Adjustment and Configuration V2 Polydorus
Adjustment and Configuration V2 Polydorus
Adjustment
POLYDOROS SX
Adjustment and Configuration
2                Document Version / Disclaimer / Copyright
                Document Version
                Siemens reserves the right to change its products and services at any time.
                In addition, manuals are subject to change without notice. The hardcopy documents cor‐
                respond to the version at the time of system delivery and/or printout. Versions to hard‐
                copy documentation are not automatically distributed.
                Please contact your local Siemens office to order a current version or refer to our website
                http://www.healthcare.siemens.com.
                Disclaimer
                Siemens provides this documentation “as is” without the assumption of any liability under
                any theory of law.
                The content described herein requires superior understanding of our equipment and may
                only be performed by qualified personnel who are specially trained for such installation
                and/or service.
                Copyright
                “© Siemens, 2004” refers to the copyright of a Siemens entity such as:
                Siemens Healthcare GmbH - Germany
                Siemens Aktiengesellschaft - Germany
                Siemens Shenzhen Magnetic Resonance Ltd. - China
                Siemens Shanghai Medical Equipment Ltd. - China
                Siemens Healthcare Private Ltd. - India
                Siemens Medical Solutions USA Inc. - USA
                Siemens Healthcare Diagnostics Inc. - USA and/or
                Siemens Healthcare Diagnostics Products GmbH - Germany
1 General Information 6
4 System Configuration 19
5 POLYDOROS SX Adjustment 25
6 Adjustment 76
                     6.1   TV Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       76
                     6.2   Iris Correction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     77
7 POLYDOROS SX Diagnostics 78
9 Download 93
10 Generator Checks 95
                When carrying out the work steps and checks, the product-specific safety information
                 contained in the documents and the general safety information must be observed.
                     WARNING
                    With the generator switched off, there is still line power present at the T1 trans‐
                    former D160 switch-on circuit. After switching off the generator, there is still ap‐
                    prox. 600 V DC voltage present for the inverter!
                     This is indicated by LEDs V35 and V36 on the D110 and LED V89 that is lit up
                         on the D220. The voltage dissipates within approx. 1.5 minutes to 0 V; the
                         LEDs go off at approx. 30 V.
                n    To switch power off to all parts of the system (generator and connected components),
                     set the system switch to the OFF position.
                n    To prevent unintentional triggering of high voltage or radiation, set the SS switch (S1)
                     on the D100 to OFF (no control of the inverter).
                n    Install or remove components only with the generator switched off; when doing this,
                     observe ESD guidelines.
                     WARNING
                    Checks and adjustments that need to be performed under X-radiation are identi‐
                    fied with the radiation warning symbolx.
                     Take appropriate radiation protective measures while performing these work
                         steps.
   1.1.5     Requirements
             n    Completed POLYDOROS SX 65/80 course, or completed system course.
             n    Prerequisites for the adjustment and configuration with the Service PC are:
                  -   Basic knowledge such as PC handling and Windows program operation.
                  -   The requirements for the Service PC can be tested in the SSW under Help / Index /
                      PC HW Check.
             n    The Service PC “COM1 serial interface” is connected to the SX control unit or the XCU
                  HD unit at “D320.X5” in the generator using the PC connection cable.
                n   To enable triggering of radiation from the PC, the S3 switch on the D100 must be set
                    to the “Service” position.
                 For units that use three-phase connections, the phase connections for the power line ca‐
                  bles must be checked.
                 Use the field rotation meter to check the correct phase connections of the power line ca‐
                 bles at M16.L1, L2 and L3:
                 n   Connect the field rotation meter to terminals L1, L2 and L3 (on power connection
                     side).
                 n   Switch the system breaker to ON.
                 n   Perform the measurement.
                 n   If needed, correct the phase connection and repeat the measurement.
                 n   Switch the system breaker OFF.
                 n   Disconnect the field rotation meter.
                       UN / P                 65 kW                      80 kW
                       400 V                0.17 Ohm                0.11 Ohm
                       440 V                0.20 Ohm                0.14 Ohm
                       480 V                0.24 Ohm                0.16 Ohm
                 If "Demo" is checked, the software can work without the XCU. Communication with the
                  XCU is not possible under "Demo function".
When Connect is selected, “System” “Realtime CI” (clock time for the XCU) and “ID Codes”
             To set the ID codes in the system controller, it is permissible to have performed CONNECT
             but not LOGIN yet. The entries are used here to generate the variable password. While the
             System Host ID is only displayed and cannot be changed, the two other Serial Numbers
             and Product Types (maintenance unit numbers) must be entered specifically.
             Fig. 4: System: ID-Codes
              n   Put to Unit           The data that were set are saved in the system controller.
              n   Cancel                The data are not changed in the system controller
              n   Serial Number         = entry of the System Serial Number
              n   Product No.           Maintenance Unit No. of System (in combination with the varia‐
                                        ble password)
             Prior to entering the variable password, set the System Serial Number and the mainte‐
              nance unit under <System> <ID Codes>.
             n    Working on:
                  Enter text, e.g. “Restore performed”. (Texts can be read out in “Main Program / Info”).
             n    Select Put to Unit.
             Tip: If you always enter the same name for the file name in all print dialogs for Site Struc‐
              ture Configure, all Print to Files will be written to the same file, one after the other.
4.2 Configuration
                 n   Select the system under Configure / Site Structure / Site Selection and confirm with
                     ok.
                 Fig. 8: Configure - Site Structure, Site Selection
                  If Configure / Site Structure / Site Adjustments has been saved once, the Configure / Site
                  Structure / Component Selection window is selected immediately when Configure / Site
                 Structure is selected. Changing Configure / Site Structure / Site Selection is possible only
                  if Data / Erase Configuration was performed first. All configuration and adjustment data
                  are lost when Data / Erase Configuraion is selected.
             n     Select the configured components under Configure / Site Structure / Component Se‐
                   lection and configure them with Edit and/or Option.
             Fig. 9: Configure:Site Structure:Component selection
                   WARNING
                  If the tube unit is replaced with a different tube unit mode, particularly when a
                  tube unit with a 0.3 mm filament is replaced with a tube unit that has a 0.22 fila‐
                  ment:
                   the programming for the tube unit model must be performed with the X44
                     connector (D160) unplugged.
             If tube unit type is clicked on, even if it is not changed, the tube unit data are immediate‐
              ly set back to the default data. This means that test shots of the tube unit must be per‐
              formed every time this is clicked.
                In systems with the FLUOROSPOT T.O.P., no "Default organ programs" may be loaded
                from the program Configure / Site Structure / Site Adjustments.
                If "Default organ programs" are loaded, they cannot be used in combination with the
               FLUOROSPOT T.O.P.
                Window: Configure / Site Structure / Site Adjustments:
                If a license is available, the "Organ Program" option can be enabled in the Site Options
                menu - "Default organ programs" will then be available.
n Exit the Configure / Site Structure / Site Adjustments window with "Save".
               The configuration is saved in the XCU with Save and a backup is generated on the "Site
                Data Disk".
          5.2 Warm-up
                 n    Select Warm Up in the XCS SSW / Components / Polydoros / Adjustment /.
                      CAUTION
                     Radiation is triggered in the next work step
                      Close the collimator, cover the I.I. with a lead-rubber apron.
        X             In the "Warm Up" window: click on "Fluoroscopy ON": fluoroscopy will be switched off
                 n
 First the small focus, then the large focus is completely calibrated (test shots).
                 With the Artis U, select the following settings in the XCS SSW / Components / Polydoros /
                  Diagnostic / Manual Exposure.
                      -   3-point technique
                      -   81 kV
                      -   40 mAs
                      -   ■
                      -   100 ms or the next possible value
        X             Trigger an exposure for each tube unit configured (S27: approx. 2s prep, then HK ON)
                 n
                      and check the curve for the exposure voltage and tube current on the oscilloscope.
                      The exposure voltage must be flat during exposure. The tube current should rise to
                      ±10% of the reference value within 50 ms and be flat during exposure.
                      If the measured values differ from the specifications, test shots must be performed
                      again for the tube unit (calibrated).
                  the curves for exposure voltage and tube current on the oscilloscope: The exposure
                  voltage must be even during exposure.
                  The tube current should stabilize within 50 ms to ±10% of the reference value and
                  should be even during exposure. If the measurement values differ from the specifica‐
                  tions, test shots must be made again for the tube (calibrated).
            
                  1. During startup (not done when system is shipped)
                  2. Following replacement of the D100
                  3. If there are differences from mAs values in the 2-point technique.
Following "Erase Configuration" or during the first adjustment of this module, the follow‐
            
                  ing message appears: "You are about to generate Init Block # 103! Do you really want to
                  do this?"
                  Answer this question with "Yes".
       
              1. During startup
              2. Following replacement of the D100
              3. Following replacement of inverter components (fluoro option)
             See the Speed Info in the Knowledge Database “POLYDOROS SX65/80: Adjusting the Fluo‐
             roscopy Attachment” on the MED CS INTRANET.
5.5 MS Diamentor
                 There are separate installation and adjustment instructions for the Diamentor K1/K2 and
                  for the KermaX dose area product measuring system.
Fig. 13:
PTW - FREIBURG
Cal. 1
Cal. 2
                      1
                                           Cal. 3
                                                    1
                                           Cal.4
"F" 2
"Null"
                                                    3
                      2                    Test
                                                    4
                                           On
Diamentor M5
                 Procedure
                 n   Select the Diamentor in XCS SSW / Components / Polydoros / Diagnostic /.
                 n   Enter the following values in the "Diamentor Calibration" window in the "Diamentor
                     Factors" box: read the KG value/s from the measurement chamber/s and the QT value
                     from the DIAMENTOR MS in the assembly, or obtain them from the DIAMENTOR MS
                     Function Description.
 Multiply the KG value by the factor 0.86, only with the SIRESKOP SX.
                 n   Select "Diamentor Calibration \Start Autocycles" in the window and start the adjust‐
                     ment with the "Test" button on the DIAMENTOR.
                 n   0 must be displayed in the "Diamentor Calibration" window, in the "Actual-Expected
                     Value" box. If this is not the case, use the particular CAL1... CAL4 potentiometer to
                     perform the zero adjustment. After adjusting the potentiometer, press the "Test" but‐
                     ton. Repeat the procedure until 0 is displayed in the "Actual-Expected Value" box.
                 n   Exit the window with OK.
             Make sure that only films for the light color for which the screen is sensitize determined
              are used (green sensitive film for green screen, blue for blue screen).
   P         n
                  The sensitivity, S (speed), specified by the manufacturer must be recorded for each
                  film-screen combination.
                  -   The sensitivity of a film-screen combination is defined according to ISO 9236 as the
                      quotient of 1000 μGy and the air kerma (dose) KS required to achieve an optical
                                                                       1000µGy
                                                                   S = -----------------------
                                                                               KS
                      density (blackening) of 1 above base fog.
        P        n
                       With a known sensitivity S (see also "Appendix: Sensitivity of Film-Screen Systems,")
                                                                                               1000µGy
                                                                                         K S = -----------------------
                                                                                                         K
                       calculate the theoretical required dose, KS, and document this:
                       -   A minimum resolution RGr in LP/mm is assigned to each required dose KS, i.e. the
                           higher the required dose is for a film-screen combination, the higher the resolution
                           that must be reached in order to justify the increased dose.
                           The particular minimum resolution, RGr, must be taken from the illustration for each
                           film-screen combination used.
Fig. 14:
                 There are no international, uniform regulations regarding use of the film-screen combi‐
                  nations; national regulations (e.g §16 RöV) must be observed in the particular country.
             n    SS ON.
   X              Trigger an exposure (at the 73 kV default value).
             n
 Required: The exposure must take a log time or ERROR 550 must be displayed.
              If measuring field selection takes place at the unit (Configurate: Site Structure: Edit Sys‐
             tem"), all measuring fields will be dark (touchscreen console) when the generator is
              switched ON at the generator console - only with KK systems!!!
             Tables can be found in the chapter, "Sensitivity of the Film-Screen Systems" from which
              the values can be determined.
   X         n
                  For all screens used and work stations, make test exposures at 81 kV, small focus, 80%
                  using 20 ± 0,5 cm and 5 ± 1 cm water (≥ 18 x 24 cm film format) and check the film
                  density of each:
                  The films must have the optical density that the customer desires. If there is no specif‐
                  ic customer requirement, adjust to a net optical density, DN = 1 (density of 1.0 + 0.2
                  above base fog).
             n    If necessary, correct the programmed sensitivity values (connector position) under
                  XCS SSW / Components / Polydoros / Adjustment / Iontomat Sensitivity.
                  For exposures with the side measuring fields, the difference may not exceed ± 0.2 of
                  the optical density in the range of the measuring fields.
                  Empfindlichkeit/Sensitivity
                  400 / 11
                  200 / 14
                  80 / 17
                 The data in the XCU can be updated with "Transfer Value" and control exposures can be
                  made without having to exit the SSW.
 In this case, the iris setting is not changed with "Iris Correction", but the dose!
   X         n
                  Trigger a tomo exposure, develop the film and measure the optical density. Change
                  the <Blackening Correction / Iris Correction> until the desire optical density is reached.
   X         n
                  Select <Tomo Programs 2> and select 20/0.8 sec on the tomo unit and proceed as for
                  8/0.6 sec
   X         n
                  Select <Tomo Programs 3> and select 40/1.2 sec on the tomo unit and proceed as for
                  8/0.6 sec
             n    <OK>
             n    <System>
             n    <Quit Ctrl X>
             n    Click on the top left of the screen and then click on <Close>.
             n    Enter any letter in the "Working on" line and click on <Put to Unit>.
             n    Switch off the system.
                                                                                 Channel 1: 1V/div.
                                                                                 Offset: 10 ms/div.
Fig. 16:
Channel 1: 10V/div.
                                                                                 Channel 2: 1 V/div.
                                                                                 Offset: 10 ms/div.
             n    Trigger exposure (SS OFF) and check the drift and hum:
                  - Drift:
                  The drift (UDR) may be a maximum of ± 400 mV/tomo time (ts). In the following oscil‐
                  logram, the max. drift is +100 mV.
                  - Hum:
                  The hum (UST) may be a maximum of 1 Vpp. In the following oscillogram, the max.
                  hum is 500 mVpp.
Fig. 17:
                                                    - 400 mV
                          tS
        X            Trigger an exposure for each tomo time and check using the following oscillogram:
                 n
                     After max. 1/4 of the tomo time, ts, the dose rate actual value, UDL, must have
                     reached the corresponding required value. The required values are between 4 V and 8
                     V.
                     Oscillogram, Fig. 7:
                     - Tomo time 0.8 s, 81 kV, 20 cm water phantom ±1 cm
                     - Offset: 100 ms/div.
UDL (5 V/div.)
EH111509-220402-00-01
                     Sample Exposure
                     ”Lung exposure” = tomo exposure of a 10 cm water phantom ±1 cm with PLANI-ION‐
                     TOMAT.
                     Adjustment Values:
                     -    At the tomo device: Tomo time 1.25 s
                     -    At the console: 125 kV, 12.5 mAs,         ms
Test Points:
                     Oscilloscope:
                     Channel 1:            D190.X26 UDL
                     Channel 2:            D100.X61 KV Act
                     Ground:               D100.X61 A_GND
                     Trigger:              D100.X64. SWR (leading edge)
                     Offset:               200 ms/div.
Fig. 19:
Abgleichvorgang
                                                                                      UDL
                                                                                      5 V/div.
                  0V
0V
The dosimeter must be switched on for 15 minutes prior to beginning measurement and
             n     Insert the dose measurement chamber into the cassette holder and collimate slightly
                   larger than the chamber size.
   X         n
                   Trigger an exposure.
             n     Measure the cutoff dose, KB and record it.
             n     Take the dose measurement chamber out of the cassette holder and in its place, insert
                   a 18x24 cm (8"x10") or 24x30 cm (10"x12") cassette without film.
        X        n
                       Repeat the exposure and record the mAs value displayed at the generator.
                 n     If the measuring location KB in the image receptor plate for the dose measurement
                       chamber is not accessible, measure the transmission dose KT and covert it to the im‐
                       age receptor dose KB using the following formula.
                 Fig. 20:
                        K T × 0 ,94
                  K B = ------------------------
                                  m
                       Record both dose values, (KT and KB).
                       -   The dose, KT is measured on the tabletop for OT units; with UT units, on the back
                           wall of the spotfilm device.
                       -   The factor 0.94 takes the radiation attenuation of the dose measuring chamber into
                           consideration.
                       -   The correction factor, m, takes all attenuation layers (grid, IONTOMAT chamber,
                           etc.) between the patient and ht image receptor plane into consideration.
                       -   The correction factor, m (equipment attenuation factor), can be found in the Unit
                           Test Certificate for the particular application unit.
                 n     Compare the measured cutoff dose values, KB with the film-screen combination being
                       used with the required dose KS that was recorded.
                 n     Admissible difference:
                 Fig. 21:
                  K B ≤ 2 ,5 × K S;                 K = ----------------------
                                                         1000µGy 
                                                                              -
                                                    S             S 
                 Maintenance and Service
                 n     During maintenance work or in a service situation, the function of the automatic ex‐
                       posure control can be easily and quickly checked using what is called the "Indirect
                       Dose Control".
                 n     Insert the 2.1 mm precision radiation filter into the beam path.
                 n     Insert a cassette without film into the cassette holder and collimate to the cassette
                       size.
                 n     Set all exposure parameters and test conditions listed in the Test Certificate.
        X        n
                       Trigger exposure and compare the mAs value displayed at the generator or measured
                       using the mAs meter with the value recorded in the Test Certificate.
                 n     If the recorded value is reached to an accuracy of ± 10%, nothing in the automatic ex‐
                       posure control has changed. If KB is > 2.5 KS, check film processing and the film mate‐
                       rial being used. It can also be assumed that the screens are a source of error or can be
                       mechanically worn.
             Test Conditions:
             n    Small focus, 80% power; middle measuring field; 81kV.
             n    SID: OT units = 115 cm; UT units, max. distance (no Distator)
             n    1.2 mm Cu pre-filter, OT units at the collimator; UT units on the tabletop, if the colli‐
                  mator is not accessible.
             n    Place the lead strip test outside the IONTOMAT measuring field:
                  OT units on the tabletop, UT units on the back wall of the spotfilm device.
             Procedure:
   X         n
                  Trigger an exposure with every film-screen combination recorded in the IQ Test Certif‐
                  icate.
             n    Determine the effective optical resolution using a magnifier (at least 6x magnifica‐
                  tion) on a light box and record the result.
             n    The minimum resolution RG for each film-screen combination must reach the mini‐
                  mum resolution recorded in the IQ Test Certificate.
             n    If the minimum resolution is not reached, check the screen for damage and for soiling
                  and the cassette for correct flattening of the screen.
             The data in the XCU can be updated with "Transfer Value" and control exposures can be
              made without having to exit the SSW.
              Correction curves 1...13 for the lower kV range (40...81 kV) and correction curves
              -1...-13 for the upper kV range (81...150 kV) are displayed in the following illustration
       
              and the corresponding value table. From this it is possible to read out what change in
              exposure points or in density results when there is a switch to a different correction
              curve.
              A change of 1 exposure point results in a change in density of approx. Δ S = 0.25.
Dosismesskammer
SDM-Messfeld
Austastkreis
             n    Change the tube current ... mA until the desired dose rate = 870nGy/s is displayed on
                  the dose measurement meter.
       
              m = 1.12 --> 974nGy/s measured in the cassette shaft
              m = 2.0 --> 1740nGy/s measured outside on the spotfilm device
              SIRESKOP SX 40
              m = 1.7 --> 1480nGy/s measured outside on the spotfilm device
              LUMINOS TF
              m = 1.8 --> 1566nGy/s measured outside on the spotfilm device
              SIREGRAPH T.O.P. 40
              m = 2.0 --> 1740nGy/s measured on the table
              Perform the dose rate tuning at 870nGy/s as accurately as possible,
              since all dose values and dose rate values are derived from it.
             n    Switch fluoroscopy OFF in the "Dose Rate Adjust" window and exit the window with
                  OK.
             n    Remove the measuring chamber.
During the adjustment, the room must be darkened; otherwise, the adjustment will be
                 falsified because of ambient light. Following each change of the R1, reinstall the cover.
                  Set the D100.S2 switch (amplification) to Position 1.
                 Leave the S2 switch on the D100 board in the the position in which the camera adapter
                  was adjusted (D100.R1).
                 n   Exit the window with OK. (OK button is active when the adjustment is within the tol‐
                     erance).
                 n   Install the cover on the light distributor.
vv
                                                                                         m ax. D ifferen z ± 8
                                                                                         absolu te D iffere nz ± 16
                                                                                         nur zw ische n de m
                                                                                         linken, m ittleren u nd
                                                                                         rech te n M essfe ld
A combination of two measuring fields (e.g. the middle and right ones) has approxi‐
       
              mately the same area as the "round" measuring field and thus similar correction values.
              The combination of all three measuring fields (middle, left, right) has the largest correc‐
              tion value.
   5.9.2     Adjusting the Dose Rate with the B Signal (VIDEOMED DI)
             n    See the Image Quality Test Procedure for general remarks about the dose measure‐
                  ments.
             n    Set the focus-I.I. distance:
                  -   OT units = 115 cm
                  -   UT units = max. distance
Halbleiterdektoren
ADR-Messfeld
Austastkreis
EH111509-310102-01-01
                 n   Change the Tube current ... mA until the desired dose rate:
                     -    261 nGy/s ±10% with a 23HDR I.I. (see Image Quality Test Certificate)
                     -    113 nGy/s ± 10% with a 33HDR I.I. (see Image Quality Test Certificate)
                     is displayed on the dose measurement meter.
                 n   Switch Fluoroscopy OFF in the "Dose rate Adjust" window and exit the window with
                     OK.
                 n   Remove the measuring chamber
                 n   Enter the B-signal value (see the Image Quality Test Certificate) in the “Dialog" win‐
                     dow.
                 n   Verify the B-signal with OK.
        X            Click on "Fluoroscopy" "ON" in the "CCD Brightness Adjust" window.
                 n
                 n   If the "Ref-Act display" (difference between anticipated and actual values) indicates 0
                     ± 1, exit the window with OK.
             n    If the required Ref-Act display is not reached, click on Fluoroscopy OFF in the "CCD
                  Brightness Adjust" window and adjust the iris diaphragm on the camera.
             Fig. 27: Camera lens
                  (1 =) Focusing
                  (2 =) Securing screw
                  (3 =) Diaphragm securingscrew
                  (4 =) Securing screw
   X              Adjust the collimator closure screw (Pos. 3) on the camera so that die "Ref-Act display
             n
                  (difference between anticipated and actual value) indicates 0 ± 1 in the "CCD Bright‐
                  ness Adjust" window with Fluoroscopy ON.
             n    Exit the window with OK.
             n    Turn in the securing screw (Pos. 4) until it is up against the iris collimator adjustment
                  wheel (noticeable tightness). Then turn the screw one quarter to one half turn fur‐
                  ther, check by observing the position of the slot on the screw head.
             n    If the "Ref-Act display" (difference between anticipated and actual values) indicates 0
                  ± 1, check it again in the "CCD Brightness Adjust" window.
Halbleiterdektoren
ADR-Messfeld
Austastkreis
EH111509-310102-01-01
                 n   Change the Tube current ... mA until the desired dose rate:
                     -    261 nGy/s ±10% with a 23HDR I.I. (see Image Quality Test Certificate)
                     -    113 nGy/s ± 10% with a 33HDR I.I. (see Image Quality Test Certificate)
                     is displayed on the dose measurement meter.
                 n   Switch fluoroscopy OFF in the "Dose rate Adjust" Fluoroscopy and exit the window
                     with OK.
                 n   Remove the measuring chamber
                 n   Enter 155mV for the B-signal in the “Dialog" window.
                 n   Verify the B-signal with OK.
        X        n
                     Click on "Fluoroscopy" ON in the "CCD Brightness Adjust" window.
                 n   If the "Ref-Act display" (difference between anticipated and actual values) indicates 0
                     ± 1, exit the window with OK.
                 n   If the required Ref-Act display value is not reached, click on Fluoroscopy OFF in the
                     "CCD Brightness Adjust" window.
                 n   Loosen the securing screw (Pos.2 in the following illustration) on the iris diaphragm.
    X           n
                     Adjust the iris adjuster (Pos. 3) on the camera so that the "Ref-Act display" (difference
                     between anticipated and actual value) indicates ” 0 ± 1 in the "CCD Brightness Adjust"
                     window with Fluoroscopy ON.
Fig. 29:
2 3
5.10.1 Adjusting the min./max. Iris Opening (not for VIDEOMED DH and FL-C)
                 - "Adjustment/TV Iris"
                  If this adjustment is selected again, the values applicable up to this time are reset (Refer‐
                  ence B to "0" and the actual adjustment with and without gray filter / mirror to 10.25
                  EP). The applicable values must be noted in the following table.
                                                                                Gray Filter/Mirror
                          Date             Ref.A (max)      Ref.B (min)                                   Current
                                                                                without       with
                 n   Using Reference A (max.), change the iris opening until V29 on the D190 goes off.
                 n   Using Reference B (min.), change the iris opening until V28 on the D190 goes off.
                 n   Exit the window with OK.
                  If the iris is controlled in the minimum/maximum range, the PTC is strongly heated in the
                 iris motor circuit (FL-C) within 3 to 4 seconds. It is necessary to wait five minutes until it
                  has cooled.
                 n   Using Reference A (max.), change the iris opening until V29 on the D190 lights up,
                     then change it immediately until V29 goes off.
                 n   Using Reference B (min.), change the iris opening until V28 on the D190 lights up,
                     then change it immediately until V28 goes off.
 5.10.3.1    Performing the Adjustment per the "TV Iris Diaphragm" Screen
             n    Step 1 with 2.1 mm Cu and
             n    Perform Step 2 and 3 with 1.2 mm Cu.
                 In Steps 2 and 3, the same B signal values must be set; recommended is to set the corre‐
                  sponding value in Step 1 (see table).
     Television CCU                                        Bias light or dark cur‐   B-Signal without bias light
                                        Picture tube
                                                                rent portion           or dark current portion
     VIDEOMED H1X                                          without DFR: 20 ± 5
                                           Saticon                 mV                110 mV; + 10 / - 20 mV *
                                                           with DFR: 40 ± 5 mV
     VIDEOMED HD                        DG Saticon              30 ± 5 mV             130 mV; + 10 / - 20 mV
     VIDEOMED H1                           Saticon              20 ± 5 mV             110 mV; + 10 / - 20 mV
     VIDEOMED H1, N1                       Hivicon               ≤ 100 mV                180 mV; ± 15 mV
     VIDEOMED N1                        DG Saticon              20 ± 5 mV             110 mV; + 10 / - 20 mV
     VIDEOMED K, Sir.Comp.                 Hivicon                  n.a.                    27 ... 38 mV
     VIDEOMED DI, DIM, DIK***              CCD Chip                 n.a.                 155 mV; ± 20mV
                                                                                              Urology:
                                                                                         300 mV; ± 40 mV
     VIDEOMED SX, H1X Emulation            Saticon              60 ± 10 mV            80 mV; + 10 / - 20 mV *
     VIDEOMED SX HD Emulation              Saticon              70 ± 15 mV           180 mV; + 15 / - 20 mV **
     VIDEOMED SX,***
                                           Saticon              60 ± 10 mV              80 mV; + 20 /-10 mV
     FLUOROSPOT T.O.P.
     VIDEOMED H, N                      Plumbicon                   n.a.                 165 mV; ±15 mV
     VIDEOMED S                            Saticon              60 ± 10 mV              80 mV; + 20 /-10 mV
     VIDEOMED DH / DHC***                  CCD Chip                 n.a.               110 ± 10% gray steps
                 ** = + 25 mV / - 20 mV
                  *** = For systems tested as a system, the reference values in the Image Quality Test Cer‐
                  tificate RXD0-000.037... must be set.
                 During the adjustment, switch the FLUOROSPOT H or FLUOROSPOT TOP to the bypass
                  mode (FLUOROSPOT TOP to the Dual Mode at the operating keyboard).
              With DR exposures, the anticipated iris setting is inquired. Beginning at a defined open‐
             ing (> 60 mm, with the SDM > 50 mm), the gray filter (mirror) moves out automatically
              and the iris opening becomes smaller.
 With Artis U, use only with SSW versions VF00H and higher!
       5.11.1    Preconditions:
                 n   Configuration in the Fluorospot Compact
                 n   System configuration in the XCS SSW
                 n   X-ray tube unit, image intensifier and TV camera adjusted and centered
   X              Switch fluoroscopy on; after approximately five seconds, the B signal reported by the
             n
                  FL C must correspond to the reference value data of the IQAP document (113nGy/s).
                  Here, the iris correction must be = 0 EP.
             If the B signal reported back from the FL-C does not match the reference values in the
              IQAP, perform the following basic adjustment for the dose and TV iris.
                  the measurement chamber centered to the I.I., but outside of the AGC dominant.
             Fig. 31: Dose measuring chamber
Dosismesskammer
SDM-Messfeld
Austastkreis
                 n   Change the Iris value until the dose read on the dose measurement meter corre‐
                     sponds to the reference value data in the IQAP document.
                 n   End Step 1 by clicking on Successful.
             n    Change the Current (mA) value until a value between 70 and 80 is displayed under
                  the B signal (actual value sent by FL C).
                 n   Change the Iris value until the B signal set under Step 2 (actual value sent by FL C) is
                     displayed.
             n    The SSW will interrupt fluoroscopy after eight seconds with Fluoroscopy OFF and will
                  automatically select the next zoom step.
             Fig. 38: XCS Components - Polydoros Adjustment - Zoom Iris Correction 3
   X              Click on Fluoroscopy ON in the Zoom Iris Correction window and adjust the Corr. val‐
             n
                  ue (1/4 EP) in such a way that the value in the IQAP documentation results (see Nomi‐
                  nal Value under Dose Rate).
             n    Adjust all other zoom steps the same way as described for Zoom 1.
             n    After completing the "Zoom Iris Correction" adjustment, exit the window with OK.
        X            Place the dose measurement chamber in front of the I.I. Under fluoroscopy, position
                 n
                     the measurement chamber centered to the I.I., but outside of the AGC dominant.
                 Fig. 39: Dose measuring chamber
Dosismesskammer
SDM-Messfeld
Austastkreis
 5.11.5.1    The following adjustments must be performed for the following options, if config‐
             ured:
             n    Continuous Fluoro
                  -   Select Organ Program 1 (Continuous) in the Fluorospot Compact service menu.
                  -   Select Continuous in the Mode box in the "Adjustment: TV Parameters" window
                      ( Fig. 40 Page 68).
   X              -   Trigger fluoroscopy and after approximately five seconds, read the dose on the dose
                      measurement meter and compare the value to determine whether it corresponds to
                      the reference value data in the IQAP document.
              The iris correction must not be changed for continuous mode. If the dose does not corre‐
             spond to the reference value data in the IQAP document, then repeat the basic adjust‐
              ment of the dose according to the instructions in "Basic Adjustment of Dose and TV Iris"!
             n    Pulsed Fluoro
                  -   Select Organ Program 2 (Pulsed 15 f/s) in the Fluorospot Compact service menu.
                  -   Select Pulsed in the Mode box in the "Adjustment: TV Parameters" window
                      ( Fig. 40 Page 68).
   X              -   Trigger fluoroscopy and after approximately five seconds, read the dose on the dose
                      measurement meter and compare the value to determine whether it corresponds to
                      the reference value data in the IQAP document.
                  -   If the displayed dose does not match the reference value in the IQAP, change the
                      value for the Iris correction (1/4EP) in the window.
                      -   Press the Put to Unit button.
                      -   After approximately two seconds, repeat the measurement.
             n    Roadmap Continuous
                  -   Select Organ Program 6 (RM Cont.) in the Fluorospot Compact service menu.
                  -   Select Roadmap continuous in the Mode box in the "Adjustment: TV Parameters"
                      window ( Fig. 40 Page 68).
   X              -   Trigger fluoroscopy and after approximately five seconds, read the dose on the dose
                      measurement meter and compare the value to determine whether it corresponds to
                      the reference value data in the IQAP document.
                  -   If the displayed dose does not match the reference value in the IQAP, change the
                      value for the Iris correction (1/4EP) in the window.
                      -   Press the Put to Unit button.
                      -   After approximately two seconds, repeat the measurement; to do so, deselect
                          Roadmap continuous in the Mode box in the "Adjustment: TV Parameters" win‐
                          dow and select it again.
             n    Roadmap Pulsed
                  -   Select Organ Program 7 (RM Pulsed 15f/s) in the Fluorospot Compact service
                      menu.
                  -   Select Roadmap pulsed in the Mode box in the "Adjustment: TV Parameters" win‐
                      dow ( Fig. 40 Page 68).
        X            -    Trigger fluoroscopy and after approximately five seconds, read the dose on the dose
                          measurement meter and compare the value to determine whether it corresponds to
                          the reference value data in the IQAP document.
                     -    If the displayed dose does not match the reference value in the IQAP, change the
                          value for the Iris correction (1/4EP) in the window.
                          -   Press the Put to Unit button.
                          -   After approximately two seconds, repeat the measurement; to do so, deselect
                              Roadmap pulsed in the Mode box in the "Adjustment: TV Parameters" window
                              and select it again.
                 n   DR Acquisition, 1f/s
                     -    Select Organ Program 2 (DR 1f/s) in the Fluorospot Compact service menu and ver‐
                          ify with "Store Default Values" and "Store OGP".
                     -    Select DR in the Exposure box in the "Adjustment: TV Parameters" window
                          ( Fig. 40 Page 68).
        X            -    Trigger fluoroscopy for approximately four seconds.
                     -    Trigger exposure; while doing this, read the dose on the dose measurement meter
                          and compare the value to determine whether it corresponds to the reference value
                          data in the IQAP document.
                     -    If the displayed dose does not match the reference value in the IQAP, change the
                          value for the Iris correction (1/4EP) in the window.
                          -   Press the Put to Unit button.
                          -   After approximately two seconds, repeat the measurement.
                 n   DR Acquisition, 6f/s
                     -    Select Organ Program 1 (DR 6f/s) in the Fluorospot Compact service menu and ver‐
                          ify with "Store Default Values" and "Store OGP".
                     -    Select DR in the Exposure box in the "Adjustment: TV Parameters" window
                          ( Fig. 40 Page 68).
        X            -    Trigger fluoroscopy for approximately four seconds.
                     -    Trigger exposure; while doing this, read the dose on the dose measurement meter
                          and compare the value to determine whether it corresponds to the reference value
                          data in the IQAP document.
                     -    If the displayed dose does not match the reference value in the IQAP, change the
                          value for the Iris correction (1/4EP) in the window.
                          -   Press the Put to Unit button.
                          -   After approximately two seconds, repeat the measurement.
                 n   DSA Acquisition, 1f/s
                     -    Select Organ Program 11 in the Fluorospot Compact service menu and verify with
                          "Store Default Values".
        X            -    Trigger fluoroscopy for approximately four seconds.
                     -    Trigger exposure; while doing this, read the dose on the dose measurement meter
                          and compare the value to determine whether it corresponds to the reference value
                          data in the IQAP document.
                  -   If the displayed dose does not match the reference value in the IQAP, change the
                      value for the Iris correction (1/4EP) in the window.
                      -   Press the Put to Unit button.
                      -   After approximately two seconds, repeat the measurement.
             n    DSA Acquisition, 4f/s
                  -   Select Organ Program 12 in the Fluorospot Compact service menu and verify with
                      "Store Default Values".
   X              -   Trigger fluoroscopy for approximately four seconds.
                  -   Trigger exposure; while doing this, read the dose on the dose measurement meter
                      and compare the value to determine whether it corresponds to the reference value
                      data in the IQAP document.
                  -   If the displayed dose does not match the reference value in the IQAP, change the
                      value for the Iris correction (1/4EP) in the window.
                      -   Press the Put to Unit button.
                      -   After approximately two seconds, repeat the measurement.
             n    Card Acquisition, 15f/s
                  -   Select Organ Program 13 in the Fluorospot Compact service menu and verify with
                      "Store Default Values".
   X              -   Trigger fluoroscopy for approximately four seconds.
                  -   Trigger exposure; while doing this, read the dose on the dose measurement meter
                      and compare the value to determine whether it corresponds to the reference value
                      data in the IQAP document.
                  -   If the displayed dose does not match the reference value in the IQAP, change the
                      value for the Iris correction (1/4EP) in the window.
                      -   Press the Put to Unit button.
                      -   After approximately two seconds, repeat the measurement.
             n    Card Acquisition, 30f/s
                  -   Select Organ Program 13 in the Fluorospot Compact service menu and verify with
                      "Store Default Values".
                  -   Select Card in the Exposure box in the "Adjustment: TV Parameters" window
                      ( Fig. 40 Page 68).
   X              -   Trigger fluoroscopy for approximately four seconds.
                  -   Trigger exposure; while doing this, read the dose on the dose measurement meter
                      and compare the value to determine whether it corresponds to the reference value
                      data in the IQAP document.
                  -   If the displayed dose does not match the reference value in the IQAP, change the
                      value for the Iris correction (1/4EP) in the window.
                      -   Press the Put to Unit button.
                      -   After approximately two seconds, repeat the measurement.
             n    Use Close to close the "Adjustment: TV-Parameters" window and exit the SSW.
                 n   The new correction factor is calculated by pressing the "Start button" and fluoroscopy
                     is switched off again.
                           70 kV must be set as the exposure voltage; admissible tolerance: 68....71.5 kV
                 n   Save the correction factor with OK and exit the adjustment window.
             The adjustment should be performed only in countries in which a limitation of the skin
              dose rate is mandatory.
             Country-specific, the maximum admissible values should be set as defined by the regula‐
             tions.
             In the area covered by DHHS, for
             If no such regulations exist, perform the window with SS" OFF. For 110 kV and 70 kV, set
             18 mA for each.
 For the Artis U, permanently set 70kV = 6.4 mA and for 100kV = 4.1 mA!
                 n   After completing the POLYDOROS adjustment, exit the adjustment program in: "SYS‐
                     TEM QUIT". Select System/Quit in the main program -> "System Logoff" window, exit
                     with "Put to Unit", DISCONNECTED is displayed at the bottom in the status line.
                 n   Establish the test setup that was made for "Adjusting the max. Skin Dose Rate".
                 n   Change the focus-I.I. distance and check the dose rate.
                 n   The dose rate of 9 R/min. may not be exceeded at any of the distances.
                 n   Set the minimum focus-I.I. distance.
        X        n
                     Select all automatic steps (with the first and second pressure points, if configured).
                 n   The value that result for
                     -    the dose rate that is obtained and
                     -    the stabilized kV and mA values must be recorded.
                 n   Reinstall the fuses in the I.I. power supply.
6.1 TV Parameters
 To adjust the TV iris in the Fluorospot TOP, depending on the exposure and fluoro mode,
                  The logged errors from the POLYDOROS components can be displayed here. Unlike the
                 menu item in the XCS main shell, error messages from other components are left out
                  here.
              All POLYDOROS adjustment parameters can be displayed and printed out under “Display
              All Parameters”.
                  The generator must be switched on for at least 5 minutes prior to performing the
                  checks.
                  If a digital oscilloscope is used, do not measure in the "Glitch Detect mode" (mean value
                 calculation, smoothing) because if this is done, the measuring results will be falsified.
                  The drift measurement is relative to the integrator output of the U/F converter, i.e., if the
                  SWR is ON and the threshold voltage of 0 V is reached, the output voltage will be set to
                  1,5 ± 0,3 V.
             n    Perform the further work steps per the SW window “Measure steps".
             Fig. 41: XCS Components, Polydoros Diagnostics, Iontomat Drift
   P         n
                  Enter the measurement values in the Test Certificate (Quality Certificate or Test Certif‐
                  icate 1).
Fig. 42: Oscillogram 1 example: Drift measurement Fig. 43: Oscillogram 2 example: Drift measurement
EH111509-100402-00-01 EH111509-100402-00-02
7.3.1.3 Causes and Corrective Measures for Drift and Hum Voltage Values that are too High
                  Undefined switch times and malfunctions in IONTOMAT operation can be caused by di‐
                  rectly laying the IONTOMAT cables along with the power line and high voltage cables in
Fig. 47:
Fig. 50: XCS Components, Polydoros Diagnostics, Check of Skin Dose Rate
                 n   Select the Check Skin Dose Rate in XCS SSW / Components / Polydoros / Diagnostic /.
                 n   Requirements:
                     -    Fluoroscopy system is selected.
                     -    Image intensifier covered with lead or I.I. power supply switched off.
                     -    S3 service switch = ON
                     -    Dose rate measurement meter present, dose measurement chamber in beam path
                 n   The 1st fluoro curve is automatically selected when “Check Skin dose rate is selected
        X        n
                     Fluoroscopy is switched on when “Fluoroscopy ON” is selected.
                 n   The dose rate limit values are displayed in the Program window.
                 n   Compare them with the displayed value on the dose measurement meter; exceeding
                     the value is not permitted.
                 n   Fluoroscopy is switched off when “Fluoroscopy OFF” selected.
                 n   Check all other fluoro curves by selecting “Next Fluoro Curve”.
                 - If there is a replacement of the D220, a download is not necessary because it has al‐
                  ready been performed at the factory.
                  If problems occur during download of heating:
                  - Check the 5V voltage, D220.X18.A1
             If a FLUKE 8060A is available, the frequency can be measured directly with it. Perform
              the measurement as described below; for this, set 200 mV AC and Hz on the FLUKE.
                   CAUTION
                  Voltage approx. 1500 V!
                   Do not yet connect the oscilloscope!
            
                  Prior to switching on the generator again, disconnect the oscilloscope!
                  With the OPTI 154, measurement of the anode rpm is not possible.
                      CAUTION
                     Radiation!
                      Here, sufficient radiation protection must be ensured and a configured image
                          intensifier must be protected from radiation (e.g. place lead aprons in the
                          beam path).
                 1. If the tube tends to repeatedly and strongly arc, abort the procedure (risk to sensitive parts of the system
                    electronics).
 Make a backup.
             n    Select Main Program/System/Quit → and exit "System Logoff” with ”Put to Unit”.
             n    Switch the generator OFF.
                                       CURIX MR 50                      blue              50
                                       CURIX MR 200                     blue              200
                                       CURIX MR 400                     blue              400
                                       CURIX MR 600                     blue              600
                                       CURIX MR 800                     blue              700
                                     BF-III                         blue     70
                                     BM-III                         blue     100
                                     BH-III                         blue     200
                                     BX-III                         blue     250
                                     Special                        blue     400
                                    Titan 2 UD                      blue          50
                                    Titan 2 D                       blue          80
                                    Titan 2 U                       blue          200
                                    Titan 2 HS                      blue          400
                                    Titan 2 UD                      green         30
                                    Titan 2 D                       green         50
                                    Titan 2 U                       green         125
                                    Titan 2 UD                      green         30
              3M                 Type R 2                        blue          1
                                 Trimax XUD                      green         1
                                 Trimax XDA                      green         1
 13.1.2.1    Requirements
             n    The television system and DFR system must be in operation and the TV camera must
                  be centered.
             n    Select I.I. full format at the unit.
             n    SS OFF.
             n    Highlight the brightness/contrast adjuster on the monitor and disengage the latching
                  mechanism.
             n    Switch on Fluoro with the footswitch and leave it switched on for the following steps.
             n    Remove the cap on the light distributor.
             n    D100, set the S1 to "Service" in the camera adapter/light distributor (PDA is illumina‐
                  ted).
             n    Switch fluoro OFF.
             n    D100, set the S1 to "Normal".
             n    Change the brightness and contrast on the monitor until the PDA is visible; if needed,
                  save the LIH image and change windowing and edge enhancement on the DFR sys‐
                  tem.
             n    Measure the size of the PDA as shown in ( Fig. 54 Page 108) and compare the value
                  to table 1.
Table 1
             
                     For other monitor sizes, convert the reference values:
                     Relationship factor M = 24.5 cm: Monitor height (in cm)
n The fluoro kV and the fluoro mA must increase on the generator control console.
In systems with a digital collimator, perform the check with 2.1 mm Cu on the tabletop.
             n    The size of the appearance is adjustment using the Fluorospot System Configuration
                  in Mask 6, "Measurement field scale factor".
             n    The position of the field that appears cannot be changed.
             Fig. 56: Measuring Fields on the Monitor
                       Chapter                                        Changes
              Polydoros SX Adjustment /     Equipment attenuation factor "m" added for Luminos TF.
              Dose Rate / Adjusting the     Charm: AX_00198806
              Dose Rate with the PDA /
              SDM
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