Dsa 20 User Manual (17220)
Dsa 20 User Manual (17220)
ALLENGERS DSA 20
(MOBILE DIGITAL SUBSTRACTION ANGIOGRAPHY SYSTEM)
Catalogue No. 38
Contents
1. Approvals……………………………………………………………… 1
3. Introduction…………………………………………………………… 8
3.1 Introduction to Machine…………………………………………… 8
3.2 Safety………………………………………………………………. 8
3.3 Recommendations and Practices…...……………………………… 9
4. Room Plan..........................................................................……………. 10
5. System Overview……………………………………………………… 11
5.1 Prescribed Usage…………………………….…………………….. 11
5.2 System Components……………………………………………….. 11
6. System Specifications……………….………………………………… 13
6.1 Block Diagram……………………………………………………... 13
6.2 Brief description of Principal modules…………………………….. 14
6.3 Technical Specifications…………………………………………… 16
6.4 Control Panel (Names and Functions)……………………………... 17
6.5 Power Supply Requirements………………………………………. 24
7. Operation…………………………………..…………………………... 25
7.1 Fluoroscopy………………………………………………………... 25
7.1.1 Fluoroscopy mode...................................................……………… 26
7.1.2 Cine Acquisition Mode…………………................……………… 26
7.2 Radiography………………………………………...……………… 26
7.3 Using Allengers DSA-20 I.I.T.V System…………..……………… 27
8. Trouble Shooting……………………………………………………… 28
9. Maintenance…………………………………………………………… 30
9.1 Overview…………………………………………………………... 30
9.2 Inspecting the System……………………………………………… 30
9.3 General Maintenance………………………………………………. 31
11. Warranty………………………………………………………………. 33
Checked by____________________
We thank you for purchase of Allengers DSA 20. Please go through the User Manual are
fully before operating the machine. This machine is type approved for Mechanical,
Electrical & Radiation Safety Standards by following regulatory boards:
PRODUCT APPROVAL
SYSTEM APPROVAL
2. Warning Symbols
Read these simple guidelines. Not following them may be dangerous or illegal. Read the
complete User Manual for further information.
WARNING SYMBOL
SWITCH ON SAFELY
ATTENTION SYMBOL
USE SENSIBLY
QUALIFIED SERVICE
WATER RESISTANCE
DANGEROUS VOLTAGE
INTERFERENCE
WARNING MESSAGE
Attention
Please read this Manual thoroughly. Although Allengers devices comply with the related Safety
Requirements. This manual provides all information necessary for a correct use and the
warnings related to danger associated with X-Rays Generating Units.
Warnings:
• This device has not been designed to be used in environments where vapours, anesthetic
mixes flammable with air, or oxygen and nitrous oxide can be detected.
• Before cleaning the device, please disconnect it from the AC Mains supply.
• Wherever necessary, use the suitable accessories, such as the Leaded Aprons, Lead
Goggles, and Thyroid Guards to protect the Patient, User & Support Staff of OT from
radiation exposure.
• While performing the radiography, no one, apart from the Operator and the Patient, must
remain in the room.
• Though this unit has been designed with a quite acceptable protection level from
electromagnetic interference, it is advisable to install it at a certain distance from
electrical energy transformation rooms, from static continuity units, from portable
receiving-transmitting units and for Cellular use. Cellular Telephones are only admitted
at a distance of more than 1.5m from any component of the device. Other medical
instruments and devices that must be used in the same installation area of the unit must
comply with the Electromagnetic Compatibility rules in force. Non-complying
instruments, of which the poor immunity from electromagnetic fields is well known, must
be installed at least 3 m away from the equipment and supplied by a different electrical
line.
• The equipment must be OFF while using devices such as electrical scalpels or similar
instruments. The equipment automatically performs some self-test functions and
therefore is able to detect some anomalous conditions. However, whenever there are
doubts on the performance of the equipment (e.g. images too clear, too dark or with
artifacts), the activity must be suspended and an Allengers Qualified and Authorized
Engineer must be contacted.
• During the use of the equipment, the operator must comply with the local work Safety
Regulation, in particular with the ones referring to the use of X-Ray Equipments.
• Avoid to use the CFL Lamps in O.T. as some of the CFL Lamps generate UV
Spectrum (>700 mm) which some times hamper the performance of electronic circuits.
The equipment contains in some of its parts, materials that at the end of the unit’s life, must be
recycled at an approved location. Particularly the device contains the following materials and/or
components:
• Tube Head Assembly: Tube Head Assembly of this X-Ray Equipment contains High
Voltage Tank, X-Ray Tube and Oil filled alongside, Printed Circuit Board (PCB) and
Lead used for controlling Stray Radiations.
Allengers is not responsible for the disposal of the equipment performed by the user and
for the costs related to this intervention.
It is assumed by the manufacturer and distributors of this equipment that all persons responsible
for the operation of this equipment are aware of danger and excessive exposure to X-Radiation
and this equipment is sold with the understanding that Allengers Medical Systems Limited,
their agents and representatives have no responsibility for injury or damage which may
result from exposure to X-Radiations.
a) The radiation exposure to the patient should be the minimum exposure required to
produce images of good diagnostic quality. Use radiation with care, caution and at a rate
which is ALARA - ‘As Low As Reasonably Achievable’
b) The speed of the film, or screen and film combinations should be of fastest speed
consistent with the diagnostic objective of the radiographic examination.
c) When a patient or film must be provided with auxiliary support during radiation
exposure:
(i) Mechanical holding devices shall be used when the technique permits.
(ii) Individuals may be permitted to hold the patient when absolutely necessary
and no individual shall be used routinely for this purpose to the exclusion of
others who might share the task.
(iii) If a human holder is required, the holder shall be positioned such that no part
of body shall be struck by primary X-Ray beam unless protected by at least
0.5 mm lead equivalent and shall be protected from direct scatter radiation by
protective lead apron of not less then 0.25 mm lead equivalent.
d) Gonadal shielding of not less then 0.25 mm lead equivalent shall be used for patients who
have not passed their reproductive age during radiographic procedures in which gonads
are under primary beam, except, in cases where shielding would interfere with diagnostic
procedures.
e) Doors of the Room/OT where X-ray equipment is installed should be closed before
making exposures.
f) The X-ray beam should not be directed towards doors or windows of the room, or
towards control panel or darkroom walls unless no other geometry is possible.
h) Use exposure factors according to body part to avoid excess radiation to patient.
i) Use Collimator to set minimal useful field size; keep Image Intensifier in close proximity
to the patient.
1. Switch OFF the Power Supply: If this is not possible, protect yourself
with dry insulating material and pull the victim clear off the conductor.
Do not touch the victim with your bare hands until he/she is clear off the
conductor.
3. Keep the air passage clear by turning the head to one side, opening the
patient’s mouth and cleaning it of water, saline, mucus or blood, a lot of
which might have accumulated in the back of the throat.
4. If the jaw is rigid, try to force the mouth open by pressure on the gum
behind the last molar tooth of the lower jaw. When the upper air passage
is cleared, tilt the head backward and force the jaw forward from the
angles of the jaw in front of the ears. This would prevent mechanical
obstructions to the upper air passages.
5. Hold the chin up and forward with one hand and pinch the nostril of the
victim with other.
6. Take a very deep breath and apply your mouth to that of victim and
blow into his mouth until the chest of the victim moves up indicating
filling of the lungs (Never allow the chin to sag).
7. When the chest has moved up, withdraw your mouth and allow the chest
to sink back.
3. Introduction
3.2 Safety
X-ray, fluoroscopy & Graphy are indispensable accessories for orthopedic, DSA, Cardiac
procedures. Their use is beneficial to a patient but exposes the surgeon to radiation hazards.
Majority of surgeons consider these hazards insignificant either because of bravado or ignorance.
The primary concern has been possibility of malignancy and infertility. The most worry is about
the thyroid, marrow organs (liver and spleen), gonads, hands (skin) and the eyes (lens). Image
intensifier is becoming popular but standard X-Ray unit is still is the workhorse. Although
fluoroscopy reduces the radiation to far below acceptable limits, no author advocates decreased
protection and cavaliser use of the modality like direct handling of the tube and placement of the
hands directly in the field.
Recommendations
To reduce Radiation Exposure
Good practices
For optimum radiation protection
4. Room Layout
5. System Overview
5.1 Prescribed Usage
Allengers DSA-20 is a Digital Subtraction Angiography System for Fluoroscopy &
Radiography. This equipment is to be used only by an Orthopaedic Surgeon, Urologist,
Gastroenterologist or a Cardiac Surgeon. Its unauthorized use can cause injury or damage.
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6. System Specifications
SERVO
Earth
VOLTAGE
STABILISER
OUTPUT
230 V AC ± 2% STABILISED
CONTROL PANEL
Earth
VARIOUS
SUPPLIES & 12 VOLTS
SIGNALS D.C.
230V AC
VIDEO OUT
V out 2
V out 1 V IN
MONITOR 2 MONITOR 1
1. Control
2. ‘C’
3. Image Intensifier with CCD Camera & Optics
4. X-Ray Tube Head
5. Trolley with 2 Monitors
6. Servo Voltage Stabilizer 5 KVA
1. Control
The Control houses the Invertor Assembly of the X-Ray Generator alongwith other Control
& Command Circuitry. All parameters related to operation of X-Ray generation can be
selected & regulated from the Control Panel. Various display windows indicate the
parameters. The detailed functions of each Key on the Control Panel is given in the
separate section of this Manual.
The control panel uses a flat Panel Keyboard, which makes it easier to clean & disinfect.
2. ‘C’
The ‘C’ is mounted on the carriage attached to the Control Panel. On one end of the ‘C’,
Image Intensifier with CCD camera & optics is mounted and on the other end the X-Ray
Tube Head is fixed. Both these devices are centrally aligned with each other. The ‘C’ also
carries the electrical wiring in its cavity positioned in the back of ‘C’. This wiring makes
interconnections between Control Panel to I.I. Tube & X-Ray Tube Head.
The X-Ray Tube Head a Double Focus Rotating Anode X-Ray Tube.
The X-Ray Tube Head emits the X-Rays when Exposure is initiated from Control Panel or
Foot Switch.
This is a Mobile Trolley on which Image Memory (Software), 2 Monitors & other devices
like Keyboard, Mouse in built in trolley key board.
A 5 way Terminal Block is mounted on the back of Trolley from where the Electrical
Supply to Image Memory (Software) & Monitors is provided.
High Resolution 19” LCD medical grade Monitors.
Trolley View
Keyboard Monitor
UP/DOWN Switch
(on backside of
Trolley)
1. X-Ray Generator
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A 1 2 9 12 10 11
22 B A
OPERATOR CONSOLE
8. REBOOT KEY
This key is used for reboot the machine. (this function not used in this machine)
This key Resets the 300-second cumulative timer to zero after 300 seconds of total fluoroscopic
exposure time. After 300-second fluoro exposure, a buzzer sounds and exposure is terminated.
By pressing this key fluoro time is reset and fluoroscopy can be resumed.
18. CLOCK WISE / ANTI CLOCK WISE IMAGE ROTATION KEY: (Not Used)
This key rotates the image on Monitor in Clock Wise / Anti Clock Wise direction
22. DISPLAY:
This is a dual display module. At the time of fluoroscopy exposure it displays active
fluoroscopy mA and once you have selected Radiography the same display will display
Radiographic mAs.
B X-RAY INDICATOR
In case any one of these Interlock remain ‘ON’ & doesn’t become ‘Off’ during fluoro exposure,
it is an indication of fault.
Interlocks Purpose
To indicate KV fault. Call for Allengers Service
Engineer if this Interlock Display.
4 1
3 2
5 6 7
1. Horizontal Release: This switch is used for Horizontal lock release for to move the C-
Arm Carriage in Horizontal Position.
3. Caudal: This switch is used for moving the C-Arm to make Caudal view.
4. Cranial: This switch is used for moving the C-Arm to make Cranial view.
5. Left Anterior Oblique: This switch is used for moving the C-Arm to make
LAO view.
6. Right Anterior Oblique: This switch is used for moving the C-Arm to make
RAO view.
7. C-Down: This switch is used for moving the C-Arm to Down Ward.
Note: When machine is in ±90° LAO/RAO position don’t move the CRA/CAU movement
of machine.
EARTHING
7. Operation
WARNING: If X-ray Tube is being operated for the first time or re-operating the X-
ray tube after more than four weeks, the tube should be warmed-up as
follows:
Operate it with half of the max. working tube voltage and then increase
to max. working tube voltage with the speed of more than 5kV per
minute and keep it there for three minutes.
7.1 Fluoroscopy
Normal Mode: In this mode, KV is to be selected manually from the control Panel according
to Patient’s Physique. The user can refer to the Technic chart given in this manual for
selection of the Parameters. This mode can be selected by pressing the switch on the control
panel.
ABS Mode: (Automatic Brightness Stabilization Mode): This mode is selected by default.
A small LED lights up next to ABS key.
In this mode the machine automatically selects the fluoroscopic KV & mA depending upon
the Patient’s Physique. For the thicker part, the machine automatically selects higher
KV/mA for effective penetration & optimum Image quality.
Appropriate section of the User Manual may be referred depending upon the requirement.
Before attempting to make an exposure, it is assumed that the following steps have already
been completed.
1. The system is connected to a proper supply source and the Machine switched ON.
2. Imaging System/ Monitors & others options switched ON.
3. Patient is positioned on the Table.
4. C-Arm is positioned, aligned & height of C-Arm is adjusted properly to expose
area of interest.
5. The F/R selector on C-Arm Control Panel to be selected at FLR mode.
6. The fluoroscopic parameters viz, KVP & FmA adjusted according to patient’s
physique, (Please refer to enclosed technique chart for optimum selection of
parameters.)
7. The brightness & contrast of Monitors adjusted.
Allengers DSA-20 User Manual Page 25
Rev. ‘0’ Eff. Date: 22.10.2011
Operation
By pressing the fluoroscopy F/S the unit release the exposures in pulses & not continuously.
In this mode, pressing the foot switch continuously would release the exposures to become
‘ON’ for a very short time & then becomes ‘OFF’ automatically. The Image thus formed
keeps on getting held on the Monitors & the moment next pulse of exposure comes, the old
image vanishes. This way, the radiation to the operating staff & patient is minimized. After
releasing the F/S last image is hold on FLR monitor
By pressing the cine F/S the unit release the exposure and image memory software starts
capturing the image and adding to make a loop. In this mode full loop saved in imaging
software.
7.2 Radiography
The Allengers DSA-20 is set for an output of 200 mA on Radiographic Mode. To obtain
desired ‘mAs’ in Radiography Mode, select the Radiographic time (in seconds) from mAS +,
- (Keys No. : 7) User can change the mAS from 1mAS to 100mAS.
Appropriate mAS values as indicated in the Radiographic Technique chart may be selected
for various Body Parts.
a) Use only lead backed X-Ray Cassettes in the Universal cassette holder.
b) Never give a direct radiographic exposure without the X-Ray Cassette in place.
8. Trouble Shooting
4. Image quality & memory Switch OFF the Memory (Sofware) Unit
function erratic & Switch ON again.
Check for any loose connection at the
rear panel off memory/ monitors.
6. X-Rays are generating but no Check for any loose connection at the
image (FmA reading present) rear of Memory (Software) & monitors.
In case that fault cannot be solved by suggested actions, please call your local Allengers Service
outlet for assistance.
9. Maintenance
9.1 Overview
Regular Maintenance of the Allengers DSA-20 Mobile System is necessary for safe and
trouble free use. Periodic maintenance helps in reducing equipment downtime, service cost
and operational hazards.
Contact the local service representatives for parts or planned maintenance inspections. It is
recommended that maintenance be performed on the system every three months.
Weekly checklist
Check system power cord for any cracks or damages.
Check all the connectors outside the machine for their firmness
Clean the foot switch with a soft dry cloth.
Monthly checklist
Visually inspect the unit every month.
Check for mechanical problems or keyboard problems.
Check the electrical and power cables for cracks, cuts.
Check the equipment for loose or missing hardware.
Check for any leakage from the Tube Head
Check for any abnormal noise or sparking in the machine.
2. User should confine only to preserve the exterior appearance of the unit by cleaning the
unit with soft dry cloth. It is recommended to take suitable precautions against
accumulation of dust etc. on the Control Panel, Tube Head, and Fluoroscopy etc. Dust
Covers may be used.
When the mA values are more than 10% off from the proper values, the tube current
must be readjusted. This should be done by qualified Service personnel specially trained
in servicing the equipment.
1. WRIST AP 40-45
3. SHOULDER AP 45-50
9. CHEST AP 50-55
Above are only suggested parameters. In practice these may vary according to the physique
of the patient. The operator may adjust the parameters to get a better video image quality.
The equipment supplied is warranted against defective workmanship & material for a period of 12 months from the
date of Installation or 15 months from the date of dispatch which ever is earlier. Equipment & parts proved defective
within the warranty period shall be replaced or repaired free of material & labour cost.
All Vacumatic items (X-Ray Tubes & Image Intensifying Tubes) are subject to pro-rata warranty and these items
going defective during the warranty period shall be replaced as per following replacements policy.
(AUTHORIZED SIGNATORY)
The equipment supplied is warranted against defective workmanship & material for a period of 12 months from the
date of Installation or 15 months from the date of dispatch which ever is earlier. Equipment & parts proved defective
within the warranty period shall be replaced or repaired free of material & labour cost.
All Vacumatic items (X-Ray Tubes & Image Intensifying Tubes) are subject to pro-rata warranty and these items
going defective during the warranty period shall be replaced as per following replacements policy.
(AUTHORIZED SIGNATORY)