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UPPER

INSTALLATION AND SERVICE MANUAL

THIS MANUAL WAS ORIGINALLY WRITTEN IN ITALIAN LANGUAGE, ITALIAN VERSION


PREVAILS IN ANY UNCERTAINTY SITUATION.

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WARNINGS

All users of the medical device described herein are strongly recommended to read carefully all
instruction in this manual and to respect recommendations reported about safety before
attempting any operation of installation, service or clinical use of the device.

Installation, service and maintenance of all devices which are part of the system is reserved to
technical personnel, qualified and trained, with adequate experience and professional background.

Even if the unit has been designed and manufactured to ensure utmost safety during use,
installation and examination, a lack of respect of the indication herein reported can result in a
potential risk for user patient and things.

The system configuration must not be changed during the lifetime of the device.

Do not use this device for application different from the original defined use purpose.

IONIZING RADIATION PROTECTION

An excess of X-Ray dose is a well known risk for health, and an improper use of Radio diagnostic
devices can result as well in a possible risk for health of patient and user.

Users of X-ray units, like those described in this manual, and technicians in charge of installation
and maintenance, are mandatory required to be informed on risk connected to exposure to an
excess of direct and diffracted X-rays and to keep safe themselves as well as patient and all
people eventually exposed to the same risk. A proper use of all standard means of protection is
needed in this purpose.

Specifically is mandatory that users and all personnel eventually required in the radiological room
for normal examination practice, will be informed on the International regulations for X-Ray
protection and respect all indication mentioned there.

SPECIFIC WARNINGS

All mechanical components and mobile parts which are included in the standard featuring of this
unit shall be used carefully and precisely, in respect of what described herein and according to the
indication of the present manual. A lack of respect of these indications may result in a collision
with patient, users, other operator or object present in the X-Ray room.

Access to the internal part of the devices by removing protective cores and carters, especially
access to electrical boards is allowed only to technical personnel in charge for ordinary and non
ordinary maintenance.

This unit can be used for paediatric x-ray investigation if combined with suitable devices (e.g.
paediatric x-ray transparent cradles)

It is requested utmost attention and care while using mobile phones, sources of electro-
magnetic radiation and other potential sources of interferences to electrical and
electronic components. Given the medical device is not in need of any specific shielding

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to ensure safety, use of such devices like those here mentioned should be prohibited in
the immediate proximity of the medical device and, in every case, in the X-Ray room.

Intellectual property rights

The content of the present manual, technical, planning and design, is an intellectual property of
the manufacturer.
Readers are required to contact directly the manufacture and mention all violation to this right,
may it be in form of unauthorized copy, improper diffusion or other.

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INDEX

I - Medical Device description ....................................................................................................... 6


II - Combination and related clinical application ................................................................... 7
III – Technical and functional feature, dimensions encumbrances and weights .... 10
IV – Working and storage environment .................................................................................. 13
V – Norms and declaration of conformity............................................................................... 14
VI - Safety........................................................................................................................................... 18
VI.1 - Declaration of responsibility........................................................................................ 18
VI.2 – Protection Classes .......................................................................................................... 19
VI.3 – Protection against collision ......................................................................................... 19
VI.4 – Protection against ionizing radiations..................................................................... 20
VI.5 - Biocompatibility of Materials....................................................................................... 20
VI.6 – Applied parts .................................................................................................................... 21
VI.7 – EMC Compatibility .......................................................................................................... 22
VI.8 – Cables and wires............................................................................................................. 24
VI.9 – Recommended separation distances for EM devices or EM systems
different from vital functions sustaining apparatuses ................................................... 24
VII - Unpacking ................................................................................................................................. 25
VIII - Installation.............................................................................................................................. 27
VIII.1 - Preliminary check......................................................................................................... 27
VIII.2 - Environmental conditions ......................................................................................... 28
VIII.3 - Radiological table UPPER installation ................................................................... 28
IX – Description of lift system..................................................................................................... 33
X - Potter Bucky Cabling (from SN A07633)......................................................................... 36
XI - Installation and use of accessories .................................................................................. 38
XII – PCB101 board and pins position ..................................................................................... 42
XIII – PCB101: Connections Description ................................................................................ 43
XIV – PCB101 Fuses........................................................................................................................ 47
XV – Components Positions.......................................................................................................... 48
XVI – Cleaning Operations and ordinary maintenance ..................................................... 49
XVII – Ordinary and extraordinary maintenance ................................................................ 50
XVIII – Spare part list .................................................................................................................... 51
XIX – Labelling and identification of products ...................................................................... 52
XX – Disposal ..................................................................................................................................... 53
XXI – Symbols ................................................................................................................................... 54
XXII - References and manufacturer address....................................................................... 56
XXIII – CE Mark ................................................................................................................................ 57
Annex A – Block Schemes ............................................................................................................ 58
Annex B - Layout.............................................................................................................................. 63
Annex C – Electrical Drawing ...................................................................................................... 64

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I - Medical Device description

Intended use
The medical device subject of the present manual is intended for general x-ray
examination in horizontal (prone) patient position. The device is therefore
intended only as a mean to achieve radiographic images of bone, soft and
cartilaginous tissues for diagnostic purposes.

The radiological table with variable height UPPER, when properly installed, allows
supporting the patient while performing radiological exams, providing as well
suitable support for the Radiological cassette or the flat panel detector.
The variable height of tabletop allows an easier positioning of invalid patients,
patient on wheelchair, traumatized or –generally- all patient with movement
difficulties.

Description:
Horizontal Bucky Table with variable height, X-Ray transparent tabletop and given
of 2 degrees of freedom. It is equipped with analogical or digital detector.
The variable height of the X-Ray transparent tabletop help the access to the table
to the patient and it is recommended for exams to the disabled patient injured.

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II - Combination and related clinical application

In order to realize a complete X-ray diagnostic system, ready to work, the unit
here described will require connection with an X-ray generator, an X-ray tube
housing, a collimator, and HT cables.

The medical device subject of the present manual, can be therefore combined
with all devices manufactured by the manufacturer. In case of combination with a
device not manufactured by others, given that these must be conform to directive
93/42/CEE, 2007/47/CEE and as well conform to international regulations for
safety.

Warning
In the eventual combination of the medical device subject to the present manual
with other manufacturer devices (main elements and accessories), whom
compatibility is not expressively declared in the present manual, assuming these
are all conform to the mentioned CE directives and norms, it is due to user
diligence to perform all needed controls to avoid dangerous situations for patients
and medical personnel. It is strongly recommended to contact directly each
manufacturer of the devices composing the system.

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LIST OF DEVICES ALREADY CHECKED FOR COMPATIBILITY

Rad Room

The medical device UPPER, horizontal Bucky table with variable height, has been
developed for use in a radiological room, generally identified. Therefore the
device has no limitation in use with any other device used in a standard
radiological room.

Potter Bucky

The medical device UPPER, includes and connect with a Potter Bucky device.
The Manufacturer verified compatibility of the horizontal Bucky table UPPER with
variable height with the following cassette holder with mobile grid (potter Bucky
type):

Manufacturer Model
ARCOM HARRY
POLYRES Potter PBXX
PROTEC LRE Bucky Family

A compatibility with different devices can be assessed, given these will respect
the following mandatory encumbrances:

- Height: 68 mm
- Length: 572 mm
- Width: 584 mm

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Digital Detectors:

The medical device UPPER, is designed for mounting of a digital detector.


The Manufacturer verified compatibility of the horizontal Bucky table with the
digital detectors:

Manufacturer Model
ATLAIM ATAL8 Flat Panel Detector
SCHAEF Systemtechnik DRF-L4343C
TRIXELL Pixium 3543 EZ
TRIXELL Pixium RAD 4143
TRIXELL Pixium RAD 4343
Varian 4636R

A compatibility with different devices can be assessed, given these will respect
the following mandatory encumbrances:
• 500 mm With x 570mm depth x 45mm height

Moreover, all CR cassette and all cassette size flat panels are compatible.

X-Ray Generators

The medical device UPPER, is designed for electrical connection with an X-Ray
generator through the image detector.

Please refer to any indication from the Detector manufacturer to assess


compatibility with the generator.

X-Ray tube housing


The medical device UPPER, is not affecting the performances of x-ray tube
housing.

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III – Technical and functional feature, dimensions
encumbrances and weights

The Radiological table UPPER is commercialized in 4 different configurations,


identified by 2 different codes:

CODE DESCRIPTION

LIA001 Horizontal table with variable height and Potter Bucky device,
tabletop with 2 degrees of freedom, supporting structure.

Horizontal table with variable height and Potter Bucky device,


LIA004 tabletop with 2 degrees of freedom, supporting structure. Set for
Digital detector.

LIA001
- Tabletop X-ray transparent
Laminate
- Tabletop adsorption 0,9 mm Al equivalent
- Tabletop size 2200x810 mm
- Tabletop longitudinal movement 900 mm (±450mm)
- Longitudinal movement brake electromagnetic
- Tabletop transversal movement ± 110 mm
- Transversal movement brake electromagnetic
- Minimum tabletop height 500 mm
- Maximum tabletop height 825 mm
- Height variation 325 mm
- Height variation speed 18 mm/s
- Potter-bucky movement 550 mm
- Potter-bucky movement brake electromagnetic
- Film/tabletop distance 70 mm
- Potter Bucky standard grid R 10 - 120 l”
f. d. 120 cm
- Accepted cassette size min 13x18cm
max 35x43cm
(both directions)
- Max Patient weight accepted 200 kg
- Table Power Supply (cable lgt. 15m) 230 Vac – 50/60 Hz
- Absorbed power 0,9kVA
- Device weight 250 Kg

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LIA004

- Tabletop X-ray transparent


laminate
- Tabletop adsorption 0,9 mm Al equivalent
- Tabletop size 2200x810 mm
- Tabletop longitudinal movement 900 mm (±450mm)
- Longitudinal movement brake electromagnetic
- Tabletop transversal movement ± 110 mm
- Transversal movement brake electromagnetic
- Minimum tabletop height 500 mm
- Maximum tabletop height 825 mm
- Height variation 325 mm
- Height variation speed 18 mm/s

- Flat Panel movement 550 mm


- Flat Panel movement brake electromagnetic
- Film/tabletop distance 73 mm
- Anti-scattering grid (optional) R 10 - 215 l”
f. d. 120 cm
- Max Patient weight accepted 200 kg
- Power Supply (cable lgt. 15m) 230 Vac – 50/60 Hz
- Absorbed power 0,9kVA
- Device weight 250 Kg

Encumbrances of the radiological table UPPER (all versions)

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Fig.3-1

Dimensioni di ingombro e movimentazioni del tavolo radiografico UPPER

Feature Unit of Measure Ref

Voltage Vac 230 Vac

Power Supply Frequency Hz 50/60 Hz

Adsorbed Power VA 0.75kVA

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IV – Working and storage environment

Temperature °C -20°C + 60°C

Storage conditions Humidity %RH < 95% no condensate

Pressure hPa > 630 hPa

Temperature °C From + 10 to + 40 °C

Humidity %RH < 80%


Operative Conditions
Pressure hPa 700-1100 hPa

Max height m < 2000 m

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V – Norms and declaration of conformity

The X-ray devices subject of this manual are designed and manufactured in
conformity to the Dlg 46/97, that receipt the EU Directive 93/42/CEE, and further
modification and integration such as those provided by the Dlg 25 January 2010,
n. 37, that receipt the EU Directive 2007/47/CE. The device has been classified as
Medical Devices in Class IIb.

Product classification according to Annex IX (Classification Criteria)

The medical device, subject of this manual has been classified as active medical
device in Class IIb, according to rule 10, of 3rd paragraph that refer to additional
rules applicable to active medical devices, in annex IX of the Dlg 46/97, that
receipt the EU Directive 93/42/CEE, and further modification and integration such
as those provided by the Dlg 25 January 2010, n. 37, that receipt the EU
Directive 2007/47/CEE.

Rule application:
The medical device UPPER, is considered in class IIb as the last comma of rule 10
states what follows “devices intended to emit ionizing radiation and designed for
diagnosis, radiotherapy or interventional radiology, including those devices that
controls them or directly influence their performances are included in class IIb” .
The device subject to this document has a direct influence on the result of radio
diagnostic applications: as a matter of fact, as it includes proper patient
positioning means and acting as direct influence in the imaging process, it falls
into given definition.

This medical device is provided in non sterile condition.

Classification rationale
The tabletop and the image detector, includes in its standard usage, an anti-
scattering grid with the purpose of being positioned beside the imaging surface to
reduce scattered radiation affecting the surface and, so doing, improving the
image contrast of primary image. In reason of this, the device has a direct
influence on the performances of the ionizing radiation.
Moreover the Potter Bucky or the digital detector has a communication with the
generator, influencing so the x-ray emission, which is not happening if not
approved.

The product has a life period of 10 years, shelf life depends on the use made out
of the product and on the level of maintenance and consumption.

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In conformity of what provided by EU directive 2007/47/CE, that modifies the
EU Directive 93/42/CEE, ARCOM SRL company declares that:
The device subject of this document do not incorporate, as integral part,
any substance or derivate substance of human blood as per point 7.4,
annex I of the mentioned directive;
In manufacturing this device, there has been no use of animal origin
tissues as per Dir. 2003/32/CE.

Rule application
The X-Ray table UPPER is CE Marked in conformity to what expected by annex II
of MDD 93/42, as described in art.11 and respond to all essential requirements in
annex I.

The Declaration of Conformity is available under request, at the archive of the


manufacturer.

NORM REFERENCES

EU norms and laws

• Directive 93/42/CEE date 14 June 1993 on medical devices and further


modifications and integrations (Directive 2007/47/CE date 5.9.2007)
• Dlg 46 date 24.2.1997 and further modifications and integrations (Dlg 95
date 25.2.1998) – actuation of directive 93/42/CEE on medical devices; Dlg
37 del 25.1.2010 – actuation of directive 2007/47/CEE on medical devices.

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Harmonized norms

• UNI CEI EN ISO 13485:2012 + EC 1-2012.


Dispositivi medici. Sistemi di gestione per la qualità. Requisiti per scopo
regolamentari.
Medical devices. Quality management systems. Requirements for regulatory
purposes.

• UNI CEI EN ISO 14971:2012.


Dispositivi medici. Applicazione della gestione dei rischi ai dispositivi medici
Medical devices. Application of risk management to medical devices.

• CEI EN 60601-1: 2007. Ed.III+EC IEC:2007+IS IEC:2008 + CEI EN 60601-


1/EC:2010 + CEI EN 60601-1/A11:2012
Apparecchi elettromedicali. Parte 1 Prescrizioni generali relative alla
sicurezza fondamentale e alle prestazioni essenziali (2007)
Medical electrical equipment. Part 1: General requirements for basic safety
and essential performance (2007)

• CEI EN 60601-1-2: 2010 (ed.III) + CEI EN 60601-1-2/EC:2010


Apparecchi elettromedicali.
Parte 1: Prescrizioni generali per la sicurezza fondamentale e prescrizioni
essenziali – norma collaterale: compatibilità elettromagnetica – prescrizioni
e prove
Medical electrical equipment
Part 1: General requirements for basic safety and essential performance -
Collateral standard: Electromagnetic compatibility - Requirements and tests

• CEI EN 60601-1-6: 2011.


Apparecchi elettromedicali.
Parte1: Prescrizioni generali relative alla sicurezza fondamentale e alle
prestazioni essenziali – Norma collaterale: Usabilità
Medical electrical equipment
Part 1: General requirements for basic safety and essential performance -
Collateral standard: Usability

• CEI EN 60601-2-54: 2011 + CEI EN 60601-2-54/EC:2012


Apparecchi elettromedicali.
Parte 2: Prescrizioni particolari per la sicurezza e le prestazioni fondamentali
di apparecchi a raggi X per radiografia e radioscopia
Medical electrical equipment.
Part 2: Particular requirements for basic safety and essential performance
of X-ray equipment for radiology and radioscopy

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• CEI EN 62366: 2008 (Ed.I)
Dispositivi medici
Applicazione dell’ingegneria delle caratteristiche utilizzative ai dispositivi
medici
Medical devices
Application of usability engineering to medical devices

• UNI CEI EN ISO 15223-1:2012


Dispositivi medici – Simboli da utilizzare nelle etichette del dispositivo
medico, nell’etichettatura e nelle informazioni che devono essere fornite –
Parte 1: Requisiti generali
Medical devices. Symbols to be used with medical device labels, labelling,
and information to be supplied – Part 1: General requirement

• UNI CEI EN 1041:2009


Informazioni fornite dal fabbricante di dispositivi medici.
Information supplied by the manufacturer of medical devices

• UNI EN ISO 10993-1:2010 + EC 1-2010


Valutazione biologica dei dispositivi medici.
Parte 1: Valutazione e prove all’interno di un processo di gestione del
rischio.
Biological evaluation of medical devices
Part 1: Evaluation and testing

Essential performances

In line with the reference norm (IEC 60601-1) here follows the essential
performances of the medical device subject of this manual:

Garantire la capacità di sostenere il paziente


Movimentazione del tavolo in altezza e del pannello porta paziente flottante,
che non possa danneggiare accidentalmente il paziente/operatore
Assenza di shock elettrico al paziente o utilizzatore
Sicurezza del fissaggio a pavimento (stabilità)

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VI - Safety

The medical device subject of this manual must be used only by qualified and
duly trained personnel, in respect of what specified in this manual about safety.

In all cases when the unit is combined and made working with devices from other
manufacturer, the compatibility of which is not specified by the manufacturer, the
user is required to take care that no risk can be generated to patients and users.

In these situations it is mandatory to take contact with the manufacturer and with
the manufacturers of all devices for the needed controls of compatibility.

The X-Ray unit described in this manual requires ordinary, periodic operation of
cleaning and maintenance, as specified in the appropriate section of this manual.

Moreover it is absolutely forbidden to attempt any kind of examination or


investigations that may result in a spread of liquids of any kind on the tabletop of
the x-ray unit, in order to avoid damages to the electronic components.

VI.1 - Declaration of responsibility

The manufacturer declines all responsibility for damages occurred to things or


human beings as well as for risky situation caused directly or indirectly by:
o Improper use of the system or use that differs in any way to what
described in this manual,
o Installation of the units performed in a different way than what stated in
this manual
o Maintenance and service operations are not performed in respect of what
stated in this manual

It is here reminded that the manufacturer is responsible of the safety of its


products only if installation, service and repair operations are performed by
technically skilled personnel authorized with a suitable training course.

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VI.2 – Protection Classes

The Medical Device subject of this manual is classified as follows:

Feature Unit of Measure Reference

Type EN 60601-1 Class I


Electrical protection
Grade EN 60601-1 B
Protection against
Grade EN 60529 IPX0
liquid penetration

The medical device subject of this manual must be installed in proper


environment with adequate earth protection means in respect of currently
applicable norms.

Protection against electrical discharges has been achieved through earth


connection on all parts and metal covers off the unit.

The Medical Device cannot operate at all, in every situation where a potential risk
of explosion is detected, as in presence of anaesthetic gases or flammable
agents, such as for example those used for cleaning or disinfection of the skin or
of the parts of the units.

The operator must be aware of the importance to disconnect the unit for the
electrical line of power supply before starting the operation for cleaning and
disinfection.

VI.3 – Protection against collision

The medical device subject of this manual is not provided of safety devices that
may impede an eventual collision with any object and person present in the radio
diagnostic room.

By mean of this it is requested the utmost attention from the operator during the
use.

Moreover, during installation phase, it is necessary to provide an adequate area


around the x-ray unit, which is kept free form any obstacles to the movement of
the unit in every working modality. For more details, refers to Chapter “III –
Technical and functional feature, dimensions encumbrances and
weights”.

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VI.4 – Protection against ionizing radiations

It is full responsibility of the installation staff to:


• provide the needed Anti-X shielding in the room where the x-ray system
is installed, and some protection for the operators;
• check that the rooms of the installation has been properly shielded
against ionizing radiation, while the final user is mandatorily requested
to check these conditions

It is full responsibility of the user to evaluate the effects which may result by an
exposure o x-ray radiation, direct and diffracted, and provide in order tot have
the exams conducted in respect of the safety radioprotection norms, especially for
what is up for:

- Careful limitation of the surface exposed to the X-Ray beam, in respect of


the anatomic area of interest

- Use of leaded protective shields, on patient and user, any time when is
possible to protect the anatomical areas close to the irradiated area.

- Use of stationary and mobile barriers and shields, which shall be given in
the installation.

- Use of adequate leaded anti X clothes such as gloves an collars any time
the user is necessary aside of the patient during the examination. Please
note to always have care of being out of the primary X-Ray beam.

- Check the perfect closure of the doors for access and exit to the X-Ray
room. Always have care to leave in the x-ray room only the people strictly
necessary for the good result of the examination

- Check correct use and positioning of the personal dose measurer of the
personnel, according g to the indication of the radioprotection specialist.

VI.5 - Biocompatibility of Materials


Control over materials biocompatibility has been set according to norm UNI EN
ISO 10993-1, that states in point 3.8 the possibility to check biocompatibility of a
medical device by collecting all certifications from the suppliers of raw materials,
or checking the late presence on the market of similar devices, with intended use
at least of the same level of the medical device under examination.

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Following the rationale mentioned in the norms, the manufacturer can state that
all material used in manufacturing of the medical device are complying the
biocompatibility criteria, because these are long used for manufacturing of
electro-medical devices and other devices with contact with the patient

VI.6 – Applied parts

The medical device subject of this manual, in its normal use, gets in direct
contact with the patient (e.g. thorax, arms legs) by mean of:
• x-ray transparent, patient supporting tabletop;
• aluminium profile;
• accessories: handgrips and compression band;

This contact is needed to provide the patient the necessary support during
examination to the end of avoiding unintended movement during x-ray
examinations.

Duration and frequency of the contact

The medical device is classified on the base of the use condition as usage
“continuous with temporary contact”
Esteem of common x-ray examination in 5 minutes while more complex
examination can last up to approx 15 minutes

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VI.7 – EMC Compatibility

WARNING! Portable and mobile radio-communication devices can affect the


normal use of the electro-medical device.

Table 01 ELETTROMAGNETIC EMISSIONS

GUIDE AND DECLARATION OF THE MANUFACTURER – ELETTROMAGNETIC EMISSIONS


THE ELECTROMEDICAL DEVICE is designed to be used in the herein under specified electromagnetic environment.
The customer or user of the ELECTROMEDICALDEVICE must ensure that this is used in such an environment.
Emissions Test Compliance Electromagnetic Environment

THE ELECTROMEDICAL DEVICE is suitable for use in all rooms


Class A included domestic and those directly connected to a power
supply from public network in low tension.
RF Emissions
CISPR 11 THE ELECTROMEDICAL DEVICE uses RF energy only for its
inner work. Therefore the RF emissions are considerably low
Group 1
and likely are not providing interference with nearby
electronic devices
THE ELECTROMEDICAL DEVICE is suitable for use in rooms not
Harmonic Emission
inapplicable directly connected to public, low tension, power supply
IEC 61000-3-2
network
Voltage fluctuation THE ELECTROMEDICAL DEVICE is suitable for use in rooms not
Flicker’s emission inapplicable directly connected to public, low tension, power supply
IEC 61000-3-3 network

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Table 02 ELETTROMAGNETIC IMMUNITY

GUIDE AND MANUFACTURER DECLARATION – ELECTROMAGNETIC IMMUNITY

TELECTROMEDICAL DEVICE is designed to be used in the herein under specified electromagnetic environment. The
customer or user of the ELECTROMEDICALDEVICE must ensure that this is used in such an environment.
Test level
Immunity Test Conformity level Electromagnetic environment
IEC 60601-1-2
Electrostatic Discharge
± 6 KV Contact
(ESD) EN 60601-1-2 Hospital
± 8 KV air
IEC 61000-4-2
Non-life-supporting
equipment
3 V/m
Radiated RF 80 MHz – 2.5 GHz EN 60601-1-2 Hospital
IEC 61000-4-3
Life –supporting equipment
10 V/m
80 MHz – 2.5 GHz
Non-life-supporting
equipment
3V
Conducted RF 150 kHz – 80 MHz EN 60601-1-2 Hospital
IEC 61000-4-6
Life –supporting equipment
3 V Outside ISM band
10V inside ISM band
Electrical fast 2 KV for power supply lines
transient/burst 1kV for input/output lines EN 60601-1-2 Hospital
EN61000-4-4 >3m
Surge – Overvoltage 1 kV differential mode
EN 60601-1-2 Hospital
EN 61000-4-5 2 kV common mode
Tension holes, small
0% Un for 0,5 cycles
interruption and variation
40% Un for 5 cycles
on power supply income EN 60601-1-2 Hospital
70% Un for 25 cycles
line
0% Un for 5 sec
IEC 61000-4-11
Power frequency
(50/60 Hz)
3 A/m EN 60601-1-2 Hospital
magnetic field
EN 61000-4-8

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VI.8 – Cables and wires
WARNING! Changing factory cables (following list) with others non compatibles
or with different features may affect the electromagnetic safety of the device

Cable Description Length Note


General power
3G 2,5 15m -
supply

WARNING! To avoid electric shock this EM device MUST be connected to a power


source properly earthed

WARNING! Changing the non detachable POWER SUPPLY CORD, non detachable
is only possible by service authorized staff. For a proper procedure of substitution
and attachment of power supply cord, please take direct contact with the
manufacturer.

VI.9 – Recommended separation distances for EM devices or EM


systems different from vital functions sustaining apparatuses
The medical device subject of this manual is designed to be used in an electromagnetic environment
where irradiation RF noise is under control. The customer or user of the device can contribute in
prevention of EMC interference by ensuring a minimum distance between mobile and portable RF
communication devices and the medical device, as recommended herein under, in reason of the
maximum power of the radio communication devices
Separation distance at transmitting frequency
Nominal max output
of transmitting (m)
from 150kHz to from 80MHz to from 800MHz to
(W) 80MHz 800MHz 2.5GHz
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For specified transmitting, for max output non specie herein, the recommended separation distance,
in mt (m) can be calculated using the applicable equation at the transmitting frequency, where P in
max nominal outputs of transmitting in Watt (W) according to transmitting manufacturer.

Note:
(1) at 80 MHz it is needed to apply the separation distance for the highest frequency batch;
(2) these guidelines may not be applicable in all situations. The electromagnetic spreading is
affected by adsorption and reflection of the facility, objects and people

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VII - Unpacking

upper unit is packed singly and protected in a wooden cage or in a wooden crate,
the dimensions and the unpacking procedure are the same for both type of
packing.

Dimensions:
• 2350x980xh770mm
Weight:
• Cage Kg.63
• Crate Kg.105

To move this type of packing is mandatory to use proper gear (for example a
pallet truck).

The below image show the wooden cage package.

Follows the unpacking procedure.

1. Remove the top cover:


a. Unscrew all the screws in the top
b. Lift and remove the top cover

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2. Remove the top cover unscrew all the screws in the top

3. If present, remove all complementary devices and all present in the


package.
4. Remove the UPPER unit from the cage/crate with, fro example, a pallet
truck.
5. Remove the internal protection (plastic film, adhesive band, cardboard and
so on).

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VIII - Installation

THE INSTALLATION OF THE RADIOLOGICAL TABLE UPPER (EVERY


MODEL) MUST BE PERFOMED ONLY BY QUALIFIED STAFF TRAINED
DIRECTLY BY ARCOM DURING THE MANDATORY TRAINING COURSE.

VIII.1 - Preliminary check

Verify that the room of destination of the X-Ray units has dimensions and
structures wide enough to host the devices, considered the encumbrances already
described in this manual and the need for installation of an X-ray generator and
its control console. As well, verify that the room allows hosting all accessories and
other objects eventually needed for examination.

It is important to check that around the X-ray devices is kept enough free space
to allow the operator movement and to avoid collision with things and people.

When an X-ray transparent stretcher on pivoting wheels is used with the system,
a specific care is required to verify room dimensions. It is important to check that
the room will save enough space for stretcher access and movement inside the
room.

Moreover verify all component and devices not manufactured by ARCOM, needed
for the use of the X-ray system, (such as the X-ray generator or the X-ray tube)
and other accessories eventually designed to be host in the room in association
with the X-Ray system. All these objects must respond to the following
parameters:

- CE mark of conformity, where required;


- Perfect compatibility (mechanical, electrical and functional for all component
of the system;
- Position in the room which helps as much as possible the devices access by
operators and patient, and made as ease as possible examination
performing

For what concerns the elements which are not part of the functional configuration
of the system, which have anyway a use during some examination (e.g. service
stool) and some furniture elements (such as wardrobes or desktops): for all these
elements take care that their presence will not result as an obstacle for device
movement and ordinary work of the system.

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Room features:

The room designed for installation of the system must respond to the following
features:
- Conformity and certification in line of international and local laws for room
designed to host an X-Ray source
- Electric plant in line of international and local laws, and according to all
devices designed to work in the base of the same power plant. For ARCOM
devices, please ref to the present manual, for other complementary or
alternative devices, please ref to the proper manuals and documents.
- Walls, floors and ceilings adequate to insert of fixing parts, and strong
enough to handle the weight of the different structures installed.

VIII.2 - Environmental conditions

All devices described in the present manual can be used in the following
environmental conditions:

Temperature °C -20°C + 60°C


Storage Umidity %RH < 95% no condensing
Pression hPa > 630 hPa
Temperature °C da + 10 a + 40 °C
Umidity %RH < 80%
Operative
Pression hPa 700-1100 hPa
Max Altitude m < 2000 m

VIII.3 - Radiological table UPPER installation

With each unit an installation kit is given as a standard supplying, it is placed in


the package near the potter bucky/flat panel tray, below the tabletop. The
installation kit comprehends:

• N° 5 - Fuses rapid 5x20 1A


• N° 1 - Fuses rapid 5x20 6,3 A
• N° 2 - Fuses rapid 5x20 4A
• N° 2 - Fuses rapid 5x20 3.15 A

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• N° 2 - Fuses rapid 5x20 8 A (only if the optional transformer T2 is
present)
• N° 4 - Fischer plugs SLM series (steel) with hexagonal head screw M8x60
a. Cone M8 diameter14
b. M8x60 EX. Head screw UNI5739 cl8,8 Z.N.
c. M8 washer
• N° 1 - Plastic box with powder painting RAL9002BF
• N° 1 – Vertical movement security lock

Installation procedure

• Coupling with ARCOM column code ETSXXX

1. Alimentare il tavolo da una presa 230 Vac.

2. Azionare l’interruttore magnetotermico posizionato sotto il pannello


portapaziente.

3. Elevare il pannello d’esame alla sua massima altezza dal pavimento


mediante il pedale con il simbolo (freccia verso il tavolo) per alzare il
pannello.

4. Place the UPPER table parallel to the column rail to a distance described in
the following figures:

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Models: ETS001 and ETS002 Models: ETS003 and ETS004

5. Adjust the UPPER table longitudinally to the column rail in the installation
point: please refer to the following picture for the centre of the detector (all
distances in mm):

6. Verify that the UPPER table results parallel to the ground (check with a
spirit level).

WARNING: Before lock the table to the floor it is recommended to

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perform the centring procedure of the X_Ray source with the detector.
During the centring procedure check the following step:
• Centring must be the same for all the X-Ray source run along the
column rail.
• Centring must be the same for all the vertical run of the X-Ray
source along the column.
• Perpendicularity between table and column must be kept in every
position.

7. Mark the four holes on the floor.


8. Remove the UPPER table.
9. Drill the floor and place the 4 plugs M8x60.
10. Replace the UPPER table in the installation position and lock it to the
pavement using the plugs.
11. Remount the 2 back panels.
12. Procedure to mount the tabletop:
o Check that the table power supply is turned off.
o Unscrew the tabletop stops on tabletop side.

a. Insert the tabletop upon the bearings: keep attention to not damage
it!

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b. Replace the lateral stops.

13. Connect the unit to a power supply of 230Vac as described in section “X –


PCB101: Connections Description”.

14. LIA001: the Potter Bucky is mounted in factory and configured during the
assembling of the unit, for every explanation refer to the service manual of
relative Potter Bucky.
15. LIA002/3/4: connect the Digital Pack as described in the relative manual
of the various devices.
16. Compile the “INSTALLATION REPORT” following the instructions on
the module itself.

• Coupling with other brand unit


The procedure is the same decrypted above. Refer to the following measures
and to the other brand unit service manual to calculate the right distance for
the installation (rail/tabletop, cassette centre/focus).

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IX – Description of lift system

Column initialization:

1. Place the tabletop to the lower position (columns totally compressed).


2. When the columns reach the lower position stop to move, the system could
be consider intilializated.

Column Alignment Loss

Caused by an internal memory error of control board or by a missing initialization


of the columns.
If an “ALIGNMENT LOSS” occurs, only the downward movement is allowed: this
allows the user to perform the columns initialization.

“LOSS ALIGNMENT” of columns warning signal:

200 ms of silence

200 ms beep

To erase the warning a columns initialization is required:

• Press the “DOWN” pedal till collapse completely the tabletop. The tabletop
will stop and the alignment of the column will be achieved.

Acoustic
Movement Description
Signal

“Alignment 1. Both columns stop to move.


2. The upward movement is not allowed.
Upward Movement loss”
3. A reset of freezing error is mandatory.
Beep 4. Re-initialize the columns.

“Alignment 1. Both columns stop to move.


2. The upward movement is not allowed.
Downward Movement loss”
3. A reset of freezing error is mandatory.
Beep 4. Re-initialize the columns.

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Freezing Error:

When a freezing error occurs, from the control board, a rapid series of acoustic
signal will be emitted:

Freezing Error:

500 ms no-beep
50 ms beep

This kind of error could be reset keep pushed simultaneously and for 5 seconds
the pedal “UP and “DOWN”.

To be sure that the error is erased wait for the “Error Reset” Signal:

Freezing Error Reset:

500 ms beep

50 ms silence

A freezing error DOES NOT means an “ALIGNMENT LOSS” and a re-initialization is


not mandatory.

Thermal Safety:
The Control Board is provided with a thermal safety sensor to avoid its
overheating.

When an overheating problem occurs, all columns movement are not allowed and
the following acoustic signal will be emitted:

Over-heating:

no-beep
5 s beep

All movements will be enabled when the control board temperature fall down the
threshold level.

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The thermal monitor, do not register an absolute temperature but only a
difference from a threshold level and it is designed to work at a maximum
temperature of 40°C.

If unit is supplied by the main line for more of 5h, the threshold level will change
automatically at the ambient temperature, increase or decrease itself in respect
of the factory threshold temperature (near 20°C)

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X - Potter Bucky Cabling (from SN A07633)

From the serial number A07633 of Potter Bucky BPB, there is a new open to
access cabling.

Cabling access (from SN A07633)

• Remove the screws in the red circles:

• Extract the connection box:

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Parts description:

Power Supply X-Ray On Parking Potter Bucky


Green Light MicroSwitch MicroSwitch Junction Box

Grid Grid PTT101


Support Motor Board

Cabling description:

Junction Box
Wire Description
Position
1 1 24Vdc
2 2 0Vdc
3 3
Call from generator
4 4
5 5
X-Ray On
6 6
GND
Yellow/Green
2,5mm², 15m max

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XI - Installation and use of accessories

Handles

The handles protect patients’ hands and avoid accidental hurts while moving the
tabletop in positioning operations.
It is recommended to tell the patient to grab the handles during these operations

Pic.10.1
Detail of the mounting part of handles on the aluminium profile of table and AIN

Handles must be installed on the aluminium profiles of the tabletop, adjusting


their position with patients’ size. To do this, unlock the black blocking grip
mentioned in Pic.10.1 and move the handles accordingly to patient needs. Take
care that the handles are properly blocked before examination starts.

Installation procedure:
1. Unlock the blocking knob.
2. Insert the handle along the aluminium profile counter clockwise
3. Adjust the position in reason of patient size.
4. stabilize the position by locking the blocking knob clockwise

Pressing Band

The compression belt, usable when it is necessary to perform an X-Ray exam to


elastic anatomical parts (abdomen), this belt reduces the quantity of widespread
radiation with a great enhancement of image quality.

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The extremity of the pressing band accessory and the gear which holds the band
itself are designed for a fixation on the aluminium profiles of all ARCOM tabletops
as displayed in Pic.10.2.
.

Pic.10-2

Details of the mounting parts of pressing band and gear on tabletops aluminium
profiles.
1- Hook of fixation to pressing band extremity; 2- Grip to operate on the gear: A
clockwise rotation will revise the pressure of the band; 3- Unlocking device of the
pressing band.

Install the pressing band on the tabletop profile form any side (head or feet) and
position it in the desired area of examination; ensure that is fixed in a proper
way.

Installation procedure:
1. Unlock the band by mean of device nr 3 in Pic. 10.2 in order to act on
desired area of examination; fix the extremity of the band to the opposite
profile with hook nr 1 in Pic. 10.2.
2. Attach to extremity of the band to the other side of the tabletop by mean of
the hook (detail 1 in Pic. 10.2).
3. Act on the knob (detail 2 ion Pic. 10.2) to tighten the band.
4. When got the desired pressure on the band, this is automatically blocked by
detail 3.
5. Push detail 3 to release the band

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It is recommended to warn the patient before pressure with the band, and its
effect and purposes.

Lateral cassette support

This support accepts cassettes from size 24x30 cm to 35x35 cm; it is helpful
when the examination on progress requires latero-lateral projections of certain
anatomical parts. The use of this device made easier to perform this examination
without force the patient to uncomfortable positions

(B) (A)
Fig.10-3

Lateral cassette support: (A)- detail of mounting part for cassette support on the
aluminium profile of tabletop with blocking gear (1)
(B)- Lateral view of cassette support.

In Pic.10.3 (A) and (B) some mounting part detail of the lateral cassette support
are displayed to show the installation on the aluminium support, by mean of the
proper guides.

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Installation procedure:
1. Unlock the blocking knob counter clockwise
2. Insert the cassette holder along the aluminium profile
3. Adjust the position in reason of imaging area
4. stabilize the position by locking the blocking knob clockwise

The specific configuration of this support allows the use of X-ray cassettes with
size 24x30 cm to 35x35 cm in both directions.
For a more practical use and a better imaging result it is suggested to employ
cassette incorporating the X-ray grid.

Tabletop moving handle

The floating movement of the tabletop of the x-ray table UPPER is made easier
thought the use of the properly designed knob. This item must be installed on the
aluminium profile on the user side, and must be blocked properly as in Pic.10-4.

Pic.10-4

Installation procedure:
1. Unlock the blocking knob counter clockwise
2. Insert the knob along the aluminium profile
3. Adjust the position to have it comfortable for the user
4. stabilize the position by locking the blocking knob clockwise

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XII – PCB101 board and pins position
1 1 1 1 1

1
1
1
1
1 1

1 1 1 1 1
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XIII – PCB101: Connections Description

NOTE: DO NOT USE ANY OUTPUT OF THE PCB101 BOARD TO POWER


SUPPLY DIRECTLY THE COLLIMATOR LAMP

M1
Pin Description: PCB101 POWER SUPPLY NOTE
1 230Vac Phase Line power supply
2 Ground
3 230Vac Neutral Line power supply

M2
Pin POWER SUPPLY LED NOTE
1 24Vdc
2 GND

M3-1
Pin PANEL SWITCH (N.C.) NOTE
Connected to first pin of the normally closed
1
contact of PANEL SWITCH micro-switch
Connected to second pin of the normally closed
2
contact of PANEL SWITCH micro-switch

M3-2
Pin TABLETOP BRAKE BK1 NOTE
1 GND
2 24Vdc

M3-3
Pin TABLETOP BRAKE BK2 NOTE
1 GND
2 24Vdc

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M3-4
Pin TABLETOP BRAKE BK3 NOTE
1 GND
2 24Vdc

M4
Pin NOT USED NOTE

M5
Pin BKC - COLUMN BRAKES NOTE
1 => M5 - Pin2 jumper between
2 => M5 – Pin1 M5-1 and M5-2
3 GND hallows 24 Vdc on
4 24Vdc M5-3

M6
Pin BKP - FRENO POTTER NOTE
1 => M6 - Pin2 jumper between
2 => M6 – Pin1 M6-1 and M6-2
3 GND hallows 24 Vdc on
4 24Vdc M6-3

M7
24V POTTER BUCKY Power Supply (spare
Pin NOTE
if potter bucky 230V power supply)
1 => M7 - Pin2 jumper between
2 => M7 – Pin1 M7-1 and M7-2
3 GND hallows 24 Vdc on
4 24Vdc M7-3

M8
Pin SPARE A 24V
1 => M8 - Pin2 jumper between
2 => M8 – Pin1 M8-1 and M8-2
3 GND hallows 24 Vdc on
4 24Vdc M8-3

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M9
Pin TABLE-GENERATOR INTERFACE NOTE
230Vac POTTER BUCKY POWER SUPPLY – Potter Bucky
(generator side): L – 230Vac phase to horizontal potter
connected to M1 pin 1
1
24 Vac/dc POTTER BUCKY POWER SUPPLY: not
regulated +24Vdc if this pin is short circuited with M7
pin 4
230Vac POTTER BUCKY POWER SUPPLY - Potter Bucky
(generator side): N – 230Vac neutral to horizontal
2 potter connected to M1 pin 3
24 Vac POTTER BUCKY POWER SUPPLY: not regulated
+24Vdc if this pin is short circuited with M7 pin 3
3 Potter Bucky (generator side): call from generator
4 Potter Bucky (generator side): call from generator
Potter Bucky (generator side): sync contact for
5
generator
Potter Bucky (generator side): sync contact for
6
generator
7 Ground
8 Ground

M10-1
230VAC AUXILIARY COLLIMATOR LAMP
Pin
TRANSFORMER POWER SUPPLY
Phase - 230Vac auxiliary transformer power supply for
1
collimator lamp
2 Ground
Neutral - 230Vac auxiliary transformer power supply for
3
collimator lamp

M10-2
Pin Columns Control Unit Pwer Supply
1 230Vac (L)
2 GND
3 230Vac (N)

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M11

Pin POTTER BUCKY/TABLE INTERFACE


1 Potter Bucky (table side): L
2 Potter Bucky (table side): N
3 Potter Bucky (table side): generator request
4 Potter Bucky (table side): generator request
5 Potter Bucky (table side): Potter Bucky Ready
6 Potter Bucky (table side): Potter Bucky Ready
7 GND
8 GND

Followings connectors: NOT USED

M10-3 M12 M13-1 M13-2 M13-3 M14-1 M14-2 M14-3

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XIV – PCB101 Fuses

VALUE [A]
FUSE CONNECTOR DESCRIPTION
(rapid)
Power supply
F1 4A //
(230 Vac)

Power supply
F2 4A //
(230 Vac)

Tabletop Brake
F3 3.15 A M3
(BK1, BK2, BK3)

F4 1A M4 //

Column Brakes
F5 3.15 A M5 (BK105_1, BK105_2,
BK105_3)
Potter Bucky Brake
F6 1A M6
(BK106)
spare 24Vdc
F7 1A M7 (24V Potter Bucky Power
Supply)
F8 1A M8 spare 24Vdc
T1 Transformer
F9 1A //
secondary 10VA
T1 Transformer
F10 6.3 A //
secondary 140VA
LED
F11 1A M2
(power supply led)
OPTIONAL: collimator light
FA 8A //
transformer

OPTIONAL: collimator light


FB 8A //
transformer

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XV – Components Positions

Remove the back side panel to access the electronic control of the
table

Power Supply
DOWN UP Led Light PCB101
movement movement Board
Microswitch Microswitch Tabletop
Brake
pedal

Connectors
Junction box

Junction box
230Vac Power Supply Collimator light
Column Control Unit Transformer

Collimator
Light Fuses
Column Control
Unit

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XVI – Cleaning Operations and ordinary maintenance

At the expect of user the cleaning and ordinary maintenance operations, and a
few visual check of some moving part

All controls and maintenance operation which requires the access to the internal
parts of the device, as well as some ordinary and extraordinary maintenance
operations are exclusive duty of authorized personnel.

In the following table we report all common cleaning operation and visual check
recommended for a correct use of the device.

Warning!
o Before attempting any cleaning or disinfection operation of the structures
disconnect all devices from power supply
o Take care that cleaning and disinfection products are not aggressive and
not abrading
o Avoid that all liquids used for cleaning get in touch with powered parts of
the structures

Frequency Operation

Cleaning and disinfection of all surfaces in contact with the


After every use
patient (use a clean cloth and non aggressive product)

Check the correct work of all light signals and the correct
Daily readability of all labels and indications placed on the
structures.

Check and report eventual unusual noises, during


Weekly
movement or during brake activation / deactivation

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XVII – Ordinary and extraordinary maintenance

All the following activities of ordinary and extraordinary maintenance must be


performed only by technical, specialized personnel.

In following table are listed all recommended operations for periodically ordinary
maintenance:

Frequency Operations
- Control of brake efficiency and regularity of movements
- Cleaning of guides and mechanisms
Each six months
- Check of all electrical connections to the line (visual
check of plugs, wires and cables)

Description of ordinary maintenance

- Performance brakes control and movements tuning

1) Unlock the tabletop brake and move it: check the smoothness and the
noisiness. If necessary, remove the tabletop and clean the guides where
run the bearings and the bearings themselves;

2) With the tabletop braked, pull it and with a dynamometer check that the
braking power is around 14-18kg.

- Cleaning guide and inner workings;

Check the clearing and


the usury

- Check the power supply connection (cabling, plug and so on)

For every extraordinary maintenance operation as repair, spare parts


substitution or every operation that needs technical service not described
in this manual, please contact the manufacturer service staff.
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XVIII – Spare part list

Quantity in each
Code Part
unit
LIASP01 Main UPPER structure 1
LIASP02 Main lower structure 1
LIASP03 Elevating mechanical group 1
LIASP04 Bearings 1
LIASP05 Self centring cassette support 1
LIASP06 Anti-Scattering grid 1
LIASP07 Table control board 1
LIASP08 Foot command for lowering the tabletop 1
LIASP09 Foot command for lifting the tabletop 1
LIASP10 Foot command for unlocking tabletop floating
1
movement
LIASP11 Longitudinal movement group ( floating movement 1
allowance )
LIASP12 ELM Brake 3
LIASP13 tabletop 1
LIASP14 Motor 1
LIASP15 Inverter 1
LIASP16 Magneto-thermal switch + safety 1
LIASP17 Unlock detector button group 1
LIASP18 Tabletop 1
LIASP19 Transversal moment frame 1

NOTE 1
Italicized parts and codes are not available as spare parts; in cases where these part and codes will
show defect and malfunction not fixable on site, the whole device will be retired and completely
exchanged with a new one.

NOTE 2
For Potter Bucky and Digital Pack spare parts, please refer to the relative manuals.

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XIX – Labelling and identification of products

All UPPER units are identifiable by a label positioned as per Pic.19-1.

Pic.19-1

Every unit could be shipped dismantled in 2 pieces (base and tabletop) in the
same package, every component is labelled with S/N placed on:

• Package
• Single part

This care avoids exchanging the single components with ones from other table of
the same model.

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XX – Disposal

This medical device must be managed in full respect of Article 13 of Dlg July 25,
2005, Nr 151 ’’Attuazione delle direttive 2002/95/CE, 2002/96/CE e
2003/108/CE,” related to the reduction of the use of the dangerous material on
the electrical and electronic devices, as well as to the garbage disposal.

The symbol with the crossed garbage bin indicate that the product, at the end of
its shelf life must be collected in separated way from the other garbage.

The separate collection of this device must be arranged and managed and by the
manufacture.
The user that want to get rid off this device will contact the manufacture and
follow is protocol for the garbage disposal.

A correct separate collection to perform a compatible recycling, treatment and


disposal of the device, aids to avoid negative effects to the environment and to
the health, it also supports a reuse and/or a recycling of the materials of the
device.
The abusive disposal of the device by the side of user involves the applying of
fines estimated by the in force law.

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XXI – Symbols

The Medical Device presents several symbols, that here follow with detailed
explanations.
Users and technicians are carefully intended to be aware of the meaning of each
symbol and to respect them in every operation.
User and technician are forbidden to remove any of the signals present on the
device.

Manufacturer

Identify the production data with format year/month

Product code.

Identify the serial number of the unit given by manufacturer

Applied part Type B

Instruction. WARNING! REFERENCE ON THE MANUALS

CE conformity mark
0051

Earth protection

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Store in dry environment

RAEE Disposal

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XXII - References and manufacturer address

Via Marzabotto, 21 / 23
20871 VIMERCATE (MB)
-ITALY-.
Tel. 039/6080443
Fax 039/6082557

General Information info@arcomonline.com


Commercial Information commerciale@arcomonline.com
Technical Service service@arcomonline.com
Website www.arcomonline.com

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XXIII – CE Mark

The EM device is a medical device with CE mark achieve with support of a


notified body of the European Union.

0051

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Annex A – Block Schemes

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Annex B - Layout

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Annex C – Electrical Drawing

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NOT USED

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Actuators Control Board


Power Supply

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Actuators Control Board


Power Supply

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