Siemens AXIOM Iconos R200

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System Overview3
Table of Contents5
Chapter: System Description5
Application13
Product Description13
System Configuration14
Standard Version14
Options14
System Overview15
Unit Overview16
Chapter: Protective Measures19
Emergency Procedures19
Cleaning and Disinfection19
Radiation Protection Zones20
Position and Size of the Main Operating Area20
Stray Radiation in the Main Operating Area According to DIN en 60601-1-322
Mechanical Safety23
Danger Zones with Unit in Horizontal Position23
Danger Zones with Unit in Vertical Position24
Warning Signs24
Grip Locations25
Danger Zones25
Patient Positioning26
Patient Positioning with Unit in Vertical Position27
Remote Compression (Optional)27
Safety Devices27
Possible Collisions of the System with a Ceiling-Mounted Support28
Measures for Avoiding Equipment Damage28
Measures for Avoiding Unwanted Radiation29
Safety-Relevant Parts Subject to Wear30
Maintenance Intervals30
Carewatch30
Display Data30
Resetting the Area Dose Product31
System Remote Control Console33
Chapter: Operating and Display Elements33
Displays General33
Indicators in the Display33
System Settings34
Image Intensifier Formats35
Automatic Fluoroscopy Control36
Image Reversal36
Additional Filter36
Collimator Settings36
Semitransparent Filters37
Radiation Release37
Stop Button37
General Operating Elements37
Preselection Functions38
Operating Modes38
Segmentation Program39
Generator On/Off Console40
Foot Switch for Fluoroscopy and Radiography in the Control Room41
Tableside Control Panel41
Displays41
System Settings42
LCD Monitor43
Image Intensifier Formats43
Collimator Settings43
Primary Collimator44
Control Elements and Displays at the Front44
Control Elements at the Underside46
Prefilter Selection48
Motorized Prefilter Selection48
Manual Prefilter Selection48
Chapter: On-Off/Emergency Stop57
Switching the System on57
Switching the System off58
Emergency SHUTDOWN Button (Installed On-Site)58
Standby Power Supply58
Standby Power Supply Inside the Hospital58
Battery-Supported Standby Power Supply (Optional)58
Red Emergency STOP Button59
Patient Rescue60
Daily Tests61
Chapter: Functional and Safety Check61
After Switching the System on61
Prior to the Examination61
Monthly Tests62
Legally Required Tests62
During the Examination62
General Notes63
Chapter: System Settings63
Collision Protection / Safety Areas63
Operating Elements for System Positions63
Object-Dependent System Settings64
Start Positions64
General Notes on Error Messages64
Behavior of the System Settings in the Case of a Fault65
Moving the X-Ray System Longitudinally66
Tabletop67
Moving the Tabletop Longitudinally/Transversely67
Lowering the Tabletop Completely with the Table Vertical68
Tube Assembly Stand69
Setting the Projection Angle (Oblique Projection)69
Tabletop70
Setting Orthogonal Projection (Oblique Projection +/- 0°)70
Reading off the Projection Angle70
0° Position of the Table71
Tilting the Table Up/Down71
Reading the Table Tilt72
Compression Device (Optional)73
Using the Compression Device73
Tomographic Equipment (Optional)74
Reading the Compression Level74
Setting the Fulcrum Height74
Switching on the Fulcrum Height Light Localizer75
Reading the Fulcrum Height75
Manual Tube Assembly Rotation76
Moving the Grid into / out of the Beam Path76
Setting the Source-Image Distance77
Limiting the Radiation Field (Collimation)79
Chapter: Setting the Image Geometry79
Rectangular and /Or Iris Collimation79
Selection / Deselection79
Setting80
Semitransparent Wedge Filters (Optional)80
Selection / Deselection80
CAREPOSITION (Optional)81
Moving the Semitransparent Wedge Filters81
CAREPROFILE, Collimation Without Radiation (Optional)81
Additional Cu Filter82
Image Reversal82
Switching over the Image Intensifier Format83
General Information89
Positioning the Patient89
Examination89
Chapter: Transferring and Positioning the Patient89
Fluoroscopy Operating Modes91
Selecting the Fluoroscopy Operating Mode91
Changing the Selection of the Fluoroscopy Operating Mode91
Fluoroscopy with Supervision (Optional)92
Pulsed Fluoroscopy (Optional)92
Roadmap92
Releasing Fluoroscopy93
Fluoroscopic Data93
Display of the Kv and Ma Values93
Display of the Fluoroscopic Time93
Display of the Area Dose Product (Optional)93
Automatic Fluoroscopic Control94
Resetting the Fluoroscopic Data94
Selecting Automatic Fluoroscopic Control94
Stop Function94
Fluoroscopic Curves94
Fluoroscopy Time Limit95
Fluoroscopy Warning Signal95
Automatic Format Collimation in Fluoroscopy95
Fluoroscopy Programs95
Dose Reduction96
Chapter: Cassette Exposures in the Spotfilm Device (Optional)97
Automatic Format Collimation in Radiography97
Bucky Mode97
Semiautomatic Mode97
Fully Automatic Mode97
Cassette Program98
Cassette Formats and Segmentation Program98
Selecting the Segmentation Program98
Format Segmentation99
Skipping a Segmentation Segment99
Mixed Mode99
Loading / Unloading the Spotfilm Device100
Loading100
Exposure Measurement for Cassette Exposures101
Unloading101
Arrangement of the Dominants101
Selection of the Dominants102
Releasing the Exposure103
Organ Programs103
Single Exposures / Serialography103
Single Exposure103
Bucky Mode104
Spotfilming Without Tomography104
Serialography104
Tomography (Optional)105
Tomographic Sequence106
Automatic Format Collimation in Digital Radio-Graphy107
Exposure Measurement in Digital Radiography107
Chapter: Digital Radiography107
Arrangement of the Dominants107
Selecting the Dominants108
Spotfilming Without Tomography109
Selection109
Single Image - Serialography109
Changing Selection109
Frame Rate109
Releasing the Exposure110
Organ Programs110
Tomography (Optional)111
Programs111
Creation of Programs111
Temporary Changes of Programs111
Selection111
Tomographic Sequence112
Releasing the Exposure113
Organ Programs113
Programs113
Creation of Programs113
Temporary Changes of Programs113
Periscanning114
General114
Selection114
Deselection114
Releasing the Exposure115
Examination Procedure115
Preparation115
Test Run116
Scanning Process117
End of the Scene117
Organ Programs117
Creation of Programs117
Temporary Changes of Programs117
Peristepping (Optional)118
General118
Programming Run119
Filling Run119
Selection119
Deselection119
Releasing an Exposure120
Examination Procedure120
Preparation120
Programming Run122
Filling Run123
End of Scene123
DR-Scanning (Optional)124
Organ Programs124
Creation of Programs124
Temporary Changes of Programs124
Collimation on Exposure133
Selecting the Exposure Technique133
Releasing an Exposure134
Collimation During Exposure135
Selecting the Exposure Technique135
Releasing the Exposure136
Chapter: Integrated Control Console137
Application139
Configuration139
Overview of the Controls and Displays140
Explanation of Displays and Controls145
Messages146
Selecting the Fluoroscopic Mode149
Fluoroscopy with Automatic Control149
High-Contrast Fluoroscopy1149
Fluoroscopic Data149
Display of the Kv and Ma Values149
Display of the Fluoroscopic Time149
Display of the Dose Area Product149
Resetting the Fluoroscopic Data1149
Fluoroscopic Characteristic Curves150
Fluoroscopic Time Limit151
Exposure151
Exposure Release151
Automatic Exposure System "0-Point Technique152
General152
Programmed Characteristic Curves152
Selecting Direct Exposure Technique157
Select 0-Point Technique157
Select 1-Point Technique158
Select 2-Point Technique159
Select 3-Point Technique160
Select 3-Point Technique with IONTOMAT161
Select Mas Tomography162
Select Tomography with Plani-IONTOMAT163
Select Tomography with Plani-IONTOMAT and Mas Preselection164
Select Indirect Exposure Technique165
Select DR 0-Point Technique165
Select DR 1-Point Technique166
Select DR Tomography with Plani-IONTOMAT167
Select DSA Constant Time168
Organ Programs168
Selecting an Organ Program169
Organ Program Data Indication169
Editing Organ Program Data169
Temporary Change169
Permanent Storage169
Editing New Organ Program Names170
Proper Use of the Product175
Safety175
Orientation175
Use of Several Accessory Components176
Grip Protection Strip177
Handgrip Strip178
Handgrip180
Shoulder Supports181
Footboard182
Head Support185
Knee Crutches187
Note on Biological Compatibility188
Compression Belt189
Footboard Extension193
Foot Restraint195
Cup Holder198
IV Holder199
Lateral Cassette Holder201
Cassette Holder with Variable Positioning201
Cassette Holder Without Variable Positioning203
Foot Switch Assemblies for Fluoroscopy and Radiography205
Armrest207
Lateral Radiation Shield208
Holder for BABIX Cradles210
BABIX Cradles212
BABIX Hanger214
Holder for Pediatric Cradle, Manual215
Patient Positioning Mattress215
Compression Cones216
Radiation Protection for Tableside Examinations219
Radiation Protection for the Upper Body221
Compensating Filters223
Holding Device for Eight Filters225
Three-Field Templates226
Operator Manual228
Position of the Labels229
Primary Collimator230
Backside230
Bottom230
System231
Unit232
Components234
X-Ray Generator237

Siemens AXIOM Iconos R200 - Page 2

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