Ge Stenoscop User Manual

e Medical Systems
Operator’s Manual
HOME
STENOSCOP Plus
6000 and 9000
0459
Operator Manual
2235014–100
Revision 1
Copyrighte 1999,
by General Electric Co.
Operator Manual
WARNING
X–RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR
UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED
Though this equipment is built to the highest standards of electrical and mechanical safety, the
useful x–ray beam becomes a source of danger in the hands of the unauthorized or unqualified
operator. Excessive exposure to x–radiation causes damage to human tissue.
Therefore, adequate precautions must be taken to prevent unauthorized or unqualified persons
from operating this equipment or exposing themselves or others to its radiation.
Before operation, persons qualified and authorized to operate this equipment should be familiar
with the Recommendations of the International Commission on Radiological Protection, contained
in Annals Number 26 of the ICRP, and with applicable national standards.
REGULATORY REQUIREMENTS
This product complies with the regulatory requirements of the following:
D Council Directive 93/42/EEC concerning medical devices: the 0459
label affixed to the product testifies compliance to the Directive.

For a system, the location of the CE marking label is described in the
system manual.
European registered place of business:
GE Medical Systems Europe
Quality Assurance Manager
BP 34
F 78533 BUC CEDEX France
Tel: +33 (0)1 30 70 40 40
D Medical Device Good Manufacturing Practice Manual issued by the

FDA (Food and Drug Administration, Department of Health, USA).
D Underwriters’ Laboratories, Inc. (UL), an independent testing
laboratory.
D Canadian Standards Association (CSA).
D International Electrotechnical Commission (IEC), international
standards organization, when applicable.
United States Federal law restricts this

CAUTION
device to use by or on the order of a
physician.
D General Electric Medical Systems is ISO 9001 and EN 46001 certified.

D The original document was written in English.
om 2235014–100 Rev. 1 REGULATORY REQUIREMENTS i

EMC This label, awarded by The Japan Federation of
IEC–601–1–2:1993
Medical Devices Associations, indicates that this
product complies with the Electrical Medical
Equipment Standard in relation to EMC specifications.
Recycling:
Machines or accessories at end–of–life:
The elimination of machines and accessories must be in accordance with

national regulations for waste processing.
All materials and components that could pose a risk to the environment
must be removed from the end–of–life machines and accessories
(examples: dry and wet cell batteries, transformer oil, etc...).
Please consult your local GEMS representative before discarding these
products.
Packing materials:
The materials used to pack our equipment are recyclable. They must be
collected and processed in accordance with the regulations in force for the
country where the machines or accessories are unpacked.
ii REGULATORY REQUIREMENTS om 2235014–100 Rev. 1

Note: This equipment generates, uses, and can radiate radio frequency
energy. The equipment may cause radio frequency interference to
other medical and non-medical devices and radio communications.
To provide reasonable protection against such interference, this
product complies with emissions limits for a Group 1, Class B
Medical Devices Directive as stated in EN60601–1–2. However,
there is no guarantee that interference will not occur in a particular
installation.
Note: If this equipment is found to cause interference (which may be

determined by turning the equipment on and off), the user (or
qualified service personnel) should attempt to correct the problem
by one or more of the following measure(s):
– reorient or relocate the affected device(s)
– increase the separation between the equipment and the
affected device
– power the equipment from a source different from that of the
affected device
– consult the point of purchase or service representative for
further suggestions
Note: The manufacturer is not responsible for any interference caused by

using other than recommended interconnect cables or by
unauthorized changes or modifications to this equipment.
Unauthorized changes or modifications could void the users’
authority to operate the equipment.
Note: To comply with the regulations on electromagnetic interference for

a Class B FCC Device, all interconnect cables to peripheral devices
must be shielded and properly grounded. Use of cables not properly
shielded and grounded may result in the equipment causing radio
frequency interference in violation of the FCC regulations.
om 2235014–100 Rev. 1 REGULATORY REQUIREMENTS iii

Note: Do not use devices which intentionally transmit RF signals (cellular
phones, transceivers, or radio controlled products) in the vicinity of
this equipment as it may cause performance outside the published
specifications. Keep the power to these type devices turned off
when near this equipment.
The medical staff in charge of this equipment is required to
instruct technicians, patients, and other people who may be
around this equipment to fully comply with the above requirement.
iv REGULATORY REQUIREMENTS om 2235014–100 Rev. 1

SERVICE OFFICES
For service issues, contact the Service Office for your country.
AMERICAS
UNITED STATES OF AMERICA

GE Medical Systems Headquarters Tel: +1–414–544–3011
3000 North Grandview Blvd.
WAUKESHA, WI 53188
Mail:P.O. Box 414
MILWAUKEE, WI 53201
LATIN AMERICA
GE Medical Systems Tel: +1–305–497–1200
Latin America Headquarters
5101 NW 21st Avenue, Suite 350
FORT LAUDERDALE, FL 33309
USA
ASIA
NIPPON (Japan)
GEMSA Headquarters Tel: 81–426–48–2940
GE Medical Systems Asia Fax: 81–426–48–2905
67–4, Takakura, Hachioji
TOKYO, 192–0033, JAPAN
REST OF ASIA
GE Pacific Pte. Ltd (GEMS Asia) Tel: +65–291–8528
South East Asia Pacific Operations (SEAPO) Fax: +65–291–7006
298 Tiong Bahru Road
#15–01/06 Tiong Bahru Plaza
SINGAPORE 0316
om 2235014–100 Rev. 1 SERVICE OFFICES v

EUROPE
BELGIE/BELGIQUE (Belgium)
GE Medical Systems Benelux NV/SA (NL) Tel:+32 2 644 09 38
Manhattan Center (F) Tel:+32 2 644 08 42
Bolwerklaan 21 b 9 Avenue du Boulevard (LUX) Tel:0800 2973
B–1210 BRUSSEL/BRUXELLES Fax: +32 2 207 73 33
DANMARK (Denmark)
GE Medical Systems Danmark Tel: +45 45 51 00 55
Skovlytoften 4 Fax: +45 42 42 59 89
DK–2840 HOLTE
DEUTSCHLAND (Germany)
GE Medical Systems Deutschland GmbH & Tel: 49–6102–36–0
Co. KG Fax: +49 610–36–2588
Martin–Behaim–Strasse 10
D–63263 NEU_ISENBURGS
ESPAÑA (Spain)
GE Medical Systems España Tel: +34 1 663 25 00
Avda. de Europa 22 Fax: +34 1 663 25 01
Parque Empresarial la Moraleja
E–28100 ALCOBENDAS
FRANCE (France)
GE Medical Systems Tel: +33 (0)1 30 70 40 40
283 rue de la Minière
BP34
F–78533 BUC CEDEX
HELLAS (Greece)
GE Medical Systems Hellas Tel: +30 1 93 24 582
41 Nikolaou Plastira Street Fax: +30 1 93 58 414
GR–171 21 NEA SMYRNI
ITALIA (Italy)
GE Medical Systems Italia Tel: +39 02 64 22 01
Viale Fulvio Testi 28–B Fax: +39 02 64 22 0401
20126 MILANO
NEDERLAND (Netherlands)
GE Medical Systems Nederland B.V. Tel: +31 73 6 457 457
Hambakenwetering 1 Fax: +31 73 6 441 233
NL–5231 DD S HERTOGENBOSCH
vi SERVICE OFFICES om 2235014–100 Rev. 1

ÖSTERREICH (Austria)
GE GesmbH Medical Systems Austria Tel: 0660 8651 (gebührenfrei)
Prinz Eugen Strasse 8/8 Fax: +43 1 505 38 74
A–1140 WIEN Tlx: 136314
POLSKA (Poland)
GE Medical Systems Polska
Krzywickiego 34 Tel: +48 2 625 59 62
P–02–078 WARSZAWA Fax: +48 2 615 59 66
PORTUGAL (Portugal)
GE Medical Systems Portuguesa S.A.
Rua Sà da Bandeira, 585 Tel: +351 2 2007696/97
Apartado 4094 Fax: +351 2 2084494
P–4002 PORTO CODEX Tlx: 22804
ROSSIYA (Russia)
GE Medical Systems Tel:+7 095 935 72 41
Kosmodamianskaya nab. 52, Bldg 1, 6th Floor Fax:+7 095 935 73 46 and 48
113054 MOSCOW Tel (satellite): +7 502 220 30 39
Fax (satellite): +7 502 220 32 59
Tlx:613020 GEMED SU
SVERIGE (Sweden)
GE Medical Systems Tel: +46 8 457 95 20
Box 6768 Fax: +46 8 457 95 47
St. Eriksgatan 117 Tlx: 12228 CGRSWES
S–113 85 STOCKHOLM
SCHWEIZ/SUISSE (Switzerland)
GE Medical Systems (Schweiz) AG Tel: 155 6958 (gebührenfrei)
Sternmattweg 1 Fax: +41 41 421859
CH–6010 KRIENS
TÜRKIYE (Turkey)
GE Medical Systems Turkiye A.S. Tel: +90 212 75 5552
Mevluk Pehliran Sodak Fax: +90 212 211 2571
Yilmaz Han, No 24 Kat 1
Gayretteppe
ISTANBUL
UNITED KINGDOM
IGE Medical Systems
Coolidge House Tel: +44 753 874000
352 Buckingham Avenue Fax: +44 753 696067
SLOUGH
Berkshire SL1 4ER
om 2235014–100 Rev. 1 SERVICE OFFICES vii

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viii SERVICE OFFICES om 2235014–100 Rev. 1

REVISION HISTORY
REV DATE TYPE OF MODIFICATION

0 March 1999 Source document 826 931 P 735 Rev 4
From Stenoscop 2 to Stenoscop Plus:
G DR4 cancelled
G MDn replacing MD10
G MDA becomes MDA Plus
Program Pegase Plus – M3
1 May 1999 Program Pegase Plus – M4
VCR and Subtraction screens updated
LIST OF EFFECTIVE PAGES

PAGE REVISION PAGE REVISION
Cover page 1 Chapter 3

3–1 thru 3–10 1
i thru xvi 1 Chapter 4
4–1 thru 4–24 1
Chapter 1
1–1 thru 1–42 1 Chapter 5
5–1 thru 5–10 1
Chapter 2 Appendix 1
2–1 thru 2–86 1 A–1 1
om 2235014–100 rev. 1 REVISION HISTORY ix

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x REVISION HISTORY om 2235014–100 rev. 1

CHAPTER TABS
Description of Equipment 1
Practical Use 2
Maintenance 3
Technical Characteristics 4
Options 5
om 2235014–100 rev. 1 CHAPTER TABS xi

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xii CHAPTER TABS om 2235014–100 rev. 1

INDICE
REGULATORY REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . I
SERVICE OFFICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V
REVISION HISTORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IX
CHAPTER TABS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI
1 – DESCRIPTION OF EQUIPMENT . . . . . . . . . . . . . . . . . . . . 1–1

1–1 GENERAL DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . 1–1
1–1–1 Mobile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–1
1–1–2 Monitor Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–4
1–2 DESCRIPTION OF C-ARM SUPPORT MOBILE
COMMANDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–6
1–2–1 Positioning the Mobile . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–6
1–2–2 Positioning the C-Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–9
1–2–3 Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–11
1–3 DESCRIPTION OF MONITOR SUPPORT
COMMANDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–14
1–3–1 Cables and Connections . . . . . . . . . . . . . . . . . . . . . . . . 1–14
1–3–2 Mechanical Movement Command . . . . . . . . . . . . . . . . 1–15
1–4 MDA+ DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–16
1–4–1 Display Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–16
1–4–2 Control Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–18
1–4–3 Viewer Control Screen . . . . . . . . . . . . . . . . . . . . . . . . . . 1–21
1–4–4 MDA+ Remote Control . . . . . . . . . . . . . . . . . . . . . . . . . . 1–25
1–5 MDN DIGITAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–30
1–5–1 Display Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–30
1–5–2 MDn Remote Control Functions . . . . . . . . . . . . . . . . . . 1–31
1–5–3 Keyboard Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–38
1–6 PRINTER AND VIDEO . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–40
1–6–1 Film Printer (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–40
1–6–2 Loading and removing a cassette . . . . . . . . . . . . . . . . . 1–41
1–6–3 Paper Printer (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–41
1–6–4 Dicom Printer (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . 1–41
om 2235014–100 rev. 1 INDICE xiii

1–6–5 Videocassette Recorder (Option) . . . . . . . . . . . . . . . . . 1–42
2 – PRACTICAL USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1

2–1 TRANSPORTATION AND INSTALLATION . . . . . . . . . . 2–1
2–1–1 Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1
2–1–2 Connections and Switching On . . . . . . . . . . . . . . . . . . . 2–2
2–2 IMAGE GENERATION: X-RAY EMISSION . . . . . . . . . . 2–4
2–2–1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–4
2–2–2 Radiography Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–10
2–2–3 Single Image Mode: Electronic Radiography . . . . . . . 2–12
2–2–4 Continuous fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . 2–13
2–2–5 Pulsed Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–15
2–3 STORAGE AND IMAGE MANIPULATION . . . . . . . . . . . 2–16
2–3–1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–16
2–4 PRACTICAL USE OF MDA+ . . . . . . . . . . . . . . . . . . . . . . 2–16
2–4–1 Switch–On, Starting up the System . . . . . . . . . . . . . . . 2–16
2–4–2 Timer Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–17
2–4–3 Imaging Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–18
2–4–4 Patient Database Function . . . . . . . . . . . . . . . . . . . . . . . 2–45
2–4–5 Patient Information Function . . . . . . . . . . . . . . . . . . . . . 2–55
2–4–6 Help Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–62
2–4–7 System Setup Function . . . . . . . . . . . . . . . . . . . . . . . . . . 2–64
2–4–8 Using the monitor support without the mobile . . . . . . . 2–73
2–5 PRACTICAL USE OF MDN . . . . . . . . . . . . . . . . . . . . . . . 2–74
2–5–1 Storing images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–74
2–5–2 Locking an image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–74
2–5–3 Deleting an image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–75
2–5–4 Sequence Function (Option) . . . . . . . . . . . . . . . . . . . . . 2–75
2–5–5 Image processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–77
2–5–6 Entry and modification of Patient data and image
annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–78
2–5–7 Entry and modification of MDn system parameters . . 2–83
2–5–8 VCR on MDn. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–85
3 – MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
3–1 SERVICING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
xiv INDICE om 2235014–100 rev. 1

3–2 CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
3–2–1 Cleaning the Mobile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
3–2–2 Cleaning the Anti-Glare Screens on the Monitor . . . . 3–2
3–2–3 Cleaning the Sterilizable Drapes . . . . . . . . . . . . . . . . . . 3–2
3–3 MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–3
3–3–1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–3
3–3–2 Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–3
3–3–3 Periodic Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–3
3–4 CORRECT OPERATION TESTS . . . . . . . . . . . . . . . . . . . 3–4
3–4–1 Preliminaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4
3–4–2 Mobile Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4
3–4–3 X–ray Generation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–5
3–4–4 Image commands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–7
3–4–5 Image processor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–7
3–5 HANDLING ERRORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–8
3–5–1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–8
3–5–2 Handling Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–8
4 – TECHNICAL CHARACTERISTICS . . . . . . . . . . . . . . . . . . . 4–1

4–1 OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1
4–1–1 Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1
4–1–2 Precautions Before Use . . . . . . . . . . . . . . . . . . . . . . . . . 4–1
4–1–3 Protective Ground . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1
4–1–4 Identification Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–2
4–1–5 English–French Translations of Identification Plates . 4–3
4–2 COMPLIANCE WITH STANDARDS . . . . . . . . . . . . . . . . 4–3
4–2–1 Ground Current Leak . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–3
4–3 ELECTRICAL CHARACTERISTICS . . . . . . . . . . . . . . . . 4–4
4–3–1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4
4–3–2 Voltage Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–4
4–3–3 Maximum Line Impedance . . . . . . . . . . . . . . . . . . . . . . . 4–4
4–3–4 Line Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–5
4–3–5 Protective Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–5
4–3–6 Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–6
om 2235014–100 rev. 1 INDICE xv

4–3–7 Dissipation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–6
4–4 MOBILE UNIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–7
4–4–1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–7
4–4–2 X-Ray Tube Head and Collimator . . . . . . . . . . . . . . . . . 4–7
4–4–3 Image Intensifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–18
4–4–4 Radiography Cassette Holder and Grid . . . . . . . . . . . . 4–19
4–5 MONITOR SUPPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–20
4–5–1 Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–20
4–5–2 Mass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–20
4–5–3 Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–20
4–5–4 External Video Output . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–20
5 – OPTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
5–1 DOSE MEASUREMENT . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
5–1–1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
5–1–2 Practical Use with MDA+ Memory . . . . . . . . . . . . . . . . 5–1
5–1–3 Description (MDn Memory) . . . . . . . . . . . . . . . . . . . . . . 5–2
5–1–4 Practical Use with MDn Memory . . . . . . . . . . . . . . . . . . 5–2
5–1–5 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3
5–2 LASER CENTERING UNIT.
(ONLY WITH STENOSCOP 9000) . . . . . . . . . . . . . . . . . 5–4
5–2–1 Laser Centering Unit Built-In Option . . . . . . . . . . . . . . . 5–4
5–2–2 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–4
5–2–3 Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–4
5–2–4 Practical Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–5
5–3 ORTHOTRACR EXTERNAL LASER OPTION . . . . . . . 5–6
5–3–1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–6
5–3–2 Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–7
5–3–3 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–8
5–3–4 Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–9
5–3–5 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–9
A1 – SCREENS ON MDA Plus MEMORY . . . . . . . . . . . . . . . . . A–1

A xvi
xvi INDICE om 2235014–100 rev. 1

1 – DESCRIPTION OF EQUIPMENT
1–1 GENERAL DESCRIPTION
1–1–1 Mobile 1
Illustration 1 –
17 7 5
10
9 2
15
14 1
12 11
13
om 2235014–100 rev. 1 DESCRIPTION OF EQUIPMENT 1–1

See Illustration 1 and Illustration 2 for reference.
1 X–ray tube head with X–ray tube and collimator.

1 2 Image receiver with image intensifier and CCD camera.
3 Patient protection (according to local regulations).
4 Locking for C–arm orbital movement.
5 Locking for C–arm rotation.
6 Locking for C–arm longitudinal movement.
7 Locking for transverse movement (wig–wag) of C–arm support.
8 C–arm maneuvering handle (removable, the handles are fitted and

removed by pressing on the center of the handle).
9 Steering handle.
10 Maneuvering handles.
11 Front castor.
12 Rear castors.
13 Brake pedal for mobile C–arm support.
14 X–ray control pedal with support and cable storage.
15 X–ray control handle.
16 Control panel for mobile.
17 Infrared remote control support.
1–2 DESCRIPTION OF EQUIPMENT om 2235014–100 rev. 1

Illustration 2 –
20 1
6 16
10
8
4
18
19
18 Connection cable between mobile and monitor support, cable holder.
19 Connector for IEC additional earth wire.

(Depending on local regulations).
20 Cassette holder (Option).

Fastened at the level of the input face of the image intensifier.

1–1–2 Monitor Support
Illustration 3 –
1
5
4
6 14
15
7
13
8 3
2
10
1
11 11
12
See Illustration 3 for reference.
1 Line power cord.
2 Accessory connector (Stand alone Option).
3 On/Off switch
Located on the rear face of the monitor support.

Please wait 10 seconds before restarting the
CAUTION system after a shutdown to allow the electronic
circuits to stabilize. 1
4 X–ray emission indicator.
5 Display monitor (1 or 2 depending on the configuration).
6 Infrared sensor for remote control.
7 Touch screen or alphanumeric keyboard (according to configuration).
8 Videocassette recorder S–VHS (Option).
9 Film printer (Option).
10 Paper printer (Option).
11 Brakes.
12 Semi–directional castor.
13 Connector with C–arm support.
14 External video connector.
This plug is intended for connection of an external

CAUTION video printer only. It is not suitable for VCR or
additional monitor connection.
15 Computer diskette drive (with the MDA+ digital option only).

1–2 DESCRIPTION OF C-ARM SUPPORT MOBILE
COMMANDS
1 Do not lean on the upper part of the C–arm.
CAUTION Although the unit complies to stability standards,
it can be overturned when force is applied with a
large lever arm.
When this unit is used in the vicinity of other
powered mechanical equipment, such as traction
apparatus, care must be taken to avoid physical
contact between the two units, as unusual efforts
may overturn the surgical mobile.
1–2–1 Positioning the Mobile

Check that the movements of the mobile can be
CAUTION carried out safely and that nothing obstructs the
required movements.
Direction lever for rear casters. (9, Illustration 1).


Illustration 4 – DIRECTION LEVER
1 2
D Position 1: Forward/backward displacement.
D Position 2: Lateral displacement—traveling.
D Intermediate position 3: Diagonal displacement.

C–arm support mobile brake pedal.
(13, Illustration 1).
1
Illustration 5 – BRAKE PEDAL
POSITION A
POSITION B
D Position A, pedal to the rear: In this position the brakes are locked.
D Position B, pedal horizontal: In this position the brakes are released.

1–2–2 Positioning the C-Arm
See Illustration 1, Illustration 2 and Illustration 6 for reference.
1
Check that the movements of the C–arm support
CAUTION can be carried out safely and that nothing
obstructs the required movements.
D All the brakes are locked by pushing the levers forward (towards the
C–arm) and unlocked by pulling the levers backwards (towards the control
panel).
Orbital Movement
D Unlock the orbital movement brake (4, Illustration 1).
D Slide the C–arm to the required position. The removable handles can be
used (8, Illustration 1).
D Lock the orbital movement brake (4, Illustration 1).

Rotating the C-Arm
D Unlock the C–arm rotation brake (5, Illustration 1).
D Turn the C–arm to the required position.
If the C-Arm Support is in the low position, the

CAUTION image intensifier cover may collide with the base
of the Stenoscop during this movement.
D Lock the C–arm rotation brake (5, Illustration 1).

Vertical Movement
The motorized vertical movement is controlled from the control panel
D To raise the C–arm, press one of the keys (3, Illustration 6).
D To lower the C–arm, press one of the keys (4, Illustration 6).

If the Image intensifier is in the low position and
CAUTION the C-Arm is brought close to the Stenoscop
Console, the image intensifier cover may collide
1 with the base of the Stenoscop during the
movement.
Longitudinal Movement
D Unlock the longitudinal movement brake (6, Illustration 2).
D Move the C–arm to the required position.
D Lock the longitudinal movement brake (6, Illustration 2).

Transverse Movement (Wig-wag)
D Unlock the transverse movement brake (7, Illustration 1).
D Move the C–arm to the required position.
D Lock the transverse movement brake (7, Illustration 1).

1–2–3 Console
Illustration 6 – CONSOLE
1
Stenoscop
1 3 6 6 3 1
2 4 5 5 4 2
8
7 9 22
15 23
10 20 24
11 16 21 25
17
12
13 19
14 18
1 Triggering X–rays.
D The X–rays can also be triggered using the hand–held remote control
(15, Illustration 1) or the foot–switch (14, Illustration 1).
D Starts fluoroscopy or radiography depending on the mode chosen.
D During X–ray emission the buttons light up.
D During X–ray emission, the indicator lamp (4, Illustration 3) lights up.
2 Thermal overload Indicator.

Does not automatically interrupt X–ray emission.

3 Raise C–arm command.
4 Lower C–arm command.

1
5 Power–up indicator lamp.
The machine is on when the lamp is lit.
6 Stop mobile.
Can be used as an emergency stop.
7 Resets timer to 5 minutes.

D The key flashes (with intermittent buzzer) after 4 min 30 sec
fluoroscopy.
D The timer stops the fluoroscopy after 5 minutes.
8 X–ray exposure timer.

Counts the real X–ray emission time in minutes and seconds up to
99 minutes.
9 Resets the counter.

When the machine is switched on, the counter is automatically reset.
10 Standard radiography – film radiography.
11 Electronic radiography, single pulse fluoroscopy.
12 High resolution fluoroscopy.
13 Pulsed fluoroscopy.
14 Standard fluoroscopy.
15 kV display.
16 kV selection.
17 Fluoro mA display or rad mAs display.
18 mA or mAs selection.

19 Manual adjustment of mA and kV in fluoroscopy.
20 Image rotation on Monitor A.

1
21 Image rotation on Monitor B.
22 Choice of image intensifier field.

Select 16–cm field on 22–cm image intensifier
(On Stenoscop 9000 Series only).
23 Collimation by opaque shutters.
24 Collimation by semi–transparent shutters.
25 Rotation of collimation shutters.

1–3 DESCRIPTION OF MONITOR SUPPORT
COMMANDS
1 These commands depend on the digital option of the machine.
D The MDA+ module can be used to store 5000 to 20000 images, according
to the options installed.
D The MDn module can be used to store six to 208 images, according to the
options installed.
1–3–1 Cables and Connections

D Line power cord (1).

The cable can be stored around its support at the back of the trolley when
not used.
D Stand alone connector (Option for MDA+ only) (2).

Allows the monitor support trolley to be used on its own, without the
mobile, to review the images in combination with an archiving or
videocassette recorder option.
D On/Off switch (3).

Located on the rear face of the monitor support.
D Connector to the C–arm support (13).

1–3–2 Mechanical Movement Command
D Brakes (11).
1
To lock the monitor support trolley, lock the brakes on the two front castors.
D The brakes lock each castor independently.
D Semi–directional castor (12).

For easy movement through the corridors, the rear left castor of the
monitor support trolley is semi–directional. It locks to facilitate straight–line
movement.
To unlock it, rotate the monitor support trolley.
D Monitors (5)
They can be turned to suit the operator.

1–4 MDA+ DESCRIPTION
(See Appendix, page A–1)
1 BEFORE CARRYING OUT ANY OPERATION
DANGER CHECK THAT AVAILABLE MEMORY IS
SUFFICIENT TO RECORD THE NUMBER OF
IMAGES REQUIRED FOR THE APPLICATION.
1–4–1 Display Screens
1–4–1–1 Monitor A
Displays the X–ray image or stored images. Displays patient information,
system parameters, and measurements.
Illustration 7 –

1–4–1–2 Monitor B
Displays stored images and mini–images.
See Illustration 8 for reference. 1
Illustration 8 –
The left–hand mini–image column corresponds to Monitor A. The right–hand

column corresponds to Monitor B.
The large image displayed on the monitors is the same as the small image
displayed in the mini–image locating square.

1–4–2 Control Screen
Allows control of acquisition and image processing parameters, management
1 of patient files, printing, and system configuration.
1–4–2–1 User interface after Power–on: Viewer menu

Appears when power is applied, after initialization.
Illustration 9 –
Zone 1
Zone 2
Zone 3
Screen Appearance:
Screen appearance changes according to system status, current function,
options present, and user interface appearance selections. The screens
described here cover all the options available with the MDA+ digital option.

1–4–2–2 Control Screen Description
D Zone 1: Selection of Main Menus
1
– Display Date and Time
Timer. (See 2–4–2, page 2–17).
– Viewer
Image acquisition and handling.
(See 2–4–3, page 2–18 ).
– Patient Data Base
Management of patient and image database, and image transfer.
(See 2–4–4, page 2–45).
– Patient Information
Entry of patient information.
(See 2–4–5, page 2–55 ).
– Help
Calls up the Help menu. (See 2–4–6, page 2–62).
– System Setup
Configuration of the system. (See 2–4–7, page 2–64).
Access a menu by pressing the corresponding key.
To exit a menu, press the menu key again.
The system switches to the Viewer menu.
You can return to the basic screen (Viewer) at any time by pressing
<Viewer>.
Appearance of Keys:
D Ready to be activated: black with white markings.
D Activated: white with black markings (except the Viewer key).
D Deactivated: gray with white markings.

D Zone 2: Selection of Active Monitor, and Help Message Display
The monitor selection keys are identical in appearance to the Zone 3 keys.
1
D Zone 3: Action Keys of Functions
Appearance of Keys:
D Ready to be activated: white with black markings.
D Activated: gray with black markings.
D Deactivated: black with white markings.
Note: A key that calls up a control window contain a small

triangle in the bottom right corner.

1–4–3 Viewer Control Screen
The system switches to this screen during X–ray emission. Not all functions
are active during X–ray emission. 1
1. Monitor A
If this key is selected, any action affects the image displayed on
this screen.
2. Monitor B
If this key is selected, any action affects the image displayed on
this screen.
3. Annotations
Calls up the Annotations submenu. (See 2–4–3–3, page 2–28).
4. Reset
Returns image parameters (Brightness, Contrast, Edge
enhancement, Inverse video, Orientation, Zoom, Rotation) to
the values they had when the image was saved. Removes
magnification and borders.
5. Enlarge
Enlarges a portion of the displayed image by a factor of 2. (See
2–4–3–1, page 2–18).
6. Black Borders
Surrounds the visible region of the image with black borders.
(See 2–4–3–1, page 2–18).
7. Image Move
Allows to roam the image in the display. (See 2–4–3–1,
page 2–18).
8. Rotation
Rotates the displayed image clockwise or counter–clockwise.
(See 2–4–3–1, page 2–18).
9. Zoom
Enlarges the image. (See 2–4–3–1, page 2–18).

10. Image Orientation
Allows to display the image according to the displayed anatomy.
(See 2–4–3–1, page 2–18).
1 11. Recursive Filter: Noise Reduction with motion detection
Increases or decreases the level of noise reduction during
X–ray emission.
Note: Operates on dynamic images during X–ray emission only.

The higher the filter value, the greater the image noise
reduction. On the other hand, motion blurring increases.
Motion blurring can be reduced by adjusting the automatic

movement detection parameter.
(See System Set–up, 2–4–7, page 2–64).
12. Edge enhancement

Increases or decreases the edge enhancement value.
13. Brightness
Adjusts image brightness. Not active during X–Ray emission.
Note: To change image brightness during emission, adjust the

kV and mA.
14. Contrast
Changes image contrast. Not active during X–Ray emission.
Note: To change image contrast during emission, adjust the kV

and mA.
15. Inverse Video

Inverts the image Black and White levels.
Note: In this mode, the brightness control variation operates as

follows:
When the brightness value increases, the image darkens
on the screen.
When the brightness value decreases, the image brightens
on the screen.

16. Finding an Image by Number
Displays a numeric keypad on which you can enter the number
of the desired image. When you press the <OK> key, the
image appears on the selected monitor. 1
Note: To cancel the numeric keypad, press the <Image Number>
key again.
17. Next/Prior Image

Displays the next or previous image.
The mini–image corresponding to the displayed image is
located in the mini–images locating square.
18. Manual Recording of an Image
Stores the image displayed on Monitor A.
Note: This function is active during X–ray emission.
19. Automatic Recording of Images

If this function is activated, the image frozen on Monitor A at the
end of X–ray emission is automatically stored.
20. Automatic Image Transfer from Monitor A to Monitor B
Copies the image from Monitor A to Monitor B.
If this function is activated, the image frozen on Monitor A is
automatically transferred to Monitor B before new dynamic
images are displayed during X–ray emission.
Press this toggle key again to disable the Automatic Image
Transfer.
21. Dynamic Sequence Acquisition and Review (Option)
Calls up the sequence control sub–window. (See 2–4–3–4,
page 2–32).
22. Selection of Next Sequence/Prior Sequence (Option)
Displays the first image of the previous or next sequence.
Displays the first mini–images of the sequence on Monitor B in
the column corresponding to the selected monitor. The first
image of the sequence appears in the locating square.

23. Subtraction (Option) (See 2–4–3–5, page 2–35).
24. Maximum Opacification (Option) (See 2–4–3–6, page 2–39).
1 25. Road Mapping (Option) (See 2–4–3–7, page 2–40).

26. Measure (Option)
Calls up Measure submenu. (See 2–4–3–2, page 2–24).
Note: This submenu is closed automatically during X–ray

emission.
27. Selection of Auxiliary Video Input

This function switches the system to the Auxiliary Video Input.
If a video signal is present on this input, the resulting image is
displayed on Monitor B.
This image can be recorded using the videocassette recorder,
or printed.
28. Screen Composition (See 2–4–3–8, page 2–41).
29. Videocassette Recorder (Option) (See 2–4–3–9, page 2–42).
30. Printing an Image on Paper Printer
Prints a copy of the selected screen on the Paper Printer.
31. Printing an Image on Dicom Printer
Prints a copy of the selected screen on the selected Dicom
Printer.
Note: There are three types of printers which may be used: paper
printer, film printer and Dicom printer.

1–4–4 MDA+ Remote Control
Illustration 10 – MDA+ MEMORY REMOTE CONTROL
1
1 2 3
Subtraction Max Op Road Map
4 5 6
Orientation: A –> B Transfer Orientation:
Right/Left Up/Down
7 8 9
Rotation: A/B Rotation:
Counter–clockwise Clockwise
10 11 12
Edge Print Recursive Filter
13 18 14
Brightness Contrast
19 15 20
Zoom
16 17
M Man 21 Sequence
Function
Direction Arrows
1–4–4–1 Precautions for Use
D Do not use the remote control if several Stenoscop systems are present
in the Examination Room.
D If the remote control is not used for a considerable time, remove the
battery.
D Replace the battery with an equivalent long–life battery if the MDA+

system no longer responds correctly to remote control commands.

Signals emitted by the remote control can interfere
CAUTION with the operation of other devices which use an
infrared remote control. In case of doubt, stop
using the MDA+ system remote control.
1
Signals emitted by remote control units for other
CAUTION equipment can interfere with MDA+ system
operation.
D In case of doubt, deactivate the remote control unit.
1–4–4–2 Description (see Illustration 10, page 1–25)

Note: The active function of the remote control unit is displayed
on Monitor A, to the left of the image in the bottom third of
the screen.
1 Subtraction
Function equivalent to that of the <Subtraction> key in the Viewer
menu (see 2–4–3–5, page 2–35).
D The Up/Right and Down/Left arrows are used to vary the Landscape
function coefficient.
D The Right arrow is used to activate and deactivate the Subtraction
function.
2 Maximum Opacification
Function equivalent to that of the <Max Op> key in the Viewer menu
(see 2–4–3–6, page 2–39).
3 Road Map
Function equivalent to that of the <Road Map> key in the Viewer menu
(see 2–4–3–7, page 2–40).
4 Image Orientation: Right/Left

Function equivalent to that of the key in the Geometry function
(see 2–4–3–1, page 2–18).

5 A –> B Transfer
Function equivalent to that of the <A –> B Transfer> key in the Viewer
menu (see Illustration 9, page 1–18).
1
6 Image Orientation: Up/Down
Function equivalent to that of the key of the Geometry function
(see 2–4–3–1, page 2–18).
7 Rotation: counter–clockwise
(see 2–4–3–1, page 2–18).
8 A/B
Selects Monitors A and B in turn.
Note: The monitor selected is indicated by a vertical broken

white line on both side of the displayed image.
9 Rotation: clockwise
(see 2–4–3–1, page 2–18).
10 Edge
Allows to adjust the edge enhancement.
D Use the Up/Right and Down/Left arrows of the remote control after
pressing this key, to adjust the intensity of the edge enhancement
filter.
11 Print
Function equivalent to that of the <Paper Printer> key in the Viewer
menu (see Illustration 9, page 1–18 and 1–4–3, H 30, page 1–24).
12 Recursive Filter
Allows to adjust the level of noise reduction.
pressing this key.

13 Brightness
Allows to modify the brightness of the selected image
1 D Use the Up/Right and Down/Left arrows of the remote control after
pressing this key to adjust brightness level.
14 Contrast
Allows to modify the contrast of the selected image
pressing this key to adjust contrast level.
15 Zoom/Roam
Allows to change the enlargement factor and roam the image on the
screen.
D Press the key once to select the zoom operation.
D Press a second time to select the “Roam” operation.
D Use the Up/Right and Down/Left arrows to increase or decrease the
zoom value and roam the image.
16 M Man
Function equivalent to that of the <Manual Save> key in the Viewer
menu (see Illustration 9, page 1–18 and 1–4–3, H 18, page 1–23).
17 Sequence Function
Calls up the Sequence submenu
D The Up and Down arrows change the sequence acquisition or review
speed.
D The Right arrow key starts the review and increases its speed.
D The Left arrow key slows down the review.

18 19 20 21 Direction Arrows
Allow to change the parameters defined in the selected function.
Note: The arrows are only active if the function text is visible on 1
Monitor A
If no function is selected (no function text visible on monitor A) the arrows have
the following action:
D The Up and Down arrows display the next or the previous image in
memory on the selected monitor.
D The Right and Left arrows display the next or the previous sequence in
memory on the selected monitor.

1–5 MDn DIGITAL
This digital option operates with an infrared remote control and/or a keyboard
1 option.
BEFORE CARRYING OUT ANY OPERATION
DANGER CHECK THAT AVAILABLE MEMORY IS
SUFFICIENT TO RECORD THE NUMBER OF
IMAGES REQUIRED FOR THE APPLICATION.
1–5–1 Display Screen
1–5–1–1 Screen A or B
Illustration 11 –
Patient Name –––––––––––––––––/ GE MEDICAL SYSTEMS
Patient ID ––––––––––––––/ Hospital Name––––––––––––––/
Procedure–––––––––––/ Doctor Name–––––––––––/
Comments–––––––––/
mm/dd/yyyy
I:iiiii* hh/mm
S:sssss
FNR:x
SHIFT
ANNOTATION TEXT
SEQ. STATUS
REMOTE FUNCTION
USER MESSAGE EDGE:Y
ZOOM:x.x
BRIG:xxx
SPACE: Free Unlocked CONT:yyy
xxx xxx
System status line R/L T/B
Note: The annotations displayed can be changed using the

remote control or keyboard option.

1–5–2 MDn Remote Control Functions
Main and Secondary functions: 1

Some keys have two possible functions. In that case, the main function is grey
shaded, and the secondary one is in italic.
Illustration 12 – MDn memory remote control
1 2 3
Blue Shift key . Annotations . Lock / Unlock
. Image List . Auto Image Recall
4 5 6
. Image Flip: . A –> B Transfer Image Flip:
Horizontal . Create New Vertical
. Patient Edit Patient
7 8 9
Rotation: . A/B . Rotation:
Counterclockwise . Split Screen Clockwise
. Annotation Edit
10 11 12
Edge Enhancement . Print Recursive Filter
. Parameters
13 18 14
Brightness Contrast
15
19 . Play Sequence 20
. Zoom/Pan
16 17
. Image Erase . Save Sequence
. Image List Edit 21 . Sequence
Direction Arrows

1–5–2–1 Precautions for Use
D Do not use the remote control if several Stenoscop systems are present
1 in the Examination Room.
D If the remote control is not used for a considerable time, remove the
battery.
D Replace the battery with an equivalent long–life battery if the MDn system
no longer responds correctly to remote control commands.
Signals emitted by the remote control can interfere

CAUTION with the operation of other devices which use an
infrared remote control.
Signals emitted by remote control units for other

CAUTION equipment can interfere with MDn system
operation.
1–5–2–2 Description (see Illustration 12, page 1–31)

The active function of the remote control unit is displayed on Monitor A, on the
left of the image in the bottom third of the screen.
1 Blue Shift key

This key, used in combination with other keys, allows the user to
access secondary functions. Each time it is used, “Shift” is displayed
on the left side of the screen.
These secondary functions are described in italic, with each key
description below, when applicable.
2 – Annotations
Select/Deselect the image parameters display on the Monitors
The status of this function (ON / OFF) is displayed on the last line
of the monitor
– Image list: To access this function press on the ’Blue Shift key’ then
on ’Annotations’ The content of the memory will be displayed on
monitor A for Patient data entry and patient delete. (See 2–5–6–2,
page 2–80)

3 – Lock / Unlock
Lock an image to prevent its accidental erasing. A locked image is
signaled by a star before its number displayed on the monitors.
To unlock an image press again on the key when the locked image 1
is displayed on the selected monitor.
– Auto Image Recall: To access this function press on ’Blue Shift key’
then on ’Lock/Unlock’. This function allows a selected image to be
automatically displayed at the end of X–Ray, instead of the LIH image.
The image on which this function is applied is indicated by its number
displayed underlined on the monitor A. To deactivate this function,
press on ’Blue Shift key’ then on ’Lock/Unlock’ again.
4 – Image Flip: Horizontal

Allows to display the image according to the displayed anatomy.
(See 2–4–3–1, page 2–18).
Compatible with the Two–Image Mode. (See 1–5–2–2,
H 8, page 1–34).
– Patient Edit: To access this function press on ’Blue Shift key’ then on
’Image Flip Horizontal’. This function allows to enter or modify patient
data (See 2–5–6–2, page 2–80).
Note: At least one image must have been taken before patient
data may be modified.
5 – A –> B Transfer
Copies the image from Monitor A to Monitor B.
If this function is activated, the image frozen on Monitor A is
automatically transferred to Monitor B before new dynamic images are
displayed during X–ray emission.
To inhibit this transfer, press the key again.
Note: The status of this function (ON / OFF) is displayed on the

last line of the monitor
– Create New Patient: To access this function press on ’Blue Shift key’
then on ’A –> B Transfer’. This function allows to create a new patient.

6 Image Flip: Vertical
Allows to display the image according to the displayed anatomy. (See
2–4–3–1, page 2–18).
1 Compatible with the Two–Image Mode. (See 1–5–2–2, H 8, page 1–34).
7 Rotation: Counterclockwise
Rotates the displayed image.
Compatible with the Two–Image Mode. (See 1–5–2–2, H 8, page 1–34).
8 – A/B
Selects Monitors A and B alternatively.
The selected monitor is indicated by a vertical line on both side of
the displayed image.
– Split Screen: To access this function press on ’Blue Shift key’ then on
’A/B’. This function allows to display two images on one monitor. The
left part of the image corresponds to Monitor A, and the right part to
Monitor B. Each image can be handled individually with the monitor
selection key ’A/B’ and the following functions. To deactivate this
function, press on ’Blue Shift key’ then ’A/B’ again.
G Image Flip Vertical
G Image Flip Horizontal
G Image Rotation
G Edge Enhancement
G Brightness/Contrast
G Zoom (Factor of 2)
D Not active during X–ray emission.
D It is possible to print the monitor display.
9 – Rotation: clockwise
Rotates the displayed image.
Compatible with the Two–Image Mode. (See 1–5–2–2, H 8,
page 1–34).
– Annotation Edit: To access this function press on ’Blue Shift key’ then
on ’Rotation Clockwise’. This function allows to confirm text entry for
patient data, system parameters and annotations.

10 Edge Enhancement
Allows you to adjust the edge enhancement. There is just one level of
edge enhancement. When it is selected, “ON” is displayed on the
screen and when it is deselected, “OFF” is displayed on the screen. 1
Compatible with the Two–Image Mode. (See 1–5–2–2, H 8, page 1–34).
11 – Print
Print the image displayed on the selected monitor.
Compatible with the Two–Image Mode. (See 1–5–2–2, H 8,
page 1–34).
– Parameters: To access this function press on ’Blue Shift key’ then on
’Print’. This function allows to enter or modify system parameters.
These include hospital name, language, date and default image
processing parameters (See 2–5–7, page 2–83).
12 Recursive Filter
Allows to adjust the level of noise reduction.
pressing this key to increase or decrease the level.
D The active noise coefficient is displayed on the monitor.
D The higher the weighting coefficient, the greater the noise reduction.
On the other hand, the motion blurring increases.
Note: If noise reduction is modified without X–ray emission, the

effect of the new value will not be seen until the next X–ray
emission sequence.
13 Brightness
Allows to modify the brightness of the selected image.
pressing this key to increase or decrease brightness level.
D Compatible with the Two–Image Mode. (See 1–5–2–2, H 8,
page 1–34).

14 Contrast
Allows to modify the contrast of the selected image.
1 pressing this key to increase or decrease contrast level.
D Compatible with the Two–Image Mode. (See 1–5–2–2, H 8,
page 1–34).
15 – Zoom/Pan
Allows you to change the enlargement factor and pan the image on
the screen.
D Press the key once to change image size.
Use Up/Down arrows to adjust image size
D Press a second time to pan the image on the screen.
Use Up/Down and Left/Right direction arrows to place the image
on the screen
D Press a third time to exit the Zoom function.
D Zoom is compatible with the Two–Image Mode, limited to a fixed
factor of 2 (See 2–4–3–1, page 2–18).
Note: Zoom cannot be used during X–ray emission.

The zoomed image can be printed and remains active for
the current image until deselected.
To change the image displayed on screen during a zoom,
exit the Zoom function then use the direction arrows.
– Play / Stop / Pause Sequence: To access this function press on ’Blue
Shift key’ then on ’Zoom/Pan’. This function allows to activate the
review of acquired sequences. To stop or pause the review, press a
second time on ’Blue Shift key’ then ’Zoom/Pan’ (See 2–5–4,
page 2–75)
16 – Image List Edit: Allows to add an annotation to a selected image or

sequence. (See 2–5–6–3, page 2–82)
– Image Erase: To access this function press on ’Blue Shift key’ then on
’Image List Edit’. This function allows to delete the displayed image
from memory unless it is locked.
Note: An erased image cannot be restored.

17 – Sequence (Option)
Allows to activate the sequence acquisition and storage in the
volatile memory at 4 fps during X–ray. (See 2–5–5–1,
page 2–77). 1
– Save Sequence: To access this function press on ’Blue Shift key’ then
on ’Sequence’. This function allows to save the acquired sequence in
the permanent memory. (See 2–5–5–1, page 2–77).
18 19 20 21 Direction Arrows
– Allow to change the level of the following functions when they are
selected: Recursive Filter, Brightness and Contrast
– The arrows are active only if the function text is displayed on Monitor A
– If no function is selected (no function text visible on the monitor A) the
arrows display the next or the previous image/sequence in memory on
the selected monitor.

1–5–3 Keyboard Option
Illustration 13 – MDn MEMORY KEYBOARD
1
The following keys on the Keyboard have the same functions as the
corresponding keys on the Remote Control:
Note: Secondary functions are printed in italic
Blue Shift key, Function call (Key 1)
Annotations, Image List (Key 2)
Lock/Unlock, Auto Image Recall (Key 3)
A –> B Transfer, Create New Patient (Key 5)
A/B, Split Screen (Key 8)

Image Flip: Horizontal, Patient Edit (Key 4)
Image Flip: Vertical (Key 6) 1
Rotation: Counterclockwise (Key 7)
Rotation: Clockwise, Annotation Edit (Key 9)
Brightness (Key 13)
Contrast (Key 14)
Edge Enhancement (Key 10)
Recursive Filter (Key 12)
Zoom/Pan, Play Sequence (Key 15)
Sequence, Save Sequence (key 17)
Image List Edit, Image Erase (Key 16)
Print, Parameters (Key 11)
Direction Arrows (Keys 18, 19, 20, 21)

1–6 PRINTER AND VIDEO
1–6–1 Film Printer (Option)

1
The reprograph is available in 2-Image–on–1, and uses 8” x 10” monolayer
films. The reprograph is used to obtain a hard copy of Monitor A on film.
The reprography command can be carried out from the memory keyboard, the
printer keyboard, or from the infrared remote control.
D I/O: On/Off.
D The film printer must be warmed up for about one minute to obtain optimal
results.
D EXP: Film exposure.

The system automatically prevents double exposure.
D POS/NEG: The picture can be made on black (POS) or white background

(NEG).
D 1/2/3/4: Pre–adjustment.
Allows four different users to have customized photographic settings.
D RESET: Calibration.
This procedure is automatic after introducing a new cassette
D PROGRAM: Used to see the selected menus.

The display window indicates FMT and a cursor is placed in the display
window, beside the function to be modified.
D Refer to the printer instruction manual for more information, on how to use
these menus.
D Display window.
This window displays the operator choices and the error messages.
D Refer to the printer instruction manual for more information.

1–6–2 Loading and removing a cassette
D Insert the cassette gently into the slot until a click is heard.
1
D Remove the protection plate which is the furthest inside, and put it back
after exposure.
D To remove the cassette, push it slightly to the left and pull.
1–6–3 Paper Printer (Option)

This option is used to obtain a copy of the image displayed on Monitor A.
D Refer to the printer instruction manual for more information.
1–6–4 Dicom Printer (Option)

This option is used to print the displayed image on a selected Dicom printer
(See Illustration 37, page 2–71)

1–6–5 Videocassette Recorder (Option)
It is recommended to use only type S–VHS cassettes.
1
Recording is automatically triggered during X–ray
CAUTION emission by default. To prevent recording during
the X–ray emission, eject the cassette or switch off
the videocassette recorder (VCR), or disable the
Auto Record option. (See 2–4–3–9, page 2–42 and
2–5–8, page 2–85).
B 1–42

2 – PRACTICAL USE
2–1 TRANSPORTATION AND INSTALLATION
2–1–1 Transport
The mobile unit weighs about 250 kg, and the
CAUTION monitor support about 190 kg. Not respecting the 2
precautions during displacement could cause the
apparatus to straggle out of control and cause
injury to the operator and other persons.
Always:
D Check for obstacles in your path.
D Move the apparatus slowly.
D Use at least two people when moving over sloping floors.
To move the mobile from one place to another, proceed as follows:
1. Put the C-arm in its lowest position (do this before switching off the
mobile).
2. Switch off (before unplugging the cables).
3. Unplug the monitor support ac supply cable and wind it around its support
4. Unplug the mobile from the monitor support and store the connecting
cable on the cable support (18, Illustration 2).
5. Store the X–ray control pedal and its cable (14, Illustration 1).
6. Store the hand–held X–ray command (15, Illustration 1).
7. Put the X axis vertical, intensifier up, and lock the orbital movement brake
and the C–arm rotation brake.
8. Center the “wig–wag” movement and lock the brake.
9. Bring the C–arm as far as possible towards the console and lock the brake.
om 2235014–100 rev. 1 PRACTICAL USE 2–1

2–1–2 Connections and Switching On
2–1–2–1 Connections
D When the system is switched on, a minimum of 12 seconds is required for
the machine to self–test and become operational. During this period,
X–ray emission is not possible.
2
D The monitors also require a warm–up period of about 1 minute before the
image is fully stabilized.
D The film printer (Option) requires warming–up for about 1 minute, during
which reprography is prohibited. A beep is emitted when the device is
ready.
Generally, a warming–up period of 15 minutes is recommended for optimum
system performance. Whenever applicable, switch on 15 minutes before
taking the first image.
1. Insert the rectangular connector of the connection cable
(18, Illustration 2) in the socket located on the rear face of the monitor
support (13, Illustration 3).
D The cable output must be directed towards the ground.
D IMPORTANT: Screw the red wheel clockwise as far as possible (about
7 turns). The connector could suffer excessive wear if the wheel is not
fully turned home.
The monitor support trolleys for Stenoscop series
CAUTION 6000 and 9000 are not interchangeable with other
Stenoscop models. If, however, two monitor
supports should be accidentally exchanged (on a
site where there are one or more machines of the
same type), no damage would result; it would
simply be impossible to use the equipment.
2. Plug the power cable for the monitor support into the mains
Check that the socket is compatible with the
CAUTION current required to power the Stenoscop. Respect
the voltage and the frequency that the unit is
intended for. If in doubt, contact the After–Sales
Service.
2–2 PRACTICAL USE om 2235014–100 rev. 1

3. Power up the unit on with the switch (3, Illustration 3).
D If green indicator lamp is on (5, Illustration 6) the device is powered.
4. Extra ground wire (IEC) (19, Illustration 2).
D This conductor must be connected between the system’s additional
protective ground terminal and an external protective system.
2–1–2–2 Positioning the C–arm 2

DANGER: AVOID ALL CONTACT BETWEEN A
DANGER PATIENT AND THE X–RAY TUBE HEAD. THE TUBE
HEAD TEMPERATURE CAN REACH ALMOST
60°C IN SOME PLACES.
Once the mobile is in position, it is recommended to lock the brakes if the

mobile is unlikely to be moved during the examination.
1. Position the mobile close to the operating table according to needs using
the steering handle (9, Illustration 1) and the maneuvering handles
2. Raise the C–arm to the required position.
3. Pivot the C–arm to the required position.
2–1–2–3 Sterile drapes

The internal part of the C–arm, the X–ray tube head and the image intensifier
can be covered with sterile drapes which are attached using spring clips.
2–1–2–4 Cassette holder (Option)

If during the examination a radiography is planned, fasten the cassette holder
beforehand on the intensifier (20, Illustration 2).
The cassette holder can be attached directly onto the intensifier beforehand,
or onto the sterile drapes.

2–2 IMAGE GENERATION: X-RAY EMISSION
During the examination, the operators must wear
CAUTION lead protective gloves and aprons and keep as
much as possible behind a lead glass protective
screen.
2
2–2–1 Overview
2–2–1–1 Triggering X-Rays

Triggering X–rays can be done in three different ways:
D By pressing on the X–ray control pedal (14, Illustration 1).
D By pressing on the X–ray hand switch (15, Illustration 1).
D By pressing one of the two X–ray control buttons on the mobile panel
– Release of the X–ray control immediately interrupts X–ray emission in
continuous fluoro when the equipment is configured to comply with
CDRH (USA) requirements.
– Release of the X–ray control does not immediately interrupt X–ray
emission in continuous fluoro when the equipment is not configured to
comply with CDRH (USA) requirements. X-ray emission is maintained
for the period of time necessary to obtain a good quality image.
– In Pulsed Fluoro and Electronic Rad Modes, X–ray emission is
maintained after release for the period of time necessary to obtain a
good quality image.
– The lamp above the monitors comes on to indicate X–ray emission and
an audible signal is emitted during the radiography.
During the X–ray emission command, image

CAUTION display returns to nominal mode (direct image and
full field).

X–ray emission is prohibited:
CAUTION
D during the system initialization phase.
D during a reprography.
Since image acquisition is a priority task, some 2

CAUTION keys will be inactive.
However, if the system is in the process of saving

images when X–ray emission is commanded, the
command will not be carried out until the image
save is complete.
2–2–1–2 Emergency stop

D If there is a problem, or to stop the apparatus, press on the emergency
stop button (6, Illustration 6) to cut the power.
D The On/Off switch on the monitor support trolley can also be used as an
emergency stop (3, Illustration 3).

2–2–1–3 Dose Control
D General principle.
Since X–rays are a form of ionizing radiation it is recommended to try to
limit their emission as much as possible, and to reduce as much as
possible their power during use. The Stenoscop is fitted with a regulation
2 system that, in automatic mode, permanently controls the X–ray dose
emitted and limits it to 5 Roentgen per minute in normal fluoroscopy and
to 10 Roentgen per minute in high resolution fluoroscopy.
In order to further reduce the emitted dose it is recommended to follow the
advice given below:
– Use the collimation shutters to limit the zone of interest and reduce the
X–ray flux as much as possible.
– Work in pulsed fluoroscopy as much as possible.
– During pediatric examinations, use manual mode and reduce the mA
to minimum (0.1 mA) and control the image quality with the kV (85 kV
for example).
– Work in manual at kV values greater than 60 kV so as to reduce X–ray
absorption by the patient and reduce the diffused X–radiation.
D Dose measurement (Option).

This option is used to measure in mGy x cm2 the X–radiation emitted
during an examination. Some regulations require this value to be recorded
with the patient’s file. For further information about this option, refer to
Chapter 5.

2–2–1–4 Control Timer
The Stenoscop is fitted with an X–ray emission control timer to provide a
permanent check on the elapsed X–ray emission time.
D Fluoroscopy counter to 5 minutes.

– The timer incorporated in the Stenoscop counts the total X–ray 2
emission time.
– Reset the timer to zero after a fluoroscopy of 5 minutes
(Key 7, Illustration 6).
– An indicator lamp flashes and a buzzer sounds to warn you about
30 seconds before the end of this period.
– Fluoroscopy is interrupted after 5 minutes if the counter has not been
reset.
D Total emission time.

– The total radiation duration is permanently displayed (8, Illustration 6).
– It can be reset to zero (Key 9, Illustration 6).
2–2–1–5 Thermal Security

A red indicator lamp (2, Illustration 6) symbolizing a thermometer flashes
when the maximum thermal capacity of the source is about to be reached.
Fluoroscopy in “reduced dose” is still allowed until the X–ray tube head
maximum dilatation safety device is activated.
At this point X–ray emission is no longer possible and the tube must be allowed
to cool sufficiently before restarting X–ray emission.

2–2–1–6 Beam Limiter
Two pairs of shutters, separately controlled, are fitted to the collimator.
One pair is semi–transparent.
The shutters can be used in radiography and in fluoroscopy.
D In fluoroscopy mode.
2 The field covered is limited to match the image intensifier format.
D In radiography mode.
The field covered is limited to a circle of 30 cm or 9.5” (depending on local
regulations).
CAUTION On 16–cm field.
On passing from fluoroscopy to radiography, the field

size covered in fluoroscopy is maintained and the keys
“open diaphragms” flash to warn the operator.
By pressing these controls the shutters open
immediately to full cassette format and the “open
diaphragms” keys light up permanently.
On 22–cm field.
On passing from fluoroscopy to radiography, the field

size covered in fluoroscopy is maintained and the keys
“open diaphragms” flash to warn the operator.
To obtain full cassette format keep pressing on the
“open diaphragm” controls until maximum opening,
intermediate positions being authorized.
Maximum opening is indicated by the 2 “open
diaphragm” keys lighting up permanently.
2–2–1–7 Image Quality: Distortion
The technology used in the image intensifier tubes

CAUTION makes them sensitive to the earth’s magnetic field.
It is therefore possible that in some positions a
rectangular object appears slightly curved.

2–2–1–8 Monitors
The Stenoscop uses high resolution “Flicker Free” monitors to give the
operator optimal visual comfort. An ambient light sensor automatically adjusts
image brightness according to the lighting of the work environment.
The monitors can be oriented towards the operator.
D Image Rotation. 2
Image Rotation can be done from the C–arm support mobile panel
(20 and 21 Illustration 6).
Rotation is continuous.
D Image orientation.
Image orientation can vary depending on the position of the C–arm around
the patient and on the position of the image amplifier.
The reference position was defined on the Stenoscop as being: “C–arm
support on the left of the patient and image amplifier tube under the table”.
In this position, the image appears oriented normally on the monitor.

If another position of the C–arm or of the tube is used, the image appears
inverted or reversed. It can then be re–oriented using the image
Orientation keys.
Using the MDA+ (see 2–4–3–1 page 2–18) or the MDn (see 2–5–5–2
page 2–77), it is possible to modify this rule to suit specific needs.

2–2–2 Radiography Mode
2–2–2–1 Overview
The Stenoscop can record an X–ray image on radiographic film. To do this,
the system requires the cassette holder option.
2
WHENEVER THE MACHINE IS USED IN
DANGER RADIOGRAPHY MODE, THE OPERATOR MUST
CHECK THAT:
D The cassette holder is correctly attached.
D A film suitable for the application is in the cassette.
D The cassette is suitable for the application and is placed in the cassette
holder before taking the X–ray.
2–2–2–2 Preparation for Taking an Image
1. Place the cassette holder on the front face of the image intensifier (with
or without grid).
2. Put the cassette with film into the cassette holder, making sure it is
correctly oriented (20, Illustration 2).
3. Choose the radiography mode on the control panel (Key 10, Illustration 6).
The mAs indicator lights up.
D Choose the kV with keys 16 on the control panel (Illustration 6).
D Choose the mAs with keys 18 on the control panel (Illustration 6).
D Open the collimator fully by keeping buttons 23 and 24 pressed until
the flashing stops (Illustration 6).
Note: If required, the radiography can be carried out with

reduced open field.
Lack of collimator opening does not prevent

CAUTION taking an image.

2–2–2–3 Taking an Image
1. Press on an X–ray command (control panel keys, pedal, handle).

2. Keep pressing until the end of the exposure is signaled with the indicator
lamp 1 going out.
If pressure is released before the end of the exposure, exposure is 2
immediately stopped.

2–2–3 Single Image Mode: Electronic Radiography
This mode is used to record a single image.
2
2–2–3–2 Automatic Mode
Choose the electronic radiography mode on the control panel (key 11), kV and
mA adjustment is done automatically if key 19 is unlit.
In automatic mode keys 16 and 18 of the control panel are inactive.
D Standard resolution.
This mode is selected by default on power up.
D High Resolution.
Select this mode by pressing key 12 on the control panel.
2–2–3–3 Manual Mode

D To select manual mode, press key 19 on the control panel.
Key 19 lit: Manual choice of kV/mA.
Key 19 unlit: Automatic choice of kV/mA.
Note: The last kV and mA of automatic fluoroscopy are kept in

manual fluoroscopy when changing from automatic mode
to manual mode.
D Adjust the mA and kV according to the type of examination by using keys

16 and 18 on the control panel.

2–2–4 Continuous fluoroscopy
This mode is selected by default on power up. 2
If necessary:
D Diaphragm the image with the collimation shutters (keys 23 and 24).
D Press the image Orientation keys.
D Rotate the images (keys 20 and 21).
2–2–4–2 Automatic Mode

The system is in automatic mode if key 19 is unlit.
In automatic mode keys 16 and 18 of the control panel are inactive.
The kV and mA are automatically chosen to provide optimum image quality.
The selected values are permanently displayed and the last parameters used
are memorized and stay displayed when X–ray emission stops.
When X–ray emission stops the last image is frozen on screen A.
D Standard Resolution.
This mode is selected by default on power up.
D High Resolution.
WHILE USING CONTINUOUS FLUOROSCOPY, DO
DANGER NOT ATTEMPT TO PERFORM PULSED–LIKE
ACQUISITION BY DOING REPEATED SHORT
PULSES WITH THE FLUORO CONTROL.
AS THIS COULD OVER STRESS THE UNIT, THE
SYSTEM MAY STOP AND IT WILL BE NECESSARY
TO RESTART IT.
PULSED IMAGES SHALL ONLY BE ACQUIRED BY
USING APPROPRIATE MODE: ELECTRONIC
RADIOGRAPHY OR PULSED FLUOROSCOPY.

2–2–4–3 Manual Mode
In manual mode the camera’s automatic gain

CAUTION control is not active. Manual mode can not be used
for examination of a region offering high X–ray
attenuation.
2
D To select manual mode, press key 19 of the control panel.
Key 19 lit: Manual choice of kV/mA.
Key 19 unlit: Automatic choice of kV/mA.
The last kV and mA of automatic fluoroscopy are kept in manual

fluoroscopy when changing from automatic mode to manual mode.
D Adjust the mA and kV according to the type of examination by using keys

16 and 18 of the control panel.
D Trigger the X–rays and adjust the mA and kV if necessary.
D To return to automatic intensity control, press again on the manual

selection button (19).

2–2–5 Pulsed Fluoroscopy
Operation in this mode is identical to that of continuous fluoroscopy mode.
The difference with this mode is that the X–ray emission is pulsed, which 2
reduces the emitted X–ray dose and permits prolonged use since tube heating
is reduced.
D Select the pulsed fluoroscopy mode by pressing on key 13.

Pulsed fluoroscopy can be used in standard or high resolution mode, and in
automatic or manual mode.
Operation is identical to that of continuous fluoroscopy mode.

2–3 STORAGE AND IMAGE MANIPULATION
2–3–1 Overview
Memorization and manipulation of images depends on the system’s digital
option. The table at the end of Chapter 4 shows the available functions with
2 these different options.
2–4 PRACTICAL USE OF MDA+

(See Appendix, page A–1)
2–4–1 Switch–On, Starting up the System

The MDA+ option has been designed to display, in emergency, X–ray images
from start–up even if system boot is not completed.
D Operating Mode.
Following system switch–on, the logo is displayed on Monitors A
and B.
It is now possible to display X–ray images by using the X–ray exposure
controls. If exposure is stopped, the image is frozen on Monitor A.
Note: This image can be printed by using the Print button located
on the front panel of the desired printer.
This image cannot be saved in the system memory

CAUTION before the memory boot has completed.

2–4–2 Timer Function
Calling up the Timer
Press the key displaying the date and time in the main menus
(See Illustration 9, page 1–18) to display the control sub–window.
Note: The timer may only be called under Viewer menu.

2
1. Control Window
Illustration 14 –
2. Method of Operation
D To start the timer, press <Start/Stop>.
D To stop the timer, press <Start/Stop> again.
D To reset the display, press <Reset>.

Closing the timer
To close the timer sub–window, press the key displaying the date and time
again.
Note: This action automatically stops the timer function.

2–4–3 Imaging Function
2–4–3–1 Geometry Functions

Illustration 15 –
D Overview.
Handles dynamic or stored images.
– Image Belonging to a Sequence.
Changes performed on this image are automatically applied to all
images in the sequence.
Note: If an image of the same sequence is displayed on the other

monitor, it is changed accordingly, except concerning the
zoom function.
D Image Rotation.
Rotates the displayed image clockwise or counterclockwise.
Note: This function remains in effect for the image concerned,

and images in the same sequence, even if the sequence is
no longer displayed.

D Image Orientation.
Displays the image according to the displayed anatomy by flipping it
horizontally or vertically.
Note: This function remains in effect for the image concerned,

and images in the same sequence, even if the sequence is
no longer displayed. 2
D Zoom.
Enlarges the image.
Note: Zoom is not active during X–ray emission. However, if the

last acquired image was zoomed, the zoom factor will be
reapplied to the displayed X–ray image when X–ray
emission stops. To suppress this zoom, press <Reset> on
the Viewer screen (See Illustration 9, page 1–18).
– Enlargement.
Varies from 1 through 8.
Note: The resulting image is interpolated.

Zoom remains active for the image concerned as long as
it is displayed, and the images in the same sequence, even
if that sequence is not displayed.
The visible part of the enlarged image can be printed.
D Enlarge/Magnifying glass
The magnifying glass enlarges a moveable part of the image by a factor
of 2. Pressing this key, opens the “enlarge” positioning screen.
(See Illustration 16, page 2–20)

Illustration 16 –
– Press on the region corresponding to the part of the image you wish to
enlarge.
– The enlarged portion of the image is not displayed interpolated.
– To deactivate magnification, press <CLEAR>.
– To exit this function, press <OK>.
Note: This function is not active during X–ray emission.

The image can be printed as it appears on the screen.

D Black Borders
Surround the visible region of the image with black borders.
Note: This function is not active during X–ray emission.

Use the collimator blades to limit the field visible during
X–ray emission.
– Use of Black Borders

2
G A control window appears, allowing borders to be opened or
closed.
Note: This function is active on Monitor A only.

Illustration 17 –
G Borders close or open two by two (Up/Down, Right/Left). To close

Black Borders, use the Up/Right arrows. To open, use the
Down/Left arrows.

G When the desired result has been obtained, press <OK>.
Note: The Black Borders remain active for all the images of the
same patient.
G <CLEAR> deletes the black borders.
2 Note: Black borders are deleted when the measurement

functions or the annotation function are called up.
D Moving the Image

A control window appears, allowing the image to be moved.
Illustration 18 –

– Moving the Image
Use the direction arrows, and press <OK>.
– <CLEAR> positions the center of the image at the center of the screen.
The change of position remains active for the image concerned and for all
images in the same sequence even if that sequence is not displayed.
Note: This function is not active during X–ray emission. 2

However, if the last acquired image was moved, this
displacement will be reapplied to the displayed X–ray
image when X–ray emission stops. To suppress
displacement, press <Reset> on the Viewer screen
(Illustration 9, page 1–18).

2–4–3–2 Measurements
D Measurements Window
Press <Measure> on the Viewer Menu to display this window
(see Illustration 9, page 1–18 for reference).

2 Illustration 19 –
D Overview:
Measurements performed using MDA+ must not

CAUTION be used in diagnosis, but for research purposes
only.
The accuracy of measurements performed on

CAUTION X–ray images may be subject to error by as much
as 50% or more, because an X–ray image is a
two–dimensional representation of a
three–dimensional volume, and not an anatomical
section.
D Calibration
Allows the image to be calibrated with respect to a displayed object of
known dimensions.

To minimize measurements error, it is necessary
CAUTION to have the reference object in the same physical
plane as the measured object.
– Definition of calibration segment:

G Place the first X at one end of the reference object by moving a 2
finger on the positioning block, then press <Set>.
G Place the second X at the other end of the reference object.
The value of this segment in pixels appears in the message
window.
G To confirm this calibration segment, press <OK>.
Note: The first point can be changed before pressing <OK>, by

pressing <Set>.
Pressing <Set> allows each end of the measured segment
to be changed in turn.
– Definition of Calibration Value

When the calibration segment has been confirmed, an alphanumeric
keyboard appears on the user interface screen.
G Enter the actual value of the calibration segment in mm.
G Press <OK>. The calibration takes effect.
Note: The calibration applies to the displayed image and to all

images in the same sequence.
– Re–calibration
Calibration can be repeated.
Note: The last calibration performed becomes the active

calibration.

D Distance Measurement
Note: Two different segments can be measured.
Results appear in Fields D+ and Dx on Monitor A.
2 If more than two measurements are performed, the oldest

measurement is deleted.
– Place the first X at one end of the segment to be measured, and confirm
by pressing <Set>.
– Place the second X at the other end.
– Press <OK>. If calibration has been performed, the measurement
result appears in mm or, if not, in pixels.
Note: The first point can be changed before pressing <OK>, by

pressing <Set>.
Pressing <Set> allows each end of the measured segment
to be changed in turn.
D Percentage, Stenosis Measurement

Measures a ratio between two distances.
– Perform two distance measurements.
Note: Calibration is not required before a percentage

measurement.
– Press <% / Stenosis>.

G The resulting ratio between the smaller and larger distance
appears on Monitor A, expressed in %.
The percentage of Stenosis is: (1 - % result displayed).

D Angle Measurement
Measures an angle on the image. The result is given in degrees.
Note: Calibration is not required before an angle measurement.
Note: Two different angles can be measured. The results appear

in Fields A+ and Ax on Monitor A. 2
If more than two measurements are performed, the oldest
measurement is deleted.
– Place the X on the screen at one end of the angle, and confirm by
pressing <Set>.
– Place the second X at the vertex of the angle, and confirm by pressing
<Set>.
– Place the third X at the other end of the angle, and press <OK>.
Note: The points of the angle can be changed by pressing <Set>

before pressing <OK>.
D Marker
Used to display on the screen a flag line that remains displayed during
X–ray emission.
– Place the first X at one end of the flag, and confirm by pressing <Set>.
– Place the second X at the other end of the flag, and confirm by pressing
<OK>.
Note: The first point can be changed by pressing <Set> before

pressing <OK>.
– To remove the flag, open the Marker sub–window and press <CLEAR>.
D Erase
Erases the measurements and all results.
Note: This action does not erase the marker nor the calibration.

2–4–3–3 Annotations
D Annotations Window
Press <Annotations> in the Viewer Menu to display this window
(see Illustration 9, page 1–18 for reference).
Illustration 20 –
2
D Overview
Creates annotations on the image.
D Creating Annotations on the image

You can use words already stored in libraries, or enter text.
– Libraries
Five dictionaries of 30 medical terms are available. To open the desired
dictionary, press the corresponding key.

Note: All terms can be changed by the user.
G Use of a Pre–Programmed Text

Press the corresponding key.
G Corrections
<Word Delete> deletes the last word.
2
– Free text
Press on <Keyboard> to display the alphanumeric and enter free text.
Illustration 21 –
Note: The keyboard is locked in uppercase characters by default.
G Uppercase Characters
To enter an uppercase character or upper character shown on a
key, press the corresponding key.

To deactivate the uppercase characters typing function, press
<Lock>.
G Lowercase Characters
To enter a lowercase character or lower character shown on a key,
press on <Shift> then on the corresponding key, unless <Lock>
is deactivated.
2 G Accented Characters
To create an accented character, press the desired accent
followed by the character. If the accented character is known to
the system, it will be displayed.
G Corrections
< > deletes the last character.
<Word Delete> deletes the last word.
– Confirm Annotations
G <VALID IMAGE> confirms the annotation for the displayed image.
The annotation appears on the selected monitor.
G <VALID SEQ.> confirms the annotation for all images in a
sequence. The comment appears on the selected monitor.
D Positioning of Annotations on Screen

When <VALID IMAGE> or <VALID SEQ.> is pressed, the text appears on
the displayed image. At the same time a control window is opened,
allowing the text to be placed.
– Positioning of Annotations
Place the annotation at the desired location on the screen by sliding
your finger on the positioning block.
The MDA+ system uses an automatic contrast

CAUTION process which ensures that the annotation text is
visible whatever the background color of the
image. In some exceptional cases, however,
annotation text may be difficult to read in areas of
the screen. We recommend that you move such
text to more suitable areas of the screen.

Press <OK> to confirm this position.
– Placing an Annotation with addition of an arrow.
1. Create the text, and confirm.
2. Place the text in the desired location.
3. Press <Set>.
This draws an arrow from the text to the center of the image.
2
4. Move the tip of the arrow using the positioning block.
5. Press <OK>.
Note: The text and arrow can be moved in turn, before <OK> is
pressed, by pressing <Set> again.
D Erasure of Annotations
Open the Annotations screen, and press <CLEAR> twice.
Note: If the comments were applied to a sequence, they are

erased from all the images concerned.
D User Library
Annotations can be created and stored in each of the libraries.
– Creating an Annotation in a library
1. Call up the Annotations Menu.
2. Select the desired dictionary.
3. Call up the alphanumeric keyboard.
4. Enter the desired text.
5. Press <Add>.
Note: If the user library is full, an error message appears.

– Deleting an Annotation
1. Open a library.
2. Press <CLEAR>.
3. Press on the annotation to be deleted.
2 2–4–3–4 Sequence
D Sequence Window
Pressing <Acq/Review> in the Viewer Menu (See Illustration 9,
page 1–18) opens the following Function sub–window if this selection was
enabled in the system configuration. (See System Parameters 2–4–7,
page 2–64).
Illustration 22 –
Note: The appearance of this window depends on the current

mode, and on system configuration.
(See System Setup 2–4–7, page 2–64).
D Overview
– If <Acq/Review> is pressed during X–ray emission the sub–window
stays closed and images are recorded at the default speed.
Note: The default speed is that of the last acquisition performed.

– When there is no X–ray emission, press <Acq/Review> to open the
window.
D Recording of Sequences
– Pressing <Acq/Review> during X–ray emission automatically starts
X–ray image recording..
– Pressing the <Stop/Start> key during X–ray emission starts the 2
recording if the Sequence sub–window is open.
– The storage speed is displayed. The speed can be changed before
X–ray emission begins.
Note: Maximum acquisition speed depends on system

configuration.
Storage capacity depends on system configuration,

acquisition speed, and the number of images already
stored.
G The number of images and time remaining are displayed on

Monitor A.
Note: When X–ray emission stops, image storage is

automatically interrupted.
Pressing <Acq/Review> or <Start/Stop> also interrupts

acquisition and closes the Sequence window.
Before beginning an acquisition, be sure that

CAUTION there is enough available memory space for the
application concerned.
G When there is no space remaining, the system displays an error

message.
Note: This action does not interrupt X–ray emission.
G Some data must be erased from the memory before creating a

new recording (see Patient Data Base Function 2–4–4,
page 2–45).

D Image Numbering
Images are numbered sequentially for a given patient for a given date.
– Images are numbered in the following format: I: xxx. This information
is displayed on the monitors.
– Images within a sequence.
2 The screen indicates the sequence number and the total number
of sequences for the patient, along with the number of the image
within the sequence and the total number of images within the
sequence.
The format is as follows: S: zz/kk
I: vvv/ttt
D Dynamic Sequence Review

When there is no X–ray emission, press <Acq/Review> to open the
sequence control window.
Note: If the displayed image is not part of a sequence, the

Sequence window keys are disabled.
– To display another sequence, press the sequence selection arrows.

– To begin the review, press <Start/Stop>.
To end the review, press <Start/Stop> again.
Note: A review cannot be started if Monitor B is selected.
– Display speed can be changed by pressing the Up/Down speed control

arrows.
Note: The display speed is also expressed as a factor of the

acquisition speed.
The maximum display speed depends on system

configuration.
– If <Loop> is enabled, the records are displayed continuously.

– The first and last images of the dynamic review can be selected using
the corresponding arrows.
– If the review is stopped, the image selection arrows can be used to
display another image.
2–4–3–5 Subtraction
2
D Subtraction Window
Press <Subtraction> in the Viewer Menu (see Illustration 9, page 1–18)
to open this window if this selection was enabled in the system
configuration.
(See System Setup 2–4–7, page 2–64).
Illustration 23 –
D Overview
– Controls subtraction during acquisition or post–acquisition processing.
D Acquisition of Subtracted Images

– Mask Acquisition
G Trigger X–ray emission.
G When the acquired image can be used as a mask, the system
displays the message “Ready for Subtraction” on Screen A.

G Stop X–ray emission.
Note: The recursive filtering value can be changed during mask
acquisition.
– Image Substraction
G Restart X–ray emission. The mask is transferred to Monitor B, if
2 the <A –> B Transfer> is selected and the subtracted images
appear on A.
Note: If X–ray emission is interrupted, a new subtraction mask
must be acquired.
D Recording of Subtracted Images
– Saving an Image
Save the displayed image on disk by pressing <Manual Save>. The
corresponding subtraction mask is also stored in memory to allow
post–processing of the image.
Note: Two images are created on the disk.
The last subtraction image is also saved if the <Auto Save>
key is activated.
– Saving a Sequence
G Call up the Sequence function after the beginning of subtraction.
Pressing <Acq/Review> during X–ray emission automatically

starts the saving of subtracted images. The mask is stored as the
first image in the sequence.
Recording can be interrupted by pressing <Acq/Review> again.

Note: The recording of images stops when X–ray acquisition
stops.
G Call up the Sequence function before the beginning of subtraction.
If the Sequence window is open when mask acquisition takes

place, press <Start/Stop> after re–starting X–ray to acquire
subtracted images. This will start saving the images. The mask is
saved as the first image of the sequence.
Recording can be interrupted by closing the Sequence

sub–window.

Note: Stopping X–ray emission automatically stops the
recording of images.
D Processing of Subtracted Images during X–Ray Emission

– End of Subtraction
Return instantaneously to the non–subtracted X–ray image by pressing
<Sub. OFF>.
2
G To display the subtracted image again, press the key again.
– Landscape
Display the anatomy as a background to the subtracted image.
G Press the arrows to see the anatomy more or less in the
background.
D Post–Acquisition Processing of Subtracted Images
Note: An image or sequence of images acquired as subtracted

images are displayed as such by default.
The image processing functions available in real time are accessible for
post–acquisition processing. In addition, the following processing functions
are available:
– Change of Mask
By default, the mask is the first image in the sequence. Another
subtraction mask can be defined.
1. Disable subtraction by pressing <Sub. OFF>.
2. Display the desired image using the image search keys.
3. Press <Mask Select>. The image becomes the mask.
4. Reactivate subtraction by pressing <Sub. OFF>.
It is automatically disabled when you exit the Subtraction
function.

– Moving the Mask
If the patient has moved between mask acquisition and subtraction, the
image can be adjusted using the Pixel–shift function.
1. Press <Pixel Shift>.
2. Move the mask with respect to the image using the direction
arrows.
2
3. Press <OK>.
4. To return to the original position, press <CLEAR>.
D Sequential Review of Subtracted Images in Sequence

– A series of subtracted images acquired in sequence can be reviewed
in sequence.
To do this, open the Sequence window, and start the review.
Note: Only the following processing functions are active during

the sequential review of subtracted images.
G Landscape Function,
G Deactivated Subtraction Function,
G Brightness/Contrast,
G Inverse Video,
G Edge enhancement.

2–4–3–6 Maximum (or Peak) Opacification (See ,Illustration 9
page 1–18)
D Overview
Allows vessels to be displayed at maximum opacification.
D Real–Time Maximum Opacification Acquisition

2
1. Press <Max. Op.>.
2. Begin fluoroscopy.
3. Inject the contrast medium when the “Ready to inject”
message appears on the monitor.
4. Stop fluoroscopy when the desired mapping is completed.
Note: Subtraction Mode can be selected at the same time as

Maximum Opacification.
5. Begin X–ray emission after pressing <Max. Op.> and

<Subtraction>.
This allows mask acquisition.

6. Stop X–ray emission when the mask is satisfactory.
7. Restart X–ray emission.
The Maximum Opacification function is applied in Subtraction
Mode.
In this case, only the contrast medium is visible.
D Real–Time Recording of Maximum Opacification Images

– The entire Maximum Opacification sequence can be recorded using the
Sequence function.
– The result of a Maximum Opacification can also be recorded using the
<Manual Save> key when X–ray emission is complete.

D Creation of Maximum Opacification during Post–Acquisition Processing
A Maximum Opacification image can be created based on a previously
recorded sequence of images.
1. Open the Sequence Menu, and select the desired sequence.
Change the first and last image if necessary.
2. Press <Max. Op.>.
2 3. Press <Start/Stop>.
The system calculates the Maximum Opacification on all
selected images, and displays the result on the screen.
Note: When the Sequence review is stopped, the resulting image
is automatically saved at the end of the images already
saved for the patient.
2–4–3–7 Road Mapping (See Illustration 9, page 1–18)

D Overview
Performs a subtraction on a Maximum Opacification.
D Road Mapping Acquisition
1. Press <Road Map>.
2. Start the fluoro, and inject the contrast medium to carry out a
Maximum Opacification image acquisition.
3. Stop fluoroscopy when Maximum Opacification is reached.
The screen displays the message: “Ready for Road”
Mapping.
4. Restart Fluoroscopy.
The Maximum Opacification image is transferred to
Monitor B, and the real–time road mapping image appears on
Monitor A.
Note: If fluoroscopy is interrupted and restarted without exiting
the Road Mapping function, Road Mapping remains active
with the acquired mask.
To exit the Road Mapping function, press <Road Map>

again.
D Real–Time Processing of Road Map Images
If the Subtraction Menu was active during the road mapping X–ray
exposures, all processing functions available in subtraction are also
available during road mapping.

2–4–3–8 Screen Composer
D Screen Composer Window.
Press the <Screen Composer> in the Viewer Menu to display this window
(See Illustration 9, page 1–18).
Illustration 24 –
2
D Overview
Generates sophisticated screen formats.
Due to restrictions of size and format, image

CAUTION annotations and borders are not displayed in
Screen Composer.
D Mode of Operation
– Press <Screen Composer>.
The last screen format used is selected by default, and the Monitor B
display changes according to this format.
G The first image displayed in this format is the image displayed on
Monitor A when the function was called up. The other images are
the subsequent images in the database.
G Select another screen format if necessary.

– Select Images to be Displayed
The active region (surrounded by a white square) can be changed using
the direction arrows in the Screen Composer window.
G Use the image selection keys or the sequence selection keys to
select an image. The selected image is displayed in the active
region.
2
Note: You can change the appearance of this image using the
functions in the Geometry menu, or the <Edge> key.
G Change the active region using the direction arrows, and select
another image.
G Repeat this operation as many times as necessary to display the
desired images.
– To exit from Screen Composer, press <Screen Composer> again.
Note: When you exit the Screen Composer function, the image of
the active zone is displayed on Monitor A and B, and
Monitor A is selected.
– Printing the Screen Format

You can print the screen format as it appears.
2–4–3–9 Videocassette Recorder (See Illustration 9,

page 1–18)
D Overview
Allows access to the main VCR functions.
Note: The other functions are accessible via the VCR control
panel when the VCR window is not displayed.
D VCR Control Window

Press the <VCR> key in the Viewer Menu to display this window.

Illustration 25 –
D Mode of Operation
– Auto Record
The interface between the VCR and MDA+ is designed to allow X–ray
images to be saved automatically if this key is selected when the VCR
is powered and a cassette has been inserted.
Note: Auto Record is selected by default when power is applied

to the machine.
To disable this mode, press <Auto Record>.
– Play
Plays the video tape. The image is displayed on Monitor B.
– Pause
Stops the tape temporarily.
Press this key again, or press <Play> to continue play.
– Fast Forward
Winds the tape forward at high speed.
G Pressing this key during play makes the tape advance at high
speed with image display.

– Fast Rewind
Rewinds the tape at high speed.
G Pressing this key during play makes the tape rewind at high speed
with image display.
– Stop
Stops the tape.
2
– Record
Records images as they are displayed on Monitor A.
Note: This function is independent of X–ray emission.

2–4–4 Patient Data Base Function
Allows database display and selection of images to be displayed.
Check that the data recorded in the system are 2

CAUTION compatible with local regulations concerning the
management of patient files and the
confidentiality of medical information.
If necessary, access to patient information can be
protected by creating a password to limit access
to the Patient Data Base function.
Note: X–ray emission is not active in the Patient Database

function.

2–4–4–2 Control Screen
Illustration 26 –
2–4–4–3 Mode of Operation

D Patient Database
The upper window displays the information concerning four patients. The
highlighted patient is the one whose information is displayed on the
selected monitor.
– Patient Selection
Press the line containing information on the patient you want to select.
G To display the next or previous patient files, press the Up/Down
arrows.

G Patient Sorting
Press the heading of the column corresponding to the desired
sorting criterion.
Note: Dates are sorted in reverse chronological order.
– Deleting a Patient
G To delete all information concerning a patient from the Database,
2
select the line corresponding to the patient, and press <PATIENT
DELETE>. You are asked to confirm. To do this, press <OK>.
When patient information and images have been

CAUTION deleted, they cannot be recovered.
– Patient Information
Displayed in the upper window. Information can be entered and
changed using the Patient Information function. (See 2–4–5,
page 2–55).
G Patient Name
As entered, or the default name generated by the system.
G ID Number
Patient identification number.
G Date
Generated automatically by the system. Contains the date on
which the first image for the patient was acquired.
G Doctor
Name of practitioner who carried out the procedure.
G Procedure
Contains the type of procedure performed on the patient.
G Dose
Contains the cumulative X–ray dose received by the patient, as
measured by the dose measurement option if present in the
system.

– Reset Dose
the key <RESET DOSE> resets the dose counter.
G This may be necessary if X–ray emissions were performed before
the patient was placed in the X–ray field, to ensure that only the
dose actually emitted to the patient is recorded in the patient file.
2 D Image Database
– Selection of Images for a Patient
The lower window displays the information corresponding to three
images or series of images (dynamic sequences) for the selected
patient.
G To display information relating to the previous or following images,
press the Up/Down arrows.
– Deletion of Images for a Patient
G To delete an image or a series of images of a patient from the
database, select the corresponding line, and press <IMAGE
ERASE>. You are asked to confirm. To do this, press <OK>.
When patient images have been deleted, they

CAUTION cannot be recovered.
– Image Information
The following information is displayed in the lower window.

G Date
Image acquisition date.
G Time
Image acquisition time.
G Reference
Recorded item type: image (I), or sequence (S), and number of
images in sequence.
G Format
Indicates image format.

G Type
This field indicates image type.
D Displaying Images from Two Different Patients

Images from two different patients can be displayed on both monitors
– Mode of Operation
1. Select Monitor A in the Viewer Menu.
2
2. Enter the Patient Database Menu.
3. Select a patient.
4. Return to the Viewer Menu.
5. Select Monitor B.
6. Enter the Patient Database Menu.
7. Select another patient.
8. Return to the Viewer Menu.
Note: If X–ray emission is resumed after this operation, and more

images are recorded, the new images are associated with
the patient displayed on Monitor A.
– This allows new images to be added to the record of an existing patient

in the Database.
Apply extreme caution when using this function,

CAUTION to avoid associating images from two different
patients under one name.
D Floppy disk image transfer

– Images are transferred to diskette in BMP format, and can be read on
a PC using WindowsTM operating system.
– Sending an Image
G Select the image to be sent on the Patient file management control
screen.
The selected image appears on the selected monitor.

G Press <Floppy Disk> followed by <OK>.
The image is sent.
Note: For reasons of privacy, only the image is transferred (i.e.,

patient data and annotations are not transferred).
D Network image transfer (see Illustration 27, page 2–51)

2
– Images are transferred on the network according to the DICOM 3.0
specifications.
– After pressing on <Send to Network> the network image transfer menu
will appear and a message in the message window will indicate which
is the destination unit currently selected.

Illustration 27 –
– Sending an Image
G Select the image to be sent on the patient file management control
screen.
The selected image appears on the selected monitor.
G Press <SEND SEQUENCE> followed by <OK>.
The image is sent to the machine specified into the message
window.
During the Transfer, a message will appear in the message
window to indicate the status of this transfer.
Note: The image is transferred by default on the XA format. If the

receiving machine does not support this format, the SC
(Secondary Capture) format will be used.

– Sending a Patient file with all its images
G Select the patient to be sent on the patient file management
control screen.
The first image of the patient will appear on the selected monitor.
G Press <SEND STUDY> followed by <OK>.
The images are sent to the machine currently selected.
2
During the Transfer, a message will appear in the message
window to indicate the status of this transfer.
– Changing the destination machine
G Press on <Destination Select>, to display the list of destination
machine recognized on the network (Illustration 28, page 2–53).
The currently selected unit is highlighted.

Illustration 28 –
G To Select a different destination machine, press on the line of this

machine and press on <Previous Menu> to come back to the
transfer menu.
G To delete a destination unit, select it by pressing on its line, press
on <DELETE TARGET> then on <OK> to confirm.
G To modify the characteristics of the selected unit press on its line
and press on <Modify Target>. This will open the Destination
Station parameters menu (See Illustration 29, page 2–54).

G Select the desired parameters to be modified and update them.
When all necessary parameters have been updated, press on
<Previous Menu> to come back to the destination selection menu
Illustration 29 – Destination Station parameters menu
G To create a new station, press on <New Target>. This will display

the Destination Station parameters menu. Enter the necessary
parameters. Then press on <Previous Menu> to come back to the
machine selection menu.

2–4–5 Patient Information Function
D Overview
Allows entry of patient information in the database.
Note: The system offers to change the information for the patient
whose images are displayed on Monitor A. 2
Note: Monitor A is selected automatically when you enter this
function.
– Patient Numbering by Default

When the machine is powered up, the system generates a default
patient name automatically. This allows direct access to VIewer menu
functions without the need to enter patient information beforehand.
This code has the following structure: –Def DD/MM–HH:MM.
Note: This default name can be replaced.

D Control Screen
Illustration 30 –
D Operating Mode
– New Patient
Creates a new patient using the automatic numbering method.
Note: This action resets the dose counter.
Entering or changing patient information.
– Patient Name
Allows the last name of the patient to be entered in place of the
system–generated default name.

G The name currently saved in the memory is displayed on the
second line of the message window.
Enter the new name via the alphanumeric keyboard. The text
entered appears on the third line. To correct any keystroke errors,
use the < > key.
Once the name is entered correctly, press <OK>. The patient 2

name appears on the monitors.
G Also allows you to change the patient name entry if a typing error
has occurred previously.
Apply extreme caution when using this function,
CAUTION to avoid assigning an incorrect patient name to a
series of images.
The following patient information can also be entered the same way as Patient
Name:
– Patient First name
Allows the first name of the patient to be entered.
– Sex
– Birth Date
– Identification Number
Opens a window which allows an identification number to be entered.
– Other fields
Allows to enter other patient informations:
G Doctor
Allows a name to be entered for the doctor carrying out the
procedure.
G Procedure
Allows a name to be entered for the procedure performed.
G Comments
Allows the entry of text as comments.
– Show Data
Allows to visualize all patient and study parameters.
– New Study
Allows to start a new exam for the patient. This will create a new line
for this patient and duplicate all patient information. If necessary, press
<Other Fields> to modify the procedure text and/or other parameters.

– Worklist DICOM function
This function allows you to load automatically all patient information for
the patients that are scheduled for the day.
Note: This function is a DICOM network function and will only be

accessible if this option is present on your system and the
network is properly configured.
2 Press on <Worklist> to display the Worklist menu on the user interface
(See Illustration 31, page 2–59).

Illustration 31 – Worklist Screen
The menu display the list of patients previously loaded by the

work–list function. If the patients that you want to create into the
MDA+ database are already there, just press on each patient line
and press on <Load Study> then on <OK> to confirm.
Note: The monitors will display the information of the patient just
loaded into the MDA+ database to allow X–ray and image
acquisition if necessary.
Note: If the patient was already existing into the MDA+ database
with the same set of parameters, he/she will not be
duplicated. To start a new study for an existing patient, use
the <NEW STUDY> key.

To update the work–list to retrieve new patients data, use the
<Update Worklist> key. The system will access the network and
the specified machine to get the updated data. Then select the
patient to be added into the MDA+ database as described above.
To change the source machine, press on <Select Source>. This
will display the list of source units recognized on the network
(See Illustration 32, page 2–61). The currently selected one is
2 highlighted. To select another unit, just press on its line.
G To modify the characteristics of the selected unit press on its line
and press on <Modify Target>. This will open the Source Station
parameters (See Illustration 29, page 2–54).
G Select the desired parameter to be modified and update them.
When all necessary parameters have been updated, press on
<Previous Menu> to come back to the worklist source selection

Illustration 32 – Worklist Source Selection
G To create a new unit, press on <New Target>. This will open the
Source Station Parameters menu (See Illustration 29,
page 2–54). Enter all necessary parameters.
Press on <Previous Menu> to come back to the worklist source
selection where the new source station has been added.

2–4–6 Help Function
D Overview
The MDA+ system generates messages to inform the use of current
actions and possible problems.
In addition, the Help function allows the user to obtain detailed help
2 messages concerning MDA+ system operation.
D Control Screen
Illustration 33 –
D Mode of Operation
– Automatic Help
The MDA+ system automatically displays an information document
according to the system status when <Help> is pressed.

– Help on MDA+ Functions
Press the key corresponding to the function in the Help sub–window.
Note: Help text can be scrolled paragraph–by–paragraph or

page–by–page via the scrolling arrows.

2–4–7 System Setup Function
D Overview
Used to modify the presentation of the user interface, permanent data and
user preferences of the MDA+ system.
2 D Control Screen
Illustration 34 –

D Operating Mode
– Selection of Preferred User Interface
The MDA+ system allows to configure the user interface and
presentation of the control screens. Some groups of keys can be
suppressed if they are not required for the medical application, and
some sub–windows can be suppressed if the user wishes to work in
Automatic Mode (for example, advanced functions for controlling 2
dynamic sequences or subtraction).
The MDA+ system can define five different presets of operating mode.
G Select the desired preset by pressing on it. The system returns
to Viewer, and the configuration of the screen is adapted to the
selected preset.
Note: This preset will be automatically selected at Power On
– Modification of preferred User Interface.

You can modify the operating modes.
G Press <Setup Presets>. The active and inactive functions for the
current preset appear on the screen.

Illustration 35 –
G Select the preset to be modified.

G Select the functions that you wish to appear in this operating mode
by pressing the corresponding keys.
If one function is present, it will appear in Gray.
If a function is absent, it appears in White.
If a function cannot be selected because it depends on an
inactive function, it appears in Black.
It is also possible to modify some imaging parameters for the
selected preset such as: Image Orientation Left/Right,
Up/Down and Recursive Filter level.
G Up/Down and Left/Right Orientation, Auto Save ON: select which
of these function are to be applied automatically.
G Modification of the FNR motion detection level value.
Automatic detection prevents the effects of motion blurring when

displaying the structures in movement.

Press <FNR> to adjust the value. At each key press, the value is
incremented. Value are 1 through 3, where 1 is the highest level
and 3 the lowest level. You can adjust this parameter according
to the medical application. The default value is 1.
Note: If motion blurring is not important in the type of

examination being made, increase the value.
2
– Confirmation of the parameters of this preset.
Press <OK> to confirm your selection.
– Changing the preset name.
Your can change the name that appears on the key.
G Press <PRESET NAME>.
G Enter the desired name and press <OK>
– Dose Measurement Test. DAP Test
Used to activate the dose measurement test. The value sent by this
option for the test is displayed.
– Choice of annotation level on Monitor A screen
You can reduce the number of annotations that appear on Monitor A
screen.
G If <Full Annotation> is activated, all the annotations are displayed.
To limit the number of annotations, disable the key. Only the
annotations for Date and Time, Patient Name, Patient ID, and
Image Numbers will remain continually on–screen. The other
annotations will be displayed only when they are modified.
G Return to the Viewer screen to work on the reduced number of
annotations.
G Press <Full Annotation> again to display all the annotations
continually.
Note: The system memorizes your choice at system shutdown.

– Audio Feedback
The system can give a short beep each time a key is pressed.
G If this key is activated, a beep will occur at each action on the
control screen. To cancel the beep, disable the key.
G Press the key to hear the beep again.
2 – Remote Control
You can deactivate the infrared remote control of the MDA+ system.
This may be necessary in the event of a defect in the remote control,
or if you suspect interference with other remote control units used in the
Examination Room.
G If <Remote Control> is activated, commands sent via the remote
control will be carried out by the MDA+ system. To deactivate the
remote control, disable <Remote Control>.
G Press <Remote Control> again to return the key to service.
Note: The system automatically returns the remote control to

service at startup.
G Signals emitted by the memory’s remote control can interfere with

the operation of other devices which use an infrared remote
control
G Signals emitted by remote control units for other equipment can
interfere with the memory. If so, the operator is advised to stop
using other infrared emitters during the operation of Stenoscop.
– Auto Delete
You can select this option to allow the system to automatically delete
patients if the number of free images in memory is low. In this case the
patient with the oldest date and time of acquisition is automatically
deleted from the memory.

If this option is deactivated, it will be necessary to manually access
to the patient database and delete some patients and/or images to
free some space in memory.
If the free memory space goes down to zero during

CAUTION a sequence acquisition, the acquisition will be
stopped automatically.
2
D Permanent Data.
– Modification of permanent Data.
G Control Window.
To display this window, press <Permanent Data>.
Illustration 36 –
G Hospital Name
Used to enter the name of the Hospital.

G Date
Used to change the date in the system clock.
G Time
Used to change the time in the system clock.
G Language
Calls up a sub–window used to select the language in which the
2 MDA+ user interface operates. The following languages are
available: American, English, French, German, Spanish, Italian,
Portuguese.
G Service Menu: access to service related functions (2–4–7–1,
page 2–72)
G Database Password.
Note: This function is available only if it has been enabled

at system installation. (See 2–4–7–1, page 2–72).
Used to enter a password that is requested when accessing the
Patient Data Base Menu. This ensures the confidentiality of the
information contained in it.
Without the password, you can create images for a new patient,
store and display the images. However, you cannot access the
patient database to display the images of another patient.
After the creation of a new patient, the data of the previous
patient are no longer accessible without accessing the Patient
Data Base Menu (i.e., without entering the password for this
menu).
G If a password is already active, the system requests you to
enter it before allowing you to enter a new password.
G Enter the new password once. You can remove access with
password by pressing <OK> at this stage.
G The system requests you to enter the new password a second
time as confirmation.
Note: Forgotten password– Because you cannot access

the MDA+ system without your password, you must
call the local Service Office of GE Medical Systems
to have the system reinitialized.

D Printer Selection
This function will display the Dicom printer selection window which
allows to change the selected printer, modify the parameters of the
printer and create a new printer for the DICOM print function.
Illustration 37 – Dicom printer selection.
The principle of operations is identical to those of the machine selection and

modification described in the Network Transfer function.
(See 2–4–4–3, page 2–46)

D Stopping the MDA+ system
Because the MDA+ system is controlled by a microcomputer and
contains databases, it is strongly recommended not to stop the
system abruptly by cutting off power Important information may be
lost.
G Pressing this key checks the integrity of the data in the system
2 memory and stops the MDA+ system. Once the system is
correctly stopped, a message informs the user when he/she can
cut off power from the Stenoscop.
Note: All DICOM image transfers and printing jobs will be

canceled when shutting down.
2–4–7–1 Service Menu.

Illustration 38 –
– Network Configuration
Reserved for Service. Please refer to service documentation

– Diagnostic.
– Restore Configuration
– Calibrate Touch Screen
– Image Quality. 2
– Activate Password.
Activates <Database Password> in the previous menu, which
allows controlled access to the Patient data Base.
2–4–8 Using the monitor support without the mobile

D In the housing of the rear face of the monitor support trolley insert the plug
(2, Illustration 3, page 1–4) instead of the mobile plug (13, Illustration 3,
page 1–4).
D Switch on the monitor support.

The monitor support can now operate autonomously without the mobile,
so that images previously saved on memory and recorded on disk or VCR
can be examined, manipulated and printed.

2–5 PRACTICAL USE OF MDn
2–5–1 Storing images

See Illustration 12, page 1–31 and Illustration 13, page 1–38.
Memorization is done automatically after X–ray emission. Images are given
2 incrementing numbers when stored, starting at 0.
When available memory is full, the system overwrites image No. 0, unless it
has been locked, to make space for the new image. If locked, it will overwrite
image No. 1 etc.
Note: The system displays at any time the free space remaining
in memory in term of empty image location and in term of
unlocked images.
2–5–2 Locking an image
Display the desired image. Press . This will avoid involuntary erasing
of image.
Pressing again for a locked image authorizes replacement of the
image displayed on the monitor.

2–5–3 Deleting an image
Images can be deleted:
D Automatically:
The MDn memory works in AUTO–DELETE mode, meaning that old
images will be automatically erased from the memory to free up space
to allow storage of new images, unless they are locked.
2
D Manually
The displayed image is erased by pressing on .
Note: When deleting an image, the subsequent images are not

renumbered but keep the number they had at acquisition.
If all images of a patient have been deleted, this patient is
also deleted from the MDn database. Once deleted, a
patient cannot be recovered.
2–5–4 Sequence Function (Option)

This function allows to acquire up to 40–images, at the rate of 4 fps, during
X–ray.
D Start X–ray acquisition, then press to activate the acquisition and
storage in the volatile memory at 4 frames per second.
Note: The total memory available for sequence acquisition is of

40 images. When the memory is full the storage is
automatically stopped.
This process does not interrupt the X–Ray

emission.
D Using the Image list:
– Select the image or sequence (See Section 2–5–6–1, page 2–78), and
erase the selected image or sequence by pressing on .

The sequence of images is automatically stored
CAUTION on a volatile memory and will be lost when at
power off if it has not been saved in the permanent
memory.
2
D To save the acquired sequence on the permanent memory, press .
Note: This process may take up to 2 sec x 40 images = 80 seconds
D To review the sequence in loop at the acquired frame rate (4 frames per
second), press . Press the same key to stop the review.
If more than one sequence is stored for a given patient, it is possible to

visualize another sequence by using the Right/Left arrows
D To review the sequence in manual mode, image by image, press on
once again and navigate with the arrows and .
D To delete a sequence, it is recommended to use the delete function in the

image list screen (See 2–5–6–1, page 2–78). Select the mini–image that
represents the first image of the sequence, and press .
D The sequence can be deleted in the review mode if the first image of the
sequence is displayed. Press to delete the sequence.
D If the sequence is locked, make sure to unlock the sequence before

deleting it.

Note: The whole sequence is deleted. It is not possible to delete
just one image of the sequence
2–5–5 Image processing
2–5–5–1 Real–time image processing

The following processes are carried out in real time during X–ray emission 2
(see the key descriptions 1–5–2, page 1–31 and 1–5–3, page 1–38).
D Recursive Filter
D Image Rotation
D Image Flip Vertical/Horizontal
D Edge Enhancement
2–5–5–2 Processing a memorized image

The following processes are carried out on memorized images
(see the key descriptions in 1–5–2, page 1–31 and 1–5–3, page 1–38).
D Image Rotation
D Image Flip Vertical/Horizontal
D Zoom
D Edge Enhancement
D Brightness
D Contrast
D Image Annotations

2–5–6 Entry and modification of Patient data and image
annotations
D Overview
To enter or modify Patient data and image annotations, you have to work
on the Image List screen.
2
2–5–6–1 Image List
D To access this function, press . The Monitor A display is modified
to show the images in memory for the current patient in a 16 images by

1 screen format. (See Illustration 39, page 2–78).
Illustration 39 – Patient data modification input screen,

multi–images display.
Patient Name –––––––––––––––––/ GE MEDICAL SYSTEMS

Patient ID ––––––––––––––/ Hospital Name––––––––––––––/
Procedure–––––––––––/ Doctor Name–––––––––––/
Comments–––––––––/
Image 1 Image 2 Image 3 Image 4

Jump to first screen
of previous patient
Jump to next screen

D To see more images for the same patient, use the Down arrow key. The
screen will scroll down to show the next lot of 16 images. If there are no
more images for this patient, the screen will display the images for the next
patient.
D The Up arrow will move up in memory to display previous images. If there

are previous images for the given patient, they will be displayed.
Otherwise, the first 16 images of the previous patient will be displayed. 2
Note: If there are not enough images to fill up the 16 images
positions, these positions will stay blank.
D It is possible to print the screen as it is displayed by pressing .
D To select an individual image or sequence, press on . The
highlighted border around the selected image can be moved up, down, left
and right by using the appropriate arrow key.
D A selected image or sequence can be deleted using the button.
D To go back to patient editing, press on .
D To exit from the image list, press on . The image or sequence that
was last highlighted will be displayed on monitor A.

2–5–6–2 Patient data entry and modification
D When a patient is created, a default name and ID is assigned. Concerning
the default name, the following code is applied;
Def – yy/mm/dd hh: min min: ss

2 D Access the Image List screen (See 2–5–6–1, page 2–78)
D To access the first patient data field, press . This will underline the
title of the field and position the cursor on the first character of the field.
D To move from field to field press on the remote control or on
<Enter> on the keyboard. This will underline the title of the field selected
and position the cursor on the first character of the field.
D You can modify the content of the selected field as follows:

– Using the keyboard option:
G Enter the desired text and correct the last character entered by
pressing < >.
G <Home> places the cursor at beginning of field.
<End> places the cursor at end of field.
<Ins> inserts a space.
<Del> deletes the character at the cursor.
<Enter> confirms the entry and move the cursor to the first
character of the next field.
G To exit from the patient data modification press on .
– Using the remote control:

G Select the character to be modified using the Left/Right arrows.
G Modify the selected character using the Up/Down arrows.

G To exit from the field, press . This will move automatically
the cursor to the first character of the next field.
G To exit from the patient data modification press on .

2
D You can erase a patient file from the memory if none of its images are
locked. To do that, press in the Image List.
D Exit from Image List.
D All parameters entered are memorized at power off

2–5–6–3 Image Annotation
The MDn allows labelling for individual images. The annotation field is
displayed at the bottom left of the screen, and can be used either to label the
image or to place a comment.
D Access the Image List screen (See 2–5–6–1).

2
D Select an image or sequence by pressing on and moving the
highlighted border with the arrows keys.
D Press to access to the annotation field.
D Enter or modify the content of the field like for Patient Data (See 2–5–6–2,
page 2–80).
D Confirm entry by pressing for the remote control or <Enter> for the
keyboard.
D Exit from the annotation modification by pressing .
D Exit from Image List.
D To select image annotations on the monitor, press . Pressing once
again on the key will deselect this function.

2–5–7 Entry and modification of MDn system parameters
MDn system parameters are the following:
– Hospital Name: enter the name of the hospital,
– Date,
– Initial FNR: select the Recursive Filter motion detection level value, 2
– Default Brightness/Contrast,
– Default Vertical and Horizontal Flip.
– Language: select the operating language of the MDn.
There are six languages available: English, French, Spanish, Italian,
German and Portuguese.
To access this function, press . The Monitor A display is modified to
display the list of system parameters that are memorized.
D To access a desired field, press for remote control or <Enter> for
keyboard.
D You can modify the content of the selected field as follows:

– Using the keyboard option:
G Enter the desired text and correct the last character entered by
pressing < >.
G <Home> places the cursor at beginning of field.
<End> places the cursor at end of field.
<Ins> inserts a space.
<Del> deletes the character at the cursor.
<Enter> confirms the entry and exit the field.
G To exit from the system parameters modification press on .

– Using the remote control:
G Select the character to be modified using the Left/Right arrows.
G Modify the character selected using the Up/Down arrows.
G To exit from the field, press .

2
G To exit from the system parameters modification press on .
D The parameters entered are saved at system shutdown

2–5–8 VCR on MDn.
The interface between the VCR and MDn is designed to allow X–ray images
to be recorded automatically when the VCR is powered on and a cassette is
inserted. Recording is automatically triggered by X–ray.
Functions accessible via the VCR Control Panel:
2
D Play
Plays the video tape. The image is displayed on Monitor B.
D Pause
Stops the tape temporarily.
Press this key again, or press <Play> to continue play.
D Fast Forward
Winds the tape forward at high speed.
– Pressing this key during play makes tape advance at high speed with
image display.
D Fast rewind
Rewinds the tape at high speed.
– Pressing this key during play makes tape rewind at high speed with
image display.
D Stop
Stops the tape.

Blank page.
C 2–86

3 – MAINTENANCE
3–1 SERVICING
To ensure the machine continues to operate perfectly, a program of preventive
maintenance must be carried out.
It is the operator’s responsibility to provide this maintenance.
3–2 CLEANING
3–2–1 Cleaning the Mobile 3

D This unit needs frequent cleaning, particularly after corrosive chemical
products have been used.
D Monthly cleaning of the bearings should be carried out to remove

accumulated dirt.
D Use a soft cloth and soapy water to clean the control panel, dry with a cloth
moistened with a little clean water.
D Other parts of the unit are cleaned with a clean damp cloth, with a product
that does not attack enameled metal surfaces.
Before cleaning the touch screen, remove power

CAUTION from the system to avoid giving undesired
commands to the MDA+ user interface.
Do not use cleaner or solvent which could

damage the finish or erase the notices.
Do not use wax containing solvents.
Do not use wax on the display windows.
om 2235014–100 rev. 1 MAINTENANCE 3–1

3–2–2 Cleaning the Anti-Glare Screens on the Monitor
The screen is cleaned with a special product designed for anti–glare screens
and special optical paper.
High quality products for cleaning photographic lenses may be suitable. Carry
out a test on a small area in the corner of the screen. Use only a small amount
of the product.
Avoid touching the screen.

CAUTION Fingers leave greasy marks that are difficult to
3 remove.
The anti–glare comes from an extremely thin,

fragile metallic coating on the monitor screen.
The use of abrasive products or ones containing
solvents could permanently destroy the anti–glare
layer.
3–2–3 Cleaning the Sterilizable Drapes

D When the drapes are new, they cannot be treated at high temperature.
D For the first cleaning, proceed as follows:

– Soak for two hours in cold water.
– Wash at medium temperature (30 to 40 °C).
– Wash at 100 °C.
D For later cleaning, wash and sterilize normally (134 °C).
D The drapes can be treated at the same time as surgical clothes (the same
cloth is used), once the first cleaning has been done as described above.
3–2 MAINTENANCE om 2235014–100 rev. 1

3–3 MAINTENANCE
3–3–1 Overview
D The unit is delivered new in condition guaranteeing maximum safety for
operator and patient.
D This safety is guaranteed by respecting the most stringent safety
standards, that the unit is certified to be in conformity with.
D Nevertheless, incorrect use is likely to reduce the level of safety.
D Whenever the unit is used, the operator must check that the unit is in good 3
condition, particularly:
– That the surface condition of the mobile parts is undamaged and that
there are no sharp parts or projections.
– That the transport components, particularly the castors, are in good
condition and that their attachments offer no danger, and that there is
no wear.
D If in doubt, the operator must inform immediately the appropriate technical
department and only use the unit with the greatest care before any repairs
required are carried out.
3–3–2 Checks
D Check the condition of the cables and connections at least once a week.
They must be replaced if worn or damaged.
D The vertical movement assembly, castor operation and C–arm movement
must be checked annually, as regards components such as gears, chains,
pinions, bearings, mechanical stops, switches and locks.
D Suitable lubricants must be applied or added yearly.
This servicing must be carried out by a qualified
CAUTION Field Engineer.
3–3–3 Periodic Maintenance

D The maintenance schedule must be strictly respected.
– See chart at the end of this chapter.
D Operator checks:
The operator can perform these checks and keep a record; any repairs will
be done by qualified personnel.

3–4 CORRECT OPERATION TESTS
3–4–1 Preliminaries
These straightforward tests require no tools.
They can be performed by the operator or by the Field Engineer.
D By the operator:
During acceptance of the mobile or in case of breakdown to establish
3 possible causes to assist the Field Engineer.
D By the Field Engineer:

To check after repairs that the mobile is in good working order.
D The correct operation tests are the last stage in the preventive
maintenance.
3–4–2 Mobile Unit
3–4–2–1 Checking the brakes

D Lock the floor brake of the mobile then pull on the mobile: it should not
move.
D Unlock and lock the brake again.
3–4–2–2 Checking the movements of the C–arm

D Check the locking and unlocking of the various C–arm movements:
– Orbital movement.
– Rotation movement around the horizontal axis.
– Forward/backward movement.
– Lateral movement (wig–wag).
D Switch on the mobile and check the up and down movements of the
C–arm.

3–4–3 X–ray Generation
3–4–3–1 Checking the collimator
Always wear suitable protective clothing (lead

CAUTION apron and gloves).
Check that no–one is in the diffused radiation

area.
3
D Select manual fluoroscopy, minimum kV and minimum mA.
D Close, then half open the semi–transparent shutters.
D Close, then half open the opaque shutters.
D Give a rotate collimator command.
D Choose radiography type (without X–rays).

Check that the open collimator shutters pushbuttons flash.
D Open fully the collimator shutters.

Check that the flashing stops

3–4–3–2 Checking the X–ray Modes
Switch on the mobile and check that the choice of mode operates correctly,
and that the mobile does not trip the contact breaker when X–ray command
is given.
Close the collimator to carry out the above tests.

CAUTION
Use the smallest radiation field that allows
operation to be checked.
3
Always wear suitable protective clothing (lead
apron and gloves).
Check that nobody is in the diffused radiation

area.
D Carry out the fluoroscopy in manual mode at different kV and mA values.
D Carry out a radiography above 50 kV.
D Carry out a pulsed fluoroscopy.
D Carry out single pulse fluoroscopy (electronic radiography).

3–4–3–3 Checking the various displays
D Select manual fluoroscopy.
D Change the kV and mA values, check that the display changes every time
the keys are pressed.
Check that the display changes if the keys are kept pressed.
D Check that pushbuttons light up correctly.
D In radiography mode, check that the buzzer works.
3
D In manual mode, do a continuous fluoroscopy.
Check that X–ray indicator lamp on the monitor support lights up.
D Check at the timer that the indicated value is correct.
Reset the timer.
3–4–4 Image commands

3–4–4–1 kV, mA
D In manual mode, carry out a fluoroscopy with test pattern and change the
kV and mA parameters.
Check that they affect the image contrast and brightness.
D In automatic mode, carry out a fluoroscopy with test pattern.
3–4–4–2 Inversions and rotations
D Give image inversion and rotation commands.
Check that these commands affect the image displayed on the screen.
3–4–5 Image processor

D Place a test pattern in the X–ray field.
D Select automatic fluoroscopy.
D Carry out successively several fluoroscopies and memorize several
images.
D Check all the functionalities of the image processor by pressing the keys
on the keyboard and/or the remote control.
For a description of the image processor

CAUTION functions, see Chapter 2, Practical Use.

3–5 HANDLING ERRORS
3–5–1 Overview
The Stenoscop is protected against possible handling errors, particularly with
respect to power and overload, due to automated controls and alarms. The
few cases of non–operation due to operator error are described below.
3–5–2 Handling Errors

3–5–2–1 Unit does not Power Up
3 If the unit does not power up when the ON switch (on the monitor support) is
pressed, check that the wall outlet is correctly supplied and that the power
cable is correctly plugged in at the back of the monitor support trolley.
3–5–2–2 No Image
Check that the collimator is not completely closed.
3–5–2–3 No X–rays with Intermittent Buzzer

The intermittent buzzer (with timer button flashing) indicates that a period of
5 minutes’ fluoroscopy has elapsed. The X–ray controls are now inactivated.
Reset the timer (Press on the 0–5 minutes pushbutton, 7, Illustration 6) to allow
further X–ray operation.
3–5–2–4 Thermal Overload Indicator On

The limiting temperature of the X-ray housing has been reached; wait for a
few minutes to allow the temperature to drop.
3–5–2–5 Remote Control does not Operate

Put in a new battery.
Check that the remote control being used is actually the one supplied with the
unit.
3–5–2–6 Problem with Videocassette Recorder (Sony SVO9500)
Recording starts with X–ray emission, but does not stop afterward.
The videocassette recorder is probably badly programmed.

Read the VCR instructions.
If the problem persists, consult the After-Sales Service.

ÁÁÁÁÁÁÁÁÁÁÁÁÁ
ÁÁÁ
ÁÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁ
ÁÁÁ ÁÁÁ
ÁÁÁ ÁÁÁÁÁ
ÁÁÁ
ÁÁÁ
ÁÁÁ
ÁÁÁÁÁ
ACTION MONTH-
LY
BI–
ANNU-
ANNU-
ALLY
REALIZATION
ÁÁÁ
ÁÁÁ
ÁÁÁ
ÁÁÁ
ÁÁÁ
ALLY
Oper- Tech-
ÁÁÁ
ÁÁÁ
ÁÁÁ
ÁÁÁ
ÁÁÁ
– Check the numbers and that the
labels are in place.
X
ator nical
X
– MECHANICAL.
– Monitor support sheet: wear control, X X

screw condition and lubricate the axle. 3
– Paint – Screws – Condition of cables– X X
Outlets.
– Clean the control console. X X
– Column drive axle (clean). X X
– Bearings (clean). X X
– Adjust brakes and locking of X X
movements.
– Replace brake pads (if necessary). X X
– Replace leveling castors X X
(if necessary).
– Check the up/down movement belt. X X
– Check the C–arm up/down X X
movement gas spring.
– Check the condition of the castors on X X
the mobile and monitor support trolley
(wear, play, brakes).
– Check the cable glands (replace if
necessary).
– Clean the mobile. X X

ÁÁÁÁÁÁÁÁÁÁÁÁ
ÁÁÁÁ
ÁÁÁÁÁÁÁÁÁÁÁÁ ÁÁÁ
ÁÁÁÁ ÁÁÁ
ÁÁÁ ÁÁÁÁÁ
ÁÁÁ
ÁÁÁÁÁÁ
ÁÁÁÁÁACTION MONTH-
LY
BI–
ANNU-
ANNU-
ALLY
REALIZATION
ÁÁÁÁ
ÁÁÁ
ÁÁÁ
ÁÁÁÁÁÁ
ALLY
Oper- Tech-
ÁÁÁÁ
ÁÁÁ
ÁÁÁ
ÁÁÁÁÁÁ
– Limit and align the X–ray field and
cassette holder.
X
ator nical
X
– Limit and align the X–ray field and X X

image system.
– Check the bearings. X X
3
– ELECTRICAL.
– Check the skin dose and X–ray X X

emission quality.
– Displays, pushbuttons, buzzer. X X X
– Fluoroscopy mA precision. X X
– kVp precision. X X
– mAs precision. X X
– Fluoroscopy timer precision. X X
– Fluoroscopy kV/mA range. X X
– Check correct operation before each X
surgical intervention
(correct operation tests H 3–4).
– Fluoroscopy footswitch – cleaning. X X
– Check that the X–ray emission X
indicator lamp above the monitors
comes on.
– Film repro: Replace memory protection battery (every 3 years). X
D 3–10

4 – TECHNICAL CHARACTERISTICS
4–1 OVERVIEW
4–1–1 Classification
Type B device with suitable degree of protection against electric
shock, particularly with respect to
D Admissible current leaks (<2 mA)
D Reliability of protective ground connection
4–1–2 Precautions Before Use

4
See warning at the start of this manual
The C–arm, X–ray tube head and imager are certified “AP”.
This means that only these items of equipment can be used between
5 and 25 cm from a closed gas chamber intended for medical use.
4–1–3 Protective Ground
om 2235014–100 rev. 1 TECHNICAL CHARACTERISTICS 4–1

4–1–4 Identification Labels
B E
F
4
C–G
A 1–2–3–4–5–6–7–8
1 2 3
4 6
7 8
4–2 TECHNICAL CHARACTERISTICS om 2235014–100 rev. 1

A X-ray tube head assembly.
B Image intensifier.
C X–ray control assembly.
D Cassette holder.
E Warning.
F Warning.
G CE Marking Label.
4–1–5 English–French Translations of Identification Plates

4–1–5–1 Product identification plates
MANUFACTURED DATE DE FABRICATION 4
LOCATION LIEU DE FABRICATION
TYPE TYPE
S.N MATRICULE
4–1–5–2 Housing insert specification plate
HOUSING GAINE
NOM. VOLTAGE TENSION NOM.
INH. FILTR. FILTR. INHERENTE
ADD. FILTR. FILTR. ADDITION
INSERT TUBE
FOCAL SPOT FOYERS
4–1–5–3 Generator specification plate
AMP MOMENTARY AMP INSTANTANE
AMP LONG TERM AMP NOMINAL
4–2 COMPLIANCE WITH STANDARDS

STENOSCOP 828490 CEI 601–2–7/1986
Complies with DHHS radiation performance standards 21 CFR subchapter J
(North American)
UL – CSA (North American)
NF 74–100–102–111 CEI 601–2–7
Standards concerning electromagnetic compatibility.
4–2–1 Ground Current Leak

Complies with standards IEC 601–2–7 (Class 1 – Type B) and NFPA (US)

4–3 ELECTRICAL CHARACTERISTICS
4–3–1 Overview
The unit is supplied with a power cable of suitable
CAUTION length.
Replacing this cable by a longer cable could cause
non-respect of certain standards and change the
ground leak current.
Using an extension cable is not recommended: if
one must be used temporarily, it must have wires
of minimum 2.5 mm2 and a ground connection.
4 The impedance of the line specified applies to the
end of the extension cable (female socket side).
4–3–2 Voltage Supply

The Mobile is compatible with one of the following voltage supplies:
100 V, 108 V, 120 V, 200 V, 208 V, 228 V, 240 V
selected at installation.
D Tolerance : ±10%
Line voltage variation: automatic compensation.
D Current: 50/60 Hz single phase.
4–3–3 Maximum Line Impedance

100 108 120 200 208 220 228 240 Volts
0.14 0.16 0.20 0.33 0.36 0.40 0.44 0.48 Ohms

4–3–4 Line Current
The consumptions below apply to a mobile fitted with two TV monitors and a
reprograph (the tolerances lie within a range of ± 20%.
Note: Fuses of values greater than those recommended could be

required in certain countries.
A For 208 V AC, 50 or 60 Hz with a line resistance of 0.36 Ohms.
D Line regulation 6%, 20 A fuses type T.T. (Slow blow).

– Fluoroscopy 90 kV – 5,5 mA I line = 9 A max.
– Radiography 49 kV – 60 mA I line = 20 A max.
4
B For 120 V AC, 50 or 60 Hz with a line resistance of 0.20 Ohms.
D Line regulation 6 o/o, 15 A fuses type T.T. (Slow blow).

– Fluoroscopy 90 kV – 5,5 mA I line = 15 A. max.
4–3–5 Protective Fuses

All the protective fuses are internal and can be accessed only by the Field
Engineer

4–3–6 Environment
Complete equipment, all options included.
D Operating temperature:
10 °C to 40 °C without condensation.
D Variation in operating temperature:

up to 10 °C/hour
D Storage temperature:
–10 °C to 70 °C without condensation.
D Transport temperature:
4 –10 °C to 70 °C without condensation.
D Pressures during operation:

700 to 1060 mbar.
D Storage and transport pressures:

500 to 1060 mbar.
D Humidity:
During storage and transport: 10 to 100% relative humidity.
In operation: 30 to 75% relative humidity.
4–3–7 Dissipation
Maximum heat dissipation in ambient air.
Surgical mobile with 2 TV monitors and a reprograph.
D At idle: 475 W
D In fluoroscopy (110 kV – 4.5 mA): 1250 W
D In radiography: 5800 W

4–4 MOBILE UNIT
4–4–1 Overview
4–4–1–1 Dimensions and movements
See Illustration 40, Illustration 41, Illustration 42.
4–4–1–2 Mass
D With 16–cm imager: 243 kg
D With 22–cm imager: 244 kg
4–4–1–3 Stability 4
Displacement on inclined surface:
in the worst conditions, the mobile becomes unstable on a slope of more
than 5°.
4–4–2 X-Ray Tube Head and Collimator

4–4–2–1 Overview on measurements and accuracy
D Maximum differences.
Note: The maximum differences given in this paragraph are

supplied in compliance with the standards of the North
American market.
Factor Range Deviation Measurement principle
kVp rad 40–55 kVp ±20% Direct measurement

55–110 kVp ±10% of kVp is not possible
mAs rad 0.16–160 mAs±(10% +0.2 mAs) mAs meter
kVp fluoro 40–55 kVp ±20% Direct measurement

55–110 kVp ±10% of kVp is not possible
mA fluoro 0.1–6 mA ±(10%+0.2 mA) mA meter
Fluoro time 4 min.30 ±15% Chronometer

Illustration 40 – STENOSCOP 6000
Outline Dimensions of C-Arm Support
Note: Dimensions are for the Stenoscop 6000 without laser

option and dose measurement unit.

Illustration 41 – STENOSCOP 9000
Outline Dimensions of C-Arm Support
Note: Dimensions are for the Stenoscop 9000 without laser

option and dose measurement unit.

Illustration 42 – STENOSCOP 6000 AND STENOSCOP 9000
C-Arm Lateral Movement

Note: In radiography mode, all the mA values are typical values.
Note: The tolerance is ±20% after a transition period of less than

0.2 sec.
D Conditions of application for the given values.

1. Machine switched on for 30 minutes.
2. Line voltage: (see H 4–3).
3. Machine installed and adjusted according to instructions in the
technical manual.
4. Preventive maintenance carried out by the operator as specified. 4
D Measurement bases.
– Kilovolts (kVp): measured with a kVp meter based on the X–radiation
spectral measurement (see technical manual).
– X–ray tube current (mA): obtained by direct measurement in the
secondary coil of the high tension transformer located in the X–ray tube
head (see technical manual).
In fluoroscopy, the set current is displayed on the control panel. In
fluoroscopy and in radiography, this current is used in a regulation loop
which controls the filament heater current. The calibration is checked
with an external device. The measurements must be corrected
according to the procedure in the technical manual.
– Product of exposure time by current (mAs): the product is measured
using an mAs meter connected to the secondary coil in the high tension
circuit.
Correction must be made to take account of the high tension capacitor
charge (see procedure in the technical manual).
– Fluoroscopy time: the continuous fluoroscopy time between a timer
reset and the buzzer sounding.

4–4–2–2 X-Ray Tube Head
D Characteristics
The HD–281 X–ray tube is mounted in a Sténix housing with the following
characteristics:
Specifications Characteristics.
Width 16.5–cm
Height 42.5–cm
with 22–cm shield
52.5 cm
with 32–cm shield
4 (USA and Canada)
Length 39.8 cm
Anode type Fixed
Focus 0.5 x 0.5 mm
1.8 x 1.8 mm
Focal mark Red spot on the X–ray tube head
Technical leak factor 110 kVp – 1 mA
Filtering CDA = 2.65 mm Al minimum at 71 kV
(equivalent to 3 mm Al minimum)
D Performance and Charge Rate.

In fluoroscopy, 500 W maximum up to triggering of the temperature
warning, 150 W up to thermal cutoff by the dilatation compensator.
Maximum permitted in continuous radiography fluoroscopy regime:

3.600 mAs to 110 kV in 1 hour.
Rest time between X–rays: 30 seconds. At this rate, and depending on the
ambient temperature, the position of the X–ray block and the sterile
drapes, the thermal cutoff might trigger.

4–4–2–3 X-Ray Emission
D Radiography.
– Radiography mAs values selectable.
0.16, 0.20, 0.25, 0.32, 0.40, 0.50, 0.63, 0.80, 1.0,
1.3, 1.6, 2.0, 2.5, 3.2, 4.0, 5.0, 6.3, 8.0,
10, 13, 16, 20, 25, 32, 40, 50, 63,
80, 100, 130, 160 mAs.
– Radiography kVp and mA values selectable.
G Maximum power
Nominal electrical power 3 kW
(100 kV – 30 mA – 0.1 s). 4
mA linked to kVp (1 kVp step) as below:
40 to 49 kVp 60 mA
50 to 59 kVp 55 mA
60 to 69 kVp 47 mA
70 to 79 kVp 41 mA
80 to 99 kVp 33 mA
100 to 110 kVp 30 mA
G Reduced power
Nominal electrical power. mA
linked to kVp (1 kVp step) as below:
40 to 49 kVp 24 mA
50 to 59 kVp 22 mA
60 to 69 kVp 19 mA
70 to 79 kVp 16 mA
80 to 99 kVp 13 mA
100 to 110 kVp 12 mA

– Products of current x reference time (mAs).
4 mAs 70 kV 41 mA 0.0975 s
3.2 mAs 100 kV 30 mA 0.1067 s
3.2 mAs 110 kV 30 mA 0.1067 s
Note: The charge time results from integration of the mAs

product.
D The main circuit breaker may trip if operating parameters greater than
those below are selected in radiography mode:
110 kV 80 mAs
4 88 kV 100 mAs
70 kV 125 mAs
50 kV 160 mAs
For operation with larger parameters, the mobile must be used with mains
of about 120 V (reduced power) or about 200, 220, 240 V (nominal power).
D Fluoroscopy.
– kVp fluoroscopy.
G Manual adjustment from 40 to 110 kVp in steps of 1 kVp
G Automatic adjustment from 40 to 110 kVp in steps of 0.5 kVp.
G The kVp are linked to the mA according to the graphs on
Illustration 43, and are adjusted initially with the amplitude of the
TV camera video signal.
The video signal is measured in a circular window of
factory–calibrated diameter.
Two mA levels can be selected, one for normal fluoroscopy, the
other allowing high–quality fluoroscopy.
G Ripple:
The X–ray generator generates constant voltage with ripple lower
than 4% at 110 kVp in fluoroscopy and nominal mains voltage.

– Fluoroscopy mA.
G Manual Adjustment:
In manual mode, the full ranges of kV and mA values can be
selected independently, and are limited by Graph 3 on
Illustration 43.
At high kVp, the mA are automatically adapted to keep the
maximum dose rate less than 0.087 Gy/min (10R/min), and
the power to a value below 500 W.
Selecting the “Normal Fluoroscopy” or “High quality” mode
affects only the compromise between the imager input dose
and the background noise. When “High quality” mode is
selected or deselected, the kV and mA must be readjusted. 4
G Automatic Adjustment.
The mA values are connected to the kVp values according to
Graphs 1 or 2 on Illustration 43.
Selecting “High quality” or “Normal dose” has a double effect:
the imager input dose is selected, and the rates go from
Curve 1 to Curve 2.
Table of typical dose rates in automatic fluoroscopy measured
at the input of the image intensifier for the widest field
depending on the type of intensifier and the choice “High
Quality” or “Normal dose”.
Normal dose High Quality
0.39 mGy/s 0.78 mGy/s

6000
(45 mR/s) (90 mR/s)
0.195 mGy/s 0.39 mGy/s

9000
(22,5 mR/s) (45 mR/s)
In automatic and manual modes, the parameters are limited

by Graph 4 when the temperature limit in the tube housing is
reached.
G Fluoroscopy Timer.
The unit is fitted with a 0–5 minute electronic timer, with buzzer at
end of cycle and reset button.

Illustration 43 – kV/mA GRAPH
Stenoscop 6000 and Stenoscop 9000
kV/mA GRAPHS
mA
7.0
6. 3 3
0 2 /3
5.0
2
2 /3
4.0 3.9
3.85 4 2
4
3.0
2.7
4 1 1
2.0 2.3
2 1 4
1.4
1.0
1
40 50 60 70 80 90 100 110
kV
Illustration 44 – Key to kV/mA GRAPH
Note: In Normal Mode, Graphs 3 and 4 are envelopes. The other

graphs show the relations between kV and mA.
CURVE MODE FOR POWER
1 NORMAL MODE AUTO FLUORO 6000 + 9000 253 W
HIGH QUALITY MODE AUTO

2 6000 + 9000 500 W
FLUORO
3 MANUAL MODE FLUORO 6000 + 9000 500 W
4 THERMAL SAFETY FLUORO 6000 + 9000 154 W

Illustration 45 – HEATING GRAPHS
K Joules ANODE HEATING AND COOLING GRAPHS
56
48
40
32
24
4
16
0
0 1 2 3 4 5 6 7 8 9 10
Time in minutes
Illustration 46 – HEATING AND COOLING
Joules HV TANK HEATING/COOLING
800 000
640 000
480 000
320 000
160 000
0
0 25 50 75 100 Time in minutes

4–4–3 Image Intensifier
Image intensifier.
High stability solid state power supply.
Characteristics.
Specifications II 16 cm II 22 cm
No. of fields 1 field 2 fields

Field value 16 cm 22 cm Loop 16 cm
Magnifier Conversion factor 150 180
Contrast ratio 20/1 21/1 21/1
4 Input field diameter 15 cm 22 cm 16 cm
Typical central resolution 44 pL/cm 52 pL/cm 58 pL/cm
Grid incorporated 90L/inch 90L/inch 90L/inch
8:1 10:1 10:1
Anode voltage 30 kV 30 kV 30 kV
Radiation safety screened Fully
4–4–3–1 CCD Camera
Characteristics Specifications.
Type “Interline Transfer” type CCD sensor.
Sensor matrix 752 x 582 pixels.
Scanning 525/625 lines (50/60 Hz).
Interlace 2:1.
Bandwidth 11 MHz ±3 dB.
Mask Circular.
Video output 1 Volt peak–to–peak, 75 Ohms.

4–4–4 Radiography Cassette Holder and Grid
Four grid types are available for all combinations of image intensifier (16 cm or
22 cm) and cassette holder (24 cm x 30 cm or 9.5”x 9.5”).
A radiography grid can be supplied on option:
Ratio 8:1, 70 Lpi for cassettes 24 cm x 30 cm.
Ratio 10:1, 112 Lpi for cassettes 9.5” x 9.5”.
Note: The cassette holders are compatible with cassettes

complying with standard CEI 406.
Note: For the USA market, CDRH compliance means that

9.5”x9.5” cassettes must be used. 4

4–5 MONITOR SUPPORT
4–5–1 Dimensions
See Illustration 47.
4–5–2 Mass
The mass is measured without reprography option.
D With 1 monitor and MDn digital: 156 kg.
D With 2 monitors and MDA+ digital: 194 kg.

4
CAUTION The output connectors of the mobile are not for
customer use.
4–5–3 Monitors
Technical characteristics.
Specifications Characteristics.
Horizontal scanning 525/625 lines (50/60 Hz)

Vertical scanning 100/120 Hz (50/60 Hz)
Interlace 2:1
Screen diagonal 48 cm
Adjustment to ambient lighting Automatic
Dimensions l = 47.5 cm h = 36.8 cm
p = 37.6 cm
Mass 20 kg
4–5–4 External Video Output

Video standards:
D CCIR 625 lines /50 Hz*.
D EIA–RS170 525 lines /60 Hz*.

– Output impedance: 75 Ohms
* According to country.

Illustration 47 – STENOSCOP 6000 AND STENOSCOP 9000
Dimensions of Monitor Support with Two Monitors

Options
available
Digital options available on Stenoscop Plus
on Remote
Control
Digital Processing Option MDn MDA Plus
Display
1st TV monitor – 51cm (100/120Hz) • •
2nd TV monitor – 51cm (100/120Hz) Option •
Image processing functions
Adjustable fluoro noise reduction • • •
Real Time Edge enhancement • • •
4 Real Time Subtraction Option •
Peak opacification Option •
Roadmapping with integrated Land- Option •
scaping
Pixel Shift Option
Landscaping Option
Window/Level adjustment • •
Image reversal: up/down, right/left • • •
Image transfer between monitors A • • •
and B
Multi–Image display 16 2 to 16
Zoom with pan and roam x2 up to x8 •
Digital Image Rotation • • •
Image Annotations • •
Measurements Option
Acquisition Mode
A/D conversion 10 bits 10 bits
Image Matrix 576x576 576x576
Last Image Hold (LIH) • •
Image storage 6/16/112/208 5000/10000/
20000

Options
available
Digital options available on Stenoscop Plus on Remote
Control
Digital Processing Option MDn MDA Plus
Sequence Acquisition Option 4 Option 8
FPS/40 FPS/30 FPS
images
Review Mode
Image by Image review on 1 or 2 • •
monitors
Sequence review Option 4 Option 8
FPS FPS/30 FPS 4
Image/Patient Data Base
Patient Data input • •
Selective Image erase • •
Patient Data base • •
Permanent Image memory • •
Connectivity
Video Printer connection Option Option
S–VHS Video Recorder Option Option
Video Output • •
Aux. Video Input •
Image storage on Floppy Disk 1.44
MBytes/120
MBytes
Embedded Dicom 3.0 (Push, Print, Option
Worklist)

Blank page.
C 4–24

5 – OPTIONS
5–1 DOSE MEASUREMENT
5–1–1 Overview
Dose measurement is an integrated option that is located under the X–ray
housing cover.
This option is used to record the dose emitted during an examination in
mGy x cm2 (milligray x centimeters squared) at the X–ray tube output.
5–1–2 Practical Use with MDA+ Memory

Note: A warming–up period of about 8 to 10 minutes after power
up is required to reach nominal accuracy and stability.
1. Reset the dose measurement. 5

2. Perform the examination.
3. The cumulative dose is displayed on Monitor A and recorded in the patient
file.
Record the dose at the end of the examination in the patient file.
4. Reset the dose measurement for the next patient.
Note: The dose is automatically reset when <New Patient> is

pressed.
om 2235014–100 rev. 1 OPTIONS 5–1

5–1–3 Description (MDn Memory)
Illustration 48 – DOSE MEASUREMENT WITH MDn MEMORY
1 2 3
1 Digital display.
2 Reset button.
3 Test button.
5–1–4 Practical Use with MDn Memory

Note: A warming-up period of about 8 to 10 minutes after power
up is required to reach nominal accuracy and stability.
1. Reset the chamber display for every new patient by pressing button 2.
2. Perform the examination.
3. After the examination read the value on display 2 and record it in the
patient file.
4. Reset the display ready for the next patient.
Note: The display is automatically reset when the unit is

switched off.
5–2 OPTIONS om 2235014–100 rev. 1

5–1–5 Maintenance
Respect the same precautions as when cleaning Stenoscop.
The ionization chamber and the display are

CAUTION protected against liquid infiltration with leakproof
gaskets. It is, however, not recommended to use a
large amount of liquid when cleaning.
om 2235014–100 rev. 1 OPTIONS 5–3

5–2 LASER CENTERING UNIT.
(ONLY WITH STENOSCOP 9000)
5–2–1 Laser Centering Unit Built-In Option
LASER RADIATION.
DANGER AVOID DIRECT EXPOSURE TO BEAM.
BEFORE SWITCHING ON THE LASER, MAKE
SURE THAT NOBODY’S EYES, INCLUDING
THOSE OF THE PATIENT, WILL BE EXPOSED TO
THE LASER BEAM.
5
LASER LIGHT
DO NOT STARE INTO BEAM
DIODE LASER
1.0 MILLIWATT MAXIMUM OUTPUT
670 +/– 10 mm WAVELENGTH
CLASS II LASER PRODUCT
5–2–2 Overview
The built-in laser option provides a laser beam showing the central axis of the
X–ray beam.
This is a 2 position alignment laser.
The laser assembly on the generator delivers a laser beam aligned with the
axis of the X–ray beam in the IN position.
The X–ray beam axis is shown on the TV monitor by means is a cross shaped
mark.
In the OUT position the laser emitting diode is switched off and the mechanical
assembly including the cross shaped mark is removed from the X–ray beam.
5–2–3 Description
The built-in laser option is placed under the cover of the X–ray tank.
A transparent window in the cover allows the laser beam to pass through.
5–4 OPTIONS om 2235014–100 rev. 1

The laser assembly is mounted on the beam limiting device, under the
generator cover.
X–ray and laser light are emitting through the red output port bearing the
following:
AVOID EXPOSURE
light is emitted
from this aperture
The IN/OUT control is located on the X–ray control handswitch.
5–2–4 Practical Use

1. Activate the laser using the control button located on the side of the X–ray
control handle.
Illustration 49 – 5
X–ray control
Laser control
2. A laser dot appears, allowing the central X–ray beam to be located. An

X which is opaque to X–rays is shown on the image in real-time to allow
perfect alignment for any C-arm position.
3. To switch off the laser, press the control button again.
om 2235014–100 rev. 1 OPTIONS 5–5

5–3 ORTHOTRAC EXTERNAL LASER OPTION
LASER RADIATION.
DANGER AVOID DIRECT EXPOSURE TO BEAM.
BEFORE SWITCHING ON THE LASER, MAKE
SURE THAT NOBODY’S EYES, INCLUDING
THOSE OF THE PATIENT, WILL BE EXPOSED TO
THE LASER BEAM.
AVOID EXPOSURE
Laser Radiation Emitted
From This Aperture
5 LASER RADIATION
AVOID DIRECT EXPOSURE TO BEAM
POWER OUTPUT:v4.25 mW Diode Laser

WAVELENGTH:600 – 700 nm
CLASS IIIa LASER PRODUCT
THIS EQUIPMENT CONFORMS TO PROVISIONS

OF US 21 CFR 1040.10 AND 1040.11
IEC 825 BS 4803
5–3–1 Overview
The Orthotrac laser delivers a laser beam showing the central axis of the
X–ray beam.
5–6 OPTIONS om 2235014–100 rev. 1

5–3–2 Description
Illustration 50 – LASER CENTERING UNIT
4 2
3
5
5 6
1 Orthotrac Laser.
2 Supporting bracket for assembly on the image intensifier.
3 Locking system for supporting bracket.
4 Orthotrac laser adjustment screw.
5 On/Off switch.
6 Battery compartment.
om 2235014–100 rev. 1 OPTIONS 5–7

5–3–3 Installation
PAY CAREFUL ATTENTION TO THE FOLLOWING
DANGER PROCEDURE BEFORE USING THE ORTHOTRAC
LASER.
Note: This procedure must be carried out during the first

installation of the Orthotrac laser.
1. Position the mobile and the C–arm in the position that will be used during
the procedure, and lock the brakes.
2. Find the central emission point of the X–ray beam from the focal point on
the side of the tube chamber.
This operation must be done by a Maintenance Field

5 CAUTION Engineer or a Field Engineer on the operating site.
3. Locate the central point on the image intensifier, to establish the central
axis of the X–ray beam.
4. Attach the target reticule at the center of the X–ray beam on the tube side.
This reticule gives a permanent indication of the center of emission for
future laser alignment.
5. Attach the laser support on the input face of the image intensifier.
6. Switch on the laser.
Find the laser point on the reticule.
7. Adjust the position of the laser point by turning the adjustment screw so
that the laser point is perfectly centered on the reticule.
8. To allow fast repositioning during later installation, place on the laser
support and on the imager the marking stickers supplied with the option.
See Illustration 50.
9. After use, switch off the laser, remove the laser support and the laser from
the image intensifier.
5–8 OPTIONS om 2235014–100 rev. 1

5–3–4 Positioning
1. Attach the laser support and the laser on the input face of the image
intensifier so that the two marks coincide. See Illustration 50.
2. Put the C–arm in the position that will be used during the examination.
3. Switch on the laser.
4. If needed adjust the position of the laser point by turning the adjustment
screw so that the laser point is perfectly centered on the reticule.
If the position of the C–arm is changed during the

CAUTION examination, the position of the laser point must
be re–adjusted.
5–3–5 Maintenance 5
The Orthotrac laser uses a standard 9 volt battery. It can be replaced by
sliding back the plastic cover of the battery compartment.
Do not sterilize the Orthotrac laser.

CAUTION
om 2235014–100 rev. 1 OPTIONS 5–9

Blank page.
D 5–10
5–10 OPTIONS om 2235014–100 rev. 1

Screens on MDA Plus Memory
DICOM printer selection
System shutdown
Selection and setup of presets for
Viewer configuration
Permanent data modification(hospital
Timer Function : Main Screen name, date, hour, language)
– Start/Stop Imaging functions including image Additional functions (DAP test, auto
– Reset processing for pre and post fluoro delete, full annotation, audio
feedback, remote control)
Viewer
List of patients and their images Entry of patient data

Deletion of patients and images Search of patient files on
Reset of patient dose Dicom (worklist) Online help
Transfer of files and images to Creation of new patients
floppy and Dicom and new studies
Timer Patient Info. Help System Setup

Patient Data Base
Transfer to a selected station : Update setup for each
– of a whole patient file (study) Entry of additional preset (selection of
– of an image or a sequence information : measure,vascular and
(sequence) – doctor name sequence functions;
– procedure selection of video and
– comments printer;selection of
default image
processing functions)
Network Transfer Other Fields Show Data Setup Presets
Worklist Select Printer
List of destination
stations and their Display of all
parameters patient data
Modification of station Load of patient file from
parameters the worklist(Dicom) List of Dicom printers
Addition or deletion of Update of worklist and their parameters
stations on the list Modification of printer
List of source stations parameters
Transfer Queue and their parameters Addition or deletion
Destination Selection Worklist Source Selection of printers on the list
Modification of station
parameters Printer Parameters
Display transfer Addition or deletion of
queue stations on the list
Entry of printer
Destination Station parameters when
Source Station
Parameters printers are modified
Parameters
or added on the list
Entry of destination station
parameters when stations are Entry of source station
modified or added on the list parameters when stations are
modified or added on the list
om 2235014–100 rev. 1 APPENDIX A–1

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e Medical Systems

This product complies with the regulatory requirements of the following:

D Council Directive 93/42/EEC concerning medical devices: the 0459

label affixed to the product testifies compliance to the Directive.

D Medical Device Good Manufacturing Practice Manual issued by the

United States Federal law restricts this

D General Electric Medical Systems is ISO 9001 and EN 46001 certified.

om 2235014–100 Rev. 1 REGULATORY REQUIREMENTS i

The elimination of machines and accessories must be in accordance with

ii REGULATORY REQUIREMENTS om 2235014–100 Rev. 1

Note: If this equipment is found to cause interference (which may be

Note: The manufacturer is not responsible for any interference caused by

Note: To comply with the regulations on electromagnetic interference for

om 2235014–100 Rev. 1 REGULATORY REQUIREMENTS iii

iv REGULATORY REQUIREMENTS om 2235014–100 Rev. 1

UNITED STATES OF AMERICA

om 2235014–100 Rev. 1 SERVICE OFFICES v

vi SERVICE OFFICES om 2235014–100 Rev. 1

om 2235014–100 Rev. 1 SERVICE OFFICES vii

viii SERVICE OFFICES om 2235014–100 Rev. 1

REV DATE TYPE OF MODIFICATION

LIST OF EFFECTIVE PAGES

Cover page 1 Chapter 3

om 2235014–100 rev. 1 REVISION HISTORY ix

x REVISION HISTORY om 2235014–100 rev. 1

om 2235014–100 rev. 1 CHAPTER TABS xi

xii CHAPTER TABS om 2235014–100 rev. 1

1 – DESCRIPTION OF EQUIPMENT . . . . . . . . . . . . . . . . . . . . 1–1

om 2235014–100 rev. 1 INDICE xiii

2 – PRACTICAL USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1

xiv INDICE om 2235014–100 rev. 1

4 – TECHNICAL CHARACTERISTICS . . . . . . . . . . . . . . . . . . . 4–1

om 2235014–100 rev. 1 INDICE xv

A1 – SCREENS ON MDA Plus MEMORY . . . . . . . . . . . . . . . . . A–1

xvi INDICE om 2235014–100 rev. 1

om 2235014–100 rev. 1 DESCRIPTION OF EQUIPMENT 1–1

1 X–ray tube head with X–ray tube and collimator.

3 Patient protection (according to local regulations).

4 Locking for C–arm orbital movement.

5 Locking for C–arm rotation.

6 Locking for C–arm longitudinal movement.

7 Locking for transverse movement (wig–wag) of C–arm support.

8 C–arm maneuvering handle (removable, the handles are fitted and

13 Brake pedal for mobile C–arm support.

14 X–ray control pedal with support and cable storage.

15 X–ray control handle.

16 Control panel for mobile.

17 Infrared remote control support.

1–2 DESCRIPTION OF EQUIPMENT om 2235014–100 rev. 1

18 Connection cable between mobile and monitor support, cable holder.

19 Connector for IEC additional earth wire.

20 Cassette holder (Option).

om 2235014–100 rev. 1 DESCRIPTION OF EQUIPMENT 1–3

See Illustration 3 for reference.

1 Line power cord.

2 Accessory connector (Stand alone Option).

1–4 DESCRIPTION OF EQUIPMENT om 2235014–100 rev. 1

5 Display monitor (1 or 2 depending on the configuration).

6 Infrared sensor for remote control.

7 Touch screen or alphanumeric keyboard (according to configuration).

8 Videocassette recorder S–VHS (Option).

9 Film printer (Option).

10 Paper printer (Option).

13 Connector with C–arm support.