OEC® Workstation

for
FlexiView
Operator Manual
Part Number 00-884239-01

GE OEC Medical Systems, Inc.

384 Wright Brothers Dr,

Salt Lake City, Utah 84116

801/328-9300
Contents

Text Manual Revision History

Rev Dash Date Change Description

A -01 Nov 2001 First-Release

B -01 April 2002 Updated Release

© 1998-2001

CAUTION!
US Federal law restricts this device to sale by,
or on the order of, a physician.

GE OEC Medical Systems, Inc.

384 Wright Brothers Dr.
Salt Lake City, Utah 84116

Page ii
 Contents

This manual may not be reproduced, in whole or in part, without the written
permission of GE OEC Medical Systems, Inc.
The material in this manual is provided for informational purposes only and
is subject to change without notice.
The text of this manual was originally written, approved, and published by
the manufacturer in English (part number 00-884239-01).
All trademarks and registered trademarks are trademarks or registed trade-
marks of their respective holders. OEC and FlexiView are trademarks of GE
OEC Medical Systems, Inc. in the USA and other countries.
Companies, names, and data used in examples herein are fictitious unless
otherwise noted.
US and foreign patents pending. Made in the U.S.A.
This manual contains descriptions, instructions, and procedures which apply
only to the OEC Workstation.

Page iii
Contents

Table of Contents
Introduction and Safety ............................................ 1-1
Overview ......................................................................................................................... 1-1
Owner Responsibilities ................................................................................................... 1-2
System Compatibility .............................................................................................. 1-2
Operator Qualifications ............................................................................................ 1-2
Continued Compliance ............................................................................................ 1-3
Unauthorized Modifications .................................................................................... 1-3
GE OEC Responsibilities ................................................................................................ 1-4
X-ray Equipment Certification ................................................................................ 1-4
After-sale Operating and Safety Practices ................................................................ 1-4
Communication Center Telephone Numbers .................................................................. 1-5
Ordering Consumable Items ............................................................................................ 1-6
Phone ........................................................................................................................ 1-6
Fax ............................................................................................................................ 1-6
On-line ...................................................................................................................... 1-7
Safety Hazards ................................................................................................................. 1-8
Safety Hazard Alerts ................................................................................................. 1-9
Explosion ............................................................................................................... 1-10
Implosion ............................................................................................................... 1-11
Equipment Stability and Positioning .................................................................... 1-12
Motorized Mechanical Movement ........................................................................ 1-13
Improperly Attached Equipment ............................................................................ 1-13
Electrical Shock ..................................................................................................... 1-14
Electrical Fire ......................................................................................................... 1-15
Ground Fault .......................................................................................................... 1-16
Radiation Exposure ............................................................................................... 1-17
General Protection .......................................................................................... 1-17
Source-to-Skin Distance ................................................................................. 1-18
Ingress of Fluids ..................................................................................................... 1-19

Page iv
 Contents

Cooling Efficiency ................................................................................................. 1-19

Burns ...................................................................................................................... 1-19
Electromagnetic Compatibility Statement ............................................................ 1-20
Equipment Malfunction ......................................................................................... 1-21
External Devices .................................................................................................... 1-22
Patient Environment ............................................................................................... 1-23
Within the United States ................................................................................. 1-23
Outside the United States ................................................................................ 1-24

Setup and Positioning .............................................. 2-1

Overview ......................................................................................................................... 2-1
Workstation Components ................................................................................................ 2-2
Brake Pedal .............................................................................................................. 2-5
Moving the Workstation ................................................................................................. 2-6
Turning the Workstation On ............................................................................................ 2-8
Turning the Workstation Off ........................................................................................... 2-9
Mobile Systems ........................................................................................................ 2-9
Fixed Room Systems .............................................................................................. 2-10

Using the Workstation Controls .............................. 3-1

Overview ......................................................................................................................... 3-1
Touchscreen Controls ...................................................................................................... 3-2
OEC Workstation Keyboard ............................................................................................ 3-4
Navigation and Text-Entry Keys ............................................................................. 3-6
Diacritic Keys ........................................................................................................... 3-8
Image Processing Keys ............................................................................................. 3-9
Function Keys ........................................................................................................ 3-22
Remote Control ............................................................................................................. 3-24

Page v
Contents

Patient Information .................................................... 4-1

Overview ......................................................................................................................... 4-1
Patient Information Screen .............................................................................................. 4-2
Enter Patient Information ......................................................................................... 4-4
Scheduled Exams Feature ........................................................................................ 4-6
Set up the Scheduled Exams feature ................................................................. 4-7
Select a patient from Scheduled Exams ........................................................... 4-8
Select a Patient from Saved Exams ........................................................................ 4-10
Edit Patient Information ......................................................................................... 4-13
To edit information ......................................................................................... 4-14

Fluoro Imaging........................................................... 5-1

Overview ......................................................................................................................... 5-1
X-Ray Switch Setup ........................................................................................................ 5-2
MODE Screen ........................................................................................................... 5-2
Status Bar ................................................................................................................. 5-4
Fluoro Imaging ................................................................................................................ 5-5
To produce a Fluoro image ............................................................................... 5-5
High Level Fluoro Imaging ............................................................................................. 5-6
Standard HLF ........................................................................................................... 5-7
To produce a standard HLF image .................................................................... 5-7
SNAPSHOT Imaging ....................................................................................................... 5-8
To produce a SNAPSHOT image ....................................................................... 5-8
Enable Pulsed X-ray ........................................................................................................ 5-9
To change pulse rate ....................................................................................... 5-11
Saving Images ............................................................................................................... 5-13

Page vi
 Contents

Vascular Imaging ....................................................... 6-1

Overview ......................................................................................................................... 6-1
X-Ray Switch Setup ........................................................................................................ 6-2
Mode Screen ............................................................................................................. 6-2
Vascular and Neuro-Vascular Systems .............................................................. 6-4
Mode Pairs ................................................................................................................ 6-5
Switching Mode Pairs ....................................................................................... 6-5
Vascular and Neuro-Vascular Systems .............................................................. 6-6
To set up imaging modes available during the exam ....................................... 6-8
Subtraction Imaging ...................................................................................................... 6-10
Sequence of Events During Subtraction ................................................................ 6-11
Subtraction Procedure ..................................................................................... 6-14
Adjusting the Mask ................................................................................................ 6-16
Registration ..................................................................................................... 6-16
To register the roadmap mask ......................................................................... 6-16
Landmarking ................................................................................................... 6-17
Roadmap Imaging ......................................................................................................... 6-18
Sequence of Events During Roadmapping ............................................................ 6-19
Roadmap 1st Phase ......................................................................................... 6-20
Roadmap 2nd Phase ........................................................................................ 6-21
Roadmap Procedure ........................................................................................ 6-22
Selecting and Clearing a Roadmap Mask .............................................................. 6-24
Using a Saved Mask ........................................................................................ 6-25
Clearing the Current Mask ............................................................................. 6-26
Produce a Roadmap Mask from a Subtraction Cine Run ............................... 6-27
Synchronized Pulse Mode ..................................................................................... 6-29
Create a Synchronized Pulse Mode Image ..................................................... 6-30

Page vii
Contents

Image Review, Hardcopy and Archive ................... 7-1

Overview ......................................................................................................................... 7-1
Image Directory ............................................................................................................... 7-2
Review Dose Information ................................................................................................ 7-4
Retrieve a Saved Exam .................................................................................................... 7-6
Image Review ........................................................................................................... 7-9
Hardcopy/Print Images .................................................................................................. 7-10
Select a Device ....................................................................................................... 7-11
Select a Layout ....................................................................................................... 7-12
Print ........................................................................................................................ 7-13
Hardcopy/Print the Dose Summary ................................................................. 7-16
Hardcopy/Print Patient Summary ................................................................... 7-16
Clear the Copy Queue ..................................................................................... 7-17
Copy (Archive) Images .................................................................................................. 7-18
Overview ................................................................................................................ 7-19
Select a Storage Device .......................................................................................... 7-20
Select a Copy Format ............................................................................................. 7-22
To choose a Copy Format ............................................................................... 7-23
Copy to Archive Device ......................................................................................... 7-24
Static Images ................................................................................................... 7-24
Cine Runs ........................................................................................................ 7-26
Clear the Storage Device Queue ............................................................................ 7-27
Copy From an Archive Device ............................................................................... 7-28

Page viii
 Contents

Dynamic Recording .................................................. 8-1

Overview ......................................................................................................................... 8-1
Cine Options ................................................................................................................... 8-2
To activate the cine disk ................................................................................... 8-4
Acquire ON/OFF ............................................................................................... 8-6
To change continuous acquisition rate ............................................................. 8-7
Cine Run Review ............................................................................................................ 8-9
Review a Cine Run ................................................................................................ 8-10
Select Cine Runs from the Cine Screen .......................................................... 8-13
Set Mask .......................................................................................................... 8-14
Set Cues ........................................................................................................... 8-15
Viewing Options ..................................................................................................... 8-17
View in Subtracted and Unsubtracted Form ................................................... 8-18
Perform a Post-processing Subtraction ........................................................... 8-19
Apply Peak Opacification during playback ................................................... 8-20
Adjust Mask .................................................................................................... 8-21
Roadmap Mask ............................................................................................... 8-22

Annotating Images .................................................... 9-1

Overview ......................................................................................................................... 9-1
Markers ..................................................................................................................... 9-2
Place markers on an image ................................................................................ 9-2
Comments ................................................................................................................ 9-4
Add comments to an image ............................................................................... 9-4
Crop .......................................................................................................................... 9-6
Crop an image ................................................................................................... 9-6

Page ix
Contents

Special Applications ............................................... 10-1

Overview ....................................................................................................................... 10-1
Calibration ............................................................................................................. 10-4
To Perform Calibration ................................................................................... 10-5
Distance .................................................................................................................. 10-6
To perform distance measurements ................................................................. 10-7
Stenosis .................................................................................................................. 10-8
To perform stenosis ......................................................................................... 10-9
To delete measurements ................................................................................10-10

Customizing ............................................................. 11-1

Overview ....................................................................................................................... 11-1
Customize Screen .......................................................................................................... 11-2
To access Customize features .......................................................................... 11-2
Workstation Options Screen ................................................................................... 11-3
Miscellaneous Options Screen ............................................................................... 11-4
Adjust alarm tone ............................................................................................ 11-6
Set defaults ...................................................................................................... 11-7
Time and Date ........................................................................................................ 11-8
Set time and date ............................................................................................. 11-8
Patient Information Screen ...................................................................................11-10
Customize Video ..................................................................................................11-12

Page x
 Contents

Maintenance............................................................. 12-1
Overview ....................................................................................................................... 12-1
Performance Checks ...................................................................................................... 12-3
Check Mechanical Performance ............................................................................ 12-3
Check Electrical Performance ................................................................................ 12-3
Cleaning ........................................................................................................................ 12-4
IR Remote Control ........................................................................................................ 12-5
To replace the batteries ................................................................................... 12-5
Long-Term Storage or Shipment ................................................................................... 12-6
Periodic Maintenance Schedule ................................................................................... 12-7
Semi-Annual Maintenance .................................................................................... 12-7

Troubleshooting ...................................................... 13-1

Overview ....................................................................................................................... 13-1
Error Recovery Steps ..................................................................................................... 13-2
Messages ....................................................................................................................... 13-3

Page xi
Contents

Technical Reference ............................................... 14-1

Overview ....................................................................................................................... 14-1
Workstation Classification ............................................................................................ 14-2
Dimensions .................................................................................................................... 14-3
Dose Area Product ......................................................................................................... 14-4
Environmental Requirements ........................................................................................ 14-5
External Connections .................................................................................................... 14-6
Labels and Symbols ...................................................................................................... 14-8
Overview ................................................................................................................ 14-8
Labels ..................................................................................................................... 14-9
Symbols ................................................................................................................14-11
Material Safety Data Sheets ........................................................................................14-14
Optional Equipment ....................................................................................................14-15
Power Requirements ....................................................................................................14-16
System Input power ..............................................................................................14-16
Connector Output Voltages ..................................................................................14-18
Replacement Items ...................................................................................................... 14-19
Video Signal ................................................................................................................14-19

Page xii
Chapter 1

Introduction and Safety

Overview
This manual describes operation for the specified product only. It is
intended for qualified medical personnel who have been trained in the
use of medical imaging equipment. It is not designed to replace or
substitute for certified training in the radiological or medical field.

Functional capabilities and operation of the equipment are described here

which can be used in a variety of diagnostic, therapeutic and surgical
applications.

Page 1-1
Introduction and Safety

Owner Responsibilities
The owner has the responsibility to ensure system compatibility,
operator qualifications and the continued compliance of equipment and
operating specifications. Systems should only be used in designated use
areas with approved AC receptacles. Unauthorized changes or
modifications to any part of the system could have hazardous
consequences. Changes or modifications must not be made unless
specifically authorized by GE OEC Medical Systems, Inc.

System Compatibility
Damage may result to the system if incompatible components are
connected. Read your operator manual thoroughly prior to connecting
components that you are not certain are compatible.

Operator Qualifications
It is the responsibility of the owner to ensure that the system is operated
only by properly trained, qualified personnel who have obtained
credentials from the appropriate authorities.

Page 1-2
 Introduction and Safety

Continued Compliance
The owner is responsible for verifying continued compliance with all
applicable regulations and standards. Consult local, state, federal and/or
international agencies regarding specific requirements and regulations
applicable to the use of this type of medical electronic equipment.

Unauthorized Modifications
When properly assembled this equipment meets US Federal regulations
and International standards. Unauthorized modifications to the
equipment may impact adherence to these standards and make the
equipment unsafe to operate. Never make any modifications or
adjustments to the equipment unless directed by a qualified GE OEC
representative.

Page 1-3
Introduction and Safety

GE OEC Responsibilities
GE OEC Medical Systems, Inc. certifies each system and X-ray source
assembly. After-sale operating practices and safety are the responsibility
of the owner/operator.

X-ray Equipment Certification

GE OEC Medical Systems, Inc. certifies that when assembled according
to manufacturer's instructions, the X-ray equipment complies with the
US Federal Performance standard 21 CFR Subchapter J and applicable
international standards.

After-sale Operating and Safety Practices

GE OEC Medical Systems, Inc. assumes no responsibility or liability for
after-sale operating and safety practices; nor can it be responsible for
personal injury or damage resulting from misuse of its systems.

Page 1-4
 Introduction and Safety

Communication Center
Telephone Numbers
If the system does not operate properly or fails to respond to the controls
as described in your operator’s manual, call GE OEC Medical Systems,
Inc. to request service. The communication center's telephone numbers
are listed below:

US: 800 874-7378

China: 800 810-8188
All others: Contact local GE Medical Systems, Inc. office.

You may also call these numbers to order circuit diagrams, component
part lists, calibration instructions or other information which will assist
qualified service engineers to repair the system.

Page 1-5
Introduction and Safety

Ordering Consumable Items

You may order GE OEC consumables such as steri-drapes and printer
paper, by phone, fax, or on-line.

Phone
1. Call the number that corresponds to your geographical location.

US: 800 558-5102

Canada: 800 668-0732
China: 800 810-8188
All other locations: Contact your local sales representative.
2. Establish an account with the customer service representative.

3. Place your order.

Fax
If you have a catalog and a GE Fax Order form, complete the form and
fax the form to the fax number listed on the form. If you do not have a
catalog or forms, you can obtain them by dialing the number listed for
your geographical location.

Page 1-6
 Introduction and Safety

On-line
You can order consumables on the GE Medical System, Inc. web site
from any geographical location but prior to ordering you must register
on-line to open an account. Registration is free.

1. Go to www.gemedicalsystems.com.

2. Register to open an account.

NOTE: Record your user name and password for future account access.

3. Login using the user name and password that you established when
you registered.

4. Browse through the on-line catalog and locate the OEC Supplies that
you want to purchase.

NOTE: If you have difficulties, dial the telephone number listed previously for
your geographical location or contact your local sales representative.

Page 1-7
Introduction and Safety

Safety Hazards
Potential hazards exist in the use of medical electronic devices and X-ray
systems. Operators using the equipment should understand the safety
issues, emergency procedures, and the operating instructions provided.

Questions and comments regarding safety should be addressed to the GE

OEC Medical Systems, Inc. service organization nearest them.
Unresolved problems should be referred to:

Vice President of Quality and Regulatory Affairs

GE OEC Medical Systems, Inc.
P.O. Box 25296
Salt Lake City, Utah 84125-0296
(801) 328-9300

GE OEC Medical Systems has designated the following entity to act as

the European Union (EU) representative in matters dealing with the
Medical Devices Directive under Annexes I and II:

GE OEC Medical Systems, GmbH

Wilhelm-Maisel Strasse 14
90530 Wendelstein, Germany
Phone: 011-49-9129-282830
Fax: 011-49-9129-270972

The following pages describe hazardous and potentially hazardous

conditions, and how to adequately protect yourself and others from
possible injury.

Page 1-8
 Introduction and Safety

Safety Hazard Alerts

There are three hazard classifications, which are denoted and prioritized
by the alert words:

1. Danger

2. Warning

3. Caution

This list describes the use of each classification:

Alert Circumstances for Use

DANGER Danger indicates an imminently hazardous situation
which, if not avoided, will result in death or serious
injury.

WARNING Warning indicates a potentially hazardous situation

which, if not avoided, could result in death or serious
injury.

CAUTION Caution indicates a potentially hazardous situation

which, if not avoided, may result in moderate to
minor injury, equipment damage or loss of data.

Page 1-9
Introduction and Safety

Explosion
If your system complies with the requirements of IEC 60601-1 regarding
Anesthetic Proof (AP) equipment, an AP label will be located on the
equipment. An AP label means that under normal conditions certain
components may be operated safely in close proximity to flammable
gases.

However, if an abnormal condition occurs, such as the room fills with

flammable gas, steps must be taken to prevent the gas from coming in
contact with non AP rated components within the equipment. Follow
these guidelines:

1. Do not turn the system off or unplug it from the AC receptacle.

2. Do not operate any other electrically powered equipment.

3. Evacuate all personnel from the area and ventilate with fresh air.
Avoid operating any automated (electrically operated) doors or
windows.

4. Contact your local fire department as soon as possible.

Page 1-10
 Introduction and Safety

Implosion
If your equipment has a Cathode Ray Tube (CRT) do not locate objects
so that they might fall and strike the tube causing it to implode. Use
caution when working around the tube. The coating on the glass can also
produce toxic dust and fumes. If a CRT implodes:

1. Remove power immediately.

2. Evacuate the area.

3. Contact an appropriate staff member that is familiar with hazardous

material disposal.

4. Request service to replace the monitor.

Page 1-11
Introduction and Safety

Equipment Stability and Positioning

If your system is mounted on wheels and casters and it is moved or
operated improperly it could roll out of control. Follow these guidelines:

• Two people should maintain control of the equipment when

moving up or down an incline.
• Place all mechanical assemblies in their most compact (trans-
port) position and lock brake handles prior to moving the
equipment.
• Use the handles designed for moving the equipment and me-
chanical assemblies.
• Never attempt to move the system up or down steps.
• Do not operate the equipment on unlevel floors.
• Do not lock the wheel brakes and leave the equipment unat-
tended on unlevel floors.
• Always apply the wheel locks when the system is in its final
position.
• Do not move the equipment if the casters or wheels are not
functioning properly.
• Mechanical shocks to the equipment while disk drives are
accessing information may cause damage to the disk drive.

Page 1-12
 Introduction and Safety

Motorized Mechanical Movement

If your equipment has motorized mechanical assemblies follow these
guidelines:

• Always observe mechanical assemblies when operating the

motor to avoid pinching or collision with a person or object.
• Use care when working around equipment to avoid unintentional
motor actuation. Do not carelessly place objects on the equip-
ment or bump or lean against the equipment.
• Observe and prevent articles of clothing from getting caught in
moving parts.

Improperly Attached Equipment

If your equipment accommodates a film cassette holder or some other
piece of equipment that can be attached or removed, follow these
guidelines:

• Use only equipment supplied by GE OEC Medical Systems, Inc.

• Attach the equipment properly. Incorrectly attached equipment
could fall, causing injury to the patient or operator.
NOTE: Refer to the Technical Reference Chapter for the correct dimensions of
items that may be used in conjunction with this product, such as
radiographic film cassettes.

Page 1-13
Introduction and Safety

Electrical Shock
Observe the following safety procedures to avoid electric shock or
serious injury to operators and patients and to avoid system malfunction.

• Make all electrical connections to equipment while outside the

patient environment. Do not touch a connector and the patient at
the same time.
• Do not bypass, jumper or otherwise disable the safety interlocks.
• Do not remove any of the assembly covers. Only trained service
representatives should perform repairs.
• Do not place food or beverage containers on any part of the
equipment. If spilled they can cause short circuits.
• Always remove power to the equipment before cleaning. Use a
slightly damp cloth or sponge for cleaning.
• Only qualified service engineers are allowed to service or repair
a system.

WARNING
Electrical circuits inside the equipment may use voltages
which are capable of causing serious injury or death from
electric shock. To avoid this hazard, never remove any of the
cabinet covers.

Page 1-14
 Introduction and Safety

Electrical Fire
In the event of electrical fire perform the following emergency
procedure:

NOTE: Any emergency procedure developed by the owner, for the area in which
the system is used, should include these safety measures:

• Remove electrical power to the system by placing the power

switch in the off position.
• Unplug the power cord from the AC receptacle.
• Evacuate personnel from the area.
• Only use a fire extinguisher that is approved for use on electri-
cal fires.
• Call your local fire department for help if necessary.

WARNING
The use of the wrong type of fire extinguisher presents
electrical shock and burn hazards. To avoid these hazards, a
fire extinguisher which meets applicable regulations and
standards must be available in the room where the
equipment is being used. Remember that equipment that is
equipped with batteries is a source of electrical current, even
when AC power is disconnected.

Page 1-15
Introduction and Safety

Ground Fault
If the operating room has a ground fault alarm and the alarm is actuated:

1. Do not operate the system.

2. Call a qualified service technician.

Page 1-16
 Introduction and Safety

Radiation Exposure
General Protection

WARNING
This equipment either produces or is used in the vicinity of
ionizing radiation. Observe proper safety practices during
operation.

• The owner must designate areas suitable for safe operation and
service of the equipment and ensure they are only used in those
areas.
• The owner must ensure that all personnel wear appropriate
protective clothing and radiation monitoring devices while using
the equipment.
• Remain alert for visual indicators and audible alarms that are
activated when ionizing radiation is being produced by equip-
ment in the work area.

Page 1-17
Introduction and Safety

Source-to-Skin Distance
International regulations specify that a minimum source-skin distance be
maintained, except for specific surgical applications. Some medical
imaging equipment may have a skin spacer attached in order to meet this
requirement.

WARNING
Removing the skin spacer may result in increased radiation
exposure to the patient. The rate of exposure increases
exponentially as the anatomy is positioned closer to the X-
ray tube.

The skin spacer should only be removed on the instructions of a

physician. The spacer should be reattached to the collimator assembly
immediately following the procedure.

Page 1-18
 Introduction and Safety

Ingress of Fluids
Excessive amounts of fluids such as antiseptics, cleaning solutions or
bodily fluids may damage internal components if they are allowed inside
the equipment. Use drapes, if necessary, to protect equipment when
performing procedures and do not apply excessive amounts of fluid
when cleaning.

WARNING
The X-ray system is not rated for water-tight operation. If
liquids drip into the equipment, disconnect the power cord
and do not operate the system until it can be cleaned and
inspected by a qualified service engineer.

Cooling Efficiency
Draping some X-ray equipment may restrict airflow to components that
provide heat sinking and to vents designed to cool the equipment. Drape
equipment and cover vents only when exposure to excessive fluids is
unavoidable and extended use of the equipment is not required.

Burns
Extended use of imaging equipment may cause components such as X-
ray tubes to reach temperatures capable of inflicting burns. Use care
when positioning equipment to avoid placing hot components in close
proximity to patients and personnel. An anesthetized or unconscious
patient is incapable of sensing and reacting to a hot component.

Page 1-19
Introduction and Safety

Electromagnetic Compatibility Statement

This equipment may generate and use radio frequency energy. The
equipment must be installed and used according to the manufacturer’s
instructions in order to avoid radio frequency interference. If this
equipment generates or receives interference do the following to correct
the problem:

• Verify that the equipment is the cause by turning the system on

and off.
• In the event of unintended motor actuation, immediately remove
power to the equipment.
• In the event of unintended X-ray actuation, immediately remove
power to the equipment.
• Reorient the equipment until the interference stops.
• Relocate the equipment with respect to other equipment in the
room.
• Plug the equipment into a different outlet so that the equipment
and the receiver are on different branch circuits.
• Use only input/output (I/O) cables supplied by GE OEC Medical
Systems, Inc.

Page 1 -20
 Introduction and Safety

Equipment Malfunction
If either the hospital or equipment circuit breakers trip, an equipment
malfunction may be indicated. Do not attempt to operate the equipment
until it has been checked by a qualified service engineer.

If any of the equipment controls fail to respond as indicated in this

manual, you should:

1. Remove power to the equipment by placing the power switch in the

off position and unplugging the power cord from the AC receptacle.

2. Notify a qualified service engineer.

3. Do not operate the equipment until the service technician advises

that it is operating properly.

Page 1-21
Introduction and Safety

External Devices
To ensure patient safety, only connect external equipment that has been
approved by GE OEC Medical Systems, Inc. All equipment attached to
the external interface connections must meet the requirements of IEC
60601-1 when operated within the patient environment. When used
outside of the patient environment, each externally connected device
must comply with the relevant IEC/ISO requirements for that device. In
any case, the combination of all externally connected equipment shall
not cause the leakage current of any device used within the patient
environment to exceed the limits stated in IEC 60601-1.

Page 1-22
 Introduction and Safety

Patient Environment
Within the United States
Within the US the Patient Environment is defined by NFPA 99
and UL 2601-1. In areas in which patients are normally cared for, the
patient environment is the space with surfaces likely to be contacted by
the patient or an attendant who can touch the patient.

This encloses a space within the room 6 ft. beyond the perimeter of the
bed (examination table, dental chair, treatment booth, etc.) in its intended
location, and extending vertically 7.5 ft. above the floor.

6.00 ft. 6.00 ft. 7.50 ft.

6.00 ft.

Page 1-23
Introduction and Safety

Outside the United States

Outside the US the patient environment is defined by IEC 60601-1-1. In
areas in which patients are normally cared for, the patient environment is
the space with surfaces likely to be contacted by the patient or an
attendant who can touch the patient.

This encloses a space within the room 1.5 m beyond the perimeter of the
bed (examination table, dental chair, treatment booth, etc.) in its intended
location, and extending vertically 2.5 m above the floor.

2.5 m
1.5 m 1.5 m

1.5 m

Page 1-24
Chapter 2

Setup and Positioning

Overview
This chapter describes:

• Workstation components
• Moving the OEC Workstation
• Adjusting the brake
• Turning the system ON
• Turning the system OFF

Page 2-1
 Setup and Positioning

Workstation Components
If the OEC Workstation will be used as an independent Workstation, plug it
in an approved AC receptacle and power on.

The Workstation is used in conjunction with a number of generators. Some

generators are hard-wired to the Workstation and will not require being
connected each time the system is used. Other generators, such as the mobile
units, are connected with the interconnect cable and disconnected after each
use.

Please refer to your appropriate generator operator manual to determine if

connecting with the interconnect cable is necessary. The generator operator
manual will contain instructions for connecting that generator to the OEC
Workstation.

CAUTION
The OEC Workstation should only be used in conjunction with
an approved compatible and appropriately configured OEC
generator. Damage may result to the system if incompatible
components are connected. This workstation is not compatible
with SERIES 9600, or 2600 and earlier products.

Page 2-2
 Setup and Positioning

The items listed below identify the location of components used on an OEC
Workstation during setup and positioning for a mobile system.

1. Interconnect cable
2. Wheel lock pedal
3. Power switch (green illuminated pushbutton)
4. Workstation handle and cable hanger (one each side)
5. Power cable

1 5

Figure 2-1. Workstation Component Identification.

Page 2-3
 Setup and Positioning

The Workstation back panel has a green indicator light showing the
Workstation is being powered.

Circuit breakers are located below the green indicator light and on the right
side of the back panel. See Chapter 14, "Technical Reference” for more
details on each circuit breaker.

Figure 2-2. Workstation Back Panel.

1 Green Indicator Light

2 Circuit Breakers

Page 2-4
 Setup and Positioning

Brake Pedal
The Workstation brake pedal has three positions that control wheel
movement. The pedal is located on the left side of the Workstation. The
pedal positions are:

Position Description

1 The wheels close to the pedal roll in a straight line, and

the wheels opposite pivot freely. Place the brake pedal in
this position to move the Workstation long distances.

2 Allows all the wheels to pivot freely. Place the brake

pedal in this position to easily maneuver the
Workstation during final positioning.

3 Prevents all four wheels from pivoting or rolling.

2
3

Figure 2-3. The OEC Workstation brake pedal.

Page 2-5
 Setup and Positioning

Moving the Workstation

CAUTION
Familiarize yourself with the location and mechanical operation
of all controls prior to moving the system.

1. Press the Workstation power switch to turn the system off.

2. If using a mobile system, unplug the Workstation power cord.

Disconnect the interconnect cable from the generator. Coil and secure the
cables around the Workstation's handles.

3. Unlock the pedal brakes on the Workstation.

4. Guide the Workstation to its destination using the handles as shown in

Figure 2-4.

5. When you reach your destination, apply the wheel brakes on the
Workstation (see Figure 2-3).

CAUTION
Two people should maintain control of the Workstation when
moving up or down and incline. Do not move the Workstation
over inclines greater than 10 degrees.
Do not move the Workstation up or down stairs or steps.
Do not lock the Workstation in place on an incline greater than 5
degrees.

Page 2-6
 Setup and Positioning

Figure 2-4. Moving the Workstation.

Page 2-7
 Setup and Positioning

Turning the Workstation ON

Press the green Workstation power switch. The light within the switch will
turn ON indicating the power is turned ON. The system will begin the power
up sequence.

Figure 2-5. Workstation monitor power switch.

The Workstation is ready for operation when the PATIENT

INFORMATION screen is displayed on the right monitor.

NOTE: If the Workstation monitor fails to display the PATIENT INFORMATION

screen on the right monitor, you must restart the system.

To restart the system, press the power button, wait five seconds and then
press the power button again. If restarting the system fails, call GE OEC
Communication Center for service.

Page 2-8
 Setup and Positioning

Turning the Workstation OFF

When the Workstation power button is in the OFF position, neither the
Workstation nor the generator will operate.

Press the green Workstation power button. The light within the button will
turn off indicating the power is turned OFF.

CAUTION
When you turn the system OFF, always wait at least 5 seconds
before powering the system back ON. This will help prevent
operational problems.

Mobile Systems
If pressing the power button fails to turn the Workstation OFF, unplug the
power cord from the AC receptacle. Call for service.

CAUTION
All power to the system has not been removed until the
Workstation is unplugged from the electrical outlet.

Page 2-9
 Setup and Positioning

Fixed Room Systems

If pressing the power button fails to turn the Workstation OFF, press the
Emergency OFF button. Call for service.

Please refer to the applicable generator operator manual for more

information.

CAUTION
Power is not completely removed by pushing the power switch.
Power is still being received by the Workstation until the main
breaker is turned OFF.

Page 2-10
Chapter 3

Using the Workstation

Controls

Overview
This chapter describes how to use the OEC Workstation controls for
imaging and post-processing. Before using the Workstation, you
should become familiar with the controls located on the following
components:

• Touchscreen
• Workstation keyboard
• Infrared (IR) Remote control

Refer to the applicable generator operator manual for instructions on

using other controls that accompany the system you own.
Familiarize yourself with all controls before using the system.

Page 3-1
 Using the Workstation Controls

Touchscreen Controls
The right monitor provides a touchscreen for interacting with the
Workstation. Using the touchscreen (and the keyboard for text-entry)
you can:
• Enter and view patient information
• View and process images
• Configure the X-ray switches
• Set imaging parameters
• Annotate images

2 1

Figure 3-1. Touchscreen monitor.

1 Touchscreen monitor
2 Active image screen

Page 3-2
 Using the Workstation Controls

To select a touchscreen button, or a field for text-entry, touch it and

quickly remove your finger from the touchscreen.

Figure 3-2. Using the touchscreen.

Page 3-3
 Using the Workstation Controls

OEC Workstation Keyboard

The Workstation keyboard controls include navigation, text-entry,
image processing, and function keys.

Two versions of the Workstation keyboard are available: text and

icon. The layout and functionality of each keyboard is identical.
Only labeling distinguishes text and icon versions of the keyboards.

Page 3-4
 Using the Workstation Controls

EDGE NOISE PATIENT IMAGE IMAGE SPECIAL

ENHANCE FILTER CONTRAST BRIGHTNESS INFORMATION DIRECTORY ANNOTATION APPLICATIONS CUSTOMIZE HELP

A ?

ZOOM NEGATE ? ! @ # $ % ^ & * ( ) _ +

/ 1 2 3 4 5 6 7 8 9 0 - =
AUTO

Q W E R T Y U I O P ' •
Tab
´ ¨

A S D F G H J K L ° / Æ Enter
Caps Lock ¸
• æ

Z X C V B N M < > " ß

SAVE SWAP Shift Shift
, . ' \

Del

Figure 3-3. OEC Workstation Text Keyboard Layout.

A ?

? ! @ # $ % ^ & * ( ) _ +
/ 1 2 3 4 5 6 7 8 9 0 - =

Q W E R T Y U I O P ' •
´ ¨

A S D F G H J K L ° / Æ
• ¸ æ

Z X C V B N M < > " ß

, . ' \

Figure 3-4. OEC Workstation Icon Keyboard Layout.

Page 3-5
 Using the Workstation Controls

Navigation and Text-Entry Keys

Workstation navigation keys allow you to move the cursor, edit text,
and make button selections from the touchscreen.

To select a button, touch the button on the screen.

Touchscreen buttons can also be selected by using the tab key to

move to a button. Once the button is selected and highlighted, press
ENTER.

NOTE: A touchscreen button possesses focus when its text label is outlined
with a dotted border. Press ENTER to enact the button with focus. A
button is active when it possesses the focus.

The text-entry keys allow you to enter text in upper and lower case
letters.

TAB
Tab

Moves the cursor to the next text-entry field.

TAB also changes the focus to the next touchscreen button in

left-to-right, top-to-bottom order.

Page 3-6
 Using the Workstation Controls

ENTER

Moves the cursor to the next text-entry field. Also selects the
Enter
touchscreen button that possesses the focus.

BACKSPACE

Deletes one character to the left of the cursor. Also deletes a

selected marker or comment.

Del
DELETE

Deletes a selected marker or comment in IMAGE ANNOTA-

TION screen.

ARROWS

Used for fine positioning of image annotation and measure-

ments on the touchscreen.

Page 3-7
 Using the Workstation Controls

Diacritic Keys
' •
´ ¨

° / Æ
• ¸ æ

" ß
' \

Figure 3-5. Diacritic Keys on the Workstation Keyboard.

Diacritic keys can be used in any language.

To use the Diacritic keys:
1. Press the diacritic key.
2. Press the letter to receive the diacritic mark.

Page 3-8
 Using the Workstation Controls

Image Processing Keys

Image processing keys apply image processing attributes to images
displayed on the left monitor.

Before applying image processing, always save the image. If Auto

Save is not enabled on the Workstation, press the SAVE key.

The following pages describe how each image processing key

operates.

Page 3-9
 Using the Workstation Controls

EDGE ENHANCEMENT

Press ▲ or ▼ once to view the current level of edge enhancement.

The current edge enhancement level is shown on the edge
enhancement indicator bar displayed on the left monitor.

Edge Enhancement Display

Page 3-10
 Using the Workstation Controls

Changes to edge enhancement are indicated by a corresponding rise

or fall in the non-shaded portion of the indicator bar. Display of the
indicator bar times-out two seconds after the button is released or
immediately when any X-ray switch is pressed.

Edge enhancement emphasizes edges in an image. You can select an

edge enhancement level from 0 to 100 in increments of 10.

Press ▲ to increase the amount of edge enhancement applied. Press

▼ to decrease amount of edge enhancement applied. Pressing and
holding the key, or repeated pressing changes the value.

NOTE: Edge Enhancement can be applied to static and dynamic images.

This function can be applied to live and post-processed images.

Page 3-11
 Using the Workstation Controls

NOISE FILTER (Averaging)

Press ▲ or ▼ once to view the current noise filtering level. The

noise filter level is shown on the noise filter indicator bar displayed
on the left monitor.

Noise Filter Display

Page 3-12
 Using the Workstation Controls

Changes to noise filtering are indicated by a corresponding rise or

fall in the non-shaded portion of the indicator bar. Display of the
indicator bar times-out two seconds after the ▲ or ▼ button is
released, or immediately when any X-ray switch is pressed.

Press ▲ to increase the amount of noise filtering applied. Press ▼ to

decrease the amount of noise filtering applied. No bar showing on
the indicator bar means minimal filtering is applied.

Averaging provides image noise reduction to create a smoother

image. Noise filter can be applied during live fluoro for all image
modalities. Higher levels of noise filtering produce a smoother (or
less noisy) image, but may also cause more lag when imaging
moving objects or anatomy. You may choose from minimal, low,
medium and high levels of filtering.

NOTE: Noise filtering is a real-time processing function and cannot be

adjusted on static images. The noise filtering level may be modified
only during playback of 30 FPS (25 FPS on 50Hz systems) runs.

Page 3-13
 Using the Workstation Controls

ZOOM

Press the ZOOM key to activate the zoom function.

Magnified Image Zoom Screen

Left monitor Right Monitor

Page 3-14
 Using the Workstation Controls

The left monitor image is copied to the right monitor and the left
image is displayed by default at two times the magnification. A
square box representing the region of interest is displayed on the
right monitor. Drag (touch and move) the box to move the region of
interest.
Select the 4X button to increase magnification to four times. Select
the 1X button to restore the image to original size.
Select the EXIT button or press the ZOOM key to close the ZOOM
screen. If the image is magnified when EXIT or ZOOM is selected,
the left monitor image remains magnified until an X-ray switch is
pressed or until another image is recalled.

If the Workstation is equipped with a cine disk, you can apply zoom
to a single frame of a cine run.

Page 3-15
 Using the Workstation Controls

NEGATE

Negate reverses the display of light and dark values in an image.

Press the NEGATE key to activate the negate function.

Positive image Negated Image

Page 3-16
 Using the Workstation Controls

Negate is applied to the current image on the left monitor and to all
subsequent images produced until negate is disabled.

Until disabled, each time Fluoro is pressed on the footswitch or

handswitch, the image will be negated.

To disable negate, press the NEGATE key again.

NOTE: Negate can be applied to static and dynamic images.

Page 3-17
 Using the Workstation Controls

CONTRAST and BRIGHTNESS

Press ▲ or ▼ once on either key to view the contrast (left

key) and brightness (right key) level display.

Contrast and Brightness Display

Page 3-18
 Using the Workstation Controls

Press either key again to change the level of contrast or brightness.

Press ▲ to increase. Press ▼ to decrease. Short, quick presses of the
key adjust the level one increment at a time. Pressing and holding
the button down adjusts it more rapidly.

Changes are indicated by a corresponding rise or fall in the shaded

portion of the indicator bar. Display of the indicator bar times-out
two seconds after the ▲ or ▼ key is released or immediately when
any X-ray switch is pressed.

The current contrast or brightness level is shown in a range from 0-

100 on the indicator bar displayed on the left monitor and in a
numeric value displayed on the lower right corner of the left monitor
image.

Page 3-19
 Using the Workstation Controls

AUTO

Enables automatic adjustment of contrast and brightness on the left

monitor image. When enabled, the system automatically selects the
optimum contrast and brightness values for the left monitor image.
If the LED next to the AUTO key is illuminated, Auto is enabled.

To enable automatic contrast/brightness, press the AUTO key. To

disable automatic contrast/brightness selection, press the AUTO key
or contrast/brightness buttons. The Auto LED is not illuminated
when Auto is disabled. Pressing AUTO after manually adjusting the
levels will readjust the levels you have set.

You can enable AUTO from the generator control panel or

Workstation keyboard.

Page 3-20
 Using the Workstation Controls

SWAP
Press the SWAP key to exchange images between the left and right
monitor. When only one image displays on the left monitor, SWAP
will copy the image to the right monitor.

SAVE
Press the SAVE key to save the left monitor image on the system
disk. Up to 400 static images can be stored on the system disk.

The image number is displayed on the bottom left corner of the left
monitor screen. This number corresponds with the image number in
the image directory for the exam displayed.

When storage capacity has been reached, each new image is saved
over the oldest image on the disk.

Page 3-21
 Using the Workstation Controls

Function Keys
Use the function keys located on the top row of the keyboard to
display touchscreen menus on the right monitor.

PATIENT INFORMATION
Displays the PATIENT INFORMATION screen. Use this screen to
enter patient information. Refer to Chapter 4, "Patient Information."

IMAGE DIRECTORY
Displays the IMAGE DIRECTORY screen. Image directory allows
you to review, print, and archive stored images and dose
information. Refer to Chapter 7, "Image Review, Hardcopy and
Archive" for details.

Page 3-22
 Using the Workstation Controls

A IMAGE ANNOTATION
Displays the IMAGE ANNOTATION screen. Image Annotation
allows you to place markers, add comments, and crop images. Refer
to Chapter 9, "Annotating Images" for details.

SPECIAL APPLICATIONS
Displays the MEASUREMENT screen. This screen allows the user to
place measurements on an image. Refer to Chapter 10, "Special
Applications" for details.

CUSTOMIZE
Displays the CUSTOMIZE screen. Use the CUSTOMIZE screen to
configure system setup options. Refer to Chapter 11, "Customizing"
for details.

HELP
?
Displays system configuration information.

Page 3-23
 Using the Workstation Controls

Remote Control
You may also use the optional infrared remote control to interact
with the touchscreen.

Exit Key Remote Control

Screen Key

Cursor
Movement Enter Key
Ring

Figure 3-6. Optional Remote Control.

The REMOTE IMAGE PROCESSING screen allows remote access to

edge enhancement, noise filter, contrast/brightness, negate and zoom
functions. You may also save images displayed on the left monitor
and swap images between monitors.

Page 3-24
 Using the Workstation Controls

Press this key to display the REMOTE IMAGE PROCESSING

screen.

Remote Control Screen

Press the arrows to move the cursor from button to button. The focus
will move to the closest button in the direction of the arrow pressed.

Once the cursor is placed on a touchscreen button, the button will

possess the focus. Press the ENTER key in the center of the ring to
activate the button function. To move an item with the focus, such as
a zoom box or marker, use the arrow keys. To remove the focus,
press ENTER again.

NOTE: The IR remote may be used to activate any touchscreen button.

Page 3-25
 Using the Workstation Controls

Page 3-26
Chapter 4

Patient Information

Overview
Use the PATIENT INFORMATION screen to:

• Enter patient information.

• Display SCHEDULED EXAMS screen and begin a new
exam.
• Display SAVED EXAMS screen and select a previously
saved exam containing images.
• Edit patient information.
NOTE: For proper documentation of images, you should always enter
patient information before beginning a new exam. If a patient name
is not entered, images will be saved under the default name
"UNNAMED."
 Patient Information

Patient Information Screen

The PATIENT INFORMATION screen is displayed automatically at
system start-up.

PATIENT INFORMATION screen

Press the PATIENT INFORMATION key on the Workstation

keyboard to display this screen at any time.

Page 4-2
 Patient Information

The active fields are defined in the CUSTOMIZE PATIENT

INFORMATION screen in the Customize function. Inactive fields
are "ghosted" and cannot be selected. (Refer to Chapter 11,
"Customizing" for details.)

A cursor indicates which field you are in. Use the TAB or ENTER key,
or touch the next box to move the cursor to the next active field.
Each field containing information will be displayed on all static and
live images for the patient.

Once you begin imaging, switch screens or select EXIT, the fields are
locked. To edit the fields, you must select EDIT on the PATIENT
INFORMATION screen.

Page 4-3
 Patient Information

Enter Patient Information

Enter patient information immediately before a procedure.

At system startup:

1. Using the keyboard letters, enter patient last name.

2. Move through the fields to complete patient information.
3. Select the EXIT or NEW EXAM button on the screen when you
have finished entering patient information.
If you select EXIT: The PATIENT INFORMATION screen
closes and the MAIN screen is displayed. The system is
ready for you to begin taking X-rays for the patient you have
just entered.

If you select NEW EXAM: The patient information you just

entered is saved in the SCHEDULED EXAMS list and the
PATIENT INFORMATION screen is cleared.

Once you have entered patient information, you may immediately

begin taking X-rays for that patient. The patient information screen
will automatically close and display the MAIN screen.

Page 4-4
 Patient Information

Each time you choose NEW EXAM or SCHEDULED EXAMS, the

generator settings are reset to default parameters. This includes the
cine overwrite warning, fluoro timer, contrast/brightness, noise
filtering and mode settings. The collimator leaves and iris will adjust
to a full open position.

Settings will not be retained with the exam information. When the
current patient is changed, any imaging parameters set will reset.
Parameters will need to be reset when returning to re-image the
patient. See Chapter 11,"Customizing" for any settings that can be
pre-determined for default.

Page 4-5
 Patient Information

Scheduled Exams Feature

The scheduled exams feature allows you to enter patient information
prior to exams and retrieve it at the beginning of the procedure.

Patient information can be stored in SCHEDULED EXAMS for 48

hours. If X-rays are not taken within 48 hours, the record is deleted.
Once X-rays have been taken, the patient record is moved to
SAVED EXAMS.

Page 4-6
 Patient Information

Set up the Scheduled Exams feature

NOTE: To update the worklist from the hospital network, please refer to
your DICOM supplement for instructions.

1. Complete the PATIENT INFORMATION screen.

2. Press NEW EXAM to send the information to the SCHEDULED

EXAMS screen. An empty PATIENT INFORMATION screen
will display.

3. Repeat steps 1 and 2 for each patient's information to be saved in

SCHEDULED EXAMS. X-rays for each patient must be taken
within 48 hours.

4. When completed, press NEW EXAM to send the last patient

information entered to the SCHEDULED EXAMS list, or EXIT to
begin imaging that patient.

NOTE: If you perform this function during or prior to an exam, reselect the
current patient being imaged before continuing exam.

Page 4-7
 Patient Information

Select a patient from Scheduled Exams

1. Select SCHEDULED EXAMS from the PATIENT INFORMATION
screen.

PATIENT INFORMATION screen

The SCHEDULED EXAMS screen displays.

Page 4-8
 Patient Information

SCHEDULED EXAMS screen

The SCHEDULED EXAMS screen displays an alphabetical list

of scheduled patients. To list by physician, select the BY
PHYSICIAN button on the screen.

2. Touch a patient field.

3. Select the OK button to close the SCHEDULED EXAMS screen

and display the PATIENT INFORMATION screen for the
selected patient.

You may begin taking X-rays for the selected patient.

NOTE: Always ensure the correct patient name is displayed on the PATIENT
INFORMATION screen.

Page 4-9
 Patient Information

Select a Patient from Saved Exams

The SAVED EXAMS screen contains a list of previously saved
exams. If no images were saved during an exam, the system will not
save the patient information. If a last name was not entered for the
patient before X-rays were produced, images are stored under the
last name "UNNAMED."

1. Select the SAVED EXAMS button from the PATIENT

INFORMATION screen to view a list of patients examined.

PATIENT INFORMATION screen

Page 4-10
 Patient Information

SAVED EXAMS screen

The SAVED EXAMS list displays patients alphabetically, by last

name.

• Select the BY DATE button to display the list chronologically.

• Select the BY PHYSICIAN button to display the list

alphabetically, by doctor.

Page 4-11
 Patient Information

2. Touch a patient field and then select the OK button to display the
PATIENT INFORMATION screen for that patient.

The PATIENT INFORMATION screen now contains all the

information stored for the selected patient's exam. You can:

• Edit information in the patient record you just recalled.

• Produce additional X-rays. Images will be saved using the
date and time of the original exam.

NOTE: Always ensure the correct patient is displayed on the PATIENT

INFORMATION screen before producing X-rays. Otherwise,
images may be stored under the incorrect patient name.

Page 4-12
 Patient Information

Edit Patient Information

By selecting the EDIT button on the PATIENT INFORMATION
screen, you can edit the displayed patient's information.

PATIENT INFORMATION screen EDIT button

NOTE: Editing patient information modifies information stored with all

images for that patient exam.

Page 4-13
 Patient Information

To edit information
1. Highlight the patient field to be edited.

2. Edit information as needed.

3. Touch the EXIT button to update and return to the MAIN screen.

NOTE: To edit patient information on a previously saved record in

SCHEDULED EXAMS or SAVED EXAMS, recall the exam and follow
the instructions for editing information.

Page 4-14
Chapter 5

Fluoro Imaging

Overview
This chapter describes basic fluoro features of all systems. All
systems provide standard fluoroscopy modes.
Only fluoroscopy mode is available on the GSP and ESP models of
the Workstation. Vascular, and Neuro-Vascular systems provide
basic fluoro as well as vascular features. For an explanation of
vascular imaging features, refer to Chapter 6, "Vascular Imaging."
NOTE: The MODE switch is inactive on standard fluoroscopy-only systems.
Screens vary based on model configuration.

Page 5-1
 Fluoro Imaging

X-Ray Switch Setup

The Workstation allows you to choose between HLF and
SNAPSHOT mode for standard fluoroscopy uses. Fluoro is available
at all times.

MODE Screen
A MODE screen is provided to enable you to set up your choice of
imaging pairs and select pulse rates. The following examples display
how to set up mode and pulse rate for standard fluoroscopy using an
ESP screen.

To display the MODE screen, select the MODE button on the MAIN
screen.

MAIN Screen

The MODE screen will display on the right monitor.

Page 5-2
 Fluoro Imaging

MODE Screen

From this screen, you may select HLF or SNAPSHOT and enable
pulsed operation. The status bar will indicate which mode you are in.

The left X-ray switch initiates fluoro imaging.

+ The right X-ray switch initiates HLF or SNAPSHOT,

whichever is active.
To change the active mode, select the button. The highlighted bar will
display next to the button and the status bar will reflect the change.

Page 5-3
 Fluoro Imaging

Status Bar
The status bar is located on the bottom right monitor display. During
an exam, the configured active mode pair is displayed on the status
bar.

The status bar below shows:

• A Fluoro shot can be initiated by pressing the left ( ) X-ray
switch.

• A High Level Fluoro (HLF) shot can be initiated by pressing

the ( + ) X-ray switch.

All information next to the ( ) icon describes what imaging, and

pulse or cine rate is applied using the X-ray switch with that label.

All information next to the ( + ) icon describes what imaging, and

pulse or cine rate is applied using the X-ray switch with that label.

If film mode is selected, the film icon is displayed in the status

bar.

NOTE: For producing film shots, refer to your generator operator manual.

Page 5-4
 Fluoro Imaging

Fluoro Imaging
Fluoro mode displays live fluoroscopic images on the left monitor.
After the image has been obtained, image attributes such as edge
enhancement, contrast or brightness can be modified.

To produce a Fluoro image

1. Verify FLUORO is displayed on the status bar.

2. Select pulsed X-ray or low dose if desired. Use the MODE screen
or the generator PULSE key to switch between continuous and
pulsed X-rays.

3. Press the left ( ) X-ray switch on the footswitch, handswitch or

the X-ray ON button on the generator.

Page 5-5
 Fluoro Imaging

High Level Fluoro Imaging

High Level Fluoro (HLF) mode decreases noise level and improves
image quality by increasing fluoroscopic mA.
Continuous HLF uses mA levels up to 12 mA.
Pulsed HLF ranging from 1-8 PPS provides pulsed fluorography.
mA can increase up to 16 mA.
Automatic termination of HLF and pulsed HLF exposure occurs after
each 30-second interval of continuous use. Automatic exposure
termination reduces unnecessary X-ray exposure and was designed
to comply with X-ray tube ratings.

WARNING!
HLF should not be used for general purpose imaging.

During cotinuous HLF, the MA can increase to as much as 12

mA. During pulsed HLF the mA can increase to as much as 16
mA. This can subject the patient and those working around
the X-ray field to a significantly larger dose of radiation than
they would receive during normal pulsed operation. To
minimize X-ray exposure hazards, use HLF with discretion.

Page 5-6
 Fluoro Imaging

Standard HLF

To produce a standard HLF image

1. Verify HLF is displayed on the status bar. If SNAPSHOT is
displayed, use the MODE screen to select HLF.

2. Select pulsed X-ray generation on the MODE screen or generator

control panel, if desired. Continuous X-ray is the default. If pulsed
operation is chosen, the pulse rate will display on the status bar.

3. Press the left ( ) X-ray switch on the footswitch or handswitch to

observe patient anatomy to confirm positioning.

4. Release the footswitch.

5. Press the ( + ) X-ray switch on the footswitch or handswitch to

make HLF exposures.

Page 5-7
 Fluoro Imaging

SNAPSHOT Imaging
Snapshot mode creates a short-duration, single exposure to produce
a high quality single image.
After the image has been obtained, image attributes such as edge
enhancement, contrast, or brightness can be modified. Pulsed opera-
tion is not allowed in snapshot mode.

To produce a SNAPSHOT image

1. Select the SNAPSHOT button from the MODE screen. Verify
SNAPSHOT is displayed on the status bar.

2. Press the left ( ) X-ray switch on the footswitch, handswitch or the

X-ray ON button to confirm positioning.

3. When the desired image appears on the monitor, release the left
( ) X-ray switch and then press and hold the ( + ) X-ray
switch to obtain the snapshot image.

Page 5-8
 Fluoro Imaging

Enable Pulsed X-ray

This section describes how to select and change pulse rates, and switch
between continuous and pulsed imaging.

Pulsed mode generates a preset number of x-ray pulses each second

while the x-ray switch is pressed. Pulsed x-rays can be used to
reduce total radiation.
Please refer to Chapter 6, "Vascular Imaging" for a description of
synchronized pulse mode.

Page 5-9
 Fluoro Imaging

When continuous mode is active, no pulse rate (PPS) will be dis-

played on the status bar.

• To enable pulsed operation at the currently selected pulse rate,

press the PULSE key on the generator or select the PULSE button
on the MODE screen.

When pulse is enabled, the PULSE button on the MODE screen will
be highlighted and the pulse rate (PPS) will display on the status bar.

The default pulse rate is 8 PPS.

NOTE: To reselect continuous operation, press the PULSE key on the

generator control panel or select the PULSE button on the MODE
screen. The pulse rates will no longer display on the status bar and
the PULSE button on the MODE screen will not be highlighted.

Page 5-10
 Fluoro Imaging

To change pulse rate

1. Select the RATE button from the MODE screen.

MODE screen with pulse enabled

Page 5-11
 Fluoro Imaging

The pulse rate pop-up screen will display.

Pulse Rate Pop-up

2. Select a pulse rate from the pulse rate pop-up screen.

The selected pulse rate will automatically display on the status

bar and the pop-up screen will automatically close.

3. Select the EXIT button on the MODE screen to return to the

MAIN screen.

Page 5-12
 Fluoro Imaging

Saving Images

To save the last image held on the left monitor display, press the
SAVE key.

An auto save feature may be enabled that will automatically save the
last image held on the left monitor display during imaging. When the
auto save feature is enabled, the currently displayed image on the
monitor when the x-ray switch is released will be automatically
saved by the system.

See Chapter 11, "Customizing" for information on enabling the auto

save feature.

Page 5-13
 Fluoro Imaging

Page 5-14
Chapter 6

Vascular Imaging

Overview
This chapter explains how to produce images using vascular imaging
modes. Vascular, and Neuro-vascular systems include all standard
fluoroscopy features.
This chapter describes vascular imaging features including:
• Subtraction
• Roadmapping
• Synchronized pulse mode

Refer to Chapter 5, "Fluoro Imaging" for basic fluoro information.

Chapter 5, "Fluoro Imaging" should be read before beginning vascular
imaging procedures.

Page 6-1
 Vascular Imaging

X-Ray Switch Setup

On vascular systems, two image modalities (standard fluoroscopy and
vascular) are simultaneously available at start-up. Press the MODE key on
the X-ray switches or generator control panel to change from one pair of
imaging modes to another.
To verify which group is active and which mode pairs are available,
always check the status bar display on the right monitor.

MODE Screen
A MODE screen is provided to enable you to set up your choice of
imaging pairs available during a procedure.
Use the MODE screen to:
• Change imaging mode pairs that will be available from the X-ray
switches during a procedure.

• Select pulse rates.

Page 6-2
 Vascular Imaging

To display the MODE screen, touch the MODE button on the MAIN
screen.

MAIN Screen

Page 6-3
 Vascular Imaging

Vascular and Neuro-Vascular Systems

MODE Screen

There are two available mode groups:

A Standard Fluoroscopy
B Vascular

Page 6-4
 Vascular Imaging

Mode Pairs
A mode pair can be selected from each imaging group.
Only one mode pair is active at a time. The active mode pair is displayed
on the status bar.

Continuous X-ray is the default. See Enable Pulsed X-rays in Chapter 5,

"Fluoro Imaging" for more information on enabling and setting pulse
rates. Refer to the Synchronized Pulse Mode section in this chapter for
more information on setting synchronized pulse rates.

Switching Mode Pairs

Press the MODE switch to change between fluoroscopy and vascular

mode groups. Modes can also be switched using the MODE screen
on the Workstation.

Please refer to your generator operator manual for locations of the

MODE switch on the system being used.

To change the imaging mode pairs available during a procedure, use

the MODE screen on the Workstation. Always refer to the status bar
to determine the active modes available.

Page 6-5
 Vascular Imaging

Vascular and Neuro-Vascular Systems

When the system is first turned on, the default imaging modes available
will display on the status bar. For a description of how to use the status
bar, please refer to Chapter 5, "Fluoro Imaging."

Vascular MODE Screen with fluoroscopy active

Press the left X-ray switch to initiate a fluoro shot.

+ Press the right X-ray switch to initiate an HLF shot or

Snapshot image (when SNAPSHOT is displayed on
the status bar).

Page 6-6
 Vascular Imaging

To switch to vascular imaging, press the MODE key on the X-ray

switch or control panel.

Vascular MODE screen with vascular active

With vascular active, the status bar will display ROADMAP and
SUBTRACT or FLUORO and SUBTRACT.

Press the left X-ray switch to initiate a roadmap or

fluoro shot.

+ Press the right X-ray switch to intitate a subtraction.

For more complete instructions on creating a roadmap or subtraction, see

the imaging sections titled Roadmap or Subtraction later in this chapter.

Page 6-7
 Vascular Imaging

To set up imaging modes available during the exam

In this example, a basic fluoro image and a roadmap need to be
taken.
1. Select the MODE button on the MAIN screen.
A. The default setting for standard fluoroscopy is FLUORO/HLF.

The highlighted center bar should display next to the HLF button.
Your active fluoroscopy pair is FLUORO/HLF.

If the bar is highlighted next to SNAPSHOT, select the HLF

button to activate HLF in the standard fluoroscopy group.

Mode pairs on MODE screen

B. The default setting for vascular is ROADMAP/SUBTRACT. Select

the FLUORO button on the screen to switch to FLUORO/SUBTRACT.
The highlighted bar should display next to FLUORO.

Page 6-8
 Vascular Imaging

2. Select EXIT to close the MODE screen. You are now ready to begin
imaging.

3. Verify the modes available on the status bar. If the vascular mode
pair (FLUORO/SUBTRACT) is displayed, press the MODE switch
to display the fluoroscopy pair (FLUORO/HLF).

4. Complete the fluoro part of the exam to view the patient anatomy.

5. Press the MODE switch to display ROADMAP and SUBTRACT on

the status bar.

6. Complete the roadmap procedure. For more information on

completing a subtraction procedure, please refer to the Roadmap
section of this chapter.

Page 6-9
 Vascular Imaging

Subtraction Imaging
Real time subtraction provides images that are the difference between
current fluoroscopic images and a mask image obtained at the start of the
subtraction process. The result is displayed on the left monitor. The live,
unsubtracted fluoro image is displayed on the right monitor. By default,
subtracted images are acquired to the cine disk. Real-time subtraction is
primarily used for contrast studies, such as angiography.
The noise filtering level can be modified during the subtraction phase.
Peak opacification can be applied during post-processing.

NOTE: The noise filtering level may only be modified during playback of a 30
FPS (25 FPS on 50 Hz) Cine run.

Some systems come with 8 or 15 fps, instead of 30. The default rate for
Subtract mode will then be the highest frame rate available.

Page 6-10
 Vascular Imaging

Sequence of Events During Subtraction

The software automatically performs several steps during real-time
subtraction. To illustrate the process, a timeline diagram of a typical
subtraction is illustrated in the following figure.

X-RAY TECHNIQUE

MASK SUBTRACTION

1 2 3 4 5 6 7
TIME

CONTRAST
CONCENTRATION

Figure 6-1. Event Sequence During Subtraction.

Page 6-11
 Vascular Imaging

The sequence of events shown on the timeline includes:

1. The ( + ) X-ray switch is depressed to begin the exposure.

The X-ray technique adjusts.

2. The mask is being acquired, and technique is locked.

NOTE: Any movement results in a blurred mask.

3. Mask image has been acquired and the subtraction process

begins.

The left monitor displays a uniform gray result and the system
begins subtracting images. As long as the subtraction continues,
new images are subtracted from the mask obtained at the
beginning of the cine run.

Page 6-12
 Vascular Imaging

4. Contrast is injected, and the subtracted images are displayed on

the left monitor. Vessels are outlined with contrast.

5. The contrast concentration peaks.

6. Contrast concentration then decreases to a minimum.

7. When the footswitch is released, the last subtracted image is

displayed on the left monitor.

NOTE: Releasing the X-ray switch at any time during this entire procedure will
terminate the subtraction process.

Page 6-13
 Vascular Imaging

Subtraction Procedure
1. Verify FLUORO is displayed on the status bar.

2. Press the left ( ) X-ray switch to create a fluoro image to confirm

position.

3. Press the MODE key to activate vascular mode, if necessary.

4. Verify SUBTRACT is displayed on the status bar.

5. Cine is automatically set. To change dynamic recording rate, use the

CINE SETUP screen. Refer to Chapter 8, "Dynamic Recording" for
more information.

6. Press the ( + ) X-ray switch to begin the subtraction process and

automatically create a mask. After the mask is acquired, continue
pressing the ( + ) X-ray switch to subtract subsequent images from
the mask.

Page 6-14
 Vascular Imaging

7. An injection icon will appear on the left monitor, signaling the

operator to inject a contrast media. If an approved injector is
properly connected to the Workstation, a signal will be sent to the
injector.

8. View the results on the left monitor. The contrast concentration will
peak and then decrease to a minimum.

9. Release the X-ray switch to end the subtraction.

The cine run will automatically play back on the left monitor unless auto
cine playback has been disabled.
See Chapter 11, "Customizing" for details on auto playback. Refer to
Reviewing a Cine Run in Chapter 8, "Dynamic Recording" for a descrip-
tion of the CINE PLAYBACK screen.

Page 6-15
 Vascular Imaging

Adjusting the Mask

NOTE: This feature is available for subtraction and roadmapping imaging.

Registration
If the patient moves during the procedure, misalignment of the mask and
incoming images could cause a poor roadmap image. Registration allows
you to move the mask image to produce an accurate registration. You
can realign the mask during the procedure, or during playback if the
images are saved.

To register the roadmap mask

1. Select the ADJUST MASK button on the MAIN screen or the CINE
PLAYBACK screen. The ADJUST MASK screen is displayed.

2. Use the mask registration buttons to align the mask

image with the incoming images.

Select (reset) onscreen to restore the mask to its original

position.

ADJUST MASK Screen

Page 6-16
 Vascular Imaging

Landmarking
In some subtracted images, it may be necessary to see the position of
vessels in relation to certain background anatomies. Landmarking allows
you to vary the percentage of background anatomy that is displayed on a
subtracted image. This function is available for subtraction and
roadmapping.
To vary the percentage of background anatomy:
1. Select ADJUST MASK on the MAIN screen or the CINE
PLAYBACK screen.

2. Select the Landmarking buttons.

3. Touch the EXIT button to close the ADJUST MASK screen.

Each press of the landmark button will adjust in 5% increments.

Page 6-17
 Vascular Imaging

Roadmap Imaging
Roadmap mode provides a subtracted image on the left monitor that is
the difference between the current fluoroscopic image and a mask image.
The result on the left monitor is a roadmap of the vasculature showing
the catheter or contrast as it moves. During roadmapping, the right
monitor displays the live, unsubtracted image.

Peak opacification is automatically enabled during the first phase of

roadmapping (mask acquisition). When peak opacification is applied,
each pixel is compared, as it is acquired, to its counterpart in the previous
image. If the new pixel is darker than in the previous image, the old pixel
is replaced. When this process is complete, the resulting image contains
the darkest pixels acquired for each point. Opacification is turned off
during the second phase of roadmapping.

Roadmapping can be used in both continuous and pulsed X-ray modes.

NOTE: If using a mechanical contrast injector, no signal from the Workstation

will be sent when the injection icon displays on the left Workstation
screen. The injection of contrast should be manually initiated.

Page 6-18
 Vascular Imaging

Sequence of Events During

Roadmapping
The software automatically performs several steps during roadmapping.
The following timeline illustrates the roadmap process.

1st Phase 2nd Phase

X-RAY TECHNIQUE

MASK SUBTRACTION

TIME
1 2 4 5 7 8
3 6
PEAK OPACIFY
CONTRAST
CONCENTRATION

Figure 6-2. The Roadmapping Process.

Page 6-19
 Vascular Imaging

Roadmap 1st Phase

1. When the left ( ) footswitch is pressed, the X-ray technique adjusts
and stabilizes.

2. The inject icon displays on the left monitor. The contrast injection
should begin, after which the contrast concentration in the image
increases.

3. An image of the vessels and contrast is displayed on the left monitor

at or near peak concentration.

4. The footswitch is released. (The footswitch can be released anytime

during step four. Peak opacification is automatically applied.)

5. The last image is automatically saved as the mask, and the X-ray
technique is frozen.

6. Peak opacification causes the areas darkened by the contrast to retain

their darkest values in the mask image.

Page 6-20
 Vascular Imaging

Roadmap 2nd Phase

7. The roadmap subtraction begins when the left ( ) X-ray switch is
pressed again.

8. The X-ray technique remains the same as it was during the mask
acquisition. Pressing the left ( ) X-ray switch continues
roadmapping. As roadmapping continues, new incoming images are
subtracted from the mask image. The result is displayed on the left
monitor.

Page 6-21
 Vascular Imaging

Roadmap Procedure
1. Verify FLUORO is displayed on the status bar.

2. Press the left ( ) X-ray switch to create a fluoro image to confirm

position.

3. Press the MODE key to activate roadmap mode. Verify ROADMAP

is displayed on the status bar.

4. Optional: Use the CINE SETUP screen to enable cine acquisition.

Refer to Chapter 8, "Dynamic Recording" for more information.

5. Press the left ( ) X-ray switch to initiate the first phase of

roadmapping.

A fluoro image is displayed on the left monitor.

6. Inject contrast media when the inject icon displays on the left monitor.

7. Release the left ( ) X-ray switch when a satisfactory image is

displayed on the left monitor and the contrast is at, or near, peak
concentration in the area of interest.

Page 6-22
 Vascular Imaging

The roadmap mask is automatically created and displayed on the left

monitor for phase 2.

8. Press the left ( ) X-ray switch again to begin roadmapping. The

saved mask is subtracted from the new fluoro images. The resulting
roadmap is displayed on the left monitor. The X-ray technique is
locked.

9. Continue the roadmap subtractions as many times as necessary by

pressing the left switch. The original contrast image is used as the
mask for each subtraction.

10. To exit roadmap mode, press the MODE key.

Page 6-23
 Vascular Imaging

Selecting and Clearing a Roadmap Mask

The ROADMAP MASK screen allows you to save and use up to two
roadmap mask images.
To eliminate additional contrast injection, use a mask saved from:
• The current roadmap procedure
• A previous cine run
• A subtraction procedure

To create and save a mask from a previous procedure, see Chapter 7,

"Image Review, Hardcopy and Archive."

ROADMAP MASK Screen

Page 6-24
 Vascular Imaging

Using a Saved Mask

The two most recent mask images from the current patient exam are
automatically saved to disk and displayed on the ROADMAP MASK
screen under the SAVE MASK buttons.
To perform a roadmap procedure using a saved mask:
1. Select ROADMAP MASK from the MAIN screen.

2. Select USE MASK beneath the image of the mask you want to
use. The saved mask will be recalled when the second phase of
the roadmap shot is started.

3. When ROADMAP-2 is displayed on the status bar, indicating

that the second phase of roadmapping is occuring, the chosen
mask will be displayed on the left monitor.

4. Press the left ( ) X-ray switch. The technique will stabilize and
subtraction will begin using the recalled image as the mask.

5. If necessary, select ADJUST MASK from the MAIN screen to

adjust registration.

Page 6-25
 Vascular Imaging

Clearing the Current Mask

To clear the left monitor and begin a new roadmap procedure:
1. Select the NEW MASK button on the ROADMAP MASK screen.

2. Repeat the roadmap procedure.

The current mask can also be cleared using the footswitch:

1. Press the MODE key on the footswitch to select fluoro mode.

2. Press the left ( ) X-ray switch to take a brief exposure.

3. Press the MODE key again to reselect roadmap mode.

Page 6-26
 Vascular Imaging

Produce a Roadmap Mask from a Subtraction Cine

Run
You can create a roadmap mask from a stored subtraction run. Once the
mask is created, save it on the ROADMAP MASK screen and retrieve it
as the mask for the roadmap procedure. This method avoids additional
contrast injection and reduces patient exposure.

Patient positioning must be the same as it was when the recalled mask
was created. However, slight movement can be compensated for by using
the ADJUST MASK screen to register the image. (See "Adjusting the
Mask" for information about mask registration.)

To prepare a roadmap mask from a stored subtraction run:

1. Touch the preview image representing the subtraction cine run on the
IMAGE DIRECTORY screen. The cine run begins playback on the
left monitor. The CINE screen displays on the right monitor.

2. Select the VIEW SUBTRACTED button on the CINE screen to display

the run in its unsubtracted form. (VIEW SUBTRACTED will not be
highlighted.)

3. Select PEAK OPACIFY to enable peak opacification.

Page 6-27
 Vascular Imaging

4. Use the playback buttons to display the frame you want to use as the
mask on the left monitor.

5. Select ROADMAP MASK from the CINE screen.

6. Select SAVE MASK.

7. Select USE MASK beneath the image of the mask you just created. The
mask will be recalled to the left monitor and the system will enter the
second phase of roadmapping.

8. Depress the left ( ) X-ray switch. The technique will stabilize and
subtraction will begin using the recalled image as the mask.

Page 6-28
 Vascular Imaging

Synchronized Pulse Mode

On Vascular Workstations, 1-8 PPS in HLF mode provides Synchronized
Pulse operation.
Synchronized Pulse Mode combines pulsed fluoro with higher mA
values to reduce image motion artifacts.
To provide optimum images:
• Camera gain is reduced and the mA increases to as much as 16
mA.
• There is no dose reduction.
• Averaging is turned OFF and noise reduction cannot be used.

WARNING
During pulsed HLF, the mA can increase to as much as 16
mA. This can subject the patient and those working around
the X-ray field to a significantly larger dose of radiation than
they would receive during normal pulsed fluoro operation.
To minimize X-ray exposure hazards, use HLF with
discretion.

Page 6-29
 Vascular Imaging

Create a Synchronized Pulse Mode Image

1. Verify HLF is displayed on the status bar.

• If SUBTRACT is displayed, press the MODE key to activate HLF
mode.
• If SNAPSHOT is displayed, use the MODE screen to select HLF.

2. Select the PULSE button on the MODE screen to enable pulsed

operation. The PULSE button will be highlighted when active.

MODE screen

Page 6-30
 Vascular Imaging

3. Select the RATE button to set a pulse rate of from 1-8 PPS from the
pulse rate screen. Verify the selected pulse rate is displayed on the
status bar.
The frame rate displayed will be the same as the pulse rate.
Acquisition will occur at that rate.

Vascular Pulse Rate Screen

4. Press the right ( + ) X-ray switch. The synchronized pulse image is

automatically acquired to the cine disk.

NOTE: Pulse rate screens may vary slightly dependant upon which product the
Workstation was purchased with.

Page 6-31
 Vascular Imaging

Page 6-32
Chapter 7

Image Review, Hardcopy

and Archive

Overview
Image directory allows you to review, hardcopy, and archive images,
patient summaries, and dose information.

Page 7-1
 Image Review, Hardcopy, and Archive

Image Directory
The IMAGE DIRECTORY screen allows you to display static images
and cine runs for review or modification.

To display the IMAGE DIRECTORY screen, press the IMAGE

DIRECTORY key on the Workstation keyboard.

IMAGE DIRECTORY screen features

A The COPY FROM button is used to select the drive to copy from.

B The COPY TO button is used to select the drive to copy to.

C COPY TO device icon.

Page 7-2
 Image Review, Hardcopy, and Archive

D Queue layout for copying or printing.

E The COPY FORMAT or LAYOUT button will display here.

F This is the patient summary/information box. When selected, this

information will display on the active (left) monitor. When
displayed, this information may be placed in the queue for copying
or printing.

G The SAVED EXAMS button is provided for recalling images that

have been previously saved.

H The DOSE SUMMARY button is provided to display the dose

summary information on the left monitor. When displayed, this
information may be placed in the queue for copying or printing.

I Set of 9 preview images. Preview cine runs have a C located next to

the image number.

J Use the up and down arrow buttons to scroll through all preview
images. You may also use the keyboard to enter the image number,
then press ENTER to display the preview image.

Page 7-3
 Image Review, Hardcopy, and Archive

Review Dose Information

The DOSE SUMMARY screen contains X-ray exposure data.
To display the DOSE SUMMARY screen on the left monitor, select the
DOSE SUMMARY button from the IMAGE DIRECTORY screen.

B
C

D
The Dose Summary Screen

Page 7-4
 Image Review, Hardcopy, and Archive

The DOSE SUMMARY screen contains the following information about

the patient session:
A Patient information.

B Calculated dose.

The calculated dose is a measure of what is emitted by the X-ray

tube and does not represent the radiation absorbed by the patient.
Actual dosage a patient receives may be smaller.

C Percentage of total exposure in each mode or field of view.

D Total time of exposure for each imaging mode.

Page 7-5
 Image Review, Hardcopy, and Archive

Retrieve a Saved Exam

During a procedure, images are saved in the saved exams feature of the
system. Images are indexed by the patient name, doctor name, and date
of the exam.

1. Select SAVED EXAMS from the IMAGE DIRECTORY screen.

SAVED EXAMS button

Page 7-6
 Image Review, Hardcopy, and Archive

An alphabetic list of patients for the currently selected COPY

FROM device is displayed.

• To view the list of patients by date, select the BY DATE button.

• To view the list of patients by physician, select the BY PHYSICIAN
button.

SAVED EXAMS screen

Use PAGE UP and PAGE DOWN buttons to page through the

patient list.

Page 7-7
 Image Review, Hardcopy, and Archive

2. Select the patient name.

3. Select OK to exit the SAVED EXAMS screen. The patient

information will be displayed on the image directory.

4. Select an image displayed in the image directory for review. The

image will display on the left monitor.

Image Directory preview image

NOTE: When you access the saved exams list from image directory and select a
patient, the current patient does not change. If you make and save an
exposure while a saved exam is displayed on the IMAGE DIRECTORY
screen, the image will be saved with the current patient's exam, not with
the saved exam displayed on the IMAGE DIRECTORY screen.

Page 7-8
 Image Review, Hardcopy, and Archive

Image Review
The following information is displayed with the left monitor image:

A Information entered on the PATIENT INFORMATION screen.

B Technique used during the exposure.
C Number assigned to image in image directory.
D Dose information.
E Hospital name and exposure date and time. (See Chapter 11,
"Customizing," for details on setting this information.)
F Brightness and contrast values.

Sample Image

Page 7-9
 Image Review, Hardcopy, and Archive

Hardcopy/Print Images
The OEC Workstation supports a variety of optional hardcopy devices.
You can send images, patient information, and the dose summary to
these hardcopy devices:
• Instant Film/Paper Printer
• DICOM Printer
• Direct Digital Printer Interface
• Thermal Printer

Detailed instructions for using each optional device are provided in the
documentation supplements for the device. This section explains, in
general, how to select and send to a device.
For more information on any of these devices, please call the Communi-
cations Center or your local sales representative. Refer to Chapter 1,
"Introduction and Safety" for telephone numbers.

Page 7-10
 Image Review, Hardcopy, and Archive

Select a Device
Use the COPY TO screen to select a hardcopy device.
1. Select the COPY TO button on the IMAGE DIRECTORY screen.

The COPY TO screen lists the available print and storage devices.

Image Directory and Copy To Screens

2. Select the name of the print device.

3. Select the OK button to confirm your selection and return to the

IMAGE DIRECTORY screen. The icon and default layout will
display under the COPY TO button.

Page 7-11
 Image Review, Hardcopy, and Archive

Select a Layout
You can choose a print layout from one of four layouts. Layouts avail-
able are determined by the device selected. For DICOM layout selection
and setup, refer to the DICOM supplement, Print Server configuration.
1. Select the LAYOUT button on the IMAGE DIRECTORY screen. The
layout pop-up screen is displayed.

Layout Pop-up Screen

2. Select the icon representing the layout you want to use.

3. Select the OK button to close the layout pop-up screen. The layout
selected will display on the IMAGE DIRECTORY screen.

Page 7-12
 Image Review, Hardcopy, and Archive

Print
For printing from the thermal printer, please refer to the supplement. Use
these steps to print on an Instant Film/Paper or DICOM printer.
1. Select the Instant Film/Paper or DICOM printer from the COPY TO
screen. Press OK to exit.

2. Choose a layout format. (See "Select a layout," earlier in this

chapter.)

3. If the image you want to hardcopy is already displayed on the left

monitor, go to Step 4. Otherwise, select the preview image. The
image is displayed on the left monitor.

Page 7-13
 Image Review, Hardcopy, and Archive

Print Queue and Preview Image

4. Select a box in the copy queue to send the image to the queue. The
boxes represent the hardcopy layout and location of images on the
media. You can place images into the boxes in any order.

5. Select the COPY button.

Page 7-14
 Image Review, Hardcopy, and Archive

The number of images you hardcopy at one time depends on the device
type and print format selected. You can continue to select images and
load them into the queue until all available positions are filled.

If you select a preview image and then touch a box already containing an
image, you will replace the existing image with the preview image you
touched most recently.

As images are sent to the hardcopy device, the message PLEASE WAIT
is displayed. To cancel the copy process, touch the CANCEL button on
the message screen. Once the process has been cancelled, a PLEASE
WAIT message with no CANCEL button will display until it has com-
pleted the cancel command.

Page 7-15
 Image Review, Hardcopy, and Archive

Hardcopy/Print the Dose Summary

1. Select DOSE SUMMARY on the IMAGE DIRECTORY screen.

The dose summary is displayed on the left monitor.

2. Select a box in the copy queue to send the dose summary to the
queue.

3. Select the COPY button.

NOTE: This can be placed in a queue with images.

Hardcopy/Print Patient Summary

1. Select the box containing patient information at the top of the
IMAGE DIRECTORY screen.

The patient summary is displayed on the left monitor.

2. Select a box in the copy queue to send the patient summary to the
queue.

3. Select the COPY button.

NOTE: This can be placed in a queue with images.

Page 7-16
 Image Review, Hardcopy, and Archive

Clear the Copy Queue

You can clear the copy queue using any of the following methods:

• Select a different destination device from the COPY TO screen.

• Select a different print layout from the layout pop-up screen.

• Exit the IMAGE DIRECTORY screen.

Page 7-17
 Image Review, Hardcopy, and Archive

Copy (Archive) Images

The Workstation supports a variety of archive options. You can archive
images, patient information, and the dose summary.
Available storage options include:
• Jaz® Disk (Removable Dynamic Digital Disk)
• Floppy Disk
• DICOM Storage

Detailed instructions for DICOM storage is provided in the documenta-

tion supplement. This section explains, in general, how to select and
send to a device.
Please refer to the warnings and cautions in this chapter and the JAZ
supplement for more information on the care and use of the optional JAZ
drive.
For more information on available storage options, please call the
Communications Center or your local sales representative. Refer to
Chapter 1, "Introduction and Safety" for telephone numbers.

Page 7-18
 Image Review, Hardcopy, and Archive

Overview
You can archive saved static images from the system disk and cine runs
saved on the cine disk.

The storage device button displayed on the IMAGE DIRECTORY

screen is unique for each available storage device. The following
example shows the button displayed for a 3.5-inch diskette.

Device Queue and Preview Images

The number of images you can archive on the device media depends on
the selected file format and storage capacity of the media.
A 1.44 MB floppy disk can store one static image. A 2GB removable
dynamic digital disk (Jaz™) can store approximately 1,500 static images.
When archiving images, patient and dose summary information are
automatically archived with the images.

Page 7-19
 Image Review, Hardcopy, and Archive

Select a Storage Device

Use the COPY TO screen to select an archive device.
1. Select the COPY TO button on the IMAGE DIRECTORY screen.

The COPY TO screen lists the available print and storage devices.

Image Directory and Copy To Screens

2. Select the name of the storage device.

NOTE: When selecting JAZ storage, please follow the guidelines in the JAZ
supplement and the warnings and cautions on the next page.

3. Select the OK button to confirm your selection and return to the

IMAGE DIRECTORY screen.

Page 7-20
 Image Review, Hardcopy, and Archive

WARNING
NEVER insert a disk in the JAZ drive when power is off.
Before turning power off or moving the Workstation,
ALWAYS eject the JAZ disk. Completely remove it from the
drive after ejection.
NEVER leave a JAZ disk partially inserted. ALWAYS insert or
eject completely.

CAUTION
Leaving a fully inserted disk in the drive for extended idle
time can result in damage to the disk or drive.

Page 7-21
 Image Review, Hardcopy, and Archive

Select a Copy Format

There are two formats for archiving to choose from: OEC and bitmap
(BMP).

• Select OEC to store the chosen images in OEC file format. OEC
file formats can be read, saved, and enhanced by an OEC
Workstation. OEC format always stores as 1k x 1k images.

• Select BMP and a file size of .5k or 1k to store the queued

images in bitmap file format. Bitmap images cannot be read by
an OEC Workstation. This file format (.bmp) is provided for use
with PC software programs that use bitmap format. An image
copied in bitmap format cannot be copied back to the OEC
Workstation.

Page 7-22
 Image Review, Hardcopy, and Archive

To choose a Copy Format

1. Select the COPY FORMAT button to choose a file format.

The COPY FORMAT pop-up is displayed.

COPY FORMAT Pop-up Screen

2. Choose OEC or BMP. If choosing BMP, choose a file size.

3. Select the REFORMAT button on the COPY FORMAT pop-up if you

want to format the storage media. Reformatting erases all images
stored on the media.

NOTE: Jaz® disk storage must be formatted before images or patient data can
be copied to it.

4. Select the OK button to close the COPY FORMAT pop-up screen.

Page 7-23
 Image Review, Hardcopy, and Archive

Copy to Archive Device

Static Images
1. Select a storage device from the COPY TO screen.

NOTE: Make certain you have chosen the proper format. Use the COPY FORMAT
button.

2. Select the preview image you want to archive.

3. Touch the queue box to send the image to the queue. As you queue
images, the image number is added to the copy queue.

IMAGE DIRECTORY

Page 7-24
 Image Review, Hardcopy, and Archive

Repeat step 2 and 3 for each image you want to archive until each
box in the queue contains a number. When the queue is full, the
device button becomes inactive.

4. Select COPY on the IMAGE DIRECTORY screen to copy the

queued images.

As images are sent to the storage device, the message PLEASE WAIT is
displayed. To cancel the copy process, touch the CANCEL button on the
message screen. Once the process has been cancelled, a PLEASE WAIT
message with no CANCEL button will display until it has completed the
cancel command.
You can continue to copy images to a media until the message DISK
FULL is displayed. To continue copying images, insert another disk and
touch the OK button.

Page 7-25
 Image Review, Hardcopy, and Archive

Cine Runs
The preview image of a cine run contains an image number and the letter
C.
1. Select the preview image of the cine run. The cine run plays on the
left monitor and the CINE screen is displayed on the right monitor.

2. Select the EXIT button on the CINE screen to close the CINE screen.

3. Select the layout box on the IMAGE DIRECTORY screen.

4. Select the COPY button.

NOTE: If cues are set, only the active portion of the cine run between the cues
will be archived.

Page 7-26
 Image Review, Hardcopy, and Archive

Clear the Storage Device Queue

You can clear the copy queue using any of the following methods:

• Select a different destination device from the COPY TO screen.

• Select a different print layout from the COPY FORMAT pop-up

screen.

• Exit the IMAGE DIRECTORY screen.

Page 7-27
 Image Review, Hardcopy, and Archive

Copy From an Archive Device

You can display archived exams on the Workstation, and then copy
images to the system and make hardcopies.

1. Select COPY FROM... on the IMAGE DIRECTORY screen.

COPY FROM button

The COPY FROM screen displays a list of available source devices.

Page 7-28
 Image Review, Hardcopy, and Archive

COPY FROM screen

2. Select the name of the device containing the patient exam.

3. Select the OK button to confirm your choice.

The SAVED EXAMS list for the selected device is displayed.

4. Select the patient name for the exam you want to display.

Page 7-29
 Image Review, Hardcopy, and Archive

5. Select OK to confirm your choice and close the COPY FROM

screen.

The IMAGE DIRECTORY screen is displayed for the selected

patient.

You can copy images to the available destination devices, however, the
source and destination device must be different.

NOTE: When the high capacity disk drive (Jaz™) is chosen as the COPY FROM
device, you cannot eject the disk. To eject the disk, you must exit the
image directory or select another source device first.

Page 7-30
Chapter 8

Dynamic Recording

Overview
Vascular and Neuro-Vascular OEC Workstations are equipped with a
dynamic recording (cine) disk that allows you to record a series of dynamic
images. The CINE SETUP screen allows you to enable and disable cine
acquisition for the image modes and set cine acquisition rates.

WARNING
Use caution while Workstation is in use. The cine disk is always
running during operation of the Workstation. Any sudden,
intense impact can damage the cine disk and could result in
loss of previously recorded cine runs and prevent further
imaging.

Page 8-1
 Dynamic Recording

Cine Options
The CINE SETUP screen provides the ability to enable cine acquisition, and
change the recording rate (frame rate). Check the configuration of your
system to determine the cine disk size.

During acquisition, images are recorded to the cine disk until the available
storage area is full. When 30 seconds of acquisition time remains before the
disk is full, a warning message will display on the right monitor.

When the disk is full, or when a new patient exam begins:

Time is automatically reset to the full amount and the existing cine runs
begin to be overwritten.

When a single run fills all available time:

X-rays will continue to be taken as long as you are pressing the switch,
but the acquisition of shots will discontinue.

The CINE SETUP screen displays the storage time remaining in number of
seconds. This number is displayed adjacent to the RATE button for each
mode and on the left monitor.

Page 8-2
 Dynamic Recording

To display the CINE screen, select the CINE button from the MAIN screen.

MAIN Screen

The CINE screen displays.

Page 8-3
 Dynamic Recording

To activate the cine disk

1. Select the CINE SETUP button from the CINE screen.

CINE Screen

The CINE SETUP screen displays.

Page 8-4
 Dynamic Recording

CINE SETUP screen

2. Use the checkboxes and buttons on the CINE SETUP screen to turn cine
acquisition on for each mode and set continuous acquisition rate.

Page 8-5
 Dynamic Recording

Acquire ON/OFF
Touch the box next to the corresponding image mode to enable and
disable cine acquisition. Acquire is on if the box is checked .

CINE SETUP Screen-Acquire ON/OFF

If the shot type is digital cine, acquisition is automatically enabled and

cannot be turned off.

By default, acquisition is enabled for subtract mode.

Page 8-6
 Dynamic Recording

To change continuous acquisition rate

The current acquisition rate is displayed adjacent to the RATE button for the
corresponding mode.

The acquisition default for fluoro, HLF, and roadmap mode is 8 FPS. For
Subtraction, the highest frame rate available is the default .

If pulse is enabled, the acquisition rate equals the pulse rate.

The available acquisition time varies according to the acquisition rate. Select
a lower rate to increase the amount of acquisition time.

1. Select the RATE button next to the mode.

CINE SETUP screen-Rate

The acquisition rate pop-up screen will display.

Page 8-7
 Dynamic Recording

Cine Acquisition Rate Pop-up Screen

2. Select an acquisition rate. The acquisition rate pop-up screen will

automatically close. The status bar shows the acquisition rate (fps) when
cine acquire is on.

3. To close the CINE SETUP screen, select the OK button.

Page 8-8
 Dynamic Recording

Cine Run Review

The preview image of a cine run includes the letter C next to the image
number in image directory. Cine runs display the same exam information as
static images and you can apply any of the post-processing functions to a
single frame of a cine run.

The CINE screen allows you to review a cine run, set cues, adjust landmark
and registration, and digitally create a roadmap mask. You can select a mask
at any point in the run to reprocess a subtraction.

Page 8-9
 Dynamic Recording

Review a Cine Run

If the patient exam containing the cine run you want to review is not
displayed, follow the steps for Retrieve a Saved Exam in Chapter 7, “Image
Review, Hardcopy and Archive.”

IMAGE DIRECTORY screen with cine preview image (7C)

1. Touch the preview image of the cine run on the IMAGE DIRECTORY
screen. Cine playback occurs on the left monitor and the CINE screen is
displayed on the right monitor.

Page 8-10
 Dynamic Recording

2. As playback progresses through the acquired images, the frame number

(D) changes to indicate the position of the frame within the run.

Cine Playback and Mask Indicator Bar

A Playback progresses through images (horizontal grey bar)

B Position of mask (vertical white bar)
C Amount of time (in seconds) elapsed from start of cine run
D Frame number display

Page 8-11
 Dynamic Recording

3. Replay continues to loop until you select the (play/pause) button to

pause the run and view a single frame.

Cine Playback buttons

• Select to move forward by a single frame.

• Select to move back by a single frame.
• Select to move forward by 10 frames.
• Select to move back by 10 frames.
• Select to begin or pause cine playback.

Page 8-12
 Dynamic Recording

Select Cine Runs from the CINE Screen

You can use the CINE screen to view each cine run for a single patient.

Cine Run selection buttons

• Select < to review the previous cine run for the current patient session.

• Select > to review the next cine run for the current patient session.

The total number of runs is noted as RUN X OF X. This number does not
correspond with the image number of the cine run in the IMAGE
DIRECTORY. The run number indicates which order in the total number of
runs each run is located.

Page 8-13
 Dynamic Recording

Set Mask
During post-processing you can select a specific frame of a subtraction run to
be used as the mask:

1. Use the playback buttons to display the frame you want to use as the
mask on the left monitor.

2. Touch the SET MASK button.

SET MASK button

Use the playback buttons to review the run.

Page 8-14
 Dynamic Recording

Set Cues
The SET CUES function allows you to select a portion of a cine run for
playback.

1. Select the SET CUES button.

SET CUES button

The SET CUES pop-up is displayed on the CINE screen.

Page 8-15
 Dynamic Recording

2. Pause the run. Use the playback buttons to display the frame in the cine
run that will be the beginning cue.

Mask Indicator Bar with Set Cues (A and B)

A Select SET LEFT to set the beginning cue.

B Advance to the chosen ending frame. Select SET RIGHT to set the
ending cue.

Playback will display the images located between the cues.

3. To delete the cues, select CLEAR LEFT or CLEAR RIGHT.

4. Select the OK button to close the pop-up screen.

NOTE: The cues remain set on the cine run until they are deleted. If you archive the
run with the cues set, only the portion of the session between the set cues
will archive to the external media.

Page 8-16
 Dynamic Recording

Viewing Options
The CINE screen offers the following options:

• View a cine run in subtracted or unsubtracted form.

• Perform a post-processing subtraction from a fluoro or HLF run.

• Apply peak opacification to a subtracted/unsubtracted run.

Page 8-17
 Dynamic Recording

View in Subtracted and Unsubtracted Form

VIEW SUBTRACTED button

If the VIEW SUBTRACTED button is highlighted, the cine run is displayed in

subtracted form.

To view the run in unsubtracted form, select the VIEW SUBTRACTED button.
The button is no longer highlighted and the cine run is displayed
unsubtracted.

Enable and disable subtracted view by selecting the VIEW SUBTRACTED

button.

NOTE: You cannot display a roadmap unsubtracted.

Page 8-18
 Dynamic Recording

Perform a Post-processing Subtraction

If contrast has been injected during acquisition of fluoro or HLF images, you
can playback the run, select a mask, and use the SET MASK and VIEW
SUBTRACTED buttons to display a post-processing subtraction on the left
monitor.

To perform a post-processing Subtraction using a Fluoro or HLF run:

1. Display the run you want to use as the mask on the left monitor.

2. Select the SET MASK button.

3. Select the VIEW SUBTRACTED button.

The fluoro or HLF run is displayed as a subtraction on the left monitor. Use
the cine playback buttons to review the run.

Page 8-19
 Dynamic Recording

Apply Peak Opacification during playback

Peak opacification is a process automatically applied in roadmap mode
during mask acquisition. Each pixel of a new frame is compared with its
counterpart in the previous frame. If the new pixel is darker than in the
previous image the old pixel is replaced. The resulting image contains the
darkest pixels acquired for each point.

PEAK OPACIFY button

You can use the PEAK OPACIFY button during post-processing to view a
subtraction run with opacification. The areas darkened by the contrast media
will remain dark in the playback of the run, providing maximum vessel
display.

Page 8-20
 Dynamic Recording

Adjust Mask

ADJUST MASK button

To adjust the mask or landmarking on an image, refer to Adjusting the Mask

in Chapter 6, “Vascular Imaging.”

Page 8-21
 Dynamic Recording

Roadmap Mask

ROADMAP MASK button

Use this button to select a roadmap mask from previously saved masks or
create a mask from a subtraction cine run. Refer to Produce a Roadmap
Mask from a Subtraction Cine Run in Chapter 6, “Vascular Imaging” for
more information.

Page 8-22
Chapter 9

Annotating Images

Overview
This chapter explains how to use image annotation to place markers,
add comments, and crop images.

A To display the IMAGE ANNOTATION screen, select the IMAGE

ANNOTATION key from the Workstation keyboard.

IMAGE ANNOTATION screen

Page 9-1
 Annotating Images

Markers

Place markers on an image

1. Select the MARKERS... button on the IMAGE ANNOTATION
screen to display the MARKERS screen.

MARKERS screen

The markers object bar includes four directional arrows and L

(left) and R (right) markers.

Page 9-2
 Annotating Images

2. Touch a button in the object bar to select a marker. The marker is

displayed on both the left and right monitors.

3. To position a marker, touch the marker displayed on the right

monitor image, and drag it into position. Use the arrow keys on
the Workstation keyboard to fine position a marker. One press of
an arrow key moves a selected marker one pixel.

4. To add additional markers, repeat steps two and three. You can
place up to five markers.

To delete a marker: touch it on the right

monitor and press DELETE on the keyboard.

To save a copy of the image with the

markers: press the SAVE key.

5. Select the OK button to close the MARKERS screen. The

annotated image remains displayed on the left monitor until you
press an X-ray switch or recall a saved image.

Page 9-3
 Annotating Images

Comments

Add comments to an image

1. Select the COMMENT... button on the MAIN screen.

The COMMENT screen is displayed.

COMMENT screen

2. Select the COMMENT button on the COMMENT screen.

The comment box appears on the screen.

Page 9-4
 Annotating Images

3. Enter text in the comment box. You can enter 40–80 characters.

To position the comment box on the image, touch the comment

box on the right monitor and drag it. Use the keyboard arrow
keys to fine position each comment box. Each press of an arrow
key moves the box one pixel.
To add additional comments, select the COMMENT button and
enter another comment. You can enter up to five comments per
image.
To delete a comment: Select it and press the
Workstation DELETE key.

To save a copy of the image with the

comment: Press the SAVE key.

4. Touch the OK button to close the COMMENT screen. The

commented image remains displayed on the left monitor until
you press an X-ray switch or recall a saved image.

Page 9-5
 Annotating Images

Crop
Crop shutters allowyou to shade out portions of the image on the left
monitor.

Crop an image
1. Select the CROP... button from the IMAGE ANNOTATION
screen.

The CROP screen displays four arrows attached to crop shutters.

CROP screen

Page 9-6
 Annotating Images

2. Touch and drag the crop arrows to crop the image. As you move
the arrows, the cropped area of the left monitor image is hidden
from view.

To fine position a crop shutter, use the keyboard arrow keys. The
arrow key will move a selected crop arrow one pixel.

The following illustration shows an example of a cropped image as it

is displayed on the left and right monitors.

Cropped Image on Left and Right Monitor

3. To save a copy of the cropped image, press the SAVE key.

4. Select the OK button to close the CROP screen. The left monitor
image remains cropped until you press the X-ray switch or
display a saved image.

Page 9-7
 Annotating Images

Page 9-8
Chapter 10

Special Applications

Overview
Special applications include the following measurement options:

• Calibration
• Distance
• Stenosis

NOTE: Measurement software is not available on GSP and SP models.

Page 10-1
 Special Applications

Measurements can be applied to a saved image, a single frame of a

cine run, a recalled image, and the current image displayed.
Zoom could be enabled before placing measurements for better accuracy.

Three distance, and one stenosis measurement may be placed on any

one image.

When calibration is performed, the reference calibration value will

display in the upper right hand corner of the MEASUREMENT
screen.

You may touch and drag the measurement box for gross placement
of the cursor. Use the keyboard arrows for fine positioning.

Page 10-2
 Special Applications

To display the MEASUREMENT screen, press the

SPECIAL APPLICATIONS key on the Workstation keyboard.

Main MEASUREMENT screen

The left monitor image copies to the right monitor and displays in
the MEASUREMENT screen.

Calibration must be performed before distance measurements can be

placed. If stenosis is performed without prior calibration, then only
the percent stenosis will be displayed. It is recommended to perform
calibration before stenosis.

NOTE: The MEASUREMENT screen exits when X-rays are enabled.

Page 10-3
 Special Applications

Calibration

To perform a calibration between two points, a measuring device

should be placed in the plane of interest. The distance on the image
should be marked during calibration and the length value entered in
the appropriate box. Once the value is entered in the mm or French
box, the reference value for the fixed length will display in the upper
right hand corner of the MEASUREMENT screen.

When calibration is changed during a procedure, the values in length

for stenosis and distance will adjust to the new calibration values.

ON CINE RUN FRAMES: Each frame of a cine run will receive

measurement calculations based on the same calibration values when
measurements are applied. Once the frame is saved, it will be saved
as a single frame with the current calibration and will not be
modified when calibration is adjusted.

ZOOM: When zoom is enabled on an image, the reference

calibration values will be scaled to match the zoom factor.

Page 10-4
 Special Applications

To Perform Calibration

1. Select the CALIBRATE button on the MEASUREMENT screen.

Calibration Display

2. Move the crosshairs to set the distance.

3. Enter the measured length or catheter size in the appropriate

calibration input box.

NOTE: Calibration should be performed before distance or stenosis

measurements are applied. Stenosis can only display a percentage if
no calibration is performed.

Page 10-5
 Special Applications

Distance

A Calibration must be performed before distance measurements can

be placed. The DISTANCE button will not be active until calibration is
performed.

The distance calculation will display once both end points have been
placed. This value will display adjacent to the end point.

When calibration is changed during the procedure, the distance

measurements will be recalculated and display the new values.

Page 10-6
 Special Applications

To perform distance measurements

1. Perform Calibration.

2. Select the DISTANCE button. A default measurement line will

display. This line is based on the calibration performed.

Distance Display

3. Select one crosshair at either end of the line and position the
beginning point of measurement.

4. Select the second crosshair and position the end point of

measurement. The distance measurement will display in
millimetres adjacent to the end point.

NOTE: Save the image in order to retain the displayed measurement

information.For fine adjustments use up-down/left-right keys on Workstation

Page 10-7
 Special Applications

Stenosis

The stenosis function is a ratio measurement of three distances. The

ratio is the average of the lines drawn above and below a stenosis,
and a dotted line bisecting the stenosis.

The dotted stenosis line is drawn across the stenotic region. The
other two lines are drawn across normal vessel regions above and
below the stenotic region.

Once the lines have been placed, the percent stenosis will display
adjacent the start point of the stenosis line. If calibration has been
performed, the length of each line will display adjacent to the end
point.

NOTE: It is recommended that calibration be performed before applying

stenosis lines. If calibration is not performed, only the percent
stenosis can display. Calibration may be performed after the stenosis
lines are placed.

Page 10-8
 Special Applications

To perform stenosis
1. Perform Calibration.

2. Select the STENOSIS button on the MEASUREMENT screen.

Three measurement lines will appear.

Stenosis Display

3. Place the shorter dotted default line to mark the stenotic area.

4. Place one longer line across a normal vessel above the stenotic
region.

5. Place the other line below the stenotic region and across a
normal vessel.

NOTE: Save the image in order to retain the displayed measurement

information.

Page 10-9
 Special Applications

To delete measurements
1. Select the crosshair of the measurement.
2. Press DELETE on the keyboard.

Page 10-10
Chapter 11

Customizing

Overview
This chapter explains how to use the Customize function to tailor the
setup of Workstation operation to your specific requirements.
Features such as how decimals are displayed, enabling auto features,
setting defaults, time and date and alarm tone are set through the
customize function.

Some features are not available on all systems.

Page 11-1
 Customizing

Customize Screen
To access Customize features

1. Press the CUSTOMIZE key on the Workstation keyboard.

CUSTOMIZE screen

2. Select the button for the function(s) you want to customize.

Page 11-2
 Customizing

Workstation Options Screen

Use the CUSTOMIZE WORKSTATION screen to:

1. Enter the hospital name.
2. Select:
• Dose unit display (Rad or mGy).
• Decimal display (US or International).
• Enable/disable automatic swap feature.
• Enable/disable automatic save feature.
• Enable/disable autoplayback of cine runs.
3. Set screensaver delay time.

CUSTOMIZE WORKSTATION screen

NOTE: The Cine Autoplayback line on the CUSTOMIZE WORKSTATION

menu will display only on systems equipped with a cine disk.
The screen saver can be disabled by setting the delay time to zero.

Page 11-3
 Customizing

Miscellaneous Options Screen

Use the CUSTOMIZE MISCELLANEOUS screen to:

• Adjust the generator alarm tone.

• Set the default boot-up and new patient position for:

• Camera rotation (9800/8800 C-Arm only)
• Collimator rotation
• Collimator iris
• Collimator leaves
• Magnification (Field Size)

Page 11-4
 Customizing

Select the MISCELLANEOUS... button to display the CUSTOMIZE

MISCELLANEOUS screen.

CUSTOMIZE MISCELLANEOUS screen

Page 11-5
 Customizing

Adjust alarm tone

1. Select TEST to play the generator alarm.

2. Use PITCH UP and PITCH DOWN to adjust the pitch of the

alarm.

3. Select OK to close the CUSTOMIZE MISCELLANEOUS

screen and return to the CUSTOMIZE screen.

4. Select EXIT to close the CUSTOMIZE screen.

Page 11-6
 Customizing

Set defaults
To set the default position for camera rotation, collimator rota-
tion, collimator iris and leaf position and magnification:
NOTE: For Uroview systems this selection applies only to collimator
position and magnification default.

1. Select HOME or RETAIN LAST for the default position.

HOME returns the camera and collimator to the home posi-

tion, opens the collimator iris and/or leaves to a fully open
position, and returns magnification to normal.
RETAIN LAST keeps the same settings for the next patient
exam or at start-up.
2. Select OK to close the CUSTOMIZE MISCELLANEOUS
screen and return to the CUSTOMIZE screen.

3. Select EXIT to close the CUSTOMIZE screen.

Page 11-7
 Customizing

Time and Date

Select the TIME / DATE button to enter the current date and time,
and to specify the format of the date display.

Set time and date

1. Touch TIME/DATE... on the CUSTOMIZE screen.

TIME/DATE Screen

The CUSTOMIZE TIME/DATE screen will display.

Page 11-8
 Customizing

2. Enter the current time in hours, minutes and seconds using the
keyboard, and then select the SET button on the screen.

3. Enter the current date in numeric characters for month, day, and
year and then select the SET button.

4. Select either the MM/DD/YYYY button or the DD:MM:YYYY button to

choose a format for the date display.

5. Select the OK button to close the CUSTOMIZE TIME/DATE

screen and return to the CUSTOMIZE screen.

NOTE: System default is MM/DD/YYYY.

Page 11-9
 Customizing

Patient Information Screen

You can define which data entry fields are active on the PATIENT
INFORMATION screen and what information is displayed on
images.

When an X is displayed in the box next to a patient information

category, then that field is active on the PATIENT INFORMATION
screen. By default, all fields are active. Data can be entered only in
active fields. Patient information entered in active fields is displayed
on left monitor images.

Page 11-10
 Customizing

Select the PATIENT INFORMATION... button from the

CUSTOMIZE screen.

CUSTOMIZE PATIENT INFORMATION screen

To make a data-entry field inactive, touch the box next to it. The X is
removed.

Page 11-11
 Customizing

Customize Video
Some fixed room systems provide a third monitor that displays video
from alternate sources in a secondary window. The "picture-in-
picture" (PIP) option allows you to designate the location on that
monitor for the secondary window to display.

For more information on video displays, refer to your generator

operator manual.

To set the location of the Picture in Picture display:

1. Press the CUSTOMIZE key on the Workstation keyboard.

CUSTOMIZE screen

Page 11-12
 Customizing

2. Select VIDEO. The CUSTOMIZE VIDEO screen will display.

CUSTOMIZE VIDEO screen

3. Select location of PIP window.

4. Select OK.

Page 11-13
 Customizing

Page 11-14
Chapter 12

Maintenance

Overview
This section describes routine performance checks that you can perform
to ensure that the OEC Workstation is operating correctly. The
performance checks listed are not intended to substitute for scheduled
periodic maintenance. If problems are found during these checks, contact
a qualified service technician to troubleshoot and repair the system.

In addition to performance checks, safe cleaning practices are described,

and a semi-annual periodic maintenance schedule has been provided. All
periodic maintenance should be performed by a GE OEC Medical
Systems, Inc. representative or a qualified service technician.

Prior to performing any of the performance checks in this section, it is

important that potential hazards associated with these tasks are
understood.

Review Chapter 1, "Introduction and Safety" of this manual before

proceeding.

Page 12-1
Maintenance

WARNING
Circuits inside the equipment use voltages which are capable
of causing serious injury or death from electrical shock. Only
GE OEC trained and qualified personnel should remove the
covers or perform any type of service task.

Move the system into a safe operating area prior to beginning the
performance checks, and observe all radiation safety precautions. These
checks should be performed as often as equipment use and circumstances
warrant.

Extensive use warrants increasing the frequency of performance checks.

In addition, circumstances such as accidents during transport, or exposure
to excessive fluids, may warrant that performance checks be performed to
verify safe operation of the equipment.

In addition to the following checks, refer to your generator operator

manual for additional maintenance involving the Workstation.

Page 12-2
 Maintenance

Performance Checks
Check Mechanical Performance
1. Check for proper control of the Workstation wheels. Check for ease
of movement without excessive play.

2. Check the brake pedal for ease of movement and proper control of
the wheels without excessive play.

Check Electrical Performance

1. Inspect the Workstation AC power cable and high voltage cable.
Look for signs of wear or abrasion to the cable jackets.

2. Inspect the interconnect cable for sign of wear or abrasion, loose or

missing connector pins, and worn strain reliefs.

3. Turn the system on and verify that the system successfully completes
the power-up sequence.

4. Check that the fans located at the back of the Workstation are
functioning.

Page 12-3
Maintenance

Cleaning
CAUTION
Always turn the Workstation off and disconnect power before
cleaning. Use a slightly damp cloth or sponge for cleaning.

• Clean the covers and panels periodically with a damp cloth.

• Keep the dark plastic bezel surrounding the touchscreen free from
dirt. Use a mild detergent, if necessary, to remove scuffs and stains.

• Do not use any solvents which may damage or discolor paint

finishes or plastic components.

• Do not spray the monitors with cleaner or liquid.

• Be careful not to drip liquids where they can enter electronic

assemblies through panel or cover seams.

WARNING
Water, soap, or other liquids, if allowed to drip into the
equipment, can cause electrical short circuits leading to
electric shock and fire hazards.
If liquids should accidentally spill into the Workstation
electronics, DO NOT connect the power cord to a power
supply connection or turn the Workstation on until the liquids
have dried or evaporated completely.

Page 12-4
 Maintenance

IR Remote Control
Replace the IR remote control battery when the IR REMOTE BAT-
TERY LOW message displays on the Workstation. The remote control
uses three alkaline AAA batteries.

NOTE: There are no user serviceable parts inside the main body of the IR
remote control. Opening that compartment voids the warranty.

To replace the batteries

1. Remove the screw that secures the battery cover on the back of the
IR remote control.
2. Remove the old batteries.
3. Insert three AAA batteries. (Use care to observe the correct polarity
as indicated by the + symbols.)
4. Replace the cover.
5. Insert the battery cover screw, but avoid over-tightening.

!
+

+ +

Figure 12-1. IR Remote battery cover.

Page 12-5
Maintenance

Long-Term Storage or
Shipment
To prepare the system for long-term storage (60 days or more) or
shipment, observe the following recommendations:

1. Set all locks and brakes and remove all power. Coil the interconnect
cable and store it on its hanger. Coil the power cable and store it on
the Workstation handle.

2. Wrap the monitors with bubble wrap.

3. Cover the Workstation. Attach it to a solid supportive shipping base

and enclose it in a protective container adequate for shipment or
storage.

Page 12-6
 Maintenance

Periodic Maintenance
Schedule
Routine periodic maintenance should be performed semi-annually. This
maintenance should be performed by a GE OEC Medical Systems, Inc.
certified service technician. The following periodic maintenance
schedule is recommended.

Semi-Annual Maintenance
Semi-annual maintenance should be performed as described in the
Periodic Maintenance Procedure. This procedure covers the following
maintenance items:

Inspect Static Drag Wire

Perform Workstation Steering & Brake Test
Inspect and Clean Workstation Air Filters
Inspect AC Power Cable
Inspect Interconnect Cable and Connector
Measure Ground Continuity
Measure Line Voltage Regulation
Inspect/Adjust Workstation Power Supply Voltages
Perform Workstation Panel Diagnostics
Perform Workstation Functional Test
Perform IR Remote Functional Test
Perform Accessory Functional Test

Page 12-7
Maintenance

Page 12-8
Chapter 13

Troubleshooting

Overview
This chapter describes messages that appear on the right Workstation
monitor when the system fails the start-up sequence or fails during
system operation. Workstation failures may result in impaired system
operation or automatic system shut-down. The messages are listed in
alphabetical order on the following pages.

Page 13-1
Troubleshooting

Error Recovery Steps

Perform the following error recovery procedure if you encounter
problems during start-up or operation:

1. If a message occurs, place the Workstation power switch in

the off position; wait five seconds, then place the power
switch in the on position. If this fails to restore normal
operation, then proceed with step 2.

2. Turn the power switch OFF, disconnect the power cord, and
call for service. Refer to Chapter 1, "Introduction and Safety"
for service dispatch telephone numbers. Do not continue
using the system.

WARNING
Ignoring error and warning messages may result in
equipment damage and personal injury.

Page 13-2
 Troubleshooting

Messages
The following messages may be displayed on the right monitor. To
close the message display, touch the OK button.

CANNOT MAKE NETWORK CONNECTION. Verify that the

Workstation is connected to the network.

COPY OR PRINT IN PROGRESS. Please wait.

DICOM SERVER IS OUT OF RESOURCES—TRY AGAIN LATER.

This is a temporary condition caused by currently high usage of the
server.

DISK FORMAT IS IN PROGRESS. The currently selected "Copy

To" device is being reformatted.

DISK FULL. Insert another floppy disk and copy remaining images.

FORMATTING ERASES ALL DATA ON THE DISK. Select Yes to

continue formatting, select No to cancel. Continue Formatting?

Page 13-3
Troubleshooting

HIGH CAPACITY DISK FAILURE. Drive has failed or is not

properly installed. The Jaz disk has not properly initialized.

INVALID YEAR. Enter a value from 1976 to 2075.

KEYBOARD FAILURE. Turn the Workstation off, wait five

seconds, then restart the Workstation.

NO DISK IN DRIVE. Insert disk.

PLEASE WAIT. System is busy performing a function. Time varies

for the accomplishment of each function.

PRINT FORMAT NOT SUPPORTED. Use Customize to select a

format supported by this printer or contact the network administrator.

PRINTER ERROR. Check the printer error display and refer to the
operating instructions provided for the printer for more information.

Page 13-4
 Troubleshooting

PRINTER IS OUT OF FILM OR PAPER. Replace film or paper.

PRINTER OFF-LINE. Place printer on-line and resubmit the print

job.

REMOTE CONTROL BATTERY IS LOW. Replace battery.

SCHEDULED EXAM LIST IS FULL. NEW PATIENT

INFORMATION WILL NOT APPEAR IN THE SCHEDULED
EXAMS LIST. You may take X-rays for patient and save in Saved
Exams.

SYSTEM ERROR DETECTED. Turn the Workstation off, wait five

seconds, and then restart. If this message persists, call service.

SYSTEM FAILED TO CONNECT TO DICOM SERVER. Verify the

target server is on-line and is configured properly through the
CUSTOMIZE screen.

Page 13-5
Troubleshooting

THE CINE DISK IS NOT AVAILABLE. Call service.

THE CURRENT SESSION CINE RUNS WILL BE OVERWRITTEN

IN 30 SECONDS. The oldest previous runs of the current session
will be overwritten first. This message appears when several cine
runs for a single patient have been run and filled the time available
for cine acquisition.

THE SELECTED FUNCTION IS NOT AVAILABLE ON THIS

MODEL.

THIS DICOM SERVER VERIFIED SUCCESSFULLY.

TOUCH SCREEN FAILURE. Turn the Workstation off, wait five

seconds, then restart the Workstation. If this message persists, call
service.

Page 13-6
 Troubleshooting

TOUCH SCREEN OBSTRUCTION. Remove any object touching

the touchscreen. Turn the Workstation off, wait five seconds, then
restart. If this message persists call service.

VCR COMMUNICATION FAILURE. Turn the Workstation off, wait

five seconds, and then restart. If this message persists, call service.

WORKSTATION AND GENERATOR ARE NOT COMPATIBLE.

Connect the Workstation to a compatible generator or use it as an
independent Workstation. Call service for assistance.

WORKSTATION KEYBOARD ERROR. Turn the Workstation off,

wait five seconds, and then restart. If this message persists, call
service.

Page 13-7
Troubleshooting

Page 13-8
Chapter 14

Technical Reference

Overview
The policy of GE OEC Medical Systems, Inc. is one of continual
product development and improvement. For this reason, GE OEC
Medical Systems, Inc. reserves the right to change the operating
characteristics and specifications of newer products at any time,
without prior notice, and without incurring any obligation relating to
previously manufactured items.

The specifications listed are limited to general performance and

physical data. Specifications of optional equipment provided by
other manufacturers are given in the applicable manuals provided
with those options.

GE OEC Medical Systems, Inc. will make available, on request,

circuit diagrams, component part lists, descriptions, calibration
instructions, or other information which will assist properly trained
and qualified technicians to repair those parts of the system which
are designated as repairable.

Page 14-1
 Technical Reference

Workstation Classification
Class I Equipment (as defined by IEC 60601-1)
Ordinary protection against ingress of water

Page 14-2
 Technical Reference

Dimensions
412 mm
16.25 inches

250 mm
64.25 inches
9.88 inches
1632 mm

692 mm 692 mm
27.25 inches 27.25 inches

Workstation: 163 cm x 69 cm x 69 cm
(64 1/4" H x 27 1/4" W x 27 1/4" D)

Workstation weight: 192.77 kg (424 lbs.)

Page 14-3
 Technical Reference

Dose Area Product

The calculated dose area product is a measure of radiation emitted
by the X-ray tube. This does not represent the radiation absorbed by
the patient.
Please Note: The system complies with DAP display
accuracy as required by IEC 601-2-43.

Iris and shutter collimated fields are at the image receptor plane
(scatter grid surface). Collimated fields less than 5 cm at the surface
of the image receptor may result in significantly greater error.

Page 14-4
 Technical Reference

Environmental Requirements
Ambient Operating: 10 to 35 degrees C
Temperature 50 to 95 degrees F

Extended 0 to +40 degrees C (> 2 days)

Storage and 32 to100 degrees F
Transportation

Short-term -10 to +55 degrees C (< 2 days)

Storage and 32 to 104 degrees F
Transportation

Altitude 10,000 ft. (3048 meters) maximum

Humidity Operating: 20 to 80%, non-condensing

Storage and transport: 10%-90%, condensing

Shock and Vibration 1G at 5-200 Hz for 2 hours

Page 14-5
 Technical Reference

External Connections
1 2 3

5
4

RS-232

7 9

ARCNET ETHERNET

Item Description
1 Left Monitor Standard Video EIA 170 or CCIR output (stan-
dard resolution)
2 Left Monitor Fast Scan Video (high resolution)
3 Right Monitor Fast Scan Video (high resolution)
4 RS-232 serial communication (standard 9-pin D-type
connector)
5 Direct Digital Printer Interface (DDPI) (37-pin D type)
(not used)
6 Parallel printer port (standard 25-pin D type connector)
7 ARCNET connection
8 Ethernet connection
9 Input/Output - Switch/relay control for Injector, Room, Door,
Control 1, Control 2 (See detail)

Page 14-6
 Technical Reference

The OEC Workstation can provide a signal to an approved injector.

This signal is sent when the injection icon displays during a
procedure. A custom cable will need to be constructed or obtained
from an approved injector manufacturer or GE OEC.

Below is a diagram of the pin numbers on the external connection

that controls the injection signal.

15 11
10 6

5 1
Figure 14-1. Front View of Input/Output Relay Connection on back of Workstation.

Pin 1 and 6 Power Contrast Injection Connector output. Isolated

relay contacts normally open. Contacts close to
provide a signal to the contrast media injector.

These relays are capable of switching 24V DC or 24V AC at a

current of up to 2 amps. All other switches are currently undefined.

Call Technical Support for a list of approved injectors that work with
the OEC Workstation. Communications Center phone numbers can
be found in Chapter 1, "Introduction and Safety."

Page 14-7
 Technical Reference

Labels and Symbols

Overview
The following section describes labels and symbols located on the
OEC Workstation that are not described elsewhere.

Two types of labels are described: warning labels and regulatory

certification labels.

• Warning labels define potential hazards and advise against

misuse that might result in personal injury. Familiarize yourself
with these labels and their meaning in order to ensure a safe
environment for both the patient and yourself.

• Regulatory labels indicate that the system meets the requirements

of specific governmental, medical and industrial organizations.

Symbols are provided to represent concepts such as locked and

unlocked brake positions, or the proper transport position of the
Workstation. Many of the symbols described here are listed in IEC
417 and ISO 7000. Those that are not were developed by GE OEC
Medical Systems, Inc.

Page 14-8
 Technical Reference

Labels

The system has been tested and

certified by the VDE Testing and
Certification Institute.

THIS EQUIPMENT IS CERTIFIED TO BE IN COMPLIANCE WITH THE APPLICABLE

STANDARDS OF THE CODE OF FEDERAL REGULATIONS, TITLE 21,
These labels (for the system and
SUBCHAPTER J, AS OF THE DATE OF MANUFACTURE certified components) certify that the
Date of Mfr. system meets applicable federal
Model No.
standards and regulations for X-ray
Serial No.
OEC MEDICAL SYSTEMS, INC.
3 8 4 Wr i g h t B r o t h e r s D r i v e / S a l t L a k e C i t y / U t a h 8 4 11 6
equipment as of the date of
manufacture.

The system has been tested and

X-RAY certified by the Canadian Standards
R
EQUIPMENT
LR XXXX Association to comply with applicable
NRTL/C
U.S. and Canadian Standards.
IEC XXX-X-X:XXXX

Page 14-9
 Technical Reference

This symbol indicates the system was

tested by a Notified Body and was found
0366 to be in compliance with the
requirements of all relevant directives
and standards in effect within the
European Union at the time of
manufacture.

384 Wright Brothers Drive

Salt Lake City, Utah 84116
USA (801) 328-9300

MODEL

Date of Mfg.
System nameplate/rating label.
Indicates manufacturer information
Serial No.
and input power requirements.
V
˜
A

Hz

U.S AND FOREIGN PATENTS PENDING. MADE IN THE USA.

DIE IN DIESEM GERAT ENTSTEHENDE

RONTGENSTRAHLUNG IST
AUSREICHEND ABGESCHIRMT,
BESCHLEUNIGUNGSSPANNUNG MAXIMAL 20kV.

The system monitors are shielded to

prevent exposure to X-ray radiation.
(Label applied on European systems
only.)

Page 14-10
 Technical Reference

Symbols

Attention.

Near the power cord this symbol

means that you must read the operator
manual prior to turning the system on
to familiarize yourself with proper
operating procedures.

Near the I/O connectors on the

Workstation this symbol means that
all peripheral equipment must be
approved by GE OEC Medical
Systems, Inc.

Circuit breaker: push to reset circuit

CB 1
breaker for power to the system.

Circuit Breaker: push to reset circuit

CB 2
breaker for power to the system.
(120 VAC systems only.)

Circuit Breaker: push to reset circuit

CB 3 breaker for power to the generator.

Page 14-11
 Technical Reference

Circuit Breaker: push to reset circuit

CB 34 breaker for power to the Workstation.

An Equipotential terminal is provided

on the Workstation. This allows
connection between equipment and a
potential equalization busbar of the
facility.

The electrical switching mechanism

IP68 within the footswitch is protected
from exposure to dust and the effects
of continuous immersion in water.
However, placement inside a
protective cover is recommended.

Standby. Identifies the switch or

switch position by which part of the
equipment is switched on in order to
place it in the standby position.

Page 14-12
 Technical Reference

Contrast adjustment.

Brightness adjustment.

Alternating current.

Indicates locked position of brake

handle or pedal.

Indicates unlocked position of brake

handle or pedal.

Page 14-13
 Technical Reference

Material Safety Data Sheets

Manufacturer’s Material Safety Data Sheets are available from the
manufacturer upon request. Contact the following manufacturer's
with regard to the materials listed:

Dow Corning R 5 Compound (Silicone) - Dow Corning Corporation,

South Saginaw Road, Midland MI 48686, (517) 496-8306.

Shell Diala R Oil Ax (Oil MSDS No. 60030-5) - Shell, Inc., Product
Safety and Compliance, PO Box 4320, Houston, TX 77210, (713)
473-9461.

Panasonic Sealed Lead Acid Battery - Matsushita Industrial Battery

Co., Ltd, Battery Storage Division, 11-66 Honsyuku-Cho, Chigasaki,
Kanagawa, Japan, (0467) 51-1121.

Sealed Lead Acid Battery - Hawker Energy Products, Inc., 1050

South Broadway, PO Box 5887, Denver, CO 80217, (303) 744-
4806.

Page 14-14
 Technical Reference

Optional Equipment
The following accessories have been tested with, and are known to
work with the Workstation:

• Instant Film/Paper Printer

• Thermal Printers
• VCR
• Laser Camera Interface
• DICOM 3.0 Interfac

Page 14-15
 Technical Reference

Power Requirements
System Input Power
The system operating voltage is changeable. If the operating voltage
requires changing, this change must be made by a GE OEC Medical
Systems, Inc. field service technician, or by qualified technical
service personnel.

Line Frequency: 60/50 Hz

120 VAC (+/- 10%): 15 Amps
200/220/230/240 VAC (+/- 10%): 10 Amps

Maximum non-destructive voltages that can be connected to

signal I/O ports: 7 Volts DC

ROOM I/O Port: +24V relay closures, +5V TTL logic levels

Technique Factors at Maximum Line Current Condition:

Peak current demand is independent of technique load factors.
Depending on previous loading to the battery, peak demand is
determined by the battery charger current limit.

Page 14-16
 Technical Reference

Line Regulation (Percent): 15% at maximum radiographic

exposure.
Line regulation is based on measurements made at the input (primary
winding) of the isolation transformer under standby conditions and
at maximum radiographic exposure by the following equation:

Line regulation = 100 (Vn - V1)/V1

Where Vn = no load voltage (standby), and V1 = loaded
voltage (maximum radiographic exposure).

Maximum Continuous Power Dissipation: 4,253 BTUs (Based on a

maximum real power value of 1,245 watts.)

Page 14-17
 Technical Reference

Connector Output Voltages

Standard Video: 2 VAC point to point (p-p)
Fast Scan Video 2 VAC p-p
Printer: centronix interface
Direct Digital Printer Interface: centronix interface
RS-232 (COM1): 9-pin connector
DICOM: ethernet interface
ARCNET: +/- 5VAC

Given for three-phase, full-wave rectification, a reasonable approxi-

mation to the high frequency generator with minimal ripple.

Page 14-18
 Technical Reference

Replacement Items
The following replacement items can be ordered:

• Film
• Printer paper
• Sterile drapes and covers

To receive more information on optional equipment or replacement

items, please refer to Chapter 1, "Introduction and Safety" for
ordering information or Communication Center phone numbers.

Video Signal
Composite video, EIA RS170A 60 Hz, 525 line, [International CCIR
50 Hz, 625 line] TTL Logic.

Page 14-19
 Technical Reference

Page 14-20
 Index

B
Index basic imaging 5-1
brake pedal 2-5
button, touchscreen
selecting 3-3
Symbols
no entries C
cable hanger 2-3
A
calculated dose 7-5
acquire on/off 8-6 calibration 10-4
acquisition rate cine run frames 10-4
defaults 8-7 zoom 10-4
pop-up screen 8-7 camera position
adjust selecting default 11-4
edge enhancement 3-10 camera rotation
mask 6-27 default setting 11-7
noise filter 3-12 cancel copy process 7-15, 7-25
adjust mask cardiac
screen 6-16 system 6-10
After-sale Operating and Safety Prac- Certification
tices 1-4 X-ray source assembly 1-4
alarm tone cine 8-5
adjusting 11-6 acquire rate 8-6
selecting 11-4 button 8-3
annotating images 9-1 options 8-5
archive 7-1 acquire 8-6
format 7-23 playback 8-12
images 7-18 playback screen 6-15, 6-16
ARCNET connection 14-6 screen 8-4
arrow setup 8-1
keys 3-7 viewing options 8-17

Page i
Index

cine playback 8-11 save a 9-5

mask indicator 8-16 screen 9-4
cine recording 8-1 closing 9-5
cine run 6-15 comments
available time 8-2 adding 9-4
preview image 7-26 deleting 9-5
reviewing 8-9 saving 9-5
cine screen Communication Center Telephone
move back 8-12 Numbers 1-8
move forward 8-12 compatibility 2-2
next cine run 8-13 configuring
play/pause 8-12 display 11-1
playback 8-11 system options 11-1
previous cine run 8-13 Continued Compliance 1-3
replay 8-12 continuous operation
set cues button 8-15 selecting 5-10
view unsubtracted 8-17 continuous x-ray 5-12
viewing options 8-17 continuous X-rays 5-6
cine setup contrast image 6-23
button 8-4 copy format 7-22
screen 8-2 button 7-23
exiting 8-8 pop-up screen 7-27
circuit breakers 2-4 copy from 7-28
cleaning 12-4 archived exam 7-28
clearing device 7-30
roadmap mask 6-26 device list 7-10
storage device queue 7-27 screen 7-29
collimation. See C-Arm Operator's copy queue
Manual clearing 7-17
collimator rotation copy to
setting defaults 11-7 screen 7-11, 7-17, 7-20, 7-24, 7-27
comment copying
button 9-4, 9-5 canceling 7-15
delete a 9-5 from system to archive 7-18–7-30
to floppy 7-23
to Jaz disk 7-23
to print 7-15

Page ii
 Index

crop direct digital printer interface 14-6

screen distance 10-6
closing 9-7 dose area product 14-4
crop images 9-6 dose information 7-4
customize dose summary 7-4
function 3-23, 11-1 patient information 7-5
key 11-2 print 7-16
patient information display 11-11 screen 7-4
screen 11-2 dynamic recording 8-1
time and date 11-8
video 11-12 E
workstation options 11-3 edge enhancement
D key 3-10
editing
defaults patient information 4-1, 4-13
camera position 11-7 electrical checks 12-3
collimator rotation 11-7 Electrical shock 1-14
iris and leaf position 11-7 enter
magnification 11-7 key 3-7
delete environmental requirements 14-5
key 3-7 error recovery steps 13-2
device queue 7-19 exam
clearing 7-27 overview 5-1, 6-1
diacritic keys 3-8 external connections 14-6
DICOM Printer 7-10. See also DICOM
Supplement. See DICOM Supple- F
ment field size. See C-Arm Operator's Manual
DICOM Storage 7-18. See also DICOM file formats 7-22
Supplement. See DICOM Supple- film. See C-Arm Operator's Manual
ment status bar display 5-4
digital spot Film Cassette Holder
button 5-8 improperly installed 1-13
digital spot imaging 6-11 floppy disk 7-18
dimensions
workstation 14-3

Page iii
Index

fluoro 5-3 I
cine setup 8-7
mode 5-5 image
fluoro imaging 5-1 archive 7-19
applying image enhancements 5-5 review 7-4
procedure 5-7, 6-11–6-17 image annotation 3-23, 9-1
function keys 3-22 key 9-1
screen 9-1
G image directory 3-22, 7-1, 7-27
key 7-2
no entries saved exams button 7-6
H screen 6-27, 7-17, 7-30
image processing. See
handles 2-6 brightness; contrast; edge
hardcopy 7-1 enhancement; negate; noise
devices filter; zoom
selecting 7-11, 7-20 keys 3-9
layout 7-12 image review 7-1
hardcopy images 7-10 imaging 5-1, 6-1
Hazard basic 5-1
Electrical Fire 1-15, 1-16 HLF 5-6
Electrical Shock 1-14 roadmap 6-18
Equipment Malfunction 1-19 snapshot 5-2
External Devices 1-22 vascular 6-1
Motorized Mechanical Movement 1- imaging modes
13 setting up 6-8
Radiation exposure 1-17 switch setup 6-2
Unauthorized Modifications 1-3 infrared (IR) remote control 3-1, 3-24
help Ingress of Fluids 1-18
key 3-23 input power 14-16
high level fluoro input/output - switch/relay control 14-6
imaging 5-6 instant film/paper printer 7-10. See also
high level fluoro (HLF). See HLF Instant Film/Paper Printer Supple-
HLF ment
cine setup 8-7 interconnect cable 2-3, 2-6
procedure 5-7, 6-11–6-17 Introduction 1-1
standard 5-7 iris position
setting defaults 11-7

Page iv
 Index

J M
jaz disk 7-18, 7-30 mA/mAs key. See C-Arm Operator's
jaz drive Manual
warning/caution 7-21 magnification
setting defaults 11-7
K main screen 4-4, 5-2, 6-3, 6-16
keyboard 3-4 maintenance 12-1
controls 3-4–3-23 maintenance schedule 12-7
layout 3-5 making images 6-1–6-31
layouts 3-5 markers
keys deleting 9-3
arrows 3-7 object bar 9-2
customize 3-23 positioning 9-3
delete 3-7 saving 9-3
enter 3-7 screen 9-2
help 3-23 closing 9-3
image annotation 3-23 using 9-2
image directory 3-22 mask 6-12
patient information 3-22 adjusting 6-27
special applications 3-23 clearing 6-26
tab 3-6 new 6-26
kVp. See C-Arm Operator's Manual. See Using a Saved 6-25
also C-Arm Operator's Manual mask indicator 8-16
material safety data sheets 14-14
L measurements
calibration 10-4
labels 14-9 delete 10-10
labels and symbols distance 10-6
overview 14-8 overview 10-2
landmarking 6-17 screen 10-3
layout stenosis 10-8
button 7-12 mechanical checks 12-3
pop-up screen 7-17 messages 13-1, 13-3–13-7
selecting 7-12 miscellaneous options 11-4
leaf position screen 11-4
setting defaults 11-7 Mobile C-Arm. See C-Arm Operator's
left fast scan video 14-6 Manual
left standard video 14-6

Page v
Index

mode 6-5 on 2-8

button 5-2, 6-3 Operator Qualifications 1-2
key 6-2, 6-23, 6-26 optional equipment
screen 5-2, 5-3, 6-2, 6-3 list 14-15
digital spot button 5-8 output voltages 14-18
neuro-vascular 6-4 Owner Responsibilities 1-2
using 6-2 Continued Compliance 1-2
vascular 6-4, 6-6 Operator Qualifications 1-2
switch setup 6-2 Power Requirements 1-2
synchronized pulse 6-29 System Compatibility 1-2
mode pair 6-2, 6-5 Unauthorized Modifications 1-2
mode pairs
switching 6-5 P
mode switch parallel printer port 14-6
setup 6-2 Patient Environment 1-23
move mask patient information
button 8-14, 8-19 dose summary 7-5
N editing 4-1, 4-13–4-14
entering 4-1, 4-4–4-14
navigation keys 3-6–3-7 key 3-22
negate print 7-16
key 3-16 retrieving from saved exams 4-12
neuro-vascular saved exams 4-1
mode screen 6-4 scheduled exams 4-1
new exam 4-4 screen 4-2
creating 4-4 clearing 4-4
noise filter 3-12 customizing display 11-10
key 3-12 patient name 4-1
noise filtering 6-10 peak opacification 6-18, 6-27, 8-20
during cine playback 6-10 applying to a subtraction 8-20
pedal brakes 2-6
O performance checks 12-1, 12-3
OEC Medical Systems, Inc. Responsibili- periodic maintenance schedule 12-7
ties 1-4 Phone. See also Communication Center
After-sale Operating and Safety Telephone Numbers
Practices 1-4
System Certification 1-4

Page vi
 Index

picture-in-picture 11-12 R
picture-in-picture display
setting 11-12 Radiation Exposure 1-17
PIP location 11-13 General Protection 1-17
play/pause 8-12 Source-to-Skin Distance 1-17
positioning 2-1–2-10 rebooting system 2-8
post-processing Subtraction 8-19 reformat 7-23
power button 2-6 registration 6-16, 6-25
power cable 2-3 regulatory labels 14-8
power cord 2-6 remote control 3-24
power off battery replacement 12-5
fixed room systems 2-10 screen 3-25
mobile systems 2-9 using 3-24
Power Requirements 1-3 replacement items 14-19
power requirements 14-16 restart system 2-8
input power 14-16–14-17 retain last 11-7
output voltages 14-18 reviewing images 7-4
power switch 2-3 right fast scan video 14-6
preview image 7-14 roadmap
preview images 7-19 1st phase 6-20
print 2nd phase 6-21
dose summary 7-16 Cine setup 6-22
patient information 7-16 contrast 6-22
print images 7-10, 7-13 procedure 6-22
print queue 7-14 pulsed 6-18
producing images 6-1–6-31 sequence of events 6-19
pulse mode using a saved mask 6-25
synchronized 6-29 roadmap imaging 6-18
pulse rate 5-11, 6-2 roadmap mask 6-23, 6-28
changing 5-11 from a Subtraction 6-27
pulse rate screen screen 6-24
vascular 6-30 RS-232 serial communication 14-6
pulsed X-rays 5-9

Q
no entries

Page vii
Index

S semi-annual maintenance 12-7

set cues
Safety Hazards 1-8 button 8-15
Electrical Fire 1-15, 1-16 pop-up screen 8-15
Electrical Shock 1-14 setup 2-1–2-10
Equipment Malfunction 1-19 single shot 5-2
External Devices 1-22 snapshot 5-2
Improperly Installed Film Cassette source device
Holder 1-13 archiving and retrieving from 7-28
Motorized Mechanical Movement 1- source devices
13 list of 7-18
Patient Environment 1-23 Source-to-Skin Distance 1-18
Radiation exposure 1-17 special applications
Source-to-Skin Distance 1-18 key 3-23
save standard HLF 5-7, 6-11
key 3-21 standards
save mask feature 6-28 IEC 417 14-8
saved exams 4-1 IEC 60601-1 14-2
displaying 7-6 ISO 7000 14-8
edit patient information 4-12 status bar 5-4
screen 4-11 stenosis 10-8
selecting a patient 4-10–4-12 storage 12-6
sorting storage device
by date 4-11 selecting 7-24
by doctor 4-11 storage devices 7-10
by patient 4-11 list of 7-10
viewing 4-10 subtracted form
scheduled exams 4-1, 4-6 viewing 8-18
list 4-4 subtraction 6-11
list by physician 4-9 cine run 6-15
screen 4-9 contrast 6-13
select a patient 4-8 mask 6-12
set up 4-7 noise filtering 6-10
screen post-processing 8-19, 8-21
miscellaneous options 11-4 preparing roadmap mask 6-27
roadmap mask 6-24 procedure 6-14
workstation options 11-3 producing a roadmap mask 6-27
sequence of events 6-11

Page viii
 Index

swap U
key 3-21
symbols 14-11 unnamed patients 4-1, 4-10
IEC 417 14-8 unsubtracted form
ISO 7000 14-8 viewing 8-18
synchronized pulse mode 6-1, 6-29 Uroview system
system alarm video display 11-12
pitch 11-6 use mask 6-28
testing 11-6
System Certification 1-4
V
System Compatibility 1-2 vascular
system input power 14-16 mode screen 6-4, 6-6
vascular imaging
T pulse rate screen 6-30
tab synchronized pulse 6-29
key 3-6 Vice President of Quality and Regulatory
technical reference Affairs 1-8
overview 14-1 video display
Telephone Numbers. See Communica- UroView 11-12
tion Center Telephone Numbers video signal 14-19
text entry view subtracted 8-18–8-22
keys 3-6
thermal printer 7-10
W
time and date warning labels 14-8
screen 11-8 wheel lock pedal 2-3
setting 11-8 Workstation
touchscreen classification 14-2
using 3-2–3-3 component identification 2-3
touchscreen controls 3-2, 3-24 components 3-1
troubleshooting controls 3-1
error recovery steps 13-2 dimensions 14-3
messages 13-1 failures 13-1
turning the Workstation on 2-8 handle 2-3
keyboard 3-1
power button 2-9
power off 2-9
storing 2-9

Page ix
Index

Workstation components
back panel 2-4
cable hanger 2-3
handle 2-3
interconnect cable 2-3
power cable 2-3
power switch 2-3
wheel lock pedal 2-3
Workstation options
screen 11-3

X
X-Ray mode 6-2
X-ray Source Assembly Certification 1-4
X-ray switch
left 5-3
setup 5-2, 6-2

Y
no entries

Z
zoom
key 3-14
screen 3-14, 3-15

Page x