is required only when the Device has not been used continuously for 1 month
after the installation date or if the equipment has not been used continuously for more than 1 month
in the Hospital department.
Forming the monobloc’s X-ray tube prevents it from damages. The X-ray tube formation
procedure consists in making radiographic exposures, according to below reported chart.
For each Device model, all the radiographic exposures should be taken using only the X-ray
tube large focus. BMI suggest taking all the radiographic exposures with the entire X-ray collimator
leaded shutter closed. The X-ray tube formation procedure will take approximately one hour.
THE IONIZING RADIATION PRODUCED BY THIS EQUIPMENT CAN BE DANGEROUS TO THE

PATIENT AND THE OPERATOR. STRICTLY COMPLY WITH THE SAFETY RULES IN FORCE.
REMEMBER TO SHUT THE X-RAY COLLIMATOR LEAD BLADES TO INCREASE THE SAFETY LEVEL
AGAINST IONIZING RADIATION.
Perform some exposures of 500 ms and 25 mA (with a break of 1 minute in between) starting
from 70 kV with an increase of 5 kV up to 110 kV.
If during an exposure instability occurs, decrease 5 kV the voltage value, and perform two
exposures. Continue the procedure.

Wait at least 30 minutes (refer to heating and cooling curves) before performing other
exposures.
If no anomalies are found, the Device is now ready to be used.
2.4 POWER ON THE EQUIPMENT
 Connect the main power.

 Wait until the battery icon disappears.
 Power ON the equipment pressing the dedicated key on the control console.
START-UP MASKS
ON/OFF
Button
 To enter “Operator Mode”, swipe up the lock screen.
 Select the “operator” user and type the password: “operator”.
 Press button to confirm.

 "Initialization Mask" should appear.
THE INITIALIZATION SCREEN IS DISPLAYED AFTER APPROXIMATELY 35 SECONDS.

When the initializing screen ends, the software automatically defaults to the Operator mode
screen.
Then it is possible to take the radiographic exposures, pre-setting the exposures
parameters according to the procedures described in the following paragraphs.
 Check that the control console powers ON and the Initializing screen is displayed.
 After the initialization phase, the software will display the Operator mode, where the
normal radiography parameters can be set.
1. “Initialization” screen
ON/OFF
Button
2. “Operator Mode” Mask

2.5 ARM POSITIONING
Release the arm retainer and keep hold of the arm using the two available handles to prevent it
from moving.
RELEASE THE ARM STANDING LATERALLY IN ORDER TO AVOID GETTING HURT.
Arm retainer
Handles
The figure below illustrates how to release the arm correctly.
Step 1: Release the arm, standing laterally. Step 2: Using the handle, lift the arm.
When the handle is released, the arm will remain in the acquired position due to a clutch device
integrated in the equipment.
2.6 MONOBLOC AND COLLIMATOR DISPLACEMENT
The monobloc with the X-ray collimator assembly can rotate as described below:
 Monobloc yoke support rotation: +90 °/-90 °
 Monobloc rotation in the yoke: -45 °/+167 °
To position the monobloc/collimator assembly, use the handgrip.

The frontal inclination of the monobloc and the X-ray collimator is indicated by the goniometer
placed on the front enclosure of the monobloc.
Goniometer
Handgrip
2.7 COLLIMATOR
The Device is supplied with a manual, compact X-ray collimator.

The X-ray field is defined by two pairs of lead-lined shutters located near the exit window of the
X-ray beam and by a cone (near the focus) limiting the X-ray beam to the larger field size.
The shutters are manually controlled by two knobs available on the collimator front panel.
The X-ray collimator can be rotated ± 90 ° around its vertical axis, just gripping the handle. The
collimator rotation travel is stopped by a mechanical retainer.
Before taking a radiographic exposure, set the shutters in the correct position using the X-ray
field light beam on the anatomic body part to be examined. Comply with the maximum admitted
distance value between the monobloc and the patient’s body.
Additional information can be found in the collimator manual, supplied with the equipment.
2 3
1
4 4
5
7 6
LEGEND
1. X-ray field light beam lamp push-button 6. Retractable tape measure for FFD measuring
2. Longitudinal diaphragm adjustment knob 7. Handgrip for ± 90° rotation on its vertical axis
3. Transversal diaphragm adjustment knob 8. Goniometer
4. Rails guides for accessories 9. Monobloc focus external reference point
5. DAP: KX4300 KERMAX PLUS 120-131
MICROHS (optional)
2.7.1 SETTING THE X-RAY FIELD ON THE COLLIMATOR FRONT PANEL
 Press the X-ray field light beam lamp push-button (see part 1 on the figure) to switch ON
the lamp. The lamp automatically switches OFF after 30 seconds. To avoid the lamp
overheating, read the collimator manual.
 Position the collimator/monobloc assembly above the patient.
 Check if the X-ray light beam is properly centered on the patient’s body part to be
examined.
 Adjust the X-ray field size using the two knobs available on the front part of the X-ray
collimator (2 and 3). The right knob adjusts the longitudinal shutters; the left one adjusts
the transversal shutters. The knobs make it possible for the operator to set the X-ray
field according to the radiographic cassette size. The collimator field size can vary from 0
x 0 cm minimum to 43 x 43 cm (17 x 17 in.) maximum, at a focus film distance of 100
cm (40 in.).
 The scale under each knob indicates the longitudinal and transversal field size at 100 cm
(40 in.) distance.
 Check the SID using the retractable tape measure.
FOR FURTHER TECHNICAL INFORMATION, PLEASE REFER TO THE COLLIMATOR MANUAL,

ALWAYS SUPPLIED WITH THE EQUIPMENT.

2.8 RADIOGRAPHIC TECHNIQUES
The following table describes the icons appearing on the touch screen display in operator mode.
ICON DESCRIPTION
kV up/down buttons and display
To increase kV press
To decrease kV press
Display demanded kVp of the exposure.
mAs up/down buttons and display

To increase mAs press
To decrease mAs press
Display demanded mAs of the exposure.
mA up/down buttons and display

To increase mA press
To decrease mA press
Display demanded mA of the exposure.
ms up/down buttons and display

To increase ms press
To decrease ms press
Display demanded ms of the exposure.
The blue background shows that the manual X-ray technique screen is
selected.
The grey background shows that the manual X-ray technique screen is
not selected.
The blue background shows that the A.P.R. (anatomical programmed

technique) is selected.
The grey background shows that the A.P.R. (anatomical programmed
technique) is not selected.
The grey background shows that the technique selected has no errors or
interlocks for carrying out the X-ray.
The blue background indicates that the anode is rotating and the X-ray
tube is ready for use. This status also indicates that the hand switch
remote control has activated the first time - Preparation.
The grey background indicates that no X-ray exposure is in progress.
The blue background indicates that X-ray exposure is in progress. The

operator will hear a buzzer/beep when X-ray exposure commences. This
status indicates also that the hand switch remote control has activated
the second time - Exposure.
When the hourglass is present, it is not possible to do an X-ray exposure.
The grey background shows that the Potter Bucky is not selected.
ICON DESCRIPTION
The blue background shows that the Potter Bucky is selected.
Heat capacity value. During exposures, the heat units are calculated and
totalized.
The mobile X-Ray System is not enabled for taking X-rays if the heat unit
is below 30 %.
The grey background shows that DAP is not enabled.
The blue background shows that DAP is enabled.
The grey background shows that Digital Radiography is not enabled

(digital version).
The blue background shows that Digital Radiography is enabled. (digital
version).
Screen intensification at low sensitivity. Selection is implemented by

pressing the icon in sequence.
Screen intensification at medium sensitivity. Selection is implemented by
Screen intensification at high sensitivity. Selection is implemented by
Power On control for collimator light.
Shows that the small focal point on the X-ray tube has been selected.
Shows that the large point on the X-ray tube has been selected.
Shows that the patient body size neonatal is disabled for the selected
anatomic part.
Shows that the patient body size neonatal is unselected.
Shows that the patient body size neonatal is selected.
Shows that the patient body size lateral is disabled for the selected
anatomic part.
Shows that the patient body size lateral is unselected.
Shows that the patient body size lateral is selected.
Shows that the patient body size large is disabled for the selected
anatomic part.
ICON DESCRIPTION
Shows that the patient body size large is unselected.
Shows that the patient body size large is selected.
Shows that the patient body size medium is disabled for the selected
anatomic part.
Shows that the patient body size medium is unselected.
Shows that the patient body size medium is selected.
Shows that the patient body size small is disabled for the selected
anatomic part.
Shows that the patient body size small is unselected.
Shows that the patient body size small is selected.
Save the APR selected.
Restore the factory APR selected.

2.8.1 GRAPHICAL USER INTERFACE
The user interface is mainly characterized by two screens.

The screen with the programmed anatomical X-ray techniques (APR):
and the screen with the manual X-ray techniques.
3-point technique enabled

3-point technique display 2-point technique display
3-point technique disabled
The manual X-ray technique does/does not display the 3-point technique depending
on whether or not this functionality is enabled (contact Technical Support to
enable/disable this function).

2.8.2 TWO-POINT MANUAL TECHNIQUE RADIOGRAPHIC EXPOSURE
 If the manual technique is not selected, press the icon .
 Select the field of kV

and use the arrow icon to increase and decrease the displayed value until the desired
value is reached.
 Select the mAs field

value is reached.
The equipment microprocessor’s software verifies if the values inserted are compatible
with the equipment monobloc model performances, to avoid any failure.
 To take a radiographic exposure, please refer to § Error! Reference source not found.
2.8.3 THREE-POINT MANUAL TECHNIQUE RADIOGRAPHIC EXPOSURE
 If the manual technique is not selected, press the icon .
 Select the field of kV

value is reached.
 Select the mA field

value is reached.
 Select the ms field

and use the arrow icon to increase and decrease the displayed value until is the desired
value is reached.
The equipment microprocessor’s software verifies if the values inserted are compatible
with the equipment monobloc model performances, to avoid any failure.
 To take a radiographic exposure, please refer to § Error! Reference source not found..
2.8.4 APR RADIOGRAPHIC EXPOSURE
There are 510 default APR techniques, associated with the anatomical parameters, in the APR
menu.
For each technique, the software works on kV and mAs values.
The operator can also adjust the parameters stored in the APR, editing the values as described in
§ Error! Reference source not found..
APR techniques are only examples/starting points to be replaced by more specific protocols
developed by the user.
To select the desired APR anatomical, proceed as following:
 If the APR technique is not selected, press the icon .

 Select the interested anatomical region (for example Head).

 Select the interested anatomical part (for example Skull).
 Select the «Thickness» icon to pre-set the patient’s size: neonatal, lateral small, medium,
and large.
 Once the selection has been made, the system software displays the kV and mAs default
values to take an X-ray.
The X-ray parameters can be changed and saved if required.
See § Error! Reference source not found. for the APR anatomical programming
techniques chart.
 Press the setting icon for the screen thickness to adjust the thickness over three levels
(increased thickness means higher velocity but less detail and, vice versa, less thickness
means reduced velocity but greater detail). Selection occurs by pressing the icon in
sequence and at each selection, the band darkens (3 bands in total).
 Now the equipment is ready to take a radiographic exposure, as described in § Error!
Reference source not found..

2.8.5 APR - ANATOMICAL PROGRAMMING CHART
Values obtained with medium screen

THICKNESS
ANATOMIC F.F.D.
SMALL MEDIUM LARGE LATERAL NEONATAL
TECHNIQUES
kV mAs kV mAs kV mAs kV mAs kV mAs
HEAD
Skull 74 12.5 77 12.5 80 12.5 85 20 64 12.5 1m / 40 in.
Paranasal sinuses 62 8 65 8 68 8 - - 52 8 1m / 40 in.
Jaw - - - - - - 60 12.5 - - 1m / 40 in.
Nasal bones - - - - - - 55 2 - - 1m / 40 in.
CHEST
Lung 69 12.5 73 12.5 77 12.5 85 16 58 12.5 1.8 m / 72 in.
Hemithorax ribs 57 25 60 25 63 25 - - 48 25 1.8 m / 72 in.
Sternum 57 25 60 25 63 25 85 20 48 25 1 m / 40 in.
HAND
Wrist 52 5 55 5 58 5 65 5 42 5 1 m / 40 in.
Finger 52 3.2 55 3.2 58 3.2 60 4 42 3.2 1 m / 40 in.
KNEE
Patella 63 6.3 67 6.3 70 6.3 65 5 52 6.3 1 m / 40 in.
Intercondylar fossa 63 5 65 5 68 5 - - 52 5 1 m / 40 in.
FOOT
Heel bone 66 4 70 4 74 4 65 5 55 4 1m / 40 in.
Heel bone axial 66 6.3 70 6.3 74 6.3 - - 55 6.3 1m / 40 in.
Toes 52 3.2 55 3.2 58 3.2 60 5 42 3.2 1m / 40 in.
Toes oblique 52 5 55 5 57 5 - - 42 5 1m / 40 in.
FOREARM
Radius 57 6.3 60 6.3 63 6.3 65 6.3 46 6.3 1 m / 40 in.
Ulna 57 6.3 60 6.3 63 6.3 65 6.3 46 6.3 1 m / 40 in.
LEG
Femur 59 32 62 30 65 32 80 20 48 32 1 m / 40 in.
Tibia - fibula 73 5 77 5 81 5 65 5 62 5 1 m / 40 in.
Ankle 75 3.2 79 3.2 83 3.2 60 5 63 3.2 1 m / 40 in.
PELVIS
Sacroiliac 64 10 67 10 70 10 - - 52 10 1 m / 40 in.
Sacroiliac oblique 63 32 65 32 68 32 - - 51 32 1 m / 40 in.
Pubic symphysis 62 20 65 20 68 20 - - 52 20 1 m / 40 in.
Hip – neck femur 59 32 62 32 65 32 - - 48 32 1 m / 40 in.
Axial Hip – neck 63 25 65 25 68 25 - - 51 25 1 m / 40 in.
UPPER LIMB
Elbow 60 6.3 63 6.3 66 6.3 70 6.3 50 6.3 1 m / 40 in.
Humerus 60 12.5 63 12.5 66 12.5 - - 50 12.5 1 m / 40 in.
VERTEBRAL
Cervical vertebrae 57 25 60 25 63 25 85 10 46 25 1.8 m / 72 in.
Axis 57 10 60 10 63 10 - - 46 10 1.8 m / 72 in.
Thoracic vertebrae 71 32 75 32 79 32 85 20 60 32 1.8 m / 72 in.
Lumbar vertebrae 62 25 65 25 68 25 85 32 50 25 1.8 m / 72 in.
Sacrum coccyx 68 32 72 32 76 32 85 32 56 32 1.8 m / 72 in.
SHOULDER
Clavicle 60 20 63 20 66 20 - - 50 20 1 m / 40 in.
Shoulder blade 67 8 71 8 75 8 80 16 56 8 1 m / 40 in.
2.8.6 DIAGNOSTIC DUMMY PHANTOMS USED
Normally the dummy phantom overall dimensions are 45 x 45 cm (PMMA and aluminum plate).
No. Phantom Structure
1 Abdomen 18 cm PMMA
2 Lumbar spine 18 cm PMMA + 5 mm Al 7 x 45 at the top and centered
3 Skull 2 cm PMMA + 2 mm Al + 10 cm PMMA + 1 mm Al + 3 cm PMMA
4 Extremity 2 cm PMMA + 2 mm Al + 4 cm PMMA
5 Chest 2 cm PMMA + 2 mm Al + 3 cm PMMA + 5 cm air + 2 cm PMMA + 1
mm Al + 3 cm PMMA
2.8.7 EXECUTION OF THE TESTS
Collim.
SID
SID
Collim.
2.8.8 MEASUREMENT
SID = Source to Image Distance;

d = Distance between focus and dosimeter
F = Focus: L=Large, S=Small;
Collim. = Collimated surface;
Mdose = dose (mG);
P = Referent distance used to determinate patient’s position;
dose = dose recalculated based on the reference distance of the patient, where the formula is
∙

SID d Collim Mdose P dose

N APR Focus kV mAs
[cm] [cm] [cm x cm] [mGy] [cm] [mGy]
1 Abdomen 115 42.5 Large 80 1.6 43 x 43 0.789 30 0.197
2 Lumbar spine 115 42.5 Large 75 3.2 25 x 43 1.304 30 0.326
3 Skull 115 42.5 Large 70 4.0 25 x 25 1.43 30 0.358
4 Extremity 115 42.5 Large 57 1.25 25 x 30 0.312 30 0.078
5 Chest 135 42.5 Large 120 0.64 43 x 43 0.689 30 0.113

2.8.9 MAKING CHANGES TO PRE-PROGRAMMED APR TECHNIQUES
The operator can adjust the default APR techniques associated with the anatomical parameters in
the APR display window as follows:
 Switch ON the equipment.

 Select the anatomic techniques to be adjusted.
 Select the patient’s body size to be adjusted. The sizes available are small, lateral,
medium, large, and neonatal.
 Adjust the kV value, increasing or decreasing the data displayed, touching one of two
arrow icons.
 Adjust the mAs value, increasing or decreasing the data displayed, touching one of two
arrow icons.
 To store the new adjusted value, touch the icon .
2.8.10 RESTORE PRE-PROGRAMMED APR TECHNIQUES TO THE FACTORY VALUE
The operator can adjust the default APR techniques associated with the anatomical parameters in
the APR display window as follows:
 Switch ON the equipment.

 Select the anatomic techniques to be adjusted.
 Select the patient’s body size to be adjusted.
 To restore to the factory value, touch the icon .

2.8.11 TAKING A RADIOGRAPHIC EXPOSURE
 Place the Device collimator on the patient’s area to be examined, placing the device at
the appropriate the SID.
 Place the radiographic cassette below the patient’s body part to be examined.
 Set the collimator X-ray field over the patient’s body part. To power ON the light beam,
press the ON/OFF button, which is located on the control desk panel and on the
collimator.
 Adjust the size of the field as described in § Error! Reference source not found..
 Set the exposure parameters to take the radiography exposure, as described in § Error!
Reference source not found., § Error! Reference source not found., and § Error!
Reference source not found..
 The operator can take radiographic exposures from the Device using the external hand
switch.
To take a radiographic exposure using the hand switch remote control:
 Press the preparation button halfway (first time) to spin the X-ray tube rotor.
On the operator mode screen, the icon lights up immediately.

 Press the button completely (second time) to take the radiographic exposure.
 On the operator mode screen, the icon lights up immediately and emits a
warning sound (buzzer sound) to advise the operator that the radiographic exposure has
been taken.
Hand switch remote control
BEFORE TAKING ANY RADIOGRAPHIC EXPOSURE, MAKE SURE THAT ALL NECESSARY
PRECAUTIONS PREVENTING IONIZING RADIATION HAVE BEEN TAKEN.
PERFORM THE X-RAY TUBE FORMATION PROCEDURE IF THE EQUIPMENT HAS BEEN INACTIVE
FOR AN EXTENDED PERIOD OF TIME TO AVOID ANY H.T. DISCHARGE THAT COULD LEAD TO
DAMAGE. THE X-RAY TUBE FORMATION PROCEDURE IS DESCRIBED IN § Error! Reference
source not found..
WHEN THE X-RAY EMISSION IS OVER, THE RELEVANT WARNING LIGHT ON THE CONTROL
CONSOLE DISPLAY GOES OUT AND AT THE SAME TIME, THE SOUND SIGNAL STOPS.
AT THIS POINT, THE TWO-STEP X-RAY CONTROL PUSH-BUTTON MUST BE RELEASED OR, IF THE
EXPOSURE HAS BEEN CONTROLLED BY THE CONSOLE PUSH-BUTTONS, BOTH OF THEM MUST BE
RELEASED; THE DEVICE IS READY FOR THE NEXT EXPOSURE.
BEFORE TAKING AN X-RAY EXPOSURE, PROTECT THE OPERATOR AND THE PATIENT FROM X-
RAYS USING THE SUITABLE LEAD PROTECTIONS.

2.9 WARNING MESSAGE
The following table lists all the errors code that the generator can send to the console, explains
its meaning, describes all the possible situations that can lead to the specific code, and provides the
action for the resolution of the problem.
ERROR ERROR
PROBLEM (could indicate) ACTION
CODE MESSAGE
Before switching to inactive status (XR0) Reset the error and if
the generator sends the message PR0 the message persists,
18 PR0 Timeout
and does not receive an answer from contact Technical
the console. Support.
Selected parameters caused X-ray tube Wait for the tube to cool
to exceed its programmed anode heat down.
19 Anode Heat Limit
limit. The estimated heating unit is
below the limit.
The received message is not supported Check the wiring
Communication or does not exist. harness of the console.
45 Message Not The console could have sent an If the message persists,
Supported incorrect message or there could be contact Technical
problems on the communication line. Support.
The generator is set to an internal state Verify the protocol rules
in which the received command from (if the console software
the console is not allowed. This occurs is not from BMI).
Communication
when the protocol rules are not Change only one
46 Message Not
followed. command at a time.
Allowed
Simultaneous commands, such as
changing the kV and prep at the same
time, are not allowed.
The preparation button is pressed Wait until the
during the Initialization phase. Initialization phase is
finished.
Check that LED DL3 of
the control board is
powered OFF 60
Capacitors Under seconds after the unit
98
Charge power is ON. If LED DL3
does not power OFF,
check fuse F1 and F2 of
the capacitor box.
If the message persists,
contact Technical
Support.
The temperature survey is opened. Wait for the monobloc
The temperature inside the monobloc is to cool down.
Tube Head Over high. Check the wiring
99
Temperature The cable of the temperature survey is harness.
disconnected. Check the integrity of
the temperature survey.
The OVL alarm signal is still active 60 Contact Technical
second after the bypass of the line Support.
100 OVL Timeout relays.
The capacitor charging phase has a
problem.
The preparation switch has been Repeat the exposure if
released too during either during the necessary.
1st time PB
101 preparation phase or the exposition Check the switch.
released
phase.
Faulty preparation switch.

ERROR ERROR
CODE MESSAGE
The exposure switch has been released Repeat the exposure if
2nd time PB
102 too soon during the exposition phase. necessary.
released
Faulty preparation switch. Check the switch.
The OK_STARTER signal is not active Re-seat the connection
1.5 seconds after that the generator to the monobloc.
entered in the preparation phase. Check the continuity of
Poor connection to the monobloc from the stator windings.
Starter contact
103 the Starter board. Check the fuses on the
not available
Open stator winding. Starter board.
Faulty Stator board. Check the boost voltage.
Replace the Starter
board.
Before switching to the preparation Reset the error and if
phase, the generator sends the message the message persists,
105 PR1 Timeout
PR1 and does not receive an answer contact Technical
from the console. Support.
Before switching to Ready status, the Reset the error and if
generator sent the message PR2 and the message persists,
106 PR2 Timeout
does not receive an answer from the contact Technical
console. Support.
Before switching to Exposure status, the Reset the error and if
generator sent the message XR1 and the message persists,
107 XR1 Timeout
console. Support.
Before switching to Active status, the Reset the error and if
generator sent the message XR0 and the message persists,
108 XR0 Timeout
console. Support.
Before entering or during the Exposure Power the equipment off
status (XR1), the OVC alarm signal is and then on again and
active. contact Technical
Monobloc primary inverter current Support if the problem
overload. persists.
Check that LED DL1 of
the control board is
powered ON.
Perform the X-ray tube
formation and check the
109 OVC Alarm mA values. If the result
is negative, re-calibrate
the mA.
Check if oil leakage or
spots are coming out
from the monobloc and
the wear status of the
X-ray tube.
If the message persists,
contact Technical
Support.
Before entering or during the Exposure Check LED DL3 of the
status (XR1), the OVL alarm signal is control board.
active. (This alarm does not notify the Verify fuse F1 and F2
console if the OVC alarm signal is active (only F1 for 4kW model)
110 OVL Alarm
at the same time.) on the capacitor box.
Capacitor box voltage is lower than Verify the inverter main
220 Vdc. power supply voltage
(Vdc).

ERROR ERROR
CODE MESSAGE
Check the wiring
harness of the feedback
cable on the control
logic board (MR6).
Contact Technical
Support if the problem
persists.
Before entering the Preparation status Check technique if this
112 Invalid focus (PR1), the tube focus previously is seen when APR is
selected is invalid. used.
This alarm notifies the console if all of Check LED DL2 of the
the following conditions are true: filament board. If it is
 The generator status is set to powered OFF, a power
exposure status (XR1). supply could be missing.
 100 ms after 85 % signal. Check the fuses on the
 Preparation switch pressed. filament board.
 No OVL alarm active. Check the mA accuracy
 No OVC alarm active. during exposure by
113 Min current  During control loop, the current read comparing the mAs
is less than the following value: meter to the feedback
setpoint -33 %. test point mA. Re-
 mA out of calibration. calibrate if the mA
 Control board out of calibration. decreases to the correct
 Tube parameters not configured value.
properly. Contact Technical
persists.
This alarm notifies the console if all of Check LED DL1 of the
the following conditions are true: filament board. If it is
 The generator status is set to powered ON, power off
Exposure status (XR1). the unit and contact
 100 ms after 85 % signal. Technical Support.
 Preparation switch is pressed. Check the mA accuracy
 No OVL alarm active. during exposure by
114 Max current  No OVC alarm active. comparing the mAs
 During control loop the current read meter to the feedback
is great than the following value: test point mA.
setpoint +33 %. Re-calibrate if the mA
 Control board out of calibration. increases to the correct
 Tube parameters not configured value.
properly. Contact Technical
Support.
Within 20 ms after the Exposure status Recharge the main
(XR1) begins, the 85 % signal does not capacitors batteries.
become active. Check the correct value
The kV values are below 85 % of the set of the tension of the
value. Main storage batteries are low. capacitors.
Check that LED DL1,
DL2, and DL3 of the
kV values 85 %
115 control board are
lower
powered ON.
Verify fuse F1 and F2
(only F1 for 4kW model)
on the capacitor box.
Check the wiring
harness of the feedback
cable on the control

ERROR ERROR
CODE MESSAGE
logic board (MR6).
Contact Technical
persists.
The generator internal status is set to Contact Technical
Error status (due to a previous latching Support.
error still not confirmed from the
116 Wrong context console) and meanwhile it receives a
related calibration message.
This error could be triggered only when
the generator is in setup mode.
The generator tried to go to an Contact Technical
unexpected internal status. This error Support.
118 Out of range should not occur and could indicate a
corruption of the flash memory or a
software bug.
The generator received a message from Reset the error and if
the console with an invalid value. This the message persists,
119 Invalid value could be caused by a console that does contact Technical
not comply with the supported version Support.
of the protocol.
The correlation of the current set of Reset the error and if
radiologic parameters fails. the message persists,
120 Correlation fail
contact Technical
Support.
When the potter is enabled and Check the wiring
inserted, the generator waits for the harness of the Potter
signal OK_POTTER while entering or Bucky.
during the Ready status (PR2). Check that the contact
Potter Contact
121 The error is generated if the signal does of Potter Bucky is
Not Available
not become active within 2 seconds working.
from the previous conditions.
The Potter Bucky is not operating
correctly.
The generator cannot operate with the The DAP device
DAP. optional. Contact
This error can be triggered in the technical support to
following situations: enable it.
 The generator receives a command Check if it is installed in
to set the DAP status and this the equipment.
feature has not been activated from Check the wiring
122 DAP Not Present setup. harness.
 Timeout on DAP receiver line. The
generator tries to communicate with
the DAP and receives no answer.
 This can occur if there are
communication problems on the
DAP serial line or the DAP is off (not
connected).
This error should not occur. If the DAP Contact Technical
123 DAP Disabled is not enabled from X-ray mode, the Support.
generator will automatically ignore it.
The received response from the DAP is Contact Technical
not valid or unexpected. This kind of Support.
124 DAP Error error could be caused by problems on
the DAP serial line or from an
unsupported DAP version. The DAP

ERROR ERROR
CODE MESSAGE
device is not functional.
This error could be triggered when Verify that the Digital
entering and during the Ready status System with external
(PR2) if all of the following conditions synchronization work
are met: properly.
 Exposure button pressed.
DR EXP_OK
126  Function DR enabled.
missing
 EXP_OK signal does not become
active within 5 seconds after the
preparation buttons pressed.
This feature is enabled for a Digital
System with external synchronization.
Before the generator enters the Reset the error and if
Preparation status (PR1) and X-ray the message persists,
usage has not been enabled from contact Technical
X-RAY Not
128 console. Support.
Enabled
This error could be triggered if the
console application has not sent the
message XE1to the generator.
Before the generator enters the Terminate the
Preparation status (PR1) and the calibration correctly.
generator/tube calibration has not been Contact Technical
completed. Support if the problem
Calibration status is reset in these persists.
situations:
 Generator/tube configuration is
Calibration Not
129 changed from setup.
Completed
 Inconsistent values in the eeprom
memory.
 Generator is connected to the USB
port for table files upgrade.
 Internal data-flash memory
becomes corrupted and no table
files can be loaded.
The generator receives a message from Check the technique if
Generator kV
203 the console to set a new kV value that is this is seen when APR is
Limit
beyond the current generator limit. used.
Generator mA the console to set a new mA value that this is seen when APR is
204
Limit is beyond the current generator/tube used.
limit.
Generator ms the console to set a new ms value that this is seen when APR is
205
limit.
Generator mAs the console to set a new mAs value that this is seen when APR is
206
limit.
The joule value, computed from the Contact Technical
current set of radiologic parameters, is Support.
beyond the setup joule limit (if set) This
211 J Limit error could be triggered each time a
radiologic parameter is changed. The
requested exposure will exceed the
generator kilo joule energy limit.
212 Tube Limit Given the current set of radiologic Check the technique if

ERROR ERROR
CODE MESSAGE
parameters, both tube ms focuses (large this is seen when APR is
and small) are beyond the limits. used.
This error could be triggered each time
a radiologic parameter is changed.
Given the current set of radiologic For DR acquisition, the
parameters, the ms value is beyond the users are not able to
detector limit. This error could be use an exposition time
triggered each time a radiologic greater than 500 ms.
parameter is changed.
213 Detector Limit
This error could be triggered if the
following conditions are met:
 Function DR is enabled.
 Time of exposition is greater than
500 ms.
Given the current set of radiologic Check the technique if
parameters, the tube focus selection is this is seen when APR is
214 Focus Selection invalid. This error could be triggered used.
each time a radiologic parameter is
changed.
The generator receives a message from Check the wiring
the console and the printer does not harness.
respond to the request of the generator. Check that the printer is
220 Printer timeout
This error can be caused by powered on.
communication problems on the printer
serial line or the printer could be off.
The generator receives a message of Refer to the printer
221 Printer Error printing from the console and the printer manual.
reports a generic alarm.
The generator receives a message of Contact Technical
222 Printer Disabled printing from the console while the Support for enable the
printer has been disabled from setup. printer.
Printer Paper
223 printing from the console and the printer manual.
Sensor Fail
reports a paper sensor fail alarm.
The generator receives a message of Insert the paper.
224 Printer No Paper printing from the console and the printer
reports a no paper alarm.
Printer Head
225 printing from the console and the printer manual.
Overtemperature
reports a head overtemperature alarm.
226 Printer Fault printing from the console and the printer manual.
is not ready or a fault happened.
In general, each timeout error occurs when the generator does not receive the answer
to some specific commands when the connected peripheral (printer, DAP) is not
responding. The timeout period is set to 2 seconds. This category of errors can be
caused by problems on the communication line, noise, or problems on the
console/peripheral side (application crash, out of sync, hardware problems).

2.10 LANGUAGE
REFER TO THE APPROPRIATE CHAPTER.
2.11 END OF OPERATION
 To turn off the unit, please click the Close Button on the upper bar.
 When the pop-up message appears, , confirm it by clicking the OK
Button .
 Disconnect the supply cable cord from the socket and wind it on its support.
 Position the equipment arm in transport position and hook the arm to the stand using the
arm retainer. Park the unit in a suitable and safe place.
DO NOT POWER DOWN THE EQUIPMENT BY REMOVING THE SUPPLY CABLE FROM THE SOCKET
BEFORE PERFORMING THE SHUTDOWN PROCEDURE.
AFTER POWERING DOWN, WAIT AT LEAST 30 SECONDS BEFORE POWERING ON THE

EQUIPMENT.
CHAPTER 3
PLANNED MAINTENANCE


3.1 GENERAL RECOMMENDATIONS
The purpose of PLANNED MAINTENANCE is to ensure continued safe performance and use of the
X-ray equipment.
The equipment also requires periodic checks and maintenance to provide safe conditions for
operating personnel and patients.
The following information and instructions require strict compliance:
 Prolonged use of the equipment may affect the system safety due to the wear of the
mechanical and electronic components.
 The correct setup of the electronic and mechanical components and of the software can
prevent failures that could affect the overall safety including radiation exposure levels.
 The owner of the equipment is responsible for ensuring the maintenance of the equipment is
carried out per the schedule.
ONLY USE THE ORIGINAL SPARE PARTS SUPPLIED BY THE MANUFACTURER.
The following checks and maintenance procedures, at the suggested intervals, are the
manufacturer’s recommendation for the most effective Planned Maintenance schedule for the Unit.
Equipment must be serviced and repaired only by service personnel specifically trained on the
system.
3.2 ORDINARY PLANNED MAINTENANCE
The following chart illustrates the scheduled inspections:

INTERVAL INSPECTION
WEEKLY Check the wear condition of the power supply cable and its plug.
6-month maintenance is required and is performed by trained technical
6-MONTH (*)
personnel (*).
12-month maintenance is required and is performed by trained technical
12-MONTH (*)
personnel (*).
5-year maintenance is required and is performed by trained technical
5-YEAR (*)
personnel (*).
(*) ONLY FOR TECHNICAL PERSONNEL.

SEE THE TECHNICAL MANUAL.

3.3 REPORTING UNUSUAL CONDITIONS
Report any unusual noise, difficulty of motion, squeaks, malfunctions, or other problems with the
equipment immediately.
To facilitate repair if a failure occurs, provide specific information to the service representative.
Note any unusual events prior to the failure, the type of procedure in progress, and specific failure
information.

3.4 CLEANING AND DISINFECTION
Do not use any corrosive or abrasive product or solvent to clean the unit surfaces. To disinfect
the system, always comply with the rules in force regarding disinfection procedures and protection
against explosion. For cleaning and disinfection operations, comply with the following precautions:
 Power OFF the equipment and disconnect the supply cable plug from the socket.
 Take care to prevent liquid spills on the equipment as damage and/or electrical short circuits
electric and electromechanical components may occur.
 Do not spray liquids directly onto the equipment including the displays. Apply cleaning liquids
to a cloth, and then use the cloth to clean the displays and the rest of the system.
 Take care when using cleaning solvents or chemicals for cleaning. Avoid the use of corrosive
cleaning products.
Keep in mind, to clean some parts of the equipment, special care may be required. If this is the
case, it will be noted in the cleaning tips:
 Cloth - A soft cotton cloth is recommended for cleaning the exterior of the system. Paper
towels are acceptable, but cloth is recommended.
 Water or rubbing alcohol – Is recommended for use during cleaning of the equipment.
Unknown solvents may be harmful to plastics parts, displays, and paint.
 Vacuum cleaner – Remove dust from the equipment using a vacuum cleaner, ensuring
ventilation openings are clean. Over-accumulated dust and debris may restrict the airflow
resulting in overheating and/or corrosion.
 Compressed air – DO NOT use compressed air for cleaning the equipment or internal circuits.
DO NOT POWER ON THE EQUIPMENT WHILE USING ANESTHETICS, INFLAMMABLE

DISINFECTION, AND/OR CLEANING PRODUCT.
IF USING ANY PRODUCT PRODUCING EXPLOSIVE GASEOUS MIXTURE, MAKE SURE THAT THE
GASES DISSIPATE BEFORE POWERING ON THE EQUIPMENT AGAIN.
NEVER ATTEMPT TO CLEAN THE UNIT INTERNALLY. THE UNIT MUST ALWAYS BE KEPT SHUT
UNLESS A SPECIFIC PART REPLACEMENT PROCEDURE IS TO BE PERFORMED BY HIGHLY
QUALIFIED MAINTENANCE PERSONNEL.

3.5 DISPOSAL
This device is compliant with RoHS2 Directive Recast (Directive 2011/65/EU), related to reduction
of the use of dangerous material on electrical and electronic devices.
Disposal of the device is subject to WEEE Directive Recast (Directive 2012/19/EU), related to
waste generated by electrical and electronic equipment.
As a result, it cannot be treated as domestic waste in the European Union and must be dealt with
by specialist waste disposal companies.
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Motion Mobile X-Ray System

THIS PAGE IS LEFT INTENTIONALLY BLANK

DBQ121-EN [Rev. 01] Page 2

CHAPTER 1 EQUIPMENT DESCRIPTION ......................................................... 7

1.1 GRAPHIC SYMBOLS....................................................................................................................... 9

1.2 INDICATIONS FOR USE ............................................................................................................. 10

1.3 TECHNICAL FEATURES............................................................................................................... 11

1.4 EQUIPMENT DESCRIPTION ..................................................................................................... 14

1.5 LABEL ................................................................................................................................................ 15

1.6 DIMENSION.................................................................................................................................... 17

1.7 REFERENCE STANDARD ............................................................................................................ 18

1.8 CLASSIFICATION ......................................................................................................................... 18

1.9 SAFETY ............................................................................................................................................. 18

1.10 ELECTROMAGNETIC COMPATIBILITY (EMC) ................................................................... 23

1.11 DECLARATION OF RESPONSIBILITY ................................................................................... 26

CHAPTER 2 EQUIPMENT OPERATION .......................................................... 27

2.1 TRANSPORT OF THE EQUIPMENT ......................................................................................... 29

2.2 DAILY X-RAY TUBE WARM-UP PROCEDURE ..................................................................... 31

2.3 X-RAY TUBE FORMATION ......................................................................................................... 31

DBQ121-EN [Rev. 01] Page 3

2.4 POWER ON THE EQUIPMENT................................................................................................... 32

2.5 ARM POSITIONING ..................................................................................................................... 34

2.6 MONOBLOC AND COLLIMATOR DISPLACEMENT ............................................................. 35

2.7 COLLIMATOR.................................................................................................................................. 36

2.8 RADIOGRAPHIC TECHNIQUES................................................................................................ 38

2.9 WARNING MESSAGE ................................................................................................................... 50

2.10 LANGUAGE ...................................................................................................................................... 56

2.11 END OF OPERATION .................................................................................................................... 56

CHAPTER 3 PLANNED MAINTENANCE......................................................... 57

3.1 GENERAL RECOMMENDATIONS ............................................................................................. 59

3.2 ORDINARY PLANNED MAINTENANCE.................................................................................. 59

3.3 REPORTING UNUSUAL CONDITIONS................................................................................... 60

3.4 CLEANING AND DISINFECTION ............................................................................................. 61

3.5 DISPOSAL ........................................................................................................................................ 62

DBQ121-EN [Rev. 01] Page 4

The Operator’s Manual should be read before using the equipment.

It is recommended to strictly follow the current instructions to avoid any

The installation and maintenance must be carried out by people authorized by

This version of the Operator's Manual, although originated in Italian, was

Carestream Health, Inc.

BMI Biomedical International

THIS PAGE IS LEFT INTENTIONALLY BLANK

DBQ121-EN [Rev. 01] Page 6

DBQ121-EN [Rev. 01] Page 7

THIS PAGE IS LEFT INTENTIONALLY BLANK

DBQ121-EN [Rev. 01] Page 8

1.1 GRAPHIC SYMBOLS

DBQ121-EN [Rev. 01] Page 9

1.2 INDICATIONS FOR USE

There are additional optional filters available.

1.2.1 MONOBLOC SERVICE LIFE

To limit untimely wear and damages to the monobloc:

THE TUBE FORMATION PROCEDURE HELPS REDUCE THE PROBABILITIES OF DISCHARGE.

DBQ121-EN [Rev. 01] Page 10

1.3 TECHNICAL FEATURES

1.3.1 ELECTRICAL FEATURES

Classification Directive 93/42/CEE according to annex IX: Class II b

1.3.2 OPERATION FEATURES

1.3.3 RADIOGRAPHIC FEATURES

DBQ121-EN [Rev. 01] Page 11

1.3.4 LOADING FACTORS ACCURACY

1.3.5 MECHANICAL FEATURES

DBQ121-EN [Rev. 01] Page 12