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AGFA DR 800 User Manual

AGFA DR 800
322 pages
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DR 800
6010/200
User Manual
0392C EN 20210309 1049

Table of Contents

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AGFA DR 800 Specifications

General IconGeneral
TypeDigital Radiography System
Image Size3072 x 3072 pixels
Vertical MovementYes
Dynamic Range16-bit
Spatial Resolution3.6 lp/mm
Detector Size43 cm x 43 cm
Pixel Size139 μm
ApplicationsRadiography, Fluoroscopy
X-ray TubeRotating Anode
TableHeight Adjustable
Image Acquisition Time< 3 seconds
Power Requirements400 VAC, 50/60 Hz
DimensionsVaries depending on configuration
CompatibilityDICOM 3.0

Summary

Legal Notice

Introduction to this Manual

Scope of this Manual

Details the scope and content covered in this user manual for the DR 800 system.

About the safety notices in this document

Explains the meaning and use of various safety notice symbols (DANGER, WARNING, CAUTION, etc.).

Disclaimer

States Agfa's liability limitations regarding document accuracy and product changes.

Introduction

Intended Use

Defines the DR 800 system's purpose for general radiography and dynamic imaging applications.

Indications for Use

Lists the specific anatomical areas and procedures for which the DR 800 system is indicated.

Intended User

Specifies that the manual is for trained users and outlines user responsibilities for safe operation.

DR 800 System Overview

Provides a comprehensive overview of the DR 800 system components and configuration options.

Messages

Explains how system messages are displayed and what information they provide to the user.

Labels

Details the meaning of various symbols and labels found on the equipment.

Installation

Outlines requirements and considerations for the installation and configuration of the system.

Radiation Protection

Details essential safety measures and precautions related to X-ray radiation.

Maintenance

Describes the importance of regular maintenance for system safety and reliability.

DR 800 System Overview

Radiographic Table

Describes the function, features, and variants of the radiographic table.

Position Controls

Details the operation and function of the position controls on the console and table.

Worklist window

Explains how to view and manage scheduled and performed patient examinations.

Software Console

Describes the software console's role in X-ray exposure and position parameter control.

Exposure Controls

Details the function of the exposure button and fluoroscopy/radiography pedals.

Examination window

Explains how to view and manage details of a specific patient examination.

Acquisition window

Describes how to manage image acquisition for radiography and fluoroscopy examinations.

Editing window

Explains the process of preparing images for printing.

Main Menu window

Describes how to manage aspects of the NX Workflow outside the daily routine.

Monitor for reference images

Explains the use of an optional monitor for displaying reference images during examinations.

DR detector switch

Details the DR detector switch functionality and status indication.

Collimator

Describes the collimator controls, camera, and rotation features.

Portable DR Detector

Provides information on detector orientation aids and contact with patients.

Compressor

Explains the remote-controlled compressor's function and parking position.

FLFS overlay

Describes the FLFS overlay components and its function in image stitching.

Emergency stop button

Details the function and operation of the emergency stop buttons.

Emergency shutdown power switch

Explains the use of the emergency shutdown power switch for critical situations.

Cabinets and power switch

Identifies the electronic cabinets and the main system power switch.

Radiographic wall stand

Describes the radiographic wall stand, its variants, and bucky details.

Ceiling Suspension

Details the components and positioning controls of the ceiling suspension system.

Messages

Explains how system messages are displayed and what information they provide to the user.

Labels

Details the meaning of various symbols and labels found on the equipment.

Additional labeling of the radiographic table

Provides information on type labels and warning symbols on the radiographic table.

Additional labeling of the positioning console

Details the type and warning labels found on the positioning console.

Additional labeling of the wireless console

Describes the warning labels present on the wireless console.

Additional labeling of the DR 800 sync cabinet

Identifies the location of the type label on the DR 800 sync cabinet.

Additional labeling of the positioner cabinet

Indicates the location of the type label on the positioner cabinet.

Additional labeling of the radiographic wall stand

Specifies the location of type and maintenance labels on the wall stand.

Additional labeling of the collimator

Details the type label and laser information for the collimator.

Additional labeling of the X-ray tube ceiling suspension

Describes the location of type and warning labels for the ceiling suspension.

Additional labeling of the Full Leg Full Spine overlay

Explains the labels and meaning for the FLFS overlay.

Additional labeling of components with earthquake resistance

Indicates labels that confirm earthquake resistance testing for components.

Installation

Outlines requirements and considerations for the installation and configuration of the system.

Radiation Protection

Details essential safety measures and precautions related to X-ray radiation.

Maintenance

Describes the importance of regular maintenance for system safety and reliability.

Radiographic Table

Position Controls

Worklist window

Software Console

Exposure Controls

Examination window

Acquisition window

Editing window

Main Menu window

Monitor for reference images

DR detector switch

Collimator

Collimator camera

Describes the built-in camera for visualizing anatomical regions remotely.

Collimator rotation

Explains the functionality of rotating the collimator around the X-ray beam axis.

Portable DR Detector

Compressor

FLFS overlay

Emergency stop button

Emergency shutdown power switch

Cabinets and power switch

Radiographic wall stand

Ceiling Suspension

Positioning the X-ray tube of the ceiling suspension

Details how to position the X-ray tube using the control panel.

Collimator of the ceiling suspension

Describes the controls and features of the collimator for the ceiling suspension.

Messages

Labels

Additional labeling of the radiographic table

Provides information on type labels and warning symbols on the radiographic table.

Additional labeling of the positioning console

Details the type and warning labels found on the positioning console.

Additional labeling of the wireless console

Describes the warning labels present on the wireless console.

Additional labeling of the DR 800 sync cabinet

Identifies the location of the type label on the DR 800 sync cabinet.

Additional labeling of the positioner cabinet

Indicates the location of the type label on the positioner cabinet.

Additional labeling of the radiographic wall stand

Specifies the location of type and maintenance labels on the wall stand.

Additional labeling of the collimator

Details the type label and laser information for the collimator.

Additional labeling of the X-ray tube ceiling suspension

Describes the location of type and warning labels for the ceiling suspension.

Additional labeling of the Full Leg Full Spine overlay

Explains the labels and meaning for the FLFS overlay.

Additional labeling of components with earthquake resistance

Indicates labels that confirm earthquake resistance testing for components.

Installation

Mains supply

Details electrical connection requirements and national regulations.

Radiation protection

States the system's intended use in X-ray rooms with appropriate shielding.

Radiation Protection

Fluoroscopy

Explains fluoroscopy technique and potential risks of exposure.

Monitoring of Personnel

Describes the process of monitoring personnel exposure to X-ray radiation.

Protected area and significant zones of occupancy

Defines protected areas and zones for controlling patient and operator exposure.

Maintenance

Maintenance of the ceiling suspension and the radiographic wall stand

Details periodic maintenance tasks for suspension and wall stand components.

Offset calibration

Explains how to perform offset calibration for the DR detector.

Checking the automatic collimation

Provides steps to check the automatic collimation functionality.

Cleaning and Disinfecting

Cleaning

Provides instructions for safely cleaning the exterior of the equipment.

Use of protective covers and sheaths

Recommends using covers to protect the system from patient contact.

Disinfecting

Outlines procedures and approved methods for disinfecting the device.

Disinfecting safety directions

Provides crucial safety guidelines for disinfection procedures.

Approved disinfectants

Directs users to the Agfa website for compatible disinfectant specifications.

FLFS Overlay

Details cleaning and disinfection procedures for the FLFS overlay.

Safety Directions

Dangerous areas

Identifies dangerous areas around the system during movement to prevent collisions.

Patient visibility

Ensures operators maintain visual contact with the patient and machine.

Wireless console

Provides safety warnings and guidelines for using the wireless console.

Getting on and off the table

Details safe procedures for patients when getting on or off the examination table.

Preventing damage to the equipment

Provides guidelines to avoid damaging the system's components and surfaces.

Attention to overhead loads

Warns about hazards related to overhead devices and ceiling suspension.

Full Leg Full Spine

Safety warnings related to the use and handling of the FLFS overlay.

Digital tomosynthesis

Warns about potential effects of metal structures on tomosynthesis image quality.

Ceiling suspension and radiographic wall stand

Safety warnings for operating the ceiling suspension and wall stand.

Basic Workflow

Starting the System

Step-by-step guide for powering on and starting the DR 800 system.

Warming-up of X-ray tube

Procedure for warming up the X-ray tube to extend its lifetime.

Automated workflow for warming-up of X-ray tube

Describes the automated workflow for warming up the X-ray tube via software console.

DR workflow with fluoroscopy for positioning

Explains how to use fluoroscopy for patient positioning before planned exposures.

DR workflow for dynamic images

Details the workflow for acquiring a set of fluo, rapid, and static images for diagnosis.

DR workflow for digital tomosynthesis

Describes the workflow for acquiring acquisition and reconstruction sequences for tomosynthesis.

DR workflow for digital subtraction angiography (DSA)

Explains the workflow for acquiring DSA sequences and related imaging types.

DR workflow for DSA roadmapping

Details the workflow for performing roadmapping examinations as part of DSA.

Stopping the System

Provides the correct procedure for shutting down the NX workstation and the system.

Application Examples

Positioning the patient on the examination table

Demonstrates patient positioning techniques for various patient conditions.

Fine-tuning the table position and centering of the examination area

Explains how to adjust focal distance, tilting angle, and tube incidence.

Gastrointestinal examinations: oesophagus and stomach

Describes procedures for examining the esophagus and stomach.

Gastrointestinal examinations: small intestine and colon

Details how to perform projections for the duodenal and small intestine.

Skeleton

Explains how to perform skeletal examinations of skull, spine, and limbs.

Cervical spine

Details radiography techniques for the cervical spine, including for tall patients.

Abdominal and lumbar region

Describes examinations of the abdominal and lumbar regions, including oblique projections.

Upper limbs and lower limbs (also with load)

Explains examinations for upper and lower limbs, including for patients with restricted movement.

Thorax and lungs

Provides information on executing thorax radiography with specific focus-detector distances.

Urography and pyelography

Discusses patient positioning and accessory use for urography and pyelography.

Hysterosalpingography

Details procedures for examining the uterine cavity and fallopian tubes.

Guidelines for Pediatric Applications

Provides guidelines for reducing dose and maintaining image quality in pediatric applications.

Typical examination settings

Lists typical kV, AEC, mAs, and FPS settings for various examinations.

Full Leg Full Spine

Retrieve the patient info

Outlines the steps for defining patient information for an exam.

Select the exposure

Details how to select the correct thumbnail for FLFS examination.

Prepare the Full Leg Full Spine configuration

Describes how to position the X-ray system and mount the FLFS overlay.

Prepare the examination

Explains how to position the patient and specify the region of interest for the exam.

Check the exposure settings

Guides on verifying and editing exposure settings for partial images.

Execute the exposure

Details the procedure for executing the examination exposures.

Perform a quality control

Explains how to perform quality control and adjust stitching parameters.

Finalize the examination

Outlines steps for letting the patient step down and removing the FLFS overlay.

Storing the FLFS overlay

Provides instructions on how to safely store the FLFS overlay.

Manually adjusting a DR Full Leg Full Spine image

Covers manual adjustments like rotating, stitching, and aligning partial images.

Rejecting a DR Full Leg Full Spine image

Explains how to reject images not suitable for diagnosis.

Making measurements

Details how to perform calibrated distance measurements on images in NX.

Software Console

Examination overview

Displays key parameters and navigation to detailed controls.

X-ray modality status frame

Details the status indicators for ready for exposure, modality position, and detector.

Ready For Exposure Status

Explains the meaning of color codes (Green, Red, Blue) for exposure readiness.

Modality Position

Describes how modality position is selected and modified.

DR detector switch

Details the DR detector switch for activating and showing detector status.

DR Detector Status

Explains battery, connection, and status icons for DR detectors.

Performing offset calibration

Guides on manually triggering offset calibration to prevent image artifacts.

Unknown status

Explains the meaning of the unknown status icon and how to resolve it.

Filter Status

Details automatic and manual filter settings and their status.

Grid Status

Explains status indications for removable and automatic grids.

Heat Units

Describes the display of X-ray tube thermal capacity and limitations.

Radiation status

Details radiation status icons and their meanings during system operation.

DAP Value

Explains the DAP value as a measure of radiation dose from the last exposure.

Fluo timer

Displays total fluoroscopy time and provides alarm and duration settings.

Resetting the fluo timer

Explains how to reset the fluo timer to continue fluoroscopy.

Generator controls for static image, rapid sequence or DSA

Details controls for imaging modes, patient age group, and radiographic parameters.

Generator controls for fluoroscopy or roadmapping

Describes controls for fluoroscopy, patient age, sensor area, and ABS.

X-ray modality controls

Details controls for selecting modality position, DR detector, filter, and grid.

Positioning controls

Explains automatic position, actual/target parameters, and collimation controls.

Controls for digital tomosynthesis

Details parameters for acquisition, positioning, and reconstruction in tomosynthesis.

System messages

Explains message colors indicating importance and feedback requirements.

Generator controls for static image, rapid sequence or DSA

Radiography imaging modes

Explains how imaging mode selection affects exposure button function.

Patient age group

Describes configuration of pediatric age group for lower dose values.

One point, two point and three point working modes

Details radiographic working modes based on parameter control and automation.

Sensor area

Explains selecting active area size for image resolution or frame rate.

Radiographic Parameters

Details parameters like kV, mAs, mA, ms, Max ms, and Max mAs.

Focal Spot Indicator

Shows how to change focal spot and its effect on kV and mAs.

Automatic Exposure Control (AEC)

Explains AEC's function in producing consistent detector dose.

AEC field selection

Details how to select or deselect AEC fields based on physical location.

Dose

Allows adjustment of AEC cut-off dose (low, middle, high).

Density

Explains how to adjust AEC cut-off dose and patient entrance dose.

Patient Size

Classifies patient size and its effect on kV and mAs variation.

AEC dose failure

Describes the safety device that terminates exposure when radiation is not detected.

Generator controls for fluoroscopy or roadmapping

Fluoroscopy imaging modes

Explains how imaging mode determines fluoroscopy pedal function.

Patient age group

Describes configuration of pediatric age group for lower dose values.

Sensor area

Explains selecting active area size for image resolution or frame rate.

Radiographic Parameters for fluoroscopy

Details radiographic parameters like kV and mA for fluoroscopy.

Automatic Brightness System (ABS)

Explains ABS function in adjusting exposure parameters for optimal image quality.

Collimator camera

Describes the built-in camera for visualizing anatomical regions remotely.

X-ray modality controls

Positioning controls

Automatic position

Explains selecting target automatic positions and previewing system positions.

Actual and target position parameters

Corresponds target position parameters to the selected automatic position.

Collimation controls

Details single, double, and manual collimation features.

Wireless console status

Provides information on the battery status and charging indicators of the wireless console.

Controls for digital tomosynthesis

Radiographic Parameters for digital tomosynthesis

Details parameters like kV, mAs, and FPS for tomosynthesis acquisition.

Position parameters for digital tomosynthesis

Explains SID and X-ray tube sweep angle parameters for tomosynthesis.

Reconstruction parameters

Details parameters for start height, end height, slice thickness, and sharpness.

System messages

Options and accessories

Mounting the patient footrest

Provides instructions for mounting the patient footrest on the tabletop.

Mounting the hand grips

Details how to mount hand grips for patient safety and stability.

Mounting the shoulder rests

Explains how to mount shoulder rests for patient safety during examinations.

Mounting the compression belt

Describes how to mount the compression belt for abdominal examinations.

Mounting the lower limbs support, ankle support or head contention device

Instructions for mounting lower limbs, ankle, and head contention devices.

Mounting the lateral arm rest on the radiographic table

Details mounting and positioning the lateral arm rest on the table.

Mounting the lateral arm rest on the radiographic wall stand

Explains how to mount and position the lateral arm rest on the wall stand.

Mounting the lateral cassette/detector holder

Provides instructions for mounting the cassette/detector holder on the table.

Mounting the joystick console on the radiographic table

Details how to assemble and connect the control joystick console.

Attaching the cushion to the tabletop

Explains how to attach the cushion for extra patient comfort.

Mounting the paediatric cradle

Describes mounting the paediatric cradle using hand grips and contention structure.

Exposure control pedals

Details single/double pedals, wireless pedal status, and battery requirements.

Problem solving

Compressor cannot be released

Troubleshooting steps for when the compressor cannot be released.

DR Detector must be Recalibrated

Explains the message indicating DR detector recalibration is needed.

DR 800 sync cabinet is down

Troubleshooting steps for when the DR 800 sync cabinet is not functioning.

Anatomical stitching is not optimal

Addresses issues where anatomical information alignment in stitching is suboptimal.

Stitching fails

Troubleshooting steps when partial images cannot be stitched due to missing grid markers.

Only part of the full leg full spine image is displayed

Explains how to adjust cropping or re-collimate manually when information is invisible.

Full Leg Full Spine examination is interrupted

Describes how to continue or recover from an interrupted FLFS examination.

Wireless console with position controls cannot restore connection

Troubleshooting steps for restoring wireless console connection.

Problems with the ceiling suspension

Troubleshooting for issues with lateral SID indications on the ceiling suspension.

Error messages on the ceiling suspension

Lists common error messages for the ceiling suspension and their solutions.

Product Information

Compatibility

Specifies requirements for combining the system with other Agfa-recognized equipment.

Compliance

Lists relevant standards and directives for system compliance.

Equipment Classification

Details the classification of the device regarding electric shock protection and operation.

Patient data security

Ensures user compliance with patient data legal requirements and security.

Requirements on the operating environment

Specifies minimum requirements for information security and privacy (ISP).

Product Complaints

Instructions for healthcare professionals on how to report product complaints.

Environmental protection

Provides notices regarding WEEE and battery disposal and recycling.

System Documentation

Informs where to find system documentation and the latest manual version.

Training

Emphasizes the need for adequate training on system use and safety.

Performance

Discusses performance aspects of stitched images and incidental findings.

Technical Data

Provides technical specifications for various system components and accessories.

Remarks for HF-emission and immunity (radiographic table)

Details electromagnetic emissions and immunity guidelines for the radiographic table.

Remarks for HF-emission and immunity (radiographic wall stand)

Details electromagnetic emissions and immunity guidelines for the wall stand.

Remarks for HF-emission and immunity (radiographic wall stand bucky with moving grid)

Details HF emission and immunity guidelines for the wall stand bucky with moving grid.

Technical Data

DR 800 Technical Data

Provides manufacturer, type, electrical connection, and weight specifications.

Radiographic table

Details type, dimensions, movement range, SID, and grid specifications.

Fixed DR Detector Technical Data

Specifies manufacturer, model, warming-up time, and pixel matrix of the detector.

Wireless console

Details type, manufacturer, electrical connection, and battery life.

Collimator Technical Data

Provides manufacturer, type, radiation leakage, filtration, and dimensions.

Radiographic wall stand

Details model, manufacturer, dimensions, movement, weight, and grid specifications.

Ceiling suspension

Provides model, manufacturer, dimensions, movement, and power input requirements.

Workstation PC technical data

Lists minimum hardware requirements for the workstation PC.

DR 800 FLFS overlay

Details dimensions, weight, X-ray absorption, and environmental requirements.

Equivalent filtration

Lists equivalent filtration values at 75 kV for various components.

Dosimetric and quantitative information (IEC 60601-2-54, IEC 60601-1-3)

Provides system configuration and dosimetric information obtained via test procedures.

Mains supply

Details rated voltage, frequency, current absorption, and protection for the radiographic table.

Technical data of options and accessories

Provides weight, maximum load, and dimensions for various system options and accessories.

Remarks for HF-emission and immunity (radiographic table)

Details electromagnetic emissions and immunity guidelines for the radiographic table.

Remarks for HF-emission and immunity (radiographic wall stand)

Details electromagnetic emissions and immunity guidelines for the wall stand.

Remarks for HF-emission and immunity (radiographic wall stand bucky with moving grid)

Details HF emission and immunity guidelines for the wall stand bucky with moving grid.

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