Trinias. Operation Guide. M517-E221B Digital Angiography System

Transcription

1 M57-EB Digital Angiography System Trinias Operation Guide Read this manual thoroughly before you use the product. Keep this manual for future reference.

2 General Description of / Trinias/CVS Package is the digital angiography system with FPD (Flat Panel Detector). Trinias/CVS Package, a combination of high quality digital imaging with low dose exposures, provides fast and efficient operation for PCI and diagnostic studies. This Operation Guide describes the basic operation of Trinias/CVS Package briefly. For detailed information, refer to the following "Operation Manuals". DAR-9500f Operation Manual D50GC-40 Operation Manual MH-00S Operation Manual MH-300 Operation Manual (M57-E8) (M50-E085) (M53-E06) (M53-E04) Please read and observe all safety precautions. Symbols The following symbols are used in this Operation Guide. Symbols WARNING CAUTION NOTE Meaning Indicates a potentially hazardous situation which, if not avoided, could result in serious injury or possibly death. Indicates a potentially hazardous situation which, if not avoided, may result in minor to moderate injury or equipment damage. Emphasizes additional information that is provided to ensure the proper use of this product.,, 3, Indicates the operation in order.,, 3, Indicates further details of above operation. Indicates the operating description and items. Indicates the result of operation. Describes the points, notices and references of operation Shimadzu Corporation. All rights reserved.

3 Contents System Components...4 Examination Room...4 Control Room... System Startup and Shutdown... 6 Startup...6 X-ray Tube Warm-up...7 Shutdown...9 Daily Inspection... 3 Start Study... Input Patient Information... 4 Fluoroscopy/Radiography...3 Operation of C-arm...3 Operation of Catheterization Table...7 Fluoroscopy/Radiography...8 Change Fluoroscopy/Radiography Program...9 HV Flip...30 Change Settings of Injection Delay...3 Recording Fluoroscopy Image...3 Adjusting Image...33 Adding, Deleting and Displaying Reference Images...35 Related Operation for Study...36 Measuring and Analyzing...37 Operating DSA Tool...4 Printing Images...4 Closing Study Studies Management...43 Managing Studies...43 Sending Studies...44 Writing to CD/DVD Trouble Shooting...46 Emergency Halt...46 Safety Switch...46 Shutdown Failure...47 Digital Angiography system application problem...48 FPD Problem...49 Power Failure...50 Error Messages Appendix...58 IVR NEO buttons/keyboard Shortcut keys functions

4 System Components Examination Room C-arm FPD Acquisition Monitor C-arm Indicator Review Monitor CyberGrip (or Cyber Console) Collimator Local Console IVR NEO Catheterization Table X-ray Tube Foot Switch (Examination Room) 4

5 CyberGrip Stop Switch Field of View Switch System Components Release Switch Catheterization Table Up/Down Switch FPD SID Switch C-arm Travel Selector Switch Tabletop Unlocking Switch (Located at the rear side of the grip) Direct Memory Switches C-arm Rotation Selector Switch Cyber Console C-arm Rotation/Travel Tabletop Unlocking Switch FPD SID Confirmation Switch Stop Switch Catheterization Table Up/Down Switch Field of View Switch Center Reset Switch Release Switch (on the side of the console) Direct Memory Switches 5

6 Local Console Type A No. Name or Explanation C-arm Working Positions Switch Direct Memory Switches Operate the C-leaf of the Collimator by moving up and down. Operates the H/V Collimation. The Collimator opens up when this is pressed down. Operates the Compensation Filter in the Collimator. Field of View Switch Center Reset Switch C-arm Parking Switch 6

7 Type B System Components No. Name or Explanation C-arm Working Position Switch Direct Memory Switches Operate the C-leaf of the Collimator by moving up and down. Operates the H/V Collimation. Operates the Compensation Filter in the Collimator. Leaves Oper Switch. The Collimator opens up when this is pressed. AP/PA Position Switch C-arm Parking Switch Set Switch 7

8 How to use Direct Memory Function (CyberGrip) Type A Select a button from,, and. 3 Select the location of the C-arm from this area. Press and hold to move the C-arm to memory position. Type B Select a button from. 3 Select the location of the C-arm from this area. Press and hold to move the C-arm to memory position. 8

9 How to use Direct Memory Function (Cyber Console) Type A Select a button from,, and. System Components 3 Press and hold to move the C-arm to memory position. Select the location of the C-arm from this area. Type B Select a button from. 3 Press and hold to move the C-arm to memory position. Select the location of the C-arm from this area. 9

10 IVR NEO The IVR NEO features 6 buttons with LED indicators and a multi-function Joystick with button. Default button settings are as following table. Refer to Appendix for the other functions available. Joystick Category Button LED Meaning A R Acquisition Image display Select Fluoro Program Select Rad Program Select Image Comment Add Reference Image Fluoro Record (Last N Seconds mode) Start/Stop/Close Timer Monitor Select Single/Split Display Left/Right Focus Reference Mode Cine Area Zoom ON=Fluoro menu displayed. ON=Rad menu displayed. ON=Comment menu displayed. ON=can add Reference Image. ON=can record the latest fluoro loop (unavailable for Direct Fluoro Record mode "Recording Fluoroscopy Image" P.3) ON=timer displayed on Acq. monitor. ON=Acquisition monitor selected. ON=Review monitor split vertically. ON=right half of split Review monitor selected. ON=Reference Mode. ON= Zoom the images only in the Examination room. 0

11 Category Button LED Meaning A R Other Save Still Image 6-up Selector ON=can save still image (must be paused). ON=Review monitor in 6-image select mode. Linkage with C-arm LIVE Positioning Image Filter ON=display DSA LIVE image. ON= send projection angle of currently displayed image to the C-arm. ON= filter and display the projection angle of image as current C-arm angle. System Components A= Relevant to Acquisition monitor R= Relevant to Review monitor NOTE The function keys of the digital system keyboard can be configured as IVR NEO buttons (except for [Monitor Select] and [Reference Mode] functions). For details, contact Shimadzu service representative.

12 Control Room Acquisition Monitor Review Monitor X-ray Generator Console Keyboard Foot Switch Mouse C-arm Remote Console Digital Operation Cabinet

13 X-ray Generator Console [Tool] menu Setting Button X-ray OFF Button Message Radiography Parameters Fluoroscopy Parameters Heat Unit Indicator Warm-up Button Accumulated Fluoroscopy Time Reset Button Power ON Button Power OFF Button System Components Focus Switch Button Field of View Switch Button Hand Switch Auto/Manual Switch Button Radiography Density Button Fluoroscopy Accumulated Time C-arm Information Fluoroscopy Density Button IBS Button C-arm Collision Indicator BH Filter Number NOTE 3

14 Main Window Acquisition Monitor Side Menu (displayed when the mouse pointer is put on the left edge of the screen) is displayed in reference mode. Study Information Parameters Image Selector Acquisition Active Image Viewer Timer Status Messages Programs Comment Exit Button Cine Control Modes/Info Network Activity 4

15 Review Monitor Side Menu System Components is displayed in reference mode. Study Information Parameters Study Information Image Selector Digital Program Menu Image Viewer Probe Signal Status Messages Programs Comment Exit Button Modes/Info Network Activity Cine Control 5

16 System Startup and Shutdown Startup NOTE Be sure to perform daily inspection before patient use. "Daily Inspection" P. X-ray Generator Console Power ON Button Press (ON) Starting up whole system. 6

17 X-ray Tube Warm-up CAUTION Be careful! During warm-up, X-ray exposure is performed automatically without operating hand switch or foot switch. NOTE The warm-up procedure can be performed when C-arm is at the park position even though the "fluoroscopy at park position" setting is set to OFF. In this setting X-ray exposure by the foot switches and the hand switch is not available. System Startup and Shutdown X-ray Generator Console Press on the [Tool] menu Warm-up window is displayed. Press Warm-up procedure is started. The progress of warm-up is displayed. When warm-up is complete, the progress bar displays full. 7

18 If you need to pause warm-up during procedure, Press Press to pause warm-up. to resume. Press to cancel warm-up, and press to confirm. 8

19 Shutdown C-arm (Type A) Set the C-arm to the center position Press and hold the Center Reset Switch until travel is completed. Move the C-arm to the park position System Startup and Shutdown Press and hold the C-arm Parking Switch until travel is completed. C-arm (Type B) Set the C-arm to the center position Press the Center Reset Switch to select the operation. Then press and hold the Set Switch until travel is completed. Move the C-arm to the park position Press the C-arm Parking Switch to select the operation. Then press and hold the Set Switch until travel is completed. 9

20 Digital Radiography System 3 Click A confirmation message is displayed. 4 Confirm the message by clicking X-ray Generator Console 5 Press (OFF) when System Display window is changed Make sure the OFF button is lit. NOTE To restart the system, wait minute after turning off power to the X-ray generator, then press (ON) again. 0

21 Daily Inspection Check the following items before using the system. Before turning on the power switch. Ensure there is: No damage on the exterior. No Condensation or Water on the system. No twisting of the cables. After turning on the power switch. Ensure there are: No abnormal sounds. System Startup and Shutdown No abnormal smells. No error messages on X-ray generator console, Acquisition monitor or Review monitor. 3 Check the operation of the C-arm and Catheterization Table. Confirm that each operation functions correctly and there are no abnormal sounds. LAO-RAO / CAUD-CRAN operation of the C-arm. Change the position of the C-arm and move the FPD forward/backward. Up-and-down operation of Catheterization Table and Tabletop Lock Switches. 4 Check the Safety Switch operation. Actuation of the Safety Switch of the Collimator and FPD. Operation of Stop Switches Confirm the Field of View Switch. While performing fluoroscopy, change and confirm the field of view size of the FPD. Confirm the operation of the Collimator. Check to be sure that the shutter of the Collimator is moving relative to the FPD field of view change. Check to be sure that images are displayed. Make sure that fluoroscopy/radiography images are displayed on monitors properly.

22 3 Start Study Input Patient Information Click on the side menu [New Study] window is displayed. Input each items Be sure to input the items with a dot. Indicates Mandatory Items. 3 Click Patient information will appear on the upper area of the main window. Patient Information If loops/images have not yet been recorded/ saved, study information can be modified by clicking on the side menu.

23 4 Fluoroscopy/Radiography Operation of C-arm CyberGrip Backward/Forward Movement of FPD Move the CyberGrip in the up and down direction while pressing. FPD moves according to the direction of the grip. 3 Rotation of C-arm (RAO/LAO) Move the grip in the up/down direction while pressing. C-arm rotates according to the direction of the grip. Rotation of C-arm (CRAN/CAUD) Twist the grip in the left/right direction while pressing. C-arm rotates according to the direction of the grip. 4 Fluoroscopy/ Radiography 4 C-arm Travel Move the grip in the up/down direction or twist it in the left/right direction while pressing. C-arm moves according to the direction of the grip. 3

24 Cyber Console Backward/Forward Movement of FPD Move the FPD SID lever forward/ backward while pressing confirmation switch. FPD moves according to the direction of the lever. FPD SID Confirmation Switch (on the far side) Rotation of C-arm RAO/LAO Move the C-arm rotation/ travel lever forward/ backward while pressing C-arm rotation selector switch. C-arm rotates according to the direction of the lever. C-arm Rotation Selector Switch (upper on the far side) 3 Rotation of C-arm CRAN/CAUD Move the C-arm rotation/ travel lever in the left/right direction while pressing C-arm rotation selector switch. C-arm Rotation Selector Switch C-arm rotates according (upper on the far side) to the direction of the lever. 4 C-arm Travel Move the C-arm rotation/travel lever forward/backward or in the left/right direction while pressing C-arm travel selector switch. C-arm moves according to the direction of the lever. C-arm Travel Selector Switch (lower on the far side) 4

25 Local Console (C-arm position change) MH-300 (Floor mount type) C-arm Working Positions Switch No. Switch C-arm position Home position 0 Femoral position CW45 4 Fluoroscopy/ Radiography Peripheral position CW40 NOTE 5

26 MH-00S (Ceiling suspended type) C-arm Working Positions Switch No. Switch C-arm position Head position Left position Left sheltered position Right position + Left diagonal position (press simultaneously) + Right diagonal position (press simultaneously) 6

27 Operation of Catheterization Table Horizontal movement or raising/lowering of catheterization table. Horizontal Movement of Catheterization Table Move the table manually while pressing the unlocking switch. CyberGrip Grip Switch Table Console Raising of Catheterization Table Press (Up) switch. Tabletop rises. CyberGrip Table Console 4 Fluoroscopy/ Radiography 3 Lowering of Catheterization Table Press (Down) switch. Tabletop lowers. CyberGrip Table Console 7

28 Fluoroscopy/Radiography Fluoroscopy Radiography Confirm the fluoroscopy program Confirm the radiography program Modify the condition as needed. Modify the condition as needed. Positioning shall be set by fluoroscopy. Perform fluoroscopy more than 3 seconds. Press the fluoroscopy foot switch Press the radiography foot switch Examination Room Control Room When accumulated fluoroscopy time reaches to 5 minutes, alarm buzzer sounds and alarm stop button appears on the screen. To stop the buzzer, press [alarm stop] button. Examination room Radiography can be performed with the hand switch on the X-ray generator console. Depress the hand switch until the X-ray is exposed. Hand Switch 8

29 Change Fluoroscopy/Radiography Program Fluoroscopy/Radiography program presets and corresponding parameters are changeable. These parameters can be changed at the digital processing system in the control room or at the IVR NEO. "IVR NEO" P. 0 Change Preset Parameters Fluoroscopy Radiography Click or on the IVR NEO Click or on the IVR NEO Preset Fluoroscopy parameters will appear. Preset Radiography parameters will appear. Select a parameter with either of the following operation Select a parameter from either of the following operation 4 Fluoroscopy/ Radiography Select with,, or key on keyboard and fix with key. Select with,, or key on keyboard and fix with key. Select with IVR NEO joystick and fix with joystick button. Select with IVR NEO joystick and fix with joystick button. Click parameter directory with mouse. Click parameter directory with mouse. Selected parameter is set. Selected parameter is set. Confirmation of Parameters Fluoroscopy Confirm Make sure that selected Fluoroscopy Program is displayed. Radiography Confirm Make sure that selected Radiography Program is displayed. 9

30 HV Flip Flip and acquire the fluoroscopy and radiography images in the Horizontal or Vertical direction. Click the flip buttons on the side menu of Acquisition monitor to flip images Flip horizontal (Click the button again to change the setting back to normal) Flip vertical (Click the button again to change the setting back to normal) Perform fluoroscopy or radiography Reversed image is acquired. NOTE It is selectable during fluoroscopy or radiography, but it is valid on next acquisition. Note that the acquired image can be reversed on Review monitor. However, the image sent to the image server will be reversed only if it is reversed before acquisition. 30

31 Change Settings of Injection Delay Injection-Acquisition Delay (the delay in seconds between injection and beginning of acquisition), Mask- Acquisition Delay (the delay in seconds between end of mask acquisition and beginning of live acquisition) and Radiation Times are set in advance for each acquisition program. These values can be changed temporary during study according to the following procedure. Click on the review monitor side menu [Acquisition Parameters] window appears. Enter the delay time by seconds to one place of decimal and the radiation times by seconds and click 4 3 Click When select the acquisition program again, default values will be Fluoroscopy/ Radiography NOTE restored. 3

32 Recording Fluoroscopy Image Last N seconds fluoroscopy record or Either Direct fluoroscopy record can be used. NOTE Default setting is Last N seconds fluoroscopy record. If you want to use Direct fluoroscopy record, system setting is required beforehand. Last N seconds Fluoroscopy Record Perform fluoroscopy Click or press on IVR NEO The latest fluoroscopy loop will be saved. Direct Fluoroscopy Record Click Make sure that selected Fluoroscopy Program is displayed. Perform fluoroscopy Fluoroscopy loop will be saved. NOTE Direct fluoroscopy record can be operated with the side menu button, but not with the IVR NEO. 3

33 Adjusting Image Display 4 3 No. Button Function Adjust image brightness. Right-click: + (increase) Left-click: - (decrease) Click both mouse buttons simultaneously: 0 Adjust image contrast. Right-click: + (increase) Left-click: - (decrease) Click both mouse buttons simultaneously: 0 4 Enhance the image. Sharpness Convolution Right-click: + (increase), Left-click: - (decrease), Click both mouse buttons simultaneously: 0 Right-click: + (increase), Left-click: - (decrease), Click both mouse buttons simultaneously: 0 Fluoroscopy/ Radiography Negative/positive conversion 3 H Flip V Flip Deactivate all filters Images can be flipped horizontally. Images can be flipped vertically. Optimize the brightness and contrast frame by frame. Optimize the image brightness and contrast on the monitor. Select any one of buttons. 4 Zoom in and out the displayed image. Right-click: + (increase) Left-click: - (decrease) Click both mouse buttons simultaneously: Return to default 33

34 Playback No. Button Function Adjust the loop playback speed. Right-click: + (increase) Left-click: - (decrease) Click both mouse buttons simultaneously: Return to default Change loop playback mode. Play Single Loop with Synchronize: Plays back selected single loop until a new loop is received. Then, the new loop is selected and played back continuously. Play Single Loop: Plays back the selected loop continuously. Controlling Image Playback Control Bar Keyboard IVR NEO Joystick Control Bar Keyboard IVR NEO Joystick Function Play/show next loop/image. Play/show previous loop/image. or (Press button) Pause Advance to next frame. (when paused) Return to previous frame. (when paused) ( Press more than seconds) ( Press more than seconds) (Press button) Resume forward play. (same speed as acquisition) Resume backward play. (same speed as acquisition) 34

35 Control Bar Keyboard IVR NEO Joystick Function ( Tilt and hold to the right) ( Tilt and hold to the left) Play frame-by-frame forward according to the speed of joystick angle when paused. (Larger the tilt angle, higher the speed) Play frame-by-frame backward according to the speed of joystick angle when paused. (Larger the tilt angle, higher the speed) Adding, Deleting and Displaying Reference Images Insert Home Page Up Delete End Page Down Keyboard IVR NEO Joystick IVR NEO Button Keyboard IVR NEO Function Add Reference Image. Delete Reference Image. 4 Fluoroscopy/ Radiography Go to next loop with image selected as Reference and pause on the image. (Tilt downward) In Reference mode, go to next loop with image selected as Reference and pause on the image. Go to previous loop with image selected as Reference and pause on the image. (Tilt upward) In Reference mode, go to previous loop with image selected as Reference and pause on the image. Switch Playback mode/reference mode. 35

36 Related Operation for Study No. Button Function New study (Start examination) Re-synchronize the Review monitor display to the acquiring study. 3 Open previous study. 4 Close the study. 5 Display study information. 6 Display comment menu. 36

37 Measuring and Analyzing Quantitative Coronary Analysis (QCA) QCA Tool Bar Click and select QCA tool bar will appear. 4 Perform calibration The default value of calibration factor is calculated as the measured object is located on the ISO center. Perform calibration according to the following procedure if needed. Fluoroscopy/ Radiography To perform calibration, display the image of reference object (such as a catheter) previously acquired with the same magnification as the analysis object. The smaller reference object (the thinner the catheter), the greater the analysis error. Click button from [Calibration] menu. Select a catheter diameter on the image 37

38 3 from the list, or input a value (mm). Click on 3 points along the catheter. Calibration factor (mm/pixel) will appear. NOTE Click button from side menu to modulate magnification rate of Ref image. 3 Specify the stenosed artery Click button from [Manual] menu. Click points on opposite sides of the narrowest part of the stenosed artery. The stenosis is measured and indicated on screen. 4 Specify the reference value Click button from [Manual] menu. Click points on opposite sides of the part of the un-stenosed artery. The reference distance and percent stenosis are displayed. WARNING Measuring a vessel diameter from angiography causes several errors. Therefore, do not diagnose or treat based solely upon this analysis result. Use the analysis result as a reference value. 38

39 Left Ventricle Analysis (LV) Perform LV analysis with a projected image of RAO 30 degrees (or images of RAO 30 degree and LAO 60 degree). LV Tool Bar Click and select LV Tool bar will appear. 4 Perform calibration The default value of calibration factor is calculated as the measured object is located on the ISO center. Perform calibration according to the following procedure if needed. Fluoroscopy/ Radiography To perform calibration, display the image of reference object (such as a ball) previously acquired with the same magnification as the analysis object. The smaller reference object (the smaller the ball), the greater the analysis error. 3 Click from [Calibration] menu. Input the ball diameter (mm) which is on the image. Outline the ball by clicking 3 points. Calibration factor (mm/pixel) is displayed. 39

40 3 Outline the ventricular wall Outline each image of End-of-Diastole (ED) and End-of-Systole (ES). Outline both ED and ES image repeating the following procedure. Click the projection icon that corresponds to the image. RAO ED RAO ES LAO ED LAO ES Using the mouse, click multiple points along the ventricular wall starting from the base of the aorta. An outline curve passing through clicked points is created. Move a point by clicking and dragging it to a new position. Delete a point by clicking it with the left and right mouse buttons simultaneously. 3 Once the outline is specified to the opposite side of aortal base, click the icon of the next projection to be drawn. The outline that has been drawn to the current image will be recorded. 4 Click The result of LV analysis is displayed. CAUTION This analysis is calculated with an approximation formula called "Area Length", so the calculation result includes approximation errors. 40

41 Operating DSA Tool Click and select [DSA Tools] bar will appear. No. Button Function Setting mask image. 5 Switching ON/OFF of subtraction Create peak hold image. 4 Set ROI of MAP. 5 Resetting mask image. Click Executing reregistration. 6 (Shift the mask image) Create a contour enhanced blood-vessel image 7 from DSA image. [Pixel Registration] tool bar will appear. 4 Fluoroscopy/ Radiography No. Button Function Moves the mask image upward. Moves the mask image downward. 3 Moves the mask image left. 4 Moves the mask image right. 5 Return the mask image to the default (0, 0) position. 6 Select the value when moving less than pixel. 4

42 Printing Images Click and select Printer dialog will appear. 3 Setting any required items such as Add images with 4 Click Printing is started. Closing Study Click from [Study] menu 4

43 5 Studies Management Managing Studies Click from [Study] menu [Studies Management] window is displayed Studies Management No. Button Function Search Searches based on the search target set by the [System] and [Drives] buttons, plus all search criteria. View Displays the selected study or studies in the Image Viewer window. 3 RDSR 4 Series (Available if there is dose report.) Displays the dose report. When a study is selected in the Study List, Series displays all study series types contained in this study. 5 Send Sends selected studies to another server or system. 43

44 No. Button Function 6 Info Displays detailed information about the selected patient. 7 Delete Permanently deletes the unprotected studies selected from the local system. 8 Write Prepares and writes the selected studies to CD/DVD. 9 Protect Protects the selected studies from deletion. 0 Unprotect Removes protection from selected studies. Sending Studies Select the desired studies in the Study List Click A list of destinations will appear Select the send type and the Process Before Transfer Click the desired destination When the confirmation window appears, click [OK] 44

45 Writing to CD/DVD Select the studies Select the desired studies from the Study List. Click. Prompted to insert a blank disc to the writer. 3 Insert a blank disk. Media Writing dialog box appears. Volume name is changeable. Select the writing item from [Images], [RDSR] or [Both]. Click Writing is started. 5 To cancel a media write, click menu of the Image Viewer window. on the side Studies Management NOTE Do not write to media during a study, only write to media after study completion. 45

46 6 Trouble Shooting Emergency Halt Halting the C-arm Press (Stop switch) Stop Switch Stop Switch Stop Switch CyberGrip Cyber Console Catheterization Table Resetting the Emergency Halt Turn (Stop switch) clockwise NOTE When resetting, be sure to reset the pressed switch. Reset the STOP switch after the message "Stop Mode: Reset OK" is displayed on the X-ray generator console or the information display to ensure normal operation. Safety Switch Touch sensors are mounted on the FPD front cover and the collimator cover. When these sensors are tripped, the movement of C-arm and catheterization table stops. To free the C-arm from collision, operate CyberGrip or CyberConsole carefully with pressing the release switch. C-arm can be moved slowly. FPD backward movement is possible without release switch operation. Release Switch CyberGrip Release Switch (on the side of the console) Cyber Console 46

47 Shutdown Failure If trouble occurs when trying to shut down the Digital Radiography System via [Exit] button (system does not shut down), shut down the system according to the following procedure. Digital Operation Cabinet (Control Room) Press and hold the Power button for at least 5 seconds The power goes off. Cabinet (Equipment Room) Open the switch cover in front of the cabinet and press the Power button for at least 5 seconds Acquisition computer is turned off. X-ray Generator Console 3 Press (OFF) X-ray high voltage generator and C-arm are shut down. 6 Trouble Shooting 47

48 NOTE To restart the system, wait minute after turning off power to the X-ray generator, then press (ON) again. NOTE If the acquisition monitor is blank when restarting the system after shutdown failure, press the power button on the digital control cabinet in the equipment room to turn on the power. If the review monitor is blank when restarting the system after shutdown failure, press the power button on the digital operation cabinet in the control room to turn on the power. After the application screen is displayed on both acquisition and review monitors, shut down the system again by standard procedure and then restart the system. Digital Angiography system application problem Image processing errors or unknown system problems If image processing errors or unknown system errors occur, the error dialog is displayed automatically. Click The application reboots. Mouse Pointer If the mouse pointer is locked within one monitor, press the [Scroll Lock] key on the keyboard. Monitor If the screen is blank or gray-scale-like image is displayed, press the button shown in the figure below. Acquisition Monitor Review Monitor 48

49 FPD Problem Automatic FPD calibration is supported to the system. Manual calibration is not necessary, so follow the instruction below when manually calibrating the system. Select and click on the side menu FPD calibration window appears. Make sure that [Timeout (Seconds)] is set to 0 seconds This defines the maximum number of seconds to wait before cancelling if there is a problem communicating with the FPD. 3 Select [Offset-All Modes] in the [Calibration Type] list. 4 Click Progress messages are displayed during calibration. 5 Click Completion message is displayed when calibration is completed. 6 Trouble Shooting NOTE Click if you terminate the calibration before completing. If you terminate the calibration, be sure to calibrate again before acquisition. 49

50 Power Failure This system is protected from power failure with UPS (uninterruptible power supply system). If the power failure occurs suddenly such as thunderbolt, screen display disappears. If power supply is restored within 5 minutes, system will be automatically restored and images on monitors will be redisplayed. So you can use system again. If the power failure occurs for long time such as for more than 5 minutes or it is difficult to judge whether the momentary power failure occurs or the longer one, once shut down the system, and then re-activate the system according to the Startup procedure ( P.6) or "Chapter 3 on DAR-9500f Operation Manual (M57-E8)". NOTE The system is designed to minimize data loss by power failure, however, it cannot be restored the acquisition image on power failure. After the system restores, the previous study on power failure reactivates automatically. NOTE If power failure occure, FPD calibration data are restored to defaults and any acquisitions performed before automatic FPD calibration is executed cannot be considered to be reliable. Be sure to calibrate FPD manually after power failure. "FPD Problem" P.49 50

51 Error Messages Common error messages are described in this section For other error messages, refer to the operation manual of each system. Digital Radiography System The following error messages will appear on the system monitor. Message Action An error occurred during cache space reservation. No available cache. If CD-R or DVD-R media are used as patient data archive, archive all unsaved patient data to new CD-R or DVD-R. Burn Operation Failed. Insert a blank CD-R or DVD-R and re-execute the operation. Cannot retrieve media information. Confirm whether the media is inserted properly. Cannot write DICOMDIR to CD-R (DVD-R). No patient has been added. Confirm that writable media is inserted. Character XX is not valid. Try other characters. Could not find the PPS Manager. Please configure your PPS Manager in the hosts table. Please contact Shimadzu service representative. Error: Invalid query criteria entered. Input an appropriate value. No DICOM media found in drive X. Insert DICOM media. Note: "XX" or "X" represents variable information. Values and characters appear according to the error situation. 6 Trouble Shooting 5

52 Error Messages Related to FPD When "FPD ERROR" is displayed at upper left of the system monitor, errors in the following list are also displayed. Message Description Action [Sensor]:Temperature error [Cooling Unit]:Water flow error Error of sensor chassis temperature. Error of FPD cooling unit water flow. Stop study immediately and contact Shimadzu service representative. 5

53 X-ray High Voltage Generator When the equipment detects errors, the error messages will appear on the X-ray generator console. When an error message is displayed, press and take the appropriate action listed. Messages Related to the X-ray high voltage generator The following message is displayed. Radiography is not possible while this message is displayed. Message Description Action Measured tube current Radio Over Current exceeded preset value by 00 ma or more. Measured kv Over Measured kv Under Measured tube voltage exceeded permitted range. Measured tube voltage fell below permitted range. If this message appears repeatedly though pressing [RESET] key, contact Shimadzu service Starter Error Starter failure. representative. I.F. Over Abnormal filament heating Filament not ready current. If "No Filament S" or "No Filament L" appears, No Filament S/L/Both Abnormal filament. the focus is switched to normal one. if this message appears after rebooting the X-ray 6 high voltage generator, contact Shimadzu service representative. Trouble Shooting 53

54 Message Description Action Line Voltage OVER Supply voltage exceeded permitted range. Charge Volt Error Power Down H.V.T. Not Connected Abnormal charging voltage of primary smoothing capacitor. Abnormal control circuit supply voltage. Abnormal connection to high-voltage transformer. Contact Shimadzu service representative. Arcing Trouble Repeated arcing occurred. Board status Error Abnormal control board. kv adjustment board Error Abnormal kv Adjust Board. Fluo I/F Error Abnormal Fluo I/F Board. Messages Related to the X-ray Tube The following message is displayed. Radiography is not possible while this message is displayed. Message Description Action HU Over Predicted Value predicted to go out of range Continuing radiography with present setting will cause heat unit overrun. Change the radiography conditions or cease operation until heat unit value reduces. HU Full Stored Thermal Over Heat units reached the permitted limit. X-ray tube unit temperature exceeded the permitted limit. Stop the operation until the heat unit value reduces. LX-Tube Water Flow Error Water flow in heat exchanger of X-ray tube is stopped. Radiography is not available while this warning displays. If this message appears repeatedly after resetting or rebooting the X-ray high voltage generator, X-ray exposure will be impossible in a few minutes. Stop study immediately. 54

55 Message Description Action LX-Tube Water Level Warning Water volume of heat exchanger gets low Contact Shimadzu Service Representative. (Its possible to do exposure X-ray while this Warning displays.) LX Tube Thermal Warning X-ray tube unit temperature exceeded 70 celusius degrees. The continued use can be detect "Thermal Over". Cease operation or decrease frequency of exposure X-ray. (Its possible to do exposure X-ray while this Warning displays.) Starter is not working The starter is in standby status. Contact Shimadzu service representative. Error Messages at Power ON Message Description Action The data recording battery in Cabinet Battery Warning the control cabinet must be replaced soon. Contact Shimadzu service Cabinet Battery Empty The data recording battery in the control cabinet is empty. representative. X-ray switch Error Fluo switch Error Radiography switch was ON, when the high voltage system is ON. Fluoroscopy switch was ON, when the high voltage system is ON. Power OFF the high voltage system, and reset it after confirming the switch of fluoroscopy and radiography is not ON. 6 Trouble Shooting 55

56 Other Messages The following message is displayed. Radiography is not possible while this message is displayed. Message Description Action Door/Interlock The examination room door is open. Close the door. FPD Water Flow Error Heat Exchanger of FPD detects error. Stop study immediately and Contact Shimadzu service representative. (It s possible to do exposure X-ray for about 30 minutes while this Warning displays.) C-arm Message Description Action Position Detect Error XXX Potentio Error XXX Mismatching of position detection and motor drive. Detects disconnection of position detector circuit. It is possible to operate the C-arm by holding down the release switch. Reset with the STOP switch or turn off and on the power again. If the equipment cannot be reset, contact Shimadzu service representative. Limit Error XXX Detects the limit switch activation. Ask Shimadzu service representative to readjust the limit switch. Motor Error XXX Collimator Error XXX Collimator Rot Error Camera Rotation Error Motor command fail to drive the motor. Error of the collimator potentiometer. Error of collimator rotation potentiometer. Error of FPD rotation potentiometer. Reset with the STOP switch or turn off and on the power again. If the equipment cannot be reset, contact Shimadzu service representative. 56

57 Message Description Action Initial Input Error! Release All Switches Any switch may be pressed during startup. Release all the switches and reset the equipment. STOP Switch Error Break in the stop switch circuit is detected. One of the doubled circuits is out of order. Although the equipment is available for the temporary use, contact Shimadzu service representative immediately. Low Battery Drop of battery voltage. Although the equipment is available, contact Shimadzu service representative. Pos. Calibration Error Lever Calib. Error Interlink Error! XXX Incorrect installation setting of position detection. Incorrect installation setting of the console. Detects disconnection of console. Contact Shimadzu service representative. Note: "XXX" represents values and characters according to the error situation. CAUTION When operating the system by holding down the release switch, the collision prevention feature and safety switches are disabled. This may result in equipment damage or patient contact. Operate carefully to ensure the STOP switch can be pressed immediately. 6 Trouble Shooting Release Switch CyberGrip Release Switch (on the side of the console) Cyber Console 57

58 7 Appendix IVR NEO buttons/keyboard Shortcut keys functions The settings of IVR NEO buttons (default settings: P.0 and P.) and keyboard function keys can be changed to the functions in the following table. See Chapter.8 Physicians Tab on DAR-9500f Operation Manual (M57-E8) for changing the settings. Category Button Function A R Fluoro Rad MAP Fluoro Program Save Fluoro Last Frame View Fluoro Direct Fluoro Record Rad Program Toggle Rad Mode Set Rad Mode BiPlane Set Rad Mode Frontal Set Rad Mode Lateral DSA MAP DSA-MAP(Live) DSA-MAP(Sub) FluoroMAP FluoroMAP(Live) FluoroMAP(Sub) Blank MAP MAP mode Live mode Reset BG Mask TRANS Sketch Display Sketch Edit Associated predefined Fluoro mode selected upon selection. Fluoroscopy images can be saved mode. Last acquired Fluoro loop shown upon selection. Direct Record mode enabled upon selection. LED goes OFF upon completion of next Fluoro acquisition. Associated predefined Rad mode selected upon selection. (Biplane only) Change the plane in order of Frontal, Bi and Lateral. (Biplane only) Change the plane to Bi-plane. (Biplane only) Change the plane to Frontal. (Biplane only) Change the plane to Lateral. DSA-MAP mode. DSA-MAP Live mode. DSA-MAP Sub mode. FluoroMAP Mask Creation mode. FluoroMAP Live mode. FluoroMAP Sub mode. Register the Blank mask. MAP mode. Live mode. Reset the background mask. IVR NEO joystick changes MAP Power. Sketch Display mode. Sketch Edition window is displayed, and the joystick become available. 58

59 Category Button Function A R MAP Contour Enhancement Set Mask Region Display the contour enhanced image. ROI of DSA-MAP is displayed on the image and the joystick is in the operation mode. DSA Peak Hold Display the peak hold image. X-ray OFF Ban the X-ray exposure. Dose Reset Dose meter reset upon selection. Delete Reference Image Reference image deleted upon selection. Action Add Print Image displayed is added for printing upon selection. (Biplane only) Lateral Operation Enable to operate from ACQ-L when Edit Sketch and MAP Power are changed. Ref Sync RefSync mode. PCI View mode PCI View mode. Filter with Reference image Search and display the added reference images. Zoom In Zoom level increases slightly upon selection. Display Zoom Out Zoom level decreases slightly upon selection. Flip image Horizontal Flip an acquisition image horizontally. Flip image Vertical Flip an acquisition image vertically. Play Play/Sync Play Play Forward ON=Play Single Loop with Synchronize mode. OFF=Play Single Loop mode. Loop plays forward upon selection. Play Backward Loop plays backward upon selection. Analysis LV Mode QCA Mode LV menu shown upon selection. QCA menu shown upon selection. Text Add text tool selected upon selection. Line Line tool added at mouse cursor location upon selection. Curve Curve tool added at mouse cursor location upon selection. Annotations Arrow Caliper Analysis Arrow added at mouse cursor location upon selection. Caliper tool added at mouse cursor location upon selection. Analysis results added upon selection. 7 Study Clear Last Annotation Study information added upon selection. Last annotation deleted upon selection. Appendix Clear All Annotation All annotations deleted upon selection. 59

60 Category Button Function A R Annotations Show Annotation Properties Pointer Annotations properties shown upon selection. Pointer tool selected upon selection. 60

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62 Digital Angiography System Trinias Operation Guide