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AXIOM Iconos R200
Siemens AXIOM Iconos R200 User Manual
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R
ückensc
hild für Ordn
er A4 (50 m
m Rücken
breite); Zu
schneiden
auf 205 m
m x 50
mm
R
ückensc
hild für Ordn
er A4 (30 m
m Rücken
breite); Zu
schneiden
auf 205 m
m x 23
mm
A
XD3-340.620
.
1
3.0
1
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AXD3-340.62
0.
1
3.0
1
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AXD
3-340.620.
13.0
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AXD3-34
0.620.
13.0
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D
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mmer zum Aufkleb
en
AXIOM Iconos R200 with
fixed table height
Operator
Manual
AXIOM Iconos R200 with
fixed table height
Operator
Manual
AXIOM Iconos R200 with
fixed table height
Oper
ator Ma
nual
AXIOM Iconos R200 with
fixed table height
Oper
ator Ma
nual
2
Table of Contents
System Overview
3
Table of Contents
5
Chapter: System Description
5
Application
13
Product Description
13
System Configuration
14
Standard Version
14
Options
14
System Overview
15
Unit Overview
16
Chapter: Protective Measures
19
Emergency Procedures
19
Cleaning and Disinfection
19
Radiation Protection Zones
20
Position and Size of the Main Operating Area
20
Stray Radiation in the Main Operating Area According to DIN en 60601-1-3
22
Mechanical Safety
23
Danger Zones with Unit in Horizontal Position
23
Danger Zones with Unit in Vertical Position
24
Warning Signs
24
Grip Locations
25
Danger Zones
25
Patient Positioning
26
Patient Positioning with Unit in Vertical Position
27
Remote Compression (Optional)
27
Safety Devices
27
Possible Collisions of the System with a Ceiling-Mounted Support
28
Measures for Avoiding Equipment Damage
28
Measures for Avoiding Unwanted Radiation
29
Safety-Relevant Parts Subject to Wear
30
Maintenance Intervals
30
Carewatch
30
Display Data
30
Resetting the Area Dose Product
31
System Remote Control Console
33
Chapter: Operating and Display Elements
33
Displays General
33
Indicators in the Display
33
System Settings
34
Image Intensifier Formats
35
Automatic Fluoroscopy Control
36
Image Reversal
36
Additional Filter
36
Collimator Settings
36
Semitransparent Filters
37
Radiation Release
37
Stop Button
37
General Operating Elements
37
Preselection Functions
38
Operating Modes
38
Segmentation Program
39
Generator On/Off Console
40
Foot Switch for Fluoroscopy and Radiography in the Control Room
41
Tableside Control Panel
41
Displays
41
System Settings
42
LCD Monitor
43
Image Intensifier Formats
43
Collimator Settings
43
Primary Collimator
44
Control Elements and Displays at the Front
44
Control Elements at the Underside
46
Prefilter Selection
48
Motorized Prefilter Selection
48
Manual Prefilter Selection
48
Chapter: On-Off/Emergency Stop
57
Switching the System on
57
Switching the System off
58
Emergency SHUTDOWN Button (Installed On-Site)
58
Standby Power Supply
58
Standby Power Supply Inside the Hospital
58
Battery-Supported Standby Power Supply (Optional)
58
Red Emergency STOP Button
59
Patient Rescue
60
Daily Tests
61
Chapter: Functional and Safety Check
61
After Switching the System on
61
Prior to the Examination
61
Monthly Tests
62
Legally Required Tests
62
During the Examination
62
General Notes
63
Chapter: System Settings
63
Collision Protection / Safety Areas
63
Operating Elements for System Positions
63
Object-Dependent System Settings
64
Start Positions
64
General Notes on Error Messages
64
Behavior of the System Settings in the Case of a Fault
65
Moving the X-Ray System Longitudinally
66
Tabletop
67
Moving the Tabletop Longitudinally/Transversely
67
Lowering the Tabletop Completely with the Table Vertical
68
Tube Assembly Stand
69
Setting the Projection Angle (Oblique Projection)
69
Tabletop
70
Setting Orthogonal Projection (Oblique Projection +/- 0°)
70
Reading off the Projection Angle
70
0° Position of the Table
71
Tilting the Table Up/Down
71
Reading the Table Tilt
72
Compression Device (Optional)
73
Using the Compression Device
73
Tomographic Equipment (Optional)
74
Reading the Compression Level
74
Setting the Fulcrum Height
74
Switching on the Fulcrum Height Light Localizer
75
Reading the Fulcrum Height
75
Manual Tube Assembly Rotation
76
Moving the Grid into / out of the Beam Path
76
Setting the Source-Image Distance
77
Limiting the Radiation Field (Collimation)
79
Chapter: Setting the Image Geometry
79
Rectangular and /Or Iris Collimation
79
Selection / Deselection
79
Setting
80
Semitransparent Wedge Filters (Optional)
80
Selection / Deselection
80
CAREPOSITION (Optional)
81
Moving the Semitransparent Wedge Filters
81
CAREPROFILE, Collimation Without Radiation (Optional)
81
Additional Cu Filter
82
Image Reversal
82
Switching over the Image Intensifier Format
83
General Information
89
Positioning the Patient
89
Examination
89
Chapter: Transferring and Positioning the Patient
89
Fluoroscopy Operating Modes
91
Selecting the Fluoroscopy Operating Mode
91
Changing the Selection of the Fluoroscopy Operating Mode
91
Fluoroscopy with Supervision (Optional)
92
Pulsed Fluoroscopy (Optional)
92
Roadmap
92
Releasing Fluoroscopy
93
Fluoroscopic Data
93
Display of the Kv and Ma Values
93
Display of the Fluoroscopic Time
93
Display of the Area Dose Product (Optional)
93
Automatic Fluoroscopic Control
94
Resetting the Fluoroscopic Data
94
Selecting Automatic Fluoroscopic Control
94
Stop Function
94
Fluoroscopic Curves
94
Fluoroscopy Time Limit
95
Fluoroscopy Warning Signal
95
Automatic Format Collimation in Fluoroscopy
95
Fluoroscopy Programs
95
Dose Reduction
96
Chapter: Cassette Exposures in the Spotfilm Device (Optional)
97
Automatic Format Collimation in Radiography
97
Bucky Mode
97
Semiautomatic Mode
97
Fully Automatic Mode
97
Cassette Program
98
Cassette Formats and Segmentation Program
98
Selecting the Segmentation Program
98
Format Segmentation
99
Skipping a Segmentation Segment
99
Mixed Mode
99
Loading / Unloading the Spotfilm Device
100
Loading
100
Exposure Measurement for Cassette Exposures
101
Unloading
101
Arrangement of the Dominants
101
Selection of the Dominants
102
Releasing the Exposure
103
Organ Programs
103
Single Exposures / Serialography
103
Single Exposure
103
Bucky Mode
104
Spotfilming Without Tomography
104
Serialography
104
Tomography (Optional)
105
Tomographic Sequence
106
Automatic Format Collimation in Digital Radio-Graphy
107
Exposure Measurement in Digital Radiography
107
Chapter: Digital Radiography
107
Arrangement of the Dominants
107
Selecting the Dominants
108
Spotfilming Without Tomography
109
Selection
109
Single Image - Serialography
109
Changing Selection
109
Frame Rate
109
Releasing the Exposure
110
Organ Programs
110
Tomography (Optional)
111
Programs
111
Creation of Programs
111
Temporary Changes of Programs
111
Selection
111
Tomographic Sequence
112
Releasing the Exposure
113
Organ Programs
113
Programs
113
Creation of Programs
113
Temporary Changes of Programs
113
Periscanning
114
General
114
Selection
114
Deselection
114
Releasing the Exposure
115
Examination Procedure
115
Preparation
115
Test Run
116
Scanning Process
117
End of the Scene
117
Organ Programs
117
Creation of Programs
117
Temporary Changes of Programs
117
Peristepping (Optional)
118
General
118
Programming Run
119
Filling Run
119
Selection
119
Deselection
119
Releasing an Exposure
120
Examination Procedure
120
Preparation
120
Programming Run
122
Filling Run
123
End of Scene
123
DR-Scanning (Optional)
124
Organ Programs
124
Creation of Programs
124
Temporary Changes of Programs
124
Collimation on Exposure
133
Selecting the Exposure Technique
133
Releasing an Exposure
134
Collimation During Exposure
135
Selecting the Exposure Technique
135
Releasing the Exposure
136
Chapter: Integrated Control Console
137
Application
139
Configuration
139
Overview of the Controls and Displays
140
Explanation of Displays and Controls
145
Messages
146
Selecting the Fluoroscopic Mode
149
Fluoroscopy with Automatic Control
149
High-Contrast Fluoroscopy1
149
Fluoroscopic Data
149
Display of the Kv and Ma Values
149
Display of the Fluoroscopic Time
149
Display of the Dose Area Product
149
Resetting the Fluoroscopic Data1
149
Fluoroscopic Characteristic Curves
150
Fluoroscopic Time Limit
151
Exposure
151
Exposure Release
151
Automatic Exposure System "0-Point Technique
152
General
152
Programmed Characteristic Curves
152
Selecting Direct Exposure Technique
157
Select 0-Point Technique
157
Select 1-Point Technique
158
Select 2-Point Technique
159
Select 3-Point Technique
160
Select 3-Point Technique with IONTOMAT
161
Select Mas Tomography
162
Select Tomography with Plani-IONTOMAT
163
Select Tomography with Plani-IONTOMAT and Mas Preselection
164
Select Indirect Exposure Technique
165
Select DR 0-Point Technique
165
Select DR 1-Point Technique
166
Select DR Tomography with Plani-IONTOMAT
167
Select DSA Constant Time
168
Organ Programs
168
Selecting an Organ Program
169
Organ Program Data Indication
169
Editing Organ Program Data
169
Temporary Change
169
Permanent Storage
169
Editing New Organ Program Names
170
Proper Use of the Product
175
Safety
175
Orientation
175
Use of Several Accessory Components
176
Grip Protection Strip
177
Handgrip Strip
178
Handgrip
180
Shoulder Supports
181
Footboard
182
Head Support
185
Knee Crutches
187
Note on Biological Compatibility
188
Compression Belt
189
Footboard Extension
193
Foot Restraint
195
Cup Holder
198
IV Holder
199
Lateral Cassette Holder
201
Cassette Holder with Variable Positioning
201
Cassette Holder Without Variable Positioning
203
Foot Switch Assemblies for Fluoroscopy and Radiography
205
Armrest
207
Lateral Radiation Shield
208
Holder for BABIX Cradles
210
BABIX Cradles
212
BABIX Hanger
214
Holder for Pediatric Cradle, Manual
215
Patient Positioning Mattress
215
Compression Cones
216
Radiation Protection for Tableside Examinations
219
Radiation Protection for the Upper Body
221
Compensating Filters
223
Holding Device for Eight Filters
225
Three-Field Templates
226
Operator Manual
228
Position of the Labels
229
Primary Collimator
230
Backside
230
Bottom
230
System
231
Unit
232
Components
234
X-Ray Generator
237
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Siemens AXIOM Iconos R200 Specifications
General
Brand
Siemens
Model
AXIOM Iconos R200
Category
Medical Equipment
Language
English
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