CR 30-X CR 30-Xm: User Manual
CR 30-X CR 30-Xm: User Manual
2386G EN 20120110
    CR 30-X/CR 30-XM
         0413
                   Manufacturer: Agfa HealthCare NV, Septestraat 27, B-2640 Mortsel - Belgium
     For more information on Agfa products and Agfa HealthCare products, please visit www.agfa.com.
     Agfa and the Agfa rhombus are trademarks of Agfa-Gevaert N.V., Belgium or its affiliates. CR 30-X/CR 30-Xm,
     NX, ADC QS and ADC VIPS are trademarks of Agfa HealthCare N.V., Belgium or one of its affiliates. All other
     trademarks are held by their respective owners and are used in an editorial fashion with no intention of
     infringement.
     Agfa HealthCare N.V. makes no warranties or representation, expressed or implied, with respect to the accu-
     racy, completeness or usefulness of the information contained in this document and specifically disclaims war-
     ranties of suitability for any particular purpose. Products and services may not be available for your local area.
     Please contact your local sales representative for availability information. Agfa HealthCare N.V. diligently
     strives to provide as accurate information as possible, but shall not be responsible for any typographical error.
     Agfa HealthCare N.V. shall under no circumstances be liable for any damage arising from the use or inability to
     use any information, apparatus, method or process disclosed in this document. Agfa HealthCare N.V. reserves
     the right to make changes to this document without prior notice.
     Copyright 2012 Agfa HealthCare N.V.
     All rights reserved.
     Published by Agfa HealthCare N.V.
     B-2640 Mortsel - Belgium.
     No part of this document may be reproduced, copied, adapted or transmitted in any form or by any means
     without the written permission of Agfa HealthCare N.V.
2                                                                                                     2386G EN 20120110
                                                                                                              CR 30-X/CR 30-XM
Table of Contents
     Chapter 1: Introduction.................................................................. 5
2386G EN 20120110
                                                                                                                                     3
    CR 30-X/CR 30-XM
Specifications ............................................................................................ 54
4                                                                                                       2386G EN 20120110
                                            Chapter   1
                               Introduction
Q Scope
Q Disclaimer
Scope
          This manual contains information for safe and effective operation of the
          CR 30-XTM and CR 30-XmTM digitizer.
                    Caution: Cautions are directions which, if they are not followed, can
                    cause damage to the equipment described in this manual or any other
                    equipment or goods and can cause environmental pollution.
                    Instruction: This sign is used typically in combination with the warning sign
                    when providing a specific instruction, which if followed exactly, should avoid
                    the subject of the warning.
                    Note: Notes provide advice and highlight unusual points. A note is not
                    intended as an instruction.
Disclaimer
                    Note: In the United States, Federal Law stipulates that medical devices
                    should only be sold to, distributed and used by or by order of a licensed
                    physician.
Q Intended Use
Q Intended User
Q Configuration
Q System Documentation
Q Training
Q Product Complaints
Q Compatibility
Q Compliance
Q Connectivity
Q Installation
Q Labels
Q Environmental Protection
Q Safety Directions
Intended Use
     This device must only be used to scan exposed X-ray cassettes, containing an
     erasable image plate (IP). The digitizer is part of a system, consisting of X-ray
     cassettes with erasable phosphor image plates and a workstation where the X-
     ray cassettes are identified and the resulting digital image information is
     further processed and routed. It is intended that this device is only operated
     in a radiological environment by qualified staff.
Intended User
     This manual has been written for trained users of Agfa products and trained
     diagnostic X–Ray clinical personnel who have received proper training.
     Users are those persons who actually handle the equipment and those who
     have authority over the equipment.
     Before attempting to work with this equipment, the user must read,
     understand, note and strictly observe all warnings, cautions and safety
     markings on the equipment.
Configuration
                         Caution: The digitizer must not be connected to any version of the Agfa
                         ADC QSTM or ADC VIPSTM software.
digitizer
Control PC
Dedicated configuration
           For more information, refer also to the CR 30-X/CR 30-Xm System User
           Manual, document 2385.
System Documentation
Training
           The user must have received adequate Agfa training on the safe and effective
           use of the product before attempting to work with it. Training requirements
           may vary from country to country. The user should ensure that training is
           received in accordance with local laws or regulations that have the force of
           law. Your local Agfa representative can provide further information on
           training.
           The user must note the following information in the preliminary section of
           this manual:
Q Intended Use
Q Intended User
Q Safety Directions
Product Complaints
           Any health care professional (for example a customer or a user) who has any
           complaints or has experienced any dissatisfaction in the quality, durability,
           reliability, safety, effectiveness or performance of this product must notify
           Agfa.
           If the device malfunctions and may have caused or contributed to a serious
           injury of a patient, Agfa must be notified immediately by telephone, fax or
           written correspondence to the following address:
           Agfa Service Support - local support addresses and phone numbers listed on
           www.agfa.com
           Agfa HealthCare N.V. - Septestraat 27 - 2640 Mortsel, Belgium.
           Agfa HealthCare N.V. - Fax +32 3 444 7094.
Compatibility
Compliance
           The digitizer has been designed in accordance with the MEDDEV Guidelines
           relating to the application of Medical Devices and have been tested as part of
           the conformity assessment procedures required by 93/42/EEC MDD
           (European Council Directive 93/42/EEC on Medical Devices).
           The digitizer has been designed in accordance with the IEC 60601-1, Ed. 2:
           Medical electrical equipment - Part 1: General requirements for basic safety.
           Certificates
           The digitizer complies with:
           • the general safety regulations:
               IEC 60601-1 / EN 60601-1,
               IEC 60601-1-1:2000 / EN 60601-1-1:2001,
               IEC 62304:2006 / EN 62304:2006,
               IEC 60601-1-6:2006 / EN 60601-1-6:2007,
               IEC 60601-1-2:2007 / EN 60601-1-2:2007,
               UL 60601-1:2003,
               CAN/CSA C22.2 No. 601.1,
               ISO 14971:2009, Medical devices - Application of risk management to medical
               devices.
           • the laser safety regulations:
               IEC 60825-1:2001 / EN 60825-1:1994 + A1:2002 + A2:2001,
               IEC 60825-1:2007 / EN 60825-1:2007,
               DHHS/FDA 21 CFR, Parts 1040.10 and 1040.11;
           • EN 540: 1993,
               EN 980: 2008,
               EN 1041: 2008,
               ISO 18906: 2000,
               EN ISO 13485: 2003 / AC: 2009;
           • Additional standards for documentation,
               IEC 62079 Ed. 1: Preparation of instructions - Structuring, content and
               presentation
     Harmonization
     This document has been prepared to comply with the Study Group 1 guidance
     document of the Global Harmonization Task Force (GHTF) (www.ghtf.org).
     To assist development of a consistent, harmonized definition for a medical
     device that could be used within a global regulatory model would offer
     significant benefits to the manufacturer, user, patient or consumer, and to
     Regulatory Authorities and support global convergence of regulatory systems.
     The IECEE CB Scheme is the world's first truly international system for
     acceptance of test reports dealing with the safety of electrical and electronic
     products. It is a multilateral agreement among participating countries and
     certification organizations. Agfa has produced a CB test report and claims
     national certification in all other member countries of the CB Scheme.
Connectivity
           The digitizer is connected to the workstation via Ethernet connection and uses
           the DICOM protocol to communicate with the workstation.
Installation
                        Caution: When installing the digitizer, care must be taken to ensure that
                        there is either a mains plug or an all-cable disconnecting device in the
                        internal installation fitted near the digitizer and that it is easily
                        accessible.
           The digitizer is equipped with 2 handles at the bottom left and right sides to
           move the device easily to another location. It is recommended to have at least
           two persons lift the digitizer.
                        Caution: The digitizer and the cassette storage shall be protected against
                        direct radiation in such a way, that the annual dose equivalent at the
                        place of installation will not exceed 1 mSv/a.
           Check the flat field image on the NX workstation for homogeneity and stripe
           artifacts. In case of problems, please inform your local Agfa service
           representative.
Product Identification
                                         5175/200
        Model number
                                         5175/205
Labels
           General
           Always take into account the markings and labels provided on the inside and
           outside of the machine. A brief overview of these markings and labels and
           their meaning is given below.
In order to reduce the risk of electric shock, do not remove any covers.
                        Caution hot:
                        Keep hands clear from the erasure unit.
                        Do not put your fingers in the input slot of the digitizer, they can get hurt
                        when caught between the cassette and the fixation.
                        Insert the cassette as described in the basic workflow of the CR 30-X/
                        CR 30-Xm System User Manual, document 2385.
                    Cassette positioning.
                    Insert the cassette as described in the basic workflow of the CR 30-X/
                    CR 30-Xm System User Manual, document 2385.
                    Note: The type label of the CR 30-Xm digitizer is placed at the chassis in the
                    upper left corner when opening the front cover.
CAUTION! CUIDADO!
                                                                 VORSICHT !                    ATTENTION!
                    CLASS 1 LASER PRODUCT
                                                         LASERSTRAHLUNG KLASSE 3B:     FAISCEAU LASER CLASSE 3B:
                                                         WENN ABDECKUNG GEÖFFNET       QUAND CAPOT OUVERT ÉVITER
                    APPAREIL A LASER DE CLASSE 1
                                                         NICHT DEM STRAHL AUSSETZEN!     DE S´EXPOSER AU RAYÓN!
LASERKLASSE 1
3    Wipe the exterior of the digitizer with a clean, soft, damp cloth.
     Use a mild soap or detergent if required but never use ammonia-based cleaner.
                    Note: Do not open the digitizer for cleaning. No components inside the
                    digitizer require cleaning by the user.
Maintenance
     Preventive Maintenance
     Regular preventive maintenance needs to be done once a year or after 12000
     cycles (whatever comes first). This maintenance can not be done by the user
     but has to be done by an Agfa certified field service engineer. Not performing
     the regular maintenance by appropriately certified people can have impact on
     warranty commitments.
Open lid
4    Clean the scan line. Your last movement must be continuous from the rear to
     the front.
Environmental Protection
           Battery Notice
                        This wheeled bin symbol on the products, and/or accompanying
                        documents means that the used batteries should not be treated as, or
                        mixed with general household waste.
               Hg
                   This wheeled bin symbol on batteries or its packaging may be used in
           combination with a chemical symbol. In cases where a chemical symbol is
           available it indicates the presence of respective chemical substances. If your
           equipment or replaced spare parts contain batteries or accumulators please
           dispose of them separately according to local regulations.
           For battery replacements please contact your local sales organization.
Safety Directions
                    WARNING: The user must be aware that any error (crash / lock up)
                    leading to an image processing failure can cause loss of diagnostic
                    information.
                    Caution: The following actions may lead to serious risk of injury and
                    damage to the equipment as well as making the warranty void:
                    Q   Changes, additions or maintenance to the Agfa products carried out
                        by persons without appropriate qualifications and training.
                    Q   Using unapproved spare parts.
                R = 1.5 m (1.83 m)
                                                 Patient environment
                                      h= 2.5 m
                                      (2.29 m)
Patient environment
Quality Control
T   Basic Features
T   Starting the Device
T   Basic Workflow
T   Stopping the Device
     CR 30-X/CR 30-XM
Basic Features
           The digitizer reads out the latent X-ray images on image plates and sends
           them to the workstation.
     Q The digitizer accepts one cassette containing one image plate at a time. The
       digitizer:
       • locks the cassette containing the image plate in the cassette slot,
       • removes the image plate from the cassette,
       • scans the image plate,
       • converts the information of the latent image to digital data,
       • transmits the image data to the preview station,
       • erases the image plate and re-inserts it into the cassette,
       • gives the image plate ID data the status 'erased',
       • unlocks the cassette,
       • transmits the digital image data to an image processing station
          (‘destination’).
     Q The digitizer permits re-erasing an image plate before reusing it. In specific
       cases, this is necessary to prevent ghost images caused by previous exposures or
       stray radiation from interfering with the image of interest.
     Q With the dedicated ID station of the CR 30-X/CR 30-Xm, the following features
       are available:
       • quickly identifying cassettes without the need for an ID Tablet,
       • reading the identification data of a cassette.
Operating Modes
The digitizer can be operated in two modes: operator mode and service mode.
     Operator Mode
     The operator mode groups all basic functions which are aimed at
     radiographers:
     •   Reading an image plate,
     •   Reading an emergency image plate,
     •   Re-erasing an image plate,
     •   Reading the identification data of a cassette.
     All functions of the operator mode are described in this manual.
     Service Mode
     The service mode functions are reserved for trained service personnel. They
     are password protected, and they are described in a separate document.
                                                         1       Status indicator
                                                         2       Erase button
                                                                 DICOM Ethernet
                                                         3
                                                                 connection
                                                         4       Main switch
     Status Indicator
     The indicator informs the user by light signals about the status of the digitizer.
     It is positioned at the front of the digitizer, so that it is visible from a distance.
     The indicator is divided in two parts. The upper part is
                                                                                       blue
     used to inform the operator about the image plate
     erasing cycle progress and is only then lit. The lower part                       green or
     is used for all other operational indications.                                    red
                     Constant/
         Color                               Status                           Action
                      Flashing
                                   Activating the erasing
       Blue         Constant
                                   cycle
Main switch
           If the digitizer has completed the self-test successfully, the digitizer enters the
           operator mode and the status indicator is continuously lighting up in green.
Basic Workflow
                    Note: The basic workflow is described in the CR 30-X/CR 30-Xm System User
                    Manual, document 2385.
     Briefly:
     The digitizer starts reading out the image plate as soon as it has received the
     complete identification data from the NX Station (via DICOM Ethernet).
           Switching Off
           It is recommended to switch off the digitizer at the end of the day.
                              Note: Only switch off the digitizer if you do not intend to digitize emergency
                              image plates overnight. Switching on the digitizer takes approximately
                              60 seconds. During this time emergency digitizing is not possible!
To switch off, press the main switch to the Off (“0”) position.
Main switch
          Briefly:
          In emergency situations, it is possible to open an emergency exam at the
          NX workstation without patient details and to digitize without having
          identified the cassette.
                    Note: To re-erase an image plate, you must push the Erase button at the front
                    side before you insert the cassette. After that, you have 1 minute to enter a
                    cassette. If you do not, the digitizer returns to the standby mode.
                    WARNING: When you change the X-ray exposure settings, you must
                    adapt the erasure level for the image plate accordingly.
     3    Insert the cassette containing the image plate into the cassette slot [1] as shown
          below.
          Make sure to insert the cassette with the black side to the top and with the shutter
          opening mechanism and the locking mechanism inside the digitizer.
          Make sure that the cassette is firmly pushed up to the right side of the slot [2].
          Otherwise, the digitizer cannot read the image plate.
Briefly:
     The initialization data stored in the RF-tag of the tray can be read via the
     digitizer.
Troubleshooting
Troubleshooting Checklist
          General Errors
                        Error                                Action
            The digitizer does    Check the power supply. If the power supply is ok, call your
            not start up.         local Service engineer.
                                                                 Status
           Condition           Control PC message                                   Action
                                                               indicator
                                              Cassette error
       Empty cassette
                            “Empty cassette found at
       (no image plate                                     Red, flashing    Remove the cassette
                            start-up. Remove cassette.”
       in cassette)
                                                           Red, flashing.
                                                                            Confirm the message
       Error during         “Error during read-out of      After
                                                                            with the OK button
       read-out of the ID   cassette chip data. Remove     unlocking:
                                                                            and re-identify the
       data                 cassette.”                     green,           cassette.
                                                           constant
                                                                        Status
                 Condition           Control PC message                                    Action
                                                                      indicator
                                                                                  Confirm the message
                                                                                  with the OK button on
                                                                 Red, flashing.
            Error during          “Error during writing on                        PC, remove the
            writing on RF-tag     cassette chip after            After            cassette, push the
                                                                 unlocking:
            after scanning        successful scan. Erase the                      erase button on the
                                                                 green,
            process               image plate again.”                             digitizer and re-enter
                                                                 constant         the cassette for a
                                                                                  manual erase cycle.
                                                   Digitizer errors
                                  “Failure at erasure module.
                                  Please restart digitizer. If
            Erasure lamp
                                  error remains, please                           Restart the digitizer or
            failed during                                        Red, constant
                                  contact service. Image plate                    call service.
            scanning cycle
                                  must be erased after repair
                                  again.”
                                  “Image plate during self-
                                  test in the digitizer
                                                                                  After power failure a
                                  detected. The image plate                       remaining image
                                  was moved back into the
                                                                                  plate, in the digitizer,
                                  cassette. Please check         Red, flashing.
            Image plate                                                           will be detected and
                                  whether the image is           After            the forementioned
            detected in the
                                  present at the PC and re-      unlocking:
            digitizer during                                                      error message will be
                                  scan the cassette, if          green,
            self-test                                                             displayed.
                                  necessary. If the image is     constant
                                  present, the cassette was                       In order to release the
                                                                                  cassette, confirm the
                                  not erased possibly. Erase
                                                                                  message.
                                  the cassette again in any
                                  case.”
            Digitizer cannot
            detect the                                           Red, flashing    Open the cassette and
            cassette chip on
                                  “Cassette chip not readable    After            check if the tray is
            the image plate
                                  or cassette tray is missing.   unlocking:       inserted correctly or
            tray e.g. tray is
                                  Remove cassette.”              green,           use another cassette
            missing or was
                                                                 constant         and call service.
            not inserted
            correctly.
                                                                  Status
           Condition             Control PC message                                    Action
                                                                indicator
                                                                               Check if Ethernet
                                                                               cable is plugged in at
                                                                               PC and digitizer.
       Communication         “Image transmission failed.
                                                                               Visually check if the
       error, Ethernet       System is retrying. If image
                                                             Red, flashing     Ethernet cable is
       cable is not          does not appear, please
                                                                               damaged. If the error
       plugged in            restart the PC.”
                                                                               remains restart PC and
                                                                               digitizer or call
                                                                               service.
     Messages will stay active until the problem is solved or the dialog box message
     on the control PC is confirmed by clicking the OK button.
                       Note: For error messages not listed in the table above, please refer to the
                       instructions within the displayed error message text.
          The user is allowed to open the front cover, e.g. to solve image plate jams at
          the front side. When opening the front panel, all motor driven system
          movements will be stopped (including the laser).
                            Note: The technical concept does not allow the user to remove the top cover.
                            The concept provides maximum reliability that no image plate jam can occur
                            in the post scan area.
                            Note: The digitizer always reads and digitizes the plate first, then erases it
                            and transports it back into the cassette. If a plate jam occurs before the plate
                            is scanned, there is a fair chance that you can recover the image by putting
                            the image plate back into the cassette and digitizing it again. While handling
                            the image plate, prevent exposing it to daylight as much as possible.
1 Simultaneously press the two buttons positioned underneath the feed table.
                    Note: Never use force to clear the jammed image plate. If it is not possible to
                    gently remove the image plate, call your local service organization.
Note: After a jam, the image plate can be used again if not damaged.
          In case of a power failure, the system is still connected to the UPS. Two
          situations are possible:
          • Power failure after cassette insertion and before identification with the NX
            workstation. The digitizer pushes the image plate back in the cassette
            without scanning and releases the cassette. After the power supply returns,
            the cassette must be inserted into the digitizer and identified again to read
            out the image.
          • Power failure after identification with the NX workstation. The image plate
            is scanned and erased as usual. The scan cycle finishes when the cassette is
            released. If the power supply is still not available, the digitizer will refuse
            scanning other cassettes.
T   Specifications
     CR 30-X/CR 30-XM
Specifications
      Labelling
                                   93/42 EEC 'Medical Devices' (Europe),
      CE
                                   EN 60601-1
                                   ETL us certified, UL 60601-1 Second Edition
      c ETL us
                                   (North America)
      c ETL us                     c ETL certified CSA 22.2 No 601.1
      Dimensions
      Length                       786 mm
      Width                        693 mm
      Height                       525 mm
      Weight
      Unpacked                     approximately 72 kg (158.73 lb)
      Electrical connection
                                   Autoranging power supply from: 100 V to
                                   240 V, ac + 10%
      Operating voltage
                                   Class I with protection earth
                                   Connect to earthed supply circuitry only.
      Mains frequency              50/60 Hz
      Current rating               1A 2A
                                   Europe: min. 10 A, max. 16 A
      Mains fuse protection
                                   USA & Japan: min. 10 A, max. 15 A
      Mains frequency              50/60 Hz
      Network connectivity
                                   RJ45 female, 10/100 Mbit/s autosensing,
      Ethernet connector
                                   shielding CAT5
 Power consumption
 Standby
 • 220 V - 240 V / 50-60 Hz configuration         60 W
 • 100 V - 120 V / 50-60 Hz configuration         60 W
 During operation
                                                  CR 30-X: max. 190 W
 • 220 V - 240 V / 50-60 Hz configuration
                                                  CR 30-Xm: max. 220 W
                                                  CR 30-X: max. 190 W
 • 100 V - 120 V / 50-60 Hz configuration
                                                  CR 30-Xm: max. 220 W
 Environmental conditions
                                                  recommended: 20 °C to 25 °C
 Room temperature
                                                  allowed: 15 °C to 30 °C
 Maximum temperature change                       0.5 °C/min.
                                                  recommended: 30 % to 60 %
 Relative humidity
                                                  allowed: 15 % to 75 % (non-condensing)
 Magnetic field                                   compliant with EN 61000-4-8, Level 2
                                                  not to be operated in direct sunlight, max.
 Sunlight exposure
                                                  2500 lux
In line with IEC721-3-1: 1K2 (CR 30-X) / 1K4 (CR 30-Xm) and 1M2
      Warming-up time
      Cold start                                       fully operational after max. 30 min.
                                                       fully operational after self-test, on condition
                                                       that the digitizer:
      Warm start                                       • has not been switched off for more than
                                                         3 minutes.
                                                       • has been operational for at least 30 minutes.
      Physical emissions
      Noise emission (sound power level according to ISO 7779)
      • During scanning                                max. 65 dB(A)
      • Standby                                        max. 55 dB(A)
      Heat emission
      End of Life
      Estimated product life
      (if regularly serviced and maintained            7 yrs.
      according to Agfa instructions)
 Preventive maintenance
 Preventive maintenance frequency.
                                               Once a year or 12000 cycles, whatever comes
 Note: Needs to be done by an Agfa certified   first.
 field service engineer.
                                                              Electromagnetic Environment
                Emissions test               Compliance
                                                                      Guidelines
                                                          The digitizer uses RF energy only for its
                                                          internal function. Therefore, its RF
      RF emissions in accordance with
                                            Group 1       emissions are very low and are not likely to
      CISPR 11
                                                          cause any interference in nearby electronic
                                                          equipment.
      RF emissions in accordance with                     The digitizer is suitable for use in all
                                            Class A
      CISPR 11                                            establishments other than domestic, and
                                                          may be used in domestic establishments
      Harmonic emissions in
                                            Class A       and those directly connected to the public
      accordance with IEC 61000-3-2
                                                          low-voltage power supply network that
                                                          supplies buildings used for domestic
                                                          purposes, provided the following warning
                                                          is heeded.
                                                          WARNING: This device is intended for use
      Voltage fluctuations / flicker                      by healthcare professionals only. This
      emissions in accordance with          Complies      device may cause radio interference or may
      IEC 61000-3-3                                       disrupt the operation of nearby equipment.
                                                          It may be necessary to take mitigation
                                                          measures, such as re-orienting or
                                                          relocating the digitizer or shielding the
                                                          location.
                                                                      m
                     W
                                  150 kHz to 80 MHz         80 MHz to 800 MHz          800 MHz to 2.5 GHz
2386G EN 20120110
                                       65
   0413
Printed in Belgium
Published by Agfa HealthCare N.V., B-2640 Mortsel-Belgium
2386G EN 20120110