Hologic SecurView DX - Appendix A SecurView Annual QC Form for Medical Physicists; Table 2: Annual QC Form for Medical Physicists; Table 3: Performance Criteria

SecurView DX Workstation V12.0 Quality Control Manual
Appendix A: SecurView Annual QC Form for Medical Physicists
MAN-09466 Revision 001 Page 41
Appendix A SecurView Annual QC Form for Medical
Physicists
Complete this form once per year for each SecurView diagnostic workstation.
Table 2:
Annual QC Form for Medical Physicists
System Information
SecurView SN
Photometer SN
Barco Display Left Display Pass/Fail Right Display Pass/Fail
Serial Number
White Level
Performance
cd/m
2
cd/m
2
Luminance Response
% %
Barco Display Single Display Pass/Fail
Serial Number
White Level
Performance
cd/m
2
Luminance Response
%
Comments:
Signature: Date:
Table 3: Performance Criteria
Barco Display
White Level
Luminance
White Level
Performance
DICOM GSDF
Performance
Coronis Uniti MDMC-12133 600 - 1000 cd/m
2
± 6% ± 10%
High-Brightness MDMG-5221 600 - 1000 cd/m
2
± 6% ± 10%
Coronis Fusion 10MP MDCG-10130 500 cd/m
2
± 6% ± 10%
Coronis 5MP MDMG-5121 600 cd/m
2
± 6% ± 10%
Coronis 5MP MFGD-5621 HD 600 cd/m
2
± 6% ± 10%
Coronis 5MP MFGD-5421 500 cd/m
2
± 6% ± 10%
Nio 5MP MDNG-6121 500 cd/m
2
± 6% ± 10%
Nio 5MP MDNG-5121 500 cd/m
2
± 6% ± 10%
Nio 5MP MDNG-5221 500 cd/m
2
± 6% ± 10%
Appendix A